Strategies

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

72 Strategies

Reparations for Black descendants of people enslaved in the U.S.

Apologize for the history and legacy of slavery and provide direct payments or community investments to Black descendants of people enslaved in the U.S.
Evidence Rating:
Expert Opinion

Community Conditions

  • Income, employment and wealth
  • Civic and community resources

Societal Rules

  • Laws and policies
  • Worldviews, culture and norms

Reproductive life plans

Establish plans consistent with personal values and current life circumstances that set goals related to having or not having children; goals often change over time
Evidence Rating:
Expert Opinion

Community Conditions

  • Clinical care

Retail clinics

Establish clinics in retail stores that provide basic services for minor illnesses (e.g., sore throats or skin conditions) and procedures (e.g., immunizations, pregnancy testing, routine lab tests); also known as retail pharmacy, walk-in, or convenient care clinics
Evidence Rating:
Expert Opinion

Community Conditions

  • Clinical care

Rural transportation services

Establish transportation services for areas with low population densities using publicly funded buses and vans on a set schedule, dial-a-ride transit, volunteer ridesharing, etc.
Evidence Rating:
Expert Opinion

Community Conditions

  • Income, employment and wealth
  • Clinical care
  • Housing and transportation
  • Civic and community resources

Societal Rules

  • Budgets
  • Worldviews, culture and norms

School fundraiser restrictions

Prohibit the sale of unhealthy foods such as sugar sweetened beverages, candy, and other non-nutritious snacks at school fundraisers, often as part of a broader nutrition policy
Evidence Rating:
Expert Opinion

Community Conditions

  • Diet and exercise

Societal Rules

  • Laws and policies

Scrap programs for old vehicles

Provide incentives to trade in old cars or light duty trucks with low fuel efficiency and high emissions and buy new vehicles with higher efficiency and lower emissions; also called scrappage or vehicle early retirement programs
Evidence Rating:
Expert Opinion

Community Conditions

  • Air, water and land
  • Climate

Smoke-free policies for multi-unit housing

Implement private sector rules or public sector regulations that prohibit smoking in and around multi-unit housing
Evidence Rating:
Expert Opinion

Community Conditions

  • Tobacco use

Societal Rules

  • Laws and policies

Social host laws

Adopt laws that hold private property owners who provide alcohol to minors or obviously intoxicated individuals on their property liable if someone is killed or injured as a result
Evidence Rating:
Expert Opinion

Community Conditions

  • Alcohol and drug use

Societal Rules

  • Laws and policies

State-level minimum nurse staffing requirements for nursing homes

Establish state level regulations that require nursing homes to employ at least a set number of licensed and non-licensed nursing staff, often set in terms of staff hours per resident day
Evidence Rating:
Expert Opinion

Community Conditions

  • Clinical care

Societal Rules

  • Laws and policies
  • Worldviews, culture and norms

Supplemental Security Income (SSI) benefits

Explore ways to increase Supplemental Security Income (SSI) program benefit amounts for aged, blind, or disabled individuals, including children, with little or no income
Evidence Rating:
Expert Opinion

Community Conditions

  • Income, employment and wealth

Societal Rules

  • Laws and policies
  • Budgets

Tax increment financing (TIF) for affordable housing

Create designated tax districts that generate revenue to invest in affordable housing initiatives, blight remediation, and economic development efforts
Evidence Rating:
Expert Opinion

Community Conditions

  • Housing and transportation

Societal Rules

  • Budgets

Tobacco retailer licensing

Require retailers to purchase licenses to sell tobacco products; retailers must follow all tobacco control laws to keep licenses
Evidence Rating:
Expert Opinion

Community Conditions

  • Tobacco use

Societal Rules

  • Laws and policies

Tobacco retailer location restrictions

Set the number, type, proximity, and density of tobacco retailers, especially near homes and schools, via state or local zoning, licensing restrictions, or other regulations
Evidence Rating:
Expert Opinion

Community Conditions

  • Tobacco use

Societal Rules

  • Laws and policies

Trauma-informed approaches to community building

Support and strengthen residents and communities who have experienced trauma and address effects of community trauma (e.g., poverty, violence, structural racism, etc.) via a comprehensive, multi-stakeholder, and multilevel approach
Evidence Rating:
Expert Opinion

Community Conditions

  • Civic and community resources

Societal Rules

  • Institutional practices
  • Worldviews, culture and norms

Trauma-informed health care

Adopt universal trauma precautions and provide trauma-specific care to patients in health care organizations
Evidence Rating:
Expert Opinion

Community Conditions

  • Clinical care

Societal Rules

  • Institutional practices
  • Worldviews, culture and norms

Trauma-informed juvenile justice systems

Support a trauma-informed juvenile justice system to recognize and respond to trauma’s impact on youth through staff training and broad adoption of trauma-informed practices and policies
Evidence Rating:
Expert Opinion

Community Conditions

  • Safety and social support

Societal Rules

  • Institutional practices

Universal basic income

Provide all individuals with regular cash transfers, without conditions, over their lifetimes
Evidence Rating:
Expert Opinion

Community Conditions

  • Income, employment and wealth

Societal Rules

  • Laws and policies
  • Worldviews, culture and norms

Urban agriculture

Support food-producing and income-earning activities in urban environments (e.g., edible landscapes, front yard or rooftop gardens, window farming, hydroponics, livestock, etc.)
Evidence Rating:
Expert Opinion

Community Conditions

  • Diet and exercise
  • Climate
  • Civic and community resources

Youth apprenticeship initiatives

Provide participating high school students with professional opportunities that combine academic and on-the-job training or mentorship
Evidence Rating:
Expert Opinion

Community Conditions

  • Income, employment and wealth

Youth football full contact rules

Restrict full contact between youth football players via limits to the number of contact practices, head hits per player, delay tackling until a certain age, etc.
Evidence Rating:
Expert Opinion

Community Conditions

  • Safety and social support

Zoning regulations for chickens and bees

Allow residents to keep chickens and bees within city or municipality limits
Evidence Rating:
Expert Opinion

Community Conditions

  • Diet and exercise

Societal Rules

  • Laws and policies

Zoning regulations for fast food

Limit or ban fast food outlets in areas of a city, restrict the number or density of outlets, or regulate distance between fast food outlets and other sites (e.g., schools)
Evidence Rating:
Expert Opinion

Community Conditions

  • Diet and exercise

Societal Rules

  • Laws and policies