
Thrivopolis

A game and discussion where players navigate a social safety net in the not-so-distant future
In the wake of the Great Unraveling in the not-so-distant future, a brave few set out to construct a utopian refuge high in the treetops. Born was Thrivopolis, a verdant, gleaming city in the lush embrace of the trees – a true testament to the enduring spirit of humanity.
As a dedicated youth-supporting professional, you are integral to this grand experiment. Your mission is to navigate a social safety net suspended in the canopy, gathering valuable resources to better the lives of those that you support.
Along the way, you’ll soon discover the eerie echoes of the world that came before.

Print-on-demand Thrivopolis
Coming Spring 2025
It’s playtime!
Youth-supporting professionals may join the fun at Thrivopolis events nationwide. Look for us at:
- The Healthy Teen Network Annual National Conference, October 6–8, 2025, in Atlanta, Georgia

Facilitator guide
This guide offers direction on how to play and discuss Thrivopolis with one or more groups of youth-supporting professionals during workshops lasting 90 minutes or more.
Player guide
Use the player guide to set up your game board and learn the rules of Thrivopolis.

Enter the world of Thrivopolis
Want to get your hands on Thrivopolis? Order one today, complete with everything you need to play—from instructions to cards to pawns—all packaged in a sturdy game box.
Please note: Bulk orders of 10 or more games receive a discount but may take longer to manufacture and ship.
Explore the research behind the game
Learn more about the research that helped create the elements of Thrivopolis.
Gathering resources
The resources of Thrivopolis represent the things real-life young people need to thrive. Click on an icon below to see the research supporting each item.

Reusable Water Bottle
Citations
BJC HealthCare. (2024). How much water do I need? A guide to staying hydrated. Retrieved from https://www.bjc.org/news/how-much-water-do-i-need-guide-staying-hydrated
Qian, N., Gao, X., Lang, X., & Min, W. (2024). Rapid single-particle chemical imaging of nanoplastics by SRS microscopy. Proceedings of the National Academy of Sciences, 121(3), e2300582121. https://doi.org/10.1073/pnas.2300582121
National Institutes of Health. (2024). Plastic particles in bottled water. Retrieved from https://www.nih.gov/news-events/nih-research-matters/plastic-particles-bottled-water
Popkin, B. M., D’Anci, K. E., & Rosenberg, I. H. (2010). Water, hydration, and health. Nutrition Reviews, 68(8), 439–458. https://doi.org/10.1111/j.1753-4887.2010.00304.x

Condom Delivery App
Citations
Office of Disease Prevention and Health Promotion. (n.d.). Increase the proportion of adolescent males who used a condom the last time they had sex. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/objectives-and-data/browse-objectives/family-planning/increase-proportion-adolescent-males-who-used-condom-last-time-they-had-sex-fp-06
Tibbits, M., Ndashe, T.P., King, K., & Siahpush, M. (2018). Promoting Condom Use Through a Youth-Focused Community-Wide Free Condom Distribution Initiative. American Journal of Public Health, 108(11):1506-1508. doi: 10.2105/AJPH.2018.304679.

Birth Control
Citations
Office of Disease Prevention and Health Promotion. (n.d.). Reduce the proportion of unintended pregnancies. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/objectives-and-data/browse-objectives/family-planning/reduce-proportion-unintended-pregnancies-fp-01
Office of Disease Prevention and Health Promotion. (n.d.). Increase the proportion of adolescent females who used effective birth control the last time they had sex. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/objectives-and-data/browse-objectives/family-planning/increase-proportion-adolescent-females-who-used-effective-birth-control-last-time-they-had-sex-fp-05
Planned Parenthood. (n.d.). What are the benefits of the birth control pill? https://www.plannedparenthood.org/learn/birth-control/birth-control-pill/what-are-the-benefits-of-the-birth-control-pill?utm_source=apps&utm_medium=referral&utm_campaign=ppdirect&utm_content=pulse

