Strategies

Support a combination of land uses (e.g., residential, commercial, recreational) in development initiatives, often through zoning regulations or Smart Growth initiatives

Support fresh food carts or vehicles that travel to neighborhoods on a set schedule to sell fresh fruits and vegetables

Support initiatives that combine multiple components such as education, skills building, and contraceptive promotion to reduce pregnancy among youth

Combine educational, environmental, and behavioral activities that increase physical activity and improve nutrition (e.g., nutrition education, aerobic/strength training, dietary prescriptions, etc.) in various settings

Deliver educational, behavioral, environmental, and other obesity prevention efforts (e.g., education classes, enhanced physical education, healthy food promotion, family outreach, etc.) in schools

Establish voluntary formal groups of residents who work together to create a unified voice, enhance living conditions in their neighborhood, and address neighborhood concerns

Support the efforts of neighborhood residents to work together in preventing crime by reporting suspicious or potentially criminal behavior to local law enforcement

Attract new grocery stores that sell a variety of fresh foods, baked goods, packaged, and frozen items to underserved areas via financing initiatives, tax incentives, or zoning regulation

Focus heavily on reading and math achievement, enforce high behavioral expectations through a formal discipline system, lengthen instructional time, and increase feedback on teacher performance

Implement programs that continue education, mentoring, and support for novice nurses following graduation

Support site-specific plans for crop production that match nutrient applications to crop needs, typically with agricultural best management practices

Offer young children opportunities to eat healthy foods and engage in physical activity by providing fresh fruits and vegetables, incorporating physical activity into daily classroom routines, etc.

Offer time during the school day for children to play in the gym, often during lunch period; shared use agreements can expand open gym opportunities to community members outside school hours

Allow community members to gather, socialize, walk, run, bike, skate, etc. on streets temporarily to closed to motorized traffic; also called Ciclovía programs

Establish roads that avoid built-up areas such as towns, cities, or commercial/business districts

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

Require employers in an affected jurisdiction to provide paid time off for employees to use when ill or injured

Incorporate classroom-based physical activities, such as classroom energizers, into academic lessons or as a break, usually for elementary students

Modify local environments to support physical activity, increase access to new or existing facilities for physical activity, or build new facilities

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

Create a school culture of high behavioral and academic expectations, with intense tutoring, increased teacher performance feedback, lengthened instruction time, and health care services

Lend materials, offer gathering space, and provide educational, civic, and social programming; open to the community and publicly funded

Introduce or expand transportation options that are available to the public and run on a scheduled timetable (e.g., buses, trains, ferries, rapid transit, etc.)

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

Prevent radon from entering occupied buildings and reduce existing indoor air radon levels via soil depressurization, home or room pressurization, heat recovery ventilation, etc.

Transition families and individuals experiencing homelessness into permanent housing quickly, often with supports such as short-term financial assistance, case management, landlord negotiations, etc.

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

Establish transportation services for areas with low population densities using publicly funded buses and vans on a set schedule, dial-a-ride transit, volunteer ridesharing, etc.

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.

Promote abstinence from sexual activity, generally only with mention of condoms and birth control to highlight failure rates

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 reproductive health care services such as counseling, contraception, and testing in middle and high school-based health centers

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