Strategies

Establish a break from the school day, typically before lunch, that involves planned, inclusive, actively supervised games or activities; also called semi-structured, or structured recess

Offer group educational, social, creative, musical, or physical activities that promote social interactions, regular attendance, and community involvement among older adults

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

Establish a framework to increase walking and biking trails and improve connectivity of non-auto paths and trails in a particular area

Provide education, information, counseling, and support for breastfeeding to women throughout pre- and post-natal care

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

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

Provide financial assistance to working parents, or parents attending school, to pay for child care

Restrict child-focused advertising for unhealthy foods and beverages via bans on unhealthy food and drink ads during children’s TV programs, product placement in children’s movies, etc.

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

Establish and support land that is gardened or cultivated by community members via community land trusts, gardening education, zoning regulation changes, or service provision (e.g., water or waste disposal)

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

Engage a variety of partners in a highly visible, multi-component effort to increase physical activity, often with efforts to address cardiovascular disease risk factors

Assign higher costs to non-nutritious foods than nutritious foods via incentives, subsidies, or price discounts for healthy foods and beverages or disincentives or price increases for unhealthy choices

Enhance streetscapes with greater sidewalk coverage and walkway connectivity, street crossing safety features, traffic calming measures, and other design elements

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

Address the needs of teenage mothers via clinic-based programs that provide health care and family planning services as well as case management, counseling, and other supports

Provide information about contraception and protection against sexually transmitted infections (STIs) in classroom or community settings

Implement a coordinated effort to overhaul school operation, integrating curriculum, instruction, professional development, parent involvement, classroom and school management; also called school-wide or whole school reform

Support the federal-state partnership that pays participating landowners an annual rental rate for removing environmentally sensitive land from production and introducing conservation practices on the land.

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)

Offer debt advice from trained providers to tenants with unpaid, overdue rent to help repay debt and increase financial literacy

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

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

Expand refundable earned income tax credits for working individuals and families with low to moderate incomes

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

Provide prescriptions or medications to patients diagnosed with treatable STIs to give to their partners without provider visits; also called patient-delivered partner therapy (PDPT)

Provide chances for kids and adolescents to be active and play sports at various skill levels via structured or unstructured after and before school athletic activities

Incorporate locally grown foods into school meals and snacks, often with visits from food producers, cooking classes, nutrition and waste reduction efforts, and school gardens

Support multiple vendor markets where producers sell goods such as fresh fruit and vegetables, meat, dairy items, and prepared foods directly to consumers

Provide education on basic budgeting, bank use, credit management, bankruptcy, credit building and counseling, homeownership, retirement, divorce, etc.

Offer payments, credits toward health insurance premiums, or other financial rewards to encourage employees to lose weight, eat more healthily, quit smoking, engage in physical activity, etc.

Offer participants with low incomes matching funds to purchase healthy foods, especially fresh fruits and vegetables; often called bonus dollars, market bucks, produce coupons, or nutrition incentives

Offer samples of fresh fruits and vegetables in cafeterias, nutrition classes, school gardens, or workplace well-being meetings, often as part of a multi-faceted nutrition intervention

Adopt policies that allow custodial parents who receive Temporary Assistance for Needy Families (TANF) to collect all child support paid by the non-custodial parent; no portion is retained by the state

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

Increase green space through new parks or open spaces, renovation or enhancement of under-used recreation areas, rehabilitation of vacant lots, brownfields, etc.

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.

Encourage convenience stores, corner stores, or gas station markets to carry fresh produce and other healthier food options

Combine hunger relief efforts with nutrition information and healthy eating opportunities, often with on-site cooking demonstrations, recipe tastings, produce display stands, etc.

Modify the school lunch food environment or school lunch schedules by increasing the convenience of healthy foods, providing healthy options, or ensuring students have enough time to eat

Increase healthy options in vending machines by reducing the price of healthy choices, increasing the number of healthy choices compared to unhealthy choices, etc.

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

Notify partners exposed to an STI of their risk, encourage testing, and refer to services; also called contact tracing, or partner counseling and referral services

Assign homework or extra credit activities for physical education (PE) or health classes that require students to be physically active outside of school

Support subsidized asset accumulation programs in which deposits by participants with low and moderate incomes are matched by program sponsors; withdrawals must be used for qualified expenses to retain matching funds

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