Strategies

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

88 Strategies
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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

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 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

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 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

Community Conditions

  • Alcohol and drug use

Societal Rules

  • Laws and policies

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

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

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

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

Community Conditions

  • Income, employment and wealth
  • Civic and community resources

Societal Rules

  • Laws and policies

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

Community Conditions

  • Alcohol and drug use

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 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 Conditions

  • Housing and transportation
  • Civic and community resources

Societal Rules

  • Budgets

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 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 Conditions

  • Diet and exercise
  • Climate
  • 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 kitchens for nutrition education

Use existing kitchen spaces for community members to share knowledge, resources, and labor to prepare, cook, and consume food, often with nutrition education provided for participants experiencing food insecurity
Evidence Rating:
Insufficient Evidence

Community Conditions

  • Diet and exercise
  • Civic and community resources

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 Conditions

  • Housing and transportation
  • Air, water and land
  • Civic and community resources

Societal Rules

  • Institutional practices

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

Community supported agriculture (CSA)

Establish partnerships between farmers and consumers in which consumers purchase a share of a farm’s products in advance
Evidence Rating:
Expert Opinion

Community Conditions

  • Diet and exercise
  • Climate
  • Civic and community resources

Complete Streets & streetscape design initiatives

Enhance streetscapes with greater sidewalk coverage and walkway connectivity, street crossing safety features, traffic calming measures, and other design elements
Evidence Rating:
Scientifically Supported

Community Conditions

  • Housing and transportation
  • Diet and exercise
  • Civic and community resources
  • Climate

Societal Rules

  • Institutional practices

Cross-age youth peer mentoring

Establish an ongoing relationship between an older youth or young adult and a younger child or adolescent, usually an elementary or middle school student
Evidence Rating:
Some Evidence

Community Conditions

  • Safety and social support
  • Civic and community resources

Designated driver promotion programs

Encourage use of designated drivers via population-based mass media campaigns, incentive programs based in drinking establishments, and other efforts
Evidence Rating:
Insufficient Evidence

Community Conditions

  • Alcohol and drug use

Dram shop liability laws

Hold alcohol retailers legally responsible for injuries or damage caused by providing alcohol to intoxicated or underage customers; also called commercial host liability laws
Evidence Rating:
Scientifically Supported

Community Conditions

  • Alcohol and drug use

Societal Rules

  • Laws and policies

Drink special restrictions

Limit or ban alcohol establishments from serving alcohol at a reduced price as part of promotions; also called happy hour restrictions
Evidence Rating:
Some Evidence

Community Conditions

  • Alcohol and drug use

Societal Rules

  • Laws and policies

Enhanced enforcement of laws prohibiting alcohol sales to minors

Initiate or increase retailer compliance checks, shoulder tap operations, parking lot observation outside alcohol establishments for laws that prohibit alcohol sales to minors
Evidence Rating:
Scientifically Supported

Community Conditions

  • Alcohol and drug use

Societal Rules

  • Institutional practices

Extracurricular activities for social engagement

Support organized social, art, or physical activities for school-aged youth outside of the school time
Evidence Rating:
Scientifically Supported

Community Conditions

  • Safety and social support
  • Civic and community resources

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 use; also called family treatment courts, family dependency treatment courts, or family drug courts
Evidence Rating:
Scientifically Supported

Community Conditions

  • Safety and social support
  • Alcohol and drug use

Societal Rules

  • Laws and policies

Farmers markets

Support multiple vendor markets where producers sell goods such as fresh fruit and vegetables, meat, dairy items, and prepared foods directly to consumers
Evidence Rating:
Some Evidence

Community Conditions

  • Diet and exercise
  • Climate
  • Civic and community resources

Fentanyl test strip distribution programs

Provide free fentanyl test strips to detect the presence of fentanyl in different kinds of drugs and drug forms
Evidence Rating:
Some Evidence

Community Conditions

  • Alcohol and drug use

Food buying clubs & co-ops

Offer opportunities for group purchase and distribution of selected grocery items, generally at a reduced price
Evidence Rating:
Expert Opinion

