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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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Larkin Opportunities for Transition (The LOFT) (San Francisco, CA)

Filed under Good Idea, Health / Adolescent Health, Teens, Racial/Ethnic Minorities, Urban

Goal: To provide a shelter and services that assist homeless and runaway youth to transition into a stable living situation.

Larkin Street Youth Services' HIRE UP Program (San Francisco)

Filed under Effective Practice, Community / Community & Business Resources, Children, Urban

Goal: Larkin Street Youth Service's mission is "to create a continuum of services that inspires youth to move beyond the streets. We will nurture potential, promote dignity, and support bold steps for all." HIRE UP's mission is: "to provide homeless and runaway youth with an educational foundation and marketable skill set that will greatly increase their chances of progressing into an independent, productive adulthood."

Latino Commission on AIDS (New York City, NY)

Filed under Good Idea, Health / Immunizations & Infectious Diseases, Racial/Ethnic Minorities

Goal: The Latino Commission on AIDS focuses its efforts on HIV/AIDS in the Latino community through health advocacy, promoting HIV education, developing model prevention programs for high-risk communities, and building capacity in community organization.

Impact: As the only provider of Spanish language HIV treatment, the Latino Commission on AIDS has created a model of public health that uses training, outreach, prevention and culturally sensitive care for Latinos living with HIV/AIDS.

Lead Free Wheels (USA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: The "Lead Free Wheels" program has three goals:

- direct reduction of 6,000-7,500 kg of lead use on vehicles in Michigan and the Midwest;
- demonstrate the viability of lead-free wheel weight installation at Michigan tire retailers, state and municipal fleets and other points vehicle service and:
- encourage domestic production of lead-free wheel weights and a phase out of lead use in wheel weights.

Leading, Integrating, Networking for Kids (LINK) (Syracuse, NY)

Filed under Good Idea, Health / Children's Health, Children, Urban

Goal: The goal of Leading, Integrating, Networking for Kids is to provide mental health services for children in schools.

Less Talk and More Action -- Protecting Seniors Against West Nile Virus (Yavapai, AZ)

Filed under Good Idea, Environmental Health / Toxins & Contaminants, Older Adults

Goal: This program aims to protect seniors against West Nile virus exposure.

Let's Talk…It Makes a Difference! (Cambridge, MA)

Filed under Good Idea, Health / Children's Health, Families

Goal: The objectives of the campaign are (1) to educate parents about the importance of talking with their children and (2) to model techniques parents can use to have rich and elaborate conversations with their children.

Living for Health (Miami, FL)

Filed under Effective Practice, Health / Heart Disease & Stroke, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of the program is to identify and follow underserved adult residents with undiagnosed or untreated high blood pressure, cholesterol or glucose, provide education to encourage healthy lifestyle changes and encourage them to seek treatment – anyone without a primary care physician is referred to a participating FQHC.

Impact: Among those participants who were followed over time and were able to be reached by phone, there were significant increases in healthy food consumption as well as significant decreases in smoking, fat consumption, and fast food frequency.

Long-term Cost Effectiveness of Placing Homeless Seniors in Permanent Supportive Housing (San Francisco, CA)

Filed under Effective Practice, Economy / Housing & Homes, Women, Men, Older Adults, Racial/Ethnic Minorities

Goal: To describe a new model of enriched supportive housing that not only improves the quality of life of seniors but also can provide a return on investment that reduces health care expenditures.

Impact: Housing chronically homeless adults reduces homelessness, improves health outcomes, and reduces health care costs. The greatest reduction in health care costs after placement in supportive housing is seen among chronically homeless adults and seniors.

Lowfat Lucy (New York, NY)

Filed under Effective Practice, Health / Children's Health, Children, Racial/Ethnic Minorities, Urban

Goal: The goal of the Lowfat Lucy program is to encourage children to drink low-fat white milk.

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