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The Trimble CARES Coalition serves Trimble, County, Kentucky, a community of 8,783. The goals of the coalition are to establish and strengthen community collaboration in support of local efforts to prevent youth substance use. The coalition will achieve its goals by implementing these strategies: Provide information and enhance skills for the Trimble CARES coalition in order to increase membership and reduce youth alcohol, tobacco and marijuana use; Implement communication providing culturally relevant prevention messages surrounding the prevention of alcohol, tobacco and marijuana; Engage community partners, collaborative partnerships and TYCo (Trimble Youth Coalition) to promote environmental and policy level changes and access surrounding tobacco, alcohol and marijuana; Work with schools and community to implement physical design changes surrounding tobacco use in Trimble County; Increase prevention interventions while providing information, support and enhancing skills surrounding tobacco, alcohol and marijuana use in Trimble County.

Drug Free Communities Application SMART Utah County

The Coalition serves Allen County, Kentucky, a community of 20,800. The goals of the coalition are to establish and strengthen community collaboration in support of local efforts to prevent youth substance use. The coalition will achieve its goals by implementing these strategies under this project proposal. • Increasing coalition membership • Enhance training regarding leadership, environmental strategies, and best practices. • Increase Coalition and Community Awareness of youth Alcohol use and Prescription Drugs (unauthorized use). • Provide information about the impact that Alcohol and Prescription Drugs use and misuse has on the community. • Change policy to limit youth access to Alcohol and Prescription Drugs

Somerset Public Health's work will continue to address youth use of alcohol, tobacco, marijuana, and prescription drugs. Our prevention efforts will be strengthened by integrating awareness of Adverse Childhood Experiences prevention, and trauma-informed policies and practices into our strategies. Through Coalition capacity-building training and the promotion of trauma-informed policies and practices among our youth-serving populations, providers will better understand the connections between trauma and negative health outcomes. Working towards a cross-sector system that speaks the same language including substance use disorder mitigates trauma-related issues before they become problems. We will pay particular attention to late-middle/early-high school, supplementing our STOP work to address the key period where use seems to increase. We plan to address prescription drugs even though only 2% of middle school and 4% of high school students report its use in the last 30 days because Maine has a significant opiate use problem among adults. Opiates now surpass alcohol as the primary drug of choice reported among adults entering treatment, and we need to further educate our youth on this substance if we hope to have an impact as they enter adulthood. The Coalition will address these use issues through policy and environmental change, education, communications and marketing, and enforcement in our 12-Month Action Plan.

Passage of recreational marijuana laws in Colorado and the establishment of multiple dispensaries between 2014 and 2016 has changed the prevention environment in La Plata County. Along with an increase in youth marijuana use, alcohol use has also risen after an 8-year decline. Celebrating Healthy Communities, a 24-year-old sustainable coalition, developed a new 5-year Strategic Plan in December 2016 to prevent and decrease youth substance use. Goal 1: Strengthening Member Governance Involvement for Effectiveness & Sustainability. Goal 2: Increase Developmental Assets among youth and young adults. Goal 3: Engage in policy work through community organizing. Goal 4: Foster Positive Community Norms to decrease substance use. Goal 5: Close the health gap for disparate populations. The estimated 2016 population of the service area (La Plata County, Colorado) is 54,688 with two thirds scattered across rural areas and approximately one-third of county residents living in the city of Durango. The county has many positive attributes including excellent schools, a number of youth-serving organizations, and a high value on recreation and healthy living. However, there is tremendous economic disparity between those who can afford average housing prices of $420,000 and the 13% who are living in poverty. The county's population includes significant minority populations (7% are American Indian and 13% are ethnically Hispanic/Latino) and a significant number of adults and youth who identify as LGBT. Although tremendous diversities are found in the county's geographic, economic, racial, and gender identity data, the issues of youth substance use permeate them all, as evidenced by quantitative and qualitative data collections and analyses. The Coalition will implement an Action Plan that engages, educates and collaborates with 44 partners to promote addiction-free lifestyles by building assets for all. Specifically, we will address permissive attitudes toward alcohol use and easy access in homes that contribute to high use rates and low perceptions of parental and peer disapproval. Our Action Plan includes a rigorous set of environmental strategies to address youth access to alcohol including implementation of social host ordinances in our communities and a comprehensive media plan to ensure parents, grandparents, other adults and community members are aware of the ordinances and the consequences of allowing underage drinking. Furthermore, CHC will address youth perceptions that marijuana is not harmful, and that it is very easy to access. We must contend with a monumental state-wide policy change that worsened the already harmful effects we previously observed from marijuana use in teens. Our Action Plan focuses on preventing access and increasing perception of harm with youth marijuana use. Our aggressive environmental strategies include adding marijuana to local social host policies. Our plan addresses youth access to marijuana, increasing perception of harm of youth use, and increasing resiliency factors to protect youth from initiation.

