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The Village VI Partners In Recovery proposed project will use evidence-based methods, including Botvin LST, to reduce the onset and progression of substance misuse and its related problems by supporting the development and delivery of community substance misuse prevention and mental health promotion services. The catchment area is St. Croix, Virgin Islands and the target population is adolescents (ages 13-18) and transitional aged youth (ages 19-24) who are at high-risk to substance misuse and mental health problems. The proposed goals and objectives include: Goal 1: Strengthen community-level prevention capacity on St. Croix to identify and address alcohol, tobacco, and marijuana use among youth ages 13-24 years. Objective 1.1: By December 31, 2022, complete a comprehensive Needs Assessment to identify current substance use concerns, negative community consequences related to use, risk and protective factors, and subpopulations most at-risk and/or underserved. Objective 1.2: By March 31, 2023, develop a detailed implementation plan to reduce risk and enhance protective factors. Objective 1.3: By September 2027, design and post 108 prevention messages (Y1=12; Y2-5=24 annually) on Facebook, Instagram, or Twitter related to tobacco, alcohol, and marijuana use. Objective 1.4: By September 2027, conduct 10 Safe Festival (2 annually) observations and 10 Sticker Shock campaigns (2 annually) to ensure vendors comply with tobacco and underage drinking laws measured by campaign logs. Goal 2: Prevent the onset of or reduce the progression of tobacco, alcohol, and marijuana use/misuse among youth aged 13-24 years living on St. Croix. Objective 2.1: By September 2027, provide Life Skills Training (LST) to 360 youth (Y1=40; Y2-5=80 annually) evidenced by enrollment records. Objective 2.2: By September 2027, 80% of the youth will complete LST successfully evidenced by the discharge status in the clinical data system (CDS). Objective 2.3: By September 2027, 75% of the youth reporting substance use will receive Teen Intervene evidenced by enrollment records. Objective 2.4: By September 2027, 80% of the youth will complete Teen Intervene successfully. Objective 2.5: 80% of the youth completing LST and/or Teen Intervene will not begin using tobacco, alcohol, or marijuana, remain abstinent, or reduce use measured by a program specific questionnaire and GPRA. Goal 3: Strengthen protective factors and mitigate risk factors among youth aged 13-24 years living on St. Croix. Objective 3.1: By September 2027, 80% of the youth completing LST will increase their disapproval and perceived risk of harm of tobacco, alcohol, and marijuana use measured by the LST pre/post-test. Objective 3.2: By September 2027, 80% of youth completing LST will increase Assertiveness, Self-Control, and/or Relaxation skills measured by the LST pre/post-test. Objective 3.3: By September 2027, 80% of the youth completing LST and/or Teen Intervene will remain in school measured by school records. Objective 3.4: By September 2027, 80% of youth completing LST and/or Teen Intervene will increase their perception of Parental Disapproval measured by a program specific questionnaire. Objective 3.5: By September 2027, 80% of youth completing LST and/or Teen Intervene will decrease their perception that substance use is "cool" measured by the LST pre/post-test.

The Michigan Partnership to Advance Coalitions project aims to reduce the onset and progression of substance misuse and its related problems by supporting the development and delivery of state and community substance misuse prevention and mental health promotion services. Michigan's data documents infrastructure needs for two prevention priority areas, a statewide coalition training and technical assistance program as well as funding to establish, reestablish, or enhance underserved regional or community prevention coalitions. Project goals include enhance statewide infrastructure to provide training and technical assistance to coalitions; increase capacity for communities to identify and address local substance use prevention concerns around tobacco, e-cigarettes, and marijuana; strengthen and expand implementation of the Strategic Prevention Framework; and implement standard improvement procedures to ensure use of high-quality programs, practices, and policies.

