Thrivopolis game-board squares with maze-like pathways

Thrivopolis

thrivology

A game and discussion where players navigate a social safety net in the not-so-distant future

Thrivology

News

About Us

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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 enduing 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 and Player Handouts

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.

Gameboard Squares

In Thrivopolis, players navigate the city’s verdant pathways on two-sided gameboard squares, each with  a daytime side and a more challenging nighttime side.

Player, Event and Resource Cards

Meet the youth-supporting professionals of Thrivopolis, examine the valuable resources they seek, and glimpse the events shifting the Thrivopolis safety net and the very ground beneath.

Reusable Water Bottle

Background Content 

Staying hydrated is key to overall health, especially for your kidneys, which rely on water to flush out toxins (Popkin et al., 2010). A reusable water bottle makes it easier to stay on track while also helping kids skip single-use plastics and avoid harmful microplastics found in bottled water (BJC HealthCare, 2024; NIH, 2024). Plus, reusable bottles are a simple way to reduce waste and protect the environment (Qian et al., 2024).

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

Recommended Resources  

Plastic Oceans International: The Rethink.Refill. Education Program teaches students to reduce plastic waste by using refillable bottles. https://plasticoceans.org/rethink-refill-program-launched/#:~:text=Refill.%2C%20an%20education%20program%20that,teach%20students%20about%20plastic%20waste

Fill it Forward: Encourages reusable bottle use and supports clean water projects globally through its app and programs. https://fillitforward.com/

Post University: Distributes reusable bottles to students and staff to promote sustainability and reduce plastic waste. https://post.edu/blog/post-launches-reusable-water-bottle-program/

 

Condom Delivery App

Background Content

While condoms can help prevent unplanned pregnancy and some STIs, many sexually active young people didn’t use a condom the last time they had sex. Research suggests that giving out condoms and providing education on how to use them may increase condom use among young people (ODPHP, n.d.). In addition, condom distribution programs also help to increase access to condoms (Tibbitis et al., 2018).

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. 

Recommended Resources

Philly Keep on Loving: Provides free condoms and sexual health resources to residents of Philadelphia. https://phillykeeponloving.com/order/

OHIV (Ohio HIV/STI Hotline): Offers free condoms and sexual health information to promote safer sex practices in Ohio. https://ohiv.org/free-condoms/

SisterLove: Distributes free condoms and raises awareness about safer sex during Condom Awareness Month and beyond. https://www.sisterlove.org/post/condom-awareness-month-free-condoms

TeenSource: Helps teens access free condoms and provides resources on sexual health and safer sex practices. https://www.teensource.org/condoms/free

Advocates for Youth, The Condom Collective: Empowers undergraduate students to distribute condoms and advocate for systemic change on their campuses. https://www.advocatesforyouth.org/campaigns/the-condom-collective/#:~:text=Applications%20to%20join%20the%20Condom,of%20organizing%20for%20systemic%20change

Boston University, Condom Fairy: Delivers free safer sex supplies to students’ mailboxes, along with information on sexual health and wellbeing. https://www.bu.edu/shs/wellness/our-programs/sexual-health-misconduct-prevention/condom-fairy/

 

Birth Control

 Background Content

For young people who have sex, using hormonal birth control or an intrauterine device (IUD) along with a condom is the most effective way to prevent unplanned pregnancy (ODPHP, n.d.). Accessible birth control supports those not ready for parenthood and offers additional benefits, such as reducing menstrual cramps, lightening periods, and lowering the risk of ectopic pregnancy (Planned Parenthood, n.d.).

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

Recommended Resources:

Free the Pill: Advocates for over-the-counter access to birth control pills to make contraception more accessible and affordable. https://freethepill.org/

Bedsider: Provides a guide on how to get birth control delivered to your door, offering convenience and privacy. https://www.bedsider.org/features/851-how-to-get-birth-control-delivered-right-to-your-door

PRJKT RUBY: Offers affordable birth control online with free consultations and shipping, donating a month of contraception for each pack purchased to women in developing countries through PSI. https://www.prjktruby.com/

NURX: Provides affordable birth control online, starting at $0 with insurance or $15 without, with a $30 medical consultation fee. https://bit.ly/4dbmt5Q

Office of Population Affairs, Find A Family Planning Clinic: Search tool to locate clinics offering family planning, reproductive health services, and preventative care like HPV vaccination, HIV PrEP, and cancer screenings. https://reproductivehealthservices.gov/

Family Planning Program (Healthy Texas Women): Offers family planning and preventative health services, including birth control and screenings, to women in Texas. https://www.healthytexaswomen.org/healthcare-programs/family-planning-program

Trust Her Access Clinic: Provides free contraceptives and reproductive health services to women in Dallas. https://trust-her.org/

 

Period Products

Background Content

Access to menstrual products is crucial for people who menstruate to maintain dignity, hygiene, and comfort during their menstrual cycles. It supports their education by preventing absenteeism, empowers them to participate fully in activities, and contributes to breaking down stigmas surrounding menstruation (UNICEF, n.d.; UNICEF, 2019).

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 

Recommended Resources

Go Aunt Flow: Installs period product dispensers and provides free menstrual products to schools, workplaces, and public spaces. https://goauntflow.com/

Helping Women Period: Supplies no-cost menstrual products to individuals experiencing housing instability or those with low income. https://www.helpingwomenperiod.org/#:~:text=Helping%20Women%20Period%20is%20a,either%20homeless%20or%20low%2Dincome

Period. The Menstrual Movement: Distributes free period products and empowers local activists through grassroots training and education. https://period.org/

The Cup: Provides sustainable period cups and education on sexuality and reproductive rights to underprivileged girls worldwide. https://www.thecup.org/

Alliance for Period Products: Supports programs that provide free period products to those unable to afford them. https://allianceforperiodsupplies.org/allied-programs/#:~:text=Allied%20Programs-,Allied%20Programs,to%20afford%20material%20basic%20needs

 

Bicycle

Background Content

Alternative transportation like a bicycle or scooter can provide independence, access to new opportunities, a cost-effective mode of transportation, and a form of low-impact exercise. Active transportation also makes it easier to fit regular physical activity into one’s routine (ODPHP, n.d.).

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 

Recommended Resources

Freewheels Houston: Provides bicycles to refugees, veterans, and low-income individuals to access work, school, and other destinations. https://freewheelshouston.org/about/

IndyRides Free: Offers free bike share passes to county residents as part of the larger Indy Pacer Bikeshare program. https://pacersbikeshare.org/indyridesfree/’

Book-A-Bike Program: Allows library cardholders to check out bikes for free at participating libraries. https://www.myacpl.org/bikes/

We Share: Provides free community bike rides for up to 30 minutes through a local bike share program. https://www.we-cycle.org/

Pocahontas, Iowa Bike share: Demonstrates a low-cost, advertising-funded bike share model for small towns. https://learn.sharedusemobilitycenter.org/casestudy/pocahontas-iowa-sees-opportunity-for-small-town-bikeshare/

Rent-A-Bench: Offers free tools and workspace for individuals to fix their bikes. https://www.icbikelibrary.org/rent-a-bench.html

Houston BCycle: A non-profit bike share program offering pay-to-ride options in Houston. https://www.houstonbcycle.com/

Bike Share Solutions for Small Cities and Towns: Explores innovative and affordable bike share options for smaller communities. https://www.nlc.org/article/2022/06/03/bikeshare-solutions-for-small-cities-towns/

PeopleForBikes: Advocates for federal funding to support local bicycle and pedestrian infrastructure projects. https://www.peopleforbikes.org/policy

 

Basic Hygiene Tools

Background Content

Basic hygiene tools such as toothbrushes, toothpaste, and soap are crucial to maintaining oral and overall hygiene. Regular toothbrushing and dental care prevent cavities, gum disease, and bad breath, contributing to long-term oral health (Cleveland Clinic, 2022). Proper use of soap during bathing and handwashing prevents the spread of germs, reducing the risk of infection (CDC, 2023). These resources also contribute to positive self-image and confidence. 

