Strategies

Provide information and increase motivation to change or prevent problematic alcohol consumption in a short session; also called alcohol screening & brief intervention

Limit increases in the number and concentration of alcohol outlets by area or by population through licensing or zoning regulations

Deliver tobacco cessation advice and motivational messages via text or video message

Adjust and monitor fluoride levels in public water supplies to reach and retain optimal fluoride concentrations

Enhance streetscapes with greater sidewalk coverage and walkway connectivity, street crossing safety features, traffic calming measures, and other design elements

Position registered nurses within a parish or similar faith community, or in a health care system to serve as a liaison to congregations; also called parish nursing or congregational nursing

Increase support for non-profit health care organizations and deliver comprehensive care to uninsured, underinsured, and vulnerable patients regardless of ability to pay; often called community health centers (CHCs)

Offer loan repayment, tuition assistance, competitive academic salaries, etc. to students who teach in nursing programs after completing an advanced degree

Implement systems that help health professionals support patient tobacco cessation, often with referrals, self-help pamphlets, and pharmacotherapy

Provide outreach and support to assist those whose employers do not offer affordable coverage, who are self-employed, or who are unemployed

Train volunteers, professionals, or paraprofessionals to help residents assess and reduce environmental home health risks and recommend low cost changes (e.g., improved ventilation, integrated pest management, etc.)

Provide pregnant and parenting teens with services such as education, vocational training, case management, health care, child care, and transportation assistance to support high school completion

Provide grants to states and localities to fund activities that build, buy, or rehabilitate affordable housing for rent or homeownership, or provide direct rental assistance to households with low incomes

Inform parents about lead exposure pathways and cleaning and hygiene techniques and undertake minor repairs or specialized cleaning

Provide rapid access to permanent housing and support (e.g., crisis intervention, needs assessment, case management), usually for chronically homeless individuals with persistent mental illness or substance abuse issues

Provide funding, primarily to families with low or middle incomes, to repair, improve, or modernize dwellings and remove health or safety hazards

Apologize for discriminatory housing policies; increase subsidies, financing, and paths to homeownership for people of color; and invest in systematically disadvantaged neighborhoods

Support funds that help create or maintain affordable housing, subsidize rental housing, and assist homebuyers with low incomes and non-profit housing developers

Use websites, computer programs, and other electronic means to provide information, strategies, or behavioral support to tobacco users who want to quit, sometimes with counseling or pharmacotherapy

Eliminate lead-based paint and contaminated dust by removing or encapsulating lead paint, or removing lead painted fixtures and surfaces

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

Provide funds to households with low incomes to meet home energy needs, especially for households with children, older adults, or individuals with disabilities

Use broad media-based efforts to educate large groups of current and potential tobacco users about the dangers of tobacco use

Provide continuous, comprehensive, whole person primary care that uses a coordinated team of medical providers across the health care system

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

Regulate mental health insurance to increase access to mental health services, including treatment for substance use disorders

Support a combination of land uses (e.g., residential, commercial, recreational) in development initiatives, often through zoning regulations or Smart Growth initiatives

Distribute Naloxone to trained community members and first responders to reverse opioid overdoses

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

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

Introduce or expand transportation options that are available to the public and run on a scheduled timetable (e.g., buses, trains, ferries, rapid transit, etc.)

Partner with doctors, nurse practitioners, and other medical professionals to incorporate literacy support into regular well-child visits, especially in lower income communities

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

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.

Promote walking and biking to school through education, incentives, and environmental changes; often called SRTS

Provide sealants, fluoride treatment, screening, and other preventive dental care on school grounds via partnerships with dental professionals

Provide health care services on school premises to attending elementary, middle, and high school students; physical and mental health services provided by teams of nurses, nurse practitioners, and physicians

Implement private sector rules or public sector regulations that prohibit smoking indoors or restrict it to designated, often outdoor, areas

Implement private sector rules or public sector regulations that prohibit smoking in and around multi-unit housing

Coordinate state and community-level cessation and prevention interventions and provide information on the dangers of tobacco using a combination of educational, regulatory, clinical, social, and economic strategies

Ensure appropriate access to 17P, a synthetic version of the hormone progesterone, by identifying high-risk women, reducing barriers to treatment receipt and completion, coordinating care, etc.

Provide sterile injection equipment and often other treatment and referral services to people who inject drugs; also called needle or syringe exchange programs and needle syringe programs

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

Provide reminders, education, or self-management assistance for health conditions, especially chronic diseases, via text message

Reduce patients’ out-of-pocket costs for tobacco cessation therapies such as nicotine replacement therapy (NRT) and cessation counseling participation

Set the number, type, proximity, and density of tobacco retailers, especially near homes and schools, via state or local zoning, licensing restrictions, or other regulations

Modify the built environment to affect traffic speed and patterns via speed humps, pedestrian center crossing islands, roundabouts, etc.

Provide assistance to families with low incomes to make their homes more energy efficient and to permanently reduce their energy bills

Reform zoning regulations to remove exclusionary zoning codes, address physical environment aesthetics and safety, street continuity and connectivity, residential density, and mixed-use development, etc.