Strategies

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

209 Strategies
Clear all

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 8:30 a.m. or later

Evidence Rating:
Scientifically Supported
  • 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 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

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

Legal support for tenants in eviction proceedings

Provide legal representation for tenants with low incomes in eviction proceedings or offer limited legal assistance to prepare tenants to represent themselves in court

Evidence Rating:
Some Evidence
  • Housing and Transit

Low Income Home Energy Assistance Program (LIHEAP)

Provide funds to households with low incomes to meet home energy needs, especially for households with children, older adults, or individuals with disabilities

Evidence Rating:
Expert Opinion
  • Housing and Transit

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

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

Mass media campaigns against underage drinking

Use television, radio, print, and social media efforts to increase awareness of underage drinking and its consequences

Evidence Rating:
Insufficient Evidence
  • Alcohol and Drug Use

Medical marijuana legalization

Allow eligible patients to use marijuana for medical purposes; often called medical marijuana laws (MMLs)

Evidence Rating:
Mixed Evidence
  • Alcohol and Drug Use

Medication-assisted treatment access enhancement initiatives

Provide medications such as methadone to individuals diagnosed with opioid use disorder in outpatient, residential, and hospital settings, usually with counseling and behavioral therapies; often called MAT

Evidence Rating:
Expert Opinion
  • Alcohol and Drug Use

Mentoring programs for high school graduation

Establish programs that connect students at risk of dropping out with trained adult mentors who provide ongoing guidance for academic and personal challenges

Evidence Rating:
Scientifically Supported
  • Education

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

Mixed-use development

Support a combination of land uses (e.g., residential, commercial, recreational) in development initiatives, often through zoning regulations or Smart Growth initiatives

Evidence Rating:
Scientifically Supported
  • Housing and Transit
  • Diet and Exercise

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 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 workplace supports for active commuting

Provide physical infrastructure (e.g., bike parking or showers), educational or social support (e.g., walking groups), and financial incentives that support active commuting

Evidence Rating:
Some Evidence
  • Housing and Transit
  • Diet and Exercise

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

No Excuses charter school model

Focus heavily on reading and math achievement, enforce high behavioral expectations through a formal discipline system, lengthen instructional time, and increase feedback on teacher performance

Evidence Rating:
Scientifically Supported
  • Education

Nutrient management plans

Support site-specific plans for crop production that match nutrient applications to crop needs, typically with agricultural best management practices

Evidence Rating:
Scientifically Supported
  • Air and Water Quality

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

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

Permeable pavement projects

Use pervious concrete, porous asphalt, permeable interlocking pavers, open-jointed blocks or cells, or other permeable pavement in individual or commercial development efforts; also called porous or pervious pavement

Evidence Rating:
Scientifically Supported
  • Air and Water Quality

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

Preschool education programs

Provide center-based programs that support cognitive and social-emotional growth among children who are not old enough to enter formal schooling

Evidence Rating:
Scientifically Supported
  • Education

Preschool programs with family support services

Provide center-based programs that support cognitive and social development among young children from families with low incomes, with supports such as home visiting or parental education

Evidence Rating:
Scientifically Supported
  • Education

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

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

Proper drug disposal programs

Establish programs that accept expired, unwanted, or unused medicines from designated users and dispose of them responsibly

Evidence Rating:
Expert Opinion
  • Alcohol and Drug Use
  • Air and Water Quality

Public transportation systems

Introduce or expand transportation options that are available to the public and run on a scheduled timetable (e.g., buses, trains, ferries, rapid transit, etc.)

Evidence Rating:
Scientifically Supported
  • Housing and Transit

Publicly funded pre-kindergarten programs

Provide publicly funded pre-kindergarten (pre-K) education to 3- and 4-year-olds, through large-scale or universal efforts

Evidence Rating:
Scientifically Supported
  • Education

Radon mitigation programs

Prevent radon from entering occupied buildings and reduce existing indoor air radon levels via soil depressurization, home or room pressurization, heat recovery ventilation, etc.

Evidence Rating:
Some Evidence
  • Housing and Transit

Rain barrels

Use ready-made or home constructed barrel systems to collect and store rainwater from rooftops that would otherwise flow to storm drains and streams

Evidence Rating:
Some Evidence
  • Air and Water Quality

Rain gardens & other bioretention systems

Establish bioretention systems (e.g., rain gardens, bioretention cells, green roofs, planter boxes, bioswales, etc.) to make city landscapes more permeable to help control stormwater

Evidence Rating:
Scientifically Supported
  • Air and Water Quality

Raise the Age

Increase the minimum and/or maximum age boundaries for youth to be processed in the juvenile justice system

Evidence Rating:
Expert Opinion
  • Community Safety

Rapid re-housing programs

Transition families and individuals experiencing homelessness into permanent housing quickly, often with supports such as short-term financial assistance, case management, landlord negotiations, etc.

Evidence Rating:
Some Evidence
  • Housing and Transit

Reach Out and Read

Partner with doctors, nurse practitioners, and other medical professionals to incorporate literacy support into regular well-child visits, especially in lower income communities

Evidence Rating:
Scientifically Supported
  • Education

Recreational marijuana legalization

Allow adults to possess a limited amount of marijuana for personal, non-medical use

Evidence Rating:
Insufficient Evidence
  • Alcohol and Drug Use
  • Community Safety

Rent regulation policies

Establish tenant protections via regulations to the housing rental market such as limits on rent increases and eviction protections for tenants with low incomes; typically via rent stabilization

Evidence Rating:
Expert Opinion
  • Housing and Transit

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