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RVCCY PFS project will serve the geographic catchment of zip code 11570, located in the City of Rockville Centre, in Nassau County, New York. The population of focus is youth in grades 9-12, with a special concentration of Black, Indigenous, People of Color (BIPOC) students and students who are unhoused or have unstable housing. Across the three school districts that serve this zip code, 47% of students are White, 25% Hispanic, 19% Black or African American, 4% Asian, and 4% two or more races. One percent of the school population is homeless. While only 2% of White individuals in Nassau County do not have health insurance, 4% of Black individuals, 5% of Asian people, and 10% of Hispanic people do not have health insurance. Overall mortality disproportionately affects BIPOC in Nassau County, with Black people having an overall mortality rate of 695.9 per 100,000, followed by White people at 617.2, Hispanic people at 536.0, and Asian at 373.6. The overall mortality rate for the whole of Nassau County is 620.2 per 100,000 population. Black residents lead in potentially preventable hospitalizations at 195.9 per 10,000, followed by Hispanic residents at 104.4, White at 85.8, and Asian at 53.4, with a total county rate of 103.4 per 10,000 population. Grounded in coalition building and the Strategic Prevention Framework (SPF), RVCCY PFS project will help 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 to serve the population of focus. In the first step of the SPF, RVCCY will complete a Community Needs Assessment (CNA) to identify and address local substance use prevention concerns such as alcohol, marijuana, prescription drugs, and vaping. The CNA will document current resources, gaps, and the capacity to address the onset and progression of substance misuse and its related problems. The CNA will segue into step two - Capacity-which will focus on strengthening the community's resources, partnerships, and prevention skills. Local community partners and stakeholders will be trained in evidence-based strategies that will be carried out in the community. In step three and four (Planning and Implementation), the coalition will develop an Implementation Plan and begin to implement strategies identified in the plan. In the fifth and final step, Evaluation, the coalition will evaluate the impact of the implementation plan activities delivered in the community on an ongoing basis.

High Point Treatment Center’s Prevention Services’ proposed project, “Partnering with Youth for Success in Regional Prevention” will be implemented across eleven cities and towns in southeastern, Massachusetts. The project will be executed through universal, selective and indicated prevention programming for students in grades 5-12 with a focus on LGBTQ+ youth, high needs students and those who attend vocational schools in the region. The goals of this grant are to: (1) reduce the onset and progression of substance misuse and its related problems, and (2) to increase the development and delivery of mental health promotion in the region. The objectives of goal one are to: (1) increase the number of youth leaders involved in Prevention Services’ regional youth coalition by 100% in order to expand and strengthen its capacity to implement the Strategic Prevention Framework (SPF) and enhance evidence-based prevention programs; (2) PS’ regional youth coalition will plan, coordinate, implement, and evaluate a regional youth prevention conference for 300 individuals; and (3) increase the level of perceived peer disapproval among youth in grades 6-12 in the region by 5%. The objectives of goal two are to: (1) develop a peer mentor initiative between elementary, middle and high school students in one additional community to provide substance use and mental health education and promote positive youth development; and (2) recruit and deploy at least one mental health professional to be an active member on PS’ local coalitions to complete the SPF. Prevention Services’ catchment region is located 25 miles south of Boston, MA. The region is broken up into two principle areas. The first is the greater Brockton region which is home to about 207,670 residents. Brockton, with roughly 105,446 residents, is a culturally diverse city (66.3% of Color and 31% foreign born), with high rates of poverty (11.5% below the poverty level). In stark contrast are the neighboring towns of Bridgewater, East Bridgewater, Hanson, Raynham, Rockland, and Whitman where on average only 11% of the population is of Color and 6% live below the poverty level. The second region brings together the towns of Plymouth, Carver, Middleboro, and now Wareham, serving roughly 121,000 residents. The population is predominately White at an average of 90%, with approximately 8% living below the poverty level. The totality of these two regions serve roughly 29,000 students in grades 5-12. The number of primary individuals that will be served annually include 26,000 youth and 55,000 youth over the course of the five-year grant. Prevention Services will additionally serve 52,000 adults within the first year and 75,000 over the course of the five years.

Population Served: The targeted rural service area includes Appling, Bacon, and Clinch counties in southeast Georgia, rural underserved communities with a disproportionate burden of risk factors. Ultimately, Healthy Mind, Body & Spirit efforts will reduce risk factors and increase protective factors in the three-county region. While efforts will have a universal impact, specific populations will benefit from certain services, such as prevention programming for middle and high school students, outreach and education for migrant farm workers, and enhanced transition services for individuals reentering the community population following incarceration for substance abuse. Providers (first responders, healthcare providers) will also benefit with increased access to trainings and coordination. Services Provided: Annually, at least 2,000 adolescents will benefit from wellness and prevention presentations at Appling, Bacon, and Clinch middle and high schools, delivered by a Registered Nurse serving as the Community Wellness and Outreach Education Navigator. Annually, at least 200 adolescents demonstrating greatest risk (identified through school counselors) will benefit from at least 10 hours of small group prevention programming, including decision making, peer resistance, coping with stress, problem solving, interpersonal communication, and judgmental capabilities, delivered by a Registered Nurse serving as the Community Wellness and Outreach Education Navigator. Annually, Peer Educators will attend at least 12 community events and visit at least six locations where migrant workers are employed, reaching at least 4,000 individuals, disseminating prevention and awareness information, and providing comprehensive referral information for available community-based prevention, intervention, and recovery supports. Annually, SHC’s At-Risk Care Coordinator will lead at least 36 networking activities or technical assistance opportunities in targeted counties, to include (but not be limited to) Mental Health First Aid training (youth and adult), Naloxone training, First Responder Mental Health Training, law enforcement coordination meetings, multi-sector stakeholder trainings and coordination sessions. By Month 12, SHC’s At-Risk Care Coordinator will establish written policies with law enforcement in all targeted counties to facilitate reentry from short-term and long-term incarceration for both juveniles and adults. Beyond Year One, these policies will connect at least 30 individuals for reentry coordination and support annually. A Services Directory will be created, listing providers, contact information, hours of operation, and a summary of services, useful for dissemination among service providers (for referrals) as well as the community to identify areas of duplication and overlap, to ensure appropriate distribution and allocation of resources, skills, and efforts. The Transportation Coordinator will provide transportation to and from community appointments as necessary, a critical wraparound service. State/Local Coordination: The Project Director will identify points of contact with the FY 2024 SPF-PFS State recipients. If Georgia is an awardee, weekly communication will begin to ensure coordination of efforts, address gaps in prevention through coordination, improve networking relationships, and promote partnerships within and across communities in Georgia. Formal monthly outreach and communication with consortium members in Appling, Bacon, and Clinch counties (and SPF-PFS State award recipients if applicable) will be enhanced with quarterly Consortium meetings. Meetings will build a new community structure to provide input, oversee, and sustain prevention initiatives through strategic coordination and partnership, strengthening and informing planning efforts at the community level. Mind, Body & Soul partners include: Sheriff’s Departments of Appling, Bacon, and Clinch counties, and Bacon County Hospital.

