Strategies

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

87 Strategies
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Adult vocational training

Support acquisition of job-specific skills through education, certification programs, or on-the-job training, often with personal development resources and other supports

Evidence Rating:
Scientifically Supported
  • Employment

Allied dental professional scope of practice

Expand the role of allied dental professionals (e.g., hygienists, therapists, etc.) via changes to statute, dentist supervision requirements, etc.

Evidence Rating:
Some Evidence
  • Access to Care

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

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

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 health workers

Engage professional or lay health workers to provide education, referral and follow-up, case management, home visiting, etc. for those who experience barriers in accessing health care; also called promotoras(es) de salud or community health representatives

Evidence Rating:
Some Evidence
  • Access to Care

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

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

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

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

Federally qualified health centers (FQHCs)

Increase support for non-profit health care organizations and deliver comprehensive care to uninsured, underinsured, and vulnerable patients regardless of ability to pay; often called community health centers (CHCs)

Evidence Rating:
Scientifically Supported
  • Access to Care

Flexible scheduling

Offer employees control over an aspect of their schedule through arrangements such as flex time, flex hours, compressed work weeks, or self-scheduled shift work

Evidence Rating:
Scientifically Supported
  • Employment

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

Group prenatal care

Provide prenatal care in a group setting, integrating health assessment, education, and support

Evidence Rating:
Some Evidence
  • Access to Care

Health insurance enrollment outreach & support

Provide outreach and support to assist those whose employers do not offer affordable coverage, who are self-employed, or who are unemployed

Evidence Rating:
Scientifically Supported
  • Access to Care

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

High school completion programs for pregnant and parenting teens

Provide pregnant and parenting teens with services such as education, vocational training, case management, health care, child care, and transportation assistance to support high school completion

Evidence Rating:
Scientifically Supported
  • Education

HighScope Perry Preschool model

Provided high quality preschool with home visiting to African-American children from families with low incomes with an emphasis on active learning in Ypsilanti, Michigan

Evidence Rating:
Some Evidence
  • Education

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

Individual incentives for public transportation

Offer incentives such as free or discounted bus, rail, or transit passes, reimbursements, partial payments, or pre-tax payroll deductions to encourage individuals’ use of existing public transit

Evidence Rating:
Some Evidence
  • Housing and Transit

Integrated long-term care for community-dwelling frail elders

Support a collaborative approach by a multidisciplinary team of professionals working to meet the full range of long-term care (LTC) needs for frail elderly patients living in community settings

Evidence Rating:
Scientifically Supported
  • Quality of Care

Integrated pest management for indoor use

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

Evidence Rating:
Scientifically Supported
  • Housing and Transit

Intensive case management for pregnant & parenting teens

Provide pregnant or parenting teens with services based upon their needs (e.g., counseling, connections to health care or social services, academic support, etc.) in school or community settings

Evidence Rating:
Some Evidence
  • Sexual Activity

Labor unions

Organize workers to bargain collectively for improved wages, benefits, and working conditions

Evidence Rating:
Scientifically Supported
  • Employment
  • Employment

Lead paint abatement programs

Eliminate lead-based paint and contaminated dust by removing or encapsulating lead paint, or removing lead painted fixtures and surfaces

Evidence Rating:
Scientifically Supported
  • Housing and Transit

Long-acting reversible contraception access

Increase access to LARCs through cost reduction, comprehensive birth control counseling, provider training, efforts to ensure availability at local clinics, etc.

Evidence Rating:
Some Evidence
  • Access to Care
  • Sexual Activity

Low Income Housing Tax Credits (LIHTCs)

Provide funding via tax credits at the state and local level to support development and rehabilitation costs of low income rental housing

Evidence Rating:
Some Evidence
  • Housing and Transit

Medical homes

Provide continuous, comprehensive, whole person primary care that uses a coordinated team of medical providers across the health care system

Evidence Rating:
Scientifically Supported
  • Quality of Care
  • Access to Care

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

Mental health benefits legislation

Regulate mental health insurance to increase access to mental health services, including treatment for substance use disorders

Evidence Rating:
Scientifically Supported
  • Access to Care

Mentoring for new nurses

Pair new nurses with more experienced nurses who act as a resource and provide support as the new nurse establishes her or himself professionally

Evidence Rating:
Some Evidence
  • Access to Care

Mobile health for mental health

Deliver health care services and support to individuals with mental health concerns via mobile devices using text messaging or mobile applications (apps)

Evidence Rating:
Some Evidence
  • Access to Care

Mobile reproductive health clinics

Offer reproductive health services (e.g., pregnancy tests, prenatal and postpartum care, gynecological exams, STI screenings, etc.), health education, and social service referrals via medically equipped vans

Evidence Rating:
Some Evidence
  • Access to Care