Strategies

Implement a coordinated effort to overhaul school operation, integrating curriculum, instruction, professional development, parent involvement, classroom and school management; also called school-wide or whole school reform

Establish an ongoing relationship between an older youth or young adult and a younger child or adolescent, usually an elementary or middle school student

Provide prenatal care in a group setting, integrating health assessment, education, and support

Establish a relationship between an older adult and a child, adolescent, or college student through social interactions or a variety of educational and art activities

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

Offer reproductive health services (e.g., pregnancy tests, prenatal and postpartum care, gynecological exams, STI screenings, etc.), health education, and social service referrals via medically equipped vans

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

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

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

Reduce the number of students in elementary school classrooms