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This program will complement current strategies that pertain to substance use disorder and opioid related treatment, prevention, and recovery. Included are Medication Assisted Treatment (MAT) for patients with opioid use disorder, and a new position Addiction Treatment Services Manager with experience treating a spectrum of substance abuse disorders. A total of 2,000 persons will be reached in the first year and more than 6,000 over the five years of the grant.

The proposed project, Partnerships for Success - Lincoln County Communities That Care, will increase and strengthen the capacity and infrastructure needed to prevent the onset and reduce the progression of substance misuse in Lincoln County. Unite for Youth will utilize the evidence-based Communities That Care framework to enhance collaboration across all sectors of the community to increase the well-being of youth and families in Troy, Libby, and Eureka. Rural and geographically isolated, Lincoln County is located in the Northwest corner of Montana and covers a territory of 3,613 square miles. The communities of Troy, Libby, and Eureka have a combined population of 19,440 (93 percent Non-Hispanic white, 2.8 percent Hispanic, 1.3 percent American Indian and Alaskan Native, and less than 1 percent African American, Native Hawaiian/Other Pacific Islander, Asian combined). 100 percent of the population reports being proficient in English. 18 percent of the population is below 18 years of age, and nearly one-third is at least 65 (County Health Rankings and Roadmaps, 2019). Goal One: To prevent and reduce substance misuse in the Lincoln County community by implementing evidence-based programs and policies within the school and community domains. Objective 1: By 2025, increase perception of risk or harm of alcohol, marijuana, and vape nicotine use by students in grades 6-12 in Lincoln County by 5 percent each as measured by Montana's PNA data, implementation fidelity reports regarding evidence-based programs, and a documented targeted and comprehensive media plan. Objective 2: By 2025, decrease reported lifetime use of alcohol, vape nicotine, and marijuana by students in grades 6-12 in Lincoln County by 10 percent each as measured by Montana's PNA data, and the development of a comprehensive media advocacy plan. Goal Two: Strengthen community-level capacity and infrastructure to decrease prioritized risk and protective factors that contribute to substance abuse in Lincoln County. Objective 1: By September 2021, UFY will increase the coalition capacity to implement tested and effective programs in the community as evidenced by documentation related to prioritized risk and protective factors, community resource assessment, research supporting chosen evidence-based programs, process and performance assessment data, and sustainability plan. Objective 2: By September 2025, UFY will increase the number of agencies in Lincoln County contributing relevant public data to MPOWR, a comprehensive tracking system from 0 to 20 as evidenced by signed MOUs and MPOWR process, outcome and project reports. Strategies include utilizing the evidence-based Communities That Care framework to increase the capacity of the Lincoln County community to identify and implement tested and effective programs and policies shown to decrease risk factors that contribute to behaviors of concern and increase protective factors that contribute to the well-being of youth and families.

The Weakley County Prevention Coalition's SPF-PFS project is aimed at preventing/reducing the misuse and abuse of alcohol among youth and young adults ages 12-25 and adults ages 26 and up and reducing the misuse and non-medical use of prescription drugs. The proposed catchment area of Weakley County, with a population of 33,626, located int he western part in the state of Tennessee. The project goals are as follows: Goal 1: Decrease the use and misuse of alcohol by youth/young adults (12-25), and adults (26 and up) in the community by implementing evidence- based programs and practices such as community mobilization, environmental change, parenting skills education, social norms campaigns, and education within Weakley County. Goal 2: Decrease the misuse of prescription medication by youth/young adults (12-25), and adults (26 and up) by implementing evidence- based programs, practices, and strategies, such as encouraging community members learn how to prevent and manage opioid abuse, encourage prescribers to use TN's State Control Substance Monitoring Program, community mobilization, environmental change, parenting skills, education, social norms campaign, and education within Weakley County. Goal 3: Strengthen Weakly County Prevention Coalition's current prevention capacity and infrastructure at the community level in support of prevention efforts through cultural competency training, leadership development, strategic planning, sustainability, and community mobilization. Goal 4: Strengthen the capacity of the prevention data management and systems infrastructure at the community level though implementing a comprehensive community assessment to expand the availability of data to be used y partners to make data driven decision on evidence- based programs/practice within Weakley County. The coalition will use a comprehensive approach to achieve the intended goals through strengthening the coalition's capacity and infrastructure at state, regional, and local levels. WCPC will collaborate with the Prevention Technology Transfer Centers to reduce the use and misuse of alcohol and prescription drugs through community outreach and education, building leadership among community members, increasing community involvement among members and strengthen partnerships with key stakeholders.