Project Summary: VOALA will implement a project that is designed to conduct an assessment to increase understanding of specific substance use related problems, impacts, and associated risk/protective factors impacting the community of Willowbrook in Los Angeles County, identify between 1-3 community prevention priorities based on the results of the assessment, and implement substance abuse prevention activities based on the identified priorities. Project Name: Willowbrook Substance Use Prevention Project. Populations to be Served: The project will serve individuals at-risk for substance use challenges in Willowbrook (a community in Los Angeles County). The population in Willowbrook is primarily Hispanic (81%), with 16% Black, 1% Asian, 1% White, and 1% other. 22% of residents in Willowbrook have incomes below the poverty line. Strategies/Interventions: Strategies include: 1) Assessment: review of existing epidemiological data and survey of community members to identify community prevention priorities; 2) Capacity: build and mobilize the community to address the identified community prevention priorities; 3) Planning: work with community partners to develop an implementation plan to address the identified community prevention priorities; 4) Implementation: implement steps identified during the planning phase, including outreach and direct substance use prevention programming; and 5) Evaluation: partner with third-party evaluator to complete a comprehensive evaluation of project implementation and outcomes. Project Goals and Objectives: VOALA has established the following goals and objectives: Goal 1: Increase understanding of specific substance use related problems, impacts, and associated risk/protective factors impacting Willowbrook through completion of a comprehensive community assessment. Objective 1a: Identify at least one, and up to three, community prevention priorities to be addressed through the project implementation plan, based on the importance and changeability of each of the substance abuse related problems identified through the assessment. Objective 1b: Develop a matrix of resources available in Willowbrook to address the identified community prevention priorities, including staff and volunteer time and knowledge, financial resources, and other structural resources available. Goal 2: Increase access to AOD prevention services to decrease underage and binge drinking and emerging drug use among high-risk youth in Willowbrook, specifically focusing on youth/young adults 13-24, through the implementation of evidence-based community prevention programs and increased prevention messaging. Objective 2a: By the end of each program year, program staff will have exposed 300 eligible participants to AOD prevention services. Objective 2b: By the end of each program year, program staff will have educated 70% of participants to rate the risk of harm from alcohol or other drug misuses as great, as measured by pre-post tests. Objective 2c: By the end of each program year, program staff will have educated 70% of participants who report no use of alcohol or other drugs at pre-test to remain non-users post-test. Goal 3: Transform community spaces into positive spaces through community engagement where alcohol or other drugs are not consumed by implementing infrastructure development activities within the community Objective 3a: Throughout the 5-year grant period, the Project Director will conduct quarterly Project Management Team meetings to coordinate/monitor services, linkages for care coordination, infrastructure/systems, and status of goals, objectives, and outcomes. Objective 3b: By the end of each program year, VOALA will increase coordination with entities engaged in responding to alcohol and other drug misuses by 25% as measured by pre/post participation rates, formalized processes, and resource sharing.

The Maine Prevention Network Partnerships for Success (MPN PFS) project will enhance the capacity and infrastructure of Maine's network of community prevention and youth engagement providers. The project priorities include decreased use of alcohol and cannabis and an increased sense of mattering in the community. The work will impact Maine's 10-25 year old population with attention on LGBTQ+ youth and young adults and low-income youth. MPN PFS project goals are to: Prevent the initiation of substance use and high-risk substance use by Maine's youth and young adults, ages 10-25; Strengthen Maine's prevention infrastructure to reach priority populations and carry out upstream prevention activities; Promote life skills, resilience building, and community connection for Maine youth and young adults, with a priority focus being on those identifying as LGBTQ+; and Turn data into action by expanding state and local level surveillance and evaluation efforts. Maine has some of the highest rates in the nation for substance use disorder (SUD) among young adults (18-25), ranking 3rd in the nation with one in three young adults qualifying as having an SUD. Fewer young adults in Maine perceive binge drinking (31%) or smoking cannabis monthly (6%) as a risky behavior compared to those over 26 (42% and 17%, respectively). Rates of underage substance use are higher among students who identify as LGBTQ+ than among their peers. In 2019, rates of both past month alcohol and cannabis use were significantly higher amongst LGBTQ+ students than their non-LGBTQ+ peers - 27% vs 22% for alcohol, and 30% vs 21% for cannabis. The biggest increases in alcohol and cannabis use among Maine's youth and young adults happen at key transition periods in their lives - the transition from middle to high school and high school to college or the workforce. Maine will address this trend by increasing the capacity of our network of prevention coalitions; increasing programming to middle school aged youth; enhancing community connection through LGBTQ+ inclusive programs and policies , and the youth employment program, Gateway to Opportunity. The primary project objectives are: by September 2027, reduce by 10%, past 30 day alcohol and cannabis use by Maine middle and high school students; binge drinking in the high school and young adult populations; and increase by 15% the number of middle and high school youth who feel they matter to their community and the number of LGBTQ+ youth who feel they matter to their community. Based on historical programmatic reach, for the 10-25 year old population, the expected reach is 25,000 10-25 year old's with individual based programs annually and 930,000 with population-based programs. This translates to 125,000 individual reach and 4.5 million population reach over five years.

