Strategies

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.

Increase access to LARCs through cost reduction, comprehensive birth control counseling, provider training, efforts to ensure availability at local clinics, etc.

Pair new nurses with more experienced nurses who act as a resource and provide support as the new nurse establishes her or himself professionally

Support home visits that teach parents about early childhood development and effective parenting strategies, with child development screenings, parental meetings, and links to community resources

Support quality improvement efforts in early child care and preschool via financial incentives, standards, processes to monitor standards and ensure compliance, etc.

Make pricing for hospital procedures and other health care services publicly available, often via websites, online databases, report cards, or similar tools

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

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

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