To address disparities among Lesbian, Gay, Bisexual, Transgender, Queer and Questioning, and Intersex (LGBTQI+) individuals in Clark County, PACT Coalition for Safe and Drug Free Communities (PACT) will collaborate with LGBTQI+ serving community-based organizations with the goals of increasing awareness and community capacity around substance use prevention, as well as reducing risk factors and increasing protective factors to prevent the onset and progression of Substance Use Disorder. Of the 2.3 million residents of Clark County, 5.1% or approximately 117,300 individuals, identify as lesbian, gay, bisexual, and transgender (LGBT) (Williams Institute, 2023). In Nevada, the LGBTQI+ population is primarily between the ages of 18-34 (59%) with the next highest percentage being ages 50-64 (17%) (Williams Institute, 2023). Further, the racial distribution in this population is 49% White, 33% Latino/a, and 19% All other races. 34.38% of households speak a language other than English (Healthy Southern Nevada, 2023); secondary languages in Clark County include primarily Spanish and Tagalog. Nevada's Youth Risk Behavior Survey (YRBS) reported that 28.1% of CCSD high school students identified as gay, lesbian, bisexual, or not sure and 5.2% reported they were either transgender or unsure. Among those identifying as LGBTQI+, 70.6% are female and 29.4% are male (YRBS, 2023). The YRBS shows earlier reported onset of substance use among LGBTQI youth relative to their peers, and rates of use of alcohol, tobacco, marijuana and opioids are typically 10% higher than heterosexual and cisgender peers. In addition, the report for Clark County reveals that 38.8% of LGBTQI+ high school aged youth have had suicide ideation and 56.4% never/rarely get the help they need (YRBS, 2023). 62.5% of LGBI+ high school aged youth express depressive symptoms compared to 35.1% heterosexual students and 70.2% of Transgender or Questioning compared to 41.3% cisgender peers. PACT will be partnering with many LGBTQI+ serving agencies to execute a cross-sector approach to combatting substance misuse and mental health challenges. The focus of the project is on disseminating substance use prevention information, providing education, offering harm reduction resources, organizing positive alternative activities, and increasing community capacity for services. The LGBTQI+ Center of Southern Nevada (The Center), Las Vegas PRIDE, and PRIDE Tree will coordinate alternative activities reaching 750 individuals annually and 3750 individuals across the project period. PACT, The Center, and Pacific Southwest Prevention Technology Transfer Center Network (PTTC) will provide education sessions to at least 75 youth and youth-serving professionals each year, and 375 individuals over the project period. PACT, PRIDE Magazine, and KLAS-news will provide information dissemination through media reaching 50,000 individuals each year, and 250,000 over the 5 years. PACT and community partners will attend LGBTQI+ focused trainings and or conferences and be present at community meetings to remain knowledgeable about local conditions and evolving best practices reaching 30 individuals each year, 150 over the 5 years. Lastly, PACT and its partners will distribute Deterra Safe Drug Disposal kits to a minimum of 200 households per year through LGBTQI+ serving organizations, aiming to reach 1,000 households overall, in order to reduce misuse of prescription opioids.

Empower Somerset's ""Somerset Partners For Prevention"" (SPFP) project addresses the challenges of youth substance use and adult misuse of alcohol, marijuana, and e-cigarettes within Somerset County, NJ, focusing particularly on the underserved communities of Bound Brook and North Plainfield. Targeting youth aged 12-17 and adult residents 18+, the SPFP project aspires to directly serve more than 5,000 youth, adults and families through Screening, Brief Intervention, and Referral to Treatment (SBIRT) services, prevention education, and multimedia campaigns. There is a focus on at-risk subpopulations, such as low-income households, patients of Federally Qualified Health Centers (FQHC's), justice involved and at-risk youth, as well as Hispanic populations. The key objectives of the project include: (1) Increase Community Capacity: Training 100 professionals in evidence-based models such as SBIRT and Motivational Interviewing, enhancing community capacity through prevention education initiatives, and fortifying partners' capabilities to deliver culturally appropriate services; (2) Reduce Youth Substance Use: Implementing tailored evidence-based prevention programs and strategies with youth in schools and community settings, conducting 500 annual youth SBIRT screenings, and executing multimedia campaigns to curtail youth substance use; (3) Reduce Adult Substance Misuse: conducting 500 annual adult SBIRT screenings, heightening awareness through multimedia campaigns, and educating 20 community leaders annually about available resources and the perils associated with adult substance misuse; (4) Improve Data Collection and Reporting: Establishing a Data Committee, administering surveys, conducting focus groups, and preparing biennial assessment reports to align prevention efforts with local conditions. Aligned with the SAMHSA Strategic Prevention Framework, the SPFP project places a significant emphasis on community engagement, cultural competence, and sustainability. This approach encompasses a thorough community assessment, multifaceted capacity-building initiatives, continuous planning and communication, the timely implementation of evidence-based programs, and a transparent evaluation process. Through these comprehensive strategies, Empower Somerset endeavors to make a meaningful and lasting impact on the prevention of substance use in the populations of focus.

As an established substance use prevention organization, San Juan County Partnership will continue its work in the community of San Juan County, New Mexico through the SPF-PFS program. Prevention focus will be on delaying initiation and reducing use of cannabis, alcohol and vaping among youth ages 9-20, and will reduce the harmful consequences associated with high-risk and chronic use of alcohol among adults, through innovative harm reduction programs. Located in the northwest corner of New Mexico, San Juan County is a rural area with two-thirds of the land located within the Navajo Nation. With a population of 120,418, the county is an ethnically, racially diverse area, with 43% of the population identifying as Native American (Navajo), 22% of the population as Hispanic/Latino, and 36% as White, non-Hispanic. There are an estimated 22,000 youth, ages 9-20, and 65,000 adults ages 21-64, who will be impacted by the program. Overall, 24% of the population lives below the poverty level, including 33% of children. Health and financial disparities are widespread. There will be outreach to high-risk youth, racial/ethnically disparate populations and rural areas of the county. San Juan County bears a heavy burden of the consequences of chronic and high-risk alcohol use and Alcohol Use Disorder, including a rate of alcohol-involved death that is four times the U.S. rate. Among youth, a focus in our data is significantly more youth reporting early onset of substance use, as well as high rates of cannabis use and vaping. The proposed approach for this project revolves around three goals. The first goal is to strengthen and grow the Community Action Coalition to continue to unite and engage partnering organizations and agencies from diverse sectors in comprehensive county-wide strategic prevention planning. The second goal is aimed at reducing youth substance use and early initiation of use, with a blend of evidence-based prevention programming, social norms marketing with prevention messages for youth and for adults/parents, school-based prevention presentations, and a unique art-as-prevention component. The third goal is focused on harm reduction approaches to reduce harmful consequences of alcohol among adults, to also introduce “Talking Circle” virtual harm reduction opportunities developed by UW’s HaRRT specifically for Native Americans. Youth-specific measurable objectives target a variety of intervening variables: perception of risk of harm, especially of vaping and cannabis use, enhancing accurate perception of the social norms, substance use refusal skills and safety behaviors among adults such as safe storage of substances. Protective factors include positive future orientation, self-esteem and family communication. Adult specific measures include quality of life, substance use severity, and safe modes of use of alcohol and other substances. At a community level, we anticipate building capacity as we introduce and raise awareness about harm reduction approaches and facilitate messaging to reduce stigma associated with AUD and substance use in general. Each year, the project will directly serve 20 or more Coalition members, 100 or more for the life of the project. Evidence-based direct service programs for youth (developed by the Standford REACH Lab) will serve approximately 100 annually, and 500 over the course the project. Each year, the alcohol harm reduction (LEAP/Talking Circle) program developed by UW’s harm reduction center will serve approximately 50 adults, with 300 served over the course of the project. The social marketing campaign is designed to impact the county’s youth population each year, 22,000 with messages for youth and complimentary messages to reduce social access to substances by youth.

