Promising Practices

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

Goal: The goal of the "walking school bus" is to increase children's rates of active commuting to school and physical activity.

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

Goal: The WalkSafe program was developed to improve pediatric pedestrian safety, increase physical activity levels by encouraging children to walk to and from school, and improve the walkability in and around elementary schools.

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 Good Idea, Health / Wellness & Lifestyle

Goal: The goal of this program is to encourage lifestyle changes that promote healthier living by promoting walking for exercise and educating participants about proper nutrition.

Filed under Effective Practice, Health / Immunizations & Infectious Diseases

Goal: The goal of this program is to reduce the mosquito population in Metro Louisville and subsequently reduce mosquito-borne disease transmission.

Filed under Good Idea, Health / Older Adults, Older Adults

Goal: The goals of the program are to help participants learn how to view falls and the fear of falling as controllable, set realistic goals for increasing activity, change their environment to reduce fall risk factors, and exercise to increase strength and balance.

Impact: After completing the program, 97% of participants are more comfortable in talking about falls, 95% have made environmental changes, and 99.5% plan to continue exercising.

Filed under Good Idea, Art & Recreation / Art, Children, Teens, Families, Racial/Ethnic Minorities, Urban

Goal: ARTS is dedicated to healing, inspiring and empowering children facing life challenges by providing innovative arts-based programs, education and opportunities.

Filed under Effective Practice, Education / Childcare & Early Childhood Education, Children, Families, Racial/Ethnic Minorities

Goal: Abriendo Puertas, developed for and by Latino parents, aims to increase the number of Latino children in the United States that enter school ready to learn and be able to succeed in life by building the capacity and confidence of parents to be strong advocates in the lives of their children.

Filed under Good Idea, Health / Mental Health & Mental Disorders, Children, Teens, Families, Rural

Goal: The goal of the ACCESS program is to reduce barriers to mental/behavioral health and wellbeing for children in Belton by providing quality care through free school-based therapy services (provided by licensed therapists, using evidence based practices) for our BSD students and educate our community about mental health and wellbeing to reduce stigma.