Strategies

Policies and programs that work

55 Strategies
Clear all

Alcohol access restrictions in public places

Restrict alcohol availability and use at sporting events, other public events (e.g., concerts and street fairs) and in public spaces such as parks and beaches
Expert Opinion
  • Alcohol and Drug Use

Alcohol advertising restrictions

Restrict the content and placement of alcohol advertisements on broadcasts, outdoor displays, internet marketing, etc. via state laws, local ordinances, industry self-regulation, or a combination of efforts
Some Evidence
  • Alcohol and Drug Use

Alcohol brief interventions

Provide information and increase motivation to change or prevent problematic alcohol consumption in a short session; also called alcohol screening & brief intervention
Scientifically Supported
  • Alcohol and Drug Use

Alcohol days of sale restrictions

Limit the days alcohol can be sold in on-premise settings such as bars and restaurants or in off-premise outlets such as liquor and convenience stores; sometimes with limits to times of sale
Some Evidence
  • Alcohol and Drug Use

Alcohol outlet density restrictions

Limit increases in the number and concentration of alcohol outlets by area or by population through licensing or zoning regulations
Scientifically Supported
  • Alcohol and Drug Use
  • Community Safety

Alcohol taxes

Increase the price of alcohol via regular adjustments to taxes levied for beer, wine, and liquor purchases
Scientifically Supported
  • Alcohol and Drug Use

Alternative fuels initiatives

Support alternative fuel and vehicle use via financial incentives (e.g., tax benefits, rebates, etc.), mandates (e.g., consumption targets or renewable fuel standards), research and development investments, etc.
Expert Opinion
  • Air and Water Quality

Blood alcohol concentration laws

Set legal limits for drivers’ blood alcohol concentrations (BACs)
Scientifically Supported
  • Alcohol and Drug Use

Breath testing checkpoints

Implement checkpoints where law enforcement officers can stop drivers suspected of drinking and driving and assess their level of alcohol impairment; also called sobriety checkpoints
Scientifically Supported
  • Alcohol and Drug Use

CAFO regulations

Establish local regulations for confined animal feeding operations (CAFOs) that address location, size, facility management, and pollution contributions to complement US EPA regulations
Expert Opinion
  • Air and Water Quality

Campus alcohol bans

Restrict alcohol consumption anywhere on a college or university campus or only in specific areas (e.g., residence halls)
Insufficient Evidence
  • Alcohol and Drug Use

Carpool & rideshare programs

Help commuters share transportation through informal arrangements between individuals, formally arranged dynamic ridesharing programs, or other ride-matching services
Expert Opinion
  • Air and Water Quality
  • Housing and Transit

Conservation Reserve Enhancement Program (CREP)

Support the federal-state partnership that pays participating land owners an annual rental rate for removing environmentally sensitive land from production and introducing conservation practices on the land
Some Evidence
  • Air and Water Quality

Conservation tillage practices

Encourage methods of soil cultivation that keep at least one-third of cultivated soil covered with the previous year’s crop residue (e.g., mulch till, ridge till, strip till, or no-till)
Scientifically Supported
  • Air and Water Quality

Designated driver promotion programs

Encourage use of designated drivers via population-based mass media campaigns, incentive programs based in drinking establishments, and other efforts
Insufficient Evidence
  • Alcohol and Drug Use

Dram shop liability laws

Hold alcohol retailers legally responsible for injuries or damage caused by providing alcohol to intoxicated or underage customers; also called commercial host liability laws
Scientifically Supported
  • Alcohol and Drug Use

Drink special restrictions

Limit or ban alcohol establishments from serving alcohol at a reduced price as part of promotions; also called happy hour restrictions
Some Evidence
  • Alcohol and Drug Use

Drug courts

Use specialized courts to offer criminal offenders with drug dependency problems an alternative to adjudication or incarceration
Scientifically Supported
  • Community Safety
  • Alcohol and Drug Use

Family treatment drug courts

Use specialized courts to work with parents involved in the child welfare system who may lose custody of their children due to substance abuse
Scientifically Supported
  • Community Safety
  • Alcohol and Drug Use

Good Samaritan drug overdose laws

Provide immunity from arrest, charge, or prosecution for drug possession or paraphernalia when individuals experiencing or witnessing drug overdose summon emergency services
Expert Opinion
  • Alcohol and Drug Use

Ignition interlock devices

Strengthen policies that mandate ignition interlock installation in vehicles to prevent operation by a driver with a high blood alcohol concentration
Scientifically Supported
  • Alcohol and Drug Use

