Strategies

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

81 Strategies
Clear all

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 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

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

Ban the Box

Prohibit criminal history questions on job applications and postpone background checks
Evidence Rating:
Mixed Evidence

Community Conditions

  • Income, employment and wealth

Societal Rules

  • Institutional practices
  • Laws and policies
  • Worldviews, culture and norms

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

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

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

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

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

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 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

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

Debt advice for tenants with unpaid rent

Offer debt advice from trained providers to tenants with unpaid, overdue rent to help repay debt and increase financial literacy
Evidence Rating:
Some Evidence

Community Conditions

  • Income, employment and wealth
  • Housing and transportation

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

Earned Income Tax Credit (EITC)

Expand refundable earned income tax credits for working individuals and families with low to moderate incomes
Evidence Rating:
Scientifically Supported

Community Conditions

  • Income, employment and wealth

Societal Rules

  • Laws and policies

Employee Assistance Programs (EAP)

Provide confidential worksite-based counseling and referrals to employees to address personal and workplace challenges
Evidence Rating:
Some Evidence

Community Conditions

  • Income, employment and wealth
  • Safety and social support

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

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

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

Financial education for adults

Provide education on basic budgeting, bank use, credit management, bankruptcy, credit building and counseling, homeownership, retirement, divorce, etc.
Evidence Rating:
Some Evidence

Community Conditions

  • Income, employment and wealth

Flexible scheduling

Offer employees control over an aspect of their schedule through arrangements such as flex time, flex hours, compressed work weeks, or self-scheduled shift work
Evidence Rating:
Scientifically Supported

Community Conditions

  • Income, employment and wealth

Societal Rules

  • Institutional practices

Full child support pass-through and disregard

Adopt policies that allow custodial parents who receive Temporary Assistance for Needy Families (TANF) to collect all child support paid by the non-custodial parent; no portion is retained by the state
Evidence Rating:
Scientifically Supported

Community Conditions

  • Income, employment and wealth

Societal Rules

  • Laws and policies

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

High school equivalency credentials

Offer programs to help individuals without a high school diploma or its equivalent achieve a high school equivalency credential
Evidence Rating:
Some Evidence

Community Conditions

  • Education
  • Income, employment and wealth

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

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

Individual Development Accounts (IDAs)

Support subsidized asset accumulation programs in which deposits by participants with low and moderate incomes are matched by program sponsors; withdrawals must be used for qualified expenses to retain matching funds
Evidence Rating:
Some Evidence

Community Conditions

  • Income, employment and wealth

Societal Rules

  • Budgets

Job-sharing programs

Offer flexible working arrangements, allowing the duties of a single full-time position to be covered by two part-time employees
Evidence Rating:
Insufficient Evidence

Community Conditions

  • Income, employment and wealth

Societal Rules

  • Institutional practices

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 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

Living wage laws

Establish locally mandated wages that are higher than state or federal minimum wage levels
Evidence Rating:
Some Evidence

Community Conditions

  • Income, employment and wealth

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

Matched dollar incentives for saving tax refunds

Support programs that provide matched dollar incentives for low or moderate income individuals to place some or all of their tax refund in a savings account
Evidence Rating:
Some Evidence

Community Conditions

  • Income, employment and wealth

Societal Rules

  • Budgets

Medical marijuana legalization

Allow eligible patients to use marijuana for medical purposes; often called medical marijuana laws (MMLs)
Evidence Rating:
Mixed Evidence

Community Conditions

  • Alcohol and drug use

Societal Rules

  • Laws and policies

Medication-assisted treatment access enhancement initiatives

Provide medications such as methadone to individuals diagnosed with opioid use disorder in outpatient, residential, and hospital settings, usually with counseling and behavioral therapies; often called MAT
Evidence Rating:
Expert Opinion

Community Conditions

  • Alcohol and drug use

Microfinance & microenterprise

Support programs that provide small loans, usually to individuals with lower incomes, to start or expand a small business, often with business development training and other technical assistance
Evidence Rating:
Expert Opinion

Community Conditions

  • Income, employment and wealth