North Oakland Community Coalition Strategic Prevention Framework-Partnerships for Success Project Abstract The North Oakland Community Coalition (NOCC), an established prevention coalition serving the communities of Oxford and Lake Orion, Michigan, will utilize funding from the Strategic Prevention Framework-Partnerships for Success Grant to increase capacity and infrastructure to meet the needs of the community following the tragic school shooting at Oxford High School on November 30th, 2021. This act of violence created an immediate need to work closely with community partners to increase the protective factors that will support youth and their families through the healing and recovery process, while also reduce risk factors that lead to youth and family misuse of substances. This project will support the entire Orion/Oxford community with a population of 60,625 individuals, with an emphasis on youth aged 8-18 and their parents, a target population of 27,584 people every year. Throughout the five years of the project, the NOCC expects to impact 60,000 individuals. NOCC will address the following goals and objectives: Goal 1: Strengthen prevention capacity/infrastructure at the community level Objective 1: By 9/29/2027, increase community capacity for prevention by increasing community substance use prevention initiatives by 10% percent as measured by the number of prevention activities and campaigns that are implemented at the local level. Goal 2: Reduce youth substance use and substance abuse-related problems Objective 1: By 09/29/2027, reduce past 30-day alcohol use by 5% and increase perception of risk by 10% among middle and high school students within Oxford and Lake Orion schools. Objective 2: By 09/29/2027, reduce past 30-day ENDS use by 5% and increase perception of risk by 10% among middle and high school students within Oxford and Lake Orion Schools. Objective 3: By 09/29/2027, reduce past 30-day use of marijuana by 5% and increase perception of risk by 10% among middle and high school within the Oxford and Lake Orion Schools. The NOCC will accomplish these goals utilizing the Strategic Prevention Framework, rich in evidence-based best practices, to partner with local schools, organizations, parents and youth to create an implementation plan that serves the unique needs of our community. Our Diversity, Equity, and Inclusion plan will inform our work to ensure this project serves all, and special focus will be placed on serving our disparate populations identified in 2020 and 2022 youth data surveys. The action plan will include all Seven Strategies for Prevention and will be continually monitored for necessary changes to meet community needs. Continual assessment will allow us to identify areas and populations of greatest need and our planning will remain fluid to meet these needs. Evaluation will be conducted through student surveys, parent/community surveys, and focus groups directed by our Project Data Analyst and data will be shared with all community stakeholders through annual key findings reports and throughout the year to the greater community.