Period Products
Citations
UNICEF (n.d.). Menstrual Hygiene: Gender inequality, cultural taboos, and poverty can cause menstrual health needs to go unmet. https://www.unicef.org/wash/menstrual-hygiene
UNICEF (2019). Guide to Menstrual Hygiene Materials. https://www.unicef.org/media/91346/file/UNICEF-Guide-menstrual-hygiene-materials-2019.pdf

Bicycle
Citations
Office of Disease Prevention and Health Promotion. (n.d.). Increase the proportion of adolescents who walk or bike to get places. Healthy People 2030. U.S. Department of Health and Human Services. https://doi.org/10.1016/j.pvr.2019.100189

Basic Hygiene Tools
Citations
Cleveland Clinic (2022). Dental hygiene: How to care for your teeth. https://my.clevelandclinic.org/health/articles/11217-dental-hygiene
Centers for Disease Control and Prevention (2023). Handwashing: Clean hands save lives. https://www.cdc.gov/handwashing/index.html

HPV Vaccine
Citations
Kaul, S., Do, T., Hsu, E., Shmeler, K., Montealegre, J., & Rodriguez (2019). School-based human papillomavirus vaccination program for increasing vaccine uptake in an underserved area in Texas. Papillomavirus Research, 8, 100189, 1 – 8. https://doi.org/10.1016/j.pvr.2019.100189
Centers for Disease Control and Prevention (2021, November 16). Human Papillomavirus (HPV) Vaccination: What Everyone Should Know. https://www.cdc.gov/vaccines/vpd/hpv/public/index.html#:~:text=HPV%20vaccine%20may%20be%20available,vaccine%2C%20ask%20for%20a%20referral
Office of Disease Prevention and Health Promotion. (n.d.). Increase the proportion of adolescents who get recommended doses of the HPV vaccine. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/objectives-and-data/browse-objectives/vaccination/increase-proportion-adolescents-who-get-recommended-doses-hpv-vaccine-iid-08

Private Doctors' Visit
Citations
So, M. (2024). Differences in Receipt of Time Alone with Healthcare Providers Among US Youth Ages 12–17. The Journal of the American Board of Family Medicine, 37(2) 309-315. DOI: https://doi.org/10.3122/jabfm.2023.230222R1
Office of Disease Prevention and Health Promotion (ODPHP). (n.d.). Increase the proportion of adolescents who speak privately with a provider at a preventive medical visit. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/objectives-and-data/browse-objectives/adolescents/increase-proportion-adolescents-who-speak-privately-provider-preventive-medical-visit-ah-02

Trusted Adult
Citations
Office of Disease Prevention and Health Promotion. (n.d.). Increase the proportion of adolescents who have an adult they can talk to about serious problems. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/objectives-and-data/browse-objectives/adolescents/increase-proportion-adolescents-who-have-adult-they-can-talk-about-serious-problems-ah-03
Spencer, R., Gowdy, G., Drew, A. L., & Rhodes, J. E. (2019). “Who knows me the best and can encourage me the most?”: Matching and early relationship development in youth-initiated mentoring relationships with system-involved youth. Journal of Adolescent Research, 34(1), 3-29. https://doi.org/10.1177/0743558418755686
Spencer, R., Tugenberg, T., Ocean, M., Schwartz, S., & Rhodes, J. (2016). “Somebody who was on my side”: A qualitative examination of youth-initiated mentoring. Youth & Society, 48(3), 402–424. https://doi.org/10.1177/0044118X13495053
Boys & Girls Clubs of America. (n.d.). Youth mentoring. https://www.bgca.org/get-involved/advocacy/federal-priorities/youth-mentoring/#:~:text=The%20National%20Youth%20Mentoring%20Initiative,teens%20have%20a%20brighter%20future

