Strategies

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

74 Strategies

Parents as Teachers (PAT)

Support home visits that teach parents about early childhood development and effective parenting strategies, with child development screenings, parental meetings, and links to community resources
Evidence Rating:
Some Evidence

Community Conditions

  • Education
  • Safety and social support

Preschool programs with family support services

Provide center-based programs that support cognitive and social development among young children from families with low incomes, with supports such as home visiting or parental education
Evidence Rating:
Scientifically Supported

Community Conditions

  • Education
  • Safety and social support

Primary seat belt enforcement laws

Allow law enforcement officials to stop drivers solely for failing to use a seat belt
Evidence Rating:
Scientifically Supported

Community Conditions

  • Safety and social support

Societal Rules

  • Institutional practices
  • Laws and policies

Raise the Age

Increase the minimum and/or maximum age boundaries for youth to be processed in the juvenile justice system
Evidence Rating:
Expert Opinion

Community Conditions

  • Safety and social support

Societal Rules

  • Laws and policies

Reach Out and Read

Partner with doctors, nurse practitioners, and other medical professionals to incorporate literacy support into regular well-child visits, especially in lower income communities
Evidence Rating:
Scientifically Supported

Community Conditions

  • Education
  • Safety and social support

Recreational marijuana legalization

Allow adults to possess a limited amount of marijuana for personal, non-medical use; often called recreational marijuana laws (RMLs)
Evidence Rating:
Mixed Evidence

Community Conditions

  • Alcohol and drug use
  • Safety and social support

Societal Rules

  • Laws and policies

Restorative justice in the criminal justice system

Use victim-offender dialogue to address the harm caused by a crime and victims’ needs; can take place pre-arrest or post sentence via sharing circles, victim-offender mediation, or face-to-face conferences
Evidence Rating:
Scientifically Supported

Community Conditions

  • Safety and social support

Societal Rules

  • Institutional practices
  • Worldviews, culture and norms

Rollover protective structures (ROPS)

Attach metal bars, frames, or crush proof cabs to a tractor that provide a safety zone for an operator in the event of a rollover or overturn
Evidence Rating:
Scientifically Supported

Community Conditions

  • Safety and social support

Scared Straight

Organize tours of prison facilities for juvenile delinquents or youth at risk of delinquency and allow them to observe prison life and attend inmates’ presentations; also called juvenile awareness programs
Evidence Rating:
Evidence of Ineffectiveness

Community Conditions

  • Safety and social support

School-based intimate partner violence prevention programs

Provide youth with teen dating violence education that addresses healthy relationships, gender norms, relationship coercion, and violence in a school setting
Evidence Rating:
Some Evidence

Community Conditions

  • Safety and social support

Social service integration

Coordinate access to services across delivery systems and disciplinary boundaries (e.g., housing, disability, physical health, mental health, child welfare, workforce services, etc.)
Evidence Rating:
Some Evidence

Community Conditions

  • Safety and social support

Societal Rules

  • Institutional practices

Sports-related concussion education

Educate youth and college athletes, coaches, and parents about the severity of concussions in sports, proper prevention, detection, reporting, and treatment
Evidence Rating:
Insufficient Evidence

Community Conditions

  • Safety and social support

Strong graduated driver licensing laws

Strengthen laws that allow young drivers to gain driving experience in stages; often includes passenger and nighttime driving limitations and higher minimum ages for learner’s permits, intermediate, and full licenses
Evidence Rating:
Scientifically Supported

Community Conditions

  • Safety and social support

Societal Rules

  • Laws and policies

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

Trauma-informed juvenile justice systems

Support a trauma-informed juvenile justice system to recognize and respond to trauma’s impact on youth through staff training and broad adoption of trauma-informed practices and policies
Evidence Rating:
Expert Opinion

Community Conditions

  • Safety and social support

Societal Rules

  • Institutional practices

Trauma-informed schools

Adopt a multi-tiered approach within schools to address the needs of trauma-exposed youth, including school-wide changes, screenings, and individual intensive support
Evidence Rating:
Some Evidence

Community Conditions

  • Education
  • Safety and social support

Societal Rules

  • Institutional practices

Treatment Foster Care

Place youth with mental, emotional, and behavioral health challenges in foster families that provide a structured, nurturing, therapeutic environment; also called Therapeutic Foster Care (TFC)
Evidence Rating:
Some Evidence

Community Conditions

  • Safety and social support

Treatment Foster Care Oregon

Place severely and chronically delinquent youth in foster families that are trained in structured behavior management and connected to TFCO program staff; formerly called Multidimensional Treatment Foster Care
Evidence Rating:
Scientifically Supported

Community Conditions

  • Safety and social support

Universal distracted driving laws

Prohibit all drivers from texting or talking on a cell phone while driving
Evidence Rating:
Some Evidence

Community Conditions

  • Safety and social support

Societal Rules

  • Laws and policies

Universal firearm background checks

Require both licensed firearm dealers and unlicensed (i.e., private) firearm sellers to conduct background checks of potential firearm purchasers; also known as comprehensive background checks
Evidence Rating:
Some Evidence

Community Conditions

  • Safety and social support

Societal Rules

  • Laws and policies

Universal motorcycle helmet laws

Require all motorcycle operators and passengers to wear a helmet; laws are established statewide and may also include mopeds and scooters
Evidence Rating:
Scientifically Supported

Community Conditions

  • Safety and social support

Societal Rules

  • Laws and policies

Youth football full contact rules

Restrict full contact between youth football players via limits to the number of contact practices, head hits per player, delay tackling until a certain age, etc.
Evidence Rating:
Expert Opinion

Community Conditions

  • Safety and social support

Youth leadership programs

Provide youth with leadership building opportunities, often through social activities such as advocacy groups, peer education, youth-led participatory research, and local government youth advisory councils and boards
Evidence Rating:
Some Evidence

Community Conditions

  • Safety and social support
  • Civic and community resources

Youth transfer to the adult criminal justice system

Transfer youth who are arrested from the juvenile justice system to the adult criminal justice system by discretionary transfer decisions or transfer qualifying criteria
Evidence Rating:
Evidence of Ineffectiveness

Community Conditions

  • Safety and social support

Societal Rules

  • Laws and policies