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The Confederated Salish and Kootenai Tribe’s (CSKT) Partnership for Success Project will develop and increase capacity in local tribal youth to support themselves and their peers by focusing on their individual and collective gifts and strengthening their identity, connectedness and resiliency. This grant will fund a comprehensive partnership on the Flathead Indian Reservation to identify and implement evidence-based and culturally focused ways of supporting tribal students’ positive protective factors. Tribal students on the Flathead Indian Reservation face immense disparities, historical and continual traumas that can sometimes lead them down a path of self-destruction. The CSKT Partnership for Success Project will utilize tribal/local resources and partners together with gift-based approaches to help support them in becoming resilient young people who are strong in their cultural identity, and focused on their gifts and purpose. Goal 1: Identify and connect tribal/community project partners to support tribal students in their exploration of their gifts and purpose: Objective 1: By the end of Year 1 and each consecutive year, identify and connect with possible project partner for success; Objective 2: By the end of Year 5, a comprehensive guide will be developed listing all tribal/local partners and their services for tribal youth: Objective 3: By the end of Year 5, 70% of all project partners will participate in monthly project meetings. Goal 2: Develop a comprehensive list of “Purpose Practitioners” including artists, authors, beaders, dancers, etc. to support tribal youth on their journey of discovering their own purpose and gifts: Objective 1: By the end of Year 1 and each consecutive year, identify and connect with at least 20 different Purpose Practitioners annually to support tribal students; Objective 2: By the end of Year 5, 125 tribal youth will be connected with tribal/local Purpose Practitioners. Goal 3: Increase the capacity of tribal/local partners to connect tribal youth with positive tribal protective factors as prevention to mental health issues: Objective 1: By the end of Year 5, at least 500 individuals including staff and students will receive training in evidence-based and culturally focused ways of supporting tribal students’ positive protective factors: Objective 2: By the end of Year 5, at least 75 staff members from tribal/local partners will be trained in gift- based support and tribal positive protective factors: Objective 3: By the end of year 5, 70% of tribal students in CSKT Partnership for Success Project will be sharing their gifts and purposes with the tribal/local communities or demonstrating resiliency through mentoring younger tribal students in gift-based and purpose strengthening activities.

Grounded in the Strategic Prevention Framework (SPF), the San Antonio Council on Alcohol and Drug Awareness Partnership for Success for the Communities (SACADA-PFS), 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. Leveraging existing relationship with the Circles of San Antonio Community Coalition, SACADA-PFS Communities will expand and strengthen the capacity of local prevention providers to implement evidence-based prevention programs in San Antonio Texas. SACADA PFS-Communities will use the 5-Steps in SAMHSA's Strategic Prevention Framework (SPF) throughout the 5-year project. In the first step of the SPF, SACADA will complete a Community Needs Assessment (CNA) to identify and address local substance use prevention concerns, such as underage drinking, marijuana, tobacco, electronic cigarettes, opioids, methamphetamines, and heroin use data. The CNA will also document current resources, gaps, and the capacity to address the onset and progression of substance misuse and its related problems. Using the CNA to segway step two, Capacity, SACADA 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 the Coalition will develop an Implementation Plan and begin to Implement the strategies identified in the Plan. In the fifth and final step, the Coalition will Evaluate the impact of the Implementation Plan activities delivered in the community on an on-going basis. The emphasis will be on the underserved communities greatly impacted by substance use disorders (SUD), the Coalition will focus on the students and individuals who live in the San Antonio Independent School District (SAISD) and surrounding area. The nature of the problem within the geographic catchment area includes the need for prevention planners to have a comprehensive approach to understanding and addressing substance misuse and related behavioral health problems which will be the focus of SACADA-PFS Communities project. Bringing the partners together to transform our community will focus on the priorities listed by the U.S. Surgeon General, "...to create healthier, more prosperous, and resilient communities...which is essential to our health and well-being" (U.S. Surgeon's General's Advisory on the Healing Effects of Social Connection and Community, 2023).

