Strategies

Create a school culture of high behavioral and academic expectations, with intense tutoring, increased teacher performance feedback, lengthened instruction time, and health care services

Promote abstinence from sexual activity, generally only with mention of condoms and birth control to highlight failure rates

Provide reproductive health care services such as counseling, contraception, and testing in middle and high school-based health centers

Create contracts that support community access to existing public, private, or nonprofit facilities before or after business hours; also called joint use, open use, or community use agreements

Support school-, community-, and clinic-based teen pregnancy prevention programs such as comprehensive sex education, HIV/STI prevention and youth development efforts, service learning, etc.

Deliver consultative, diagnostic, and treatment services remotely, especially for patients who live in areas with limited access to care or who experience transportation or mobility barriers; sometimes called telehealth

Provide mental health care services (e.g., psychotherapy or counseling) via telephone or videoconference

Deliver a curriculum-based program that helps all students learn to recognize warning signs of suicide in themselves and others in a school setting

Support breastfeeding via private, well-equipped lactation spaces in workplaces, along with breastfeeding breaks, flexible schedules, professional lactation support, etc.

Teach students attitudes, skills, knowledge, and behavior needed to participate in and contribute to a democracy