Promising Practices

Filed under Evidence-Based Practice, Health / Wellness & Lifestyle, Men, Racial/Ethnic Minorities

Goal: Reduce unprotected insertive and receptive anal intercourse among HIV-negative black men who have sex with men (MSM) as well as to reduce the number of sex partners, increase consistent condom use during anal intercourse and increase testing for HIV and other sexually transmitted infections (STIs).

Filed under Good Idea, Community / Transportation, Children, Women, Men, Families, Urban

Goal: The goal of the trail is to provide a safe route for residents to travel to work, school, businesses and recreational areas.

Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Adults, Older Adults, Urban

Goal: In this study, it was sought to examine whether home delivery of medically tailored meals or non-tailored food reduces the use of selected health care services and medical spending among Commonwealth Care Alliance members. Because there is knowingly an association between food insecurity and emergency room visits, it was hypothesized that the medically tailored meals would cause a reduction in ER visits and other costly healthcare services and expenditures.

Impact: Researchers estimate monthly net savings of $220 per participant for medically tailored meals and $10 per participant for the non-tailored food program. This study suggests that vulnerable patients, in this case, the dually eligible Medicaid and Medicare, can benefit from meal delivery programs.

Filed under Evidence-Based Practice, Health / Older Adults, Older Adults

Goal: The objective of the study was to characterize the population of older adults on waiting lists for home-delivered meals and compare their health and health-related needs to the population of older adults living in the community.

Impact: Between baseline and follow-up, respondents receiving daily-delivered meals were more likely to exhibit:
• Improvement in mental health (i.e., anxiety)
• Improvement in self-rated health
• Reductions in the rate of falls
• Improvement in feelings of isolation and loneliness
• Decreases in worry about being able to remain in home

Filed under Evidence-Based Practice, Education, Teens

Goal: The mission of the National Guard Youth ChalleNGe program is to intervene in the lives of high-school dropouts and provide them with the values, life skills, education, and self-discipline necessary to succeed.

Impact: The National Guard Youth ChalleNGe program resulted in participants succeeding in several aspects of their lives compared to their control group counterparts. Program participants were more likely to have a GED certificate, more likely to have started college, and more likely to be working.

Filed under Effective Practice, Health / Older Adults, Older Adults, Rural

Goal: The purpose of the ombudsmen is to recognize potential problems and represent elderly and institutionalized clients throughout the state.

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Women, Urban

Goal: The program has three primary goals:
1) to improve pregnancy outcomes by promoting health-related behaviors;
2) to improve child health, development and safety by promoting competent care-giving; and
3) to enhance parent life-course development by promoting pregnancy planning, educational achievement, and employment.

The program also has two secondary goals: to enhance families' material support by providing links with needed health and social services, and to promote supportive relationships among family and friends.

Impact: The Nurse Family Partnership Program has shown to improve pregnancy outcomes, improve child health and development, and increase economic self-sufficiency.

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Women

Goal: The program has three primary goals:
1) to improve pregnancy outcomes by promoting health-related behaviors;
2) to improve child health, development and safety by promoting competent care-giving; and
3) to enhance parent life-course development by promoting pregnancy planning, educational achievement, and employment.

The program also has two secondary goals: to enhance families’ material support by providing links with needed health and social services, and to promote supportive relationships among family and friends.

Impact: Evaluations of the program have shown that women who were visited by nurses had significantly better outcomes than those who did not in terms of measures such as maternal health, maternal life-course development, child health and safety, and adolescent measures of delinquency.

Filed under Effective Practice, Community / Social Environment, Children, Families

Goal: The long-term goals of this program are to decrease the rate of recidivism in families receiving social services, lower the rate of multiparent teenage pregnancies, reduce the rate of juvenile delinquency and alcohol abuse, and stop the intergenerational cycle of child abuse by teaching positive parenting behaviors.

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

Goal: The goal of Parent Connext is to support parents in reducing and/or preventing toxic stress in the family and help children develop critical life skills and coping skills. Recent studies have found that up to 50% of health outcomes are attributable to social and economic factors and that lifetime costs associated with child maltreatment are comparable to other costly healthcare conditions such as stroke or type 2 diabetes. Moreover, 4 in 5 physicians report lacking confidence in their ability to meet patients’ social needs, which can impede their ability to provide high quality medical care. As a result, interventions that target parents’ social needs may have important implications for reducing healthcare costs and have the added benefit of enabling physicians to provide high-quality care to their patients.