ABSTRACT NCADD - COACH 2023 SPF-PFS The NCADD SPF-PFS Creating Opportunities to Achieve Community Health (COACH) project will build substance misuse/mental health promotion infrastructure to address the underserved population of 11-14 year-old African American Youth in Detroit, Michigan. Local community partnerships will be strengthened via coalition building and data/needs will be assessed. COACH will utilize evidence-based strategies through a sports league to enhance youth protective factors. The National Council on Alcoholism and Drug Dependence - Greater Detroit Area (NCADD) is a 501c3 nonprofit that serves Detroit/Wayne County with 75 years of experience serving people impacted by SUD through offering prevention, treatment and recovery services that promote the overall health and wellness of the community. NCADD’s experience providing prevention initiatives to Detroit youth and adults is extensive including with SAMHSA grants. COACH is a year-round intervention that integrates sports development with substance use prevention/mental health (MH) promotion. COACH will establish a partnership of community stakeholders to employ SAMHSA’s Strategic Prevention Framework to guide the partnership in collecting and analyzing data to identify substance misuse and MH concerns in the Detroit community. COACH will use youth sports as a vehicle to deliver evidence-based prevention initiatives identified by the partnership. The basketball league will be created that requires the youth, parents/guardians, and coaches to attend sessions with educational information. The overall purpose of the COACH initiative is to strengthen community substance prevention/mental health promotion by educating community members, groups and organizations and by building local partnerships to sustain efforts into the future. The overall goal is to reduce the onset of youth marijuana and alcohol use through increased perception of their harmfulness. The COACH program further seeks to enhance youth mental health promotion through provision of trauma and suicide prevention training. NCADD’s intended catchment area for SPF-PFS funding is Wayne County, Michigan (population 1,773,073) with focus on the City of Detroit (population 632,464). US Census data for July 1, 2021, also identify the racial profile of Detroit / Wayne County respectively as 77.9 / 38.4% African American, 12.9 / 54.7% White, 7.8 / 6.5% Hispanic Latino, 1.6 / 3.6% Asian, and 3.7 / 3.3% other including “2 or more races” and Native American populations. 78.3% of persons served by NCADD are African American. Residents of the majority African American City of Detroit live below the federal poverty level (FPL) at the much higher rate of 31.8% compared to Wayne County (19.6% FPL), Michigan (13.1% FPL) and the US (11.6% FPL). Unemployment is higher with 7.7 for Detroit, Wayne County 4.4%, Michigan 4.1%, and nationally 3.5% (US Dept. of Labor, 3/2023). A slight majority of Wayne County residents are female (52.5%) with 24.9% of residents under age 18. A 2022 Gallop poll revealed 7.2% of American adults (19.7% of Gen Z) identify as LGBTQ regarding their sexual orientation or gender identity (Gallop.com, 2/22/23). NCADD welcomes individuals of all demographic profiles, but historically provides services to majority African American residents of Wayne County, primarily those living in the City of Detroit. COACH targets serving 80 participant youth in year 1 and 240 in years, 2, 3, 4, and 5; 1040 over the life of the award. COACH will also provide training to a minimum of 100 people in community groups in year 1 and 200 in each subsequent year; 900 total community members trained over the life of the grant. SPF-PFS funding will allow NCADD to address the gaps in data and community partnerships through building community capacity, strengthened best practices, integrated approaches, better data analysis, and outreach focused to underserved, 11-14 year-old African American youth.

The Safe Yakima Partnerships for Success (PFS) project is targeting all residents of Yakima County. Regarding how the project will serve a Priority Population, current population estimates the Yakima County at 255,151 residents of whom 50.6% identify as Hispanic/Latino. The Yakima project places an emphasis on Hispanic/Latino youth due to the significant representation in county school districts. Current (2022/23) enrollment numbers among the 12 school districts countywide include 68.1% Hispanic/Latino, 25.7% non-Hispanic White, 3% American Indian, 0.6% Black and 5.6% two or more races combined; 25% of all students countywide are English [second] language learners. (WA OSPI, 2023.) Citizens for Safe Yakima Valley Communities, Inc. (Lead Agency) with a great deal of support from our partners, 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 Yakima County Epidemiology (Epi) Profile within the first 90 days along with a Behavioral Health Disparities Impact Statement. The updated Epi Profile will provide more complete information on the origin and effect of substance misuse, addiction, and recovery in Yakima County. In addition, the project will engage Yakima County youth in geo-mapping (plotting) and environmental scans (local condition) to identify root causes of alcohol, marijuana, and opioid use/abuse. This new information will be used to strengthen prevention capacity, build infrastructure, and leverage other funding streams and resources using coordinated outreach and messaging strategies. The aim of Safe Yakima PFS is to expand our prevention infrastructure for delivering prevention programs and strategies targeting youth and adults to achieve the following goals: Goal 1: Strengthen prevention capacity and infrastructure at the community level, and Goal 2: Reduce Youth and Adult Substance Use and Substance Abuse-Related Problems. The Safe Yakima PFS strategy incorporates consistent and continuous messaging interfaced with community-wide prevention programming and behavior reinforcement strategies (i.e., wristbands, keychains, pens, etc.). Our infrastructure development strategy expands an existing mix of environmental strategies targeting Yakima County children and youth between the ages of 9 and 20 years of age, parents of school-aged youth, young adults aged 21 to 35, and the broader Hispanic/Latino community.