Northwest Family Services’ (NWFS) proposal for the SPF-PFS-Communities/Tribes grant will expand substance abuse disorder (SUD) and mental health services for youth ages nine to 18 in the Reynolds School District (RSD) and Gresham-Barlow School District (GBSD) in Oregon’s East Multnomah County (EMC). This proposal will reduce youth alcohol, tobacco, and marijuana use and strengthen community structures supporting prevention initiatives. NWFS’ proposal, entitled “Empowering East Multnomah County Youth” will serve youth in the geographical area of RSD and GBSD in EMC, which is commonly defined as the cities of Gresham, Troutdale, Fairview, and Wood Village, and sometimes includes the neighborhood of Rockwood, in the greater Portland, Oregon metropolitan area. According to the Oregon Department of Education’s (ODE) 2022-2023. NWFS proposal has three major goals, which include: increasing protective factors through implementing evidence-based prevention programs, utilizing the SAMHSA Strategic Prevention Framework to assess the prevention landscape, build the capacity of critical partners, and engage in planning, and evaluate strategies, and promoting mental health literacy through education, outreach, social media campaigns and proliferation of available community resources. NWFS will provide additional programmatic emphasis on providing inclusive services to Latinx and LGBTQIA+ participants. The project is anticipated to serve up to 15,000 people over its lifespan. Measurable objectives under these goals include: by the end of the 5-year program, NWFS anticipates that 6th, 8th, & 11th grade youth in the service area will demonstrate a 10% reduction in use of marijuana, 20% reduction in use the alcohol, and 20% reduction in nicotine use. Likewise, NWFS anticipates an increase in East Multnomah Youth Substance Prevention Coalition effectiveness self-assessment scores by 40%, as well as developing an enhanced youth coalition. NWFS will provide mental health and suicide prevention education to 80 youth, adults, and school staff, 70% of which will be from underserved communities. NWFS will conduct a resource gap analysis for resources in the community that support youth and families and identify a minimum of two areas to address through advocacy in tandem with the Coalition.

The Lesbian, Gay, Bisexual & Transgender Community Center (The Center), located in New York City (NYC), will implement a Strategic Prevention Framework Partnerships for Success project, ""Supporting LGBTQI+ Youth in NYC through Prevention, Resources, Information, Data, and Evaluation (PRIDE),"" to reduce the onset and progression of substance use and its related problems in lesbian, gay, bisexual, transgender, queer or questioning, and intersex (LGBTQI+) youth ages 13-22 by increasing the capacity of prevention providers and stakeholders throughout NYC to identify and address risk factors in the population of focus through affirming and inclusive services while gathering data on substance use trends and patterns within this community. The goals and objectives of the project are: Goal 1: Increase the capacity of prevention providers in NYC to provide affirming care to LGBTQI+ youth through training and infrastructure support. Objective 1.1: By January 2025, and twice annually thereafter, PRIDE will train 100 prevention staff in NYC in best practices and trauma-informed support, with 80% or more of trained providers indicating increased confidence to offer affirming care to LGBTQI+ youth. Objective 1.2: Over the five-year project period, PRIDE will host monthly meetings for prevention providers and stakeholders at The Center to share resources and coordinate planning around the implementation of affirming services and strategize around data collection. Objective 1.3: Over the five-year project period, PRIDE will organize and host an annual Symposium focusing on the latest resources, evidence-based practices (EBP), and trends in use among LGBTQI+ youth with a focus on strategies for increasing protective factors and decreasing risk factors within prevention services throughout NYC. Goal 2: Increase the capacity of NYC schools to provide affirming care for LGBTQI+ youth by implementing evidence-based interventions and staff training. Objective 2.1: By January 2025, and twice annually thereafter, PRIDE will train school Substance Abuse Prevention and Intervention Specialists (SAPIS) workers at 25 schools to implement the EBP Proud & Empowered with student groups, increasing the number of Proud & Empowered groups initiated. Objective 2.2: By January 2025, and twice annually thereafter, PRIDE will train 200 school SAPIS workers and other school staff to provide LGBTQI+-affirming care for students to increase their knowledge and capacity to offer affirming care. Objective 2.3: By January 2025, and annually thereafter, PRIDE will train 50 GSA Coordinators on assessing the risk and protective factors that may contribute to LGBTQI+ youth substance use along with appropriate interventions and referral sources to help coordinators identify factors that may have the biggest impact on LGBTQI+ youth. Objective 2.4: By January 2025, a minimum of 100 youth annually will participate in PRIDE's Leadership Institute skill-building events. Goal 3: Improve surveillance of prevalence and trends of substance use among LGBTQI+ youth in NYC and the related impact of risk and protective factors. Objective 3.1: By January 2025, PRIDE will form the SPF-PFS Data Workgroup inclusive of LGBTQI+ youth-serving stakeholders. Objective 3.2: By January 2025, PRIDE will begin conducting an annual citywide assessment of LGBTQI+ youth in NYC to identify substance use patterns and related risk and protective factors as measured by the completion of an assessment survey by 500 youth per year over the five-year project period. Objective 3.3: In years two through five of the project period, the PRIDE Data Workgroup will provide an annual epidemiological outcomes report to help LGBTQI+ youth-serving stakeholders make data-informed decisions in service planning and provision. Objective 3.4: By September 2025, PRIDE will conduct a media advocacy campaign on underage drinking prevention to reach 15,000 members of the NYC metropolitan community.