Wholistic Stress Control Institute, Inc, a 38-year-old award-winning community-based organization proposing to implement the Community Ambassadors Partnership for Success (CAPS) II. The goal and objectives are: To help reduce the onset and progression of substance misuse and its related problems by supporting the development, delivery, and community capacity of substance misuse prevention, mental health promotion services and best practice activities among 50,000 youth and young adults (9 to 20 years old) in Fulton County, GA over a 5-year period. Community Priority #1: Planning and Boosting Community Capacity and Infrastructure: Objective 1: By the end of January 2023, CAPS II will have convened a substance misuse and mental health coalition to assess and develop an implementation plan that reduce risks and enhance protective factors in the community utilizing SAMHSA's Strategic Prevention Framework Steps (Assessment, Capacity, Planning, Implementation, and Evaluation).Objective 2) Each year CAPS II will boost prevention and intervention capacity by identifying, engaging and maintaining 90% of its partnerships to decrease gaps in community services, strengthen prevention resources, implementation of substance misuse prevention and other related problems, mental health services, and strengthen existing community infrastructures to sustain prevention initiatives. Community Priority #2: Increase substance misuse and mental health related knowledge, attitudes, self-image, social and emotional competence: Objective 3) By end of 2027, CAPS II will increase substance related knowledge, attitudes, self-image, social and emotional competence regarding 1) alcohol, 2) marijuana, 3) electronic cigarettes and 4) opioids from pre to posttest as measured by the GPRA by implementing evidenced based substance misuse and mental health curriculum and mixed best practices to 3,000 youth and young adults (300 Year 1 and 675 Year 2-5). Objective 4) By end of 2027, CAPS II will have increased the community infrastructure by training 150 youth and young adults (30 annually) as Community Ambassador Leaders to assist programming, disseminate substance misuse prevention information, and mental health promotion information to peers and community stakeholders. Objective 5: By the end of 2027, CAPS II will have hosted 10 (two per year) Mental Health Promotion Campaigns to increase awareness of serious psychological distress, mental illness, and mental health care for youth and young adults. Objective 6: By end of 2027, CAPS II staff, Ambassadors and coalition members will have conducted twenty (4 annually) substance misuse and mental health promotion free activities, traditional and social media campaigns to reach 50,000 (10,000 a year) youth and young adults targeting healthy alternatives and avoidance of the four misuse prevention priorities including 1) alcohol, 2) marijuana, 3) electronic cigarettes and 4) opioids. Community Priority #3: Increase Community Policy Compliance: Objective 7: By end of 2027, CAPS Coalition will have increased infrastructure to reinforce policy compliance, laws, and Atlanta City Council Initiatives via three (3) new strategies. Population: The program will reach 50,000 9 - 20-year-old, males and females over the 5-year grant period, who reside in the Fulton County, GA. Partnerships: The program will collaborate with 1) Council Women Boone, 2) Seven Atlanta Public Schools, 3) Odyssey Family Counseling; 4) Georgia Department of Family and Children Services 5) WestCare GA Mobile Treatment Clinic, 6) Lee Thompson Young Suicide Prevention Foundation; and 7) Nadim Ali, LPC MAC Substance Abuse Counselor.

The Dover Coalition for Youth (DCYF) will build capacity to launch effective, data-driven collaborative community-based prevention strategies to prevent onset and reduce the progression of substance misuse and collateral problems while promoting mental health and wellbeing. DCYF serves the Dover, New Hampshire community which has a population of 31,771 people with the population of focus for this grant will being school age youth and their families. The demographic profile is English as the primary language and 83% of the student body reporting being white, 12% report as Asian and 7% black or African American. 18% of high school students identify as LGBTQ+ and 34% of students report having lived with someone with a substance use problem. DCYF has identified three community prevention priorities: (1) addressing underage drinking and its related consequences, (2) decreasing vaping use (both THC and nicotine) and (3) reducing the onset and progression of opioid/prescription drug misuse. We propose addressing these priorities through primary prevention strategies, early identification and intervention, and evidence based strategies to impact high risk populations facing health disparities. DCFY will strengthen and expand prevention capacity to deliver evidence based prevention programs by increasing coalition membership by 30% and conducting at least two membership trainings each year. The Coalition will reduce youth alcohol use in the past 30 days, reduce youth binge drinking, and increase the perception of alcohol-related risk among middle and high school aged youth by 15% at the end of the project period. This will be accomplished through the implementation of 4 evidence-based prevention strategies and the launch of a new social norming campaign. DCFY will increase capacity to reduce vaping of THC/Nicotine/Other Substances, increase the perception of peer disapproval of vaping, and increase perception of vaping-related risk among middle and high school aged youth by 20% at the end of the project period. The Coalition will work with partners to change policies, conduct parent trainings and implement evidence-based strategies. DCFY will reduce prescription drug and opioid misuse, increase the perception of harm to rates lower than state and national averages. The Coalition will increase capacity to identify youth substance misuse and mental health problems by expanding diversion programs resulting in increased referrals to treatment and recovery services by adoption new policies and increasing referrals to services through diversion and restorative justice programs. Lastly DCFY will increase capacity to identify youth substance misuse and mental health problems by creating and expanding programs focused on health equity. We will implement an Adverse Childhood Experience Response Team, promote Mental Health First Aid trainings and implement interventions for high risk groups. We expect to serve over 5,000 people annually and 8,000 by 2027 at the end of the project period.