Generation Schools Network (GSN) will support the Justice Engaged Students Colorado (JES-CO) initiative and development of the Justice-Engaged Bill of Rights (JESBOR) to reduce substance use and increase educational opportunities for justice-engaged students. JES-CO is GSN’s statewide initiative focused on improving behavioral health and educational outcomes for justice-engaged and adjudicated (JEA) young people as well as those at risk of justice involvement. JESBOR will provide guidance for school districts, students, families and community members when supporting working with adjudicated students. GSN’s initial research and needs assessment found that justice involvement causes disruptions in a student’s educational life and lack of support, leading to disconnection from school and higher potential for dropout, resulting in the likelihood of substance use and recidivism. Colorado JEA students are disproportionately students of color. The risk for substance abuse and mental health disorders is significantly higher for this at-risk population. SPF-PFS funding will allow JES-CO to implement a comprehensive prevention approach that will reduce the onset and progression of substance misuse and its related problems through programs and practices that reach at-risk young people at their different levels of risk and social context. JES-CO’s programming will follow the Strategic Prevention Framework to build protective factors in schools and communities. The first goal is to create a coalition of state-wide collaborators including school partners and community members committed to shutting down the school-to-prison pipeline (STTP) through education, policy, and legislation. GSN has relationships with more than 100 school districts and will partner with up to 5 of them in the first year. The JES-CO initiative will provide restorative practices and trauma-informed school training for all participating schools and community members. After this training at least 80% of participants will report an understanding of adolescent neural development, risk and protective factors, and the connection between substance use and school discipline. These universal interventions will increase social connection, social emotional learning (SEL) competencies, and positive school connection. GSN’s second goal, the co-creation of the JESBOR, will specifically address system change to support adjudicated youth that will increase the protective factors of school connection, family support, trusted adults, purpose, and career readiness. JESBOR training, including how to support JEA students, their families, and reintegrate adjudicated students into the school environment will begin year three of the grant. GSN has the goal to create 5 additional school district partners each year of the grant. This will increase the number of adjudicated students integrated into the school environment. GSN’s prevention based approach will reduce substance use and mental health disorders for all partner school district’s youth. Our JEA youth will benefit the greatest because of the selected and indicated interventions. The JESBOR and in-school, contracted, counseling support from licensed mental health and substance abuse professionals will increase access to health professionals, build SEL competencies, and address the functions of the behaviors. GSN anticipates that the outcome will be a 25% reduction of substance use by JEA students by September 2028.

The HBCU RISE Project will be implemented on three HBCU campuses in central Alabama - Alabama State University (Montgomery County), Tuskegee University (Macon County), and Talladega College (Talladega County). The goal of the HBCU RISE Project is to 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 on the campuses of Alabama State University, Tuskegee University, and Talladega College in Alabama. Objective 1: Implement a Community Needs Assessment and develop a Comprehensive Strategic Plan to address substance misuse, mental health, and HIV/HCV for the three HBCU campuses and the greater communities in which they are located, by the end of the first six months. The proposed project will be implemented through a partnership among multiple agencies providing different aspects of the required activities. They will meet as a team to plan the details of the project, oversee it, and conduct the performance measurement, making program adjustments accordingly. COSA (Montgomery County) will be the lead agency and will partner with ASAP (Talladega County). Objective 2: Integrate substance misuse, mental health, and HIV/HCV prevention education, promotion and training activities to reach a minimum of 1,000 college students on each campus annually. Objective 3: Implement social media campaigns to increase awareness on substance misuse, mental health, and HIV/HCV to reach a minimum of 1,500 students and residents on campus and surrounding communities annually. Objective 4: Increase HIV and HCV testing opportunities on each campus and surrounding communities to reach a minimum to complete a minimum of 100 tests on each campus annually. Objective 5: Decrease the supply of unused over the counter prescriptions on campus by hosting a minimum of three drug take back activities on each campus annually.