High School Diploma
Citations
Zaff, J., Donlan, A., Gunning, A., Anderson, S., McDermott, E., & Sedaca, M. (2017). Factors that promote high school graduation: A review of the literature. Educational Psychology Review, 29, 447–476. https://doi.org/10.1007/s10648-016-9363-5
Office of Disease Prevention and Health Promotion. (n.d.). Increase the proportion of high school students who graduate in 4 years. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/objectives-and-data/browse-objectives/adolescents/increase-proportion-high-school-students-who-graduate-4-years-ah-08
Jerald, C., Campbell, N., & Roth, E. (2017). High schools of the future: How states can accelerate high school redesign. Center for American Progress. https://eric.ed.gov/?id=ED586218

Naloxone and Drug Testing Strips
Citations
Chadi, N., & Hadland, S. (2019). Youth access to naloxone: The next frontier? Journal of Adolescent Health, 65(5), 571-572. https://doi.org/10.1016/j.jadohealth.2019.08.005
Centers for Disease Control and Prevention. (2024). Lifesaving naloxone. https://www.cdc.gov/stop-overdose/caring/naloxone.html
National Institute on Drug Abuse. (2022). Naloxone drug facts. https://nida.nih.gov/publications/drugfacts/naloxone#:~:text=It%20is%20an%20opioid%20antagonist,because%20of%20an%20opioid%20overdose

Photo ID
Citations
Sander, C., Burnett, K., Lam, S., Hassan, M., & Skinner, K. (2020). “You Need an ID to Get an ID”: A scoping review of personal identification as a barrier to and facilitator of the social determinants of health in North America. International Journal of Environmental Research and Public Health, 17(12):4227. doi: 10.3390/ijerph17124227
Pierce, M. (2024). Proof of ID: Building access and personhood in the social service ecosystem through exchange. Journal of Public Policy & Marketing, 43(2), 95-111. https://doi.org/10.1177/074391562311903
Kolb, L. & Pokempner, J. (2017). Proving I Exist: Strategies for Assisting Youth in Obtaining Identification Documents. American Bar Association. https://www.americanbar.org/groups/litigation/resources/newsletters/childrens-rights/strategies-assisting-youth-obtaining-identification-documents/

Smartphone
Citations
Lal, S., Halicki-Asakawa, A., & Fauvelle, A. (2021). A Scoping Review on Access and Use of Technology in Youth Experiencing Homelessness: Implications for Healthcare. Frontiers in Digital Health, 3, article 782145. https://doi.org/10.3389/fdgth.2021.782145
Thurman, W., Semwal, M., Moczygemba, L., & Hilbelink, M. (2021). Smartphone Technology to Empower People Experiencing Homelessness: Secondary Analysis. Journal of Medical Internet Research, 23(9), e27787. doi: 10.2196/27787

Checking Account
Citations
Weida, E.B., Phojanakong, P., Patel, F., & Chilton, M. (2020). Financial health as a measurable social determinant of health. PLoS ONE 15(5): e0233359. https://doi.org/10.1371/journal.pone.0233359

STI Prevention Medication
Citations
Shannon, C. & Klausner, J. (2018) The growing epidemic of sexually transmitted infections in adolescents: a neglected population. Current Opinion in Pediatrics, 30(1), 137-143. doi: 10.1097/MOP.0000000000000578.
U.S. Department of Health and Human Services (2022). STI National Strategic Plan Overview. https://www.hhs.gov/programs/topic-sites/sexually-transmitted-infections/plan-overview/index.html#:~:text=What%20Is%20the%20STI%20National%20Strategic%20Plan%3F&text=aims%20to%20reverse%20the%20recent,measurable%20targets%20to%20track%20progress.
CDC (2021). Sexually Transmitted Infections Treatment Guidelines, 2021: Primary Prevention Methods. https://www.cdc.gov/std/treatment-guidelines/clinical-primary.htm
Editorial (2022). Youth STIs: an epidemic fueled by shame. The Lancet Child & Adolescent Health, 6(6), P353. DOI: https://doi.org/10.1016/S2352-4642(22)00128-6
National Institutes of Health (2023, April 25). Antibiotics can help prevent common sexually transmitted infections. https://www.nih.gov/news-events/nih-research-matters/antibiotic-can-help-prevent-common-sexually-transmitted-infections