The NYS SPF-PFS 2022's goal is to reduce behavioral health disparities among our most vulnerable populations by strengthening the state and local community's capacity to build and sustain culturally appropriate prevention services in high-risk underserved i.e. Black, Indigenous, and People of Color (BIPOC); lesbian, gay, bisexual, transgender plus (LGBT+); and rural communities. We intend to increase access to quality prevention services within our most high-risk communities using the data-driven Strategic Prevention Framework (SPF) to develop and to widely disseminate culturally responsive prevention strategies addressing underage and problem alcohol and cannabis use. Using state and local data to identify areas of highest prevention need, OASAS will fund six high-capacity community coalitions based on their ability to reach vulnerable, high-risk, or underserved communities such as BIPOC, LGBT+, and rural communities. The selected coalitions will receive targeted training and technical assistance to implement the SPF process and to adapt environmental change strategies, including media, policy, and compliance components, to reduce or delay underage alcohol/cannabis use and reduce adult problem alcohol/cannabis use. Each coalition will build local resources to develop and evaluate culturally responsive messaging to prevent the onset and reduce the progression of substance misuse and its related health problems while strengthening community and state level prevention capacity to engage health disparate populations. Using a mix of evidenced-based programs, policies and practices, each coalition will focus on creating population change and sustainable prevention. Our measurable objectives outlined below are derived from outcomes associated with NYS OASAS's previous implementation of SAMHSA's State Incentive Grant 1999-2003, the NYS SPF-SIG 2009, and NYS PFS 2014 which funded environmental strategy coalition work: 1. Increase awareness within high-risk underserved communities (e.g. BIPOC, LGBT+, and rural) of the dangers of underage problem alcohol and cannabis use through culturally responsive prevention messaging. 2. Prevent the onset and reduce the progression of problem alcohol/cannabis use in high-risk underserved communities (e.g. BIPOC, LGBT+ and rural) by implementing environmental change strategies (ECS). 3. Increase capacity and infrastructure for collaborations to implement culturally responsive, data-driven prevention for high-risk underserved communities. This initiative's needs, resource, and capacity assessments will serve as a foundation for OASAS's Statewide Community Health Assessment (CHA) and a Statewide Community Health Improvement Plan (CHIP) for substance use prevention to advance behavioral health equity across NYS's diverse communities. The CHA will identify key substance use and misuse prevention priorities, gaps in services, and behavioral health disparities through a systematic, comprehensive data collection process, analysis, and dissemination. The CHIP will act as a state and local framework for long-term substance use/misuse prevention. The plan will identify priority communities and offer best practice guidelines to build capacity for effective responsive prevention strategies gleaned from NYS PFS 2022. Both the CHA and CHIP will be a data-driven approach to address the lasting health consequences associated with substance use and misuse specifically in health disparate populations.