As the largest, nonprofit, integrated rural healthcare system serving Wisconsin, Marshfield Clinic Health System (MCHS), in partnership with community coalitions in five, rural Wisconsin counties-Barron, Forest, Oneida, Portage, and Price—will implement the MCHS - SPF-PFS grant to address underage drinking and promote mental health in those regions. Priority subpopulations to be served include rural, Tribal, and LGBTQ youth. MCHS will capitalize on established relationships with partnering coalitions and utilize the experience of the MCHS Prevention and Recovery (PAR) team to provide capacity building within the coalitions and deliver training and technical support for implementation of evidence-based prevention strategies centered on alcohol usage. MCHS will guide coalitions through the Strategic Prevention Framework model as they conduct community assessments, build capacity, identify/plan strategies, implement evidence-based strategies to reduce underage drinking, and evaluate project success. Building off the Community Anti-Drug Coalitions of America's (CADCA) Seven Strategies for Creating Effective Community Change, coalitions will align elected strategies with their community needs, incorporating two individual and one environmental strategy each year, beginning in Year 2, over the five-year project. Coalitions will engage in an annual health equity project to promote cultural competency in decision-making and to advance mental health in communities. Support systems for substance misuse and mental health concerns are limited in the target counties, where current alcohol use rates among youth (28%) exceed both the state and national averages (25.4% and 22.7% respectively). Approximately 78% of the combined population of focus, or 139,880 individuals, are considered rural, and face health disparities common to rural populations. This equates to approximately 23,723 school-age youth living in rural areas. The region also includes two federally recognized Tribal nations—Potawatomi and Sokaogon Chippewa—and borders a third, the Ojibwe Chippewa. The LGBTQ youth population, which makes up approximately 3.8% of total youth population, experiences higher numbers of alcohol use and mental health concerns than their straight/cisgender classmates. Project goals include the following: GOAL 1: Strengthen community-level prevention capacity and collaboration among community sectors to address underage drinking. GOAL 2: Decrease underage alcohol usage by implementing evidence-based strategies that address youth risk and protective factors. GOAL 3: Increase the capacity of coalitions to improve health equity, mental health, and well-being among youth. Related objectives include measurable action steps by coalitions, including conducting community assessments, building capacity within their communities to address the issue, producing a 4-year logic model and annual work plans to identify and plan for appropriate strategies implementation, and evaluating the success of those projects. Other objectives reflect risk factor reduction, protective factor promotion, and consumption or behavior of youth. While the project focuses on decreasing youth alcohol usage, universal and community level strategies will be implemented and social norms addressed. As such, the project will impact entire communities, including adults, in addition to the target youth population. Annually, this project is expected to reach up to 179,333 individuals, including the targeted 34,560 youth and their respective families in the five-county region. Over the grant's life, about 896,665 youth and adults will be reached.

The Keeping ICT SAFE (Substance Abuse Prevention Focusing on Empowerment) will 1) reduce e-cigarette use among youth (12-17) and young adults (18-24) in Sedgwick County, 2) reduce the onset and progression toward opioid use among youth and young adults in Sedgwick County, and 3) promote mental health education and awareness and reduce mental health stigma in Sedgwick County. The proposed partnership will implement three evidence-based approaches the Truth campaign to address e-cigarette and opioid use and misuse, the Catch Your Breath curriculum, and Mental Health First Aid to promote mental health in the community. A community needs and assets assessment will be conducted to determine the needs and assets of the community to set priorities. Once the priorities are set, key stakeholders will be brought together (youth, families, providers, etc.) to make data driven decisions. The social media campaigns will be designed by youth and we expect to reach over 10,000 youth in our county using social media platforms (i.e., Instagram, Tik Tok, YouTube, etc.) over the five year period to bring awareness and connect youth with valuable resources. Keeping ICT SAFE will work with community-based organizations to implement the evidence-based curriculums and reach the underserved populations in our community.

Kansas Strategic Prevention Framework - Partnerships for Success-States The Kansas Department for Aging and Disability Services (KDADS) Strategic Prevention Framework-Partnerships for Success-States (Kansas SPF-PFS-States) 5-year initiative is centered around youth and young adults ages 12-20 years in underserved/underrepresented diverse communities to prevent the onset of/reduce substance use. This project will be focused on alcohol and marijuana use by youth and young adults, while comprehensively linking mental health and wellness promotion with the included goal of increased protective factors and decreased risk factors through family/community engagement strategies/activities for youth, young adults, youth/human service workers, parents, and caregivers. Communities of focus are Finney, Ford, Seward, Grant, Wyandotte, Geary, Reno, and Harvey counties in Kansas. Annually, KDADS will award funding to 15 community level subrecipients that have demonstrated a youth/young adult led structure to implement recognized Center for Substance Abuse Prevention (CSAP) prevention strategies. Kansas SPF-PFS-States will offer three trainings: Pax Tools for Human Services, Pax Tools for Youth Workers, and Guiding Good Choices. PAX Tools for Human Services provides foundational information on how trauma, adversity, and the environment can affect behavior and how adults who work with children in professional settings outside of school can implement PAX Tools as universal prevention paths to improve behavior, collaboration, and relationships with young people. PAX Tools for Youth Workers provides evidence-based, trauma-informed strategies for those who work with youth in the community during out-of-school time. Guiding Good Choices curriculum is a five or six session evidence-based parenting class in which parents/caregivers learn specific actions that promote healthy development and reduce risky behavior in the teen years. The four goals of Kansas SPF-PFS-States are Goal 1: Increase perceptions of harm of regular alcohol and marijuana use among youth and young adults ages 12-20 years in underserved/underrepresented communities; Goal 2: Reduce the onset and progression of alcohol and marijuana use among youth and young adults ages 12-20 years in underserved communities; Goal 3: Promote individual and community health and wellness to enhance mental health among youth and young adults ages 12-20 years in underserved communities; and Goal 4: Increase the prevention infrastructure capacity in underserved communities by utilizing the SPF to implement data-driven substance use prevention and mental health promotion strategies.

South Dakota's Strategic Prevention Framework-Partnerships for Success: Capacity Building in the Central Region will expand the state's capacity to implement key prevention priorities through the addition of a new Central Prevention Resource Center and support for five new community-based coalitions in the target catchment area of South Dakota’s Behavioral Health Region 2. The population to be served through direct service delivery represents nearly 77,000 South Dakotans (about 9% of total state population), with additional impacts in the area of mental health promotion statewide. The following factors are notable: 11 of the 19 counties in Region 2 demonstrated higher than the state average rates for individuals living below poverty; 10 of 19 counties in Region 2 have higher than state average minority populations, predominantly American Indian; access to behavioral health providers within 15 minutes from home is lower than average in 8 of 15 counties, only 12 of the 19 counties in Region 2 had ratio estimates of mental health providers and nine of those twelve counties had a higher ratio of mental health providers than the state; Region 2 has the highest rate per 100,000 of deaths by suicide (47.5), intentional self-harm (204.5), and intentional overdose (106.2) compared to other substate regions and the state of South Dakota. The state aims to directly impact 1,000 individuals (adults and youth) annually through the accomplishment of four goals that center on the implementation of the SPF process. Goal 1 - Increase and enhance the capacity of communities in central South Dakota to support the implementation of the Strategic Prevention Framework. Key initiatives include establishing the new Central Prevention Resource Center and five new community coalitions, with services beginning by Month 4 of the project period. Dedicated staff within the state team, including enhanced data analysis capabilities under the leadership of the state’s behavioral health epidemiologist, will be integral to the deployment of these objectives. Goal 2 - Prevent the onset of underage drinking and marijuana use and its related problems in vulnerable South Dakota counties by implementing evidence-based prevention programming and practices through the statewide prevention delivery system. In partnership with the infrastructure established in Goal 1, the state will utilize the community health assessment framework and findings to validate primary substance(s) of misuse and target development of community-based coalitions. All evidence-based interventions selected will be culturally competent and reflect the priority populations selected based on the strategic prevention framework assessment phase. Goal 3 – Reduce the profession of substance misuse among youth and adults and its related problems in vulnerable South Dakota counties. Impact measures tied to the original problems identified in the assessment phase will be defined and regularly monitored as implementation of evidence-based prevention interventions continues throughout the grant period. Goal 4 – Encourage and increase protective factors and healthy behaviors through mental health promotion activities with the aim of preventing onset of diagnosable disorders and reducing risk factors. In coordination with the state’s behavioral health awareness campaign, the team will develop and create a community toolkit that incorporates mental health promotion activities for use statewide.

