Strategies

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

244 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

Community Conditions

  • 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

Community Conditions

  • Diet and exercise
  • Safety and social support
  • Civic and community resources

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

Community Conditions

  • Alcohol and drug use

Societal Rules

  • Laws and policies

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

Community Conditions

  • Safety and social support
  • Alcohol and drug use

Societal Rules

  • Laws and policies

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

Community Conditions

  • Income, employment and wealth

Alcohol access restrictions in public places

Restrict alcohol availability and use at sporting events, other public events (e.g., concerts and street fairs) and in public spaces such as parks and beaches
Evidence Rating:
Expert Opinion

Community Conditions

  • Alcohol and drug use

Societal Rules

  • Laws and policies

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

Community Conditions

  • Alcohol and drug use

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

Community Conditions

  • Alcohol and drug use
  • Safety and social support

Societal Rules

  • Laws and policies

Alcohol taxes

Increase the price of alcohol via taxes levied for beer, wine, and liquor purchases
Evidence Rating:
Scientifically Supported

Community Conditions

  • Alcohol and drug use

Societal Rules

  • Laws and policies

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

Community Conditions

  • Air, water and land
  • Climate

Societal Rules

  • Laws and policies

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

Community Conditions

  • 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

Community Conditions

  • Housing and transportation

Baby bonds

Establish publicly funded investment accounts for every newborn, accessible at age 18
Evidence Rating:
Expert Opinion

Community Conditions

  • Income, employment and wealth

Societal Rules

  • Budgets

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

Community Conditions

  • Clinical care

Societal Rules

  • Institutional practices

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

Community Conditions

  • Sexual activity

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 Conditions

  • Safety and social support

Blood alcohol concentration laws

Set legal limits for drivers’ blood alcohol concentrations (BACs)
Evidence Rating:
Scientifically Supported

Community Conditions

  • Alcohol and drug use

Societal Rules

  • Laws and policies

Breastfeeding promotion programs

Provide education, information, counseling, and support for breastfeeding to parents throughout pre- and post-natal care
Evidence Rating:
Scientifically Supported

Community Conditions

  • Diet and exercise

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

Community Conditions

  • Alcohol and drug use

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

Community Conditions

  • Education
  • Income, employment and wealth

Societal Rules

  • Laws and policies

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

Community Conditions

  • Air, water and land
  • Climate

Societal Rules

  • Laws and policies

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 Conditions

  • Safety and social support

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 Conditions

  • Safety and social support

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 Conditions

  • Safety and social support

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

Community Conditions

  • 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

Community Conditions

  • 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

Community Conditions

  • Income, employment and wealth

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

Community Conditions

  • Air, water and land
  • Housing and transportation
  • Climate

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

Community Conditions

  • Clinical 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

Community Conditions

  • Income, employment and wealth

Societal Rules

  • Laws and policies
  • Worldviews, culture and norms

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

Community Conditions

  • 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 Conditions

  • Safety and social support

Child care subsidies

Provide financial assistance to working parents, or parents attending school, to pay for child care
Evidence Rating:
Scientifically Supported

Community Conditions

  • Income, employment and wealth

Societal Rules

  • Budgets

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

Community Conditions

  • Income, employment and wealth
  • Education

Societal Rules

  • Budgets

Child firearm access prevention laws

Impose penalties on adults for a child’s unsupervised access to firearms
Evidence Rating:
Scientifically Supported

Community Conditions

  • Safety and social support

Societal Rules

  • Laws and policies

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

Community Conditions

  • Income, employment and wealth

Societal Rules

  • Laws and policies

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

Community Conditions

  • Clinical 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

Community Conditions

  • Clinical care

Clean diesel technology fleet transition programs

Replace or retrofit diesel buses or other vehicles to operate with clean diesel technology
Evidence Rating:
Scientifically Supported

Community Conditions

  • Air, water and land
  • Climate

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

Community Conditions

  • Sexual activity

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

Community Conditions

  • Education

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

Community Conditions

  • Civic and community resources

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

Community Conditions

  • Civic and community resources

Community Development Financial Institutions

Support financial institutions providing services to underserved and disadvantaged communities
Evidence Rating:
Expert Opinion

Community Conditions

  • Income, employment and wealth
  • Civic and community resources

Societal Rules

  • Institutional practices

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 Conditions

  • Diet and exercise
  • Civic and community resources

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

Community Conditions

  • Diet and exercise
  • Civic and community resources

Community organizing in public health

Advance public health by using community organizing methods, such as developing leadership, campaigning, and building power to influence decisions, agendas, and worldviews, by collaborating with community organizing groups to use these methods, or both
Evidence Rating:
Expert Opinion

Community Conditions

  • Civic and community resources

Societal Rules

  • Laws and policies