Lodi Community Action Team is a community coalition dedicated to changing the culture of alcohol and other drug use so that the youth in our communities live in an environment that empowers them to live a healthy lifestyle. We do this through community collaboration that engages youth with caring adults; through educating youth as well as adults, and through environmental prevention strategies. We have spent the past five and a half years working through the DFC goals and following strategic planning steps to put us in a position of true cultural change. This last year we have been without a DFC grant but with community support we have kept staff working through our Action Plan. We are truly at a critical point for Lodi Community Action Team. Our work must continue in order for the community buy in to remain strong. Our YRBS numbers have shown improvement but much more work is needed in youth perceptions of harm. Changing culture takes time. LCAT has laid the foundation and wants to see it through. One goal is that we will continue to work to increase community collaboration through enhancing skills of Advisory Board Members and youth, as well as continuing to place the Coalition Chair and Project Coordinator on important organizational boards such as the school board, State Superintendent’s Advisory Board, Tobacco Free Coalition Advisory Board, PARCC board and Alliance for Wisconsin Youth. We will continue to maintain our social media presence on Facebook, Twitter and our website. We will continue to survey our youth as well as adults in our communities. It is critical that we are able to continue to achieve our second DFC goal of reducing youth substance use. We hope to encourage more use of the Botvin Lifeskills curriculum as well as develop youth who feel empowered and engaged in their community. We hope through education and research based strategies we will increase the perception of harm for alcohol, marijuana and prescription drugs.

The Plymouth Youth Development Collaborative (PYDC) was awarded a FY 2017 Drug-Free Communities Support Program grant in the amount of $405,113 by the White House Office of National Drug Control Policy, in cooperation with the Substance Abuse and Mental Health Services Administration. The Coalition serves, Plymouth, Massachusetts, a community of 58,890. The goals of the coalition are to establish and strengthen community collaboration in support of local efforts to prevent youth substance use. The coalition will achieve its goals by implementing these strategies: For the first year, PYDC will work to increase the capacity of the coalition, increase the perception of harm youth and parents of grades 7-12 have towards marijuana, reduce past-30 day prescription drug amongst youth grades 7-12, and create an official prevention policy between the Plymouth Public Schools, MAP charter school, youth serving organizations, and the Plymouth Police Department on identifying and intervening with students at-risk for heroin use due to adverse childhood experiences. In Year 1, PYDC will host an annual PYDC Youth Substance Abuse Conference, implement training for educators and law enforcement on adverse childhood experiences, create a Rx drug and marijuana public awareness campaign, and provide much needed information to parents.

The Empowerment Zone Coalition, Inc. is applying for FY2017 Drug-Free Communities Support Program grant in the amount of $625,000 by the White House Office of National Drug Control Policy, in cooperation the Substance Abuse and Mental Health Services Administration. The Coalition serves the Eastside of Detroit, MI, a community of 159,346 The goals of the coalition are to establish and strengthen community collaboration in support of local efforts to prevent youth substance use. The coalition will achieve its goals by implementing these strategies: 1. Enhancing coalition leadership skills 2. Improving member competencies related to the operation of a substance coalition 3. Increasing community awareness of the coalition 4. Providing training and technical assistance support to coalition members 5. Engaging multiple sectors of the community in prevention activities 6. Promoting viable alternatives to substance abuse (positive youth development activities) 7. Increasing awareness of alcohol and Marijuana 8. Launching and maintaining an annual prevention media campaign, and 8. Engaging youth as leaders in substance abuse prevention.

The Coalition for a Healthy Middletown mission is to reduce alcohol and other drug use by youth and over time, reduce abuse among adults in the community through collaboration, education and policy change. The Coalition serves Middletown, Ohio, an urban area with a population of 48,694. The goals of the coalition are: (1) establish and strengthen collaboration among the Coalition for a Healthy Middletown’s partner organizations in support of the community’s effort to prevent and reduce youth substance use; and (2) reduce substance use among youth in Middletown, Ohio and, over time, reduce substance abuse among adults by addressing the issues in our community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse. The coalition will achieve its goals by implementing these strategies: (1) By September 29, 2018 the thirty day use of alcohol among youth grades 7-12 will decrease from 17% to 16% as measured by the Pride Student Survey. (2) By September 29, 2018, increase the number of students in grades 7-12 who report peer disapproval of alcohol use from 59.6% to 63%. By September 29, 2018, increase the number of students in grades 7-12 who report alcohol is harmful from 70.8% to 73%. (3) By September 29, 2018, reduce youth (grades 7-12) 30 day use of marijuana from 19.2% to 17% as measured by the Pride Student Survey.

