Promising Practices

Filed under Evidence-Based Practice, Health / Prevention & Safety

Goal: The goal of Emergency Department Means Restriction Education is to help parents and adult caregivers of at-risk youth recognize the importance of taking immediate action to restrict access to firearms, alcohol, and prescription and over-the-counter drugs in the home in order to lessen the risk of self harm.

Impact: The Means Restriction program shows that ED-based programs and provided practical information can help parents and adult caregivers of at-risk youth recognize the importance of taking immediate, new action to restrict access to dangers in the home.

Filed under Evidence-Based Practice, Health / Children's Health, Children, Families, Urban

Goal: Improve early identification of concerns and initiate interventions to improve the health, development and emotional wellness of children, newborn to age three.

Impact: HSFYC parents were less likely to use severe discipline (OR: 0.68) and more likely to negotiate with their child (OR: 1.20). HSFYC parents had greater odds of reporting a clinical or borderline concern regarding their child's behavior (OR: 1.35).

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, Economy / Employment, Adults, Families

Goal: The goal of the PASS Program is to promote job retention and advancement among individuals leaving the Temporary Assistance for Needy Families (TANF) program.

Impact: The PASS program did not meet the goal of having its participants retain their initial jobs. However, PASS did result in PASS participants being more likely to find new jobs (occasionally with higher earnings) after having lost or moved on from previous jobs.

Filed under Effective Practice, Health / Adolescent Health, Teens, Men, Urban

Goal: The mission of the Rikers Health Advocacy Program is to provide an intensive AIDS education designed to reduce HIV risk behaviors for incarcerated adolescent male drug users.

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases

Goal: The goal of this intervention is to prevent new STD infections.

Impact: The Safe in the City program shows that clinic waiting room videos displaying prevention knowledge and techniques can actually help to reduce the number of new infections of certain STDs.

Filed under Evidence-Based Practice, Community / Social Environment, Children, Adults, Families

Goal: The goal of this program is to provide parents with the necessary skills to improve their parent/child communication and overall family functioning.

Impact: STEP has been implemented in more than 1,000 schools, agencies, churches, and mental health treatment facilities since 1976, reaching more than 4 million parents. Outside the US, STEP has been implemented in Australia, Canada, Germany, Ireland, Mexico, New Zealand, the Philippines, Romania, and South Korea.

CDC

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases

Impact: The Community Preventive Services Task Force (CPSTF) recommends school and organized child care center-located vaccination programs based on strong evidence of effectiveness in increasing vaccination rates, and in decreasing rates of vaccine-preventable disease and associated morbidity and mortality.

The updated CPSTF recommendation is based on findings from 27 studies in which vaccination programs in schools or child care centers:
-Provided vaccinations on site
-Were administered by a range of providers including school health personnel, health department staff, and other vaccination providers
-Were delivered in a variety of different school and organized child care settings
-Delivered one or more of a range of vaccines recommended for children and adolescents, and
-Included additional components such as education, reduced client out-of-pocket costs, and enhanced access to vaccination services

School- and organized child care center-located vaccination programs may be most useful in improving immunization rates among children and adolescents for new vaccines, and vaccines with new, expanded recommendations (such as the annual immunization for seasonal influenza) where background rates are likely to be very low and improvements in coverage are needed.

Filed under Effective Practice, Environmental Health / Environmental Justice, Children, Adults, Urban

Goal: The goals of the West Harlem Waterfront Park Program are to bridge green spaces along the Hudson River and enhance waterfront access, economic development, and regional transportation alternatives in the West Harlem community.

Filed under Evidence-Based Practice, Health / Older Adults, Older Adults

Goal: The Matter of Balance/Volunteer Lay Leader (MOB/VLL) program is designed to reduce the fear of falling, stop the fear of falling cycle, and improve the activity levels among community-dwelling older adults. The goal of the program is to use volunteer lay leaders as facilitators, in order to make the program affordable to offer in the community setting.

Impact: When following up one year after the program, participants reported significant gains in fall management and there was a trend to increased exercise level as well. In addition, participants sustained a reduction in monthly falls.