Strategies

Policies and programs that work

405 Strategies

Chronic disease self-management (CDSM) programs

Provide educational and behavioral interventions that support patients’ ability to actively manage their condition(s) in everyday life
Scientifically Supported
  • Quality of Care

College access programs

Help underrepresented students prepare academically for college, complete applications, and enroll, especially first generation applicants and students from low income families
Scientifically Supported
  • Education

College-based obesity prevention educational interventions

Support multi-component educational interventions for college students that address nutrition, physical activity, and healthy weight management; often with environmental modifications
Some Evidence
  • Diet and Exercise

Community arts programs

Support locally-based visual, media, and performing arts initiatives for children and adults; also called participatory arts programs
Expert Opinion
  • Family and Social Support

Community centers

Support community venues that facilitate local residents’ efforts to socialize, participate in recreational or educational activities, gain information, and seek counseling or support services
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
Some Evidence
  • Housing and Transit

Community fitness programs

Offer exercise classes (e.g., yoga, Tai Chi, cycling, etc.) and fitness program support in community centers, senior centers, fitness, and community wellness centers
Scientifically Supported
  • Diet and Exercise

Community gardens

Establish and support land that is gardened or cultivated by community members via community land trusts, gardening education, zoning regulation changes, or service provision (e.g., water or waste disposal)
Some Evidence
  • Diet and Exercise

Community health workers

Engage professional or lay health workers to provide education, referral and follow-up, case management, home visiting, etc. for those at high risk for poor health outcomes; also called promotores de salud
Some Evidence
  • Access to Care

Community kitchens for food processing

Establish shared kitchen spaces that support licensed, commercial food processing and connect specialty food processors, farmers, and others who produce value-added goods
Expert Opinion
  • Diet and Exercise

Community kitchens for nutrition education

Use existing kitchen spaces for community members to share knowledge, resources, and labor to prepare, cook, and consume food, often with nutrition education provided for participants experiencing food insecurity
Insufficient Evidence
  • Diet and Exercise

Community land trusts

Purchase land to lease to low and middle income homeowners and require them to sell the home back to the CLT or to another low income resident at an affordable price.
Some Evidence
  • Housing and Transit

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
Scientifically Supported
  • Community Safety

Community schools

Combine academic, mental and physical health, and social service resources in schools for students and families via partnerships with community organizations; also called community learning centers
Some Evidence
  • Education

Community supported agriculture (CSA)

Establish partnerships between farmers and consumers in which consumers purchase a share of a farm’s products in advance
Expert Opinion
  • Diet and Exercise

Community water fluoridation

Adjust and monitor fluoride in public water supplies to reach and retain optimal fluoride concentrations
Scientifically Supported
  • Access to Care

Community weight loss challenges

Support temporary programs that work to energize participants to lose weight via prizes, often combined with education, weight status and food intake tracking, regular check-ins, and group support
Expert Opinion
  • Diet and Exercise

Community-based social support for physical activity

Build, strengthen, and maintain social networks that provide supportive relationships for behavior change through walking groups or other community-based interventions
Scientifically Supported
  • Diet and Exercise

Community-wide physical activity campaigns

Engage a variety of partners in a highly visible, multi-component effort to increase physical activity, often with efforts to address cardiovascular disease risk factors
Some Evidence
  • Diet and Exercise

Competitive pricing for healthy foods

Assign higher costs to non-nutritious foods than nutritious foods via incentives, subsidies, or price discounts for healthy foods and beverages or disincentives or price increases for unhealthy choices
Scientifically Supported
  • Diet and Exercise

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
Scientifically Supported
  • Housing and Transit
  • Diet and Exercise

Comprehensive firearm background checks

Require checks of a broad set of disqualifying criteria (e.g., misdemeanor convictions, domestic violence restraining orders, and juvenile convictions) prior to handgun purchase
Some Evidence
  • Community Safety

Comprehensive risk reduction sexual education

Provide information about contraception and protection against sexually transmitted infections (STIs) in classroom or community settings
Scientifically Supported
  • Sexual Activity

Comprehensive school reform

Implement a coordinated effort to overhaul school operation, integrating curriculum, instruction, professional development, parent involvement, classroom and school management; also called school-wide or whole school reform
Some Evidence
  • Education

Computerized clinical decision support systems (CDSS)

Provide health care providers with patient-specific prompts or warnings, treatment guidelines, automatic medication dosing calculators, or reports of overdue tests and medications via electronic tools
Scientifically Supported
  • Quality of Care

Computerized provider order entry (CPOE)

Allow health care providers to enter orders or prescriptions (e.g., imaging studies, laboratory tests, admissions, referrals, etc.) into a computer system; also called electronic prescribing
Scientifically Supported
  • Quality of Care

Condom availability programs

Provide condoms free of charge or at a reduced cost in community and school-based settings
Scientifically Supported
  • Sexual Activity

Conservation Reserve Enhancement Program (CREP)

Support the federal-state partnership that pays participating land owners an annual rental rate for removing environmentally sensitive land from production and introducing conservation practices on the land
Some Evidence
  • Air and Water Quality

Conservation tillage practices

Encourage methods of soil cultivation that keep at least one-third of cultivated soil covered with the previous year’s crop residue (e.g., mulch till, ridge till, strip till, or no-till)
Scientifically Supported
  • Air and Water Quality

Consumer-directed health plans

Establish high deductible health plans paired with pre-tax medical expense accounts such as Health Reimbursement Arrangements (HRAs) or Health Savings Accounts (HSAs) and information tools
Mixed Evidence
  • Quality of Care

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
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
Some Evidence
  • Family and Social Support

Cultural competence training for health care professionals

Increase health care providers’ skills and knowledge to understand and respond to cultural differences, value diversity, etc. via factual information, skills training, and other efforts
Scientifically Supported
  • Quality of Care

Culturally adapted health care

Tailor health care to patients’ norms, beliefs, and values, as well as their language and literacy skills
Scientifically Supported
  • Quality of Care

Cure Violence Health model

Detect and intervene in potentially violent situations, educate and mobilize communities, and connect high-risk individuals to services; formerly called Chicago CeaseFire
Some Evidence
  • Community Safety

DARE to be You

Provide education and training sessions with parent-child activities and family meals for youth, parents, and care providers
Expert Opinion
  • Education

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
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
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
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
Some Evidence
  • Alcohol and Drug Use

Dropout prevention programs

Provide supports such as mentoring, counseling, or vocational training, or undertake school environment changes to help students complete high school
Scientifically Supported
  • Education

Dropout prevention programs for teen mothers

Provide teen mothers with services such as remedial education, vocational training, case management, health care, child care, and transportation assistance to support high school completion
Scientifically Supported
  • Education

Drug courts

Use specialized courts to offer criminal offenders with drug dependency problems an alternative to adjudication or incarceration
Scientifically Supported
  • Community Safety
  • Alcohol and Drug Use