The North Oakland Community Coalition (NOCC) will continue to establish and strengthen community collaboration to prevent youth substance use through the DFC Support Program. NOCC is poised to increase and expand its prevention efforts and role in the community during the next DFC grant cycle by increasing youth leadership training, skill building and educational forums directed at adult and youth coalition members, as well as annual participation at the Community Anti-Drug Coalitions of America (CADCA) National Leadership Forum and Mid-Year Training Institute. NOCC will have specifically targeted information dissemination in regards to marijuana, prescription drug and youth alcohol use/misuse and will see that key information is shared with all members. The Coalition will continue to support activities to encourage relationship and partnership building with current and future members and volunteers, parents and teens. NOCC will continue to utilize the evaluator, to identify strengths, weaknesses, opportunities and threats that impact NOCC and the ability to sustain prevention efforts over time.

The 27th Street West Drug Free Coalition (formerly known as the Drugs ↓ = Youth ↑: 27th Street West Drug Free Coalition) serves the 53208 zip code area in the City of Milwaukee, WI. Milwaukee is not without its challenges, and the following factors contribute to juvenile substance use. In 2014, the U.S. Census reported the city's poverty rate at 29%, nearly double the national rate of 14.8%, leaving Milwaukee as the nation's fifth most impoverished big city. The Milwaukee Police Department reported that the number of homicides and non-fatal shootings in the city increased dramatically from 2014 (86) to 2015 (145). When compared with 15 peer communities, Milwaukee demonstrated the worst residential segregation between Caucasians and African-Americans. In Milwaukee County, over half of African American men in their 30s have served time in state prison, and Wisconsin has the highest African American male incarceration rate in the nation. General perceptions support a recent study which found that Wisconsin is the heaviest-drinking state in the country. However, both the city and the 53208 zip code are in the midst of a renaissance. Several major investments have bolstered the community, including private investment in housing (Habitat For Humanity, Wells Fargo Bank), federal investment in public safety (Byrne Memorial Justice Assistance Grant) and public/private investment in community redevelopment (launch of corporate-backed nonprofit to revitalize major neighborhoods in the 53208 zip code). Additionally, the Coalition's fiscal agent, Safe & Sound, is uniquely positioned to assure the Coalition's success, as Mayor Tom Barrett, Police Chief Edward Flynn, and other key leaders serve on the board of directors. Safe & Sound received a 2011 White House Champion of Change award, the FBI Director’s Community Leadership Award in April 2017, and provides unparalleled access to community leadership. Since 2010, the 27th Street West Drug Free Coalition has carried out its mission to create an alcohol and drug-free community in the 53208 zip code through collaborative planning, grassroots organizing, programming/activities, and policy initiatives. The specific focus of the Coalition is on addressing the environmental factors that increase the risk of substance use among youth in this community and promoting the factors that minimize the risk. The Coalition successfully received five years of Drug-Free Communities grant funding starting in 2011, and is applying for continued funding for years six through ten. This application outlines two main goals: 1) Strengthen the collaboration among neighborhood stakeholders in support of the Coalition’s work in preventing and reducing alcohol and marijuana use among youth ages 18 and younger in the 53208 zip code area in Milwaukee, and 2) Prevent and reduce alcohol and marijuana use among youth in 6-12th grade in the 53208 zip code by addressing factors in the 53208 zip code that increase the risk of substance use and promote the factors that minimize the risk of substance use. The Coalition will utilize a variety of tactics to accomplish these strategies, including the implementation of drug-free events, training for staff and partners, door-to-door outreach, corner store outreach and owner education, and more. The Coalition will continue to build upon strong relationships with sector representatives, youth, businesses, residents, law enforcement, elected officials, partners, and neighborhood stakeholders. Success will be measured through surveys regarding youth perceptions, crime statistics and social indicator data, and the completion of the Coalition’s proposed action plan. The 27th Street West Drug Free Community Coalition has made tremendous progress in the first five years of the Drug Free Communities grant, but there is still work to be done. This area needs collaborative interventions to change norms and perceptions that offer youth reasons to reject alcohol and drug use.

