Strategies

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

143 Strategies
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Activity programs for older adults

Offer group educational, social, creative, musical, or physical activities that promote social interactions, regular attendance, and community involvement among older adults

Evidence Rating:
Scientifically Supported
  • Diet and Exercise
  • Family and Social Support

Alternative fuels initiatives

Support alternative fuel and vehicle use via financial incentives (e.g., tax benefits, rebates, etc.), mandates (e.g., consumption targets or renewable fuel standards), research and development investments, etc.

Evidence Rating:
Expert Opinion
  • Air and Water Quality

Automated speed enforcement cameras

Use devices such as speed cameras, laser devices, radar, etc. to enforce speed limits; devices can be permanent fixtures or be used manually by law enforcement officers

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

Behavioral health primary care integration

Revise health care processes and provider roles to integrate mental health and substance abuse treatment into primary care; continue to refer patients with severe conditions to specialty care

Evidence Rating:
Scientifically Supported
  • Quality of Care

Behavioral interventions to prevent HIV and other STIs

Use individual-, group-, and community-level interventions to provide education, support, and training that can affect social norms about HIV and other STIs

Evidence Rating:
Scientifically Supported
  • Sexual Activity

Bicycle & pedestrian master plans

Establish a framework to increase walking and biking trails and improve connectivity of non-auto paths and trails in a particular area

Evidence Rating:
Some Evidence
  • Housing and Transit
  • Diet and Exercise

Bicycle infrastructure for enhanced cycling safety

Accommodate or provide dedicated infrastructure for cyclists via bicycle paths, lanes, cycle tracks or protected lanes, etc.

Evidence Rating:
Some Evidence
  • Housing and Transit
  • Community Safety

CAFO regulations

Establish local regulations for confined animal feeding operations (CAFOs) that address location, size, facility management, and pollution contributions to complement U.S. EPA regulations

Evidence Rating:
Expert Opinion
  • Air and Water Quality

Carpool & rideshare programs

Help participants share transportation via informal arrangements between individuals, formally arranged ridesharing programs, or other ride-matching services

Evidence Rating:
Expert Opinion
  • Air and Water Quality
  • Housing and Transit

Case-managed care for community-dwelling frail elders

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

Evidence Rating:
Scientifically Supported
  • Quality of Care

Chronic disease management programs

Implement multi-component efforts that include coordination of health services by multidisciplinary teams of health care professionals, patient self-management, and patient education

Evidence Rating:
Scientifically Supported
  • Quality of Care

Chronic disease self-management (CDSM) programs

Provide educational and behavioral interventions that support patients’ ability to actively manage their condition(s) in everyday life

Evidence Rating:
Scientifically Supported
  • Quality of Care

Clinic-based interventions for human papillomavirus (HPV) vaccination

Combine information about HPV and the benefits of vaccination with efforts to support vaccine series completion (e.g., patient and parent education or reminders, physician education, etc.) in clinic-based settings

Evidence Rating:
Scientifically Supported
  • Sexual Activity

Community arts programs

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

Evidence Rating:
Expert Opinion
  • Family and Social Support

Community centers

Provide space to promote socializing among community members and offer programs and services such as recreational or educational activities, counseling or support services

Evidence Rating:
Expert Opinion
  • Family and Social Support

Community Development Block Grants (CDBGs)

Provide funding for local community development activities such as affordable housing, anti-poverty programs, and infrastructure development

Evidence Rating:
Some Evidence
  • Housing and Transit

Community land trusts

Purchase the land a home is on to lease to homeowners with low and middle incomes and require homeowners to sell the home back to the trust or to another resident with low income upon moving

Evidence Rating:
Some Evidence
  • Housing and Transit

Complete Streets & streetscape design initiatives

Enhance streetscapes with greater sidewalk coverage and walkway connectivity, street crossing safety features, traffic calming measures, and other design elements

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

Composting

Use aerobic, natural decomposition to divert food and yard waste from landfills and create a nutrient-rich soil amendment product on an individual or large scale

Evidence Rating:
Scientifically Supported
  • Air and Water Quality

Comprehensive risk reduction sexual education

Provide information about contraception and protection against sexually transmitted infections (STIs) in classroom or community settings

Evidence Rating:
Scientifically Supported
  • Sexual Activity

Condom availability programs

Provide condoms free of charge or at a reduced cost in community and school-based settings

Evidence Rating:
Scientifically Supported
  • Sexual Activity

Conservation Reserve Enhancement Program (CREP)

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

Evidence Rating:
Some Evidence
  • Air and Water Quality

Conservation tillage practices

Encourage methods of soil cultivation that keep at least one-third of cultivated soil covered with the previous year’s crop residue (e.g., mulch till, ridge till, strip till, or no-till)

