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

Advocacy for victims of intimate partner violence

Work to partner with victims/survivors of intimate partner violence, help them with safety plans, and link them to community services (e.g., legal, housing, financial advice, emergency shelter, etc.)

Evidence Rating:

Insufficient Evidence

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

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 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

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

Baby bonds

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

Evidence Rating:

Expert Opinion

Ban the Box

Prohibit criminal history questions on job applications and postpone background checks

Evidence Rating:

Mixed Evidence

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

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

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

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

Campus alcohol bans

Restrict alcohol consumption anywhere on a college or university campus or only in specific areas (e.g., residence halls)

Evidence Rating:

Insufficient 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

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

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

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

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

Charter schools

Establish publicly financed schools that are not subject to many of the regulations that govern traditional public schools, such as staffing, curriculum, and budgeting requirements.

Evidence Rating:

Mixed Evidence

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 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

Child firearm access prevention laws

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

Evidence Rating:

Scientifically Supported

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

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

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