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SUMMARY: Little Wound School’s Strategic Prevention Framework (SPF) Project will serve Native American K–12 students by implementing a school-based, recovery-oriented system of mental and behavioral health counseling that promotes substance use, misuse, and abuse prevention and early intervention. Services offered by the project include counseling, cultural mentorship, substance use interventions, and related training to students, school staff, families, and members of the community. PROJECT NAME: Little Wound School Strategic Prevention Framework Program POPULATION SERVED: Native American (Lakota) students in grades K–12 residing on the Pine Ridge Indian Reservation and enrolled at Little Wound School (Kyle, South Dakota). STRATEGIES & INTERVENTIONS: This project will provide mental health, behavioral health, and substance use disorder resources to children and youth who have experienced significant trauma. This includes both historical and contemporary traumas impacting the Pine Ridge Indian Reservation, the lowest income place in the United States. Services to address these traumas and the presenting challenge of normalized substance use will include partnership-building, screening and referral to specific resources provided by the project; development of a coordinated, long-term strategic plan for school-based staff, including teachers and administrators; provision of training to parents, families, and community members; establishment of an interorganizational advisory board to promote infrastructure coordination and development; provision of cultural mentorship opportunities for students to promote Lakota self development; and other related evidence-based, culturally-informed best practices. PROJECT GOALS & OBJECTIVES: The project’s three goals are (1) expand access to evidence-based, culturally-informed trauma support for the focus population by implementing school-based mental health and wellbeing services, (2) decrease substance use and abuse in the target population by expanding access to culturally-informed, evidence-based treatment programs for Native American youth, and (3) increase the capacity of families of the focus population and members of the community to recognize and intervene in trauma-induced substance use, misuse, and abuse. Six objectives are aligned to these goals, summarized below and goal-aligned based on its number (objective 1a aligns to goal 1): (1a) provision of counseling services to promote mental health, wellbeing, and substance use prevention, (1b) provision of universal prevention services to K–12 enrolled students, (2a) screening of potential clients for signs of substance use, misuse, and abuse, (2b) individualized counseling to individuals using, misusing, or abusing alcohol, drugs, or other substances, (3a) training for clients’ families to promote home-based, trauma-informed interventions and referral for further service, and (3b) training for K–12 school staff that promotes universal prevention strategies and wellbeing in classroom settings. NUMBER OF INDIVIDUALS SERVED: This project will serve 1,310 unduplicated individuals throughout the five year project period (398 in year 1, 582 in year 2, and 110 each year in years 3, 4, and 5) including children, youth, school staff members, and members of the community. As many participants will engage with the project each year, the total number of individuals engaged at least annually, over the entire grant period, will be 4,350 (duplicated number served).

Tennessee Tech University proposes to build the Tennessee Tech University Center for Addiction Prevention, Research, and Support (TCAPRS) that aims to reduce and prevent substance misuse among students at TN Tech University and among emerging adults (18-29) Putnam County and provide critical support for substance misuse prevention coalitions in the Upper-Cumberland Region 3 North. The project will utilize the Strategic Prevention Framework to bolster local and regional efforts to reduce substance misuse prevention. The three pillars – prevention, research, and support – of the Center will have unique goals among specific target populations: (1) Prevention. The Prevention component of the Center will focus on substance misuse prevention (a) among students on campus (N=9,090) and (b) among emerging adults within Putnam County (N= 14,000+ [age 20-29=13,801; age 15-19=3,091]). On campus, while the TN Tech Addiction Prevention and Support Coalition will continue focusing on substance-based prevention outreach efforts and building community partnerships, the efforts for this project will focus on mental health-based substance misuse prevention and on the development of an academic minor that would fulfill the State of Tennessee’s requirements for a Certified Alcohol and Drug Counselor. Among emerging adults in Putnam County, efforts will focus on substance use prevention campaigns partnering with local bars, night clubs, and restaurants, as well as members of 12 community sectors. (2) Research. The Research component of the Center will utilize current strengths at the university in research and evaluation to assist coalitions in the Upper Cumberland 3N region (12 coalitions in 14 counties with 367,039 residents) with their research designs for the community needs assessments and evaluation. The Center will also provide support resources to assist coalitions in the execution of their community needs assessment and evaluation plans. (3) Support. The Support component will focus on building a Collegiate Recovery Community for students in recovery on campus (N=336) and providing support groups for pregnant women in active recovery from a substance use disorder within Putnam County.

The aim of Ketchikan Partnerships for Success (K-PFS) project is to expand existing prevention infrastructure to deliver prevention programs and strategies to 1,253 KGBSD middle and high school students to achieve the following goals: Goal 1: Strengthen prevention capacity and infrastructure at the community level, and Goal 2: Reduce youth and adult substance misuse and related problems. The K-PFS project targets the children and youth of the Ketchikan Gateway Borough School District, their families, and the community within which they live. The primary emphasis of the K-PFS project is given to middle and high school students and members of the Ketchikan Indian Community which serves the Tlingit, Haida, and Tsimshian people. The population of focus includes 2,100 students of whom 1,043 (49.7%) represent one or more underserved communities based on race and ethnicity. Additionally, 19.9% (418) of the student population are people with disabilities. The total population of focus to be served by the K-PFS project in underserved communities based on the student population alone is 1,253 or 60%. Ketchikan is on the southeastern coast of Alaska on Revillagigedo Island along the Inner Passage or Tongass Narrows. The region is home to The Southeast Communities of Alaskan Indians; traditional homelands of the Tlingit, Haida, and Tsimshian people and the worlds largest collection of totem poles. The current population estimates the target area at 13,950 residents. The three largest racial groups comprising 88% of the population include non-Hispanic White at 53.7%, Alaska Native at 20.6%, and Asian at 13.3% (most of whom are Filipino, 10.3%); those identifying as two or more races represent 12.4% of the total population. (ACS, 2021.) Ethnic minorities inclusive of the Alaska Native communities represent 40.7% of the population. The greater Ketchikan community is geographically isolated from much of the state, not to mention the nation. In Ketchikan, 12.4% of the total population live in poverty. Poverty among the Alaska Native population is more than double in Ketchikan at 27.6% compared to the community as a whole and against the Southeast Alaska American Indian/Alaska Native poverty rate at 22.8%. (ACS 5-Year Estimate, 2021). The Ketchikan Wellness Coalition, Inc. (Lead Agency) 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 begin with updating the existing Community Health Needs Assessment and Epidemiology Profile within the first 90 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 misuse, addiction, and recovery in the Ketchikan and Saxman communities. In addition, the project will engage Ketchikan Gateway Borough School District youth in geo mapping and environmental scans to identify root causes of alcohol, marijuana, opioid misuse, and associated problem behaviors. 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.