Tennessee Department of Mental Health and Substance Abuse Services (TDMHSAS), will work to build and expand the prevention capacity and infrastructure in West Tennessee to promote positive mental health and equity and address prevention needs through the Tennessee: Strategic Prevention Framework-Partnership for Success (TN: SPF-PFS). West Tennessee was identified as the project catchment area based on its high regional prevalence of substance use among young people, its elevated risk for behavioral health disparities, and its limited infrastructure to address community prevention needs. TN: SPF-PFS aims to expand and enhance regional prevention capacity and infrastructure to promote positive behavioral health and equity, and to address unmet needs related to youth and young adult e-cigarette and marijuana use. The project design includes two state goals that focus on building state and regional prevention infrastructure and increasing competencies in the behavioral health workforce. The project design also includes three goals at the sub-recipient level that address each of three identified prevention priorities. These priorities include: (1) reducing the onset and progression of vaping among youth and young adults, (2) reducing the onset and progression of marijuana use and consequences among youth and young adults, and (3) promoting community mental health and wellness and facilitating access to care. TN: SPF-PFS will implement behavioral health prevention evidence based practices to ensure a multipronged comprehensive response.

Orange Partnership for Success (OPS) project will focus on reducing and preventing the onset of youth use of Electronic Nicotine Delivery Systems (ENDS), tobacco and cannabis products through community collaboration in Orange County NC. Using strategic prevention framework and environmental strategies. reduction and cessation resources, student education and youth empowerment, OP will work to strengthen protective factors and reduce risk among middle and high school students. Through comprehensive data collection, policy advocacy, merchant education, access to intervention and cessation resources, student education and youth empowerment, OP will work to strengthen protective factors and reduce risk among middle and high school students. The area of focus includes the diverse communities that make up Orange County - the more affluent, urban areas of Chapel Hill-Carrboro and the small town of Hillsborough, which is the county seat, along with the seven townships in the rural areas. Orange County, NC has a population of 148,476 with 21% of the population between the ages 5 and 19. OP's priority population is middle and high school students within Orange County's two school districts, Orange County School (OCS) and Chapel Hill-Carrboro City School (CHCCS). Between the two school districts there are 19 elementary schools, 9 middle schools and 8 high schools, serving almost 20,000 students. According to the NC Youth Tobacco Survey, between 2011 and 2019, past 30-day use of tobacco increased 1129% among NC high school students. This increase in use operates in conjunction with a decrease in individual perceptions of harm. Using CADCA's seven strategies for community change, there will be a variety of strategies and interventions implemented over the course of the project. Strategies include reducing youth access by conducting regular tobacco purchase surveys, providing education to merchants who fail, and continuing to expand the youth prevention Alcohol and Drug Abuse Prevention Team (ADAPT) presence in middle and high schools. ADAPT not only increases students' awareness of the risks of substance use, the program empowers them to educate peers through peer-to-peer education and advocacy. Additionally, Orange Partnership will advocate for best practices in student data collection and student discipline referrals, as well as provide comprehensive guides to resources available for students using tobacco and cannabis products. Orange Partnership proposes to prevent youth substance use by increasing the collection and reporting of community-level data on nicotine and cannabis related products, decreasing youth access through retailers to ENDS, nicotine and cannabis products, increasing the number of students who are aware of harms related to tobacco, cannabis and vapes, increasing the number of students who use tobacco, cannabis or vapes referred to appropriate interventions and services. OP will measure progress towards these goals using outcome measures such as the number of tobacco purchase surveys, environmental scans and merchant education training. The effectiveness of these measures will be measured through youth risk behavior surveys, community surveys, the number of students involved in youth prevention programs, the number of retailers receiving merchant education, the number of training attendees and peer education recipients. Through this project, we anticipate serving 2705, with an anticipated annual reach of 4,830,000 media impressions. The expected reach of 13,525 will be served over the project period.