The Colorado Strategic Prevention Framework, Partnership for Success (SPF-PFS) Northwest project will build upon the state’s experience and established SPF-based prevention infrastructure to address the state and region through local communities for substance misuse prevention priority of alcohol by focusing on risk and protective factors and collective impact. The geographic catchment area is the far northwest corner of Colorado, which includes Jackson, Moffat, Rio Blanco and Routt counties. This rural area has deep western heritage and known for its diverse natural resources. Youth ages 10-19 makeup 13.3% of the NW Colorado population, and are the focus for this project. The Northwest (NW) Colorado region has indicators suggesting high levels of substance misuse among youth and a lack of overall prevention infrastructure support for local government and community organizations to address these concerns. Overall, self-reported use of substances by youth is higher in NW Colorado than state-level estimates, but the data on drinking any alcohol (34.4% vs. 23.6% statewide) and binge drinking (20% vs. 12.5% statewide) in the last 30 days are particularly striking for the NW region. Moreover, the Colorado Violent Death Reporting system data aggregated over five years (2017-2021) demonstrate the relationship between onset of alcohol misuse and suicide death and the need to focus on prevention. For youth ages 10-18 in Colorado, 11.9% of suicide decedents had a problem with alcohol and toxicology reports indicate that alcohol was present in 11.7% of the deaths. Working with NW Colorado, the state and region will have a significant impact on alcohol misuse among youth by achieving two primary goals: 1) To strengthen capacity and infrastructure at the regional and community levels to support the prevention of alcohol misuse among youth, including capacity and infrastructure to address behavioral health disparities and deliver evidence-based programs and promising approaches that build emotional health and thereby prevent the onset of symptoms and complications from alcohol use and promote mental health 2) To reduce risk factors and increase protective factors that may contribute to or limit the progression for alcohol misuse through evidence-based prevention strategies and programs.

NAME: WCGC-FL Pinellas Prevention Initiative WestCare GulfCoast-Florida will support the development and delivery of community-based substance misuse prevention and mental health promotion services while working to expand and strengthen the capacity of local community prevention providers to implement evidence-based prevention programs. Populations served: The proposed population of focus are BIPOC youth ages 9 to 18 in Pinellas County who are at high risk for using alcohol and drugs. Strategies/Interventions: The program will provide BIPOC youth with prevention programming and education at community events, organizations like Boys and Girls Club, Camp Mariposa®, and Victory High. WCGC-FL will use a variety of evidence-based curriculums to reduce substance use (alcohol, tobacco, e-cigarettes, and vaping): Botvin Life Skills Training, Too Good for Drugs, and Safe Festivals. GOAL 1: Strengthen community-level prevention capacity in Pinellas County to address alcohol, tobacco, e-cigarettes, and vaping among youth aged 9 to 18 years. Objective 1.1: By December 31, 2024, complete a comprehensive Needs Assessment to identify 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, 2025, develop a detailed implementation plan to reduce risk and enhance protective factors. Objective 1.3: By September 2029, design and post 216 prevention messages (Y1 = 24; Y2-Y5 = 48 annually) on social media related to alcohol, tobacco, e-cigarettes, and vaping. Objective 1.4: By September 2029, develop 8 new partnerships with local agencies to build the capacity of the Advisory Board and/or to include them as new sites for service delivery (Y2-Y5 = 2 annually). GOAL 2: Prevent the onset of or reduce the progression of alcohol, tobacco, e-cigarettes, and vaping among youth ages 9 to 18 living in Pinellas County. Objective 2.1: By September 2029, provide Botvin Life Skills Training to 130 youth ages 12 to 18 (Y1 = 20, Y2-Y4 = 30, Y5 = 20) as evidenced by enrollment records. Objective 2.2: By September 2029, expand access to Camp Mariposa® and the Too Good for Drugs prevention curriculum by adding 25 camp slots for youth ages 9 to 12 (5 annually), as evidenced by enrollment records. Objective 2.3: By September 2029, implement Safe Festivals at 18 events (Y1 = 2, Y2-Y5 = 4 annually) by involving Victory High School youth aged 14 to 19. Objective 2.4: By September 2029, 80% of youth enrolled in Botvin LST or Too Good for Drugs will successfully complete the program as evidenced by attendance logs and/or program-specific pre/post tests. Objective 2.5: By September 2029, 80% of youth who complete the program will not begin using alcohol, tobacco, e-cigarettes, or vaping, remain abstinent, or reduce use as measured by a program-specific pre/post questionnaire and/or the GPRA tool. GOAL 3: Strengthen protective factors and mitigate risk factors among youth aged 9 to 18 years living in Pinellas County. Objective 3.1: By September 2029, 80% of youth who complete the program will increase their disapproval of alcohol, tobacco, e-cigarettes, and vaping as measured by a program-specific pre/post questionnaire and/or the GPRA tool. Objective 3.2: By September 2029, 80% of youth who complete the program will increase their risk perceptions related to alcohol, tobacco, e-cigarettes, and vaping as measured by a program-specific pre/post questionnaire and/or the GPRA tool. Objective 3.3: By September 2029, 80% of youth who complete Too Good for Drugs or Botvin Life Skills Training will reduce positive attitudes towards alcohol, tobacco, e-cigarettes, or vape consumption as measured by a program¬ specific pre/post questionnaire and/or the GPRA tool. Objective 3.4: By September 2029, 80% of youth who complete the program will increase assertiveness, self-control, and/or relaxation skills as measured by program-specific pre/post questionnaires.