The Somerset County SPF-PFS purpose is to build the prevention capacity and to strengthen the capacity of local community prevention providers. The goals are to: (1) reduce the onset and progression of substance misuse and its related problems by supporting the development and delivery of community-based substance misuse prevention and mental health promotion services and (2) expand and strengthen the capacity of local prevention providers to implement evidence-based programs. The community-level prevention capacity will identify and address local substance use prevention concerns such as marijuana and opioids.

The "Positive Choices. Positive Life" project by Brevard Prevention Coalition (BPC) implements substance misuse prevention strategies in three domains: 1) Brevard County, FL's new and sole dropout prevention and credit recovery school, 2) youth community centers in underserved/under resourced communities, and 3) a substance misuse prevention and stigma reduction media campaign. These each target underage drinking and vaping nicotine. According to the 2022 Florida Youth Substance Abuse Survey (FYSAS) alcohol and vaping nicotine are the most misused substances by middle and high school students in Brevard County, FL. The FYSAS reports that 37.6% of middle and high school students in Brevard County report consuming alcohol in their lifetimes and 22.8% report vaping nicotine. This is higher than the Florida state percentages of 31% and 20.2% respectively. Domain 1 aims to serve 300 students annually and 2,700 students over the five-year project. Domain 2 aims to serve 1,700 youths annually and 5,000 over the five-year period. Domain 3 as a media campaign aims to reach 100,000 people annually and 500,000 total by Year 5 measured through impressions and social media/website engagement by unique visitors. The youths for Domains 1 and 2 are not identified as having substance use disorders. Students in Domain 1 from Riverside Charter High School ages (14 to 21) some who are behind their cohort to graduate or dropped out of their mainstream school. Projected demographics: 22% African American, 17% Hispanic/Latino, 8% multiracial, and 66% identified as male, 31% identified as female, and 3% as other/preferred not to answer. Of these students 44% will be working part-time or fulltime jobs to support themselves or their families. Domain 2 of this project serves youths in selected predominantly minority communities of Melbourne FL and Cocoa FL. Projected demographics - Genders: Male - 1,415, Female - 285; Races: Black - 1,331, White - 141, Hispanic/Latino - 29, Asian - 17, Biracial - 93, Other - 89. Domain 3 of this project is a media campaign for all of Cocoa, FL and Melbourne, FL, since residents of the focus communities travel throughout daily. Projected demographics: Cocoa, FL - population: 19,559; Black or African American - 29.4%, White - 57.1%, American Indian or Alaska Native - 0.2%, Asian - 1.6%, Native Hawaiian or Pacific Islander - 0.1%, two or more races - 8.5%, Hispanic or Latino - 15.1%, White not Latino or Hispanic - 48.7%. Melbourne, FL - population: 86,441; Black or African American - 9.7%, White - 76.6%, American Indian or Alaska Native 0.1%, Asian - 4%, Native Hawaiian or Pacific Islander - 0.2%, two or more races - 6%, Hispanic or Latino - 12.4%, White not Latino or Hispanic - 69.2%. Domain 1 includes the formation of a Drug- and Alcohol-Free Youth group at the school. The group objectives include creating a schoolwide campaign using the "Better Without It" substance misuse prevention initiative including social media videos and promotional materials. Another five-year objective is annually recruiting more students. The strategy for Domain 2 will bring activities that increase protective factors at selected community centers. Objectives include extracurricular workshops at the community centers including creative arts, career awareness, writing, mental health, and physical health, progressively and annually. The purpose is to solidify the protective factors of youths in the community over the five-year grant period to create perpetual resiliency in the communities. The goal for Domain 3 is to increase the reach of BPC's substance misuse prevention and stigma reduction campaigns through social media and traditional media to reinforce the prevention messaging in the communities.

The City of Mendota will use the Strategic Prevention Framework to build capacity and infrastructure to identify and select comprehensive, data-driven substance misuse prevention strategies to reduce the onset and progression of substance use disorder in Mendota. Build capacity to address the top substances affecting the population of focus: The first objective is to establish a plan for regular communications and engagement with the State of Illinois PFS grant recipient, if applicable, to reduce areas of overlap, improve coordination of efforts, and promote partnerships within our communities. Mendota will build capacity by identifying a PFS Taskforce (including youth). Key community members, and stakeholders who are well positioned to deliver substance misuse prevention and mental health promotion services in Mendota will serve on the Task Force along with youth and PFS staff. Our goal is to establish a Youth led PFS Taskforce for peer-to-peer education and mentoring, in both English and Spanish. Youth will be recruited from schools, places of worship, scouts, and athletics to build a diverse, inclusive task force touching the varied interests of the youth in Mendota. The target population for project implementation represents more than 60 percent of the total county population and has been chosen based on several determinants of health disparities including, educational attainment; economic instability; unemployment; minority status; access to healthcare; and poverty level. Based on these indicators, the number of people impacted by infrastructure development within the catchment area is 4,839. We further aim to destigmatize high-risk groups through cultural competency due to the unacceptance of marginalized groups within the rural region. These groups include but are not limited to the LGBTQ+ (55%) community those who are homeless/at-risk of homelessness. The members of the queer community are suffering especially in rural communities where they can be often turned away or socially persecuted, and in turn refer to substances to cope. An additional marginalized community of focus will be our Latino families (65%). Among these families, English is second language, the process of acculturation heightens the vulnerability to substance use risks.

