Strategies

Implement systems that help health professionals support patient tobacco cessation, often with referrals, self-help pamphlets, and pharmacotherapy

Recruit and train underrepresented minority (URM) students for careers in health fields via information about health careers, classes, practicum experiences, advising about college or medical school admissions, etc.

Provide supports such as mentoring, counseling, or vocational training, or change the school environment to help students complete high school

Provide pregnant and parenting teens with services such as education, vocational training, case management, health care, child care, and transportation assistance to support high school completion

Offer programs to help individuals without a high school diploma or its equivalent achieve a high school equivalency credential

Provided high quality preschool with home visiting to African-American children from families with low incomes with an emphasis on active learning in Ypsilanti, Michigan

Strengthen policies that mandate ignition interlock installation in vehicles to prevent operation by a driver with a high blood alcohol concentration

Support young children who exhibit or are at risk for behavioral problems with interpersonal relationship training and parents and teachers who are trained to meet their needs

Support a four-tiered approach to outdoor pest control that minimizes potential hazards to people, property, and the environment

Use websites, computer programs, and other electronic means to provide information, strategies, or behavioral support to tobacco users who want to quit, sometimes with counseling or pharmacotherapy

Offer flexible working arrangements, allowing the duties of a single full-time position to be covered by two part-time employees

Change state-level school finance systems to increase funding for school districts serving large populations of students from low income backgrounds, students of color, and students with disabilities, special needs, or limited English skills

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

Emphasize high expectations for all students, parent and student commitment, empowered principals, and regular student assessments that inform continuous improvement in a lengthened school-year and school-day

Organize workers to bargain collectively for improved wages, benefits, and working conditions

Delay school start times for middle and high schools to better align with adolescent sleep-wake cycles; often until after 8:30 or 9:00 a.m.

Clean, remove, replace, or cover lead contaminated soil with non-contaminated soil, mulch, sod, grass, or concrete

Replace lead plumbing material such as pipes, service lines, fittings, solder, flux, and fixtures with non-lead plumbing material

Use mass media campaigns to persuade individuals to avoid drinking and driving or to prevent others from doing so; campaigns often focus on the negative consequences of alcohol-impaired driving

Use broad media-based efforts to educate large groups of current and potential tobacco users about the dangers of tobacco use

Use television, radio, print, and social media efforts to increase awareness of underage drinking and its consequences

Allow eligible patients to use marijuana for medical purposes; often called medical marijuana laws (MMLs)

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

Establish programs that connect students at risk of dropping out with trained adult mentors who provide ongoing guidance for academic and personal challenges

Maintain the current legal age when an individual can purchase alcoholic beverages; currently 21 years in all states

Minimum legal tobacco age (MLTA) laws specify the legal age to purchase or publicly consume tobacco products, including cigarettes, cigars, and e-cigarettes

Protect underground water resources via regular groundwater monitoring, education about risks to groundwater, water quotas and taxes, and other efforts

Distribute Naloxone to trained community members and first responders to reverse opioid overdoses

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

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

Provide employees with child care options at work; care may be provided free of charge, partially subsidized as part of an employee benefit package, or offered at market rates

Provide employees with paid time off for circumstances such as a recent birth or adoption, a parent or spouse with a serious medical condition, or a sick child

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

Support home visits that teach parents about early childhood development and effective parenting strategies, with child development screenings, parental meetings, and links to community resources

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

Prohibit the manufacture, use, and provision of single-use plastic bags, either partially or completely, and provide education and outreach to raise consumer awareness and support of bans

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

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

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

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

Establish programs that accept expired, unwanted, or unused medicines from designated users and dispose of them responsibly

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

Educate owners, managers, servers, and sellers at alcohol establishments about strategies to avoid illegally selling alcohol to underage youth or intoxicated patrons

Repeal government control over retail sales of alcoholic beverages, allowing commercial retailing of those beverages