At-Home STI Testing Kit
Citations
Centers for Disease Control (2021, July 22). Sexually Transmitted Infections Treatment Guidelines, 2021. https://www.cdc.gov/std/treatment-guidelines/adolescents.htm
Centers for Disease Control. (2024, April 9). Getting Tested for STIs. https://www.cdc.gov/sti/testing/index.html#:~:text=All%20sexually%20active%20people%20ages,gonorrhea%20and%20chlamydia%20every%20year.
Shih, S., Graseck, A., Secura, G., Peipert, J. (2011) Screening for sexually transmitted infections at home or in the clinic? Current Opinion in Infectious Disease, 24(1):78-84. doi: 10.1097/QCO.0b013e32834204a8.
Melendez, J.H., Hamill, M.M., Armington, G.S., Gaydos, C.A., Manabe, Y.C. (2021). Home-Based Testing for Sexually Transmitted Infections: Leveraging Online Resources During the COVID-19 Pandemic. Sexually Transmitted Diseases., 48(1), e8-e10. doi: 10.1097/OLQ.0000000000001309.
Reitmeijer, C. (2019). Improving care for sexually transmitted infections. Journal of the International AIDS Society, 22(6), e25349. doi: 10.1002/jia2.25349

Service Animal
Citations
Lindsay, S. & Thiyagarajah, K. (2021). The impact of service dogs on children, youth and families: A systematic review. Disability and Health Journal, 14(3), 101012. https://doi.org/10.1016/j.dhjo.2020.101012
ADA.gov (n.d.). Service Animal. U.S. Department of Justice Civil Rights Division. https://www.ada.gov/topics/service-animals/
Navigating events
The events in Thrivopolis each fall under a social determinant of health—an environmental or social factor that affects a person’s health and well-being.
Click on each icon to see how it supports the health of young people.
Economic stability

Cash for change!
Citations
Farr, A., Lou, C., & Daly, H. S. (2024). How do children and society benefit from public investments in children? Urban Institute. Retrieved January 27, 2025, from https://www.urban.org/research/publication/how-do-children-and-society-benefit-public-investments-children#:~:text=Cash%20assistance%20improves%20mental%20health,positively%20impact%20a%20family%27s%20income
Office of Disease Prevention and Health Promotion. (n.d.). Social Determinants of Health: Poverty. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries/poverty
Shaefer, H. L., Collyer, S., Duncan, G., Edin, K., Garfinkel, I., Harris, D., Smeeding, T. M., Waldfogel, J., Wimer, C., & Yoshikawa, H. (2018). A Universal Child Allowance: A Plan to Reduce Poverty and Income Instability Among Children in the United States. The Russell Sage Foundation journal of the social sciences : RSF, 4(2), 22–42. https://doi.org/10.7758/RSF.2018.4.2.02

A new nest!
Citations
Chetty, R., Hendren, N., & Katz, L. F. (2016). The effects of exposure to better neighborhoods on children: New evidence from the Moving to Opportunity experiment. American Economic Review, 106(4), 855–902.
Cutts, D. B., Meyers, A. F., Black, M. M., Casey, P. H., Chilton, M., Cook, J. T., … & Frank, D. A. (2011). US housing insecurity and the health of very young children. American Journal of Public Health, 101(8), 1508–1514.
Glick, J. L., Lopez, A., Pollock, M., & Theall, K. P. (2020). Housing insecurity and intersecting social determinants of health among transgender people in the USA: A targeted ethnography. International Journal of Transgender Health, 21(3), 337–349. https://doi.org/10.1080/26895269.2020.1780661
Medina, C., Santos, T., & Mahowald, L. (2022). Protecting and advancing health care for transgender adult communities. Center for American Progress. https://www.americanprogress.org/article/protecting-advancing-health-care-transgender-adult-communities/
Office of Disease Prevention and Health Promotion. (n.d.). Social Determinants of Health: Housing Instability. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries/housing-instability

