Strategies

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

29 Strategies
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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

Big Brothers Big Sisters (BBBS)

Match disadvantaged or at-risk youth with volunteer mentors in school or community settings

Evidence Rating:
Some Evidence
  • Community Safety
  • Education

Cure Violence Health model

Detect and intervene in potentially violent situations, educate and mobilize communities, and connect high-risk individuals to services; formerly called Chicago CeaseFire

Evidence Rating:
Some Evidence
  • Community Safety

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

Financial education for adults

Provide education on basic budgeting, bank use, credit management, bankruptcy, credit building and counseling, homeownership, retirement, divorce, etc.

Evidence Rating:
Some Evidence
  • Income

Firearm restrictions for people convicted of domestic violence

Prohibit firearm purchase and possession by people convicted in any court of a domestic violence misdemeanor or by people subject to a domestic violence protective/restraining order

Evidence Rating:
Some Evidence
  • Community Safety

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

Health care screening & follow-up for intimate partner violence

Assesses past or present experience of intimate partner violence among female patients in health care settings and provides follow-ups such as counseling or referrals for services

Evidence Rating:
Some Evidence
  • Community Safety

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

Helmets in collision sports

Use helmets to absorb, dissipate, and reduce impact forces to an athlete’s head and brain during collisions or falls

Evidence Rating:
Some Evidence
  • Community Safety

Individual Development Accounts (IDAs)

Support subsidized asset accumulation programs in which deposits by participants with low and moderate incomes are matched by program sponsors; withdrawals must be used for qualified expenses to retain matching funds

Evidence Rating:
Some Evidence
  • Income

In-vehicle monitoring & feedback for teen drivers and families

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

Evidence Rating:
Some Evidence
  • Community Safety

Juvenile curfews

Restrict youth under a certain age from being in public places during certain hours, usually at night

Evidence Rating:
Evidence of Ineffectiveness
  • Community Safety

Living wage laws

Establish locally mandated wages that are higher than state or federal minimum wage levels

Evidence Rating:
Some Evidence
  • Income

Matched dollar incentives for saving tax refunds

Support programs that provide matched dollar incentives for low or moderate income individuals to place some or all of their tax refund in a savings account

Evidence Rating:
Some Evidence
  • Income

Medical-legal partnerships

Integrate legal services into health care settings to address legal issues that affect health (e.g., housing, food, utilities); services provided by private practice lawyers, law students, etc.

Evidence Rating:
Some Evidence
  • Quality of Care

New Hope Project

Provided work supports for low income individuals and families (e.g., job search assistance, transitional jobs, subsidized child care, health insurance, etc.); participants worked at least 30 hours/week

Evidence Rating:
Some Evidence
  • Income

Out of town bypasses

Establish roads that avoid built-up areas such as towns, cities, or commercial/business districts

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

Price transparency initiatives for patients

Make pricing for hospital procedures and other health care services publicly available, often via websites, online databases, report cards, or similar tools

Evidence Rating:
Some Evidence
  • Quality of Care

Public reporting of health care quality performance

Make clinician, hospital, clinic, long-term care facility, and insurance plan performance on health care quality measures publicly available via report cards, reporting websites, or similar tools

Evidence Rating:
Some Evidence
  • Quality of Care

Scared Straight

Organize tours of prison facilities for juvenile delinquents or youth at risk of delinquency and allow them to observe prison life and attend inmates’ presentations; also called juvenile awareness programs

Evidence Rating:
Evidence of Ineffectiveness
  • Community Safety

Summer youth employment programs

Provide short-term employment opportunities for youth, especially those from disadvantaged backgrounds

Evidence Rating:
Some Evidence
  • Community Safety
  • Employment

Treatment Foster Care

Place youth with mental, emotional, and behavioral health challenges in foster families that provide a structured, nurturing, therapeutic environment; also called Therapeutic Foster Care (TFC)

Evidence Rating:
Some Evidence
  • Community Safety

Unemployment insurance (UI)

Increase compensation provided to unemployed workers looking for jobs by expanding eligibility, amount, or duration of benefits

Evidence Rating:
Some Evidence
  • Income

Universal distracted driving laws

Prohibit all drivers from texting or talking on a cell phone while driving

Evidence Rating:
Some Evidence
  • Community Safety

Universal firearm background checks

Require both licensed firearm dealers and unlicensed (i.e., private) firearm sellers to conduct background checks of potential firearm purchasers; also known as comprehensive background checks

Evidence Rating:
Some Evidence
  • Community Safety

Value-based purchasing (VBP)

Use the purchasing power of employers and groups of insured individuals to create incentives and disincentives for health care providers to deliver high quality, high value care

Evidence Rating:
Some Evidence
  • Quality of Care

Youth in adult justice system

Transfer arrested youth from the juvenile justice system to the adult criminal justice system

Evidence Rating:
Evidence of Ineffectiveness
  • Community Safety