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.
Meal Delivery Programs Reduce the Use of Costly Health Care in Dually Eligible Medicare And Medicaid Beneficiaries (Massachusetts)
Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Adults, Older Adults, Urban
Goal: In this study, it was sought to examine whether home delivery of medically tailored meals or non-tailored food reduces the use of selected health care services and medical spending among Commonwealth Care Alliance members. Because there is knowingly an association between food insecurity and emergency room visits, it was hypothesized that the medically tailored meals would cause a reduction in ER visits and other costly healthcare services and expenditures.
Impact: Researchers estimate monthly net savings of $220 per participant for medically tailored meals and $10 per participant for the non-tailored food program. This study suggests that vulnerable patients, in this case, the dually eligible Medicaid and Medicare, can benefit from meal delivery programs.
Medicaid Savings Resulted When Community Health Workers Matched Those With Needs To Home And Community Care (Arkansas)
Filed under Evidence-Based Practice, Economy / Government Assistance, Older Adults
Goal: The goal of this program is to reduce costs by using specially trained community health workers to help connect people with unmet long-term needs and/or those at risk of entering nursing homes to Medicaid home and community-based services.
Impact: Similar interventions may help other localities achieve cost-saving and equitable access to publicly funded long-term care options other than institutional care.
Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Women, Racial/Ethnic Minorities
Goal: The goal of the Medical Nutrition Therapy program is to decrease perinatal complications in pregnant women with type 2 Diabetes in Mexico City.
Filed under Evidence-Based Practice, Community / Crime & Crime Prevention, Children
Goal: The ultimate goal of MST is to empower families to build a healthier environment through the mobilization of existing child, family, and community resources.
Impact: Compared to youth receiving usual-treatment services, those receiving MST were arrested about half as often in the post-treatment period. Recidivism rates were significantly less for MST-treated youth. Youth who received MST also had an average of 73 fewer days of incarceration.
Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Women
Goal: The program has three primary goals:
1) to improve pregnancy outcomes by promoting health-related behaviors;
2) to improve child health, development and safety by promoting competent care-giving; and
3) to enhance parent life-course development by promoting pregnancy planning, educational achievement, and employment.
The program also has two secondary goals: to enhance families’ material support by providing links with needed health and social services, and to promote supportive relationships among family and friends.
Impact: Evaluations of the program have shown that women who were visited by nurses had significantly better outcomes than those who did not in terms of measures such as maternal health, maternal life-course development, child health and safety, and adolescent measures of delinquency.
Filed under Effective Practice, Community / Social Environment, Children, Families
Goal: The long-term goals of this program are to decrease the rate of recidivism in families receiving social services, lower the rate of multiparent teenage pregnancies, reduce the rate of juvenile delinquency and alcohol abuse, and stop the intergenerational cycle of child abuse by teaching positive parenting behaviors.
Filed under Evidence-Based Practice, Health / Weight Status
Impact: The Community Preventive Services Task Force (CPSTF) recommends multicomponent interventions to increase availability of healthier foods and beverages in schools. This finding is based on evidence that they reduce or maintain the rate of obesity or overweight.
Filed under Evidence-Based Practice, Economy / Housing & Homes, Adults, Urban
Goal: The goal of Pathways to Housing, Inc. is to provide independent housing, treatment services for physical and mental health, and employment to mentally ill individuals who are chronically homeless.
Impact: Pathways to Housing has received numerous awards for its projects in New York City, Philadelphia, and D.C. In addition to achieving large effects in terms of housing outcomes, compared with standard care in the community, Housing First also improves community functioning and quality of life.
Filed under Evidence-Based Practice, Education / School Environment, Children, Teens
Goal: The goal of this program is to improve academic success, behavior, and character development.
Impact: Multiple studies have consistently found PA effective for improving achievement scores, attendance, and self-concept and for reducing drug use, violence, and other problem behaviors. Results were often better in more disadvantaged schools.
Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health
Impact: The Community Preventive Services Task Force (CPSTF) recommends exercise programs for pregnant women to reduce the development of gestational hypertension.