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

Recommended Resources 

S.O.S.: Provides state-of-the-art vending machines that offer convenient access to essential products like menstrual care items and wellness essentials. https://www.worldofsos.com/what-is-sos

 

HPV Vaccine

Background Content

School-based programs providing access to HPV vaccines and educational information can increase vaccination rates. This is great news as routine HPV (human papillomavirus) vaccination can prevent many cases of cancer caused by HPV. As a bonus, schools offer an ideal setting for distribution as the HPV vaccine is recommended for ages 11 to 12 years, but can start as early as age 9. (CDC, 2021; Kaul et al., 2019; ODPHP, n.d.)  

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

Recommended Resources 

Find A Family Planning Clinic, Office of Population Affairs: Search tool to locate clinics offering family planning, reproductive health services, and preventative care, including HPV vaccination, HIV PrEP, and cancer screenings. https://reproductivehealthservices.gov/

Give Teens Vaccines: A program aimed at increasing HPV vaccination rates among girls to reduce the risk of cervical cancer. https://ebccp.cancercontrol.cancer.gov/programDetails.do?programId=26197507

DOSE HPV: Educates medical providers on HPV and its vaccine, providing tools to effectively communicate with parents about the benefits of vaccination. https://ebccp.cancercontrol.cancer.gov/programDetails.do?programId=25930477

Steps for Increasing HPV Vaccination in Practice: A guide for healthcare providers to improve HPV vaccination rates through actionable steps and best practices. https://www.cancer.org/content/dam/cancer-org/online-documents/en/pdf/flyers/steps-for-increasing-hpv-vaccination-in-practice.pdf

 

Private Doctors Visit

Background Content

Attending a preventative medical visit and speaking privately with a healthcare provider can help adolescents develop a sense of independence and autonomy while building strong healthcare habits. Keeping care confidential also encourages young people to ask for help early when they have a problem, making it less likely that they’ll avoid getting care (So, 2024; ODPHP, n.d.).

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

Recommended Resources

Adolescent and School Health: Promotes one-on-one time between adolescents and healthcare providers to enhance protective factors and improve health outcomes. Centers for Disease Control and Prevention (2019). https://www.cdc.gov/healthyyouth/protective/factsheets/OneonOnetime_FactSheet.htm

 

Trusted Adult

Background Content

Young people with a trusted adult to confide in are less likely to engage in risky behaviors that could lead to chronic health issues later in life (ODPHP, n.d.). Mentoring programs have proven effective in improving adolescents’ social, emotional, behavioral, and academic outcomes (Boys & Girls Clubs of America, n.d.). Youth-initiated mentoring (YIM) is a promising alternative to traditional mentoring, fostering greater investment from young people, mentors, and parents/guardians, particularly among young people involved in systems of care (Spencer et al., 2019; Spencer et al., 2016).

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

Recommended Resources 

National Guard Youth Challenge Program: A community-based program that helps young people improve their education, life skills, and employment potential through structured mentoring and personal development phases. https://ngchallenge.org/about-us/challenge-phases/

Mentor: The In Real Life Blog Series highlights youth-initiated mentoring, where young people choose mentors from their communities to build meaningful connections and support their growth. https://www.mentoring.org/blog/mentoring-stories/youth-initiated-mentoring/

 

High School Diploma

Background Content

Many high school students don’t graduate on time or at all, despite the strong connection between graduation and better health, economic, and civic outcomes (Zaff et al., 2017). Programs like vocational training, alternative schools, counseling, and social-emotional skills training can boost graduation rates (ODPHP, n.d.). Redesigning high schools to meet students’ needs is a promising way to prepare them for future success, no matter their chosen path (Jerald, Campbell, & Roth, 2017).

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

Recommended Resources

Henderson County’s Innovative High School: A five-year high school program located on a community college campus, boasting a 100% graduation rate. https://educationsnapshots.com/projects/4111/innovative-high-school/

Blue Ridge Community College Innovative High Schools: A model partnership between a community college and public school system to provide high school students with college-level opportunities. https://www.blueridge.edu/programs-courses/high-school-programs/career-college-promise/innovative-high-schools/

Rethinking High School: Explores strategies to prepare students for college, careers, and life through high school redesign efforts. https://www2.wested.org/www-static/online_pubs/gf-07-02.pdf

Jerald, Campbell, & Roth (2017): “High Schools of the Future” provides insights into how states can accelerate high school redesign to better meet the needs of students. https://files.eric.ed.gov/fulltext/ED586218.pdf

 

Naloxone and Drug Testing Strips

Background Content

Over 100,000 people die from drug overdoses each year in the U.S., and nearly 10% of these deaths are young people under 26 (CDC, 2021; Chadi & Hadland, 2019). Naloxone is a safe, easy-to-use medication that can reverse opioid overdoses, including those caused by heroin, fentanyl, and prescription opioids (CDC, 2024). It can be given without medical training and won’t harm someone overdosing on a non-opioid drug (NIDA, 2022).

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

Recommended Resources

Alonso, J. (2023): Highlights the stocking of Narcan and fentanyl test strips in campus vending machines to address opioid overdoses. Inside Higher Ed. https://www.insidehighered.com/news/students/physical-mental-health/2023/10/30/narcan-fentanyl-test-strips-college-vending

San Mateo County Office of Education: Provides the Naloxone for Schools Program and Toolkit to equip schools with resources for opioid overdose prevention. https://www.smcoe.org/about/coalition-for-safe-schools-and-communities/naloxone-toolkit/

Stop Overdose.org, Youth Overdose Education: Offers educational resources to prevent overdoses by young people and promote awareness. https://stopoverdose.org/basics/youth-overdose-education/

Stop Overdose.org, Materials & Toolkits: Provides downloadable materials and toolkits to support overdose prevention efforts. https://stopoverdose.org/resources/materials-and-toolkits/

 

Name Change Assistance

Background Content

Many transgender people change their legal name to better represent their identity, a step that can significantly improve their mental health and well-being (Vance, 2018). While state laws generally allow for legal name changes, some states impose additional requirements that make the process more challenging. For example, certain states require individuals to publish their name change in a local newspaper, a step that can be both costly and invasive (Movement Advancement Project, 2024).

Citations

Vance, S. (2018). The Importance of Getting the Name Right for Transgender and Other Gender Expansive Youth. Journal of Adolescent Health, 63(4), 379-380. https://doi.org/10.1016/j.jadohealth.2018.07.022

Movement Advancement Project (2024). Identity Document Laws and Policies. https://www.lgbtmap.org/equality-maps/identity_documents 

Recommended Resources

Name Change Project: Guides participants through the legal name change process, including in-person assistance for notarizing documents and visits to courthouses, social security offices, and more. https://tranzmission.org/programs/name-change-project/

Transgender Legal Defense & Education Fund (2024), Name Change Project: Provides pro bono legal name change services to low-income transgender, gender non-conforming, and non-binary individuals through partnerships with prestigious law firms. https://transgenderlegal.org/our-work/name-change-project/#:~:text=TLDEF’s%20Name%20Change%20Project%20provides,firms%20and%20corporate%20law%20departments

Photo ID

Background Content

Having a valid photo ID is crucial to taking part in society, from applying for a job to picking up a prescription to riding interstate transportation. Often, obtaining state-based identification requires paying one or more fees, documented proof of residency, obtaining the consent of a parental/guardian, and providing a hard copy birth certificate, among other things. These are especially challenging for some young people, especially those experiencing unstable housing (Kolb, 2017; Sander et al. 2020).