The Porter County Substance Abuse Council (PCSAC) will expand Porter County's prevention infrastructure by forming three new coalitions serving the three largest cities in Porter County (Chesterton, Portage, and Valparaiso). Thirty-six community partners have committed to support SPF-PFS implementation through the expansion of a mix of evidence-based prevention programs and activities. Porter County is a mix of urban and rural. The American Community Survey (2019) estimates a population of 169,594. The racial and ethnic makeup of the count is 82.8% White, 4.2% Black, 0.4% Native American, and 1.5% Asian. The Hispanic/Latino community doubled in size over the past 5years form 4.8% in 2013 to 10.3% in 2019. PCSAC will facilitate implementation of each component of the SPF (assessment, capacity, planning, implementation, and evaluation) ensuring a high degree of cultural competence and probability for sustainability. The assessment step will being with updating the existing Porter County Epidemiology Profile within the first 60 days along with a Behavioral Heath Disparities Impact Statement. The updated Epidemiology Profile will provide more complete information on the origin and effect of substance abuse, addiction, and recovery in Chesterton, Portage and Valparaiso. In addition, the project will engage Porter County youth in geo-mapping and environmental scans to identify root causes of alcohol, marijuana, and opioid use and abuse. This new information will be used to strengthen prevention capacity, build infrastructure, and leverage other funding streams and resources using coordinated outreach and messaging strategies. Planning will result in three additional epi reports. At the end of the 5 year project, PCSAC will have expanded Porter County prevention infrastructure and significantly reduced youth and adult alcohol, marijuana and opioid abuse.

Tri-County Collaborative SPF-PFS Project Three experienced, rural-Tennessee Community Substance Misuse Prevention Coalitions and Tennessee Technological University (TTU) propose a collaborative project to prevent the onset and reduce the progression of substance misuse and its related problems while strengthening prevention capacity and infrastructure in a U.S. region where health disparities associated with difficult economic conditions, remote rural access issues and isolation are prevalent. The applicant coalitions are Power of Putnam (Putnam County), The Community Prevention Coalition of Jackson County (CPCJC) and The Clay County Anti-Drug Coalition (CCADC). Underage drinking and population-wide opioid misuse have been identified as the primary problematic substances. The underage drinking portion of our proposal targets 14,631 youth attending 26 schools across the 3 county school districts and 5,400 students under age 21 attending TTU. The misuse of opioids is a population wide problem impacting every age group both directly and indirectly. Each of the adjoining county coalitions has successfully utilized the SPF process and various funding opportunities, including DFC projects, to reduce substance misuse and build significant infrastructure at the county level. Based on identified commonality of root causes across the three counties and identified service gaps, this synergistic project will leverage all resources into a more effective effort at the community and regional level. The project is designed to be both scalable, so that successes can be taken to neighboring underserved counties, and sustainable, so that the work will continue beyond the funding period. The coalitions have worked closely together for 8 years, share information monthly and attend quarterly joint training opportunities. We have collaborated on efforts such as regional media campaigns and combined purchasing power to reduce the cost of items like medication lockboxes. Data from all counties supports the effectiveness of a multi-county effort but our historical work has been focused within the silos of our individual counties. There has not previously been funding to expand a concerted prevention effort across county lines. Tennessee Technological University has been identified as both a service gap and a source of extensive resources. The student enrollment includes around 5,400 students under age 21 in an environment where alcohol consumption is the subject of significant promotion. Prior to 2019, local prevention and recovery efforts have made few inroads. Through a growing partnership with the coalitions TTU is creating a Center for Addiction Prevention and Support (CAPS) to develop evidence-based prevention practices, implement systematic data collection and analysis, support TTU students in active recovery and educate the campus community about substance-use disorder.

Chicanos Por La Causa's Nahui Ollin Program will build substance use prevention capacity and infrastructure in Pima County, Arizona, through a multi-pronged approach consisting of the evidence-based practice Project Towards No Drug Abuse, educational workshops such as Mental Health First Aid and Naloxone training, fairs, in-classroom curriculum, community collaboration, and youth leadership and empowerment training. NOWP goals are based on the premise that changes at the community level occur with culturally sensitive education and prevention services, and will reduce and prevent the impact of substance misuse, teen pregnancy, and risky behaviors in high risk and underserved minority youth, ages 13 to 18, as well as adults. CPLC and the Nahui Ollin program seek to empower empower youth to make good choices, lead successful lives and build strong communities. We expect to impact 300 individuals per grant year for a total of 1500 over 5 years.

In Texas, underage drinking is a significant problem and youth marijuana use is on the rise. Texans for Safe and Drug-Free Youth's (formerly named Texans Standing Tall) project, "Community Regional Forums and Trainings to Strengthen Prevention Workforce Capacity to Enhance Strategies for Reducing Underage Alcohol and Marijuana Use," aims to build an enhanced infrastructure that increases the state's capacity to implement, sustain, and improve effective substance abuse prevention services. To foster engagement in environmental prevention work, we will use a three-pronged approach that includes 1) hosting Regional Community Forums and follow-up trainings to build capacity and readiness using SPF, 2) implementing local prevention strategies that reduce youth access to alcohol and other drugs, and 3) providing advocacy training to help coalitions develop the skills, resources, and support needed to advocate for programs/policies that prevent and reduce youth substance use. Our population of focus is youth 9 and 20 years old and, as a statewide coalition, our geographic catchment area is the entirety of Texas. However, we will focus in Year 1 on the Permian Basin Region and in Lufkin. We estimate we will be able to directly serve a minimum of 360 individuals annually through Regional Community Forums, trainings, workgroups, and technical assistance. Our work will also have an impact on at least another 560,000 people over the entirety of the project, who will be affected by environmental prevention implementation in each community. Our first goal is to strengthen communities' capacity to prevent underage alcohol and marijuana use by training prevention workforce and community members. First, we will conduct 5 stakeholder presentations in Year 1 to assess community readiness and capacity to act. We will then conduct 10 Regional Community Forums on evidence-based prevention strategies and the SPF process. We will increase the prevention workforce and community capacity to implement prevention strategies, demonstrated by 70% knowledge gain measured with pre/post-tests. Our second goal is to support at least 10 communities by 2025 in identifying and implementing prevention strategies to reduce youth access to alcohol and/or marijuana. We will provide 20 customized trainings to help communities identify goals and strategies; provide 10 cultural competency/sustainability trainings to enhance their sustainability efforts; provide 200 hours of technical assistance; and increase the prevention workforce's skill set to implement strategies, demonstrated by 70% of community partners developing strategic prevention plans and 70% knowledge gain measured through pre/post-tests. Our third goal is to equip coalitions with the knowledge and advocacy skills needed to implement and sustain prevention programming. We will provide 5 two-day conferences to bring together coalition members from across the state. Three will focus on community mobilization/advocacy skills, and 2 will focus on emerging prevention issues and environmental prevention strategies to address them. We will also provide 2 statewide coalition meetings per year that give coalitions the opportunity to receive support for state and local prevention efforts.