The Coalition serves Scott County, Kentucky, a community of 52,420. The goals of the coalition are to establish and strengthen community collaboration in support of local efforts to prevent and reduce youth substance use. The coalition will achieve its goals by implementing these strategies. SCAD will increase the number of members by recruiting at various community activities to increase the capacity of the coalition. SCAD will increase community awareness regarding the importance of the proper disposal of prescription drugs and provide alternatives for the disposal of prescription drugs. SCAD will reduce youth ages 12-17 illegal prescription drug usage through education and disposal efforts in the community. SCAD will reduce youth ages 12-17, 30-day alcohol use through education and limiting accessibility in the community. SCAD will partner with local media resources to promote their substance abuse prevention and prescription drug prevention public service announcements.

The Coalition's collected data showed that underage alcohol use and youth prescription drug misuse were the two most commonly used drugs throughout New Hanover County. Adult and youth focus groups and community one-on-ones showed that easy access, availability and parent/adult provision were factors contributing to the problems of underage alcohol and youth prescription drug misuse. The Seven Strategies for Community Level Change were used in developing strategic action plans to address the contributing factors and identify how they will impact the four core measures: 30-day use, perception of harm, perception of parent disapproval and perception of peer disapproval. The Coalition will work with community systems and organizations such as NHC Schools, PTAs, School Health Centers (WHAT), Safe Kids, UNCW, PCYP, Community Care of the Lower Cape Fear (CCLCF), NHRMC, SEAHEC, Media, pediatricians, merchants and law enforcement to enhance prospects for successful implementation of the project. To address the problems of underage drinking and youth prescription drug misuse the Coalition will increase community collaboration through identification of membership gaps, reach out to new partnership, provide technical assistance and support to local professionals with similar initiatives. The Coalition will reduce youth substance through information packets provided to medical offices and youth health centers, national, state and local awareness campaigns, awareness and assistance with medication disposal methods and resources for locking up medication. The Coalition will also work with local bars/restaurants to modify or change policies regarding age restrictions and work with community partners to conduct Alcohol Purchase Surveys and Merchant Education. The Coalition will evaluate these action plans through youth surveys, focus groups and key informant interviews. The PRIDE or DFC CORE Measure Surveys will be used to monitor: 30-day use, youth perception of harm, perception of parental disapproval and perception of peer disapproval. Key informant interviews and focus groups will be used to measure behavior change related to monitoring and storing of alcohol and prescription drugs. Information will be disseminated to community and Coalition members, key stakeholders and future partners through infographics, community health events, print media, billboards, social media and quarterly Coalition meetings.

BASE will work on reducing underage drinking, youth prescription drug abuse and youth marijuana abuse but completing the following goals. DFC Goal One: Increase Community Collaboration Objective 1: Increase the capacity of the coalition to implement prevention activities as measured by a 10% increase in the number of members reporting they feel capable of engaging in the work of the coalition on the annual Coalition Capacity Survey by September 29, 2018. Objective 2: Increase coalition outreach as measured by a 10% increase in membership as measured by the number of membership agreements by September 29, 2018. DFC Goal Two: Reduce youth substance use Objective 1: By September 29, 2018 reduce high school youth reporting 30-day alcohol use by 5% as measured by the Wisconsin Youth Risk Behavior Survey. Objective 2: By September 29, 2018 reduce high school youth reporting 30-day prescription drug use by 5% as measured by the Wisconsin Youth Risk Behavior Survey. (YRBS) Objective 3: By September 29, 2018 reduce high school youth reporting 30-day marijuana use by 5% as measured by the Wisconsin Youth Risk Behavior Survey.