Summary: SCAN, Inc. will implement the Laredo Drug Prevention Alliance (LDPA) to reduce the onset and progression of substance use/misuse among youth and adults with a priority focus on underage drinking, underage vaping, and marijuana use as well as a secondary focus on preventing underage tobacco cigarette use and preventing opioid overdose in Laredo, Webb County, Texas. Grant funds will help enhance and expand the community's ability to develop and deliver data-driven and evidence-based and informed prevention practices to prevent substance misuse and provide mental health promotion services by utilizing the Strategic Prevention Framework to build local capacity and decrease risk factors. Project Name: Laredo Drug Prevention Alliance (LDPA). Population to be Served: Latino/Hispanic youth and adults attending public elementary, middle, and high schools and institutions of higher education and adults in the community. Statement of the Problem: Individuals in Webb County are continuously exposed to numerous factors that place them at high-risk for alcohol, tobacco and other drug (ATOD) use. State and local data have consistently demonstrated that Webb Co. has had a significant problem concerning ATOD use/misuse among youth and adults, and a scarcity of providers and funding for social services. Historically, adolescents and young adults have had significant problems with underage alcohol and tobacco use and marijuana use. Recently, the number of adolescents and young adults under 21 using vaping products has become extremely problematic. Moreover, adults in the community have historically had significant problems with alcohol and marijuana use as well as opioid use. Finally, similar to many parts of the country, Webb Co. has experienced a significant increase in opioid overdoses in the past few years. Project Goals & Objectives: The primary project goals are to prevent the onset and reduce the progression of substance use/misuse (i.e., underage drinking, vaping, and tobacco cigarette use, marijuana use), reduce opioid overdose, and promote mental health and well-being among youth and adults. Other goals include creating a needs assessment, engaging in capacity building, developing a strategic and implementation plan, delivering evidence-based prevention services, and evaluating the project. Primary objectives include: fostering community changes to prevent and reduce ATOD use with a special focus on parent/caregivers that provide alcohol, tobacco, and vaping products to minors; enforcing laws prohibiting underage alcohol, tobacco, and vaping product use including sting operations; encouraging responsible advertising/promotion practices by retailers; engaging all social systems that interact with youth (especially parents and caregivers), schools, colleges and universities, and health care providers to achieve a more comprehensive and coordinated drug prevention effort; providing CSAP's Six Prevention Strategies with a special emphasis on evidence-based/informed drug prevention curriculums for universal, selective, and indicated populations; and collecting youth and adult ATOD consumption data and risk and protective factors data associated with use of these substances. Strategies/Interventions: The project will recruit and retain adult and youth advisory board members; conduct regular board meetings; update a community needs assessment annually; develop a strategic and implementation plan to address identified substance use problems; engage in the ongoing collection of ATOD data; implement evidence-based and informed drug use/misuse prevention strategies; and monitor/evaluate the project in an ongoing manner. Number Served: 10,000 unduplicated youth and adults (2,000 participants annually) will receive "direct" prevention services. Media awareness, information dissemination, and environmental strategies will reach at least 60% of the population (160,000 persons annually).

The purpose of Guam PFS 2023 is to reduce substance misuse in Guam through the expansion of community-based substance misuse prevention and mental health promotion services. The proposed catchment area is the entirety of the island, with specific focus on these underserved communities: individuals of Pacific Islander descent, LGBTQIA+ youth and adults, and service members, veterans, and their families. To effectively address and impact substance misuse concerns in Guam, GBHWC must leverage the SPF PFS 2023 funding to sustain the work of Guam’s SEOW to ensure that local prevention programs and services respond to data-informed priorities and reach specific audiences who experience the most risks or demonstrates the highest needs in the island. Additionally, as Guam’s SSA, GBHWC must focus on developing and leading a strong infrastructure for delivering quality prevention services for all of Guam – an infrastructure that is facilitated by skilled and qualified prevention leaders, champions evidence-informed and community-driven initiatives, and continuously builds prevention workforce and resources that extends into the grassroots of our island community. The proposed goals for the 5-year grant period are: Goal 1) Guam’s community-based organizations will have increased capacity to offer and sustain data-driven, evidence-based substance misuse prevention and mental health promotion services, and Goal 2) Guam’s behavioral health infrastructure will be improved to where community-based prevention service providers are engaged in collaborative partnerships with GBHWC, the state mental health agency, as the direct source of prevention technical assistance and resources. To achieve these goals, GBHWC will pursue throughout the duration of the grant: Objective 1-A. By 2024, GBHWC will identify at least 3 communities that Guam PFS sub awarded non-profit organizations will serve for the duration of the grant. Objective 1-B. By 2028, at least three (3) Guam PFS subgrantees will implement and evaluate Guam’s Community Health Improvement Plan to address substance use prevention. Objective 2-A. By 2028, GBHWC will appoint at least one (1) full-time staff to lead SEOW duties and deliverables to ensure sustainable data is available for consistent leveraging of prevention program services. Objective 2-B. By 2028, at least three (3) Community-based organizations will implement a health communication campaign framework developed by GBHWC to decrease substance misuse in their focused population. Objective 2-C. By 2026, GBHWC will on-board all prevention staff to align their knowledge, skills, and abilities with the national standards set for a Prevention Specialist. Objective 2-D. By 2028, all community based organizations utilizing prevention subgrants through GBHWC to recruit staff will follow a standard job description and on-boarding process. Year 1 is dedicated to the development of Guam’s Community Health Improvement Plan, which will confirm the prioritized concerns and communities to be served using the SPF-PFS 2023 grant. It will include long-term goals, 5-year program objectives and strategies, and annual target outcomes and reach. Its evaluation component must guide the assessment of project performance and impact. Key partners in this process are the SEOW and PFS 2018 subgrantees. Thereafter, subgrant opportunities will be offered for implementation to begin before the fiscal year ends. A team of full-time staff under the GBHWC Prevention and Training Branch will be tasked to oversee and fulfill these proposed grant activities and requirements.

Socorro County, New Mexico will be the catchment area for the SPF-PFS grant, with an added focus on the New Mexico Institute of Mining and Technology (NMT). The Socorro County Prevention Options and Education (SCOPE) health council will collaborate with the schools, NMT, and community partners to strengthen county-wide infrastructure. The Socorro Prevention Initiative will implement universal evidence-based initiatives to prevent the onset and progression of substance abuse, specifically alcohol, e-cigarettes, vaping marijuana, and opioids. Nearly the entire student body at NMT will participate in prevention initiatives and school age youth across the Socorro and Magdalena school districts will receive universal prevention programming. Capacity to address higher risk students and disparities among LGBTQ youth, Hispanics, Native Americans, and adults with four or more Adverse Childhood Experiences (ACEs) will be built. Program goals include: ? Increase 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; ? Reduce underage drinking, and e-cigarette use, inclusive of marijuana, among youth and young adults; ? Delay early initiation of alcohol and marijuana use among youth; ? Reduce opioid misuse and overdoses among youth and adults; and ? Reduce behavioral health disparities in Socorro County, particularly related to access, use, and outcomes of service. The proposed activities will reach the entire county population of over 16,000 people, 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, 500 college students, 300 youth, and 100 community members will receive prevention training. Media and messaging will to reach the entire community through radio, outdoor ads, newspaper and social media 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, to sustain efforts at the community level.

The Tucson Youth 411 Project (411 meaning a way to talk about communicating information) will be implemented in the Tucson Metro area of Pima County in Tucson, AZ and focusing on vulnerable, high-risk youth and their families. Tucson, AZ is a multicultural community with a rich history of the Southwest, including 38% (US Census, 2021) of Hispanics due to its proximity to the U.S-Mexico border (about 60 miles). The Tucson Youth 422 Project will address the onset and progression of underage drinking and youth marijuana use by providing substance misuse education to youth and parents/guardians through implementation of evidence-based individual and environmental strategies: with trauma-informed care and cultural relevance at the core of the project. The Tucson Youth 411 Project will also teach the community about the dangers of fentanyl. Utilizing the Strategic Prevention Framework (SPF) as a roadmap to guide the project, this project will use a needs assessment as a basis for data driven strategic planning and implementation while building the community's capacity to increase prevention understanding and move the needle in preventing and reducing underage drinking and youth marijuana use. A total of 1,375 youth and parents/guardians will be served over the five years. Through the completion of the five steps of the SPF, the community will further develop its infrastructure to address substance misuse and develop a needs assessment and strategic plan to inform the prevention initiative. Evidence-based strategies and programs will be identified as part of the SPF process and adapted (while maintaining fidelity to the program) as necessary to ensure culture relevancy and language for project participants. The Tucson youth 411 Project will implement a combination of individual and environmental strategies to achieve the following goals: Goal 1: Reduce the onset and progression of underage drinking and youth marijuana use in the Tucson Metro area. Goal 2: Increase awareness and communication between youth and adults about substance misuse and its prevalence. Goal 3: Increase mental health promotion in the Tucson Metro area. In collaboration with community partners committed to the Tucson Youth 411 Project; including middle/high schools, a non-profit serving Native Americans, and a primary care/behavioral health provider, the Tucson Youth 411 Project is well-positioned to address youth substance misuse with maximum impact to the community.

