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

Make clinician, hospital, clinic, long-term care facility, and insurance plan performance on health care quality measures publicly available via report cards, reporting websites, or similar tools

Use ready-made or home constructed barrel systems to collect and store rainwater from rooftops that would otherwise flow to storm drains and streams

Require school officials to apply predetermined consequences for certain infractions, regardless of situational context or circumstances; consequences are usually severe (e.g., suspension or expulsion)

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

Train school staff or students to identify signs of suicidality, screen students for suicide risk, or deliver a curriculum-based program that helps all students learn to recognize warning signs of suicide in themselves and others

Help students process trauma exposure and develop coping skills through individual or small group counseling with mental health professionals or school staff with trauma-specific training

Reduce the number of students in elementary school classrooms

Provide comprehensive early childhood services, including high quality educational child care, health, and family support to address local needs