Strategies

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

158 Strategies
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Active recess

Establish a break from the school day, typically before lunch, that involves planned, inclusive, actively supervised games or activities; also called semi-structured, or structured recess

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

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

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

Alcohol outlet density restrictions

Limit increases in the number and concentration of alcohol outlets by area or by population through licensing or zoning regulations

Evidence Rating:
Scientifically Supported
  • Alcohol and Drug Use
  • Community Safety

Attendance interventions for chronically absent students

Support interventions that provide chronically absent students with resources to improve self-esteem, social skills, etc. and address familial and school-related factors that can contribute to poor attendance

Evidence Rating:
Scientifically Supported
  • Education

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

Bicycle helmet laws

Establish laws that require bicyclists to wear helmets; laws can apply to children or all bicyclists and can be established at the state or local level

Evidence Rating:
Scientifically Supported
  • Community Safety

Breastfeeding promotion programs

Provide education, information, counseling, and support for breastfeeding to women throughout pre- and post-natal care

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

Bridge programs for hard-to-employ adults

Provide basic skills (e.g., reading, math, writing, English language, or soft skills) and industry-specific training with other supports; also called occupationally contextualized basic education programs

Evidence Rating:
Expert Opinion
  • Education
  • Employment

Car seat distribution & education programs

Provide parents with car seats free of charge, via loan or low cost rental, often with education about proper installation and use

Evidence Rating:
Scientifically Supported
  • Community Safety

Car seat education & enforcement campaigns

Share information about the importance of proper car seat use and enforce existing laws via checkpoints, dedicated law enforcement officials, etc.

Evidence Rating:
Scientifically Supported
  • Community Safety

Car seat incentive & education programs

Educate parents and caregivers about proper use of car seats and reward parents and/or children for correct use

Evidence Rating:
Scientifically Supported
  • Community Safety

Career & technical education for high school completion

Provide career and technical education (CTE) as an integrated part of an academic curriculum for students, especially those at risk of dropping out of high school; also called vocational training

Evidence Rating:
Scientifically Supported
  • Education

Career Academies

Establish small learning communities in high schools focused on fields such as health care, finance, technology, communications, or public service

Evidence Rating:
Scientifically Supported
  • Education

Career pathways programs

Provide occupation-specific training for low-skilled individuals in high-growth industries, with education and supports, usually with stackable credentials and work experience opportunities

Evidence Rating:
Expert Opinion
  • Employment

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

Certificates of employability

Issue certificates of employability to individuals with criminal convictions who have met pre-specified standards of rehabilitation; also called certificates of relief, reentry, good conduct, rehabilitation, recovery, etc.

Evidence Rating:
Expert Opinion
  • Employment

Chicago Child-Parent Centers

Provide preschool education and comprehensive support to families with low incomes, including small classes, student meals, and home visits with referrals for social service support as needed

Evidence Rating:
Scientifically Supported
  • Education

Child bicycle helmet promotion programs

Promote child bicycle helmet use via bicycle safety education, media campaigns, or provision of free or subsidized helmets

Evidence Rating:
Scientifically Supported
  • Community Safety

Child development accounts

Build assets through child development accounts (CDAs) with contributions from a sponsoring organization, such as government agencies or nonprofits, and family, friends; also called children’s savings accounts (CSAs)

Evidence Rating:
Expert Opinion
  • Income
  • Education

Child firearm access prevention laws

Impose penalties on adults for a child’s unsupervised access to firearms

Evidence Rating:
Scientifically Supported
  • Community Safety

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

Cognitive-behavioral therapy (CBT) for offenders

Use individual or group therapy to help offenders discover and change the thought processes that lead to maladaptive behavior

Evidence Rating:
Scientifically Supported
  • Community Safety

College access programs

Help high school students prepare for college, complete applications, and enroll, especially first-generation applicants and students from families with low incomes

Evidence Rating:
Scientifically Supported
  • Education

Community fitness programs

Offer exercise classes (e.g., aerobic dance, yoga, Tai Chi, cycling, etc.) and fitness program support in community, senior, fitness, and community wellness centers

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

Community kitchens for food processing

Establish shared kitchen spaces that support licensed, commercial food processing and connect specialty food processors, farmers, and others who produce value-added goods

Evidence Rating:
Expert Opinion
  • Diet and Exercise

Community policing

Implement a policing philosophy based on community partnership, organizational transformation, and problem solving techniques to proactively address public safety issues: also called community-oriented policing

Evidence Rating:
Scientifically Supported
  • Community Safety

Community schools

Combine academic, mental and physical health, and social service resources in schools for students and families via partnerships with community organizations; also called community learning centers

Evidence Rating:
Scientifically Supported
  • Education

Community supported agriculture (CSA)

Establish partnerships between farmers and consumers in which consumers purchase a share of a farm’s products in advance

Evidence Rating:
Expert Opinion
  • Diet and Exercise

Community weight loss challenges

Support temporary programs that work to energize participants to lose weight via prizes, often combined with education, weight status and food intake tracking, regular check-ins, and group support

Evidence Rating:
Expert Opinion
  • Diet and Exercise

Community-based social support for physical activity

Build, strengthen, and maintain social networks that provide supportive relationships for behavior change through walking groups or other community-based interventions

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

Competitive pricing for healthy foods

Assign higher costs to non-nutritious foods than nutritious foods via incentives, subsidies, or price discounts for healthy foods and beverages or disincentives or price increases for unhealthy choices

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

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

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

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

DARE to be You

Provide education and training sessions with parent-child activities and family meals for youth, parents, and care providers

Evidence Rating:
Expert Opinion
  • Education

Drug courts

Use specialized courts to offer criminal offenders with drug dependency problems an alternative to adjudication or incarceration

Evidence Rating:
Scientifically Supported
  • Community Safety
  • Alcohol and Drug Use

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

Early Head Start (EHS)

Provide child care, parent education, physical health and mental health services, and other family supports to pregnant women and parents with low incomes and children aged 0 to 3

Evidence Rating:
Scientifically Supported
  • Education

E-cigarette regulations

Regulate use of e-cigarettes via age, sales and marketing restrictions, expanded smoke-free air policies in public and private worksites and designated spaces, etc.

Evidence Rating:
Expert Opinion
  • Tobacco Use

Electronic Benefit Transfer payment at farmers markets

Enable farmers markets to accept EBT, the electronic payment system of debit cards used to issue and redeem Supplemental Nutrition Assistance Program (SNAP) benefits

Evidence Rating:
Expert Opinion
  • Diet and Exercise

Enhanced seat belt enforcement programs

Add publicity and other strategies (e.g., supplemental patrols, increased officers, etc.) to efforts to enforce existing seat belt laws

Evidence Rating:
Scientifically Supported
  • Community Safety

Exercise prescriptions

Provide patients with prescriptions for exercise plans, often accompanied by progress checks at office visits, counseling, activity logs, and exercise testing

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

Families and Schools Together

Convene small groups of families for facilitated weekly meetings that include a family meal, structured activities, parent support time, and parent-child play therapy

Evidence Rating:
Scientifically Supported
  • Education

Family treatment drug courts

Use specialized courts to work with parents involved in the child welfare system who may lose custody of their children due to substance abuse

Evidence Rating:
Scientifically Supported
  • Community Safety
  • Alcohol and Drug Use