Strategies

Coordinate efforts to reduce risky sexual behavior among adolescents with work, vocational training, or sports

Delay school start times for middle and high schools to better align with adolescent sleep-wake cycles; often until after 8:30 or 9:00 a.m.

Use traditional and digital media to disseminate information about safe sex

Establish programs that connect students at risk of dropping out with trained adult mentors who provide ongoing guidance for academic and personal challenges

Support initiatives that combine multiple components such as education, skills building, and contraceptive promotion to reduce pregnancy among youth

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)

Support programs to provide students with a nutritious breakfast in the cafeteria, from grab and go carts in hallways, or in classrooms

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

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