Keg registration laws

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
Insufficient Evidence
  • Alcohol and Drug Use

Lead contaminated soil abatement

Clean, remove, replace, or cover lead contaminated soil with non-contaminated soil, mulch, sod, grass, or concrete
Expert Opinion
  • Air and Water Quality

Lead pipe & plumbing material replacement

Replace lead plumbing material such as pipes, service lines, fittings, solder, flux, and fixtures with non-lead plumbing material
Expert Opinion
  • Air and Water Quality

Mass media campaigns against alcohol-impaired driving

Use mass media campaigns to persuade individuals to avoid drinking and driving or to prevent others from doing so; campaigns often focus on fear of arrest or injury to self, others, or property
Scientifically Supported
  • Alcohol and Drug Use

Medical marijuana legalization

Allow eligible patients to use marijuana for medical purposes; often called medical marijuana laws (MMLs)
Mixed Evidence
  • Alcohol and Drug Use

Medication-assisted treatment access enhancement initiatives

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
Expert Opinion
  • Alcohol and Drug Use

Mentoring programs: delinquency

Enlist mentors to develop relationships and spend time individually with at-risk mentees for an extended period; mentors have greater knowledge, skills, etc. than mentees
Scientifically Supported
  • Alcohol and Drug Use
  • Community Safety

Minimum drinking age laws

Maintain the current age below which the purchase or public consumption of alcoholic beverages is illegal; currently 21 in all states
Scientifically Supported
  • Alcohol and Drug Use

Multi-component groundwater management programs

Address soil and water quality concerns via regular groundwater monitoring, education about risks to groundwater, water quotas and taxes, and other efforts
Some Evidence
  • Air and Water Quality

Naloxone education & distribution programs

Support community members who are likely to encounter individuals who might overdose with education and training to administer naloxone and ensure all first responders are trained and authorized to administer naloxone
Some Evidence
  • Alcohol and Drug Use

Nutrient management plans

Support site-specific plans for crop production that match nutrient applications to crop needs, typically with agricultural best management practices
Scientifically Supported
  • Air and Water Quality

Permeable pavement projects

Use pervious concrete, porous asphalt, permeable interlocking pavers, open-jointed blocks or cells, or other permeable pavement in individual or commercial development efforts; also called porous or pervious pavement
Scientifically Supported
  • Air and Water Quality

Prescription drug monitoring programs (PDMPs)

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

Proper drug disposal programs

Establish programs that accept expired, unwanted, or unused medicines from designated users and dispose of them responsibly
Expert Opinion
  • Alcohol and Drug Use
  • Air and Water Quality

Rain barrels

Use ready-made or home constructed barrel systems to collect and store rainwater from rooftops that would otherwise flow to storm drains and streams
Some Evidence
  • Air and Water Quality

Rain gardens & other bioretention systems

Establish bioretention systems (e.g., rain gardens, bioretention cells, green roofs, planter boxes, bioswales, etc.) to make city landscapes more permeable
Scientifically Supported
  • Air and Water Quality

Recreational marijuana legalization

Allow adults to possess a limited amount of marijuana for personal, non-medical use
Insufficient Evidence
  • Alcohol and Drug Use
  • Community Safety

Responsible beverage server training (RBS/RBST)

Educate owners, managers, servers, and sellers at alcohol establishments about strategies to avoid illegally selling alcohol to underage youth or intoxicated patrons
Some Evidence
  • Alcohol and Drug Use

Retail alcohol sale privatization

Repeal government control over retail sales of alcoholic beverages, allowing commercial retailing of those beverages
Evidence of Ineffectiveness
  • Alcohol and Drug Use

Sales to intoxicated persons (SIP) law enforcement

Increase enforcement of laws that prohibit alcoholic beverage service to intoxicated customers, usually with fines, imprisonment, or revocation of a license
Insufficient Evidence
  • Alcohol and Drug Use

School-based social norming: alcohol consumption

Provide objective, normative information to reduce students’ misperceptions about alcohol use and, ultimately, change their alcohol consumption
Mixed Evidence
  • Alcohol and Drug Use

Scrap programs for old vehicles

Provide incentives to trade in old cars or light duty trucks with low fuel efficiency and high emissions and buy new vehicles with higher efficiency and lower emissions; also called scrappage or vehicle early retirement programs
Expert Opinion
  • Air and Water Quality

Seller & server minimum age

Require a minimum age for sellers in off-premise locations that sell alcohol and servers and bartenders in on-premise locations
Insufficient Evidence
  • Alcohol and Drug Use