Strategies

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

106 Strategies
Clear all

Hot spot policing

Focus police resources and enforcement on high-activity crime locations within a community (e.g., street blocks and buildings) using policing tactics such as increasing enforcement time, problem-oriented policing, etc.

Evidence Rating:
Scientifically Supported
  • Community Safety

Ignition interlock devices

Strengthen policies that mandate ignition interlock installation in vehicles to prevent operation by a driver with a high blood alcohol concentration

Evidence Rating:
Scientifically Supported
  • Alcohol and Drug Use

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

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

Internet-based tobacco cessation interventions

Use websites, computer programs, and other electronic means to provide information, strategies, or behavioral support to tobacco users who want to quit, sometimes with counseling or pharmacotherapy

Evidence Rating:
Scientifically Supported
  • Tobacco Use

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

Kinship foster care for children in the child welfare system

Arrange full-time foster care by relatives or adults who are not a child’s parent but have a family relationship with the child when a child is removed from home due to a safety concern

Evidence Rating:
Scientifically Supported
  • Community Safety

Living wage laws

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

Evidence Rating:
Some Evidence
  • Income

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

Mass media campaigns against alcohol-impaired driving

Use mass media campaigns to persuade individuals to avoid drinking and driving or to prevent others from doing so; campaigns often focus on the negative consequences of alcohol-impaired driving

Evidence Rating:
Some Evidence
  • Alcohol and Drug Use

Mass media campaigns against tobacco use

Use broad media-based efforts to educate large groups of current and potential tobacco users about the dangers of tobacco use

Evidence Rating:
Scientifically Supported
  • Tobacco Use

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

Mentoring programs to prevent youth delinquency

Pair youth at risk for delinquent behavior with mentors to develop relationships and spend time at regular meetings for an extended period; mentors have greater knowledge, skills, etc. than mentees

Evidence Rating:
Scientifically Supported
  • Community Safety

Minimum drinking age laws

Maintain the current legal age when an individual can purchase alcoholic beverages; currently 21 years in all states

Evidence Rating:
Scientifically Supported
  • Alcohol and Drug Use

Minimum tobacco age laws

Minimum legal tobacco age (MLTA) laws specify the legal age to purchase or publicly consume tobacco products, including cigarettes, cigars, and e-cigarettes

Evidence Rating:
Scientifically Supported
  • Tobacco Use

Multi-component fall prevention interventions for older adults

Provide a fixed, multi-component set of fall prevention interventions to older adults, usually in community settings, without an individualized risk assessment

Evidence Rating:
Scientifically Supported
  • Community Safety
  • Quality of Care

Multi-component interventions to prevent teen pregnancy

Support initiatives that combine multiple components such as education, skills building, and contraceptive promotion to reduce pregnancy among youth

Evidence Rating:
Some Evidence
  • Sexual Activity

Multisystemic Therapy (MST) for juvenile offenders

Use an intensive, family- and community-based intervention that addresses individual, family and environmental risk factors that affect antisocial behaviors among serious juvenile offenders

Evidence Rating:
Scientifically Supported
  • Community Safety

Naloxone education & distribution programs

Distribute Naloxone to trained community members and first responders to reverse opioid overdoses

Evidence Rating:
Scientifically Supported
  • Alcohol and Drug Use

Neighborhood watch

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

Evidence Rating:
Scientifically Supported
  • Community Safety

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

Prescription drug monitoring programs (PDMPs)

Use databases, housed in state agencies, to track prescribing and dispensing of Schedule II, III, IV, and V drugs and other controlled substances

Evidence Rating:
Some Evidence
  • Alcohol and Drug Use

Primary seat belt enforcement laws

Allow law enforcement officials to stop drivers solely for failing to use a seat belt

Evidence Rating:
Scientifically Supported
  • Community Safety

Responsible beverage server training (RBS/RBST)

Educate owners, managers, servers, and sellers at alcohol establishments about strategies to avoid illegally selling alcohol to underage youth or intoxicated patrons

Evidence Rating:
Some Evidence
  • Alcohol and Drug Use

Restorative justice in the criminal justice system

Use victim-offender dialogue to address the harm caused by a crime and victims’ needs; can take place pre-arrest or post sentence via sharing circles, victim-offender mediation, or face-to-face conferences

Evidence Rating:
Scientifically Supported
  • Community Safety

Retail alcohol sale privatization

Repeal government control over retail sales of alcoholic beverages, allowing commercial retailing of those beverages

Evidence Rating:
Evidence of Ineffectiveness
  • Alcohol and Drug Use

Rollover protective structures (ROPS)

Attach metal bars, frames, or crush proof cabs to a tractor that provide a safety zone for an operator in the event of a rollover or overturn

Evidence Rating:
Scientifically Supported
  • Community Safety

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

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

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 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

Strong graduated driver licensing laws

Strengthen laws that allow young drivers to gain driving experience in stages; often includes passenger and nighttime driving limitations and higher minimum ages for learner’s permits, intermediate, and full licenses

Evidence Rating:
Scientifically Supported
  • 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

Syringe services programs

Provide sterile injection equipment and often other treatment and referral services to people who inject drugs; also called needle or syringe exchange programs and needle syringe programs

Evidence Rating:
Scientifically Supported
  • Alcohol and Drug Use

Teen pregnancy prevention programs

Support school-, community-, and clinic-based teen pregnancy prevention programs such as comprehensive sex education, HIV/STI prevention and youth development efforts, service learning, etc.

Evidence Rating:
Some Evidence
  • Sexual Activity

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 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

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

Treatment Foster Care Oregon

Place severely and chronically delinquent youth in foster families that are trained in structured behavior management and connected to TFCO program staff; formerly called Multidimensional Treatment Foster Care

Evidence Rating:
Scientifically Supported
  • Community Safety