Strategies

Combine academic, mental and physical health, and social service resources in schools for students and families via partnerships with community organizations; also called community learning centers

Establish high deductible health plans paired with pre-tax medical expense accounts such as Health Reimbursement Arrangements (HRAs) or Health Savings Accounts (HSAs) and information tools

Provide at-risk expectant parents and families with young children with information, support, and training regarding child health, development, and care from prenatal stages through early childhood via trained home visitors

Use specialized courts to work with parents involved in the child welfare system who may lose custody of their children due to substance abuse

Arrange full-time foster care by relatives or adults who are not a child’s parent but have a family relationship with the child when a child is removed from home due to a safety concern

Delay school start times for middle and high schools to better align with adolescent sleep-wake cycles; often until 8:30 a.m. or later

Use payments, vouchers, and other incentives to encourage patients to undergo preventive care such as screenings, vaccinations, etc.

Support joint decision making between health care practitioners and patients through shared decision making (SDM); part of patient-centered care

Teach positively stated behavior expectations to all students, often reinforced with prizes or privileges and supported with coaching and data

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)