Community Conditions

  • Diet and exercise
  • Climate
  • Civic and community resources

Food hubs

Support businesses or organizations that aggregate, distribute, and market local and regional food products (e.g., fresh fruits and vegetables, meat, dairy, grains, and prepared items)
Evidence Rating:
Expert Opinion

Community Conditions

  • Diet and exercise
  • Climate
  • Civic and community resources

Good Samaritan drug overdose laws

Provide immunity from arrest, charges, or prosecution for drug possession or paraphernalia when individuals experiencing or witnessing drug overdose summon emergency services
Evidence Rating:
Expert Opinion

Community Conditions

  • Alcohol and drug use

Societal Rules

  • Laws and policies

Green space & parks

Increase green space through new parks or open spaces, renovation or enhancement of under-used recreation areas, rehabilitation of vacant lots, brownfields, etc.
Evidence Rating:
Some Evidence

Community Conditions

  • Diet and exercise
  • Civic and community resources
  • Climate

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

Community Conditions

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

Societal Rules

  • Laws and policies
  • Worldviews, culture and norms

Housing trust funds

Support funds that help create or maintain affordable housing, subsidize rental housing, and assist homebuyers with low incomes and non-profit housing developers
Evidence Rating:
Expert Opinion

Community Conditions

  • Housing and transportation
  • Civic and community resources

Societal Rules

  • Budgets

Ignition interlock devices

Strengthen policies that mandate ignition interlock installation in vehicles to prevent operation by a driver with a high blood alcohol concentration
Evidence Rating:
Scientifically Supported

Community Conditions

  • Alcohol and drug use

Inclusionary zoning & housing policies

Require developers to reserve a proportion of housing units for residents with low incomes via mandatory requirements or incentives, such as density bonuses
Evidence Rating:
Some Evidence

Community Conditions

  • Housing and transportation
  • Air, water and land
  • Civic and community resources

Societal Rules

  • Laws and policies

Intergenerational communities

Establish policies, plans, and programs that meet the needs of all residents of a community, especially children and older adults, and promote interaction and cooperation between individuals of different generations
Evidence Rating:
Expert Opinion

Community Conditions

  • Safety and social support
  • Civic and community resources

Intergenerational mentoring and activities

Establish a relationship between an older adult and a child, adolescent, or college student through social interactions or a variety of educational and art activities
Evidence Rating:
Some Evidence

Community Conditions

  • Safety and social support
  • Civic and community resources

Keg registration laws

Require wholesalers or retailers to record an identification number for beer kegs and a purchaser’s information (e.g., name and address, date of birth, etc.) at the time of purchase
Evidence Rating:
Insufficient Evidence

Community Conditions

  • Alcohol and drug use

Societal Rules

  • Laws and policies

Labor unions

Organize workers to bargain collectively for improved wages, benefits, and working conditions
Evidence Rating:
Scientifically Supported

Community Conditions

  • Income, employment and wealth
  • Civic and community resources

Societal Rules

  • Institutional practices
  • Governance
  • Worldviews, culture and norms

Land banking

Acquire, hold, manage, and develop properties such as vacant lots, abandoned buildings, or foreclosures, and transition them to productive uses, often affordable housing developments
Evidence Rating:
Some Evidence

Community Conditions

  • Housing and transportation
  • Air, water and land
  • Civic and community resources

Societal Rules

  • Institutional practices

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

Community Conditions

  • Income, employment and wealth
  • Civic and community resources

Societal Rules

  • Laws and policies

Mass media campaigns against alcohol-impaired driving

Use mass media campaigns to persuade individuals to avoid drinking and driving or to prevent others from doing so; campaigns often focus on the negative consequences of alcohol-impaired driving
Evidence Rating:
Some Evidence

Community Conditions

  • Alcohol and drug use

Mass media campaigns against underage drinking

Use television, radio, print, and social media efforts to increase awareness of underage drinking and its consequences
Evidence Rating:
Insufficient Evidence

Community Conditions

  • Alcohol and drug use