Anaconda Community Intervention, Inc. (ACI) coalition serves Deer Lodge County, a 737 square mile area with a population of 9,150 (2014 U.S. Census Bureau). The very low population density of 12.6 people per square mile presents unique challenges when coupled with a low cost of living index, 83.0 (U.S. average is 100; 2013 City-Data). The county is characterized by densely timbered forest lands, lakes, and recreation grounds. Deer Lodge County was organized in 1864 and its county seat, Anaconda, was founded in 1883 by Marcus Daly, one of the Copper Kings who financed the construction of a local smelter to process copper ore from the nearby mines of Butte, Montana. Smelting operations dominated the county until 1980, when the smelter was closed by ARCO. Since then, an operation for environmental cleanup was put into place by the Environmental Protection Agency. This rural county is classified as economically disadvantaged with 20.5% of our population living below the poverty level and 10.3% unemployed. American Indians constitute the largest minority population in our county at 3.5% (Caucasians 90.8%; Hispanic 3.1%; African Americans 0.4%; and Other 2.2%). Anaconda is an aging town. Many of our youth leave in pursuit of college, further job opportunities, or a faster paced life, never to return. Towns in Deer Lodge County include Anaconda, Galen, Georgetown, Opportunity and Warm Springs. Only Anaconda is incorporated. Galen and Warm Springs are home to state-funded correctional and treatment facilities; and the other two are “bedroom” communities, void of businesses, services and schools. There are 609 students currently enrolled in grades 6-12; all of whom attend schools located in Anaconda; and there are 39 homeschool students scattered throughout the county. The rural culture here has its own set of distinctive values and norms, such as fierce independence, unique family patterns and expectations, hearty customs and traditions, pride of heritage and mining culture, and an aversion to outside involvement. At one time, Anaconda housed more bars per capita than any other location in the world. A point of great boasting for many of our aging residents. In fact, no less than 147 saloon licenses were issued in 1868 alone! And the drinking culture has persisted to this day. We have a tragic story to tell. Our coalition began in response to a series of horrific deaths in the early 1980s (crashes involving decapitations, homicides, suicides, orphaned children), all of them linked to alcohol abuse. We have faced, and are still facing, many community-level struggles. In spite of our efforts, alcohol and drug-related tragedies continue (the gruesome murder of a 4-year-old boy by his drugged-out father in 2013, the federal indictment of 20 people involved in a drug trafficking ring in 2014, negligent homicide by a 22-year-old in 2015, a rape last fall, and the list goes on). Coalition members (including youth) have voiced fears related to the new and rising threat of vaping. Our County Attorney laments the weak penalties available to prosecute those who provide alcohol to minors. Our DUI Task Force agonizes over the rising number of drug dealers caught passing through our community; the Bakken Oil Industry has had a far reaching impact on drug trafficking across our state and in our community. Our Guardian Ad Lidems are baffled at the number of child removal cases involving substance abuse. In fact, out of 42 child removal cases for our Judicial District in 2015, 20 involved substance abuse. But the strong will of our 30-year-old organization keeps us grounded and focused. Several of our founding members are still actively involved. We understand that substance abuse has taken its toll on Deer Lodge County, a toll that has been understated for a long time. We now have a Chief of Police, County Attorney, and School Superintendent who are fully committed to positive change – we wholeheartedly welcome them! We are real

Approximately 21% of high school students in Pitt County reported consuming alcohol in the past 30 days, with 11% reporting engaging in high-risk alcohol consumption. Additionally, 6% of youth reported using opioids (specifically prescription pain killers) in the last 30 days. Therefore, the particular focus for this grant is on alcohol and opioid drug use by youth. Regarding prevention of underage drinking, the Pitt County Coalition on Substance Abuse will target parents and merchants in efforts to reduce youth access to alcohol. Trainings and presentations will be conducted to parent groups to discuss the need to lock up their liquor and refrain from throwing parties where alcohol is provided to underage youth. Additionally, the coalition will enhance their alcohol purchase surveys to ensure merchants are not selling alcohol to underage individuals. A multifaceted approach will be used to reduce use of opioids by youth. Education will serve as the foundation of this initiative with town halls and promotion of the Good Samaritan law being a major component. PCCSA will develop prevention briefs and a resources list that can easily be accessed by health care practices, parents, businesses, and community members. Lock boxes will also be promoted to reduce access to prescription drugs at home (the primary way youth in Pitt County report accessing opioids). The Coalition will also develop a comparison chart on state policies related to prescription drugs to use for advocating for policy changes. PCCSA has also chosen to enhance membership recruitment and retention strategies to ensure the success of these (and future) initiatives, with a particular focus on youth and the Latino population.

The Safe Yakima Valley Drug Free Action Team is a coalition of Yakima community representatives who have gathered to establish and strengthen community collaboration in support of local efforts to prevent youth substance use. The coalition will achieve its goals by implementing a series of strategies designed to improve the overall operations of the coalition as a sustainable mechanism for positive change in the community and to increase the knowledge, skills and abilities of youth and adults that support healthy, drug-free lifestyles. The coalition and its many partners will engage in: 1. Promoting Positive Youth Development Activities, 2. Alcohol and Marijuana Awareness Education, 3. Substance Abuse Prevention Media Campaign, 4. Engaging youth in the development of solutions to substance abuse, 5. Improving access to substance abuse treatment services, 6. Developing the substance abuse resistance and refusal skills of youth, 7. Conducting emphasis patrols to better manage access to alcohol and marijuana by youth, and 8. Improving, promoting, and adopting policies that support substance abuse prevention and swift access to treatment for youth and their families. These efforts will, over the period of 5 years, work to reduce 30-day marijuana Use among 8th grade students from the current 2016 baseline of 18.5% to 9.25% and reduce 30-day alcohol Use among 10th grade students from the current 2016 baseline of 20.8% to 10% by 2018 as measured by the Washington State Healthy Youth Survey – Yakima School District.