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/ 

Recommended Resources

National Network for Youth (2023): Provides a state-by-state guide to help young people, including those experiencing housing instability, obtain ID cards. https://nn4youth.org/a-state-by-state-guide-to-obtaining-id-cards/

Wiltz, T. (2017): Explores the challenges faced by individuals without IDs who are experiencing housing instability and highlights state initiatives to reduce barriers to obtaining identification. Stateline. https://stateline.org/2017/05/15/without-id-homeless-trapped-in-vicious-cycle/

Smartphone  

Background Content

Access to health information and health services are common barriers for young people without stable housing (Lal, 2021). Smartphones represent a vital tool as they allow unhoused people to monitor housing waitlists, coordinate services, stay in touch with jobs and gigs, and maintain connections with loved ones. Smartphones are also a valuable self-management tool, providing access to information to help with decision-making and problem-solving, as well as access to resources (Thurman et al., 2021). 

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 

Recommended Resources

Rick, M. (2016): Highlights the development of a collaborative app in Pittsburgh to connect young people who are unhoused with essential services. Uncensored. https://www.icphusa.org/wp-content/uploads/2017/01/ICPH_UNCENSORED_7.3_Fall2016-Winter2017_ALife-ChangingAppGrowsinPittsburgh.pdf

BigBurgh: A mobile-optimized website that compiles resources and services for individuals experiencing housing instability or those at risk in Pittsburgh. https://www.bigburgh.com/#/

Clark, M. (2023): Explores the critical role cell phones play in connecting unhoused individuals to resources and the challenges they face in accessing this technology. ShelterForce. https://shelterforce.org/2023/11/01/cellphones-are-a-lifeline-for-unhoused-people-but-barriers-abound/

Checking Account 

Background Content

Checking accounts give young people the chance to keep their money safe, gain independence, learn budgeting, and establish a financial history. Financial literacy programs provide an opportunity to improve current and future financial health by providing guidance on how to manage expenses, limit and reduce debt, as well as prepare for and address unexpected expenses (Weida et al., 2020).

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 

Recommended Resources

Money Matters: Make it Count: A financial literacy program for teens that teaches goal setting, budgeting, saving, and investing through interactive sessions and digital tools, supported by the Charles Schwab Foundation. https://www.bgca.org/programs/education/money-matters/

Money Smart for Young People: An FDIC program offering free, age-appropriate financial education curricula for pre-K through 12th grade to promote financial understanding. https://www.fdic.gov/resources/consumers/money-smart/teach-money-smart/money-smart-for-young-people/index.html

STI Prevention Medication 

Background Content

Young people between the ages of 15 – 24 account for approximately half of the 20 million new STIs each year (Shannon & Klausner, 2018). With current STI rates considered a growing epidemic and restricted access to health care considered a driving factor for the rising number of STIs (Editorial, 2022), identifying alternative methods to access STI prevention and treatment tools is essential (U.S. Department of Health and Human Services, 2022). The use of pre-exposure prophylaxis (PrEP) can help protect from HIV infection and doxycycline postexposure prophylaxis (doxy-PEP) can reduce the risk of bacterial STIs (CDC, 2021; NIH, 2023). 

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 

Recommended Resources

Mistr: Provides free online consultations, labs, STI testing, and medication, all delivered directly to your door. https://heymistr.com/

At-Home STI Testing Kit 

Background Content

Young people in the U.S. account for the highest rates of certain reported STIs, including gonorrhea and chlamydia (CDC, 2021). Given that someone can be infected with these STIs without showing any symptoms and then unknowingly pass on the infection to others, it is recommended that sexually active young people routinely get tested for STIs once a year (CDC, 2024). Home-based screening for sexually transmitted infections has been shown to be a feasible approach for men and women from a variety of settings, with recent studies showing an increase in testing rate compared to clinic-based screening (Shih et al., 2011; Rietmeijer, 2019). 

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

Recommended Resources 

TakeMeHome: Offers free at-home HIV tests delivered discreetly to your door. https://takemehome.org/
IWantTheKit: Provides free at-home testing kits for HIV and STIs, with easy instructions and lab analysis. https://iwantthekit.org/
LetsGetChecked: Delivers a wide range of at-home health testing kits, including STI and HIV tests, with confidential results and support. https://www.letsgetchecked.com/?ref=letsgetchecked-blog.ghost.io
GetMyHIVTest: Offers free at-home HIV test kits to promote early detection and treatment. https://getmyhivtest.com/

Service Animal 

Background Content

A service animal can help people living with disabilities fully participate in everyday life, increasing independence and educational opportunities. Dogs can be trained to perform many important tasks to assist people with disabilities, such as providing stability for a person who has difficulty walking, picking up items for a person who uses a wheelchair, preventing a child with autism from wandering away, or alerting a person who has hearing loss when someone is approaching from behind (Lindsay & Thiyagarajah, 2021; ADA.gov, n.d.).

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/ 

Recommended Resources

4 Paws for Ability: A nonprofit organization that breeds, raises, trains, and places service dogs with children and veterans who have disabilities. https://www.4pawsforability.org/

Paws with a Cause: Trains and places assistance dogs to enhance the independence and quality of life for people with disabilities. https://www.pawswithacause.org/

Dogs for Better Lives: A nonprofit organization that trains and places assistance dogs with individuals to improve their quality of life, focusing on Autism Assistance, Hearing Assistance, and Facility Dogs. https://dogsforbetterlives.org/
Assistance Animals and Service Animals: A factsheet providing information about programs that offer assistance and service animals for individuals with disabilities. https://disabilityinfo.org/fact-sheet-library/home-supports/assistance-animals/

United we thrive!

Background Content

Efforts to address polarization in communities emphasize the importance of safe, structured dialogue and collaboration between people with differing perspectives. Initiatives like community dialogue programs and public service campaigns help individuals develop empathy and create shared civic goals, ultimately fostering collaboration over conflict. When communities prioritize bridge-building and shared purpose, they move toward creating inclusive spaces for civil discourse and collective progress (OASH, n.d.; Peace Through Action USA, 2021).

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/

Recommended Resources

AmeriCorps: Engages community members of all ages in public service to improve lives, strengthen communities, and foster civic engagement. https://americorps.gov/

Peace Through Action USA: Offers programs and resources for addressing toxic polarization and building civic collaboration. https://peacethroughaction.org/

Braver Angels: A nonprofit focused on reducing political polarization and promoting civil discourse. https://braverangels.org/

Living Room Conversations: Facilitates small group discussions to encourage understanding across differences. https://livingroomconversations.org/

The importance of names…

Background Content

Social support is essential for mental and physical health, reducing stress and fostering resilience. Transgender young people who are addressed by their chosen names in supportive environments experience significantly lower rates of depression and suicidal ideation (Russell et al., 2018). Affirming actions taken by families, schools, and communities ensures safe spaces where all individuals can thrive, improving inclusion and well-being. These actions can include using the chosen name for all young people, having respectful conversations about LGBTQ+ identity and welcoming LGBTQ+ friends (OASH, n.d.; The Trevor Project, 2023).