The Division of Mental Health, Developmental Disabilities, and Substance Use Services (DMH/DD/SUS) of the North Carolina Department of Health and Human Services (NC DHHS) will serve North Carolinians at highest risk for underage alcohol use, prescription drug and cannabis products misuse through the proposed 2023-2028 North Carolina Strategic Prevention Framework-Partnership for Success (NC SPF-PFS) project. The purpose of this project is to prevent the onset and reduce the progression of underage alcohol use, prescription drug misuse, cannabis products use, their related consequences and the enhancement of quality mental health, social emotional health and resilience for youth and young adults ages 12-25 in counties and populations of high need across North Carolina. Evidence-based prevention programs, policies, and practices will be implemented for youth and young adults ages 12-25, communities and underserved areas within selected communities. The NC SPF-PFS will focus 60% of the total grant funding toward subrecipient grants in six communities showing greatest need related to the prevention of youth alcohol, prescription drug misuse and cannabis products use. All are economically distressed, rural, racially/ethnically diverse areas, and In addition, subrecipients awarded funding will spend at least 50% of their funds to address the needs of a disparately impacted population in their area. NC DHHS will award subaward grants in six of the following nineteen eligible counties: Bertie, Bladen, Duplin, Edgecombe, Greene, Halifax, Hertford, Hoke,Lenoir, Martin, Nash, Northampton, Robeson, Sampson, Scotland, Tyrrell, Washington, Wayne and Wilson counties. These focal communities will receive guidance and support in implementing the Strategic Prevention Framework, and in implementing evidence-based programs, policies, and practices for preventing underage drinking, prescription drug misuse, and cannabis products use focusing on the following goals: Goal 1: Increase perceptions of harm of alcohol, marijuana and other cannabis products, and prescription medication misuse among youth and young adults ages 12-25 in underserved communities Goal 2: Decrease easy access to alcohol and prescription medications among youth and young adults ages 12-25 in underserved communities Goal 3: Reduce the onset and progression of alcohol, marijuana and other cannabis products, and prescription medication misuse among youth and young adults ages 12-25 in underserved communities. Goal 4: Promote social emotional health and resilience and enhance mental health among youth and young adults ages 12-25 in underserved communities Goal 5: Increase the prevention infrastructure capacity in underserved communities to utilize the SPF to implement data-driven substance misuse prevention and mental health promotion strategies.

The purpose of North Dakota's SPF-PFS project is to continue the enhancement of the community-based prevention system infrastructure, build capacity to apply the Strategic Prevention Framework process and implement, sustain and improve effective substance abuse prevention programming. The vision is to address gaps in substance misuse needs, readiness and capacity through partnerships with identified community prevention providers. To achieve that vision, the North Dakota Department of Health and Human Services' Behavioral Health Division (BHD) has identified three goals for the SPF-PFS grant. To achieve the first goal to strengthen state capacity to identify and address statewide and underserved subpopulation substance use prevention concerns, the following, summarized objectives were identified: 1) Assess the prevention landscape in the state and use the SPF to develop a statewide community health assessment; 2) Finalize criteria for identifying local community prevention providers by reviewing the statewide community health assessment and other relevant epidemiological data; 3) Utilize the statewide community health assessment and the community health improvement process to create a statewide community health improvement plan for substance use prevention across the state; and 4) Develop an evaluation plan for identified targeted strategies and populations as well as the identification and assessment of strategies and approaches used to build organizational capacity at the community level. To achieve the second goal to build and expand capacity of local community prevention providers to identify and address local substance use prevention concerns, the following, summarized objectives were identified: 1) Local community prevention providers (LCPPs) will complete a capacity assessment identifying readiness and resources to implement and sustain substance use prevention; 2) LCPPs will complete a capacity plan identifying strategies to improve the readiness and capacity resources needed to effectively implement local prevention; 3) LCPPs will report their capacity-building activities, successes, challenges, and efforts to address concerns in their monthly reports and quarterly inputs reporting; and 4) BHD will provide at least four project specific required training and technical assistance opportunities for local community prevention providers in the SPF to build their capacity. To achieve the third goal to reduce the onset and progression of alcohol misuse and its related consequences through implementation by LCPPs, the following, summarized objectives were identified: 1) LCPPs will complete a community health assessment identifying key substance use prevention needs and underserved populations through systematic, comprehensive data collection and analysis; 2) LCPPs will develop a data-driven strategic plan aimed at reducing risks and enhance protective factors for the identified underserved populations; 3) LCPPs will begin to implement data-driven and evidence-based strategies as identified in their strategic plan, with 100% of providers achieving 75% or better of their annual targets by October 2025 and 90% or better in the subsequent project years; 4) Annually, LCPPs will review and revise the community-level strategic plans, responding to changes throughout implementation and identifying the next year's annual targets; and 5) Each LCPP will have improvements on at least five of ten priority measures identified for the project's impact reporting.