The right fit?!
Citations
A.J. Drexel Autism Institute. (2022). National Autism Indicators Report: Vocational Rehabilitation – Critical Services for People with Autism. Drexel University. https://drexel.edu/~/media/files/autismoutcomes/publications/nair%202022%20intersection.ashx
Matusiak, J. (n.d.). How to create an autism-friendly environment. Autism Society of America. https://livingautism.com/create-autism-friendly-environment/
Office of Disease Prevention and Health Promotion. (n.d.). Social Determinants of Health: Employment. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries/employment

Fighting hunger with flavor!
Citations
Burke, M. P., Martini, L. H., Çayır, E., Hartline-Grafton, H. L., & Meade, R. L. (2016). Severity of household food insecurity is positively associated with mental disorders among children and adolescents in the United States. The Journal of Nutrition, 146(10), 2019–2026.
Office of Disease Prevention and Health Promotion. (n.d.). Social Determinants of Health: Food Insecurity. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries/food-insecurity
Macklin, M. L., Redfield, E., & Conron, K. J. (2023). Food insecurity disproportionately impacts LGBTQ youth. The Williams Institute, UCLA School of Law. https://williamsinstitute.law.ucla.edu/publications/food-insecurity-lgbtq-youth/
Food Bank of the Rockies. (n.d.). Culturally responsive food initiative. https://www.foodbankrockies.org/about/programs/culturally-responsive-food-initiative/
Education quality & access

Oh baby, it's about time!
Citations
Office of Disease Prevention and Health Promotion. (n.d.). High School Graduation. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries/high-school-graduation
National Women’s Law Center. (2023). Supporting Pregnant and Parenting Students in Middle Schools and High Schools: Flexible school attendance laws [Report]. https://nwlc.org/wp-content/uploads/2023/06/ExcusedAbsenceReport.pdf

High five!
Citations
Office of Disease Prevention and Health Promotion. (n.d.). Enrollment in Higher Education. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries/enrollment-higher-education#cit3
PeerForward. (n.d.). The Challenge We Face. https://www.peerforward.org/the-challenge/

What a mess!
Citations
Office of Disease Prevention and Health Promotion. (n.d.). Early Childhood Development and Education. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries/early-childhood-development-and-education#cit2
National Head Start Association. (2022). Head Start United: Removing barriers to access for children and families [Report]. https://nhsa.org/wp-content/uploads/2022/04/Head-Start-United-Removing-Barriers-to-Access-for-Children-and-Families-1.pdf

Game on!
Citations
Everyday Speech. (n.d.). Promoting good sportsmanship: Creating a positive sporting environment. Retrieved January 27, 2025, from https://everydayspeech.com/sel-implementation/promoting-good-sportsmanship-creating-a-positive-sporting-environment/
University of San Diego. (n.d.). Child development through sports. Retrieved January 27, 2025, from https://pce.sandiego.edu/child-development-through-sports/

On the menu: Bullying
Citations
Craig, J. T., Gregus, S. J., Elledge, L. C., Pastrana, F. A., & Cavell, T. A. (2016). Preliminary investigation of the relationship between lunchroom peer acceptance and peer victimization. Journal of Applied Developmental Psychology, 43, 101-111. https://doi.org/10.1016/j.appdev.2016.01.005
Macklin, M. L., Redfield, E., & Conron, K. J. (2023). Food Insecurity Among LGBTQ Youth. The Williams Institute, UCLA. https://williamsinstitute.law.ucla.edu/wp-content/uploads/Youth-Food-Insecurity-Jun-2023.pdf
Health care quality & access

Say ahhh!
Citations
Florez, K. (2005). Language Barriers in Health Care. Annual Review of Public Health, 26, 18-21.
Nielson-Bohlman, L., Panzer, A. M., & Kindig, D. A. (2004). Health Literacy: A Prescription to End Confusion. National Academies Press.
Office of Disease Prevention and Health Promotion. (n.d.). Language and Literacy. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries/language-and-literacy
Rodriguez, J. A., Saadi, A., Schwamm, L. H., Bates, D. W., & Samal, L. (2021). Disparities in Telehealth Use Among California Patients With Limited English Proficiency. Health Affairs, 40(30), 487–495. https://doi.org/10.1377/hlthaff.2020.00823