Citations

Office of Disease Prevention and Health Promotion. (n.d.). Social Cohesion. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries/social-cohesion

Russell, S. T., Pollitt, A. M., Li, G., & Grossman, A. H. (2018). Chosen Name Use is Linked to Reduced Symptoms, Suicidal Ideation and Behavior among Transgender Youth. Journal of Adolescent Health, 63(4), 503-505. https://doi.org/10.1016/j.jadohealth.2018.02.003

The Trevor Project. (2023). 2023 U.S. National Survey on the Mental Health of LGBTQ Young People. https://www.thetrevorproject.org/survey-2023/assets/static/05_TREVOR05_2023survey.pdf

Recommended Resources

National Center for Transgender Equality: Offers resources for updating identity documents and navigating legal name changes. https://transequality.org/documents

Name Change Legal Aid Services: Search for free or low-cost legal aid by state for name changes. https://www.lawhelp.org/

GLAAD: A nonprofit organization working to amplify LGBTQ+ voices and foster acceptance through media advocacy. https://www.glaad.org/

Family Acceptance Project: Provides research-based guidance for families to support their LGBTQ+ children. https://familyproject.sfsu.edu/

Thrivopolis All-Stars…
Background Content

Discrimination has profound adverse effects on health, particularly for BIPOC and LGBTQ+ young people. Transgender individuals face elevated risks of violence and suicide attempts due to systemic discrimination and stigmatization (Dickey & Budge, 2020). LGBTQ+ young people report higher rates of emotional distress linked to social rejection, lack of support, and abuse (OASH, n.d.). Black and Hispanic youth are disproportionately impacted by discrimination, experiencing triple the rate of their White peers (Sykes et al., 2017).

In school sports, transgender and intersex students face bans that undermine the benefits of participation, including improved academic performance, reduced depression rates, and increased confidence. These bans disproportionately affect Black transgender youth, perpetuating cycles of inequity and creating harm where there is opportunity for healing (Perry & Goldberg, 2021; National Women’s Law Center, 2022).

Citations

Dickey, L. M., & Budge, S. L. (2020). Suicide and self-harm among transgender youth: A call to action. Psychology of Sexual Orientation and Gender Diversity, 7(3), 265–275.

Office of Disease Prevention and Health Promotion. (n.d.). Discrimination. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries/discrimination

Perry, J., & Goldberg, S. (2021). Discrimination and barriers in school sports for transgender students. Journal of Educational Equity, 12(2), 34-49.

Sykes, B. L., Schwartz, C. R., & Hagan, J. (2017). Intersecting inequalities: Race, ethnicity, and discrimination in adolescent health. Social Science Research, 64, 363–375.

National Women’s Law Center. (2022). Fulfilling Title IX’s Promise: Let transgender and intersex students play [Fact Sheet]. https://nwlc.org/wp-content/uploads/2019/09/NWLC_Trans50th_FactSheet.pdf

Recommended Resources

Fair Play for Girls in Sports: Advocates for gender equity in sports, particularly for historically underrepresented communities. https://www.fairplayforgirlsinsports.org/

Athlete Ally: A nonprofit organization dedicated to eliminating homophobia and transphobia in sports while championing LGBTQ+ equality. Offers resources, training, and advocacy for creating inclusive athletic environments. https://www.athleteally.org

Women’s Sports Foundation: Advocates for access and equity in sports for girls and women, including LGBTQ+ athletes. Provides research and guidance on addressing barriers faced by marginalized groups in sports. https://www.womenssportsfoundation.org

TransAthlete: A resource for students, athletes, coaches, and administrators to find information about trans inclusion in athletics at various levels. Offers state-by-state policies and best practices. https://www.transathlete.com

Outsports: A media platform focused on LGBTQ+ inclusion in sports, sharing stories, advocacy efforts, and resources for athletes and allies. https://www.outsports.com

 

A Shift in the Ranks!

Background Content

Relying on police in schools contributes to the school-to-prison pipeline, creating harmful learning environments that disproportionately affect Black girls and gender-expansive young people. These students often face incarceration for minor offenses rooted in violence, trauma, and discrimination, perpetuating cycles of inequity (Vera Institute of Justice & Young Women’s Freedom Center, 2024; National Women’s Law Center, 2021).

Incarceration has devastating health impacts, particularly for Black women, who are disproportionately affected due to systemic racism and higher rates of childhood trauma and abuse (Vera Institute of Justice & Young Women’s Freedom Center, 2024; Binswanger et al., 2009). People with incarceration histories are more likely to suffer from mental health disorders, chronic illnesses, and infectious diseases (OASH, n.d.; Binswanger et al., 2009). Shifting from punitive approaches to restorative justice and counseling can break this cycle, fostering safer, more equitable schools and communities (Nasr, 2023).

Citations

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

Nasr, N. (2023). Replacing Cops with Counselors: How a professional development sequence can move school cultures from zero-tolerance to restorative justice. In T. M. Mealy & H. Bennett, Equity Planning for School Leaders: Approaches to student diversity, access and opportunity (pp. 89-111).

Recommended Resources

Vera Institute of Justice: Resources for ending mass incarceration and supporting restorative justice initiatives. https://www.vera.org/

National Women’s Law Center: Advocates for gender equity in schools, including the diversion of funds from policing to counseling. https://nwlc.org/

Girls for Gender Equity (GGE): Works to combat the criminalization of girls of color and promote equity in schools. https://www.ggenyc.org/

Healing Schools Project: Provides tools and strategies to implement healing-centered practices in educational settings. https://healingschoolsproject.com/

The Flourish Agenda: Dedicated to transforming schools and communities through healing-centered approaches, particularly for Black and Brown youth. https://www.flourishagenda.com

Dignity in Schools Campaign: Advocates for the removal of school policing and the implementation of restorative justice practices that prioritize healing-centered approaches for students affected by systemic oppression. https://www.dignityinschools.org

Future Focused Education: Supports schools in implementing wellness and healing-centered education models. https://www.futurefocusededucation.org

A very vibrant verdict… 

Background Content

Conversion therapy, a discredited practice aimed at changing a person’s sexual orientation or gender identity, has been widely denounced by medical and psychological organizations for its proven harm. Associated with increased risks of depression, anxiety, and suicidal ideation, it disproportionately targets LGBTQ+ young people and perpetuates stigma (American Academy of Child & Adolescent Psychiatry, 2018; Human Rights Campaign, n.d.).

Despite its dangers, conversion therapy remains legal in many states. Efforts to ban the practice are vital for fostering acceptance and inclusivity. Ending conversion therapy aligns with evidence-based public health practices that prioritize the mental health and well-being of LGBTQ individuals (Trispiotis & Purshouse, 2022; OASH, n.d.).

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

Recommended Resources

Born Perfect: A survivor-led campaign to end conversion therapy through legal advocacy and public education. https://bornperfect.org/

Movement Advancement Project (MAP): Tracks conversion therapy laws and offers research to support inclusive policies. https://www.lgbtmap.org/policy-and-issue-analysis/conversion-therapy

It’s no pipe dream!

Background Content

Aging water infrastructure with lead contamination poses severe health risks, particularly for children. Even low levels of lead exposure can cause irreversible cognitive and developmental damage, as well as behavioral challenges. Children from low-income families are disproportionately impacted due to inequities in housing and access to clean water (Weitzman et al., 2013; OASH, n.d.).