Federated States of Micronesia: SPF-PFS Project ABSTRACT The Federated States of Micronesia (FSM) Strategic Prevention Framework Partnerships for Success (SPF-PFS) will focus on prevention of alcohol use and cigarette smoking among individuals who are 12 to 20 years of age. The FSM will fund culturally appropriate evidenced-based prevention efforts-programs, policies, and practices-in its four states, which are underserved communities greatly impacted by substance abuse disorder. The total population of the FSM, per the latest. census, is 102,843 persons. The most recently published FSM epidemiological profile indicates that the four states, and the FSM as a whole, suffer from an epidemic of underage drinking and cigarette smoking. The four sub-recipient states-Yap, Chuuk, Pohnpei and Kosrae-compose the while of the FSM's population; thus, the FSM anticipates significant reductions in the use of alcohol and cigarette smoking among the targeted group. Each of the subrecipient states is geographically, politically, culturally, and linguistically distinct from the others. The overarching goal of the FSM's SPF-PFS program is to support each of the four FSM subrecipient states (Chuuk, Pohnpei, Kosrae and Yap) in the using evidence-based prevention programs, policies and practices to address behaviors of youth ages 12-20 that may lead to initiation of alcohol use and cigarette smoking. Both alcohol consumption and cigarette smoking tend to begin around the age of 17 in the FSM, so targeting youth is especially critical, given the many negative outcomes identified with alcohol and cigarette misuse. These negative outcomes include domestic violence, child neglect, teenage pregnancy, gang activity, low education achievements, low income, unemployment, crime and mental illness. The overall goa of reducing underage drinking and cigarette smoking within the sub-recipient states can be broken down into three sub-goals: (1) identifying behaviors of youth that lead to initiation of alcohol use and cigarette smoking; (2) increasing the capacity within the four FSM subrecipient states to reduce, and ultimately prevent, the availability of and access to alcohol and cigarettes among persons aged 12 to 20; and (3) building on existing surveillance systems within the FSM subrecipient states to establish a single standardized system to identify underage drinking and cigarette smoking. The FSM Behavioral Health and Wellness Program (BHWP), its existing FSM Advisory Council, the State Epidemiological Outcome Workgroup (SEOW), and the existing Evidenced-based Workgroup (EBW)_will work in concert with the SPF-PFS project staffs to institutionalize data-driven decision making at both the national and state sub-recipient levels; identify the needs related to underage drinking, and identify evidenced-based programs, policies, and practices to address the needs. The five-year proposal seeks to continue and extend substance use prevention efforts undertaken by the FSM Department of Health and Social Affairs, the FSM Behavioral Health and Wellness Program, and other entities within the FSM.

Palau PFS III Project will continue to scale up evidenced based efforts to prevent and reduce substance misuse among all indigenous youth in Palau between 12-20 years of age through enhancing infrastructure, improving staff/community capacity, and building a "community partnership prevention delivery system" that converts prevention science into widespread community practice. This project will serve the entire population of Palau throughout all five program years which amounts to approximately 15,200 people for the entire project period. The goals of the project are to: 1) build behavioral health prevention systems to prevent, reduce and/or delay the onset of, and mitigate, symptoms and complications from substance abuse; 2) develop a strong Needs Assessment; 3) increase capacity for social media awareness of mental health wellness and substance misuse; 4) Increase capacity to implement the Strengthening Families Program; and 5) ensure cultural adaptation for health access and health equity. Objectives for this goal include strengthening and enhancing the Substance Abuse Prevention System through infrastructure development, workforce development and staff capacity development, and community group and partner agency capacity development, strengthening and enhancing the Substance Abuse Prevention System through the development and implementation of an evidence-based national prevention network, implementation of a comprehensive set of evidence-based environmental strategies, and implementation of a comprehensive set of evidence-based programs aimed at increasing the resilience of Palau’s youth and strengthening family support systems.

To address the ongoing public health emergencies of substance misuse and mental health distress in Arizona, the Governor’s Office for Youth, Faith, and Family propose a partnership with Arizona State University to establish the Arizona Prevention and Wellbeing Improvement Collaborative (PWIC). The mission of PWIC is to create a collaborative network of community organizations focused on preventing substance use and increasing mental wellbeing among youth and young adults from underserved minority groups (particularly Native American and Hispanics/Latinos). Beginning in Year One and based on the results of a community health assessment, PWIC will recruit thirty eligible organizations to participate in a five-year collaborative. Across the five years, all thirty organizations will have access to expert- and peer-led education, tailored technical assistance, an online training certificate program, and quality improvement support. Using a peer learning model, organizations will teach one another how they learned to adopt an evidence-based program or to improve an existing one. PWIC will offer a two-tiered incentive strategy to support organizations toward full participation and improvement. Organizations will receive the top incentive by attending all group education and technical assistance sessions, graduating five staff members through the training certificate program, and submitting all improvement action plan files a week before the deadline. PWIC success will be primarily measured by the number of organizations that qualify for the top incentive. Building off previous efforts to expand capacity for community-based prevention, PWIC will be the first collaborative in Arizona designed to promote evidence-based substance use prevention through peer learning and quality improvement support. PWIC will succeed by building relationships between community organizations, promoting community cohesion, and empowering participants to adopt evidence-based practice.

Oregon’s Alcohol/Overdose Strategic Prevention Framework - Partnerships for Success (SPF-PFS) advances Oregon’s long-term vision of a comprehensive, coordinated statewide behavioral health system that ensures effective substance misuse policies, practices, and investments across the continuum of prevention, treatment. and recovery; prioritizes equity; and results in healthy and thriving individuals, families, and communities. Improving access to high quality, affordable, and culturally and linguistically appropriate substance use disorder services remains a stubborn and persistent challenge in Oregon. Oregon’s substance use disorder rate (19.4% in 2021) is significantly higher than the U.S. rate (16.5%), with about one in ten Oregonians having a drug use disorder (9.8%) (NSDUH). Polysubstance use, involving more than one drug and/or alcohol, accounted for more than half (54.6%) of overdose deaths in 2021 (2020 Oregon Death Certificate Data). Oregon Health Authority-Public Health Division’s overarching goal is to “Reduce the onset and progression of substance/polysubstance misuse among high priority populations disproportionately impacted by alcohol and overdose in Oregon. Towards this goal, the project will implement two primary strategies: 1) Strengthen state capacity to identify and address alcohol misuse and overdose as a polysubstance use crisis impacting overlapping priority populations in Oregon. 2) Prioritize and co-develop strategies to build capacity with underserved communities experiencing the highest inequitable impacts of overdose and alcohol misuse To ensure investments are directed to those populations most impacted by alcohol/overdose in Oregon, the Oregon Health Authority will allocate at least 50% of new SPF sub-recipient funding for interventions and capacity building supports to Black/African American communities. The remaining 50% of sub-recipient funding will be available to support communities experiencing high rates of poverty and economic disinvestment, which may include other racial and ethnic minorities and AI/AN populations. Communities most impacted by overdose/alcohol in Oregon primarily reside in Multnomah and Lane counties, with other highly impacted counties located adjacent to the I-5 corridor and coastal counties along Highway 101, encompassing both metro and rural communities. Four key state-wide partners will support project implementation, including OHA Health Systems/ Behavioral Health Division, Oregon Alcohol Drug Policy Commission, Oregon Conference of Local Health Officials, and Planning Design and Evaluation Services. Training, technical assistance and capacity building through OHA’s Alcohol and Other Drug Prevention and Overdose Education and Prevention grantee will also support new SPF sub-recipients. In addition, the project will leverage the capacity of OHA’s far reaching equity partnerships, including OHA’s CBO Equity Community Engagement Program which directly funds 150 CBOs to implement community-driven, culturally, and linguistically responsive projects; and other substance use prevention networks throughout the 5-year grant period.

