Strategies

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

71 Strategies
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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 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

Alternative fuels initiatives

Support alternative fuel and vehicle use via financial incentives (e.g., tax benefits, rebates, etc.), mandates (e.g., consumption targets or renewable fuel standards), research and development investments, etc.

Evidence Rating:
Expert Opinion
  • Air and Water Quality

Big Brothers Big Sisters (BBBS)

Match disadvantaged or at-risk youth with volunteer mentors in school or community settings

Evidence Rating:
Some Evidence
  • Community Safety
  • Education

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
  • Education
  • Employment

CAFO regulations

Establish local regulations for confined animal feeding operations (CAFOs) that address location, size, facility management, and pollution contributions to complement U.S. EPA regulations

Evidence Rating:
Expert Opinion
  • Air and Water Quality

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

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
  • Employment

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

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
  • Employment

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
  • Income
  • Education

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

Evidence Rating:
Some Evidence
  • Education

Conservation Reserve Enhancement Program (CREP)

Support the federal-state partnership that pays participating landowners an annual rental rate for removing environmentally sensitive land from production and introducing conservation practices on the land.

Evidence Rating:
Some Evidence
  • Air and Water Quality

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
  • Education

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

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

E-cigarette regulations

Regulate use of e-cigarettes via age, sales and marketing restrictions, expanded smoke-free air policies in public and private worksites and designated spaces, etc.

Evidence Rating:
Expert Opinion
  • Tobacco Use

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

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

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
  • Education
  • Employment

HighScope Perry Preschool model

Provided high quality preschool with home visiting to African-American children from families with low incomes with an emphasis on active learning in Ypsilanti, Michigan

Evidence Rating:
Some Evidence
  • Education

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
  • Employment

Keg registration laws

Require wholesalers or retailers to record an identification number for beer kegs and a purchaser’s information (e.g., name and address, date of birth, etc.) at the time of purchase

Evidence Rating:
Insufficient Evidence
  • Alcohol and Drug Use

Later middle and high school start times

Delay school start times for middle and high schools to better align with adolescent sleep-wake cycles; often until after 8:30 or 9:00 a.m.

Evidence Rating:
Some Evidence
  • Education

Lead contaminated soil abatement

Clean, remove, replace, or cover lead contaminated soil with non-contaminated soil, mulch, sod, grass, or concrete

Evidence Rating:
Expert Opinion
  • Air and Water Quality

Lead pipe & plumbing material replacement

Replace lead plumbing material such as pipes, service lines, fittings, solder, flux, and fixtures with non-lead plumbing material

Evidence Rating:
Expert Opinion
  • Air and Water Quality

Mass media campaigns against alcohol-impaired driving

Use mass media campaigns to persuade individuals to avoid drinking and driving or to prevent others from doing so; campaigns often focus on the negative consequences of alcohol-impaired driving

Evidence Rating:
Some Evidence
  • Alcohol and Drug Use

Mass media campaigns against underage drinking

Use television, radio, print, and social media efforts to increase awareness of underage drinking and its consequences

Evidence Rating:
Insufficient Evidence
  • Alcohol and Drug Use

Medication-assisted treatment access enhancement initiatives

Provide medications such as methadone to individuals diagnosed with opioid use disorder in outpatient, residential, and hospital settings, usually with counseling and behavioral therapies; often called MAT

Evidence Rating:
Expert Opinion
  • Alcohol and Drug Use

Multi-component groundwater management programs

Protect underground water resources via regular groundwater monitoring, education about risks to groundwater, water quotas and taxes, and other efforts

Evidence Rating:
Some Evidence
  • Air and Water Quality

Naloxone education & distribution programs

Support community members who are likely to encounter individuals who might overdose with education and training to administer naloxone and ensure all first responders are trained and authorized to administer naloxone

Evidence Rating:
Some Evidence
  • Alcohol and Drug Use

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
  • Employment

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
  • Employment

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
  • Education

Prescription drug monitoring programs (PDMPs)

Use databases, housed in state agencies, to track prescribing and dispensing of Schedule II, III, IV, and V drugs and other controlled substances

Evidence Rating:
Some Evidence
  • Alcohol and Drug Use

Promise Academy Charter Schools

Create a school culture of high behavioral and academic expectations, with intense tutoring, increased teacher performance feedback, lengthened instruction time, and health care services

Evidence Rating:
Some Evidence
  • Education

Proper drug disposal programs

Establish programs that accept expired, unwanted, or unused medicines from designated users and dispose of them responsibly

Evidence Rating:
Expert Opinion
  • Alcohol and Drug Use
  • Air and Water Quality

Rain barrels

Use ready-made or home constructed barrel systems to collect and store rainwater from rooftops that would otherwise flow to storm drains and streams

Evidence Rating:
Some Evidence
  • Air and Water Quality

Recreational marijuana legalization

Allow adults to possess a limited amount of marijuana for personal, non-medical use

Evidence Rating:
Insufficient Evidence
  • Alcohol and Drug Use
  • Community Safety

Responsible beverage server training (RBS/RBST)

Educate owners, managers, servers, and sellers at alcohol establishments about strategies to avoid illegally selling alcohol to underage youth or intoxicated patrons

Evidence Rating:
Some Evidence
  • Alcohol and Drug Use

Retail alcohol sale privatization

Repeal government control over retail sales of alcoholic beverages, allowing commercial retailing of those beverages

Evidence Rating:
Evidence of Ineffectiveness
  • Alcohol and Drug Use

Sales to intoxicated persons (SIP) law enforcement

Increase enforcement of laws that prohibit alcoholic beverage service to intoxicated customers, usually with fines, imprisonment, or revocation of a license

Evidence Rating:
Insufficient Evidence
  • Alcohol and Drug Use

School and district level zero tolerance policies

Require school officials to apply predetermined consequences for certain infractions, regardless of situational context or circumstances; consequences are usually severe (e.g., suspension or expulsion)

Evidence Rating:
Evidence of Ineffectiveness
  • Education

School-based tobacco prevention skill-building programs

Teach students personal and social skills to avoid tobacco use; led by teachers, health educators, or students in elementary schools, middle schools, or high schools

Evidence Rating:
Some Evidence
  • Tobacco Use

School-based trauma counseling

Help students process trauma exposure and develop coping skills through individual or small group counseling with mental health professionals or school staff with trauma-specific training

Evidence Rating:
Some Evidence
  • Education

School-community liaisons

Provide students from public schools, from low income backgrounds, or who have a high risk of dropping out and their families with information about social services and health care supports; also called community resource or family and community liaisons

Evidence Rating:
Insufficient Evidence
  • Education

Scrap programs for old vehicles

Provide incentives to trade in old cars or light duty trucks with low fuel efficiency and high emissions and buy new vehicles with higher efficiency and lower emissions; also called scrappage or vehicle early retirement programs

Evidence Rating:
Expert Opinion
  • Air and Water Quality