Strategies

Replace lead plumbing material such as pipes, service lines, fittings, solder, flux, and fixtures with non-lead plumbing material

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

Use traditional and digital media to disseminate information about safe sex

Support programs that provide matched dollar incentives for low or moderate income individuals to place some or all of their tax refund in a savings account

Integrate legal services into health care settings to address legal issues that affect health (e.g., housing, food, utilities); services provided by private practice lawyers, law students, etc.

Provide an 8 or 12 hour training to educate laypeople about how to assist individuals with mental health problems or at risk for problems such as depression, anxiety, and substance use disorders

Support programs that provide small loans, usually to individuals with lower incomes, to start or expand a small business, often with business development training and other technical assistance

Support fresh food carts or vehicles that travel to neighborhoods on a set schedule to sell fresh fruits and vegetables

Protect underground water resources via regular groundwater monitoring, education about risks to groundwater, water quotas and taxes, and other efforts

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

Attract new grocery stores that sell a variety of fresh foods, baked goods, packaged, and frozen items to underserved areas via financing initiatives, tax incentives, or zoning regulation

Provided work supports for low income individuals and families (e.g., job search assistance, transitional jobs, subsidized child care, health insurance, etc.); participants worked at least 30 hours/week

Allow community members to gather, socialize, walk, run, bike, skate, etc. on streets temporarily to closed to motorized traffic; also called Ciclovía programs

Support outdoor pursuits and adventure-based activities that emphasize inter- and intra-personal growth through overcoming obstacles (e.g., challenge courses, wilderness excursions, etc.)

Place motivational signs on posters, front of package labels, or shelf labels near fruits, vegetables, and other items that encourage individuals to purchase healthier food options

Provide women with information about the risks and benefits of behaviors that affect their health before, during, and after pregnancy

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

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

Bring people with diverse values and perspectives together to engage in facilitated, inclusive, and informed dialogues about a topic of public concern. Examples include Citizens’ Initiative Reviews, deliberative polling, citizen juries, and citizen’s assemblies.

Lend materials, offer gathering space, and provide educational, civic, and social programming; open to the community and publicly funded

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

Use ready-made or home constructed barrel systems to collect and store rainwater from rooftops that would otherwise flow to storm drains and streams

Transition families and individuals experiencing homelessness into permanent housing quickly, often with supports such as short-term financial assistance, case management, landlord negotiations, etc.

Offer opportunities for adults to play athletic games such as soccer, softball, kickball, basketball, etc. at beginner, intermediate, and competitive levels

Provide industry-focused education and job training based on the needs of regional employers within specific sectors

Create contracts that support community access to existing public, private, or nonprofit facilities before or after business hours; also called joint use, open use, or community use agreements

Support individual and group use of internet-based tools to receive news, communicate or share information, collaborate on ideas, mobilize networks, and make collective decisions

Coordinate access to services across delivery systems and disciplinary boundaries (e.g., housing, disability, physical health, mental health, child welfare, workforce services, etc.)

Provide short-term employment opportunities for youth, especially those from disadvantaged backgrounds

Create designated tax districts that generate revenue to invest in affordable housing initiatives, blight remediation, and economic development efforts

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.

Support and strengthen traumatized and distressed residents and communities and address effects of community trauma (e.g., poverty, violence, structural racism, etc.) via a comprehensive, multi-stakeholder, and multilevel approach

Support a trauma-informed juvenile justice system to recognize and respond to trauma’s impact on youth through staff training and broad adoption of trauma-informed practices and policies

Place youth with mental, emotional, and behavioral health challenges in foster families that provide a structured, nurturing, therapeutic environment; also called Therapeutic Foster Care (TFC)

Support food-producing and income-earning activities in urban environments (e.g., edible landscapes, front yard or rooftop gardens, window farming, hydroponics, livestock, etc.)

Implement anti-idling policies and awareness campaigns to reduce engine idling for passenger vehicles, school buses, and/or equipment and truck fleets

Support breastfeeding via private, well-equipped lactation spaces in workplaces, along with breastfeeding breaks, flexible schedules, professional lactation support, etc.

Provide participating high school students with professional opportunities that combine academic and on-the-job training or mentorship

Restrict full contact between youth football players via limits to the number of contact practices, head hits per player, delay tackling until a certain age, etc.

Provide youth with leadership building opportunities, often through social activities such as advocacy groups, peer education, youth-led participatory research, and local government youth advisory councils and boards

Allow residents to keep chickens and bees within city or municipality limits