Project name: Positive Youth Development in Diverse Communities Population to be served: This project will serve Latino youth ages 12-16 and their families in the community of Hazleton, PA. Project Activities: This project proposes to adapt the PROSPER partnership model for prevention of substance misuse and related problem behaviors in youth to better meet the needs of young people in culturally diverse communities. In the community of Hazleton, we will form a PROSPER team comprised of local stakeholders from the Latino community and from youth-serving organizations, which will receive technical assistance from Penn State Extension prevention coordinators. In partnership with the University of Miami, the team will oversee the delivery of the Familias Unidas intervention, an evidence-based family strengthening intervention shown to be effective at reducing substance misuse, behavioral problems and risky sexual activity in Latino youth. This intervention targets parenting skills such as parent-child communication, partnering with schools, monitoring the whereabouts and peer relations of youth, and coping effectively with acculturation stressors. We also plan to implement the Botvin Life Skills Training (LST) program to all youth in grades 6 or 7. LST is also an evidence-based substance misuse prevention program used widely in Pennsylvania through PROSPER and other initiatives. Decades of research indicate that LST is effective at preventing misuse of all substances, including gateway drugs and illicit drugs. We will collect data on parent and youth risk and protective factors and SUD behaviors pre and post intervention, and implementation data on both programs collected from program facilitators and LST teachers. We will also conduct focus groups will small groups of LST participants to determine the cultural fit of that intervention for youth in Hazleton, as well as community-level indicator data on youth SUD and problem behaviors from various public sources such as schools, the health department, and law enforcement, to track program impacts. We anticipate reaching approximately 900 youth per year with the LST program and 20-24 families per year with the Familias Unidas program.

I3 Inspired, Individualized, Inclusive program will educate our students, families and community in order to prevent the onset and progression of substance misuse and its related problems. Bellevue Independent Schools, located in Bellevue, KY (5,524 residents) currently serves 631 students, PreK-12th grades where 73% of students are eligible for free or reduced lunches, 15.8% have been identified as having a disability and 28% of students are being raised by their grandparents. The top substances of impact effecting our community are alcohol, vaping and cigarette smoking and I3 will build infrastructure through additional personnel to utilize Positive Action Prevention curriculum with Trauma Informed Care at the forefront of all we do. The strategies and programs selected will prioritize the prevention and onset of substance misuse as well as the reduction and progression of current use and related problems, such as mental health and social emotional regulation. Goals and objectives for this project are as follows: Goal -To reduce the onset and progression of substance misuse and its related problems in Bellevue, KY by supporting the development and delivery of community substance misuse prevention and mental health promotion services. Objectives 1. By September 29, 2027, reduce the 30-day use of alcohol among tenth grade students by 2% each year as measured by annual KIP survey data (Baseline: 2021-23.8%, 2022-21.8%, 2023- 19.8%, 2024-17.8%%, 2025-15.8% 2026-13.8%, 2027-11.8%). 2. By September 29, 2027, reduce the regular (30-day) vaping use among tenth grade students by 2% each year as measured by annual KIP survey data (Baseline: 2021-22.7%, 2022-20.7%, 2023- 18.7%, 2024-16.7%, 2025-14.7% 2026-12.7%, 2027-10.7%). 3. By September 29, 2027, reduce regular (30-day) cigarette smoking among tenth grade students by 2% each year as measured by annual KIP survey data (Baseline: 2021-18.2%, 2022-16.2%, 2023- 14.2%, 2024-12.2%, 2025-10.2% 2026-8.2%, 2027-6.2%). 4. By September 29, 2027, students in the tenth-grade reporting serious psychological distress according to the K6 KIP survey data will decrease by 4% each year (Baseline: 2021-50%, 2022-46%, 2023- 42%, 2024-38%, 2025-34% 2026-30%, 2027-26%). 5. By September 9, 2027, expand collaboration with community prevention partners, as demonstrated by support from community prevention partners at least two times each year in the project’s family prevention education opportunities, documented by photographic evidence and meeting notes. The program will provide key personnel to deliver the strategies and programs to meet our goals. An Advisory Board will be established to build capacity/infrastructure to address our areas of concern. Data will be collected and utilized for planning and implementation over the 5 years of the program and will measure the effects of I3.

