Strategies

What Works for Health includes evidence-informed strategies to create communities where everyone can thrive.

157 Strategies
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Preschool education programs

Provide center-based programs that support cognitive and social-emotional growth among children who are not old enough to enter formal schooling

Evidence Rating:
Scientifically Supported
  • Education

Preschool programs with family support services

Provide center-based programs that support cognitive and social development among young children from families with low incomes, with supports such as home visiting or parental education

Evidence Rating:
Scientifically Supported
  • Education

Promise Academy Charter Schools

Create a school culture of high behavioral and academic expectations, with intense tutoring, increased teacher performance feedback, lengthened instruction time, and health care services

Evidence Rating:
Some Evidence
  • Education

Public transportation systems

Introduce or expand transportation options that are available to the public and run on a scheduled timetable (e.g., buses, trains, ferries, rapid transit, etc.)

Evidence Rating:
Scientifically Supported
  • Housing and Transit

Publicly funded pre-kindergarten programs

Provide publicly funded pre-kindergarten (pre-K) education to 3- and 4-year-olds, through large-scale or universal efforts

Evidence Rating:
Scientifically Supported
  • Education

Radon mitigation programs

Prevent radon from entering occupied buildings and reduce existing indoor air radon levels via soil depressurization, home or room pressurization, heat recovery ventilation, etc.

Evidence Rating:
Some Evidence
  • Housing and Transit

Rapid re-housing programs

Transition families and individuals experiencing homelessness into permanent housing quickly, often with supports such as short-term financial assistance, case management, landlord negotiations, etc.

Evidence Rating:
Some Evidence
  • Housing and Transit

Reach Out and Read

Partner with doctors, nurse practitioners, and other medical professionals to incorporate literacy support into regular well-child visits, especially in lower income communities

Evidence Rating:
Scientifically Supported
  • Education

Refundable child and dependent care tax credit

Offer a refundable tax credit to working families with qualifying children or other dependents that receive care outside the home (e.g., a spouse with disabilities)

Evidence Rating:
Expert Opinion
  • Income

Rent regulation policies

Establish tenant protections via regulations to the housing rental market such as limits on rent increases and eviction protections for tenants with low incomes; typically via rent stabilization

Evidence Rating:
Expert Opinion
  • Housing and Transit

Reproductive life plans

Establish plans consistent with personal values and current life circumstances that set goals related to having or not having children; goals often change over time

Evidence Rating:
Expert Opinion
  • Access to Care

Retail clinics

Establish clinics in retail stores that provide basic services for minor illnesses (e.g., sore throats or skin conditions) and procedures (e.g., immunizations, pregnancy testing, routine lab tests); also known as retail pharmacy, walk-in, or convenient care clinics

Evidence Rating:
Expert Opinion
  • Access to Care

Rural training in medical education

Expand medical school training and learning experiences focused on the skills necessary to practice successfully in rural areas

Evidence Rating:
Scientifically Supported
  • Access to Care

Rural transportation services

Establish transportation services for areas with low population densities using publicly funded buses and vans on a set schedule, dial-a-ride transit, volunteer ridesharing, etc.

Evidence Rating:
Expert Opinion
  • Access to Care
  • Housing and Transit

Safe Routes to Schools

Promote walking and biking to school through education, incentives, and environmental changes; often called SRTS

Evidence Rating:
Scientifically Supported
  • Housing and Transit
  • Diet and Exercise

School and district level zero tolerance policies

Require school officials to apply predetermined consequences for certain infractions, regardless of situational context or circumstances; consequences are usually severe (e.g., suspension or expulsion)

Evidence Rating:
Evidence of Ineffectiveness
  • Education

School breakfast programs

Support programs to provide students with a nutritious breakfast in the cafeteria, from grab and go carts in hallways, or in classrooms

Evidence Rating:
Scientifically Supported
  • Education
  • Diet and Exercise

School dental programs

Provide sealants, fluoride treatment, screening, and other preventive dental care on school grounds via partnerships with dental professionals

Evidence Rating:
Scientifically Supported
  • Access to Care

School-based health centers

Provide health care services on school premises to attending elementary, middle, and high school students; physical and mental health services provided by teams of nurses, nurse practitioners, and physicians

Evidence Rating:
Scientifically Supported
  • Education
  • Access to Care

School-based social and emotional instruction

Implement focused efforts to help children recognize and manage emotions, set and reach goals, appreciate others’ perspectives, and maintain relationships; also called social and emotional learning (SEL)

Evidence Rating:
Scientifically Supported
  • Education

School-based tobacco prevention skill-building programs

Teach students personal and social skills to avoid tobacco use; led by teachers, health educators, or students in elementary schools, middle schools, or high schools

Evidence Rating:
Some Evidence
  • Tobacco Use

School-based trauma counseling

Help students process trauma exposure and develop coping skills through individual or small group counseling with mental health professionals or school staff with trauma-specific training

Evidence Rating:
Some Evidence
  • Education

School-based violence & bullying prevention programs

Address students’ disruptive and antisocial behavior by teaching self-awareness, emotional self-control, self-esteem, social problem solving, conflict resolution, team work, social skills, etc.