Like many other states and territories throughout the country, vaping among youth and young adults has emerged as a public health problem in recent years. According to data from the Nebraska Youth Tobacco Survey, the prevalence of current e-cigarette use among high school students reached a peak in 2019 at 23.6 percent. Among young adult populations, annual rates of current vaping have increased year on year. In 2022, 21.3 percent of Nebraska young adults reported vaping, up nearly 4 percent from 2022. Preliminary data from the 2021 NSDUH, indicates Nebraska young adults and adults aged 26 and older were both significantly more likely to binge drink in the past among compared to national peers. Heavy drinking among adults was highest for adults aged 18 to 44, particularly among males and Native Americans. Trends of poor mental health, suicidality, and suicide suggest Nebraska is experiencing a mental health epidemic. This problem affects Nebraskans of all ages but manifests differently across age and gender. Trends in hopelessness, serious consideration of suicide, planned suicide, and attempted suicide in Nebraska have generally risen in parallel with the national over the last decade. Although 15 to 19 years for age are 7 percent of Nebraska's population, this group accounts for 30 percent of emergency department hospitalizations for suicidal ideation. According to the 2021 NSDUH, the rate of severe mental illness in Nebraska at 7.6 percent was significantly higher than the national average of 5.6 percent. The age-adjusted rate of suicide in Nebraska has exceeded the national rate for every year. To reduce the onset and progression of substance misuse and its related problems in addition to strengthening state and community-level prevention capacity, the Nebraska Strategic Prevention Framework (SPF) Partnership for Success for States project will focus on three priorities and eight goals. These priorities include reducing vaping among youth and young adults, decreasing heavy and binge drinking among young adults and older adults, and increasing mental awareness for all ages. Nebraska has successfully utilized SAMHSA's SPF framework as a mechanism to build and strengthen out prevention system since 2013. The adoption of a common framework and philosophies for prevention has maximized our collaborative infrastructure to include State, coalition, and community partnerships. A key outcome of this data-driven, evidence-based, multi-system approach has been the successful cultivation and evolution of sustainable systems capacity. This inherently sustainable, comprehensive network is more than equipped to support the SPF-PFS 2023 project.

The Kentucky Department for Behavioral Health, Developmental and Intellectual Disabilities (KDBHDID) Strategic Prevention Framework - Partnerships for Success 2023 proposes to reduce alcohol, tobacco, and marijuana use/misuse and related consequences by increasing state prevention infrastructure and improving coalition capacity to support the implementation of evidence-based prevention programs, practices, and policies. It will address needs across the lifespan with specific emphasis on Black and rural residents. Kentucky will utilize the expertise gained through previous initiatives (SPF, SPE, PFS II, PFS 2015, STR grants) and leverage resources from existing initiatives (Block Grant/State General Fund/SOR III) to enhance prevention capacity. Kentucky is served by 14 Regional Prevention Centers (RPCs), 79 coalitions, 80 Agency for Substance Abuse Policy (ASAP) boards, and 24 Drug-Free Communities grantees. Connecting these prevention providers with regional training and technical assistance (TA) creates a system with resources to achieve significant reductions in substance use rates and consequences. Twelve of the Regional Prevention Centers will serve Black and rural residents in the catchment area which includes 103 of Kentucky's 120 counties the remaining counties are covered by PFS grants. Efforts are expected to reach a significant portion of the rural population of the state approximately 2.5 million and most black residents approximately 280,000 who live in the covered non-rural counties. Prevention services are population based, so it is difficult to estimate the exact number of participants in prevention activities, but the emphasis is on building the capacity of coalitions and other stakeholders to reach all residents in their community as part of a comprehensive prevention plan. Estimated number of people to be served because of this grant award are 2,880,000.

The Rhode Island (RI) Strategic Prevention Framework (SPF) Partnerships for Success (PFs) program will address current gaps in alcohol and marijuana use prevention among youth and young adults ages 12-25. To reduce the onset and progression of underage and problem alcohol and marijuana use in youth and young adults in RI, the plan is threefold. First, the Department of Behavioral Healthcare, Developmental Disabilities and Hospitals (BHDDH) will utilize delegated authority to contract with four experienced regional prevention task force coalitions in underserved and/or high-need geographic areas. Second, BHDDH will engage with local community prevention providers that may not yet be eligible to apply for the SPF-PFS award through SAMHSA and provide training and capacity building activities that will culminate into a competitive program funding at least four high-need municipalities. Third, RI will utilize this opportunity to build capacity, develop, and pilot at least one intervention designed to reduce the disparate prevalence of underage and problem alcohol and marijuana use experienced by lesbian, gay, bisexual, transgender, and questioning (LGBTQ) individuals between the ages of 12 to 25. This intervention will be offered to any prevention provider willing to participate in the pilot across the state. Outcomes will be measured via two prevalence surveys. The Rhode Island Young Adult Survey (RIYAS) is conducted via Instagram to Rhode Island adults ages 18-25. The Rhode Island Student Survey (RISS) is conducted in partnership with the University of Rhode Island at RI middle and high schools to youth ages 12 to 18. Process data will be collected in the Mosaix Impact prevention data platform. Four high-need regions [Newport County, Washington (also called South locally) County, Providence County, and the East Bay region] and four high-need municipalities [Newport, Tiverton, Burrillville, and Exeter-West Greenwich] have been selected based on a formula developed by the RI State Epidemiological Outcomes Workgroup. The RI Evidence-Based Practices Workgroup has been tasked with scaling down the current prevention-focused evidence-based practices list to a more manageable selection specific to this project to assist funded communities in making measurable change in their respected communities.

