Strategies

Initiate or increase retailer compliance checks, shoulder tap operations, parking lot observation outside alcohol establishments for laws that prohibit alcohol sales to minors

Strengthen policies that mandate ignition interlock installation in vehicles to prevent operation by a driver with a high blood alcohol concentration

Require wholesalers or retailers to record an identification number for beer kegs and a purchaser’s information (e.g., name and address, date of birth, etc.) at the time of purchase

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 mass media campaigns to persuade individuals to avoid drinking and driving or to prevent others from doing so; campaigns often focus on the negative consequences of alcohol-impaired driving

Use television, radio, print, and social media efforts to increase awareness of underage drinking and its consequences

Allow eligible patients to use marijuana for medical purposes; often called medical marijuana laws (MMLs)

Maintain the current legal age when an individual can purchase alcoholic beverages; currently 21 years in all states

Distribute Naloxone to trained community members and first responders to reverse opioid overdoses

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