EYFC will reduce high levels of substance misuse and related risk factors by serving 5,600 Alameda County students and their largely Hispanic/Latino communities through partnerships with residents, school districts, the Alameda County community assessment agency (CAPE), and Stanford Medicine’s REACH Lab that employ the Strategic Prevention Framework (SPF) to address gaps in data and build capacity through training and implementation of culturally responsive, evidence-based curricula. According to the 2021 National Survey (NSDUH), 2.7 million adolescents aged 12 to 17 (10.5%) currently use marijuana. In Alameda County, 13% of 11th graders and 25% of non-traditional students used marijuana in the past 30 days. Given the rapidly increasing normalization and marketing of cannabis, as well as rising evidence of effects on the developing brain, efforts to prevent its use during adolescence should be a public health priority. As a contracted Primary Prevention Provider (PPv) for Alameda County, California, EYFC will strengthen existing community collaborations and create new partnerships that improve identification of substance abuse priorities and implement evidence-based prevention curricula. Targeting local schools with the highest 30-day AOD Use results and over 50% of the student population meeting criteria for federal free and reduced-price meals (FRPM), EYFC will train a total of 30 experienced community-based, bilingual health worker Promotoras, school administrators, and educators, in the REACH Lab’s Cannabis Awareness and Prevention Toolkit (CAPT), a novel, free cannabis use program currently in use in schools, and ready for implementation in community organizations, healthcare settings, and juvenile detention centers. Initially, 700 Hayward Unified School District (HUSD) students and educators will receive training, with annual increases in students and districts served, up to an anticipated total of 5,600 participants over five years. SSPPE goals include reducing cannabis use among middle and high school aged youth; improving mental health awareness and access to resources; and reducing disparities in substance use among Black, Latinx, LGBTQ+ and other youth populations disproportionately impacted by social and health inequities. Our key measurable objectives include development of a multi- sector working group that will produce a SPF-based Strategic Plan to effectively assess substance use and deliver targeted prevention and mental health promotion services; facilitation of at least 30 prevention-focused community events with 25 service provider organizations for at least 10,000 attendees; training of staff and educators; and implementation of the Stanford CAPT. While engaging communities, and cooperating with professional data analysts, curriculum experts, and assessment partners, EYFC will employ qualitative and quantitative evaluation tools in rigorous independent program evaluations in order to add to the global prevention evidence base.

The purpose of the Southwest District Health Partnerships for Success Grant (PFS) is to improve positive outcomes for youth mental health and reduce and prevent youth substance use in the Southwest District Health (SWDH) region. SWDH has identified rural youth, aged 10-19 as the priority population for this work, and youth alcohol, marijuana, and stimulant use as the priority topic areas based off regional data. This work will be achieved by implementing the evidence-based Icelandic Prevention Model (IPM) to decrease risk factors and increase protective factors in multiple communities. Additional work will focus on increasing regional youth substance use prevention capacity by providing trainings, evidence-informed prevention curricula, projects, and youth, parent, and community education. The first goal of this project is to decrease risk factors and increase protective factors that contribute to youth substance initiation and use of alcohol, marijuana, and stimulants through implementing the IPM in rural communities. SWDH will partner with an experienced team at Boise State University who will assist with implementing the model which includes annual data collection, data analysis to identify local risk and protective factors, and presentation of results to the community. The measurable project objectives focus on building prevention capacity in communities, developing locally led workgroups to address identified risk and protective factors, developing and implementing local action plans with strategies to address factors, and building sustainability to continue the work. Accordingly, the first two communities that will implement the IPM through the support of the PFS grant are the Parma School District and the Marsing School District. This data-driven, community-specific project will allow a locally led workgroup to address the priority risk and protective factors that emerge from the local data collection. Both communities have committed to participating in this project as it will enhance their ability to support their youth and grow their pre-established prevention efforts. In addition to implementing the IPM, the PFS grant's second goal is to increase district wide capacity to prevent youth (10-19) use of alcohol, marijuana, and stimulants by providing trainings, evidence-informed prevention curricula and projects, and youth, parent, and community education. This goal aims to support prevention education and resources reaching regional communities who are not participating in the IPM implementation. Measurable objectives include reaching each county served with opportunities for funding for approved prevention projects, training, and education, and resources. By providing support through mini-grant opportunities, training, and educational and awareness activities, communities across the region can lead their own prevention efforts. This will result in increased readiness to engage in comprehensive environmental prevention techniques, like the IPM. Through supporting these communities in their work, SWDH will identify additional communities to implement the IPM starting after year 2 of the grant. Through achieving these goals, the SWDH PFS program will build trust, provide guidance, and support communities across the region in increasing capacity to facilitate locally led prevention efforts. This program anticipates serving approximately 1,500 individuals (students, parents, and community members) directly or indirectly each year of the grant, with a total estimated reach of at least 3,500 individuals over the 5 year project.

