Strategies

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

114 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

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

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

Community Conditions

  • Safety and social support

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

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

Community Conditions

  • Housing and transportation

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

Community Conditions

  • Housing and transportation
  • Diet and exercise
  • Climate

Societal Rules

  • Institutional practices
  • Governance

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

Community Conditions

  • Safety and social support

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

Community Conditions

  • Housing and transportation

Big Brothers Big Sisters (BBBS)

Match disadvantaged or at-risk youth with volunteer mentors in school or community settings
Evidence Rating:
Some Evidence

Community Conditions

  • Safety and social support
  • Education

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

Community Conditions

  • Safety and social support

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

Community Conditions

  • Safety and social support

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

Community Conditions

  • Safety and social support

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

Community Conditions

  • Air, water and land
  • Housing and transportation
  • Climate

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

Community Conditions

  • Safety and social support

Child firearm access prevention laws

Impose penalties on adults for a child’s unsupervised access to firearms
Evidence Rating:
Scientifically Supported

Community Conditions

  • Safety and social support

Societal Rules

  • Laws and policies

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 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 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 Conditions

  • Safety and social support

Societal Rules

  • Institutional practices

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

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

Community Conditions

  • Safety and social support

Societal Rules

  • Laws and policies

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

Community Conditions

  • Safety and social support

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

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

Community Conditions

  • Safety and social support

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

Community Conditions

  • Education
  • Safety and social support

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

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

Community Conditions

  • Safety and social support

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 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

Community Conditions

  • Safety and social support

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

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

Community Conditions

  • Education
  • Safety and social support

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

Father involvement programs

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

Community Conditions

  • Safety and social support

Firearm licensing laws

Require a potential purchaser to obtain a permit or license before purchasing a firearm
Evidence Rating:
Scientifically Supported

Community Conditions

  • Safety and social support

Societal Rules

  • Laws and policies

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

Community Conditions

  • Safety and social support

Societal Rules

  • Laws and policies

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

Community Conditions

  • Safety and social support

Societal Rules

  • Institutional practices

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

Community Conditions

  • Safety and social support

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

Community Conditions

  • Safety and social support

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

Community Conditions

  • Safety and social support

Health care screening & follow-up for intimate partner violence

Assesses past or present experience of intimate partner violence among female patients in health care settings and provides follow-ups such as counseling or referrals for services
Evidence Rating:
Some Evidence

Community Conditions

  • Safety and social support

Healthy Families America (HFA)

Provide home visiting services to families who are at risk for adverse childhood experiences, starting prenatally or right after birth and continuing for three to five years
Evidence Rating:
Some Evidence

Community Conditions

  • Safety and social support

Healthy home environment assessments

Train volunteers, professionals, or paraprofessionals to help residents assess and reduce environmental home health risks and recommend low cost changes (e.g., improved ventilation, integrated pest management, etc.)
Evidence Rating:
Scientifically Supported

Community Conditions

  • Housing and transportation

Helmets in collision sports

Use helmets to absorb, dissipate, and reduce impact forces to an athlete’s head and brain during collisions or falls
Evidence Rating:
Some Evidence

Community Conditions

  • Safety and social support

HOME Investment Partnership Program

Provide grants to states and localities to fund activities that build, buy, or rehabilitate affordable housing for rent or homeownership, or provide direct rental assistance to households with low incomes
Evidence Rating:
Expert Opinion

Community Conditions

  • Housing and transportation

Societal Rules

  • Budgets

Home water temperature safety education

Educate families about safe tap water temperatures during prenatal or well-baby visits at clinic or home visits; often with home safety checks or provision of home water temperature safety equipment
Evidence Rating:
Scientifically Supported

Community Conditions

  • Safety and social support

Hot spot policing

Focus police resources and enforcement on high-activity crime locations within a community (e.g., street blocks and buildings) using policing tactics such as increasing enforcement time, problem-oriented policing, etc.
Evidence Rating:
Scientifically Supported

Community Conditions

  • Safety and social support

Societal Rules

  • Institutional practices

Household lead control education interventions

Inform parents and caregivers about lead exposure pathways from contaminated dust, soil, water, and air as well as the irreversible health consequences of lead exposure
Evidence Rating:
Evidence of Ineffectiveness

Community Conditions

  • Housing and transportation
  • Air, water and land

Housing Choice Voucher Program (Section 8)

Provide eligible families with low and very low incomes with vouchers to help cover the costs of rental housing; also called Section 8
Evidence Rating:
Some Evidence

Community Conditions

  • Housing and transportation

Societal Rules

  • Budgets

Housing First

Provide rapid access to permanent housing and support (e.g., crisis intervention, needs assessment, case management), usually for chronically homeless individuals with persistent mental illness or substance abuse issues
Evidence Rating:
Scientifically Supported

Community Conditions

  • Housing and transportation

Societal Rules

  • Institutional practices

Housing mediation services

Facilitate mediation between tenants and landlords to resolve conflict and prevent eviction
Evidence Rating:
Insufficient Evidence

Community Conditions

  • Housing and transportation