Intersectoral cooperation is regarded as a promising strategy in setting-oriented prevention and health promotion for interdepartmental, joint efforts towards improved health equity. This paper deals with models of intersectoral cooperation in municipal health promotion. It frames the methodology and the central results of a literature and database search (on behalf of the Federal Centre for Health Education, BZgA) and presents the partial results regarding the models of intersectoral cooperation. Of 48 publications analyzed for the review, nine publications each present different models of intersectoral cooperation. The models describe typical processes in the context of the joint work as detailed step sequences and formulate general recommendations as success factors of intersectoral cooperation. With reference to the findings of the review, it can be concluded that models for intersectoral cooperation have not yet been systematized and consequently have not been researched for transferability into specific fields of practice.

Background: With their influence on health behavior of children, families are important addressees in health promotion and prevention of chronic diseases. However, they are often difficult to reach, partly due to the open approach of health promotion services. Therefore, they should be addressed directly and be involved in shaping their living environment. The aim is to examine which approaches are used in participatory family health promotion and what practical experiences are made. Methods: A systematic literature search in PubMed, Web of Science, LIVIVO and a supplementary hand search were conducted. Ten of 718 screened publications were analyzed qualitatively. Results: Most included publications applied the community-led participatory approach CBPR. In seven publications, family actors could make decisions at any or all project phases. One finding is that positive effects on desired behavior change and improved health of target groups were observed. Frequently described success factors are the type of interaction, and a common goal. Conclusion: The forms of family participation in health promotion vary widely, with the lack of participatory practices being a major challenge. Family participation is a useful approach in shaping health promotion and should be further developed. This overview provides support for planning future participatory projects with families.

The link between health, socio-economic status and the living environment is increasingly moving into the focus of public health research and policy. The aim of the European Union’s Project “Joint Action Health Equity Europe (JAHEE)” is to enable countries to identify and implement needs-based measures to promote health equity. In one of JAHEE’s work packages, focusing on healthy living environments as a strategy to tackle health inequities, a Policy Framework for Action (PFA) has been developed. This article gives an insight into the core contents of the PFA, which are valid beyond the project boundaries for all actors that work at the intersection of community health promotion. The PFA was developed as a consensus document in a participatory process between the members of the work package and an interdisciplinary German team of public health experts. Results from project meetings of the partner countries as well as research findings and recommendations from field experts were incorporated. Reducing health inequalities in public health is a cross-sectional issue that needs to be addressed across all policy areas. The municipality setting is of particular importance in this context, as it offers many starting points and can coordinate between all relevant actors with an overarching strategy.

Background Contrary to the actual goal of health promotion, which is to reach all population groups equally, groups with an already better state of health are reached by such health services whereas vulnerable or socially disadvantaged groups are often not reached. Specific offers for the latter, however, can lead to stigmatization by reducing them on certain risk factors. This results in a further increase of health inequalities. Methods As part of the Joint Action Health Equity Europe (Work Package 6), 13 participating countries have initiated individual projects since autumn 2019 to promote community health and health equity. These projects are based on previously systematically identified country-specific needs. Through content analysis according to Mayring of interim reports and interviews with the project partners, it will now be investigated which strategies have been used to reach vulnerable groups. Recommendations for other countries will be derived from this comprehensive experience. Results At this stage, the observations indicate that different strategies are chosen to reach different vulnerable groups. It can be assumed that direct connection to existing networks, which enable low-threshold access to these groups in their everyday life and participatory approaches that involve the target group in planning and implementation, seem to be promising. Conclusions The diversity, uniquely portrayed by the various projects from different European countries, provides an overview of the differences and similarities in the strategies used for reaching vulnerable groups from which approaches can be generated that are internationally relevant and transferable. Key messages Gaining access to vulnerable groups requires special consideration in health promotion. The results of the JAHEE project (WP6) show promising and diverse strategies for dealing with vulnerable groups.

Objective The transition from school to work is a challenge for young people which is closely correlated with health and well- being. Promoting resilience factors contributes to adolescents’ mental health and social and educational success. The aim of this study is to examine how especially vulnerable youth cope with the transition during the pandemic to identify which structural measures are helpful and which are a hindrance and to develop recommendations for action. Methods First, a rapid review on the subject of young people's mental health during the pandemic was conducted. Based on this 30 interviews with professionals from schools and vocational education and two focus groups with young people from participating institutions follow in spring and summer 2022. Finally, recommendations for action will be developed together with both groups. Results The results of the literature research illustrate the strong influence of the pandemic on the mental health of adolescents and, in particular, the increase in health inequalities along the social gradient. In relation to school and education, it is clear that young people lacked contact persons during this time. It is expected that the interviews and focus groups give insight, which resources of the young people can be strengthened in a low- threshold way and will provide further concrete indications on what structural development is needed to strengthen the resilience of young people. Conclusions For the promotion of mental health it is necessary to rely not only on the resources of young people themselves, but especially on the resources available in their environment. Only in this way transition processes can be managed successfully by the young people and they can be strengthened for the future. To this end, solutions should be developed jointly and support systems should be improved