Connecticut proposes to use the Strategic Prevention Framework (SPF) in 12 underserved, underfunded and high-need urban-periphery, suburban and rural communities statewide to develop and implement prevention programs to reduce alcohol use in youth aged 12 to 17, highlighting populations that are disproportionately affected. The overall goal is to reduce alcohol consumption in youth ages 12-17 in the 12 selected CT communities. Interventions that will be supported through this grant will include the use of the SPF, semi-annual compliance checks with alcohol outlets in collaboration with the Department of Consumer Protection, Liquor Control Division (DCP), social marketing campaigns about alcohol use, education and skill development small group meetings for youth ages 12 to 17, coalition collaboration across sectors, as well as the enhancement of the data system that supports assessment and evaluation of prevention initiatives. Based on the State Department of Education's student enrollment data, it is anticipated that these interventions will reach approximately 19,900 youth ages 12-17 in the 12 selected communities annually, and each year throughout the grant. The communities will convene and engage coalitions of key stakeholders, including youth, and utilize comprehensive prevention approaches approved by the CT Evidence-Based Practices Workgroup. Coalitions will receive training and technical assistance via existing state Prevention Resource Links to strengthen and enhance their prevention services. The existing Alcohol & Drug Policy Council, Prevention Subcommittee will serve as the advisory council to guide the CT PFS 2022 Initiative. Researchers at the University of Connecticut Health Center will be responsible for the statewide process and outcome evaluation and coordinating state and community-level data collection with the national PFS evaluation team.

Riverhead Community Awareness program, Inc. (CAP) is proposing a Riverhead Strategic Prevention Framework - Partnerships for Success (SPF-PFS) project to help reduce the onset and progression of substance misuse and its related problems by supporting the development and delivery of community substance misuse prevention and mental health promotion infrastructure and activities using the SPF in the Riverhead community. The goals of the project are: decrease rates of 30-day vape and marijuana use among MS and HS students through infrastructure policy change efforts affecting ease of access and consequences of use; decrease alcohol availability at public events by creating infrastructure and increasing capacity to support Riverhead Town's Alcohol Policy; expand SA and MH prevention infrastructure through policy change efforts in schools and the medical community; increase parent participation in SA/MH prevention efforts as a protective factor through capacity and outreach initiatives; and increase community support for SA/MH prevention as a protective factor through outreach and education initiatives. The population of focus is Riverhead area youth aged 20 and younger who are 61% Hispanic or Latino and 39% Non-Hispanic or Latino (ethnicity); and 82.7% White, 8.6 Black or African American, 2.7% multiracial and 1.5% other races. Approximately 1/3 of the students are new English-language learners and the project addresses barriers to participation. We expect to serve 5,000 individuals over the 5 years of the grant. The project partners include Riverhead Police department (RPD), Riverhead Central School District (RCSD), Suffolk County Office of Health Education (SCOHE), and Peconic Bay Medical Center- Northwell Health (PBMC). The objectives of the project are: 5% reduction in RCSD youth in grades 8, 10 and 12 who say vape and marijuana are easy/very easy to get; 90% pass rate for responsible budtender/marijuana retail training; 80% compliance rate of ENDS/vape and marijuana retail establishments; establish a formal Alternative to Suspension program in RCSD; 80% successful completion rate of VAPE OUT program; RPD will develop a and implement a TIPS training tracking system for public events; provide outreach to 90% of alcohol vendors prior to public events; obtain an 80% alcohol vendor compliance rate at public events; reduce youth access to alcohol at public events by 5%; 90% of RCSD 7th graders will complete a universal SA/MH EBP program (Too Good for Drugs) annually; 75% of students in MS and HS will be screened for SA/MH using SBIRT during school-required physicals; 75% of youth 13-18 seen at PBMC Riverhead Family Clinic will be screened using SBIRT; train a minimum of 10 PBMC-Northwell health family medicine residents per year in SBIRT; increase number of parents/guardians who agree that SA/MH prevention is a priority by 15%; increase number of parents/guardians who have heard or seen prevention messages by 15%; increase parent participation in prevention workshops and events by 20% each year; increase active parent/guardian participation in Parent Prevention Network (PPN) by 10% each year; increase number of community members who have heard or seen prevention media messages by 15%; develop community prevention toolkit and increase number of community members who receive toolkit by 5% each year.