Strategies

Establish local regulations for confined animal feeding operations (CAFOs) that address location, size, facility management, and pollution contributions to complement U.S. EPA regulations

Support the federal-state partnership that pays participating landowners an annual rental rate for removing environmentally sensitive land from production and introducing conservation practices on the land.

Encourage methods of soil cultivation that keep at least one-third of cultivated soil covered with the previous year’s crop residue (e.g., mulch till, ridge till, strip till, or no-till)

Increase health care providers’ skills and knowledge to understand and respond to cultural differences, value diversity, etc. via factual information, skills training, and other efforts

Use specialized courts to offer criminal offenders with drug dependency problems an alternative to adjudication or incarceration

Use specialized courts to work with parents involved in the child welfare system who may lose custody of their children due to substance abuse

Support a four-tiered approach to outdoor pest control that minimizes potential hazards to people, property, and the environment

Provide medications such as methadone to individuals diagnosed with opioid use disorder in outpatient, residential, and hospital settings, usually with counseling and behavioral therapies; often called MAT

Support site-specific plans for crop production that match nutrient applications to crop needs, typically with agricultural best management practices

Provide interpretation services for patients with limited English proficiency (LEP) in outpatient and inpatient health care settings, following training and certification