Strategies

Engage practice coaches or facilitators to work with primary care clinic staff to redesign clinical practices, organize quality improvement efforts, improve communication, share best practices, etc.

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

Allow law enforcement officials to stop drivers solely for failing to use a seat belt

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

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

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

Establish bioretention systems (e.g., rain gardens, bioretention cells, green roofs, planter boxes, bioswales, etc.) to make city landscapes more permeable to help control stormwater

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

Allow adults to possess a limited amount of marijuana for personal, non-medical use; often called recreational marijuana laws (RMLs)

Use victim-offender dialogue to address the harm caused by a crime and victims’ needs; can take place pre-arrest or post sentence via sharing circles, victim-offender mediation, or face-to-face conferences

Conduct individual assessments that gauge older adults’ risk of falling and develop personalized approaches to help prevent falls

Attach metal bars, frames, or crush proof cabs to a tractor that provide a safety zone for an operator in the event of a rollover or overturn

Organize tours of prison facilities for juvenile delinquents or youth at risk of delinquency and allow them to observe prison life and attend inmates’ presentations; also called juvenile awareness programs

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 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

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)

Train school staff or students to identify signs of suicidality, screen students for suicide risk, or deliver a curriculum-based program that helps all students learn to recognize warning signs of suicide in themselves and others

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.

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

Provide industry-focused education and job training based on the needs of regional employers within specific sectors

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

Implement private sector rules or public sector regulations that prohibit smoking outdoors or restrict it to designated areas

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

Strengthen laws that allow young drivers to gain driving experience in stages; often includes passenger and nighttime driving limitations and higher minimum ages for learner’s permits, intermediate, and full licenses

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.

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

Limit promotion, placement, flavoring, or pricing of tobacco products via regulation

Deliver phone-based counseling to tobacco users who want to quit, usually with follow-up calls proactively scheduled after initial contact

Increase tobacco price per unit through taxes at the federal, state, or local level

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

Establish time-limited, subsidized, paid jobs to help individuals with barriers to employment transition to unsubsidized employment

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

Prohibit all drivers from texting or talking on a cell phone while driving

Require both licensed firearm dealers and unlicensed (i.e., private) firearm sellers to conduct background checks of potential firearm purchasers; also known as comprehensive background checks

Require all motorcycle operators and passengers to wear a helmet; laws are established statewide and may also include mopeds and scooters