Efforts like the Lead-Safe Housing for Kids Act aim to protect vulnerable populations from lead poisoning, but significant gaps remain in addressing this critical public health issue. Comprehensive policies and infrastructure improvements are essential to ensure safe drinking water for all (Fitzgerald & Swesnik, 2022).

Citations

Fitzgerald, J., & Swesnik, D. (2022). Earth Justice: Protecting Families from Lead Poisoning. Earth Justice Journal, 58(4), 23-34.

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

Recommended Resources

Environmental Protection Agency: Resources to educate families about lead exposure, testing, and water safety. https://www.epa.gov/lead

EPA Safe Drinking Water Information: Provides guidance on lead in drinking water, how to test your water, and steps to protect your family. https://www.epa.gov/ground-water-and-drinking-water/basic-information-about-lead-drinking-water

National Lead Information Center (NLIC): Offers free information and support about lead poisoning and prevention. Call 1-800-424-LEAD or visit https://www.epa.gov/lead/forms/lead-hotline-national-lead-information-center

Young, wild, and free!

Background Content

Access to engaging public spaces significantly impacts physical and mental health, particularly for teens and young adults. Environments that prioritize autonomy, challenge, and social connection, such as high-intensity parks and shared urban spaces, encourage outdoor activity and foster community engagement (Toft Amholt et al., 2022; Meredith et al., 2020). New urbanism principles—such as bike-friendly streets, accessible green spaces, and mixed-use developments—are associated with improved public health outcomes and reduced stress (Iravani & Rao, 2019).

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

Recommended Resources

Transportation Alternatives: Promotes car-free streets and pedestrian-friendly urban spaces to improve public health. https://transalt.org/

National Recreation and Park Association (NRPA): Advocates for high-quality parks and recreation opportunities for all communities. https://www.nrpa.org/

PlayCore: Offers tools and research to design engaging public spaces and playgrounds for young people. https://www.playcore.com/

Project for Public Spaces: Focuses on creating inclusive public spaces that foster community connections and well-being. https://www.pps.org/

Outdoor Foundation: Supports programs that encourage young people to explore outdoor spaces and lead active lifestyles. https://outdoorindustry.org/participation/

A concerning discovery…

Background Content

Environmental hazards disproportionately affect communities of color, families with lower income, older adults, pregnant individuals, and children. Proximity to hazardous waste sites is linked to adverse health outcomes such as childhood cancer, developmental delays, and respiratory conditions (Brender et al., 2011; OASH, n.d.).

Historic discriminatory policies, like redlining, have contributed to environmental racism. This racism has created areas with high toxin exposure and limited remediation efforts. Addressing environmental injustices requires robust policy interventions and community-driven solutions to protect health and prevent further harm (Holford & Pickett, 2020).

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

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

Holford, T. R., & Pickett, S. E. (2020). Environmental Justice and the Legacy of Redlining: Addressing Toxic Proximity in Urban Areas. Journal of Environmental Policy, 12(4), 452–469.

Recommended Resources

Environmental Working Group (EWG): Provides resources and reports on reducing exposure to toxins in air, water, and food. https://www.ewg.org/

Earthjustice: Advocates for legal and policy solutions to address environmental racism and protect communities. https://earthjustice.org/

Center for Environmental Health (CEH): Works to eliminate harmful chemicals and protect public health. https://ceh.org/

EPA Environmental Justice Program: Supports initiatives and offers funding to address environmental disparities in historically underrepresented or excluded communities. https://www.epa.gov/environmentaljustice

Toxic-Free Future: Offers tools and advocacy to reduce exposure to harmful chemicals in daily life. https://toxicfreefuture.org/

Wi-Fi qarriors...
Background Content

Exposure to online hate and violence has severe mental health consequences, particularly for LGBTQ+ young people, who already face disproportionate risks of harassment and victimization. Anti-gay and anti-trans hate online exacerbates the effects of adverse childhood experiences (ACEs), leading to increased rates of depression, anxiety, and even suicide attempts (Metzler et al., 2017; Flores et al., 2022).

Efforts to address online hate must include regulating algorithms that amplify harmful content and enforcing strict community standards. Such interventions are crucial to mitigating harm and fostering safer online environments, especially for LGBTQ+ young people (Digital Hate, 2022; Office of Disease Prevention and Health Promotion, n.d.).

Citations

Digital Hate. (2022). HRC & CCDH Digital Hate Report 2022. 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.

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

Recommended Resources

Center for Countering Digital Hate (CCDH): Researches and combats the spread of online hate and misinformation. https://counterhate.com/

GLAAD Social Media Safety Index: Provides benchmarks and recommendations for safer, more inclusive online platforms. https://www.glaad.org/smsi

Does red tape fill an empty belly?
Background Content

Access to healthy, safe, and affordable food is essential for reducing the risk of chronic diseases like cardiovascular disease, diabetes, and certain cancers (OASH, n.d.; U.S. Department of Health and Human Services and U.S. Department of Agriculture, 2020). However, administrative burdens, such as complex application processes and excessive documentation requirements, create barriers to food benefits, disproportionately affecting individuals facing mental health challenges, substance use issues, or poverty (Schweitzer, 2022).

Disparities in food access are also evident in Black, Hispanic, and low-income neighborhoods, where fewer supermarkets and longer travel distances hinder access to healthy options (Ver Ploeg et al., 2015). Addressing these issues requires reducing administrative burdens and offering culturally responsive food aid, such as fresh, whole ingredients tailored to diverse communities’ needs (Food Bank of the Rockies & Food Bank of Wyoming, 2021).

Citations

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, May 5). 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. (2015). Access to Affordable and Nutritious Food: Measuring and Understanding Food Deserts and Their Consequences. Economic Research Service, USDA.

Recommended Resources

Food Research & Action Center (FRAC): Research and advocacy focused on eliminating barriers to food programs and addressing hunger. https://frac.org/

Center for American Progress: Offers insights and policy solutions to reduce administrative burdens on accessing safety net programs. https://www.americanprogress.org/

No Kid Hungry: Provides resources and advocacy to ensure children and families have consistent access to nutritious meals. https://www.nokidhungry.org/

Feeding America: A nationwide network of food banks offering assistance and resources to combat hunger. https://www.feedingamerica.org/

Double Up Food Bucks: A program that helps SNAP recipients afford fresh fruits and vegetables at participating markets. https://www.doubleupfoodbucks.org/

Oh baby, it’s about time!

Background Content

Flexible attendance policies for pregnant and parenting students are critical to supporting their academic success and overall well-being. Access to education is a key determinant of future health and economic outcomes, with high school graduation linked to improved job opportunities, financial stability, and health outcomes (Office of Disease Prevention and Health Promotion, n.d.).

However, many pregnant and parenting students face barriers to graduation due to inflexible school policies, stigma, and limited support systems. Policies that provide excused absences, on-site childcare, and academic flexibility enable these students to balance their responsibilities and succeed in both school and parenting (National Women’s Law Center, 2023).

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

Recommended Resources

National Women’s Law Center (NWLC): Provides advocacy and policy guidance to support pregnant and parenting students. https://nwlc.org/

SchoolHouse Connection: Offers resources and tools for supporting pregnant and parenting youth experiencing homelessness. https://schoolhouseconnection.org/

Child Care Aware of America: Connects parenting students to affordable childcare options to support their educational goals. https://www.childcareaware.org/

Title IX Resources: Explains rights for pregnant and parenting students under Title IX and offers tools for advocacy. https://www2.ed.gov/about/offices/list/ocr/docs/pregnancy.pdf

High five!

