FM Discretionary Funding Fiscal Year 2018

The Federated States of Micronesia (FSM) SPF-PFS (SPF-PFS) will enhance its current underage drinking prevention efforts, targeting ages 12 to 20. The FSM will fund culturally appropriate, evidence-based prevention efforts-programs, policies, and practices-in its four states, which are all communities of high need. Each of the sub-recipient states is geographically, politically, culturally, and linguistically distinct from the others. The SPF-PFS will focus on: (1) reducing the availability of and access to alcohol among persons aged 12 to 20 within the four sub-recipient states and (2) establishing a standardized surveillance system to identify underage drinking.

The project aims to enhance surveillance for Opioid and other illicit drugs, reduce onset/progression of opioid use and reduce perceived acceptability of opioid use, other drugs among youth and the adult population.

The Federated States of Micronesia (FSM) is in a Compact of Free Association with the United States. FSM is comprised of 600 islands situated across the archipelago of the Caroline Islands, located between the Philippines and Hawaii across one million square miles of the North Pacific Ocean. FSM has submitted a project entitled "FSM Response to the Opioid Crisis Grant Application: A System of Health Care Approach to a Medical and Public Health Problem in a Low Resourced Island Setting" (FSM Opioid STR Project) which focuses on addressing an emerging public health crisis. This project is based on both a medical and a public health approach incorporating a system of care approach. The general population will receive preventive health messaging and awareness while those suffering from OUD will directly receive psychosocial counseling and drug therapy. The aim is to prevent further spread of the Opioid situation. This project will adopt the SAMHSA's Opioid Overdoses Prevention Toolkit as it guide in setting up its activities and Pathway to Change curriculum. This project will establish a treatment program for individuals with OUDs. This program is based on science and culturally appropriate practices. This project will use SPF to identify and implement evidence - base strategies and program models that target individual, group and environmental change that are specifically adapted to each state. The goals and objectives are as follows: Build capacity and infrastructure for data driven Opioid abuse prevention, treatment, and recovery; Reduce the onset and /or progression of Opioid use and abuse of other illicit drugs and pathway drugs; Reduce perceived acceptability of Opioid use and other drugs use among the youth and adult population. Activities include strengthen enforcement of laws regarding Opioid and other illicit drugs; Enhance the state PDMP; Establish and /or enhance community-based recovery support systems; and Train OUD prevention and treatment providers.