Strategies

Enable law enforcement to immediately take the license of a driver who fails or refuses to take a chemical test for alcohol

Support acquisition of job-specific skills through education, certification programs, or on-the-job training, often with personal development resources and other supports

Provide information and increase motivation to change or prevent problematic alcohol consumption in a short session; also called alcohol screening & brief intervention

Limit increases in the number and concentration of alcohol outlets by area or by population through licensing or zoning regulations

Increase the price of alcohol via taxes levied for beer, wine, and liquor purchases

Provide educational and social services in an alternative setting for students at risk of dropping out of traditional high schools

Support interventions that provide chronically absent students with resources to improve self-esteem, social skills, etc. and address familial and school-related factors that can contribute to poor attendance

Revise health care processes and provider roles to integrate mental health and substance abuse treatment into primary care; continue to refer patients with severe conditions to specialty care

Set legal limits for drivers’ blood alcohol concentrations (BACs)

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

Provide career and technical education (CTE) as an integrated part of an academic curriculum for students, especially those at risk of dropping out of high school; also called vocational training

Establish small learning communities in high schools focused on fields such as health care, finance, technology, communications, or public service

Use a case management model for frail elderly patients living independently, coordinating aspects of long-term care (LTC) such as status assessment, monitoring, advocacy, care planning, etc.

Deliver tobacco cessation advice and motivational messages via text or video message

Provide preschool education and comprehensive support to families with low incomes, including small classes, student meals, and home visits with referrals for social service support as needed

Implement multi-component efforts that include coordination of health services by multidisciplinary teams of health care professionals, patient self-management, and patient education

Provide educational and behavioral interventions that support patients’ ability to actively manage their condition(s) in everyday life

Replace or retrofit diesel buses or other vehicles to operate with clean diesel technology

Help high school students prepare for college, complete applications, and enroll, especially first-generation applicants and students from families with low incomes

Combine academic, mental and physical health, and social service resources in schools for students and families via partnerships with community organizations; also called community learning centers

Use aerobic, natural decomposition to divert food and yard waste from landfills and create a nutrient-rich soil amendment product on an individual or large scale

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)

Increase health care providers’ skills and knowledge to understand and respond to cultural differences, value diversity, etc. via factual information, skills training, and other efforts

Tailor health care to patients’ norms, beliefs, and values, as well as their language and literacy skills

Hold alcohol retailers legally responsible for injuries or damage caused by providing alcohol to intoxicated or underage customers; also called commercial host liability laws

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

Provide teen mothers with services such as remedial education, vocational training, case management, health care, child care, and transportation assistance to support high school completion

Use specialized courts to offer criminal offenders with drug dependency problems an alternative to adjudication or incarceration

Provide child care, parent education, physical health and mental health services, and other family supports to pregnant women and parents with low incomes and children aged 0 to 3

Replace internal combustion engine vehicles with all-electric vehicles through financial incentives, regulations, and multi-component initiatives

Initiate or increase retailer compliance checks, shoulder tap operations, parking lot observation outside alcohol establishments for laws that prohibit alcohol sales to minors

Convene small groups of families for facilitated weekly meetings that include a family meal, structured activities, parent support time, and parent-child play therapy

Use specialized courts to work with parents involved in the child welfare system who may lose custody of their children due to substance abuse

Offer employees control over an aspect of their schedule through arrangements such as flex time, flex hours, compressed work weeks, or self-scheduled shift work

Offer kindergarten programs for 4 to 6-year-old children, five days per week for at least five hours per day

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.

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 collaborative approach by a multidisciplinary team of professionals working to meet the full range of long-term care (LTC) needs for frail elderly patients living in community settings

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

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

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

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

Provide continuous, comprehensive, whole person primary care that uses a coordinated team of medical providers across the health care system

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