Strategies

Policies and programs that work

406 Strategies

Statewide comprehensive tobacco programs

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
Scientifically Supported
  • Tobacco Use

Strong graduated driver licensing laws

Strengthen laws that allow young drivers to safely gain driving experience before obtaining full driving privileges
Scientifically Supported
  • Community Safety

Sugar sweetened beverage taxes

Increase the price of sugar sweetened beverages (e.g., soda) by adding an excise or sales tax to the current price
Some Evidence
  • Diet and Exercise

Summer learning programs

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

Summer youth employment programs

Provide short-term employment opportunities for youth, especially those from disadvantaged backgrounds
Some Evidence
  • Community Safety
  • Employment

Supplemental Security Income (SSI) benefits

Explore ways to increase Supplemental Security Income (SSI) program benefit amounts for aged, blind, or disabled individuals, including children, with little or no income
Expert Opinion
  • Income

Swimming pool fencing

Require fences around swimming pools
Scientifically Supported
  • Community Safety

Synthetic progesterone (17P) access

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.
Expert Opinion
  • Access to Care

Syringe services programs

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
Scientifically Supported
  • Alcohol and Drug Use

Technology-enhanced classroom instruction

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

Teen pregnancy prevention programs

Support school-, community-, and clinic-based teen pregnancy prevention programs such as comprehensive sex education, HIV/STI prevention and youth development efforts, service learning, etc.
Some Evidence
  • Sexual Activity

Telecommuting

Allow employees to work outside a central office, using technology to interact with others inside and outside the organization; also called remote work, telework, or flexible working arrangements
Some Evidence
  • Employment

Telemedicine

Deliver consultative, diagnostic, and treatment services remotely for patients who live in areas with limited access to care or would benefit from frequent monitoring; also called telehealth
Scientifically Supported
  • Access to Care

Telemental health services

Provide mental health care services (e.g., psychotherapy or counseling) via telephone or videoconference
Some Evidence
  • Access to Care

Text message-based health interventions

Provide reminders, education, or self-management assistance for health conditions, especially chronic diseases, via text message
Scientifically Supported
  • Access to Care

Tiered drug formularies

Vary patient drug costs by tier; e.g., generic drugs have the lowest co-pay or cost sharing in tier one, then preferred brand name medications (tier two), then non-formulary drugs (tier three)
Mixed Evidence
  • Quality of Care

Tobacco cessation contests

Encourage participants to quit using tobacco on 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
Insufficient Evidence
  • Tobacco Use

Tobacco cessation therapy affordability

Reduce patients’ out-of-pocket costs for cessation therapies such as nicotine replacement therapy (NRT) and cessation counseling participation
Scientifically Supported
  • Tobacco Use

Tobacco marketing restrictions

Limit promotion, placement, flavoring, or pricing of tobacco products via regulation
Some Evidence
  • Tobacco Use

Tobacco quitlines

Deliver phone-based behavioral counseling for tobacco users who want to quit with follow-up calls scheduled proactively following initial contact
Scientifically Supported
  • Tobacco Use

Tobacco retailer licensing

Require retailers to purchase licenses, typically annually, to sell tobacco products; retailers must abide by all tobacco control laws to maintain licenses
Expert Opinion
  • Tobacco Use

Tobacco retailer location restrictions

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
Expert Opinion
  • Tobacco Use

Tobacco taxes

Increase tobacco per unit prices through taxes at the federal, state, or local level
Scientifically Supported
  • Tobacco Use

Traffic calming

Modify the built environment to affect traffic speed and patterns via speed humps, pedestrian center crossing islands, roundabouts, etc.
Scientifically Supported
  • Housing and Transit
  • Community Safety

Transitional jobs

Establish time-limited, subsidized, paid job opportunities to provide a bridge to unsubsidized employment
Scientifically Supported
  • Employment

Trauma-informed approaches to community building

Support and strengthen traumatized and distressed residents and communities and address effects of community trauma (e.g., poverty, violence, structural racism, etc.) via a comprehensive, multi-stakeholder, and multilevel approach
Expert Opinion
  • Family and Social Support

Trauma-informed health care

Shift the way health care organizations approach trauma by adopting universal trauma precautions and providing trauma-specific care
Expert Opinion
  • Quality of Care

Trauma-informed juvenile justice systems

Support a trauma-informed juvenile justice system through staff training and broad adoption of trauma-informed practices and policies
Expert Opinion
  • Community Safety

Trauma-informed schools

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

Treatment Foster Care

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)
Some Evidence
  • Community Safety

Treatment Foster Care Oregon

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
Scientifically Supported
  • Community Safety

Unemployment insurance (UI)

Extend or raise the compensation provided to eligible, unemployed workers looking for jobs
Some Evidence
  • Income

Unhealthy snack taxes

Increase the price of snack products high in sugar and fat by adding an excise or sales tax to the current price
Some Evidence
  • Diet and Exercise

Universal firearm background checks

Require both licensed and unlicensed firearm dealers to conduct background checks of potential handgun purchasers
Some Evidence
  • Community Safety

Universal motorcycle helmet laws

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

Universal school-based alcohol prevention programs

Provide all students with the information and skills to prevent alcohol use; programs can be delivered via a specific curriculum or as a component of classroom behavior management
Some Evidence
  • Alcohol and Drug Use

Urban agriculture

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

Value-based insurance design

Create financial incentives or remove financial disincentives to affect consumer choices and incentivize provision of cost efficient health care services
Scientifically Supported
  • Quality of Care

Value-based purchasing (VBP)

Use the purchasing power of employers and groups of insured individuals to create incentives and disincentives for health care providers to deliver high quality, high value care
Some Evidence
  • Quality of Care

Vehicle anti-idling initiatives

Implement anti-idling policies and awareness campaigns to reduce engine idling for passenger vehicles, school buses, and/or equipment and truck fleets
Some Evidence
  • Air and Water Quality

Vehicle inspection & maintenance (I/M) programs

Require scheduled testing of vehicles’ tailpipe and evaporative emissions; federally mandated in areas with particularly poor air quality
Some Evidence
  • Air and Water Quality

Walking school buses

Arrange active transportation with a fixed route, designated stops, and pick up times when children can walk to school with adult chaperones
Scientifically Supported
  • Housing and Transit
  • Diet and Exercise

Water availability & promotion interventions

Make water readily available in various settings via regular placement of drinking fountains, water coolers, bottled water in vending machines, etc.
Some Evidence
  • Diet and Exercise

Weatherization Assistance Program (WAP)

Provide assistance to low income families to make their homes more energy efficient and to permanently reduce their energy bills
Some Evidence
  • Housing and Transit

WIC & Senior Farmers' Market Nutrition Programs

Support Farmers’ Market Nutrition Programs, which provide WIC and Senior Nutrition Program participants with coupons for fresh, unprepared, locally grown fruits and vegetables
Some Evidence
  • Diet and Exercise

Workplace supports for breastfeeding

Support breastfeeding via private, well-equipped lactation spaces in workplaces, along with breastfeeding breaks, flexible schedules, professional lactation support, etc.
Some Evidence
  • Diet and Exercise

Worksite obesity prevention interventions

Use educational, environmental, and behavioral strategies to improve food choices and physical activity opportunities in worksite settings, also called workplace health programs
Scientifically Supported
  • Diet and Exercise

Youth apprenticeship initiatives

Provide participating high school students with professional opportunities that combine academic and on-the-job training or mentorship
Expert Opinion
  • Employment