Background Content

Enrollment in higher education or job training programs is a key determinant of economic mobility and long-term health. Access to these opportunities increases career options, financial stability, and overall well-being (Office of Disease Prevention and Health Promotion, n.d.).

Students who collaborate on applications, financial aid, and networking benefit from peer support, which has been shown to significantly increase enrollment rates, particularly among students from low-income and first-generation backgrounds (PeerForward, n.d.). Early engagement in these activities fosters confidence, builds connections, and ensures a smoother path to brighter futures.

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/

Recommended Resources

PeerForward: Empowers students to inspire their peers to achieve higher education and career success. https://www.peerforward.org/

FAFSA (Free Application for Federal Student Aid): The official federal aid application site to help students secure financial support for higher education. https://studentaid.gov/h/apply-for-aid/fafsa

College Board BigFuture: Offers tools for college exploration, financial aid, and career planning. https://bigfuture.collegeboard.org/

Year Up: Provides job training and internships for young adults to bridge the opportunity divide. https://www.yearup.org/

CareerOneStop: A U.S. Department of Labor resource offering guidance on job training, career exploration, and apprenticeships. https://www.careeronestop.org/

What a mess!

Background Content

Access to quality early childhood education is essential for fostering cognitive, social, and emotional development during a critical period of growth. However, barriers such as staffing shortages, cost, and limited availability disproportionately affect low-income families and communities of color, limiting children’s long-term potential (Office of Disease Prevention and Health Promotion, n.d.).

Programs like Head Start play a vital role in addressing these inequities by providing comprehensive early learning, health, and family support services. Tackling staffing challenges and increasing funding for these programs is key to creating more equitable opportunities for young children (National Head Start Association, 2022).

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

Recommended Resources

National Head Start Association: Advocates for early learning and family support programs to eliminate barriers for underserved children. https://nhsa.org/

Child Care Aware of America: Connects families to affordable, quality childcare options and supports providers through resources and training. https://www.childcareaware.org/

Center for Law and Social Policy (CLASP): Focuses on policy solutions to expand access to early childhood education and improve working conditions for childcare staff. https://www.clasp.org/

Zero to Three: Provides evidence-based resources to support early childhood development for children under age three. https://www.zerotothree.org/

The Early Learning Policy Group: Advocates for strategies to strengthen early childhood systems and address staffing shortages. https://www.earlylearningpolicygroup.com/

Game on!

Background Content

Promoting good sportsmanship and fostering respect in sports environments is critical for creating safe, inclusive, and supportive spaces for players and spectators alike. Positive sportsmanship has been shown to improve team cohesion, reduce incidents of bullying and harassment, and enhance mental health outcomes for young athletes (Cantone et al., 2015).

Programs that emphasize inclusivity and respect in sports environments—both physical and virtual—play a vital role in reducing bullying, cyberbullying, and other harmful behaviors. Early interventions, clear accountability measures, and comprehensive training for coaches and players are essential for achieving these goals (Office of Disease Prevention and Health Promotion, n.d.).

Citations

Cantone, E., Piras, A. P., Vellante, M., Preti, A., Daníelsdóttir, S., D’Aloja, E., Lesinskiene, S., Angermeyer, M. C., Carta, M. G., & Bhugra, D. (2015). Interventions on bullying and cyberbullying in schools: A systematic review. Clinical Practice Epidemiology Mental Health, 11(1 M4), 58-76. https://doi.org/10.2174/1745017901511010058

Office of Disease Prevention and Health Promotion. (n.d.). Schools. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/objectives-and-data/browse-objectives/schools

Recommended Resources

Tyler Clementi Foundation – Day 1 for Sports Teams: Provides tools to promote respect and inclusivity in sports environments from the first practice onward. https://tylerclementi.org/day1-for-sports-teams/

Positive Coaching Alliance (PCA): Offers training and resources to cultivate good sportsmanship, teamwork, and accountability. https://www.positivecoach.org/

Coaching Corps: Connects young people with coaches trained to build character and confidence while fostering safe sports environments. https://coachingcorps.org/

StopBullying.gov – Sports and Bullying Prevention: Shares guidance and resources to address bullying in sports and foster positive team culture. https://www.stopbullying.gov/

Athlete Ally: Advocates for LGBTQ+ inclusivity in sports and provides training for teams to promote equality and respect. https://www.athleteally.org/

Bullying: on the menu.

Background Content

School cafeterias are more than just places to eat—they are social hubs where peer interactions can profoundly impact students’ mental health and access to meals. Research shows that LGBTQ+ youth experience higher rates of bullying, including in lunchrooms, which can lead to skipping meals and increased food insecurity (Craig et al., 2016; Macklin et al., 2023).

Creating safe and inclusive cafeteria environments is essential to ensuring that all students feel welcome and supported. Strategies such as implementing peer mentorship programs, training staff on inclusivity, and fostering open conversations about respect can help mitigate bullying and promote equity in access to school-based meals (Office of Disease Prevention and Health Promotion, n.d.).

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

Office of Disease Prevention and Health Promotion. (n.d.). Schools. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/objectives-and-data/browse-objectives/schools

Recommended Resources

The Trevor Project: Offers crisis intervention and resources for LGBTQ+ young people, including support for addressing bullying and food insecurity. https://www.thetrevorproject.org/

GLSEN Safe Space Kit: Provides tools for educators and staff to create inclusive and supportive school environments, including cafeterias. https://www.glsen.org/safespace

School Nutrition Association (SNA): Advocates for equitable and inclusive school meal programs, offering resources for training and advocacy. https://schoolnutrition.org/

Williams Institute: Researches issues affecting LGBTQ+ young people, including food insecurity and bullying, and provides actionable recommendations. https://williamsinstitute.law.ucla.edu/

No Kid Hungry: Supports programs to ensure that all students, regardless of background, have access to nutritious school meals. https://www.nokidhungry.org/

Say ahhh!

Background Content

Limited English proficiency poses a significant barrier to healthcare access, leading to reduced preventive care and poorer health outcomes. One-third of immigrants arriving in the U.S. after age 12 report limited English proficiency, with disparities evident across race, ethnicity, and education levels (Office of Disease Prevention and Health Promotion, n.d.; Nielson-Bohlman et al., 2004).

Trained interpreters and bilingual providers have been shown to improve patient satisfaction and outcomes, while investments in multilingual digital health technology and culturally responsive care further address disparities (Brach & Fraserictor, 2000; Florez, 2005; Craig et al., 2021). Telehealth solutions must also account for language barriers, as limited English proficiency has been linked to reduced telehealth utilization (Rodriguez et al., 2021).

Citations

Brach, C., & Fraserictor, I. (2000). Crossing the Quality Chasm: A New Health System for the 21st Century. National Academy of Medicine.

Craig, J., Saadi, A., Schwamm, L. H., Bates, D. W., & Samal, L. (2021). Addressing Language Barriers in Telehealth: Challenges and Opportunities. Journal of Telemedicine and Telecare, 40(30), 487-495.