The 2024 Louisiana Partnerships for Success III (LaPFS III) proposes to address significant challenges many Louisianans ages 12-25 face regarding substance misuse within racially, culturally, and economically diverse populations. The goals of the LaPFS III will reflect the national goals for the Partnerships for Success (PFS) program to include: (1) prevent the onset and reduce the progression of underage drinking and polysubstance use; (2) To reduce short-term and long-term consequences of underage drinking and polysubstance use; (3)To eliminate disparities in underage drinking and polysubstance use; (4) To strengthen and sustain the capacity of the prevention data management and systems infrastructure at the state and community levels; and (5) increase knowledge about polysubstance use and mental health services to improve community attitudes about utilizing mental health resources. LaPFS III will target five underserved communities across the State in identified regions that presented higher rates compared to the state in underage drinking and polysubstance use. Louisiana will establish a state/community prevention collaborative to implement the Strategic Prevention Framework (SPF) at the State and community levels which will allow stakeholders to assess problems, plan and implement strategies, and evaluate solutions to address underage drinking and polysubstance use while promoting mental health services and resources. The State/community collaborative will utilize the SPF to make informed data-driven decisions to develop, implement, and evaluate effective prevention strategies. To promote the efficiency and sustainability of LaPFS III, prevention resources will be redirected to the State and identified communities to support the work on each goal mentioned above. The long-term expectations are that LaPFS III State and community activities will reduce underage drinking and polysubstance use while promoting mental health treatment services, holistic well-being, and utilization of crisis coping resources. Over time, this will lead to these underserved communities observing tangible changes within their communities.

The Commonwealth of the Northern Mariana Islands (CNMI) Commonwealth Healthcare Corporation's Community Guidance Center serves as the primary behavioral health agency to all the islands of the Commonwealth. This locally based center seeks to assist, educate, and collaborate with communities about the primary problems and risk factors associated with underage drinking, youth marijuana use, and adult binge drinking throughout the various islands of the CNMI most especially on the islands of Rota, Tinian, and the capital island of Saipan. The main prevention branch located on Saipan will serve as the central operations location of the CNMI PFS project. The Northern Mariana Islands have distinct indigenous cultures, Chamorros and Carolinians, but flairs of the many occupations have left their marks on the people. The program's staff have training and experience in cultural sharing of the ethnic diversity of the islands which include the new diversity of cultures that call these islands home. Pacific Islanders of Micronesia, Filipinos, Japanese, Chinese, Koreans and Bangladesh populations, along with the island's indigenous cultures, serve as the primary demographic to be served. The project seeks to continue to support the dissemination and inter-agency sharing modeled after the Strategic Prevention Framework process, employing traditional methods of teamwork, consensus-based systems, and education from a variety of sources including both academic and cultural to implement effective strategies to reach prevention goals. The CNMI PFS project intends to achieve, through its state strategic plan and data driven outcomes approach, the following goals: (1) prevent and reduce underage drinking and (2) prevent youth marijuana use in the CNMI, and (3) provide information dissemination and prevention education that are SPF informed and culturally relevant to the Rota and Tinian communities. In order to successfully meet the prioritized needs for the CNMI, the project will work with collaborative assessments, build capacity, utilize strategic planning, implement evidence-based and locally documented practices/programs, and evaluate state and community outcomes informed by various data methods. The project seeks to reduce underage drinking and youth marijuana 30-day use by 5%, and provide information and dissemination and prevention to approximately 50% of the Rota and Tinian's adult population by the end of the 5-year project. This process is grounded in cultural competence and sustainability integral to prevention endeavors of the CNMI for locally appropriate data drive outcomes, sustained in state and community partnerships.

Nevada Project Abstract Summary: Program Announcement (CFDA): 93.243 Notice of Funding Opportunity Number): SP-23-003 Closing Appl. Date: 02/21/2024 Applicant Name: Nevada Division of Public and Behavioral Health Length of Proposed Project: 5 years Project Title: Nevada Strategic Prevention Framework - Partnership for Success Grant. The initiatives spearheaded by Nevada's Division of Public and Behavioral Health, particularly through the Bureau of Behavioral Health Wellness and Prevention (BBHWP), under the NV Strategic Prevention Framework Partnership for Success (PFS), are poised to extend their reach across communities statewide. With a targeted approach encompassing various age groups, from 10-17 for tobacco prevention to middle school and upwards for suicide prevention, these programs aim to curb the onset and progression of substance misuse. Drawing from NV 2022 Epidemiological report, alarming trends have been identified, such as an increase in tobacco use among 10 to 14-year-olds and a surge in alcohol use disorder among individuals aged 12 and above. Moreover, the report underscores the critical need for intervention, with statistics revealing high rates of co-occurring substance use disorders among vulnerable populations, including those experiencing homelessness and the LGBTQ+ community. The strategic utilization of public health data allows for the identification of underserved communities and sub-populations, guiding the development and implementation of evidence-based prevention strategies tailored to specific needs. Recognizing Nevada's unique socio-cultural landscape, characterized by a blend of urban and rural settings, the NV- PFS program adopts a community engagement model rooted in public health principles. By prioritizing youth initiatives, tobacco cessation, and recovery support, the program aims to bolster local prevention and recovery providers' capacity and address substance use disorders comprehensively. Through collaborative efforts and a commitment to data-driven approaches, NV endeavors to achieve its overarching 3 goals, including reducing substance misuse and youth suicide rates, thereby fostering healthier and more resilient communities statewide: Goal 1: To reduce suicide among youth (10-17) and young adults (18-26) by 2% each year. SMART Objective/s: 1. By the end of year two of the project, the Suicide Prevention Unit will have trained 75% of Coalition staff in all 17 Counties on the selected curriculum addressing the prevention of Suicide and Mental Health First Aid. Goal 2: To reduce onset tobacco and vaping in Nevada’s youth (10- 17) by 2% below national average each year of the project. Objective: 2. By September 29, 2025, 2-Prevention Coalition staff will have worked directly with Nevada Tobacco Control Team & Nevada Cancer Coalition on training a minimum of 1 Tobacco-EBP program and increase by 10% each year per school district. Goal 3: To reduce/prevent substance use/misuse among communities with behavioral/ mental health disparities through evidence-based practice interventions. Objective: 3. By September 29, 2025, SPF-PFS lead will work collaboratively with PSPTTC to train up to 25% of the prevention and recovery subrecipients on the effects of substance use/misuse among community members with behavioral or mental health disparities and 25% increase there after til the end of the project. Goal 4: To decrease by 1% each year of the project, the percentage of youth (middle & high) school students that have tried alcohol or marijuana for over 30-days. Objective: 4. By the end of 2025 and each year thereafter til the end of the five-year of the project, the DPBH-Bureau Subrecipients will deliver 60 evidence-based practice approved education programs addressing the harms of [Alcohol/ Marijuana/Non-prescription medicine] to 200 individuals middle & high school students. Goal 5: To establish a culturally appropriate prevention and recovery resource capacity among underserved communities.