L.A. CADA Care Council's PFS project will serve the geographic catchment area of communities in southeastern Los Angeles County (LAC). The proposed project will be delivered within LAC Service Planning Area (SPA) 7 with high school students in Whittier Union High School District; with 7 high schools and 11,404 students; which is made up of 1.1% African American, 0.2% American Indian, 1.2% Asian, 1.2% Filipino, 88.8% Hispanic or Latino, 0.2% Pacific Islander, and 7% White. 71.0% of students qualify for free/reduced lunch and 9.4% of students are English language learners. Strategies to address our identified needs include: Creating a data-driven, focused collaboration between prevention and local schools, creating an infrastructure for early identification and intervention of behavioral health needs (key risk factor of substance abuse), and increasing awareness & access to existing treatment services. The project plans to serve approximately 135,000 annually through environmental strategies.

The purpose of the PACT-Partners for Success project is to increase prevention infrastructure to counteract the onset of substance abuse and reduce progression and its related problems at the community level for Kandiyohi, Renville and Yellow Medicine counties, located in west central Minnesota. Specifically, it is to support a reduction in underage drinking, marijuana use, and addiction to nicotine through vaping/e-cigarette use among youth and adults aged 9 and up by increasing the capacity of school districts and organizations in Kandiyohi, Renville and Yellow Medicine counties to implement effective prevention programming. The objectives developed are framed in the five stages of the Strategic Prevention Framework (SPF): Assessment, Capacity Development, Planning, Implementation, and Evaluation, with an additional eye toward Cultural Competence and Sustainability. Each county will build a leadership team focused on following these steps at the county level, making use of the information and knowledge gained to support the work of one another as a dual-county partnership. It is expected that counties will be able to make use of similar prevention programming and work together on developing positive social norms. The challenges of providing prevention services across a large, rural area are many. As the population declines and needs increase, agency services have been forced to consolidate and focus on more immediate types of services (basic needs, crisis intervention, etc.). All the school districts have faced declining enrollment over the last decade, putting a strain on their budgets and infrastructure. Cuts in staffing or lack of staffing impacts delivery of services. Outreach and prevention programming from county agencies have also been reduced or eliminated as budgets change to meet service needs from within their own organization. With the high demands of time for existing staff, it becomes an extra challenge to network with other agencies and professionals and work across the large geographic area. This project is a shared vision and collective effort across county lines to implement a sustainable comprehensive prevention model.

The College of the Muscogee Nation (CMN) wishes to create a comprehensive and trauma-informed prevention system to prevent the onset and reduce the progression of substance misuse, strengthen prevention capacity, and organize services for non-reservation, rural, and under-served American Indian students, youth, and adults who are served by the college. This prevention undertaking shall expand and enhance the continuum of care for substance misuse services, prevent onset and reduce the progression of substance misuse and related problems, increase abstinence, reduce costly health utilization, and improve public health while increasing prevention capacity. The Safe Journey project will utilize the Strategic Prevention Framework (SPF) model, Community Anti-Drug Coalitions of America-like (CADCA) methods, and Prevention-prepared Community approaches to develop a campus-based prevention coalition and advance substance misuse prevention activities and literacy on campus and in surrounding communities.

Tahlequah B.E.S.T.'s PFS Project will focus on youth ages 9-20 and their parents and caregivers within the Tahlequah Public Schools catchment area. The District serves grades PreK-12th; 55% of which identify as Native American, 30% Caucasian, 12% Hispanic, and 3% Black or Asian. Results from Cherokee County, where Tahlequah is located, show that youth have high rates of past 30-day use of alcohol and tobacco. Therefore, this PFS will focus on alcohol and tobacco use, especially vaping. Due to budget cuts, the Tahlequah School Districts has trimmed their ranks of school counselors, social workers, and school resource officers. Schools are desperate for community partnerships that can address behavioral and mental health issues, such as substance abuse. Additionally, there is a need for an efficient and consistent way to promote, increase access, and remove barriers to our families who need mental health and support services. Youth and families are unaware of available resources, they do not understand how to engage in services, and they are unclear about what services are appropriate for them. Strategies to address these needs include: 1) Increase coalition membership with adult and youth members (6th to 12th grade). 2) SPF planning activities including voices of Tahlequah adults and youth, especially through youth-led planning and advocacy activities, to identify and implement community strategies. 3) Community education campaigns to address gaps in knowledge of resources and risk/harm associated with alcohol and tobacco use. These activities will be tracked by sign-in sheets, meeting minutes, outreach numbers, reach of multi-platform media activities, and community partner surveys. Other activities include 1) Increase capacity of community-wide cultural sensitivity and trauma-informed policies with 50% of officers completing the B.E.S.T. identified trainings on social hosting and cultural-sensitive policing. 2) Improve surveillance around vaping. These two activities will be measured by training sign-in sheets, the Oklahoma Prevention Needs Assessment, and completion of a youth-led environmental scan, policy review, and strategic plan.