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

Recommended Resources

National Council on Interpreting in Health Care (NCIHC): Provides standards and resources for effective language services in healthcare settings. https://www.ncihc.org/

Language Access Network (LAN): Offers remote medical interpretation services to improve healthcare communication. https://www.lan.us/

Telehealth.HHS.gov: Shares telehealth resources and tips for addressing language barriers during virtual visits. https://telehealth.hhs.gov/

Welcoming America: Supports initiatives to improve access to services for immigrants and refugees, including healthcare. https://welcomingamerica.org/

Health Literacy Online Toolkit: Helps healthcare providers design digital tools that meet the needs of diverse populations. https://health.gov/healthliteracyonline/

Antibiotic resistance!

Background Content

Sexually transmitted infections (STIs) continue to pose a major public health challenge, particularly for young adults. Preventive medications, such as post-exposure prophylaxis (PEP) and doxycycline as STI prophylaxis, have proven benefits in reducing transmission, yet stigma and misconceptions often create barriers to adoption. Bridging these gaps requires better provider training, education campaigns, and easy access to sexual health resources (Barrow et al., 2020; National Academies of Sciences, Engineering, and Medicine, 2021).

Providing young people with practical tools, such as STI testing kits, telehealth consultations, and preventive medications, empowers them to take control of their sexual health while reducing infection rates (Keller, 2020).

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.

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/

Office of Disease Prevention and Health Promotion. (n.d.). Access to Primary Care. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries/access-primary-care#cit3

Recommended Resources

Planned Parenthood: Offers affordable STI testing, treatment, and prevention resources, including access to preventive medications. https://www.plannedparenthood.org/

CDC GetTested: Helps individuals locate nearby clinics for free or low-cost STI testing and care. https://gettested.cdc.gov/

Nurx: Provides telehealth consultations and ships STI testing kits, birth control, and preventive medications directly to patients. https://www.nurx.com/

HeyDoctor by GoodRx: Delivers affordable, online sexual health consultations and prescriptions for preventive medications. https://www.goodrx.com/heydoctor

Local Health Departments: Many health departments offer free or low-cost sexual health services, including STI prevention and treatment. Use this directory to find one near you. https://naccho.org/membership/lhd-directory

Dare to care!

Background Content

Long-acting reversible contraception (LARC), such as intrauterine devices (IUDs) and implants, is a highly effective method for preventing unintended pregnancies. However, historical injustices, including reproductive coercion, have created mistrust, particularly among communities of color. Pairing LARC access with doula support offers a patient-centered approach that ensures informed consent, addresses systemic inequities, and fosters trust (Shrestha & Hannah, 2024; Groth et al., 2024).

School-based health centers and primary care settings play a pivotal role in increasing equitable access to LARC services for adolescents by integrating comprehensive contraceptive counseling and onsite services (Summit et al., 2019; Groth et al., 2024).

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

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

Office of Disease Prevention and Health Promotion. (n.d.). Access to Primary Care. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/objectives-and-data/browse-objectives/family-planning

Recommended Resources

Bedsider: A comprehensive online resource offering information about birth control options, including LARC, to help individuals make informed decisions. https://www.bedsider.org/

Reproductive Health Access Project (RHAP): Provides resources and training to healthcare providers on delivering patient-centered contraceptive care. https://www.reproductiveaccess.org/

SisterSong: Advocates for reproductive justice and offers tools to address historical inequities in reproductive healthcare. https://www.sistersong.net/

National Coalition of STD Directors (NCSD): Supports programs and policies that improve sexual health education and access to care for young people. https://www.ncsddc.org/

Find a Health Center: Search for federally funded health centers that provide confidential and low-cost LARC services. https://findahealthcenter.hrsa.gov/

A bright idea!

Background Content

Skin cancer is the most common type of cancer in the U.S., with sunburn in childhood significantly increasing lifetime risk. Public health initiatives, such as installing free sunscreen dispensers in outdoor spaces, are highly effective in reducing harmful UV exposure and promoting sun-safe behaviors (Office of Disease Prevention and Health Promotion, n.d.; Guide to Community Preventive Services, n.d.).

Community interventions like these are especially impactful when paired with educational efforts in schools and public spaces to encourage consistent sunscreen use and protective clothing. Making sun protection accessible and easy helps ensure healthier communities (Office of Disease Prevention and Health Promotion, n.d.).

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

Office of Disease Prevention and Health Promotion. (n.d.). Skin Cancer: Primary and Middle School-Based Interventions. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/tools-action/browse-evidence-based-resources/skin-cancer-primary-and-middle-school-based-interventions

Guide to Community Preventive Services. (n.d.). Skin Cancer: Primary and Middle School-Based Interventions. https://www.thecommunityguide.org/findings/skin-cancer-primary-and-middle-school-based-interventions.html

Recommended Resources

Skin Cancer Foundation: Offers comprehensive education about skin cancer prevention and early detection. https://www.skincancer.org/

Coolibar Sun Safety Resources: Provides tips and products for UV protection in outdoor activities. https://www.coolibar.com/

American Academy of Dermatology (AAD): Shares tools to find free skin cancer screenings and sun safety tips. https://www.aad.org/

Bright Guard Sunscreen Dispensers: Offers sunscreen dispenser programs for schools, parks, and public spaces. https://www.brightguard.com/

CDC Sun Safety Toolkit: Includes resources for implementing sun protection initiatives in schools and communities. https://www.cdc.gov/cancer/skin/sun-safety/index.htm

Tick, tock.

Background Content

Emergency contraception (EC) is a time-sensitive and essential component of reproductive healthcare, yet pharmacy refusals continue to pose significant barriers for many individuals. Personal beliefs can lead to refusal of service in some states, disproportionately affecting rural communities, low-income populations, and young people with limited healthcare options (Guttmacher, 2023a; National Women’s Law Center, 2017).

Improving access to EC requires patient education on alternative access points, advocacy for policies that protect reproductive rights, and training healthcare providers to ensure equitable and stigma-free care (Office of Disease Prevention and Health Promotion, n.d.; Guttmacher, 2023b).

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

Recommended Resources

Aid Access: Provides online consultations and prescription services for reproductive health needs, including emergency contraception. https://aidaccess.org/

I Need EC: A resource to locate emergency contraception and learn about access laws in your state. https://www.ineedec.info/

National Abortion Federation Hotline: Offers guidance and referrals for reproductive health services, including EC access. https://prochoice.org/patients/naf-hotline/

Pharmacy Access Partnership: Advocates for expanding reproductive health services in pharmacies and provides tools to address pharmacy refusals. https://www.pharmacyaccess.org/

Reproductive Health National Training Center (RHNTC): Provides training and resources to healthcare providers to improve access to reproductive care, including EC. https://rhntc.org/

Under wraps!

Background Content

Protecting the confidentiality of adolescents during health visits is critical for encouraging young people to access care and discuss sensitive topics. Research shows that when privacy is guaranteed, adolescents are more likely to seek preventive services, discuss mental health or reproductive health, and adhere to medical advice (Pathak & Chou, 2019; So, 2024).

Despite its importance, many states and healthcare systems lack consistent confidentiality protections, especially in insurance and billing processes, creating barriers for young people. Expanding policies that ensure private, judgment-free care fosters better health outcomes and builds trust between young people and healthcare providers (Society of Adolescent Health and Medicine, 2016).

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

Recommended Resources

Adolescent Health Initiative (AHI): Offers resources and tools to promote adolescent-centered, confidential care in clinical settings. https://www.umhs-adolescenthealth.org/

Confidentiality Toolkit by SAHM: Provides guidance for healthcare providers on maintaining confidentiality for adolescents. https://www.adolescenthealth.org/

Youth Law Center: Advocates for legal protections ensuring confidential access to healthcare for adolescents. https://www.ylc.org/

Got Transition: Focuses on healthcare transitions for young adults, including ensuring confidentiality in adolescent care. https://gottransition.org/

MyHealthEd: A platform promoting adolescent access to reproductive and mental health services in a private, supportive environment. https://myhealthed.org/

Cash for Change!

