Strategies

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

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

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

Administrative license suspension/revocation laws

Enable law enforcement to immediately take the license of a driver who fails or refuses to take a chemical test for alcohol

Evidence Rating:

Scientifically Supported

Adult drug courts

Use specialized courts to offer adults who are charged with an offense and have substance use disorders an alternative to adjudication or incarceration

Evidence Rating:

Scientifically Supported

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

Alcohol advertising restrictions

Restrict the content and placement of alcohol advertisements on broadcasts, outdoor displays, internet marketing, etc. via state laws, local ordinances, industry self-regulation, or a combination of efforts

Evidence Rating:

Some Evidence

Alcohol brief interventions

Provide information and increase motivation to change or prevent problematic alcohol consumption in a short session; also called alcohol screening & brief intervention

Evidence Rating:

Scientifically Supported

Alcohol days of sale restrictions

Limit when alcohol can be sold in bars, restaurants, and/or liquor and convenience stores; limits may apply to days or times of sale

Evidence Rating:

Some Evidence

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 taxes

Increase the price of alcohol via taxes levied for beer, wine, and liquor purchases

Evidence Rating:

Scientifically Supported

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

Alternative high schools for students at risk of dropping out

Provide educational and social services in an alternative setting for students at risk of dropping out of traditional high schools

Evidence Rating:

Scientifically Supported

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

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

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

Behavioral interventions to prevent HIV and other STIs

Use individual-, group-, and community-level interventions to provide education, support, and training that can affect social norms about HIV and other STIs

Evidence Rating:

Scientifically Supported

Bicycle & pedestrian master plans

Establish a framework to increase walking and biking trails and improve connectivity of non-auto paths and trails in a particular area

Evidence Rating:

Some Evidence

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

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

Big Brothers Big Sisters (BBBS)

Match disadvantaged or at-risk youth with volunteer mentors in school or community settings

Evidence Rating:

Some Evidence

Blood alcohol concentration laws

Set legal limits for drivers’ blood alcohol concentrations (BACs)

Evidence Rating:

Scientifically Supported

Breastfeeding promotion programs

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

Evidence Rating:

Scientifically Supported

Breath testing checkpoints

Implement checkpoints where law enforcement officers can stop drivers suspected of drinking and driving and assess their level of alcohol impairment

Evidence Rating:

Scientifically Supported

Broadband initiatives for unserved and underserved areas

Expand broadband availability and adoption in unserved and underserved areas through initiatives that address infrastructure and cost barriers

Evidence Rating:

Some Evidence

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

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

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

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

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

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

Cell phone-based tobacco cessation interventions

Deliver tobacco cessation advice and motivational messages via text or video message

Evidence Rating:

Scientifically Supported

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

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

Child care subsidies

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

Evidence Rating:

Scientifically Supported

Child firearm access prevention laws

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

Evidence Rating:

Scientifically Supported

Child-focused advertising restrictions for unhealthy foods & beverages

Restrict child-focused advertising for unhealthy foods and beverages via bans on unhealthy food and drink ads during children’s TV programs, product placement in children’s movies, etc.

Evidence Rating:

Some Evidence

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

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

Clean diesel technology fleet transition programs

Replace or retrofit diesel buses or other vehicles to operate with clean diesel technology

Evidence Rating:

Scientifically Supported

Clinic-based interventions for human papillomavirus (HPV) vaccination

Combine information about HPV and the benefits of vaccination with efforts to support vaccine series completion (e.g., patient and parent education or reminders, physician education, etc.) in clinic-based settings

Evidence Rating:

Scientifically Supported

Cognitive-behavioral therapy (CBT) for individuals involved in the justice system

Use individual or group therapy to help individuals involved in the justice system discover and change the thought processes that lead to maladaptive behavior

Evidence Rating:

Scientifically Supported

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

College-based obesity prevention educational interventions

Support multi-component educational interventions for college students that address nutrition, physical activity, and healthy weight management; often with environmental modifications

Evidence Rating:

Some Evidence

Community Development Block Grants (CDBGs)

Provide funding for local community development activities such as affordable housing, anti-poverty programs, and infrastructure development

Evidence Rating:

Some Evidence

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

Community gardens

Establish and support land that is gardened or cultivated by community members via community land trusts, gardening education, zoning regulation changes, or service provision (e.g., water or waste disposal)

Evidence Rating:

Some Evidence

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

Community land trusts

Purchase the land a home is on to lease to homeowners with low and middle incomes and require homeowners to sell the home back to the trust or to another resident with low income upon moving

Evidence Rating:

Some Evidence

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 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

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