Evidence Rating:
Scientifically Supported
  • Air and Water Quality

Consumer participation in health care governance

Involve consumers in health care governance via roles on governing boards, advisory committees, or shorter-term special projects

Evidence Rating:
Expert Opinion
  • Quality of Care

Consumer-directed health plans

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

Evidence Rating:
Mixed Evidence
  • Quality of Care

Crisis lines

Provide free and confidential counseling and service referrals via telephone-based conversation, web-based chat, or text message to individuals in crisis, particularly those with severe mental health concerns

Evidence Rating:
Some Evidence
  • Family and Social Support

Cross-age youth peer mentoring

Establish an ongoing relationship between an older youth or young adult and a younger child or adolescent, usually an elementary or middle school student

Evidence Rating:
Some Evidence
  • Family and Social Support

Cultural competence training for health care professionals

Increase health care providers’ skills and knowledge to understand and respond to cultural differences, value diversity, etc. via factual information, skills training, and other efforts

Evidence Rating:
Scientifically Supported
  • Quality of Care

Culturally adapted health care

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

Evidence Rating:
Scientifically Supported
  • Quality of Care

Debt advice for tenants with unpaid rent

Offer debt advice from trained providers to tenants with unpaid, overdue rent to help repay debt and increase financial literacy

Evidence Rating:
Some Evidence
  • Income
  • Housing and Transit

Digital interventions to prevent HIV and other STIs

Provide tailored health information and assistance with decision making, behavior change, and emotional support via digital interactive programs

Evidence Rating:
Scientifically Supported
  • Sexual Activity

Early childhood home visiting programs

Provide at-risk expectant parents and families with young children with information, support, and training regarding child health, development, and care from prenatal stages through early childhood via trained home visitors

Evidence Rating:
Scientifically Supported
  • Community Safety
  • Family and Social Support

Electric vehicle initiatives

Replace internal combustion engine vehicles with all-electric vehicles through financial incentives, regulations, and multi-component initiatives

Evidence Rating:
Scientifically Supported
  • Air and Water Quality

Employee Assistance Programs (EAP)

Provide confidential worksite-based counseling and referrals to employees to address personal and workplace challenges

Evidence Rating:
Some Evidence
  • Employment
  • Family and Social Support

Expedited partner therapy for treatable STIs

Provide prescriptions or medications to patients diagnosed with treatable STIs to give to their partners without provider visits; also called patient-delivered partner therapy (PDPT)

Evidence Rating:
Scientifically Supported
  • Sexual Activity

Extracurricular activities for social engagement

Support organized social, art, or physical activities for school-aged youth outside of the school time

Evidence Rating:
Scientifically Supported
  • Family and Social Support

Father involvement programs

Support fathers’ active involvement in child rearing via various father-focused or family-focused interventions

Evidence Rating:
Some Evidence
  • Family and Social Support

Georgia Fatherhood Program

Provide employment-based services for non-custodial fathers who pay child support and experience a job loss or a decrease in income

Evidence Rating:
Insufficient Evidence
  • Family and Social Support

Green House homes

Support self-contained, homelike dwellings for 10-12 elderly adults who require nursing care; universal caregivers, usually CNAs, provide care and other supports while clinical teams visit for specialized care

Evidence Rating:
Some Evidence
  • Quality of Care

Grocery, housing & utilities cooperatives

Establish a non-share capital cooperative model in which fee-paying members can share the communal resources of a grocery, house, or utility cooperative

Evidence Rating:
Insufficient Evidence
  • Family and Social Support

Group-based parenting programs

Teach parenting skills in a group setting using a standardized curriculum, often based on behavioral or cognitive-behavioral approaches and focused on parents of at-risk children

Evidence Rating:
Scientifically Supported
  • Family and Social Support

Health literacy interventions

Increase patients’ health-related knowledge via efforts to simplify health education materials, improve patient-provider communication, and increase overall literacy

Evidence Rating:
Some Evidence
  • Access to Care
  • Quality of Care

Healthy Families America (HFA)

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

Evidence Rating:
Some Evidence
  • Family and Social Support

Healthy home environment assessments

Train volunteers, professionals, or paraprofessionals to help residents assess and reduce environmental home health risks and recommend low cost changes (e.g., improved ventilation, integrated pest management, etc.)

Evidence Rating:
Scientifically Supported
  • Housing and Transit

HIV/STI partner notification by providers

Notify partners exposed to an STI of their risk, encourage testing, and refer to services; also called contact tracing, or partner counseling and referral services

Evidence Rating:
Scientifically Supported
  • Sexual Activity

HOME Investment Partnership Program

Provide grants to states and localities to fund activities that build, buy, or rehabilitate affordable housing for rent or homeownership, or provide direct rental assistance to households with low incomes

Evidence Rating:
Expert Opinion
  • Housing and Transit