Promising Practices

Filed under Effective Practice, Economy / Housing & Homes, Adults, Women, Men, Older Adults, Racial/Ethnic Minorities

Goal: The objective of this article is to describe Project Restoration's approach to cross-sector collaboration with a shared population of high utilizing community members, describe the process and outcomes of the collaboration, provide strategies to mitigate challenges that arise during collaboration and offer insights to inform similar initiatives in communities nationwide.

Impact: Hospitals across the region are assessing ways to establish a centralized infrastructure to collaboratively address the complexities of individual cases, as well as a regional council to explore process improvements to enhance the lives of vulnerable populations.

Filed under Good Idea, Environmental Health / Built Environment, Children, Teens, Men, Racial/Ethnic Minorities

Goal: Making Connections for Mental Health and Wellbeing Among Men and Boys is a national initiative to transform community conditions that influence mental wellbeing. The Prevention Institute works with 13 communities across the U.S. to shift policies, practices, and norms to create greater opportunities for health and resilience, with particular focus on veterans and men and boys of color.

Filed under Evidence-Based Practice, Health / Physical Activity

Goal: MANNA uses nutrition to improve health for people with serious illnesses who need nourishment to heal. By providing medically tailored meals and nutrition education, we empower people to improve their health and quality of life.

Impact: MANNA members report significant health care cost reductions due to improved health.

Filed under Evidence-Based Practice, Economy / Poverty, Adults, Women, Men, Families, Urban

Goal: The goal of the Family Peer Support program is to increase family economic and social self-sufficiency, and to connect parents to needed physical health, behavior health, and educational resources for their child. Family peer support programs generally focus on fostering encouragement of personal responsibility and self-determination, improving family health and wellness, and supporting engagement and communication with providers and systems of care. Research shows that peer support programs promote empowerment and self-esteem, self-management, engagement and social inclusion, as well as improving the social networks of families who receive these services. Research evidence qualifies peer support services as evidence-based through the Agency for Healthcare Research and Quality guidelines.

Salzer MS, Schwenk E, Brusilovskiy E: Certified peer specialist roles and activities: results from a national survey. Psychiatric Services 61:520–523, 2010.
Repper J, Carter T: A review of the literature on peer support in mental health services. Journal of Mental Health 20: 392–411, 2011.
Cook JA: Peer-delivered wellness recovery services: from evidence to widespread implementation. Psychiatric Rehabilitation Journal 35:87–89, 2011

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Teens, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of Focus on Youth is to teach youth the skills and knowledge they need to protect themselves from HIV and other STDs.

Impact: The Focus on Youth intervention increased self-reported condom use and positively affected perceptions six months after the end of the program.

Filed under Evidence-Based Practice, Community / Governance, Children, Urban

Goal: To advocate for children and help them resolve their most pressing legal problem: being in the custody of the state when they need to be in the custody of a family - biological or adoptive - within the 12 months provided by law.

Impact: Children represented by the Foster's Children Project were more likely to exit the foster system to permanency due to higher rates of adoption and long-term custody, but not reunification, than their peers not represented by FCP.

Filed under Good Idea, Health / Physical Activity, Children, Teens, Adults, Women, Older Adults, Families

Goal: The goal of HFHG is to grow and donate organic fruits and vegetables to the needy in Sonoma county.

CDC

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

Goal: The ultimate goal of this approach is to fundamentally change government so that agencies are aligned around a common vision for a healthy and equitable society, and so that health is considered in decision-making across sectors and policy areas.

Filed under Good Idea, Health / Health Care Access & Quality, Adults, Urban

Goal: The goal of this program is to educate during every visit, to assist patients in developing a longitudinal personal record of medical history and care plans, and to provide a tangible way to engage patients in their own care. The overarching goal was better compliance, recognition of medication side effects, and improved adherence to specific and agreed upon lifestyle changes.

Impact: Sixty percent of patients participate in care plan tracking with a health notebook, and 80% percent of patients complete a prep form to help organize visits.