The Department of Behavioral Health and Development Resources of Virginia's (DBHDS) Office of Behavioral Health and Wellness is proposing to use the funding provided from the SAMHSA Strategic Prevention Framework - Partnerships for Success for States Grant (Short Title: SPF-PFS-States) to partner with 7 Community Service Board Partners (CSB) across Virginia to ensure additional support for their Community Coalitions within their localities. To provide these CSBs provide them equal amounts of funding to allow them to hire a dedicated staff member for their Community Coalition. The amount would be $150,049. Funds above the amount needed to hire a staff member will be used for the coalition's expansion and support of programs within their localities and regionally. Each CSB will develop implementation plans specific to their locality and identified target population(s). The goals for each plan will include the increased capacity of the coalition to address substance misuse and mental health wellness, specific to, but not limited to their identified target populations. CSBs will utilize the Strategic Prevention Framework (SPF) to determine their action plan for the grant period. Using the needs assessment data collected by OMNI, CSBs and the community coalition will identify substance misuse and mental health wellness areas of need. These may be current initiatives that they will build upon and expand to other communities within their catchment areas or newly identified areas of concern that can be addressed with these additional resources. Through capacity building, CSBs will hire and train new coalition leadership. They will also ensure the right partners are included as coalition members and identify the resources required to address the needs of the identified population. This may include the recruitment of additional partners through targeted efforts, paying special attention to include members of the target population. CSBs with coalitions in the beginning stage will need to spend additional time developing the infrastructure of the coalition - establishing by-laws, clearly defining roles and expectations, creating timelines, etc. Time will be spent on the development/revision of logic models to include the additional resources from this grant. Utilizing coalition staff and these additional resources, the CSB and coalition will implement evidence-based strategies in service of our statewide goals as well as those of the priority populations. Expansion of existing strategies and inclusion of additional initiatives targeting the identified populations will be based on the needs of those individuals. Implementation of these initiatives will occur through the grant cycle with the goal to increase awareness and increase the number of individuals served through both additional strategies and expansion of efforts to other areas of the CSB catchment area. In addition to project plans and logic models, CSBs and their coalition will develop evaluation plans. Evaluation plans will be used to monitor and assess progress. Evaluation planning documents, The Virginia Social Indicator Summary Dashboard (VASIS; vasis.org), the Young Adult Survey, and the Coalition Readiness & Effectiveness Assessment Tool will be used as evaluation instruments to determine the progress toward desired outcomes at the state level and for the priority population in each CSB. Frequent evaluation will allow each coalition the ability to make changes to their structure, membership, action plan/logic model, etc., they deem necessary to affect change in the identified populations.

The WV Strategic Prevention Framework-Partnerships for Success (SPF-PFS) grant will focus on selective and indicated prevention practices statewide to prevent tobacco, vaping, marijuana, and alcohol use and prescription misuse among high-risk students in underserved communities. An entirely Appalachian state with more than 80% of its rural population living in rugged terrain and a fourth of its children living in poverty, WV has the highest fatal overdose rate and per capita cost of ""deaths of despair"" in the country, as well as higher youth tobacco and alcohol use and higher young adult opioid use disorder and depression than the national average. This grant will enhance the state's prevention workforce's ability to make data-informed decisions and implement effective practices and policies that will improve the life trajectories of its children, youth, and young adults. It is anticipated that at least 1,000 high-risk students will be served per grant year, or 5,000 over the life of the grant.

The Texas Health and Human Services Commission (HHSC) has developed the Innovative Healing Centered Project - Youth Expansion Strategy (IHCP-YES) to fill gaps in prevention services for underserved communities throughout Texas. The project aims to accomplish the following four goals: 1) Build the capacity of local, community-based organizations to provide prevention services in underserved communities; 2) Increase access to local behavioral health resources for youth in underserved communities; 3) Increase substance use prevention and mental health resources for youth and youth-serving organizations located in underserved communities; and 4) Increase school completion rates (graduation rate) for students residing in underserved communities.

The Alabama Department of Mental Health (ADMH) Partnerships for Success (PFS) for States project seeks to prevent and reduce marijuana use and the negative consequences associated with it while improving capacity and infrastructure in communities with health disparities, less access to care, and poorer behavioral health outcomes in young adults in the identified high need populations within the state. The targeted counties will have high concentrations of individuals with significant health disparities, elevated levels of substance use, poverty, and less access to care resulting in poorer behavioral health outcomes. The population of focus will be young adults aged 18-25. This project seeks to continue utilization of a structured approach set forth by the existing strategic prevention planning framework and implementation of evidence-based practices and programs with sound evaluation to reach identified populations. The goals of the project are to: (1) Prevent and reduce young adult marijuana use in communities with health disparities; (2) Reduce marijuana-use related problems in Alabama communities that have less access to care and poorer behavioral health outcomes; and (3) Improve prevention capacity, coordination and infrastructure at the state and community levels. The objectives the project seeks to attain are: (1) By 2029, prevent and reduce marijuana use and its negative consequences among young adults aged 18-25 by 3% while implementing the Center for Substance Abuse Prevention Strategies, as measured by the Alabama Epidemiological Profile, NSDUH, YRBSS, and HIDTA; (2) Implementation of the programmatic services will provide outreach and awareness initiatives, tools, trainings, and technical assistance to a minimum of 400 individuals per year, 100 individuals per region, on approaches to ensure successful outcomes are sustained over time resulting in a minimum of 2,000 individuals reached during the project period, as measured by prevention activity records; and (3) Annually identify and collaborate efforts (via face-to-face or virtual meetings) with community agencies and local stakeholders, per region (four regions), to address the risks of marijuana usage, as measured by and number of meetings and attendees present. A comprehensive approach utilizing the six CSAP strategies will comprise the strategies/interventions to address the goals and objectives. Information Dissemination, Education, Alternatives, Community Based Processes, Environmental and Problem Identification and Referral strategies will address risk and protective factors and include culturally appropriate information about marijuana use as it relates to individual communities. The inclusion of educational system collaborative efforts and supportive services, youth/parent after-school involvement with marijuana use prevention initiatives and youth mentorship/recruitment efforts, representation of the recovery community, will be integral to the success of the Alabama PFS project.

Montclair State University (MSU) an Hispanic Serving Institution (HSI) with over 4,000 graduate students is proposing The Montclair Diagnosis to Recovery (MSU-D2R) program, which infuses SUD education, training and certification and Mental Health First aid certification into all graduate nursing programs at MS. This proposal extends the availability of the 2 certifications through online access to MHFA and also, asynchronously, to the 8 module D2R course to other MSU students, faculty and affiliated medical center staff who are treating persons with SUD. A yearly SUD 1-day conference will be provided to MSU students, community leaders, hospital administrators and healthcare professionals in person and online to provide updates and further engage the community and enhance networking. Population to be served: MSU-2DR will be serving the diverse students and faculty as well as the myriad healthcare workers providing care in MSU's affiliated medical centers. MSU is a minority, Hispanic Serving Institution (HSI) with 6 nursing programs (AY 24-25) devoted to providing care to the people of NJ. Our immediate communities of Essex and Passaic counties have over 60,000 individuals being referred for substance use treatment annually. An analysis of discharge data indicates that 20% (n=17.408) received outpatient care (op), with an additional 20% in intensive outpatient care (IOP) and 21% in detox residential care. The New Jersey Substance Use Overview indicates that in Passaic County alone those who use substances and are provided treatment account for over 4,520 individuals. However, current graduate education of nurses does not have a focus on treatment for substance use. MSU-D2R will rectify that by implementing the following strategies and interventions to achieve our goals of increasing capacity of nursing faculty, staff, students and nursing professionals to identify and refer or treat patients in need of SUD interventions. Increasing access by 100% to SUD training in MSU's graduate Nursing programs and offering the 3 major components, Mental Health First Aid Certification, an 8-module online asynchronous D2R substance use disorder certification, and a 1-day conference for non-nursing students and faculty MSU. These same D2R components will be provided to staff serving in our affiliated medical institutions, including those serving in HPSA areas, expanding the capacity of current NJ and NY nurses and hospital staff to provide best practice interventions for patients with SUD through access to online programs and conferences on SUD. These goals will be achieved through the development and implementation of an evidence-based, trauma informed, SUD focused 8-module online certificate program. The SUD training program (online and in person) will train a minimum of 150 people per year, training and educating 500 people over the three years of the grant.

