Promising Practices

Filed under Evidence-Based Practice, Health / Children's Health, Adults, Women, Men, Families, Urban

Goal: The goal of With All Families: Parents is to support pediatric care visits and improve child welfare by using screening tools and individual parent coaching to identify and address social determinants of health. Specific program objectives are to improve family functioning generally while specifically focusing on improving protective factors and economic-self-sufficiency. As part of the program, staff also work with families to increase parent concrete support and connect parents to needed physical health, behavior health, and educational resources for their child.

Research supports the benefits of using the strategies employed by With All Families: Parents (i.e., screening, resource navigation, and parent coaching) to improve family welfare by addressing underlying risk factors related to poverty and access to resources. For example, programs designed to provide screening and resource navigation support are associated with reduced social needs, improved child health and decreased child hospitalization visits. In light of evidence suggesting that social factors may in fact play a larger role in determining one’s health than medical care, programs that target these social factors, such as With All Families: Parents, are becoming increasingly important.

References
Garg, A., Toy, S., Tripodis, Y., Silverstein, M., & Freeman, E. (2015). Addressing social determinants of health at well child care visits: a cluster RCT. Pediatrics, 135(2), e296-e304.

Gottlieb, L. M., Hessler, D., Long, D., Laves, E., Burns, A. R., Amaya, A., ... & Adler, N. E. (2016). Effects of social needs screening and in-person service navigation on child health: a randomized clinical trial. JAMA pediatrics, 170(11), e162521-e162521.

Pantell, M. S., Hessler, D., Long, D., Alqassari, M., Schudel, C., Laves, E., ... & Gottlieb, L. M. (2020). Effects of in-person navigation to address family social needs on child health care utilization: a randomized clinical trial. JAMA network open, 3(6), e206445-e206445.

Braveman, P., & Gottlieb, L. (2014). The social determinants of health: it's time to consider the causes of the causes. Public health reports, 129(1_suppl2), 19-31.

Filed under Evidence-Based Practice, Health / Women's Health, Adults, Women, Urban

Goal: The goal of the WILLOW intervention is to provide women living with HIV/AIDS with the skills and education needed to support safer sexual decisions.

Impact: The WILLOW program succeeded in reducing the number of reported episodes of unprotected vaginal intercourse, increasing the use of condoms and condom self-efficacy, decreasing the incidence of bacterial infections (chlamydia and gonorrhea), and improving HIV knowledge.

Filed under Evidence-Based Practice, Health / Physical Activity, Adults

Goal: To decrease total and saturated fat intake, serum low-density lipoprotein cholesterol levels, and body weight.

Impact: The dietitian-delivered intervention effectively improved the care of patients with hyperlipidemia.

Filed under Evidence-Based Practice, Community / Public Safety, Children, Teens, Adults, Families, Urban

Goal: The goals of this program are three-fold: first, to remove unwanted improperly stored guns from homes; second, to educate the community about the increased risk of gun-related injuries in the home and the importance of safe gun storage; and third, to identify individuals possessing improperly stored guns at home and provide them with safety information and alternatives.

Impact: This program shows a strong collaboration between health care providers and public safety offices and showcases a low-cost means of removing unwanted firearms from the community. Additionally, most participants felt their homes were safer after turning in their firearm(s).

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Adults

Goal: The goal of the Working toward Wellness program was to encourage depressed parents who were receiving Medicaid to seek treatment from a mental health professional.

Impact: The Working toward Wellness program succeeded in increasing the likelihood that depressed Medicaid parents sought mental health services, particularly among the Hispanic population.

Filed under Evidence-Based Practice, Health / Physical Activity, Adults, Men

Goal: The goal of this exercise program was to reduce the incidence of diseases related to lifestyle, such as cerebrovascular diseases and ischemic heart diseases, and to preserve and promote workers' health.

Impact: The exercise program proved to be effective in increasing adaptive walking speed and in lowering waist to hip ratio.

Filed under Evidence-Based Practice, Economy, Adults

Goal: Year Up's mission is to close the Opportunity Divide by ensuring that young adults gain the skills, experiences, and support that will empower them to reach their potential through careers and higher education.

Impact: These approaches tend to be intensive and comprehensive, address psycho-social skills as well as occupation-specific competencies, provide opportunities for work-based learning, engage employers, incorporate evidence-based practices, and emphasize continuous improvement.

Filed under Good Idea, Health / Alcohol & Drug Use, Adults, Urban

Goal: To engage patients who may benefit from early intervention and/or education about substance use disorders, and to direct the individuals toward treatment options at the most appropriate levels of care.

Filed under Effective Practice, Health / Health Care Access & Quality, Adults, Families, Urban

Goal: The goal of the 11th Street Family Health Services Center is to provide healthcare to underserved, low-income community members.

Filed under Good Idea, Community / Social Environment, Children, Adults, Families, Racial/Ethnic Minorities

Goal: The program's primary goal is to prepare the Harvey County community for a disaster. It also seeks to increase outreach to minority communities and recruit volunteers for the MRC.