Strategies

Policies and programs that work

82 Strategies
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Active recess

Establish a break from the school day, typically before lunch, that involves planned, inclusive, actively supervised games or activities; also called semi-structured, or structured recess
Scientifically Supported
  • Diet and Exercise

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
Scientifically Supported
  • Diet and Exercise
  • Family and Social Support

Alternative high schools for at-risk students

Provide educational and social services in an alternative setting for students at-risk of dropping out of traditional high schools
Scientifically Supported
  • Education

Attendance interventions for chronically absent students

Support interventions that provide chronically absent students with resources to improve self-esteem, social skills, etc. and address familial and school-related factors that can contribute to poor attendance
Scientifically Supported
  • Education

Behavioral health primary care integration

Revise health care processes and provider roles to integrate mental health and substance abuse treatment into primary care; continue to refer patients with severe conditions to specialty care
Scientifically Supported
  • Quality of Care

Breastfeeding promotion programs

Provide education, information, counseling, and support for breastfeeding to women throughout pre- and post-natal care
Scientifically Supported
  • Diet and Exercise

Career & technical education for high school graduation

Provide career and technical education (CTE) as an integrated part of an academic curriculum for students at risk of dropping out of high school; also called vocational training
Scientifically Supported
  • Education

Career Academies

Establish small learning communities in high schools focused on fields such as health care, finance, technology, communications, or public service
Scientifically Supported
  • Education

Case-managed care for community-dwelling frail elders

Use a case management model for frail elderly patients living independently, coordinating aspects of long-term care (LTC) such as status assessment, monitoring, advocacy, care planning, etc.
Scientifically Supported
  • Quality of Care

Chicago Child-Parent Centers

Provide preschool education and comprehensive support to low income families, including small classes, student meals, and home visits with referrals for social service support as needed
Scientifically Supported
  • Education

Chronic disease management programs

Implement multi-component efforts that include coordination of health services by multidisciplinary teams of health care professionals, patient self-management, and patient education
Scientifically Supported
  • Quality of Care

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

Community fitness programs

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

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

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

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

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

Early Head Start (EHS)

Provide child care, parent education, physical health and mental health services, and other family supports to pregnant women and parents with low incomes and children aged 0 to 3
Scientifically Supported
  • Education

Exercise prescriptions

Provide patients with prescriptions for exercise plans, often accompanied by progress checks at office visits, counseling, activity logs, and exercise testing
Scientifically Supported
  • Diet and Exercise

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
Scientifically Supported
  • Education

Fruit & vegetable incentive programs

Offer participants with low incomes matching funds to purchase healthy foods, especially fresh fruits and vegetables; often called bonus dollars, market bucks, produce coupons, or nutrition incentives
Scientifically Supported
  • Diet and Exercise

Full-day kindergarten

Offer kindergarten programs for 4 to 6-year-old children, five days per week for at least five hours per day
Scientifically Supported
  • Education

Health career recruitment for minority students

Recruit and train underrepresented minority (URM) students for careers in health fields via information about health careers, classes, practicum experiences, advising about college or medical school admissions, etc.
Scientifically Supported
  • Education

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
Scientifically Supported
  • Education

Integrated long-term care for community-dwelling frail elders

Support a collaborative approach by a multidisciplinary team of professionals working to meet the full range of long-term care (LTC) needs for frail elderly patients living in community settings
Scientifically Supported
  • Quality of Care

Internet-based tobacco cessation interventions

Use websites, computer programs, and other electronic means to provide information, strategies, or behavioral support to tobacco users who want to quit, sometimes with counseling or pharmacotherapy
Scientifically Supported
  • Tobacco Use

Knowledge is Power Program (KIPP) in middle schools

Emphasize high expectations for all students, parent and student commitment, empowered principals, and regular student assessments that inform continuous improvement in a lengthened school-year and school-day
Scientifically Supported
  • Education

Mass media campaigns against tobacco use

Use broad media-based efforts to educate large groups of current and potential tobacco users about the dangers of tobacco use
Scientifically Supported
  • Tobacco Use

Medical homes

Provide continuous, comprehensive, whole person primary care that uses a coordinated team of medical providers across the health care system
Scientifically Supported
  • Quality of Care
  • Access to Care

Mentoring programs for high school graduation

Establish programs that connect at-risk students with trained adult volunteers who provide ongoing guidance for academic and personal challenges
Scientifically Supported
  • Education

Mixed-use development

Support a combination of land uses (e.g., residential, commercial, recreational) in development initiatives, often through zoning regulations or Smart Growth initiatives
Scientifically Supported
  • Housing and Transit
  • Diet and Exercise

Multi-component obesity prevention interventions

Combine educational, environmental, and behavioral activities that increase physical activity and improve nutrition (e.g., nutrition education, aerobic/strength training, dietary prescriptions, etc.) in various settings
Scientifically Supported
  • Diet and Exercise

Multi-component school-based obesity prevention interventions

Deliver educational, behavioral, environmental, and other obesity prevention efforts (e.g., education classes, enhanced physical education, healthy food promotion, family outreach, etc.) in schools
Scientifically Supported
  • Diet and Exercise

No Excuses charter school model

Focus heavily on reading and math achievement, enforce high behavioral expectations through a formal discipline system, lengthen instructional time, and increase feedback on teacher performance
Scientifically Supported
  • Education

Nurse practitioner scope of practice

Use regulation to extend nurse practitioners’ (NPs’) scope of practice to provide care to the full scope of their training and skills without physician oversight, especially for primary care
Scientifically Supported
  • Quality of Care

Patient financial incentives for preventive care

Use payments, vouchers, and other incentives to encourage patients to undergo preventive care such as screenings, vaccinations, etc.
Scientifically Supported
  • Quality of Care

Patient navigators

Provide culturally sensitive assistance and care coordination, and guide patients through available medical, insurance, and social support; also called systems navigators
Scientifically Supported
  • Quality of Care

Patient safety checklists

Use visual tools to prompt safe practices, standardize communication, and ensure no step is forgotten before or during a medical procedure or other health care situation
Scientifically Supported
  • Quality of Care

Patient shared decision making

Support joint decision making between health care practitioners and patients through shared decision making (SDM); part of patient-centered care
Scientifically Supported
  • Quality of Care