Strategies

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

44 Strategies

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

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

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

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

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

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

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

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

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

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

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

Minimum wage increases

Increase the lowest hourly, daily, or monthly compensation that employers may legally pay to workers
Evidence Rating:
Mixed Evidence

Community Conditions

  • Income, employment and wealth

Societal Rules

  • Laws and policies

New Hope Project

Provided work supports for low income individuals and families (e.g., job search assistance, transitional jobs, subsidized child care, health insurance, etc.); participants worked at least 30 hours/week
Evidence Rating:
Some Evidence

Community Conditions

  • Income, employment and wealth

On-site child care

Provide employees with child care options at work; care may be provided free of charge, partially subsidized as part of an employee benefit package, or offered at market rates
Evidence Rating:
Insufficient Evidence

Community Conditions

  • Income, employment and wealth

Societal Rules

  • Institutional practices

Paid family leave

Provide employees with paid time off for circumstances such as a recent birth or adoption, a parent or spouse with a serious medical condition, or a sick child
Evidence Rating:
Scientifically Supported

Community Conditions

  • Income, employment and wealth

Societal Rules

  • Institutional practices
  • Laws and policies

Paid sick leave laws

Require employers in an affected jurisdiction to provide paid time off for employees to use when ill or injured
Evidence Rating:
Some Evidence

Community Conditions

  • Income, employment and wealth

Societal Rules

  • Institutional practices
  • Laws and policies

Payday loan regulations

Regulate short-term loans that must be repaid by a borrower’s next pay day via bans, caps on maximum interest rates and loan amounts, or require minimum loan terms and credit cost
Evidence Rating:
Mixed Evidence

Community Conditions

  • Income, employment and wealth

Societal Rules

  • Laws and policies

Refundable child and dependent care tax credit

Offer a refundable tax credit to working families with qualifying children or other dependents that receive care outside the home (e.g., a spouse with disabilities)
Evidence Rating:
Expert Opinion

Community Conditions

  • Income, employment and wealth

Societal Rules

  • Laws and policies
  • Budgets

Reparations for Black descendants of people enslaved in the U.S.

Apologize for the history and legacy of slavery and provide direct payments or community investments to Black descendants of people enslaved in the U.S.
Evidence Rating:
Expert Opinion

Community Conditions

  • Income, employment and wealth
  • Civic and community resources

Societal Rules

  • Laws and policies
  • Worldviews, culture and norms

Rural transportation services

Establish transportation services for areas with low population densities using publicly funded buses and vans on a set schedule, dial-a-ride transit, volunteer ridesharing, etc.
Evidence Rating:
Expert Opinion

Community Conditions

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

Societal Rules

  • Budgets
  • Worldviews, culture and norms

Sector-based workforce initiatives

Provide industry-focused education and job training based on the needs of regional employers within specific sectors
Evidence Rating:
Some Evidence

Community Conditions

  • Income, employment and wealth

Summer youth employment programs

Provide short-term employment opportunities for youth, especially those from disadvantaged backgrounds
Evidence Rating:
Some Evidence

Community Conditions

  • Safety and social support
  • Income, employment and wealth

Supplemental Security Income (SSI) benefits

Explore ways to increase Supplemental Security Income (SSI) program benefit amounts for aged, blind, or disabled individuals, including children, with little or no income
Evidence Rating:
Expert Opinion

Community Conditions

  • Income, employment and wealth

Societal Rules

  • Laws and policies
  • Budgets

Telecommuting

Allow employees to work outside a central office, using technology to interact with others inside and outside the organization; also called remote work, telework, or flexible working arrangements
Evidence Rating:
Some Evidence

Community Conditions

  • Income, employment and wealth

Societal Rules

  • Institutional practices

Transitional and subsidized jobs

Establish time-limited, subsidized, paid jobs to help individuals with barriers to employment transition to unsubsidized employment
Evidence Rating:
Scientifically Supported

Community Conditions

  • Income, employment and wealth

Unemployment insurance (UI)

Increase compensation provided to unemployed workers looking for jobs by expanding eligibility, amount, or duration of benefits
Evidence Rating:
Some Evidence

Community Conditions

  • Income, employment and wealth

Societal Rules

  • Laws and policies
  • Budgets

Universal basic income

Provide all individuals with regular cash transfers, without conditions, over their lifetimes
Evidence Rating:
Expert Opinion

Community Conditions

  • Income, employment and wealth

Societal Rules

  • Laws and policies
  • Worldviews, culture and norms

Workplace supports for breastfeeding

Support breastfeeding via private, well-equipped lactation spaces in workplaces, along with breastfeeding breaks, flexible schedules, professional lactation support, etc.
Evidence Rating:
Some Evidence

Community Conditions

  • Income, employment and wealth
  • Diet and exercise

Societal Rules

  • Institutional practices

Youth apprenticeship initiatives

Provide participating high school students with professional opportunities that combine academic and on-the-job training or mentorship
Evidence Rating:
Expert Opinion

Community Conditions

  • Income, employment and wealth