Antibiotic resistance!
Citations
Barrow, R. Y., Ahmed, F., Bolan, G. A., & Workowski, K. A. (2020). Recommendations for Providing Quality Sexually Transmitted Diseases Clinical Services, 2020. Morbidity and Mortality Weekly Report Recommendations and Report, 68(5), 1–13. doi: http://dx.doi.org/10.15585/mmwr.rr6805a1.
Keller, L. H. (2020). Reducing STI Cases: Young people deserve better sexual health information and services. Guttmacher Policy Review, 23, 6–12. https://www.guttmacher.org/sites/default/files/article_files/gpr2300620.pdf
National Academies of Sciences, Engineering, and Medicine. (2021). Sexually Transmitted Infections: Adopting a Sexual Health Paradigm. Washington, DC: National Academies Press. https://www.ncbi.nlm.nih.gov/books/NBK573165/

Dare to care!
Citations
Groth, R., Gold, M. A., Maier, M. C., Garth, J. R., Levy, R. A., Fan, W., & Garbers, S. (2024). The role of school-based health centers in providing long-acting reversible contraceptive care in adolescents in New York City. Sexual and Reproductive Health Care. https://doi.org/10.1016/j.srhc.2024.100972
Higgins, J. A., Kramer, R. D., & Ryder, K. M. (2016). Provider Bias in Long-Acting Reversible Contraception (LARC) Promotion and Removal: Perceptions of Young Adult Women. American journal of public health, 106(11), 1932–1937. https://doi.org/10.2105/AJPH.2016.303393
Shrestha, S., & Hannah, F. (2024). Improving Access to Long-Acting Reversible Contraception in the Primary Care Setting. The Journal for Nurse Practitioners, 20(50), 104988. https://doi.org/10.1016/j.nurpra.2024.104988
Summit, A. K., Friedman, E., Stein, T. B., & Gold, M. (2019). Integration of Onsite Long-Acting Reversible Contraception Services Into School-Based Health Centers. Journal of School Health, 89(3), 226–231. https://doi.org/10.1111/josh.12732

A bright idea!
Citations
Office of Disease Prevention and Health Promotion. (n.d.). Reduce the proportion of students in grades 9 through 12 who report sunburn – C-10. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/objectives-and-data/browse-objectives/cancer/reduce-proportion-students-grades-9-through-12-who-report-sunburn-c-10
The Community Guide. (n.d.). Skin Cancer: Primary and Middle School-Based Interventions. Retrieved January 25, 2025 from https://www.thecommunityguide.org/findings/skin-cancer-primary-and-middle-school-based-interventions.html

Tick, tock.
Citations
Guttmacher Institute. (2023a, September 1). State Laws and Policies: Emergency contraception. https://www.guttmacher.org/state-policy/explore/emergency-contraception
Guttmacher Institute. (2023b, August 31). State Laws and Policies: Refusing to Provide Health Services. https://www.guttmacher.org/state-policy/explore/refusing-provide-health-services
National Women’s Law Center. (2017). Reproductive Rights & Health: Pharmacy Rules 101 [Fact Sheet]. https://nwlc.org/wp-content/uploads/2017/12/Pharmacy-Refusals-101.pdf
Office of Disease Prevention and Health Promotion. (n.d.). Reduce the proportion of people who can’t get prescription medicines when they need them – AHS-06. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/objectives-and-data/browse-objectives/health-care-access-and-quality/reduce-proportion-people-who-cant-get-prescription-medicines-when-they-need-them-ahs-06

