Promising Practices
The Promising Practices database informs professionals and community members about documented approaches to improving community health and quality of life.
The ultimate goal is to support the systematic adoption, implementation, and evaluation of successful programs, practices, and policy changes. The database provides carefully reviewed, documented, and ranked practices that range from good ideas to evidence-based practices.
Learn more about the ranking methodology.
Filed under Evidence-Based Practice, Education / Childcare & Early Childhood Education
Impact: The Community Preventive Services Task Force (CPSTF) recommends center-based early childhood education programs (ECE) to improve educational outcomes that are associated with long-term health as well as social- and health-related outcomes. Economic evidence indicates there is a positive return on investment in early childhood education. The benefits from students' future earnings gains alone exceed program costs.
If targeted to low-income or racial and ethnic minority communities, ECE programs are likely to reduce educational achievement gaps, improve the health of these student populations, and promote health equity.
Filed under Evidence-Based Practice, Education / Student Performance K-12, Children
Goal: The goal of full-day kindergarten programs is to prepare children academically, socially, and emotionally for effective participation in the educational system.
Impact: Children who enroll in full-day kindergarten programs see improved scores on standardized tests and assigned grades than those enrolled in half-day kindergarten programs. Those enrolled in full-day programs also see increased social-emotional health.
Filed under Effective Practice, Education / School Environment, Children, Teens
Goal: The goal of school-based health centers is to reduce gaps in education and increase health equity in low-income communities.
Impact: When targeted to low-income communities, school-based health centers are likely to narrow gaps in education and improve health equity.
Goal: The goal of the program was to recognize and address the diversity of local health disparities by marshaling local community involvement in the place-based Health Equity Zones.
Impact: The framework established through the Health Equity Zones allows for the continued collaboration between governmental public health entities and stakeholders in the community to address health disparities.
Filed under Good Idea, Community / Governance, Racial/Ethnic Minorities
Goal: The mission of the Metro Public Health Department is to protect and improve the health and well-being of all people in Metropolitan Nashville.
Impact: Metro Public Health Department of Nashville/Davidson County has implemented department-wide strategies to address existing health inequities.
Goal: In this particular instance, the goal of the Undoing Racism Workshops was to enhance the capacity of the Michigan Department of Community Health's Bureau of Family, Maternal & Child Health to reduce racial disparities in infant mortality.
Impact: The Undoing Racism workshop helped to increase competency in the following topics:
-Racial prejudice and racism
-Racial privilege and power
-Institutional, cultural, and internalized racism
-Instiutional norms and practices
-Racial health disparities
-Social determinants of racial health disparities
Filed under Evidence-Based Practice, Economy / Housing & Homes
Impact: The Community Preventive Services Task Force (CPSTF) recommends tenant-based housing voucher programs to improve health and health-related outcomes for adults based on sufficient evidence of effectiveness. Health-related outcomes include housing quality and security, healthcare use, and neighborhood opportunities (e.g., lower poverty level, better schools).
Children ages 12 years and younger whose households use vouchers show improvements in education, employment, and income later in life. Outcomes for adolescents vary by gender. Females 10-20 years of age whose families use tenant-based vouchers to live in lower poverty neighborhoods experience better health outcomes while males of the same age experience worse physical and mental health outcomes. Additional research is needed to better understand and address challenges faced by adolescent males.
CPSTF finds societal benefits exceed the cost of tenant-based housing voucher programs that serve families with young children who are living in public housing, provide pre-move counseling, and move families to neighborhoods with greater opportunities.
Tenant-based housing voucher programs give many people access to better housing and neighborhood opportunities, both of which are considered social determinants of health. Because these programs are designed for households with low incomes, they are expected to advance health equity.
Filed under Good Idea, Community / Governance, Racial/Ethnic Minorities, Urban
Goal: The Boston Public Health Commission worked to ensure their efforts were effective in reaching the populations experiencing obesity and tobacco-related health inequities.
Impact: Boston Public Health Commissions' strategic evaluation design allowed the department to make mid-course adjustments and enhanced their ability to contribute to the evidence-base regarding the influence of their initiative on advancing health equity.
Filed under Effective Practice, Health / Children's Health, Children, Adults, Women, Men, Families, Racial/Ethnic Minorities
Goal: To partner within communities and organizations to train professionals, community and parent leaders so the “Best Start” program can reach and support all families, but especially marginalized or struggling families and communities; to build the strong family/home, school and community environments that are necessary to support positive mental health, confidence, resilience and hope to achieve health equity, academic and economic opportunities for positive futures for all.
The Changing Children’s Worlds Foundation (CCWF) mission is for every child and adolescent to be supported in positive development by caregivers and professionals within loving, non-violent families and peaceful communities. Through parent groups and educational workshops we strive to promote a sense of community and foster empathy.
CDC COMMUNITY GUIDE: Promoting Health Equity, Education Programs and Policies: Full-Day Kindergarten (USA)
Filed under Evidence-Based Practice, Health / Children's Health, Children
Goal: Children in low-income families often experience delays in language and other development by the age of three. Compensating for these delays before children begin regular schooling can be critical to providing them with equal opportunities for lifelong employment, income, and health.
Impact: Outcomes included self-confidence, ability to work or play with others, independence, and school attendance by the end of kindergarten or the beginning of first grade.