Strategies

Inform parents and caregivers about lead exposure pathways from contaminated dust, soil, water, and air as well as the irreversible health consequences of lead exposure

Expand use of J-1 physician visa waivers for foreign national physicians who have trained in the U.S. and will serve patients in designated Health Professional Shortage Areas (HPSAs)

Offer flexible working arrangements, allowing the duties of a single full-time position to be covered by two part-time employees

Require wholesalers or retailers to record an identification number for beer kegs and a purchaser’s information (e.g., name and address, date of birth, etc.) at the time of purchase

Acquire, hold, manage, and develop properties such as vacant lots, abandoned buildings, or foreclosures, and transition them to productive uses, often affordable housing developments

Clean, remove, replace, or cover lead contaminated soil with non-contaminated soil, mulch, sod, grass, or concrete

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.

Increase wages and benefits for personal or home care workers, nurse aides, and others who provide direct care to patients in long-term care (LTC) settings

Use mass media campaigns to persuade individuals to avoid drinking and driving or to prevent others from doing so; campaigns often focus on the negative consequences of alcohol-impaired driving

Use television, radio, print, and social media efforts to increase awareness of underage drinking and its consequences

Provide messages that support physical activity to large and broad audiences using television, social media, radio, billboards, newspapers, and other print media

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

Pair new nurses with more experienced nurses who act as a resource and provide support as the new nurse establishes her or himself professionally

Deliver health care services and support to individuals with mental health concerns via mobile devices using text messaging or mobile applications (apps)

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

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

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

Provide physical infrastructure (e.g., bike parking or showers), educational or social support (e.g., walking groups), and financial incentives that support active commuting

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

Implement programs that continue education, mentoring, and support for novice nurses following graduation

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

Provide prescriptions with healthy eating goals for patients and families, often accompanied by progress checks at office visits; can include partnerships with local farmers markets via FVRx programs

Use internet-based shopping sites to supply refrigerated, frozen, and non-perishable groceries for residential ordering and delivery

Provide employees with child care options at work; care may be provided free of charge, partially subsidized as part of an employee benefit package, or offered at market rates

Offer time during the school day for children to play in the gym, often during lunch period; shared use agreements can expand open gym opportunities to community members outside school hours

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

Require employers in an affected jurisdiction to provide paid time off for employees to use when ill or injured

Support home visits that teach parents about early childhood development and effective parenting strategies, with child development screenings, parental meetings, and links to community resources

Prohibit the manufacture, use, and provision of single-use plastic bags, either partially or completely, and provide education and outreach to raise consumer awareness and support of bans

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

Support quality improvement efforts in early child care and preschool via financial incentives, standards, processes to monitor standards and ensure compliance, etc.

Use databases, housed in state agencies, to track prescribing and dispensing of Schedule II, III, IV, and V drugs and other controlled substances

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

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

Allow adults to possess a limited amount of marijuana for personal, non-medical use

Establish plans consistent with personal values and current life circumstances that set goals related to having or not having children; goals often change over time

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

Provide nutrition information on menus and signboards at restaurants and other food outlets

Repeal government control over retail sales of alcoholic beverages, allowing commercial retailing of those beverages

Establish clinics in retail stores that provide basic services for minor illnesses (e.g., sore throats or skin conditions) and procedures (e.g., immunizations, pregnancy testing, routine lab tests); also known as retail pharmacy, walk-in, or convenient care clinics

Establish transportation services for areas with low population densities using publicly funded buses and vans on a set schedule, dial-a-ride transit, volunteer ridesharing, etc.

Increase enforcement of laws that prohibit alcoholic beverage service to intoxicated customers, usually with fines, imprisonment, or revocation of a license

Require school officials to apply predetermined consequences for certain infractions, regardless of situational context or circumstances; consequences are usually severe (e.g., suspension or expulsion)

Limit access to competitive foods and beverages in schools via restrictions on foods that are not provided through the National School Lunch Program and School Breakfast Program.

Prohibit the sale of unhealthy foods such as sugar sweetened beverages, candy, and other non-nutritious snacks at school fundraisers, often as part of a broader nutrition policy

Address nutrition in schools via educational (e.g., classroom or curricula-wide efforts, peer training, etc.), environmental (e.g., school menus, classroom snacks, etc.), and other approaches

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