The Greene County Partnerships for Success Project will prevent the onset and reduce the prevalence of underage alcohol and tobacco/vaping use by youth ages 12-20, the misuse of prescription pain medication and other opioids by youth and adults ages 12 and older, and problems related to such substance use/misuse in Greene County, Missouri. This will be accomplished by strengthening the prevention capacity and infrastructure at the community level and by implementing strategic evidence-based programs and activities with partner agencies, utilizing the Strategic Prevention Framework and the CADCA 7 Strategies for Community Change. The project will enhance the prevention capacity and infrastructure by identifying resources and gaps in stakeholder engagement, recruiting stakeholders to ensure broad-based community support and active engagement in prevention efforts, increase the number of opportunities for stakeholders to learn how to implement the Strategic Prevention Framework, and enhance alignment of Greene County substance use prevention efforts to reduce duplication and increase collaboration. The project will implement strategic efforts including training tobacco and alcohol retailers, conducting compliance check operations, implementing community outreach and education campaigns, providing presentations and trainings to youth, parents, and the general community, conducting bi-annual medication/vape take back events, promoting locations for permanent drug disposal boxes, and providing medication disposal bags and medication lock boxes to high-need populations. This project will ensure communication is age-specific, developmentally appropriate, and culturally sensitive while conducting substance use prevention activities. We will ensure that coalition representation is culturally inclusive and disaggregate data to ensure infrastructure is developed and enhanced to engage subpopulations, including age, ethnicity, and other vulnerable populations. By implementing this prevention project, we expect by 2025 a 10% decrease in Greene County youth ages 12 to 20 in past 30-day use of alcohol, vaping/e-cigarettes, and misuse of prescription drugs, as well as a 20% decrease in the number of overdose deaths among Greene County residents. We also expect to increase the community’s level of readiness to address the substance use issues from the current stage of Initiation to the stage of Confirmation/Expansion. This project anticipates directly serving 15,000 youth and adults annually and 75,000 youth and adults over the course of the five-year project. These numbers served do not include those anticipated to be reached by the education and outreach media campaign, which would reach approximately 178,000 youth and adults annually.

The Alcohol and Substance Abuse Council of Jefferson County, Inc., (ASAC) will partner with school districts to delay the onset of alcohol, prescription drugs not prescribed by a doctor, and e-cigarette use to reduce the progression of substance abuse among students 9-11 years and to decrease past-30-day use of alcohol, prescription drugs not prescribed by a doctor, and e-cigarette use among individuals 12-17 and 18-25 years. The proposed project will engage local school districts and their communities to achieve the stated goals and objectives by strengthening community-level capacity to implement services and improve pertinent infrastructures. YEAR 1: ASAC, in collaboration with Belleville-Henderson, LaFargeville, and Watertown City School District, will employ a two -pronged approach: 1. Establish a community-focused work team in each of the identified school districts. The taskforce coordinators (TCs) will be responsible for creating school-based community work teams that will help create community-specific needs assessments by conducting gap analyses, identifying needs, and planning and implementing improved service-delivery methods by utilizing their specific knowledge of the community and the needs of the district-wide population--information not easily or accurately captured by a county-wide needs assessment. 2. Obtain agreements to begin implementation of agreed-upon evidence-based strategies in grades 3-6 and 7-12 to positively impact the stated goals. The three student populations to be served per district are 498, 528, and 4,374, respectively, for a total of 5,400 individuals. Additionally, 500 individuals ages 18-25 will be served. YEARS 2-5: ASAC, in collaboration with local school districts and the TCs, will expand community taskforce building to create school-specific youth teams whose leaders will become the voices and faces of change across districts. The Watertown TC, in collaboration with the Belleville-Henderson and LaFargeville TCs, will also work with the local community college. TCs and youth will be trained in the Strategic Prevention Framework and the Seven Strategies of Change to effectively engage and guide community assessments, needs assessments, and the strategies for creating and sustaining fully functioning community workgroups. TCs and youth leaders will collaboratively work with ASAC and the Alliance for Better Communities, a county-wide community coalition. Success will be measured via the 2024 Prevention Needs Assessment Survey (PNA) results on the following measures: 1. delaying onset of alcohol, prescription drug, and e-cigarette use among individuals ages 9-11 by 12 months; 2. reducing past-30-day use of alcohol, prescription drugs not prescribed by a doctor, and e-cigarettes among individuals in grades 7-12 by 2% as measured by the 2024 Prevention Needs Assessment Survey; 3. and reducing past-30-day use of alcohol, prescription drugs not prescribed by a doctor, and e-cigarettes among 18-25 year-olds by 2% as measured via the 2024 Young Adult Survey and various impact data sets.

