Strategies

Establish a relationship between an older adult and a child, adolescent, or college student through social interactions or a variety of educational and art activities

Delay school start times for middle and high schools to better align with adolescent sleep-wake cycles; often until 8:30 a.m. or later

Support outdoor pursuits and adventure-based activities that emphasize inter- and intra-personal growth through overcoming obstacles (e.g., challenge courses, wilderness excursions, etc.)

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

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

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

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

Provide youth with leadership building opportunities, often through social activities such as advocacy groups, peer education, youth-led participatory research, and local government youth advisory councils and boards