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Explore guides and tools for improving health.

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Explore programs and policies that work!

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Reports

Key findings from the last four years of County Health Rankings and other national reports.

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Policies & Programs, filtered by "Community Members"

Policies and programs that can improve health

73 results

Affordable housing tax increment financing (TIF)

Expert Opinion

Create designated tax districts that generate revenue to invest in affordable housing initiatives, blight remediation, and economic development efforts

Housing and Transit

Alcohol advertising restrictions

Some Evidence

Restrict the content and placement of alcohol advertisements via local ordinances, state laws, or industry self-regulation

Alcohol and Drug Use

Birthing Project Sister Friends

Insufficient Evidence

Provide one-on-one support and education to women of color, by women of color during pregnancy and for one year after birth

Family and Social Support

Carpool & rideshare programs

Expert Opinion

Help commuters share transportation through informal arrangements between individuals, formally arranged dynamic ridesharing programs, or other ride-matching services

Air and Water Quality  ·  Housing and Transit

Case-managed care for community-dwelling frail elders

Some Evidence

Use a case management model for frail elderly patients living independently, coordinating aspects of long-term care such as status assessment, monitoring, advocacy, care planning, etc.

Quality of Care

Child-focused advertising restrictions for unhealthy foods & beverages

Some Evidence

Restrict child-focused advertising for unhealthy foods and beverages via bans on unhealthy food and drink ads during children’s TV programs, product placement in children’s movies, etc.

Diet and Exercise

Children's savings accounts

Expert Opinion

Establish dedicated children’s savings account (CSAs) to build assets over time with contributions from family, friends, and sometimes, supporting organizations; also called children’s development accounts (CDAs)

Income  ·  Education

Community arts programs

Expert Opinion

Support locally-based visual, media, and performing arts initiatives for children and adults; also called participatory arts programs

Family and Social Support

Community gardens

Some Evidence

Establish and support land that is gardened or cultivated by community members via community land trusts, gardening education, zoning regulation changes, or service provision (e.g., water or waste disposal)

Diet and Exercise

Community policing

Scientifically Supported

Implement a policing philosophy based on community partnership, organizational transformation, and problem solving techniques to proactively address public safety issues: also called community-oriented policing

Community Safety

Community schools

Some Evidence

Combine academic, physical health, mental health, and social service resources in schools for students and families via partnerships with community organizations; also called community learning centers

Education

Community supported agriculture (CSA)

Expert Opinion

Establish partnerships between farmers and consumers in which consumers purchase a share of a farm’s products in advance

Diet and Exercise

Community-based social support for physical activity

Scientifically Supported

Build, strengthen, and maintain social networks that provide supportive relationships for behavior change (e.g., setting up a buddy system or a walking group)

Diet and Exercise

Conservation Reserve Enhancement Program (CREP)

Some Evidence

Support the federal-state partnership that pays participating land owners an annual rental rate for removing environmentally sensitive land from production and introducing conservation practices on the land

Air and Water Quality

Consumer-directed health plans

Mixed Evidence

Establish high deductible health plans, often paired with pre-tax medical expense accounts such as Health Reimbursement Arrangements (HRAs) or Health Savings Accounts (HSAs)

Quality of Care

Culturally adapted health care

Scientifically Supported

Tailor health care to patients’ norms, beliefs, and values, as well as their language and literacy skills

Quality of Care

Dropout prevention programs for teen mothers

Scientifically Supported

Provide teen mothers with services such as remedial education, vocational training, case management, health care, child care, and transportation assistance to support high school completion

Education

Early Head Start (EHS)

Scientifically Supported

Provide child care, parent education, physical health and mental health services, and other family supports to pregnant women with low incomes and children aged 0 to 3

Education

Exercise prescriptions

Scientifically Supported

Provide patients with prescriptions for exercise plans, often accompanied by progress checks at office visits, counseling, activity logs, and exercise testing

Diet and Exercise

Family-based physical activity interventions

Some Evidence

Increase family members’ support for physical activity, often via educational sessions on health, goal-setting, problem-solving, or family behavioral management

Diet and Exercise

Farmers' markets/stands

Some Evidence

Support multiple or single vendor markets where producers sell goods such as fresh fruit and vegetables, meat, dairy items, and prepared foods directly to consumers

Diet and Exercise

Financial education for adults

Insufficient Evidence

Provide one-on-one or group adult education programs that cover topics such as basic budgeting, bank use, credit management, bankruptcy, credit building and counseling, homeownership, retirement, divorce, etc.

Income

Food buying clubs & co-ops

Expert Opinion

Offer opportunities for group purchase and distribution of selected grocery items, generally at a reduced price

Diet and Exercise

Fruit & vegetable gleaning initiatives

Expert Opinion

Gather food left in fields after a primary harvest, food in fields where harvesting is not profitable, or excess produce from orchards, packing houses, urban agriculture sites, etc.