Coalition Description. The Coatesville Youth Initiative (CYI) is a community-based, youth substance prevention coalition focused on facilitating “…cooperation and collaboration among groups or sectors of a community in which each group retains its identity, but all agree to work together toward a common goal of building a safe, healthy, and drug-free community”. CYI implements evidenced-based prevention planning and coalition building processes including the Strategic Prevention Framework (SPF) to make data-informed decisions to address substance use among youth and young adults ages 12-18 in the Coatesville Area School District (CASD). The Coalition serves the greater Coatesville community, Pennsylvania, a community of 62,492. Coalition Goals. The goals of the CYI are to facilitate community collaboration in support of local efforts to prevent youth substance use. We achieve our goals by implementing community-level change strategies and prevention services to educate, motivate and change the perceptions, attitudes and choices youth and young adults make regarding alcohol, prescription drugs and marijuana. Prevention Strategies. The Coalition believes there is compelling reason to focus on these substances based on the prevalence rates and their role as gateway drugs to more serious substances. The 12-Month Action Plan is designed to address the following priorities for reducing prevalence rates and incorporates the SAMHSA Seven Strategies for Change (as identified in the Action Plan). With support from a variety of community stakeholders, we implement a prescription drug dropboxes; provide prevention awareness campaigns for high school students; organize community town hall sessions to gather feedback; conduct merchant education with law enforcement, and pass local ordinances to prohibit tobacco and marijuana usage in public spaces. Impact on youth substance use in the community. For the last seven-years, CYI has worked hard to help reduce substance use in the community. Since 2011 until the present (2015 data), the overall usage of alcohol and tobacco has gone down (by 2 & 3% respectively). Our impact on youth substance use has been achieved through implementation of the SPF process, where we have: We provided information distributing 8,261 drug prevention brochures and 9,862 articles for parents and caregivers providing information to reduce teen drug use; and publishing 20,514 brochures highlighting 279 alternatives activities to reduce the likelihood of youth engaging in risky behaviors. We provided support implementing the evidence-based programming for 300 individuals (100 families); conducting 492 community prevention presentations for youth and families; and collecting 5,287 pounds of prescription drugs off the streets. We educated liquor local retailers through the Responsible Alcohol Server & Tobacco Training program. Twenty-six servers attended the training with the completion rate increasing from 79% to 94%. We hosted a prevention town hall event for 520 high school seniors. We provided information about the dangers of substance use to 1,447 teens at a Teen Driver Summit. We changed the physical design by pushing to have a local ordinance passed to prohibit smoking in parks and public spaces in the City of Coatesville. We placed 28 weather resistant “Young Lungs at Play!” signs in local parks. We enhanced access and reduced barriers. We implemented more than 50 compliance checks to alcohol retailers.

Project Abstract Summary The Newton County Community Coalition has recognized a need to reduce substance abuse with youth in Newton County. This need was determined through the results of the 2016 Missouri Student Survey. This survey was given to 1550 students in Newton County school districts, number of law enforcement referrals for youth using illegal substances and through youth/parent interviews about why youth are using those substances. The 2016 Missouri Student Survey shows past 30 day drug use for alcohol, marijuana, prescription drugs and tobacco in 6th through 12th grades. It was recognized by the Coalition that 11.1% of the youth taking the survey said they had used alcohol in the last 30 days and 10.7% of those youth stated they had misused a prescription medication in the last 30 days. Alcohol rates had rose slightly from the 2014 Missouri Student Survey but he prescription drug use rates rose from 3.1% in this time period. Other factors the Coalition recognized as a reason to focus primarily on these two substances was ease of access and perception of harm. 42.9% of youth for alcohol and 29.5% of youth for prescription drugs admit it is easy to obtain these substances. Youth also believe since adults drink alcohol and they have witnessed friends drink alcohol it is okay for them to use alcohol too. Youth also state because doctors prescribe prescription medication to them it is okay to use them without a doctor’s prescription. The Newton County Community Coalition plans to reduce the rates reported in the 2016 Missouri Student Survey by following the Strategic Prevention Framework model and utilizing the seven strategies for effecting a community change. Through assessment, capacity building, planning, implementation and evaluation, the Coalition will develop strategies for the communities it serves. These strategies will include providing information, building skills, providing support, enhancing access/reducing barriers, changing consequences, changing physical design and modify policy/laws. By using the Strategic Prevention Framework model and the 7 strategies for community change the Coalition will reduce past 30 day Alcohol use 3% by September 29th, 2018, as measured by the 2018 Missouri Student Survey. The Coalition will also reduce past 30 day use of prescription drug misuse 4% by September 29, 2018 as measured by the 2018 Missouri Student Survey. This overall reduction in youth using alcohol, tobacco and other drugs in Newton County will help the Coalition attain a safe, healthy drug free Newton County for our youth to live in.

