Strategies

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

80 Strategies
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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

Baby bonds

Establish publicly funded investment accounts for every newborn, accessible at age 18

Evidence Rating:
Expert Opinion
  • Income

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

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

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

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 tax credit expansion

Expand federal or state child tax credits by increasing credit amounts, making credits refundable, decreasing or eliminating the earnings threshold, or creating a fully refundable supplement

Evidence Rating:
Expert Opinion
  • Income

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

Comprehensive school reform

Implement a coordinated effort to overhaul school operation, integrating curriculum, instruction, professional development, parent involvement, classroom and school management; also called school-wide or whole school reform

Evidence Rating:
Some Evidence
  • Education

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

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

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

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

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

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

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

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

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

High school equivalency credentials

Offer programs to help individuals without a high school diploma or its equivalent achieve a high school equivalency credential

Evidence Rating:
Some Evidence
  • Education
  • Employment

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

Housing reparations

Apologize for discriminatory housing policies; increase subsidies, financing, and paths to homeownership for people of color; and invest in systematically disadvantaged neighborhoods

Evidence Rating:
Expert Opinion
  • Income
  • Housing and Transit

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

Intergenerational communities

Establish policies, plans, and programs that meet the needs of all residents of a community, especially children and older adults, and promote interaction and cooperation between individuals of different generations

Evidence Rating:
Expert Opinion
  • Family and Social Support

Intergenerational mentoring and activities

Establish a relationship between an older adult and a child, adolescent, or college student through social interactions or a variety of educational and art activities

Evidence Rating:
Some Evidence
  • Family and Social Support

Land return for tribal restitution

Return the rights to land, property, and resources to Native people as part of policies and initiatives that promote tribal sovereignty

Evidence Rating:
Expert Opinion
  • Income
  • Family and Social Support

Later middle and high school start times

Delay school start times for middle and high schools to better align with adolescent sleep-wake cycles; often until after 8:30 or 9:00 a.m.

Evidence Rating:
Some Evidence
  • Education

Lead contaminated soil abatement

Clean, remove, replace, or cover lead contaminated soil with non-contaminated soil, mulch, sod, grass, or concrete

Evidence Rating:
Expert Opinion
  • Air and Water Quality

Lead pipe & plumbing material replacement

Replace lead plumbing material such as pipes, service lines, fittings, solder, flux, and fixtures with non-lead plumbing material

Evidence Rating:
Expert Opinion
  • Air and Water Quality

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

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

Mental Health First Aid

Provide an 8 or 12 hour training to educate laypeople about how to assist individuals with mental health problems or at risk for problems such as depression, anxiety, and substance use disorders

Evidence Rating:
Some Evidence
  • Family and Social Support

Microfinance & microenterprise

Support programs that provide small loans, usually to individuals with lower incomes, to start or expand a small business, often with business development training and other technical assistance

Evidence Rating:
Expert Opinion
  • Income

Multi-component groundwater management programs

Protect underground water resources via regular groundwater monitoring, education about risks to groundwater, water quotas and taxes, and other efforts

Evidence Rating:
Some Evidence
  • Air and Water Quality

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

Neighborhood associations

Establish voluntary formal groups of residents who work together to create a unified voice, enhance living conditions in their neighborhood, and address neighborhood concerns

Evidence Rating:
Expert Opinion
  • Family and Social Support

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

Open Streets

Allow community members to gather, socialize, walk, run, bike, skate, etc. on streets temporarily to closed to motorized traffic; also called Ciclovía programs

Evidence Rating:
Expert Opinion
  • Diet and Exercise
  • Family and Social Support

Outdoor experiential education

Support outdoor pursuits and adventure-based activities that emphasize inter- and intra-personal growth through overcoming obstacles (e.g., challenge courses, wilderness excursions, etc.)

Evidence Rating:
Some Evidence
  • Family and Social Support

Parents as Teachers (PAT)

Support home visits that teach parents about early childhood development and effective parenting strategies, with child development screenings, parental meetings, and links to community resources

Evidence Rating:
Some Evidence
  • Education

Plastic bag bans

Prohibit the manufacture, use, and provision of single-use plastic bags, either partially or completely, and provide education and outreach to raise consumer awareness and support of bans

Evidence Rating:
Some Evidence
  • Air and Water Quality

Promise Academy Charter Schools

Create a school culture of high behavioral and academic expectations, with intense tutoring, increased teacher performance feedback, lengthened instruction time, and health care services

Evidence Rating:
Some Evidence
  • Education