The Chickasaw Nation (CN) Strategic Prevention Framework – Partnerships for Success Program (SPF-PFS) Population Served: American Indian and other youth and emerging adults in the CN, specifically Marshall County, Oklahoma The CN SPF-PFS project will use the Strategic Prevention Framework (SPF) to adapt prevention infrastructure and data collection/surveillance activities to address substance abuse prevention needs for a community of American Indian/Alaska Native (AI/AN) youth with high rates of Adverse Childhood Experiences (ACEs) exposures, to mitigate the increased substance abuse and mental health risks associated with ACEs exposures. There is evidence that tribal groups experience higher rates of ACEs and that ACEs exposures in Oklahoma are exceptionally high. Many communities struggle with reducing substance abuse among the most vulnerable citizens. The goal of the project is to prevent the onset and reduce the progression of substance abuse and its related problems for AI/AN youth at the Chickasaw Children’s Village (CCV) (grades first through 12th), while strengthening prevention capacity and infrastructure in Marshall County, Oklahoma through the formation of a coalition, epidemiological surveillance and decision-making and ongoing evaluative processes. To meet the goal, six primary objectives will be met. First, an epidemiological profile will be produced by the epidemiologist. Second, a coalition will be formed and capacity will be built within the coalition and within employee and leadership teams in order to adopt and utilize the SPF model long-term. The CN SPF-PFS will provide training and mentoring to CCV personnel, other stakeholders and youth to form and successfully operate a coalition using SPF. Third, ongoing planning based approaches such as Getting to Outcomes (GTO) will be utilized to identify and select substance abuse prevention practices for implementation and evaluation based on assessment of community and youth needs. Fourth, these interventions will then be deployed. Fifth, the deployed interventions will be evaluated for effectiveness and revised as needed. Finally, cultural competence and sustainability beyond the project period will be demonstrated throughout the project period. A comprehensive focus on the impacts of ACEs will be incorporated into all assessment, training and prevention practices undertaken by the coalition. As a result, important information will be collected regarding application of the SPF model to directly reduce substance abuse risks among youth with high ACEs exposures.

Partners in Prevention and our collaborative partners are pleased to implement the SPF-PFS grant ($300,000/year) through the U.S. Department of Health and Human Services, SAMHSA. The purpose of this grant is to “prevent the onset and reduce the progression of substance abuse and its related problems while strengthening prevention capacity and infrastructure at the community level” primarily for youth ages 14-20 residing in Hudson County, New Jersey. Our strategies/interventions include developing and implementing a comprehensive action plan using the SPF to increase capacity and reduce underage drinking, tobacco (e-cigarette/vaping) use, and cannabis/marijuana use among youth age 14-20. The goals for our project are as follows: Goal 1: Prevent the onset and reduce the progression of underage drinking, youth tobacco and marijuana use (30-day use) among high school and underage college students in Hudson County, New Jersey through policy change efforts and related evidence-based prevention programs and strategies affecting ease of access and/or perception of risk/harm. Goal 2: Increase the capacity of the coalition to address service gaps and improve infrastructure in order to address underage drinking, tobacco use, and cannabis/marijuana use among high school and underage college students in Hudson County, New Jersey. The following are our measurable objectives (consolidated for space). By August 29, 2025: Objective 1A: Reduce youth access to alcohol among high school students and underage college students by 5% and increase in retail vendor compliance by 10%. Objective 1B: Reduce youth access to tobacco among high school students and underage college students by 5%, and increase in retail vendor compliance by 10%. Objective 1C: Increase youth perception of risk among high school students and underage college students by 10% regarding tobacco products (specifically vaping products). Objective 1D: Maintain current youth access rates to cannabis/ marijuana among high school students and underage college students. Objective 1E: Maintain current youth perception of risk/harm rates of cannabis/marijuana among high school students and underage college. Objective 2A: Complete a comprehensive needs assessment and action plan to address alcohol, tobacco, and marijuana ages 14-20. Objective 2B: Increase the data collection capacity of the coalition by 20%. Objective 2C: Increase media reach/impressions to 1.5 million annually to address alcohol, tobacco, and marijuana among youth age 14-20. We are grateful for the opportunity to impact all Hudson County residents while serving about 50,000 youth ages 14-20 annually. Overall, throughout the lifetime of the program, we expect to serve approximately 85,000 unduplicated youth ages 14-20.