The North County Prevention Partnership, Drug Free Communities (NCPP-DFC) has a long-term vision to create a safer, healthier, and more vibrant community through a collaborative partnership of agencies and community members located in South San Francisco (SSF), in San Mateo County, California. NCPP-DFC is comprised of members with different areas of expertise, who together seek to create a comprehensive system of education, support, and advocacy to reduce the overall impact and harm caused by youth use of alcohol, tobacco, and other drugs (ATOD). The structure includes a Steering Committee, a General Committee, a Youth Coalition, and partner organizations/agencies, with HealthRIGHT 360/Asian American Recovery Services serving as the fiscal agent. We invest knowledge and resources amongst all of our partners, and are dedicated to cultivating informed youth leaders engaged in positive change. The NCPP-DFC Youth Coalition, Students Making A Change (SMAC) contribute instrumental insight and energy to the partnership. The NCPP-DFC was formed in 2012, to enhance environmental prevention strategies addressing youth ATOD use in SSF. The overall goals of the program are to increase community collaboration and reduce youth ATOD use. Various members are responsible for community- and school-based outreach, education, advocacy, and research activities. In response to community needs, the Coalition targets three substances: Alcohol, marijuana, and prescription drugs. Special initiatives and approaches proposed include: a Marijuana Education Campaign; distribution of prescription drug lock boxes; the SMAC Youth Coalition; information gathering in schools and the community; a partnership with SSF Police Department to ensure alcohol merchant compliance checks; and a partnership with SSF Unified School District to conduct activities in schools. The NCPP-DFC Coalition has established measureable objectives, and has experience successfully evaluating activities and community needs. The California Healthy Kids Survey (CHKS) is administered every two years to all students and includes a module specifically designed for the DFC grant. Program outcomes and population trends are communicated with the community through in-person meetings, social media, and advocacy efforts, in order to support long-term community awareness and involvement in youth ATOD prevention.

CARE COUNCIL Coalition is a substance abuse prevention community coalition serving Whittier, California. Our coalition is a collaboration of stakeholders, public officials, youth, parents, educators, healthcare professionals, and concerned citizens all working to lessen the impact of substance abuse and addiction on our local community. The Coalition utilizes a public health approach that uses data-driven prevention planning to identify and implement population-based strategies aimed to reducing youth alcohol, tobacco, marijuana, prescription drug, and illicit drug abuse. Services include conducting an annual community needs and resource assessment, coordinating strategic planning among stakeholders, and implementation of evidence-based and proven-effective strategies for community change: • Providing Support (Community Coordination, Advocacy Efforts) • Providing Information (Information Dissemination of Facts and Resources) • Enhancing Skills (Education, Training) • Enhancing Access & Reduce Barriers to Services and Resources • Modifying / Changing Policies that support prevention • Physical Design review and changes that support protective factors and thwart risk factors • Change Consequences such as enhanced enforcement of existing regulations Our Coalition maintains broad support form the key sectors of the community including appropriate state and local health agencies. These partners are essential members of the coalition and provide support such as consumption, consequence, and social indicator data that assists our planning efforts, outreach to reduce barriers to their services, and consultation on policy initiatives that impact public health.