The Idaho Office of Drug Policy (IODP) Partnerships for Success project is designed to strengthen prevention capacity and infrastructure at the state, regional, and community levels to 1)reduce the rates of opioid overdose deaths, 2) reduce the rates of alcohol-induced deaths, 3) reduce the use of methamphetamines, and 4) reduce the rates of prescription pain reliever misuse. IODP utilizes a data driven Strategic Prevention framework (SPF) model to implement prevention strategies throughout the state to reach the entire population (1,839,106). IODP will sub-grant to community coalitions, law enforcement agencies and the Idaho Health College Coalition. To strengthen our prevention workforce IODP will add modules to our online learning management system, facilitate a Certified Prevention Specialist Course, facilitate an Idaho specific CADCA Coalition Academy, and facilitate a youth leadership summer summit. Idaho's goals and objectives are based on data identified in the annual states needs assessment. Goal 1 Reduce the rate of opioid overdose deaths in Idaho: By 9/1/2029, reduce opioid death rates in Idaho from 57.1/100,000 to 50/100,000 as measured by 2029 Idaho Vital Statistics Mortality Reports. By 9/1/2029, reduce fentanyl-related death rates from 15.7% to 10% as measured by the 2029 Idaho Vital Statistics Mortality Reports. By 9/1/2029, reduce suspected opioid overdose emergency department visits from 26% to 20% as measured by 2029 Idaho Vital Statistics Mortality Reports. Goal 2 Reduce the rate of alcohol-induced deaths: By 9/1/2029, reduce the alcohol-induced death rate in Idaho from 28.6/100,000 to 21/100,000 as measured by the 2029 Idaho Vital Statistics Mortality Reports. By 9/1/2029, reduce the percentage of Idaho high school students who reported that they had at least one drink of alcohol during the past 30 days from 23.3% to 19% as measured by the 2021 Idaho Youth Risk Behavior Survey. By 9/1/2029, reduce alcohol use disorder in the past year in Idaho's 12-17 age group from 5.1% to 3% as measured by the 2029 Treatment Episode Data Set (TEDS). By 9/1/2029, reduce past year alcohol disorder in the 18-25 age from 13.1% to 10% as measured by the National Survey on Drug Use and Health (NSDUH) data. Goal 3 Reduce the use of methamphetamines in Idaho: By 9/1/2029, reduce past year methamphetamine use in 18-25 age group from 1.9% to 0.9% as measured by NSDUH data. By 9/1/2029, reduce the number of persons admitted to substance use treatment for methamphetamine from 40.7% to 35% as measured by TEDS data. By 9/1/2029, reduce drug overdose deaths involving methamphetamine from 33.4% to 30% as measured by NSDUH data. Goal 4 Reduce the number of Idahoans who are misusing prescription pain relievers: By 9/1/2029, reduce students reporting misusing prescriptions drugs from 9.9% to 7% as measured by the 2029 IHYS. By 9/1/2029, reduce students reporting they do not think people risk harming themselves physically or in other ways when they misuse prescription drugs from 34.3% to 30% as measured by the 2029 IHYS. By 9/1/2029, reduce students who report that getting prescription drugs for misuse was easy or very easy from 24.3% to 20% as measured by IHYS.

Project Name: WA State PFS 2023 - Enhancing Upstream, Community-based Prevention Services Summary: WA is committed to preventing substance use disorders (SUD) and promoting mental health (MH) through the expansion and support of the program known as the Community Prevention and Wellness Initiative (CPWI). Funds will be used to develop capacity in CPWI communities across the state, fund key prevention services in selected high-needs communities and ensure maximum effectiveness through careful and comprehensive evaluation. HCA/DBHR, along with a network of dedicated local prevention providers and school districts, currently maintains 95 CPWI coalitions across the state, serving those communities with the greatest needs as identified by careful analysis of numerous data sources. The SPF-PFS 2023 funding would address the top SUD prevention and MH promotion priorities in WA State through upstream prevention efforts, including implementation of the community and school-based prevention model, training and technical assistance, and public education. Population to be Served: Subrecipient communities and their respective coalitions and school districts, identified from using a Risk Index, prioritized to those communities demonstrating significant health disparities due to factors related to race, ethnicity, gender, education, income, disability, geography, and/or sexual orientation. Project Goal: Build prevention capacity to local community prevention providers, to prevent and reduce the onset of SUD among populations of focus. Strategies: Strategy 1. (Assessment) Enhance the prevention data infrastructure to ensure prevention resources and services are prioritized for underserved communities and populations of focus that are experiencing greater risk for youth substance misuse and behavioral health needs. Strategy 2. (Capacity) Increase the capacity of high need areas in the state to implement effective SUD prevention services utilizing the Strategic Prevention Framework (SPF) model. Strategy 3. (Planning) Update and revise state and local level strategic action plans for prevention services implementation. Strategy 4. (Implementation) Increase support to local communities with higher risk and populations of focus (underserved, BIPOC, LGBTQ+, housing insecure, etc.) Strategy 5. (Evaluation and reporting) Support and enhance the data reporting infrastructure for Washington State prevention contractors. Number of People Served: •Assessment/capacity building efforts will reach all CPWI communities, as well as other providers in our system, totaling over 200 prevention providers (unduplicated) per year. •Direct service implementation will be limited to identified subrecipient communities and should total an estimated 1,500 unduplicated participants served per year. •Public education and information dissemination reach will exceed 3,000,000 people, based on population-level and aggregate-level programs/activities.

The NJ Department of Human Services, Division of Mental Health and Addiction Services (DMHAS) SPF-PFS project aims to: 1) Decrease youth underage drinking, vaping/use of e-cigarettes, and marijuana use and by youth and young adults ages 12-25 throughout NJ; 2) Increase knowledge about the effects of underage drinking, vaping/use of e-cigarettes, and marijuana use among youth and families throughout NJ; 3) Implement programming that addresses misinformation provided by social media about alcohol and drug use; and 4) Initiate or expand prevention programming for the Underserved Populations identified by each county coalition's needs assessment. DMHAS will fund 15 of its 21 County Prevention Coalitions (not awarded the community SPF-PFS grant) to address alcohol and underage drinking, marijuana and vaping in their respective counties: Atlantic, Bergen, Burlington. Camden, Cumberland, Gloucester, Mercer, Middlesex, Monmouth, Passaic, Salem, Somerset, Sussex, Union, and Warren. Participating County Prevention Coalitions will be required to focus a minimum of 60% of project efforts on underserved populations in their county based on a needs assessment. These underserved groups will vary across counties and may include: lesbian, gay, bisexual, transgender, queer/questioning persons, and others (LGBTQ+), persons in poverty, persons living in rural areas, religious minorities, Veterans and military families, NJ tribal nations, Black and Hispanic, etc. The Coalitions will also be required to serve 12-25 year olds and their families, which includes underserved populations. The 2018 New Jersey Household Survey of Drug Use and Health (NJHSDUH) indicated that young adults aged 21-25 (18%) were most at risk for abuse/dependence. An additional 5.8% of 18-20 year-olds were also at risk. More than 90% of adults with SUDs started using before age 18; half of those began before age 15. The earlier a person begins using, the more likely an SUD will develop and continue into adulthood (Lynsky, 2003). These findings highlight the need to improve prevention strategies for the 12-25 old population. DMHAS' SPF-PFS partner, the New Jersey Prevention Network (NJPN) will provide training to the Prevention Coalitions on capacity building and evidence-based curriculum addressing the priorities of this project. Furthermore, DMHAS plans to address the misinformation about alcohol and substance use that is promoted through social media. A toolkit will be developed on this topic. DMHAS will leverage its current risk messaging project with NJPN to develop social media to warn youth and their families of the harms associated with alcohol and drug use. The project will include youth as "influencers". To assess the prevention landscape, the state will use the SPF process to conduct a Community Health Needs Assessment (CHNA) and develop a Community Health Improvement Plan (CHIP) in collaboration with key stakeholders such as the NJ Department of Health. The CHNA will identify key substance use prevention needs and issues and be used to develop the CHIP. The CHIP will to be used to address substance use prevention that is a long-term, systematic effort to address public health problems in New Jersey. DMHAS' SPF-PFS project will reach youth and young adults in middle schools, high schools and colleges, as well as young adults not in school. The 12-25 year-old population in NJ is 1,546,950 (2021 US Census); thus NJ's project has the potential to impact more than a million of its young citizens and their families. DMHAS estimates that 1,260,000 of NJ's citizens will be served by the prevention programming and training that will be provided during NJ's five-year project.

