Promising Practices

Filed under Evidence-Based Practice, Health / Other Conditions

Goal: The goal of this study is to determine how many Community Health Workers (CHW) would be needed to reduce emergency department (ED) visits and associated hospitalizations among their assigned patients to be cost-neutral from a payer's perspective.

Impact: This study adds significant knowledge to the existing literature on CHW programs, and particularly provides critical information to payers that can be used for making decisions on appropriate payment models

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

Goal: The goal of requiring that all Connecticut children receive at least 1 dose of influenza vaccine each year to attend a licensed child care program and preschool setting is to reduce influenza transmission and decrease influenza-associated hospitalizations statewide.

Impact: Requiring vaccination for admission into a licensed child care program or preschool program has helped to increase vaccination rates among children in Connecticut and reduced serious morbidity from influenza statewide.

Filed under Evidence-Based Practice, Community / Social Environment, Children, Families, Urban

Goal: The goal of the program is to help families gain or increase parenting and family management skills that would facilitate successful child academic and social adjustment and, therefore, to promote social and academic competence and to lower risk for later antisocial behavior. In addition, the intervention concentrates on promoting initial academic success.

Impact: Children who received the intervention improved in overall reading ability at a more rapid rate than those who did not receive the intervention. In addition, SAFEChildren participants showed an improvement in concentration.

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

Goal: The goal of this program is to help clients move beyond trauma and substance abuse.

Impact: Multiple evaluations of the Seeking Safety program in various settings have shown positive outcomes for substance abuse/addiction, substance abuse disorder, and post-traumatic stress disorder.

CDC

Filed under Evidence-Based Practice, Economy / Housing & Homes

Impact: The Community Preventive Services Task Force (CPSTF) recommends permanent supportive housing with Housing First (Housing First programs) to promote health equity for people who are experiencing homelessness and have a disabling condition.

Evidence shows Housing First programs decrease homelessness, increase housing stability, and improve quality of life for homeless persons living with disabling conditions, including those with HIV infection. For clients living with HIV infection, these programs also improve clinical indicators and mental health and reduce mortality. Housing First programs also lead to reduced hospitalization and use of emergency departments for homeless persons with disabling conditions, including HIV infection.

The CPSTF finds the economic benefits exceed the intervention cost for Housing First Programs in the United States. Because homelessness is associated with lower income and is more common among racial and ethnic minority populations, Housing First Programs are likely to advance health equity.

Filed under Evidence-Based Practice, Health / Intervention Data, Urban

Goal: The goal of this study is to evaluate the effectiveness of a social work intervention aimed to address the medical and social needs of inpatient super-utilizers.

Impact: This intervention was modeled after the "Bridge Model" by intensifying patient engagement with an average of 40 patient contacts over 6 months following an index admission. This intervention has the potential to reduce health services utilization and cost among inpatient super utilizers.

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Teens

Goal: To reduce substance abuse and motivate positive behaviors including physical activity in adolescents age 13-17.

Impact: SPORT integrates content targeting alcohol, tobacco and drug prevention with promotion of physical activity and other health enhancing habits in adolescents.

Filed under Evidence-Based Practice, Education / School Environment, Children

Goal: The goal of the program is to decrease school bullying problems by 1) increasing staff awareness and responsiveness, 2) fostering socially responsible beliefs, and 3) teaching social-emotional skills to counter bullying and promote healthy relationships. Thus the program also aims to promote skills (e.g., group joining, conflict resolution) associated with general social competence.

Impact: Students in the intervention schools reported significantly less acceptance of bullying/aggression, perceived greater adult responsiveness, and felt more responsible to intervene with friends who were bullied (bystander responsibility) than students in the control schools.

Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Teens, Women, Rural

Goal: The goal of the study was to address the special psychosocial needs of adolescents and increase contraception use, equip adolescents with the education needed to make responsible decisions related to family planning matters, and decrease unintended pregnancies.

Impact: After a one-year follow-up, teens were less likely to be pregnant. Intermediate findings at six months showed that teens in the experimental group were more likely to continue using a birth control method and less likely to experience difficulty in dealing with contraceptive-related problems.

Filed under Good Idea, Health / Women's Health, Women

Goal: The goal of the Targeted Outreach for Pregnant Women Act is to improve prenatal care among high risk and HIV-positive pregnant women in order to reduce the number of babies born with HIV-infection and prenatal drug exposure.