Table 2: Example of how the CSH approach can be used to coordinate school and community efforts to prevent and reduce tobacco use* | ||||
Location | Instruction | Services | Social support | Physical environment |
Classroom | (T) Improve content and materials used in prevention program | (T) Add smoking to school peer helper program or start peer program | ||
Home | (A) Involve parents in take-home activities | (D,P,PH,M) Encourage parents to quit smoking | ||
School | (S) Organize showing of anti-smoking ads in cafeteria | (PH) Conduct tobacco health needs assessment in community | (A) Create friendly place in school for youth to hang out | (A) Adopt smoke-free policy for school; (P,D) advocate for such school policies |
Neighbourhood | (D) Support peer and youth programs; support health fairs and workshops | (PH,C,S) Monitor tobacco sales to minors in local stores | (A) Organize information meeting for parents; (D) volunteer as speaker | |
School district | (SB) Approve mandatory health curriculum | (SB )Adopt smoke-free policy for board offices | ||
Community | (PH,C) Offer cessation programs for youth; (D) refer adolescents to cessation programs | (PH,C) Organize community awareness activities | (C) Advocate for smoke-free public spaces | |
*Reprinted, with permission, from reference 28; T = teachers, A = administrators, D = physicians, P = parents, PH = public health officials, M = local media, S = students, C = community organizations, SB = school board. |