Autonomy is a certain degree of freedom to test solutions and make decisions without fear of failure. The processes commonly used in the traditional public health planning model do not typically encourage creativity. First, public health professionals usually do not receive specific training to think creatively and innovatively. A reliance on evidence-based practice, while well meaning and useful in addressing familiar health challenges, is not appropriate when addressing the new or unfamiliar. Second, the evidence-based practice paradigm is generally based on the assumption that if a solution works in a handful of communities, it will work anywhere; more troubling still, many of the studies provided by organizations responsible for recommending evidence-based practice are out-of-date or infrequently updated.