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

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 regulation to extend nurse practitioners’ (NPs’) scope of practice to provide care to the full scope of their training and skills without physician oversight, especially for primary care

Improve work environments for nurses via establishment of strong nursing leadership, organizational support, etc.

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

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

Use counseling, informational materials, etc. to inform smokers and non-smokers of the harms of secondhand smoke and encourage them to implement home smoking bans

Implement private sector rules or public sector regulations that prohibit smoking in and around multi-unit housing

Shift the way health care organizations approach trauma by adopting universal trauma precautions and providing trauma-specific care