The Strategic Planning Initiative for Families and Youth will prevent and reduce alcohol use among youth by creating a county-wide infrastructure of municipal prevention teams to implement strategies locally and county-wide that decrease availability of alcohol, enforce laws, and educate communities about best practices to prevent underage drinking. Population(s) to be served: The population of focus are youth ages 12-24 who live in Hampshire County, and adult community leaders including school staff, parents, alcohol retailers, municipal staff, elected officials, alcohol licensing boards, and law enforcement. Hampshire County is predominantly white (88%), with Northampton having the largest percentage of Latinos (9%), and Amherst having the largest percentage of African-Americans (6%) and Asians (13%). 11.5% of Hampshire County residents speak a language other than English at home, and 7% have a disability. Twenty percent of residents are under the age of 18. Strategies & Interventions: 1) Utilize the SPF to develop a regional infrastructure including 6 municipal prevention teams to work locally and across municipal boundaries for youth substance use prevention. 2) Develop a regional data system that supports assessment and evaluation of strategies impacting substance use. 3) Work with local school officials, parents, and law enforcement to develop school-based comprehensive substance use prevention plans. Project Goals/Objectives: The first goal is to convene a regional coalition that fosters the development of local partnerships to enhance youth prevention work within and across municipalities. The second goal is to reduce 30 day use rates of alcohol, marijuana, and nicotine use among 8th - 12th graders in Hampshire County by 5%. The third goal is to develop a regional data system that supports assessment and evaluation of strategies impacting youth and young adult substance use. Objectives include; 1) increase knowledge and skills of 300 parents, community leaders, policy-makers, youth, agencies and businesses to utilize the SPF process; 2) adoption of local policies by 6 municipalities to reduce or prevent youth substance use; 3) survey 3,000 students using the Youth Prevention Needs Assessment survey. Unduplicated number of individuals to serve: Annually - 5,000 youth and adults Project Period - 25,000 youth and adults

The overarching goal of the Wyoming Strategic Prevention Framework Partnerships for Success (Wyoming SPF PFS) is to reduce underage drinking among 12-20 year olds and marijuana use among persons aged 12-25 years old and prevent the onset and reduce the progression of substance misuse and the associated negative consequences. The Wyoming SPF PFS will strengthen statewide capacity for prevention, provide funding to Wyoming's 23 counties based on need through Community Prevention Grants, and provide state-level coordination of prevention strategies. Approximately 104,759 youth fall within the target of the Wyoming SPF PFS. To achieve this long term goal, Wyoming has outlined the following goals: Goal 1: Increase capacity and infrastructure of Wyoming's prevention system to support youth substance abuse prevention by raising the average overall capacity score from 3 to 4 by June 30, 2025. Goal 2: Community Prevention grantees will reduce rates of underage drinking among 12-20 year olds and marijuana use among 12-25 year olds and meet identified short-term and intermediate outcomes and objectives as measured by change in rates and other established criteria by June 30, 2025. Goal 3: Expand and enhance the development of statewide prevention strategy through implementation of state-level coordination of prevention activities targeted to reduce underage drinking among 12-20 year olds and marijuana use among 12-25 year olds. Specific strategies and interventions will be determined at the local level through community prevention grants in collaboration with the Wyoming Department of Health and with guidance from a community prevention advisory committee. Wyoming currently leverages multiple funding sources to provide substance abuse prevention, tobacco prevention and control, and suicide prevention to local communities. SPF PFS funding has proven to be a vital component to the Wyoming prevention system as it provides the best mechanism to ensure that the SPF model is being used in all participating counties.

The Absentee Shawnee Tribe of Oklahoma seeks to create a comprehensive substance abuse prevention system to reduce alcohol and drug abuse, strengthen prevention capacity, and provide services to non-reservation, rural, and under-served American Indian (AI) youth and adults who reside within the area of central Oklahoma served by the tribe.

Nashville’s SPF-PFS project will develop infrastructure and build capacity to implement culturally competent, data-informed strategies to prevent e-cigarette and other substance misuse among youth and young adults ages 25 and under in Nashville, Davidson County, Tennessee. STARS, and its partners, will meet a priority need identified by the Tennessee Department of Mental Health & Substance Abuse Services (TDMHSAS) - to increase prevention programs for youth at-risk for substance misuse and abuse. Nashville is home to 207,000+ youth/young adults who are more racially and ethnically diverse than the rest of the country. These young people face high rates of poverty and disparities in educational and disciplinary outcomes. There is a dearth of county-wide data regarding e-cigarette and other substance misuse, however we know from adult statistics and challenges facing the state as a whole that there is a critical need to collect data and prioritize strategies for preventing the initiation of usage and abuse from occurring. 13.2% of Nashvillians report they are current smokers, however in areas across the county, with lower education and income, the average skyrockets to 26.3%. A higher percentage of 18-29-year-olds report vaping than smoking at 13.7% compared to 12.2%. There was an overall increase in the rate of healthcare visits for drug abuse-related illnesses among Nashville’s young residents aged 10 to 24, from 98.5 visits per 10,000 in 2013 to 138.1 visits per 10,000 in 2017 (a 40.2% increase).The age-adjusted drug overdose death rate across all ages in Davidson County was higher than the state rate and almost doubled from 18.5 deaths per 100,000 in 2014 to 33.4 deaths per 100,000 in 2018. The goals of Nashville’s SFP-PFS project are to: 1) increase capacity to prevent the on-set and decrease the progression of e-cigarette and other substance misuse among children and youth ages 25 and under. 2) implement a comprehensive prevention approach to decrease and prevent e-cigarette and other substance misuse among youth populations. 3) develop and disseminate community-wide messaging designed to prevent e-cigarette and other substance misuse. The project will build a coalition using the SPF framework to improve communication, share data, prioritize strategies, analyze results, and modify approaches. Prevention partners will implement evidence-based prevention strategies and a targeted awareness campaign to reach 1.5 million impressions annually with universal messaging and more than 1,000 youth annually with selective and indicated programming.