Evidence Rating:
Scientifically Supported
  • Education

School-community liaisons

Provide students from public schools, from low income backgrounds, or who have a high risk of dropping out and their families with information about social services and health care supports; also called community resource or family and community liaisons

Evidence Rating:
Insufficient Evidence
  • Education

Secondhand smoke education interventions

Use counseling, informational materials, etc. to inform smokers and non-smokers of the harms of secondhand smoke and encourage them to implement home smoking bans

Evidence Rating:
Mixed Evidence
  • Tobacco Use

Service-enriched housing

Provide permanent, basic rental housing with social services available on-site or by referral, usually for families with low incomes, older adults, veterans, or people with disabilities

Evidence Rating:
Some Evidence
  • Housing and Transit

Small elementary classes

Reduce the number of students in elementary school classrooms

Evidence Rating:
Some Evidence
  • Education

Smart Start North Carolina

Provide comprehensive early childhood services, including high quality educational child care, health, and family support to address local needs

Evidence Rating:
Some Evidence
  • Education

Smoke-free policies for indoor areas

Implement private sector rules or public sector regulations that prohibit smoking indoors or restrict it to designated, often outdoor, areas

Evidence Rating:
Scientifically Supported
  • Tobacco Use

Smoke-free policies for multi-unit housing

Implement private sector rules or public sector regulations that prohibit smoking in and around multi-unit housing

Evidence Rating:
Expert Opinion
  • Tobacco Use

Smoke-free policies for outdoor areas

Implement private sector rules or public sector regulations that prohibit smoking outdoors or restrict it to designated areas

Evidence Rating:
Some Evidence
  • Tobacco Use

Statewide comprehensive tobacco programs

Coordinate state and community-level cessation and prevention interventions and provide information on the dangers of tobacco using a combination of educational, regulatory, clinical, social, and economic strategies

Evidence Rating:
Scientifically Supported
  • Tobacco Use

Summer learning programs

Provide academic instruction to students during the summer, often along with enrichment activities such as art or outdoor activities

Evidence Rating:
Scientifically Supported
  • Education

Supplemental Security Income (SSI) benefits

Explore ways to increase Supplemental Security Income (SSI) program benefit amounts for aged, blind, or disabled individuals, including children, with little or no income

Evidence Rating:
Expert Opinion
  • Income

Synthetic progesterone (17P) access

Ensure appropriate access to 17P, a synthetic version of the hormone progesterone, by identifying high-risk women, reducing barriers to treatment receipt and completion, coordinating care, etc.

Evidence Rating:
Expert Opinion
  • Access to Care

Tax increment financing (TIF) for affordable housing

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

Evidence Rating:
Expert Opinion
  • Housing and Transit

Technology enhanced classroom instruction

Incorporate technology into classroom instruction via computer-assisted instruction programs, computer-managed learning programs, use of interactive white boards, etc.

Evidence Rating:
Scientifically Supported
  • Education

Telemedicine

Deliver consultative, diagnostic, and treatment services remotely, especially for patients who live in areas with limited access to care or who experience transportation or mobility barriers; sometimes called telehealth

Evidence Rating:
Some Evidence
  • Access to Care

Telemental health services

Provide mental health care services (e.g., psychotherapy or counseling) via telephone or videoconference

Evidence Rating:
Some Evidence
  • Access to Care

Text message-based health interventions

Provide reminders, education, or self-management assistance for health conditions, especially chronic diseases, via text message

Evidence Rating:
Scientifically Supported
  • Access to Care

Tobacco cessation contests

Encourage participants to quit using tobacco by a set date or during a specific time period and give successful participants a chance to win financial rewards or other prizes; often called Quit & Win contests

Evidence Rating:
Insufficient Evidence
  • Tobacco Use

Tobacco cessation therapy affordability

Reduce patients’ out-of-pocket costs for tobacco cessation therapies such as nicotine replacement therapy (NRT) and cessation counseling participation

Evidence Rating:
Scientifically Supported
  • Tobacco Use

Tobacco marketing restrictions

Limit promotion, placement, flavoring, or pricing of tobacco products via regulation

Evidence Rating:
Some Evidence
  • Tobacco Use

Tobacco quitlines

Deliver phone-based counseling to tobacco users who want to quit, usually with follow-up calls proactively scheduled after initial contact

Evidence Rating:
Scientifically Supported
  • Tobacco Use

Tobacco retailer licensing

Require retailers to purchase licenses to sell tobacco products; retailers must follow all tobacco control laws to keep licenses

Evidence Rating:
Expert Opinion
  • Tobacco Use

Tobacco retailer location restrictions

Set the number, type, proximity, and density of tobacco retailers, especially near homes and schools, via state or local zoning, licensing restrictions, or other regulations

Evidence Rating:
Expert Opinion
  • Tobacco Use

Tobacco taxes

Increase tobacco price per unit through taxes at the federal, state, or local level

Evidence Rating:
Scientifically Supported
  • Tobacco Use

Traffic calming

Modify the built environment to affect traffic speed and patterns via speed humps, pedestrian center crossing islands, roundabouts, etc.

Evidence Rating:
Scientifically Supported
  • Housing and Transit
  • Community Safety

Trauma-informed schools

Adopt a multi-tiered approach within schools to address the needs of trauma-exposed youth, including school-wide changes, screenings, and individual intensive support

Evidence Rating:
Some Evidence
  • Education