The West Side Youth Development Coalition (WSYDC) is the outcome of the evolution of the West Side Youth Violence Prevention Coalition, which was started in 2009 as a collaborative effort between faculty and staff at SUNY Buffalo State and members of the West Side community in response to major homicide outbreak. In 2012, the coalition evolved into a broader pro-youth and family-oriented coalition focused on preventing alcohol and drug abuse and took the name of West Side Youth Development Coalition (WSYDC). WSYDC was awarded its Drug Free Communities Grant in 2012. The coalition, because of its unique relationship with SUNY Buffalo State, has been able to make an outsized contribution to the community given the institution’s support of the match requirement. WSYDC has effectively impacted substance use in the community through its efforts. The West Side of Buffalo continues to face major issues related to alcohol and drug problems. Adolescents are burdened with substantial risks due to the availability and use of alcohol and prescription drugs along with the exceedingly high level of community disorganization and consequences directly associated with substance abuse (youth treatment, violent crime, drug crime, opioid overdose, teen pregnancy). This confluence of problems presents a highly challenging environment for youth on the West Side, despite some very positive progress over the past five years of coalition effort. WSYDC has carefully utilized the strategic prevention framework to develop approaches to utilize the seven strategies for community level change. A comprehensive twelve-month action plan is presented to show the steps to be used for improving the capacity of the WSYDC and for reducing youth alcohol and drug abuse on Buffalo’s West Side. The plan builds on the integral support provided by the 12 key sectors of the coalition and the strengths of staff and the Coordinating Council. Quantitative and qualitative data collection is part of a comprehensive formative and summative evaluation approach. Results will be shared broadly in the community and will be used to drive improvements to implementing the action plan through mid-course connections.

Together for Resilient Youth (TRY) will deliver state of the science substance abuse prevention strategies with a focus on minority youth and young adults in Durham, North Carolina in an effort to prevent and reduce tobacco, alcohol, marijuana, prescription drug use. This project will focus the attention of all community members and stakeholders on underage drinking, dangerous alcohol use, unhealthy binge drinking practices, e-cigs and chewing tobacco, marijuana as a public health issue and overdose due to prescription drugs and address the risks that use poses such as suspension or expulsion from school and criminal repercussions. TRY youth and young adult coalition leaders will reach their peers and the community through youth designed, youth led, youth inspired campaigns and strategies. The project will use a mix of evidence-based education and awareness strategies, social marketing campaigns (App/Text), environmental strategies and Town Hall meetings. The project seeks to achieve an increase in youth’s knowledge of alcohol marketing to certain populations, product price, placement and promotion; an increase in youth’s confidence in making proud and responsible decisions about protecting themselves and their community, and an increase in youth serving as role models to their peers to prevent alcohol use. The applicant and partner organizations maintain tobacco and drug free workplaces.

Western Youth Network will serve as the grantee agency for the Watauga Substance Abuse Prevention (WSAP) Collaborative. The following goals are designed to impact youth (persons under the age of 18): (1) establish and strengthen collaboration among WSAP’s partner organizations in support of the community’s effort to prevent and reduce youth substance use; and (2) reduce substance use among youth in Watauga County, NC and, over time, reduce substance abuse among adults by addressing the issues in our community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse. The coalition will implement the following environmental strategies: 1) Partner with stakeholders to develop comprehensive substance use prevention policies to increase enforcement of substance-related policies on and off campus. 2) Expand social norms campaigns in order to change perceptions and attitudes about underage drinking and drug use. 3) Reduce availability and accessibility to alcohol and e-cigarettes in retail settings by enhancing compliance operations training opportunities. 4) Enhance community prescription drug disposal efforts through promotion of permanent drop boxes and provide training to local physicians, pediatricians, and pharmacies. A goal in continued stakeholder engagement is to enact or enhance several policies and practices to include the following: 1)Increased opportunities for alternative youth activities through partnerships with Mountain Alliance, Elevate, and Watauga Parents for Prevention; 2)Formal amendment to the Watauga County Schools substance use policy to include Comprehensive Substance Abuse Prevention Plan that is based on national best practice. 3) Encourage the adoption of “21 and up"" policies at local bars and required RBS training for local alcohol retailers. 4)Advocate for mandated use of the Controlled Substance Reporting System (CSRS) and alternative pain management protocols for prescribers. 5)Formal adoption of smoke-free policies that include the use of electronic vapor products on Watauga County Schools, Appalachian State University, and Caldwell Community College campuses, as well as public spaces within the Town of Boone.

Project Summary The Pickens Steppin’ It Up Coalition serves Pickens County, South Carolina a community of 121,691. The goals of the coalition is to establish and strengthen community collaboration in support of local efforts to prevent youth substance use. The coalition will achieve its goals by implementing these strategies in response to troubling evidence of drug-related threats to individual, family, and community well-being in Pickens County: 1. Strengthening the community’s capacity for working collaboratively to address the complex problem of youth substance use 2. Equipping youth, parents, and other youth-serving adults with the knowledge, tools, and confidence to promote healthy, positive behaviors among youth 3. Building community support for the development and enforcement of local policies, ordinances, and norms to reduce the availability of drugs and alcohol