Strategies

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

110 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
  • Diet and Exercise
  • Family and Social Support

Administrative license suspension/revocation laws

Enable law enforcement to immediately take the license of a driver who fails or refuses to take a chemical test for alcohol

Evidence Rating:
Scientifically Supported
  • Alcohol and Drug Use

Alcohol access restrictions in public places

Restrict alcohol availability and use at sporting events, other public events (e.g., concerts and street fairs) and in public spaces such as parks and beaches

Evidence Rating:
Expert Opinion
  • Alcohol and Drug Use

Alcohol advertising restrictions

Restrict the content and placement of alcohol advertisements on broadcasts, outdoor displays, internet marketing, etc. via state laws, local ordinances, industry self-regulation, or a combination of efforts

Evidence Rating:
Some Evidence
  • Alcohol and Drug Use

Alcohol brief interventions

Provide information and increase motivation to change or prevent problematic alcohol consumption in a short session; also called alcohol screening & brief intervention

Evidence Rating:
Scientifically Supported
  • Alcohol and Drug Use

Alcohol days of sale restrictions

Limit the days alcohol can be sold in on-premise settings such as bars and restaurants or in off-premise outlets such as liquor and convenience stores; sometimes with limits to times of sale

Evidence Rating:
Some Evidence
  • Alcohol and Drug Use

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
  • Alcohol and Drug Use
  • Community Safety

Alcohol taxes

Increase the price of alcohol via taxes levied for beer, wine, and liquor purchases

Evidence Rating:
Scientifically Supported
  • Alcohol and Drug Use

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
  • Housing and Transit
  • Community Safety

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
  • Housing and Transit
  • Diet and Exercise

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
  • Housing and Transit
  • Community Safety

Blood alcohol concentration laws

Set legal limits for drivers’ blood alcohol concentrations (BACs)

Evidence Rating:
Scientifically Supported
  • Alcohol and Drug Use

Breath testing checkpoints

Implement checkpoints where law enforcement officers can stop drivers suspected of drinking and driving and assess their level of alcohol impairment; also called sobriety checkpoints

Evidence Rating:
Scientifically Supported
  • Alcohol and Drug Use

Campus alcohol bans

Restrict alcohol consumption anywhere on a college or university campus or only in specific areas (e.g., residence halls)

Evidence Rating:
Insufficient Evidence
  • Alcohol and Drug Use

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
  • Air and Water Quality
  • Housing and Transit

Community arts programs

Support locally-based visual, media, and performing arts initiatives for children and adults; also called participatory arts programs

Evidence Rating:
Expert Opinion
  • Family and Social Support

Community centers

Provide space to promote socializing among community members and offer programs and services such as recreational or educational activities, counseling or support services

Evidence Rating:
Expert Opinion
  • Family and Social Support

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
  • Housing and Transit

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
  • Housing and Transit

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
  • Housing and Transit
  • Diet and Exercise

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
  • Family 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
  • Family 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
  • Income
  • Housing and Transit

Designated driver promotion programs

Encourage use of designated drivers via population-based mass media campaigns, incentive programs based in drinking establishments, and other efforts

Evidence Rating:
Insufficient Evidence
  • Alcohol and Drug Use

Dram shop liability laws

Hold alcohol retailers legally responsible for injuries or damage caused by providing alcohol to intoxicated or underage customers; also called commercial host liability laws

Evidence Rating:
Scientifically Supported
  • Alcohol and Drug Use

Drink special restrictions

Limit or ban alcohol establishments from serving alcohol at a reduced price as part of promotions; also called happy hour restrictions

Evidence Rating:
Some Evidence
  • Alcohol and Drug Use

Drug courts

Use specialized courts to offer criminal offenders with drug dependency problems an alternative to adjudication or incarceration

Evidence Rating:
Scientifically Supported
  • Community Safety
  • Alcohol and Drug Use

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 Safety
  • Family 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
  • Employment
  • Family and Social Support

Enhanced enforcement of laws prohibiting alcohol sales to minors

Initiate or increase retailer compliance checks, shoulder tap operations, parking lot observation outside alcohol establishments for laws that prohibit alcohol sales to minors

Evidence Rating:
Scientifically Supported
  • Alcohol and Drug Use

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
  • Family 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 abuse

Evidence Rating:
Scientifically Supported
  • Community Safety
  • Alcohol and Drug Use

Father involvement programs

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

Evidence Rating:
Some Evidence
  • Family 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
  • Family and Social Support

Good Samaritan drug overdose laws

Provide immunity from arrest, charge, or prosecution for drug possession or paraphernalia when individuals experiencing or witnessing drug overdose summon emergency services

Evidence Rating:
Expert Opinion
  • Alcohol and Drug Use

Grocery, housing & utilities cooperatives

Establish a non-share capital cooperative model in which fee-paying members can share the communal resources of a grocery, house, or utility cooperative

Evidence Rating:
Insufficient Evidence
  • Family 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
  • Family 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
  • Family 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
  • Housing and Transit

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
  • Housing and Transit

Household lead control education interventions

Inform parents about lead exposure pathways and cleaning and hygiene techniques and undertake minor repairs or specialized cleaning

Evidence Rating:
Evidence of Ineffectiveness
  • Housing and Transit

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
  • Housing and Transit

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
  • Housing and Transit

Housing mediation services

Facilitate mediation between tenants and landlords to resolve conflict and prevent eviction

Evidence Rating:
Insufficient Evidence
  • Housing and Transit

Housing rehabilitation loan & grant programs

Provide funding, primarily to families with low or middle incomes, to repair, improve, or modernize dwellings and remove health or safety hazards

Evidence Rating:
Scientifically Supported
  • Housing and Transit

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
  • Income
  • Housing and Transit

Housing trust funds

Support funds that help create or maintain affordable housing, subsidize rental housing, and assist homebuyers with low incomes and non-profit housing developers

Evidence Rating:
Expert Opinion
  • Housing and Transit

Ignition interlock devices

Strengthen policies that mandate ignition interlock installation in vehicles to prevent operation by a driver with a high blood alcohol concentration

Evidence Rating:
Scientifically Supported
  • Alcohol and Drug Use

Inclusionary zoning & housing policies

Require developers to reserve a proportion of housing units for residents with low incomes via mandatory requirements or incentives, such as density bonuses

Evidence Rating:
Some Evidence
  • Housing and Transit

Individual incentives for public transportation

Offer incentives such as free or discounted bus, rail, or transit passes, reimbursements, partial payments, or pre-tax payroll deductions to encourage individuals’ use of existing public transit

Evidence Rating:
Some Evidence
  • Housing and Transit