Both treatment and education gaps exist nationally and in the state of CT with regard to implementation of patient-centered approach to the care of individuals with substance use and substance use disorder framed in a chronic illness and recovery model. In response to Substance Abuse and Mental Health Services Administration (SAMHSA) FY 2024 Provider's Clinical Support System-University NOFO TI-24-001, the goal of this proposed project entitled, "Responsive Integration of Substance use Education (RISE)" is to create a comprehensive curriculum for Yale medical and PA students throughout their health professions training to learn about substance use, address stigma and discrimination by teaching that substance use disorder (SUD) is a treatable health condition, and to arm students with the skills to screen, assess and care for patients with SUD. To meet this goal, we have several specific objectives: 1. Train 140 first year medical and PA students per year on how to take a patient-centered and comprehensive substance use history utilizing a three step process, focusing on stigma reduction, through a didactic workshop. Students will undergo a follow up simulation exercise. (Goal: to address education gap) 2. Provide up to 8 first year medical and PA students per year with a 9-month longitudinal placement in an integrated addiction setting (Goal: to address education gap) 3. Enroll up to 6 medical and PA students in their clinical rotation period per year in a two­ or four-week intensive elective in clinical addiction medicine with opportunities for ongoing mentorship and sponsorship in additional addiction focused training activities. (Goal: to address treatment gap) 4. Train 140 final year medical and PA students per year, regardless of planned career path, in the application of harm reduction skills in practice through case-based teaching activities. (Goal: to address treatment gap) To accomplish our goals and objectives, we will build upon successful training activities to carry out the RISE program. The RISE program will be delivered to Yale medical and PA students through a variety of educational strategies including didactic and workshop training and small group activities, standardized patient simulations, longitudinal clinical placements, and intensive elective opportunities with student mentorship and sponsorship activities. We will train 140 students annually for a total of 420 students over the three year project period. The population of students to be trained are 67% White, 7% Black, 19% Hispanic and 1.7% from a federally recognized tribe. Roughly 70% of trainees are women and 12% are from a socioeconomically disadvantaged background.

In response to soaring overdose deaths across the United States, our project aims to address the gaps in substance use disorder (SUD) education and care by building an educated interprofessional health workforce who will be prepared to deliver culturally responsive care and navigate the complexities of working people with SUDs. We are poised to launch an interprofessional education (IPE) initiative that directly engages with the rural, underserved communities, and the disproportionately affected American Indian and Alaska Native (AI/AN) populations. Thus, University of Michigan (UM) nursing, physician assistant, medical schools in Ann Arbor and Flint will partner with Northern Michigan University (NMU) and Keweenaw Bay Ojibwa Community College (KBOCC) nursing schools in the upper peninsula of northern Michigan to revise, innovate, and disseminate our IPE SUD curriculum to rural and tribal communities. Marquette and Baraga Counties, the respective locations of NMU and KBOCC, as well as Genesee County, where the UM-Flint is situated, are classified as rural regions that are recognized by Health Resources & Services Administration (HRSA) as regions with health and mental health professional shortages.1 We have secured clinical sites to provide clinical observations for students in these regions, including Great Lakes Recovery Center in northern Michigan, and Wellness Services and Packard Health in lower southeastern Michigan (See LOCs). UM Ann Arbor and Flint will partner with NMU and KBOCC to collaboratively revise and innovate upon the existing IPE SUD curriculum, provide immersive clinical observations at secured clinical sites in mental health and health professional shortage areas, and disseminate the enhanced curriculum within rural and tribal institutions to train healthcare professional students. This proposed grant will fulfill the requirements to educate the future healthcare workforce who will be prepared to address SUD particularly with rural, underserved, and AI/AN communities. In addition, the grant will build capacity for the northern schools to sustain the curriculum after the grant ends.

The overarching goal of the MI CARES Expansion program is to provide robust education on the clinical, social, and basic sciences underlying substance use disorders (SUDs). This project will support broad-based addiction medicine education implementation, including clinical experiences at Michigan State University (MSU) and the University of Alabama (UAB). Educating and training medical students to treat persons with SUDs is a national priority. The Centers for Medicare and Medicaid Services declared an ongoing public health emergency (PHE) precisely because of the opioid crisis. Provisional data from the Centers for Disease Control (CDC) predicted 110,640 overdose deaths in the US in 2023. We propose establishing the MI CARES program to meet this need, which will train medical students at MSU and UAB. Our collaboration across multiple medical schools will take the current educational program from an elective at MSU to required curricula at MSU and UAB. MSU is a land-grant institution whose purpose is to serve those in Michigan. With eight community campuses, including in urban and rural areas, the school aims to train primary care providers who will serve Michigan and underserved communities. While an urban school, UAB trains physicians who serve throughout Alabama, with many practicing in medically underserved and rural areas, particularly in primary care. The populations served by this grant are medical students and, in turn, the populations in these areas. UAB and MSU serve 50-70% rural and medically underserved communities. The curriculum of the MI CARES program is designed to provide comprehensive training to medical students in treating persons with SUDs. It includes asynchronous modules, synchronous didactics in large and small group settings, and clinical experiential days. All these components are grounded in an anti-stigma framework, emphasizing the importance of treating persons with SUDs with kindness, compassion, and evidence-based practices. This training will equip the next generation of physicians with the skills to meet the nation's biomedical, behavioral, and clinical needs treating people with SUDs and promote a physician pipeline poised to lead SUD healthcare. The overarching goal of MI CARES medical student education is to provide support to expand and implement the MI CARES curriculum to increase student knowledge of evidence-based addiction practices and reduce negative attitudes towards persons with SUD. We will implement the required curricula at MSU and UAB to obtain this goal. The second goal is to identify curricular needs at each school to assess gaps in current offerings, including where MI CARES didactic materials can support medical student education. We will obtain this information by performing a gap analysis at each school. This analysis will be followed by an implementation goal where we will support MSU and UAB in the implementation of a complete addiction medicine curriculum that covers the required elements of the grant, board examination expectations, and best practices to train students to be champions for the care of persons with a SUD. Over each grant year, we will train at least 200 medical students across two institutions, with students who will ultimately practice in numerous states. We will monitor the curriculum through a student attitude survey, the modified substance abuse attitudes survey (mSAAS), student knowledge assessments, and student surveys of clinical experiences, with our measurable outcomes of sustained knowledge and attitude changes over time relating to SUD and substance use treatment.