Strategies

Place motivational signs on or near stairwells, elevators, and escalators that encourage individuals to use stairs

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

Teach positively stated behavior expectations to all students, often reinforced with prizes or privileges and supported with coaching and data

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.

Provide center-based programs that support cognitive and social-emotional growth among children who are not old enough to enter formal schooling

Provide center-based programs that support cognitive and social development among young children from families with low incomes, with supports such as home visiting or parental education

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

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

Provide publicly funded pre-kindergarten (pre-K) education to 3- and 4-year-olds, through large-scale or universal efforts

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

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

Expand medical school training and learning experiences focused on the skills necessary to practice successfully in rural areas

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

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)

Support programs to provide students with a nutritious breakfast in the cafeteria, from grab and go carts in hallways, or in classrooms

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

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.

Establish designated areas where students can garden with guidance, often with nutrition and food preparation lessons and opportunities for taste tasting and hands-on learning

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

Regulate the quality of food that can be sold to students through the National School Lunch Program (NSLP), à la carte options, vending machines, etc.

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

Provide youth with teen dating violence education that addresses healthy relationships, gender norms, relationship coercion, and violence in a school setting

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

Expand or enhance school-based physical education (PE) by lengthening existing classes, increasing physical activity during class, adding new PE classes, etc.

Implement focused efforts to help children recognize and manage emotions, set and reach goals, appreciate others’ perspectives, and maintain relationships; also called social and emotional learning (SEL)

Teach students personal and social skills to avoid tobacco use; led by teachers, health educators, or students in elementary schools, middle schools, or high schools

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

Address students’ disruptive and antisocial behavior by teaching self-awareness, emotional self-control, self-esteem, social problem solving, conflict resolution, team work, social skills, etc.

Provide students from public schools, from low income backgrounds, or who have a high risk of dropping out and their families with information about social services and health care supports; also called community resource or family and community liaisons

Encourage children to spend time away from TV and other stationary screen media, often as part of a multi-faceted effort to increase physical activity and improve nutrition

Use counseling, informational materials, etc. to inform smokers and non-smokers of the harms of secondhand smoke and encourage them to implement home smoking bans

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

Reduce the number of students in elementary school classrooms

Provide comprehensive early childhood services, including high quality educational child care, health, and family support to address local needs

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

Educate youth and college athletes, coaches, and parents about the severity of concussions in sports, proper prevention, detection, reporting, and treatment

Provide academic instruction to students during the summer, often along with enrichment activities such as art or outdoor activities

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

Incorporate technology into classroom instruction via computer-assisted instruction programs, computer-managed learning programs, use of interactive white boards, etc.

Encourage participants to quit using tobacco by a set date or during a specific time period and give successful participants a chance to win financial rewards or other prizes; often called Quit & Win contests

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

Adopt a multi-tiered approach within schools to address the needs of trauma-exposed youth, including school-wide changes, screenings, and individual intensive support

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)

Place severely and chronically delinquent youth in foster families that are trained in structured behavior management and connected to TFCO program staff; formerly called Multidimensional Treatment Foster Care

Deliver a curriculum-based program that helps all students learn to recognize warning signs of suicide in themselves and others in a school setting

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

Arrange active transportation with a fixed route, designated stops, and pick up times when children can walk to school with adult chaperones

Make water readily available in various settings via regular placement of drinking fountains, water coolers, bottled water in vending machines, etc.