Community Building Community is an established regional charitable health clinic and community center in Midvale, Utah. Our first goal is to increase the community capacity to reduce substance use risks among the Hispanic community in Midvale and Summit County. Our second goal is to reduce the proportion of middle and high school students that use alcohol or marijuana on a recurring basis (30-day data) by implementing evidence-based programs. Our target population is youth ages 12 to 18 and their parents, in Midvale and Summit County, UT. With funding through the SAMHSA SPF-PFS grant, we will significantly expand community resources to reduce racial and ethnic and rural disparities in prevention. Our intended outcomes are 1) increased youth and parent awareness of the harms of underage drinking and marijuana use, 2) increased youth and parent skills to communicate about mental health and substance use, and 3) increased youth and parent behaviors and actions to promote mental health and prevent alcohol and marijuana use. We aim to change the environmental contexts in which youth and parents make decisions about alcohol and marijuana use. We expect to reach about 1200 community members per year, or 6,000 over the course of the project. The total community size is 11,175. The CBC uses the Communities That Care model to mobilize the Hispanic community to combat youth alcohol and marijuana use. We leverage our network of Hispanic patients, volunteers, and partner organizations to engage families in assessment, planning, implementation, and evaluation processes addressing the priority substances of alcohol and marijuana. Our approach includes: 1) Establishing and enhancing youth prevention partnerships, 2) Implementing evidence-based programs that are adapted for the unique social contexts of immigrant Hispanic families, 3) Conducting outreach and education in schools, apartment complexes, Hispanic grocery stores, and other places where the Hispanic population gathers, and 4) Implementing messaging strategies specific to the Hispanic population. As a Hispanic-led organization that was founded to prevent suicide and teen pregnancy, the CBC fills healthcare and prevention gaps for communities traditionally left behind. Since 1998, we have grown into a charitable primary care and dental clinic and community center that offers a variety of services and resources—from immunizations to food pantry, fluoride treatment to afterschool violin lessons. We work closely with the most vulnerable community members to understand their needs and the adverse impacts of social determinants of health. We infuse new resources into the community to promote equity. The CBC is a national model for integrating community health workers, behavioral health, primary care and prevention. With funding through the SAMHSA SPF-PFS grant, we look forward to contributing our learnings to all project participants and with our peer state and local coalitions.

Bethel's Global Reach (BGR), Inc. Houston Partnerships for Success project will expand Houston's prevention infrastructure by forming three new substance misuse prevention and reduction coalitions serving the three communities constituting Houston Independent School District (HISD) high schools (Kashmere, Sterling, and Wisdom) catchment areas. Eight community partners including HISD and Houston Police Department have committed to support SPF-PFS implementation through the expansion of a mix of evidence-based prevention programs and activities. Houston, TX is a city of 2.3 million people, 50% of Harris County's population and the 4th largest in the country. (Census, 2020) The racial and ethnic makeup include: 51.5% White, 22.8% Black, 6.9% Asian, 7% Multiracial; 44.5% of the population identified as Hispanic of any race. HISD is in stark contrast with the city. Most of the students (90%) represent one or more racial minority group, of whom 61.7% identify as Hispanic in ethnicity. Furthermore, poverty is predominant among HISD students - 78.5% are considered below the poverty line (HISD, 2021) compared to 19.6% citywide (Census, 2020). BGR 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 Houston Epidemiology Profile within the first 60 days along with a Behavioral Heath Disparities Impact Statement. The updated Epidemiology Profile will provide more complete information on the origin and effect of substance misuse, addiction, and recovery in Kashmere, Sterling, and Wisdom high school communities. In addition, the project will engage Houston youth in geo mapping and environmental scans to identify root causes of alcohol, marijuana, and 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. Planning will result in three additional epi reports. At the end of the 5-year project, BGR will have expanded Houston prevention infrastructure to serve over 8,020 high school youth and significantly prevent and reduced youth and adult alcohol, marijuana, and opioid misuse.