Under wraps!
Citations
Office of Disease Prevention and Health Promotion. (n.d.). Increase the proportion of adolescents who speak privately with a provider at a preventive medical visit. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/objectives-and-data/browse-objectives/adolescents/increase-proportion-adolescents-who-speak-privately-provider-preventive-medical-visit-ah-02
Pathak, P. R., & Chou, A. (2019). Confidential Care for Adolescents in the U.S. Health Care System. Journal of Patient-Centered Research and Reviews, 6(1), 46–50. https://doi.org/10.17294/2330-0698.1656
So, M. (2024). Differences in Receipt of Time Alone with Healthcare Providers Among US Youth Ages 12–17. The Journal of the American Board of Family Medicine, 37(2), 309–315. https://doi.org/10.3122/jabfm.2023.230222R1
Society of Adolescent Health and Medicine. (2016). Confidentiality Protections for Adolescents and Young Adults in the Health Care Billing and Insurance Claims Process [Position Paper]. Journal of Adolescent Health, 58, 374–377. http://dx.doi.org/10.1016/j.jadohealth.2015.12.009
Neighborhood & built environment

It's no pipe dream!
Citations
Gartner, E. (2020). How to protect our children from lead poisoning. Earthjustice. Retrieved January 27, 2025, from https://earthjustice.org/article/how-to-protect-our-children-from-lead-poisoning
Office of Disease Prevention and Health Promotion. (n.d.). Quality of Housing. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries/quality-housing
Weitzman, M., Baten, A., Rosenthal, D. G., Hoshino, R., Tohn, E., & Jacobs, D. E. (2013). Housing and Child Health. Current Problems in Pediatric and Adolescent Health Care, 43(8), 187-224. https://doi.org/10.1016/j.cppeds.2013.06.001

Young, wild, and free!
Citations
Meredith, G. R., Rakow, D. A., Eldermire, E. R. B., Madsen, C. G., Shelley, S. P., & Sachs, N. A. (2020). Minimum Time Dose in Nature to Positively Impact the Mental Health of College-Aged Students, and How to Measure It: A Scoping Review. Frontiers in Psychology, 10(2942). https://doi.org/10.3389/fpsyg.2019.02942
Toft Amholt, T., Westerskov Dalgas, B., Veitch, J., Ntoumanis, N., Fich Jespersen, J., Schipperijn, J., & Pawlowski, C. (2022). Motivating playgrounds: understanding how school playgrounds support autonomy, competence, and relatedness of tweens. International Journal of Qualitative Studies on Health and Well-Being, 17(1). https://doi.org/10.1080/17482631.2022.2096085
Iravani, H., & Rao, V. (2019). The effects of New Urbanism on public health. Journal of Urban Design, 25(2), 218–235. https://doi.org/10.1080/13574809.2018.1554997

A concerning discovery...
Citations
Brender, J. D., Maantay, J. A., & Chakraborty, J. (2011). Residential Proximity to Environmental Hazards and Adverse Health Outcomes. American Journal of Public Health, 101(S1), S5–S364. https://doi.org/10.2105/AJPH.2011.300183
Cooperman, C. (2021). Environmental injustice and the legacy of redlining. Religious Action Center of Reform Judaism. Retrieved January 27, 2025, from https://rac.org/blog/environmental-injustice-and-legacy-redlining
Office of Disease Prevention and Health Promotion. (n.d.). Environmental Conditions. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries/environmental-conditions

Wi-Fi warriors...
Citations
Center for Countering Digital Hate & Human Rights Campaign. (2022). Digital Health: Social Media’s Role In Amplifying Dangerous Lies About LGBTQ+ People. https://hrc-prod-requests.s3-us-west-2.amazonaws.com/CCDH-HRC-Digital-Hate-Report-2022-single-pages.pdf
Flores, A. R., Stotzer, R. L., Meyer, I. H., & Langton, L. L. (2022). Hate crimes against LGBT people: National Crime Victimization Survey, 2017-2019. PLOS ONE, 17(12), e0279363. https://doi.org/10.1371/journal.pone.0279363
Metzler, M., Merrick, M. T., Klevens, J., Ports, K. A., & Ford, D. C. (2017). Adverse childhood experiences and life opportunities: Shifting the narrative. Children and Youth Services Review, 72, 141–149. https://psycnet.apa.org/record/2017-02960-003
Office of Disease Prevention and Health Promotion. (n.d.). Crime and Violence. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries/crime-and-violence

