Strategies

Deliver tobacco cessation advice and motivational messages via text or video message

Adjust and monitor fluoride levels in public water supplies to reach and retain optimal fluoride concentrations

Increase support for non-profit health care organizations and deliver comprehensive care to uninsured, underinsured, and vulnerable patients regardless of ability to pay; often called community health centers (CHCs)

Provide outreach and support to assist those whose employers do not offer affordable coverage, who are self-employed, or who are unemployed

Train volunteers, professionals, or paraprofessionals to help residents assess and reduce environmental home health risks and recommend low cost changes (e.g., improved ventilation, integrated pest management, etc.)

Provide rapid access to permanent housing and support (e.g., crisis intervention, needs assessment, case management), usually for chronically homeless individuals with persistent mental illness or substance abuse issues

Support a four-tiered approach to indoor pest control that minimizes potential hazards to people, property, and the environment

Use websites, computer programs, and other electronic means to provide information, strategies, or behavioral support to tobacco users who want to quit, sometimes with counseling or pharmacotherapy

Eliminate lead-based paint and contaminated dust by removing or encapsulating lead paint, or removing lead painted fixtures and surfaces

Use broad media-based efforts to educate large groups of current and potential tobacco users about the dangers of tobacco use

Expand medical school training and learning experiences focused on the skills necessary to practice successfully in rural areas

Promote walking and biking to school through education, incentives, and environmental changes; often called SRTS

Provide sealants, fluoride treatment, screening, and other preventive dental care on school grounds via partnerships with dental professionals

Provide health care services on school premises to attending elementary, middle, and high school students; physical and mental health services provided by teams of nurses, nurse practitioners, and physicians

Implement private sector rules or public sector regulations that prohibit smoking indoors or restrict it to designated, often outdoor, areas

Coordinate state and community-level cessation and prevention interventions and provide information on the dangers of tobacco using a combination of educational, regulatory, clinical, social, and economic strategies

Provide reminders, education, or self-management assistance for health conditions, especially chronic diseases, via text message

Reduce patients’ out-of-pocket costs for tobacco cessation therapies such as nicotine replacement therapy (NRT) and cessation counseling participation

Arrange active transportation with a fixed route, designated stops, and pick up times when children can walk to school with adult chaperones