Strategies

Expand the role of allied dental professionals (e.g., hygienists, therapists, etc.) via changes to statute, dentist supervision requirements, etc.

Match disadvantaged or at-risk youth with volunteer mentors in school or community settings

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

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

Inform parents and caregivers about lead exposure pathways from contaminated dust, soil, water, and air as well as the irreversible health consequences of lead exposure

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

Clean, remove, replace, or cover lead contaminated soil with non-contaminated soil, mulch, sod, grass, or concrete

Replace lead plumbing material such as pipes, service lines, fittings, solder, flux, and fixtures with non-lead plumbing material

Provide continuous, comprehensive, whole person primary care that uses a coordinated team of medical providers across the health care system

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