Strategies

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

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

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

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 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

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

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

Big Brothers Big Sisters (BBBS)

Match disadvantaged or at-risk youth with volunteer mentors in school or community settings

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

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

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

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 firearm access prevention laws

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

Evidence Rating:

Scientifically Supported

Clean diesel technology fleet transition programs

Replace or retrofit diesel buses or other vehicles to operate with clean diesel technology

Evidence Rating:

Scientifically Supported

Cognitive-behavioral therapy (CBT) for individuals involved in the justice system

Use individual or group therapy to help individuals involved in the justice system discover and change the thought processes that lead to maladaptive behavior

Evidence Rating:

Scientifically Supported

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 policing

Implement a policing philosophy based on community partnership, organizational transformation, and problem-solving techniques to proactively address public safety issues: also called community-oriented policing

Evidence Rating:

Scientifically Supported

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

Competitive pricing for healthy foods

Assign higher costs to non-nutritious foods than nutritious foods via incentives, subsidies, or price discounts for healthy foods and beverages or disincentives or price increases for unhealthy choices

Evidence Rating:

Scientifically Supported

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

Composting

Use aerobic, natural decomposition to divert food and yard waste from landfills and create a nutrient-rich soil amendment product on an individual or large scale

Evidence Rating:

Scientifically Supported

Conservation tillage practices

Encourage methods of soil cultivation that keep at least one-third of cultivated soil covered with the previous year’s crop residue (e.g., mulch till, ridge till, strip till, or no-till)

Evidence Rating:

Scientifically Supported

Court mandated programs for perpetrators of intimate partner violence

Expand court-referred intimate partner violence offenders’ understanding of abuse, teach alternative reactions, and work to change gender role attitudes; also called batterer intervention programs (BIPs)

Evidence Rating:

Mixed Evidence

Crisis lines

Provide free and confidential counseling and service referrals via telephone-based conversation, web-based chat, or text message to individuals in crisis, particularly those with severe mental health concerns

Evidence Rating:

Some Evidence

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

Cure Violence model

Use a public health approach to detect and intervene in potentially violent situations, educate and mobilize communities, and connect individuals at high risk of violence to services; formerly called Chicago CeaseFire

Evidence Rating:

Mixed Evidence

DARE to be You

Provide education and training sessions with parent-child activities and family meals for youth, parents, and care providers

Evidence Rating:

Expert Opinion

Early childhood home visiting programs

Provide at-risk expectant parents and families with young children with information, support, and training regarding child health, development, and care from prenatal stages through early childhood via trained home visitors

Evidence Rating:

Scientifically Supported

Electric vehicle initiatives

Replace internal combustion engine vehicles with all-electric vehicles through financial incentives, regulations, and multi-component initiatives

Evidence Rating:

Scientifically Supported

Employee Assistance Programs (EAP)

Provide confidential worksite-based counseling and referrals to employees to address personal and workplace challenges

Evidence Rating:

Some Evidence

Enhanced seat belt enforcement programs

Add publicity and other strategies (e.g., supplemental patrols, increased officers, etc.) to efforts to enforce existing seat belt laws

Evidence Rating:

Scientifically Supported

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

Families and Schools Together

Convene small groups of families for facilitated weekly meetings that include a family meal, structured activities, parent support time, and parent-child play therapy

Evidence Rating:

Scientifically Supported

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

Farm to school programs

Incorporate locally grown foods into school meals and snacks, often with visits from food producers, cooking classes, nutrition and waste reduction efforts, and school gardens

Evidence Rating:

Some Evidence

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

Father involvement programs

Support fathers’ active involvement in child rearing via various father-focused or family-focused interventions

Evidence Rating:

Some Evidence

Firearm licensing laws

Require a potential purchaser to obtain a permit or license before purchasing a firearm

Evidence Rating:

Scientifically Supported

Firearm restrictions for people convicted of domestic violence

Prohibit firearm purchase and possession by people convicted in any court of a domestic violence misdemeanor or by people subject to a domestic violence protective/restraining order

Evidence Rating:

Some Evidence

Focused deterrence strategies

Target a particular crime through law enforcement and community agency cooperation and coordination of various deterrents and social services; also called pulling levers policing

Evidence Rating:

Scientifically Supported

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

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

Fruit & vegetable gleaning initiatives

Gather food left in fields after a primary harvest, food in fields where harvesting is not profitable, or excess produce from orchards, packing houses, urban agriculture sites, etc.

Evidence Rating:

Expert Opinion

Fruit & vegetable incentive programs

Offer participants with low incomes matching funds to purchase healthy foods, especially fresh fruits and vegetables; often called bonus dollars, market bucks, produce coupons, or nutrition incentives

Evidence Rating:

Scientifically Supported

Functional Family Therapy (FFT)

Introduce a short-term family-based intervention therapy focused on strengths, protective factors, and risk factors for youth with delinquency, violence, or substance abuse problems, and their families

Evidence Rating:

Scientifically Supported

Georgia Fatherhood Program

Provide employment-based services for non-custodial fathers who pay child support and experience a job loss or a decrease in income

Evidence Rating:

Insufficient Evidence

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

Group-based parenting programs

Teach parenting skills in a group setting using a standardized curriculum, often based on behavioral or cognitive-behavioral approaches and focused on parents of at-risk children

Evidence Rating:

Scientifically Supported

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