The State of Arkansas' SPF-PFS project aims to enhance overall health and wellbeing through the implementation of recovery-oriented, trauma-informed, and equity-based programs, practices, and policies. To achieve program objectives, the project will employ various strategies and activities, including linking substance use patterns and their causes and consequences, addressing underage substance use and substance-use issues across all age groups, targeting community-level outcomes, developing regional and local prevention infrastructure, utilizing data-driven decision making to identify high-impact areas with varying levels of public funding, implementing evidence-based programs and strategies that drive systems change in norms, policies, and practices, fostering community partnerships, and prioritizing cultural responsiveness and sustainability. Communities that participate will benefit from financial support and technical assistance, enabling regional coalitions to assess local data, needs, and resources, build community-wide strategic prevention plans, strengthen prevention infrastructure, foster cross-community collaboration, and establish linkages across prevention disciplines. Additionally, they will develop a comprehensive prevention plan that includes identifying target groups requiring support, collecting baseline data, recognizing successful community practices, selecting evidence-based programs and strategies, implementing evaluation activities for program and infrastructure enhancements, enhancing their capacity to secure future prevention funds, and ultimately achieving positive outcomes in addressing substance use and related issues within the community. The goals of the program are as follows: Goal 1: Strengthen infrastructure of underserved communities with high substance misuse risks Goal 2: Increase the capacity of community-based organizations from underserved communities to implement and sustain prevention services Goal 3: Maximize positive health behaviors and substance use prevention outcomes throughout each region of the State To ensure comprehensive coverage and service provision across the entire state of Arkansas, the project will adopt a regional approach that entails selecting one subgrantee annually from each of the thirteen prevention regions within Arkansas. The 13 prevention regions will collaborate to form 5 sub-regions, and each of these sub-regions will include coalitions of prevention representatives from up to five other counties within their respective region. To increase capacity of these five sub-regions, the state’s existing Regional Prevention Providers will facilitate connections between existing coalitions to form a regional coalition and provide support in the strategic and sustainability planning. Each regional coalition will receive $150k in funding to support their prevention efforts. By adopting this approach, a total of 25 regional coalitions will be funded over the course of the project, guaranteeing coverage and service provision to all 75 counties in the state of Arkansas. This strategic implementation approach aims to maximize the reach and impact of the project's initiatives and ensure that prevention efforts are effectively distributed across the state's diverse regions and communities.

The Partnerships for Success in Montana Project will address SAMHSA's intention to promote substance use prevention throughout the state for individuals and families by building and expanding the capacity of local community prevention providers to implement evidenced-based programs. The project aims to strengthen state and community-level prevention capacity to identify and address local substance use prevention concerns, such as underage drinking, marijuana, and other emerging drug trends. The Montana PFS project will focus on several underserved populations including rural youth, American Indian youth, young adults in college, specifically American Indian and LGBTQ individuals. Underserved populations were selected by ranking rates of substance use, mental health needs, and high-risk indicators for youth and young adults. Each sub-recipient will utilize the Strategic Prevention Framework with an emphasis on building capacity to sustain a community-level infrastructure. Evidenced-based prevention programming, policy changes and practices, and community-based process will improve the overall healthy development and resiliency in selected populations. The Montana Alliance of Prevention (MAP) will act as the statewide coalition consisting of statewide organizations, local coalitions, health departments with shared risk and protective factors to ensure the coordination of efforts, address gaps in prevention, improve networking relationships and promote partnerships within and across communities. Communities and Tribes funded under SP-23-004 will be included to reduce overlap, improve coordination, and facilitate partnerships. This will allow for a top down and bottom-up approach to increase capacity. Coordinated training and technical assistance will be provided to ensure coordinated approach to implementing evidenced-based programs, policies, and practices. The Healthy Collegiate Montana project will help campuses build capacity to create, implement, and evaluate sustainable programs for prevention of alcohol and other drugs (AOD). The focus is on reaching underserved populations, specifically Indigenous students, and LGBTQ students. This project focuses on building capacity for six campuses with underserved populations to address prevention related issues. Because alcohol and other drug use is linked to other health outcomes (chronic disease, poor nutritional choices, and mental illness), it is important to acknowledge this and centralize AOD education and prevention as part of overall campus design. By 2028, the goal is to reduce youth 30-day use rates (3-month use for college-aged population) of alcohol and marijuana statewide within each underserved population. Additionally, by 2028, reduce both youth reporting high depressive symptoms that lead to mental health issues and increase protective factors of neighborhood attachment and college-aged population reporting psychological distress and increase their sense of belonging to the school. Increasing capacity and infrastructure for substance use prevention will build healthy communities, improving and protecting the health, well-being, and self-reliance of all Montanans.

The Hawaii Strategic Prevention Framework Partnerships for Success (HI-SPF-PFS) will strengthen and enhance Hawaii's prevention system capacity at a state and community level. HI-SPF-PFS will identify and address local substance use prevention concerns such as underage drinking, marijuana, tobacco, and electronic cigarettes. Co-substance use and poly-substance use are a growing problem in the state. Overall, substance misuse is associated with a variety of risky behaviors and negative outcomes, including addiction, health concerns, mental health issues, negative academic outcomes, suicidality, accidents, injuries, and death. The goals of the HI-SPF-PFS are to promote substance use prevention, mental health, and well-being throughout the state, specifically in underserved communities and sub-populations. The populations are underserved communities, including rural areas, areas affected by poverty, diverse cultural populations, and the LGBTQ+ community suffering from substance misuse. The HI-SPF-PFS will meet the following goals during the grant period: Goal 1: Develop a Statewide Strategic Plan in order to streamline the State's prevention services Goal 2: Use the SPF to select and implement Evidence Based Programs and/or policies to maximize positive health behaviors and substance use prevention outcomes. Goal 3: Increase capacity of communities to effectively prevent substance misuse among underserved communities, such as Native Hawaiian, LGBTQ+ and emerging adults up to age 24. HI-SPF-PFS will build upon the accomplishments of the SPF-SIG, 2013 SPF-PFS, and 2018 SPF-PFS grants and the current services provided by the Substance Abuse Block Grant (SABG) to achieve the project's goals. The Key Personnel, along with other staff and subcontractors for this project will collaborate to accomplish project goals and required activities during the grant period.