Strategies

Create a school culture of high behavioral and academic expectations, with intense tutoring, increased teacher performance feedback, lengthened instruction time, and health care services

Establish programs that accept expired, unwanted, or unused medicines from designated users and dispose of them responsibly

Educate owners, managers, servers, and sellers at alcohol establishments about strategies to avoid illegally selling alcohol to underage youth or intoxicated patrons

Provide reproductive health care services such as counseling, contraception, and testing in middle and high school-based health centers

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

Reduce the number of students in elementary school classrooms

Provide comprehensive early childhood services, including high quality educational child care, health, and family support to address local needs

Adopt laws that hold private property owners who provide alcohol to minors or obviously intoxicated individuals on their property liable if someone is killed or injured as a result

Provide objective, normative information to reduce college students’ misperceptions about alcohol use and, ultimately, change their drinking behavior

Support school-, community-, and clinic-based teen pregnancy prevention programs such as comprehensive sex education, HIV/STI prevention and youth development efforts, service learning, etc.