The Appalachian Prevention Consortium of East Tennessee will use the SPF to identify and select comprehensive, data-driven substance abuse prevention strategies to continue to accomplish the following goals: 1) Preventing the onset and reducing the progression of substance misuse; 2) Reducing substance misuse-related problems; 3) Strengthening prevention capacity/infrastructure at the community level; 4) Leveraging other funding streams and resources for prevention; 5) Implementing a comprehensive prevention approach, including a mix of evidence-based programs, policies, and practices that best address the selected prevention priorities; 6) Identifying technical assistance (TA) and training needs and the development of responsive activities; 7) Build capacity to address the top substances affecting the jurisdiction; 8) Collect and report community-level data to determine progress toward addressing SPF-PFS prevention priorities; 9) Utilize community coalition building strategies to advance substance abuse prevention efforts across the community; 10) Develop prevention messaging and other prevention strategies and ensure dissemination of these messages and strategies; and 11) Utilize and share effective resources with the Prevention Technology Transfer Centers (PTTCs) to enhance the wide dissemination and adoption of best practices in substance misuse prevention.

WestCare Pacific Islands, Inc. (WPI) is seeking $300,000 annually for five years to reduce and prevent alcohol and marijuana use by 15% by youth ages 10-18 on Guam through Maolek Na Lina’La (“Life is Good”), a broad approach expanding community prevention strategies through comprehensive Needs Assessment, Capacity Assessment, and Environmental Scans and incorporating input from the community-at-large. Working with a cross-sector coalition including the Mayor’s Office, schools, key leaders, and community stakeholders, and accessing the resources of the Prevention Technology Transfer Center, this proposed program will work to modify and change policies that enable underage drinking and marijuana use while increasing social support for substance-free lifestyles through the community-wide Champion Campaign, which will coincide with National Awareness Month in September. A key strategy is enlisting the participation of youth through training five (5) Peer Leaders each year from among the target population to assist in the development and implementation of messaging, public awareness and media campaigns. Concurrently, Maolek Na Lina’La will deliver the evidence-based curriculum Positive Action with community and 250 unduplicated middle- and high-school youth per year, and conduct parent-directed Communication Campaign to 125 parents of 1) middle school-age youth that includes the evidence-based Talk. They Hear You campaign PSAs; 2) middle- and high-school students on local Social Host laws and consequences before Homecoming, Prom, and pre-graduation events, Parent-Teacher Organization meetings, and other related events. Environmental strategies will include signage at “mom ‘n’ pop” stores and public gathering spaces. All program components will be delivered to enhance access and reduce barriers in a multicultural, multilingual approach that is compatible with the unique cultural composition of Guam. Through this multipronged strategy, families and adults over age 26 will also receive important messaging regarding substance use and prevention, thereby effecting positive change throughout the community. Through this program, WPI and community partners Department of Education, Department of Youth Affairs, Guam Behavioral Health and Wellness Center, Mayor’s Council, Payu-Ta, Office of Catholic Education, and Coalition for a Drug-Free Dededo (CDFD) will expand the work and effectiveness of the State Epidemiology Work Group and CDFD, funded through SAMHSA’s Drug-Free Communities program. To accomplish the overall target reduction in alcohol and marijuana by 2025, as measured by the Youth Risk Behavior Survey and focus groups, WPI will employ a Project Director, Lead Epidemiologist/Research Assistant, two Prevention Specialists, and the services of WPI’s Vice President of Operations and a contracted Evaluator through WestCare’s Research and Evaluation Department. Ultimately, this program will not only achieve the target outcomes of substance use reduction and prevention, but change attitudes, norms, and ultimately youth behavior regarding substance use.

Neighbors Building Neighborhoods serves Muskogee County and Wagoner County, OK. The goals of the PFS project are to address risk factors and gaps in mental health services for youth (ages 9-18 years) and their parents; identify and implement substance use prevention strategies in Muskogee and Wagoner Counties, OK; and to establish and strengthen community collaboration in support of local efforts to prevent youth substance use. NBN will utilize a mix of evidence-based prevention programs, policies, and practices to address the four identified gaps in infrastructure and the targeted youth populations. The coalition will achieve its goals by implementing the following four objectives. (1) Enhance strategic collaboration between prevention programs and local schools to address youth alcohol, tobacco, marijuana, and prescription drug misuse. (2) Increase awareness & decrease stigma related to prevention and mental health resources for youth & youth influencers (parents, coaches, grandparents, etc). (3) Enhance community collaboration to create a prevention-focused & trauma informed system of care. (4) Reduce alcohol, tobacco, marijuana, and prescription drug use among youth in Muskogee & Wagoner Counties, OK through coalition strategies and community partnerships. Muskogee & Wagoner County youth, ages 9-18, are the primary focus of our PFS project. Our secondary population are the influencers of youth; parents, grandparents, teachers, community leaders, coaches, healthcare workers, media, etc

