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Promising Practices

The Promising Practices database informs professionals and community members about documented approaches to improving community health and quality of life.

The ultimate goal is to support the systematic adoption, implementation, and evaluation of successful programs, practices, and policy changes. The database provides carefully reviewed, documented, and ranked practices that range from good ideas to evidence-based practices.
Learn more about the ranking methodology.

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Supervised Injection Sites (Vancouver, British Columbia)

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Urban

Goal: Insite’s mission is to provide a safe environment for people to inject drugs and thus reduce injecting activity in public while linking drug users to health care services such as primary care, addiction counseling and treatment.

Impact: Opening supervised injected facilities have resulted in significant reductions in public injection drug use related issues and increase in referrals to social services and detoxification programs in Vancouver.

Teams-Games-Tournaments Alcohol Prevention (Georgia)

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Teens

Goal: The goal of this program is to educate students about alcohol and to prevent alcohol abuse.

Impact: Evaluations showed significant gains in alcohol-related knowledge, significantly better attitudes toward drinking and driving, and reductions in alcohol consumption.

The Aban Aya Youth Project (AAYP) (Chicago)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Men, Urban

Goal: The goal of this intervention is to reduce high-risk behavior among African American youth as measured by student self-reports of violence, provocative behavior, school delinquency, substance use, and sexual behaviors (intercourse and condom use).

Impact: AAYP reduced rates of risky behaviors among male African American youth.

The Seven Challenges (USA)

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Children, Teens

Goal: The goal of the program is to treat adolescents with drug and behavioral problems using an individualized counseling method incorporating the Seven Challenges.

Too Good for Drugs

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Teens

Goal: This program is designed to reduce students' intentions to use alcohol, tobacco, and illegal drugs.

Impact: Studies show that the program significantly reduces the proportion of students with intentions to drink alcohol and smoke. Participants also showed significantly increased use of personal and social skills, increased engagement in prosocial behaviors, and decreased engagement in inappropriate social behaviors.

Trauma Center Intervention for Alcohol Disorders (Albuquerque, NM)

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Adults

Goal: The goal of the Trauma Center Intervention for Alcohol Disorders is to reduce driving under the influence.

Trauma Recovery and Empowerment Model (TREM)

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Women

Goal: The goal of this program is to facilitate trauma recovery among women with histories of exposure to sexual and physical abuse.

Impact: Studies demonstrated that TREM participants showed a significant reduction in severity of problems related to substance use from baseline to 12-month follow-up relative to the comparison group. Reduced trauma symptoms were also significantly greater for the intervention group than for the comparison group at 12-month follow-up. Furthermore, the intervention group had significantly reduced symptoms of psychological problems 1 year after the intervention.

Web-Based Committed Quitters Stop Smoking Plan

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Adults

Goal: To increase the abstinence rate of smokers over the age of 18 through a supplemental, online, tailored smoking cessation program.

Impact: The Committed Quitters Stop Smoking Plan has been successful at increasing the abstinence rate for smokers enrolled in the plan. Abstinence was higher for enrollees of the plan after 28 days and after 10-weeks.

Substance Use Disorder Assessment and Resource Navigation (Austin, TX)

Filed under Good Idea, Health / Alcohol & Drug Use, Adults, Urban

Goal: To engage patients who may benefit from early intervention and/or education about substance use disorders, and to direct the individuals toward treatment options at the most appropriate levels of care.

A Matter of Degree (USA)

Filed under Effective Practice, Health / Alcohol & Drug Use, Teens

Goal: The goal of the A Matter of Degree program is to reduce student drinking and driving after drinking.

An Effective Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success and/or promise in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures of improvement in outcome of interest (i.e. increase in voter registration, not just delivery of voter registration drive) and/ or the outcome measure is increased or improved compared to the baseline measurement or the control group but the difference is not statistically significant.

A Good Idea meets the following HCI criteria:

  1. The program description includes: the sponsoring organization, program goals, program funding source, program implementation steps and outcomes.
  2. The program evaluation is limited to descriptive measure(s) of success/accomplishment (i.e., program participation rates, number of services/education sessions/radio messages provided). Note: oftentimes, the program has been newly implemented and a program evaluation has not yet been conducted. Programs that have not yet been evaluated, but which show promise in improving health or quality of life, are classified as Good Ideas until an evaluation is conducted.

An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.
Michigan Health Improvement Alliance