Background Content

Poverty has far-reaching effects on health, development, and economic mobility, particularly for children and young people. Those who experience poverty or homelessness are at greater risk for mental illness, chronic diseases, and lower life expectancy (OASH, 2020). Innovative programs that provide direct cash payments, such as universal child allowances or monthly stipends, empower individuals to make choices that meet their unique needs and reduce the stigma often associated with traditional aid (Duncan, 2019).

Cash assistance programs have been shown to improve financial stability, access to healthcare, and educational opportunities, while also supporting long-term economic mobility. Thrivopolis’s initiative reflects a growing movement toward trust-based solutions to poverty and homelessness (Maag & Airi, 2020).

Citations

Duncan, G. J. (2019). Universal child allowances: Reducing poverty without stigma. Journal of Economic Perspectives, 33(3), 49–72.

Maag, E., & Airi, N. (2020). Tax credits and economic stability for families. Urban Institute Report.

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

Wagmiller, R. L., & Adelman, R. M. (2009). Childhood and intergenerational poverty: The long-term consequences of growing up poor. National Center for Children in Poverty.

Recommended Resources

GiveDirectly: Direct cash transfer programs for individuals and families in need, emphasizing dignity and autonomy. https://www.givedirectly.org/

The National Network for Youth (NN4Y): Provides resources and advocacy to address housing instability and economic challenges among young people. https://nn4youth.org/

Magnolia Mother’s Trust: A guaranteed income program supporting low-income Black mothers with no-strings-attached cash transfers. https://springboardto.org/magnolia-mothers-trust/

Earned Income Tax Credit (EITC) Resources: Information about federal and state tax credits to support low- and moderate-income families. https://www.irs.gov/credits-deductions/individuals/earned-income-tax-credit-eitc

YBCA Guaranteed Income Program: A pilot initiative exploring the impact of guaranteed income on young creatives and communities. https://ybca.org/

A new nest!

Background Content

Housing instability disproportionately impacts vulnerable populations, including young people who are transgender, who experience higher rates of homelessness due to discrimination, family rejection, and systemic barriers. Frequent moves and unstable housing are associated with poor physical and mental health outcomes, chronic conditions, and inconsistent access to healthcare (OASH, 2020; Cutts et al., 2011).

Supportive housing initiatives that address both basic needs and specialized care, such as transition-related services for transgender individuals, significantly improve mental health, stability, and self-sufficiency. Policies that promote inclusive housing opportunities and protect against discrimination based on gender identity are critical for reducing homelessness and improving health outcomes (Chetty et al., 2016; Bae, 2023).

Citations

Bae, J. (2023). Housing barriers for formerly incarcerated individuals: Addressing the cycle of instability. Journal of Housing Policy and Practice.

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.

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

Recommended Resources

True Colors United: Advocates and provides resources for addressing LGBTQ+ young people who are experiencing homelessness through inclusive programs and policy. https://truecolorsunited.org/

Trans Housing Network: Connects transgender individuals experiencing homelessness with temporary housing through a nationwide support network. https://transhousingnetwork.org/

National Center for Transgender Equality (NCTE): Offers resources for navigating housing rights, obtaining legal identification, and accessing healthcare. https://transequality.org/

Housing Opportunities for Persons With AIDS (HOPWA): Provides housing assistance and support services for low-income people living with HIV/AIDS, including LGBTQ populations. https://www.hudexchange.info/programs/hopwa/

Point Source Youth: Develops and implements housing programs to end homelessness for young people with a focus on LGBTQ+ individuals. https://www.pointsourceyouth.org/

 

The right fit?!

Background Content

Employment disparities, particularly for individuals with disabilities such as autism, are closely tied to educational and vocational support systems. Young adults with autism face unique challenges in accessing employment that values their strengths and provides a living wage. Vocational Rehabilitation programs offer critical services, including job training, career exploration, and workplace support, to help bridge these gaps (A.J. Drexel Autism Institute, 2022).

An autism-friendly workplace can improve employment outcomes by optimizing sensory environments, offering clear communication, and creating inclusive policies that enable individuals to thrive. Employers play a key role in fostering environments where all employees feel valued, supported, and empowered to succeed (Matusiak, n.d.).

Citations

A.J. Drexel Autism Institute. (2022). National Autism Indicators Report: Vocational Rehabilitation – Critical Services for People with Autism. Drexel University.

Avendano, M., & Berkman, L. F. (2014). Labor markets, work, and health. Social Epidemiology, 2nd Edition, 182–233.

Berkman, L. F., Kawachi, I., & Glymour, M. M. (2014). Social Epidemiology. Oxford University Press.

Matusiak, J. (n.d.). Autism-friendly work environments: Design considerations for success. Autism Society of America.

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

Recommended Resources

Job Accommodation Network (JAN): Provides free, expert guidance on workplace accommodations and disability employment. https://askjan.org/

Autism Speaks Employment Toolkit: Offers resources for individuals with autism seeking employment and for employers creating inclusive workplaces. https://www.autismspeaks.org/employment

The Arc’s Center for Future Planning: Supports individuals with disabilities and their families in planning for employment and financial stability. https://futureplanning.thearc.org/

Specialisterne USA: A nonprofit organization that helps companies hire and retain neurodivergent talent, with a focus on individuals with autism. https://us.specialisterne.com/

Vocational Rehabilitation Services Locator: A directory to find state-based vocational rehabilitation programs that assist individuals with disabilities. https://rsa.ed.gov/about/states

Fighting Hunger with Flavor!

Background Content

Food insecurity disproportionately impacts young adults, LGBTQ+ people of all ages, and communities of color. Nearly 27% of LGBTQ+ individuals report food insecurity, with especially high rates among Black, Latinx, American Indian, and Pacific Islander groups (Wilson & Conron, 2020). Food insecurity is linked to negative health outcomes, including obesity, chronic illness, and mental health challenges (Burke et al., 2016; OASH, 2020).

Culturally responsive food programs address these disparities by offering fresh, familiar, and culturally relevant ingredients, as well as personalized support to help individuals access benefits and services. These efforts reduce barriers and foster community inclusivity while improving health outcomes (Wilson & Conron, 2020).

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

Wilson, B. D. M., & Conron, K. J. (2020). Food insecurity among LGBT adults in the US. The Williams Institute. https://williamsinstitute.law.ucla.edu/wp-content/uploads/LGBT-Food-Insecurity-Nov-2020.pdf

Recommended Resources

The Williams Institute – Food Insecurity Reports: Research and data on food insecurity within LGBTQ+ communities. https://williamsinstitute.law.ucla.edu/

Feeding America’s LGBTQ+ Hunger Resources: National network offering culturally inclusive programs for LGBTQ+ individuals and communities. https://www.feedingamerica.org/

MAZON: A Jewish Response to Hunger: Advocates for inclusive food programs and policies addressing systemic hunger. https://mazon.org/

Inclusive Food Pantry Toolkit: Provides guidance for creating culturally responsive food assistance programs. https://www.hungerandhealth.org/

SNAP Outreach by The Center for LGBTQ Economic Advancement & Research (CLEAR): Helps LGBTQ+ individuals navigate SNAP and other food assistance programs. https://lgbtq-economics.org/

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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.

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