The Carlsbad Community Anti-Drug and Gang Coalition serves Eddy County in southeastern New Mexico. “Prevention in Motion” is a proposal by the Coalition to develop prevention infrastructure across the county to prevent the onset and reduce the progression of substance abuse and related problems, specifically underage drinking laws and e-cigarettes (inclusive of marijuana) among youth 9-20 years of age. Middle School age youth in Carlsbad and Loving will receive evidence-based life skills and substance abuse prevention programming. Adults and general community members will receive education and skill-based learning opportunities through Town Halls and other events organized by the Coalition. Media and messaging will expand prevention goals and information across the southeast region of the state. Program goals include: • Increasing substance abuse prevention infrastructure and capacity to collect and use local data to assess needs and readiness, develop a data-driven strategic plan, and implement evidence-based substance abuse prevention approaches; • Reducing underage drinking, e-cigarette use among youth and young adults, inclusive of marijuana; • Increasing the age of initiation of alcohol, tobacco, and marijuana use among youth; and • Reducing behavioral health disparities in Eddy County, particularly related to access, use, and outcomes of service. The proposed activities will reach the entire county population of 56,997, at least 1,000 youth and young adults, and an additional subset of 600 adults who participate in Town Halls or other events over the course of the five-year grant. Annually, at least 400 youth, young adults, and community members will receive prevention training. Media and messaging are expected to reach the entire community through radio, newspaper, social media, movie theater advertisements and/or billboards, reaching approximately 70,000 over the course of the grant. This comprehensive approach will prevent the onset and reduce the progression of substance abuse and its related problems while strengthening prevention capacity and infrastructure at the community level.

The National Center for Frontier Communities will work to prevent substance abuse in frontier communities in New Mexico by working with the existing health councils in remote Hidalgo, Catron and Quay Counties to build their organizational capacity and prevention specific capacity through the SPF-FPS process. These counties will comprise the Frontier and Remote Coalition of New Mexico. They are currently unserved by The New Mexico State Office of Substance Abuse Prevention which works to establish a comprehensive service delivery system in communities around the state. Due to their frontier location, an experienced organization like NCFC is needed to build community capacity to employ prevention related services and ensure long lasting success. The median income for these counties are all well below national and state levels. This income disparity is typical of many frontier counties who are geographically distanced from career and secondary education opportunities. Problematic rates for youth drinking exists in all counties. While these counties fall slightly below the state average of 27.5%, youth binge drinking and high intensity binge drinking rates are still problematic. New Mexico’s frontier communities are some of the most vulnerable populations as evidenced by the high rates of underage drinking. Because of their low population and general lack of prevention support, these counties often lack adequate data gathered through state or federal measures. To address these issues in a frontier appropriate manner using the SPF model, NCFC will work with each health council to: • Improve coalition and community capacity to address and reduce youth substance use. • Provide training and technical assistance so that each county can complete a community needs assessment based on accurate data. • Develop and implement a comprehensive data driven strategic plan that includes environmental prevention strategies directed at changing the intervening variables that contribute to underage drinking and use of other prioritized substances. • Develop and deliver an evaluation system to track indicators linked with the intervening variables that contribute to the chosen priorities. • At the end of the five year grant period, anticipated outcomes include reductions in youth alcohol and substance use, reductions in behavioral health disparities due to geography and other factors, and an increase in protective factors based on year one baseline data. Over 20,000 persons will be reached as a result of these effort

Bennington County Vermont and Beyond Building Regional Infrastructure and Partnerships to reduce substance misuse: This project aims to impact substance misuse through increasing the capacity of local agencies to use best practices in substance misuse prevention and by expanding and strengthening local prevention infrastructure to cover a 20-town region encompassing the Bennington County region in Vermont. These are mostly rural towns with a high rate of youth and young adult substance use. Diversity is in large part socioeconomic. Estimated population reach is 38,000 annually. With this SPF opportunity, we seek to weave community-based prevention infrastructure into the work of our partners through a communication and outreach plan, trainings and policy primers for major stakeholders. We want to deepen the alignment of our community prevention work with the partners that also provide substance misuse prevention through the lens of their agencies. We will strengthen prevention capacity/infrastructure at the community level through the Bennington County Regional Prevention Partnership (BCRPP, a fledgling coalition of coalitions working directly on substance misuse prevention with a state-prescribed strategy menu). We have developed a workplan to reduce underage drinking, marijuana use, RX misuse and vaping through three overarching goal areas: 1) Provide infrastructure to the Bennington County Regional Prevention Partnership (currently operating at a minimal level targeting strategies only); 2) Decrease alcohol, marijuana, vaping and RX misuse by partnering with and funding local agencies to implement best practice prevention strategies; 3) Increase the prevention capacity of healthcare, schools, and town systems to embed best practice, comprehensive community-based prevention approaches into their efforts. We entrench our best practice approaches in other local agencies work to prevent the onset and reduce the progression of substance misuse and its related problems in our communities. We will work with long-standing partners and reach out to new partners to address young adults and the LGBTQ community. These approaches will align with SAMSHA's Substance Misuse Prevention for Young Adults and best practices from Outright Vermont (a statewide queer and allied non profit). We will utilize the full spectrum of the SPF process, beginning with assessment using an Asset Based Community Development model. The BCRPP will select evidence-based strategies for community implementation by local agencies through a mini granting process. By 2025, we will have: developed a more robust infrastructure to sustain BCRPP, designed and implemented 3 baseline and mid grant assessments, conducted trainings produced resources for towns and schools related to policy, designed and implemented a parental monitoring and young adult social marketing campaign in 100% of towns in our region.