Strategies

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

74 Strategies

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

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

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

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 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

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

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

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 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

Incredible Years

Support young children who exhibit or are at risk for behavioral problems with interpersonal relationship training and parents and teachers who are trained to meet their needs
Evidence Rating:
Scientifically Supported

Community Conditions

  • Education
  • Safety and social support

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

In-vehicle monitoring & feedback for teen drivers and families

Support use of in-vehicle devices that alert novice teen drivers when they have high g-force events (e.g., rapid acceleration, braking, or turning) and allow families to review driving performance
Evidence Rating:
Some Evidence

Community Conditions

  • Safety and social support

Juvenile curfews

Restrict youth under a certain age from being in public places during certain hours, usually at night
Evidence Rating:
Evidence of Ineffectiveness

Community Conditions

  • Safety and social support

Societal Rules

  • Laws and policies

Kinship foster care for children in the child welfare system

Arrange full-time foster care by relatives or adults who are not a child’s parent but have a family relationship with the child when a child is removed from home due to a safety concern
Evidence Rating:
Scientifically Supported

Community Conditions

  • Safety and social support

Societal Rules

  • Laws and policies

Mental Health First Aid

Provide an 8 or 12 hour training to educate laypeople about how to assist individuals with mental health problems or at risk for problems such as depression, anxiety, and substance use disorders
Evidence Rating:
Some Evidence

Community Conditions

  • Safety and social support

Mentoring programs to prevent youth delinquency

Pair youth at risk for delinquent behavior with mentors to develop relationships and spend time at regular meetings for an extended period; mentors have greater knowledge, skills, etc. than mentees
Evidence Rating:
Scientifically Supported

Community Conditions

  • Safety and social support

Multisystemic Therapy (MST) for adolescents involved in the justice system

Use an intensive, family- and community-based intervention that addresses individual, family, and environmental risk factors that affect antisocial behaviors among adolescents who have committed serious offenses
Evidence Rating:
Scientifically Supported

Community Conditions

  • Safety and social support

National Fatherhood Initiative's 24/7 Dad

Help men improve their parenting skills and fathering knowledge via a voluntary, comprehensive fatherhood program
Evidence Rating:
Insufficient Evidence

Community Conditions

  • Safety and social support

National Fatherhood Initiative's InsideOut Dad

Connect incarcerated fathers to their families and prepare them for release via small group education sessions that address fathering knowledge, skills, attitudes, and behaviors
Evidence Rating:
Insufficient Evidence

Community Conditions

  • Safety and social support

Neighborhood watch

Support the efforts of neighborhood residents to work together in preventing crime by reporting suspicious or potentially criminal behavior to local law enforcement
Evidence Rating:
Scientifically Supported

Community Conditions

  • Safety and social support

Nurse-Family Partnership (NFP)

Provide home visiting services to low income, first time mothers and their babies, starting during pregnancy and continuing through a child’s second birthday
Evidence Rating:
Scientifically Supported

Community Conditions

  • Safety and social support

Outdoor experiential education

Support outdoor pursuits and adventure-based activities that emphasize inter- and intra-personal growth through overcoming obstacles (e.g., challenge courses, wilderness excursions, etc.)
Evidence Rating:
Some Evidence

Community Conditions

  • Safety and social support
  • Civic and community resources