Strategies

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

99 Strategies
Clear all

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

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

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

Baby bonds

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

Evidence Rating:
Expert Opinion
  • Income

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

Bicycle infrastructure for enhanced cycling safety

Accommodate or provide dedicated infrastructure for cyclists via bicycle paths, lanes, cycle tracks or protected lanes, etc.

Evidence Rating:
Some Evidence
  • Housing and Transit
  • Community Safety

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

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

Child care subsidies

Provide financial assistance to working parents, or parents attending school, to pay for child care

Evidence Rating:
Scientifically Supported
  • Income

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

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

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

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

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 water fluoridation

Adjust and monitor fluoride levels in public water supplies to reach and retain optimal fluoride concentrations

Evidence Rating:
Scientifically Supported
  • Access to Care

Court mandated programs for perpetrators of intimate partner violence

Expand court-referred intimate partner violence offenders’ understanding of abuse, teach alternative reactions, and work to change gender role attitudes; also called batterer intervention programs (BIPs)

Evidence Rating:
Mixed Evidence
  • Community Safety

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

Cure Violence Health model

Detect and intervene in potentially violent situations, educate and mobilize communities, and connect high-risk individuals to services; formerly called Chicago CeaseFire

Evidence Rating:
Some Evidence
  • Community Safety

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

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

Earned Income Tax Credit (EITC)

Expand refundable earned income tax credits for working individuals and families with low to moderate incomes

Evidence Rating:
Scientifically Supported
  • Income

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

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

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

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

Financial incentives for new nursing faculty

Offer loan repayment, tuition assistance, competitive academic salaries, etc. to students who teach in nursing programs after completing an advanced degree

Evidence Rating:
Expert Opinion
  • Access to Care

Firearm licensing laws

Require a potential purchaser to obtain a permit or license before purchasing a firearm

Evidence Rating:
Scientifically Supported
  • Community Safety

Firearm restrictions for people convicted of domestic violence

Prohibit firearm purchase and possession by people convicted in any court of a domestic violence misdemeanor or by people subject to a domestic violence protective/restraining order

Evidence Rating:
Some Evidence
  • Community Safety

Focused deterrence strategies

Target a particular crime through law enforcement and community agency cooperation and coordination of various deterrents and social services; also called pulling levers policing

Evidence Rating:
Scientifically Supported
  • Community Safety

Full child support pass-through and disregard

Adopt policies that allow custodial parents who receive Temporary Assistance for Needy Families (TANF) to collect all child support paid by the non-custodial parent; no portion is retained by the state

Evidence Rating:
Scientifically Supported
  • Income

Functional Family Therapy (FFT)

Introduce a short-term family-based intervention therapy focused on strengths, protective factors, and risk factors for youth with delinquency, violence, or substance abuse problems, and their families

Evidence Rating:
Scientifically Supported
  • Community Safety

Hospital wristband color standardization

Establish national standards for the colors of patient wristbands used to alert health care providers about specific conditions such as allergies or elevated fall risk

Evidence Rating:
Insufficient Evidence
  • Quality of Care

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

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

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

J-1 physician visa waivers

Expand use of J-1 physician visa waivers for foreign national physicians who have trained in the U.S. and will serve patients in designated Health Professional Shortage Areas (HPSAs)

Evidence Rating:
Insufficient Evidence
  • Access to Care

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

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

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

Long-term care employee compensation

Increase wages and benefits for personal or home care workers, nurse aides, and others who provide direct care to patients in long-term care (LTC) settings

Evidence Rating:
Expert Opinion
  • Access to Care

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