Does red tape fill an empty belly?
Citations
Food Bank of the Rockies. (n.d.). Culturally responsive food initiative. https://www.foodbankrockies.org/about/programs/culturally-responsive-food-initiative/
Office of Disease Prevention and Health Promotion. (n.d.). Access to Foods That Support Healthy Dietary Patterns. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries/access-foods-support-healthy-dietary-patterns#cit5
Schweitzer, J. (2022). How to Address the Administrative Burdens of Accessing the Safety Net [Report]. The Center for American Progress. https://www.americanprogress.org/article/how-to-address-the-administrative-burdens-of-accessing-the-safety-net/
Ver Ploeg, M., Breneman, V., Farrigan, T., Hamrick, K., Hopkins, D., Kaufman, P., Lin, B.H., Nord, M., Smith, T.A., Williams, R., & Kinnison, K. (2009). Access to Affordable and Nutritious Food: Measuring and Understanding Food Deserts and Their Consequences. Economic Research Service, USDA. Accessed January 27, 2025 from https://ers.usda.gov/sites/default/files/_laserfiche/publications/42711/12716_ap036_1_.pdf?v=30566
Social & community context

United we thrive!
Citations
Office of Disease Prevention and Health Promotion. (n.d.). Civic Participation. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries/civic-participation#cit19
Peace Through Action USA. (2021). Do something about toxic polarization. https://peacethroughaction.org/do-something-for-peace/choose-peaceful-actions/dosomethingseries/toxic-polarization/

A shift in the ranks!
Citations
Bazelon Center for Mental Health Law. (2021). Replacing police in schools: A better approach to school safety. Retrieved January 27, 2025, from https://www.bazelon.org/wp-content/uploads/2021/08/Replacing-Police-in-Schools-1.pdf
Binswanger, I. A., Krueger, P. M., & Steiner, J. F. (2009). Prevalence of chronic medical conditions among jail and prison inmates in the USA compared with the general population. Journal of Epidemiology & Community Health, 63(11), 912-919.
Office of Disease Prevention and Health Promotion. (n.d.). Incarceration. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries/incarceration
National Women’s Law Center. (2021). Stop Flushing Money Down the Pipeline: A call to divert federal money from cops to counseling in schools [Fact Sheet]. https://nwlc.org/wp-content/uploads/2021/11/Stop-Flushing-Money-Down-the-Pipeline-Fact-Sheet-SRO-Funding-6.27.22.pdf
Vera Institute of Justice & Young Women’s Freedom Center. (2024). Freedom and Justice: Ending the incarceration of girls and gender-expansive youth in California. https://www.vera.org/downloads/Vera-YWFC-Freedom-and-Justice.pdf

A very vibrant verdict...
Citations
American Academy of Child & Adolescent Psychiatry. (2018). Conversion Therapy [Policy Statement]. https://www.aacap.org/AACAP/Policy_Statements/2018/Conversion_Therapy.aspx
Office of Disease Prevention and Health Promotion. (n.d.). LGBT. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/objectives-and-data/browse-objectives/lgbt
Trispiotis, I., & Purshouse, C. (2022). ‘Conversion Therapy’ As a Degrading Treatment. Oxford Journal of Legal Studies, 42(1), 104-132. https://doi.org/10.1093/ojls/gqab024
Human Rights Campaign. (n.d.). The Lies and Dangers of Efforts to Change Sexual Orientation or Gender Identity. https://www.hrc.org/resources/the-lies-and-dangers-of-reparative-therapy
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This project is supported by the Office of Population Affairs (OPA) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award (1 PHEPA000006-01) totaling $1,063,776.35 with 100 percent funded by OPA/OASH/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by OPA/OASH/HHS, or the U.S. Government. For more information, please visit opa.hhs.gov.