Diet and Exercise

Fruit & vegetable taste testing

Some Evidence

Offer samples of fresh fruits and vegetables in cafeterias, nutrition classes, school gardens, or workplace well-being meetings, often as part of a multi-faceted nutrition intervention

Diet and Exercise

Healthy Families America (HFA)

Some Evidence

Provide home visiting services to families who are at risk for adverse childhood experiences, starting prenatally or right after birth and continuing for three to five years

Family and Social Support

Healthy food initiatives in food banks

Some Evidence

Combine hunger relief efforts with nutrition information and healthy eating opportunities, often with on-site cooking demonstrations, recipe tastings, produce display stands, etc.

Diet and Exercise

Healthy foods at catered events

Expert Opinion

Provide more fresh fruits and vegetables, smaller portions, low fat, and reduced sodium or reduced sugar food options and other healthy foods at catered events

Diet and Exercise

Household lead control education interventions

Evidence of Ineffectiveness

Inform parents about lead exposure pathways and cleaning and hygiene techniques and undertake minor repairs or specialized cleaning

Housing and Transit

Housing mediation services

Insufficient Evidence

Facilitate mediation between tenants and landlords to resolve conflict and prevent eviction

Housing and Transit

In-vehicle monitoring & feedback for novice drivers and families

Some Evidence

Support use of in-vehicle devices that alert novice drivers when they have high g-force events (e.g., rapid acceleration, braking, or turning) and allow families to review driving performance later

Community Safety

Individually-adapted physical activity programs

Scientifically Supported

Teach behavioral skills that can help individuals incorporate physical activity into their daily routines

Diet and Exercise

Integrated long-term care for community-dwelling frail elders

Some Evidence

Support a collaborative approach by a multidisciplinary team of professionals working to meet the full range of long-term care needs for frail elderly patients living independently

Quality of Care

Integrated pest management (IPM) for agriculture & outdoor use

Scientifically Supported

Support a four-tiered approach to outdoor pest control that minimizes potential hazards to people, property, and the environment

Air and Water Quality

Integrated pest management for indoor use

Scientifically Supported

Support a four-tiered approach to indoor pest control that minimizes potential hazards to people, property, and the environment

Housing and Transit

Intergenerational communities

Expert Opinion

Create communities that promote interaction and cooperation between individuals of different ages and focus on the needs of all residents, especially children and older adults

Family and Social Support

Kinship care for children removed from home due to maltreatment

Scientifically Supported

Arrange full-time foster care by adults who are not a child’s parents but who have a kinship bond with a child (e.g., relatives, tribe members, godparents, etc.)

Community Safety

Later middle and high school start times

Some Evidence

Delay school start times for middle and high schools to better align with adolescent sleep-wake cycles; often until after 8:30 or 9:00 a.m.

Education

Lead contaminated soil abatement

Expert Opinion

Clean, remove, replace, or cover lead contaminated soil with non-contaminated soil, mulch, sod, grass, or concrete

Air and Water Quality

Lead pipe & plumbing material replacement

Expert Opinion

Replace lead plumbing material such as pipes, service lines, fittings, solder, flux, and fixtures with non-lead plumbing material

Air and Water Quality

Mass media campaigns against alcohol-impaired driving

Scientifically Supported

Use mass media campaigns to persuade individuals to avoid drinking and driving or to prevent others from doing so; campaigns often focus on fear of arrest or injury to self, others, or property

Alcohol and Drug Use

Mass media campaigns against underage & binge drinking

Expert Opinion

Use television, radio, print, and social media efforts to increase adult awareness of underage drinking and its consequences

Alcohol and Drug Use

Media restrictions on sexual content

Insufficient Evidence

Reduce child and adolescent access to sexual content in television, movies, music, and videogames via rating systems, parental advisories, parental guidelines, etc.

Sexual Activity

Multi-component community interventions against alcohol-impaired driving

Scientifically Supported

Work to reduce alcohol-impaired driving via sobriety checkpoints, responsible beverage service training, education and awareness activities, and other efforts

Alcohol and Drug Use

Naloxone education & distribution programs

Some Evidence

Support community members who are likely to encounter individuals who might overdose with education and training to administer naloxone and ensure all first responders are trained and authorized to administer naloxone

Alcohol and Drug Use

Neighborhood associations

Expert Opinion

Establish formal bodies that connect residents who work together to improve the geographic area in which they and others live

Family and Social Support

Neighborhood watch

Scientifically Supported

Support the efforts of neighborhood residents to work together in preventing crime by reporting suspicious or potentially criminal behavior to local law enforcement

Community Safety

Nutrition prescriptions

Expert Opinion

Provide prescriptions with healthy eating goals for patients and families, often accompanied by progress checks at office visits; can include partnerships with local farmers’ markets via FVRx programs

Diet and Exercise

Online grocery stores

Insufficient Evidence

Use internet-based shopping sites to supply refrigerated, frozen, and non-perishable groceries for residential ordering and delivery

Diet and Exercise

Open Streets

Expert Opinion

Allow community members to gather, socialize, walk, run, bike, skate, etc. by closing selected streets temporarily to motorized traffic; also called Ciclovía programs

Diet and Exercise  ·  Family and Social Support

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