The Barry County Substance Abuse Task Force (SATF) proposes to reduce the rates of youth use of marijuana, youth and adult use of vaping/nicotine products, and access to methamphetamine in Barry County, Michigan--a rural community of 63,554 residents in West Michigan. The SATF will work collaboratively with its community partners to reduce youth access to these substances, while changing community norms and practices relative marijuana, vaping/nicotine products, and methamphetamine. The SATF will work with partners to promote supports for recovery. The SATF began in 2004 and has a strong collaborative approach to addressing and preventing substance use concerns in the community. The SATF and its members will continue working together to expand messages, activities, and initiatives to positively impact Barry County. The goals of the SATF are to 1) Reduce youth use of marijuana, and vaping/nicotine products in Barry County, Michigan. 2) Increase community collaboration and capacity to prevent and reduce youth, and over time, adult substance use. 3) Increase perception of risk of marijuana, vaping/nicotine product use, and methamphetamine use among all Barry County community members. The SATF will achieve its goals by implementing these strategies: 1) Increase access to prevention and early intervention services for a minimum of 100 youth, parents/caregivers, young adults, and older adults, annually, by offering evidence-based programs in schools, healthcare, and community settings. 2) Collection and dissemination of community data indicators, needs assessments, and youth data (including core measures) to guide strategic planning designed to prevent youth and use of our primary substances. 3) Dissemination of data-driven prevention messaging throughout the community. 4) Coordination with community partners to develop supports for recovery, as well as a plan for sustainability of efforts after the lifetime of the award.

Apache County Youth Council aims to continue its stride in substance use prevention with the project "Rise Up! Building a Brighter Future and Stronger Community." This project takes what we have learned in the years prevention work within Apache County, and the Arizona Youth Survey to identify and focus our efforts on 1- underage drinking 2- youth marijuana use 3- youth vaping and 4- opioid misuse. Through our partnerships with school leadership, law enforcement and community organizations we will utilize the Strategic Prevention Framework to build a positive impact for our community.

The Youth Connection SPF-PFS Community Substance Use Prevention Project Summary The Youth Connection (TYC) SPF-PFS Project is designed to reduce substance use in three zip codes located in northeast Detroit – 48203, 48205, and 48234 TYC will utilize the Strategic Prevention Framework to reduce the onset and progression of substance use disorder in our community by developing and delivering evidence-based substance use prevention programming and increase collaboration amongst substance use prevention agencies. Population to be Served TYC will target middle school and high school youth and their parents in northeast Detroit, a community that is historically underserved and chronically economically disadvantaged. Our community is 92.4% African American and 5.4% Caucasian with a media family income of $20,378. Of families with children 32.6% live below the poverty level and 66.3% have children living in households with supplemental security income, receiving cash public assistance income or food stamps/SNAP Goal 1: Decrease youth substance use in the schools and community by implementing evidence-based programming in the middle and high schools that address behaviors that lead to substance use. Objective 1: By June 30, 2024, provide vape training for 75% of 9th, 10th, 11th, and 12th graders attending Pershing and Osborn High School Objective 2: By August 2024 provide vape training for 75% of parents of 9th graders entering high school at Pershing and Osborn High Schools. Objective 3: By August 2024 provide vape training for 75% of teachers and staff in 75% of the middle and high schools located in our focus communities. Objective 9: By December 2023 reach out to Ascension Health Care to coordinate SUD prevention and treatment services with their two school-based health clinics in three of the schools in our identified communities. Goal 2: Strengthen substance use prevention and treatment capacity/infrastructure at the community level by expanding the sector representation and engagement of The Love Detroit Prevention Coalition. Objective 1: By November 2024 reach out to community organizations, faith-based organizations, health care professions, local businesses, block clubs and civic groups, etc. in our focus communities to become active members of the Love Detroit Prevention Coalition to increase coalition membership by 25%. Objective 2: By March 2024 provide training to 80% of coalition members on the strategic prevention framework and update our community assessment for each of our identified communities. Objective 3: By May 2024 conduct 25 one on one meetings with community members in each of our identified communities. Ascertaining their perspective on substance use in their communities and ways they feel it can be addressed. Goal 3: Increase education and awareness of substance use prevention, treatment, and recovery resources by expanding targeted communication campaigns and outreach efforts in our identified communities. Objective 1: In partnership with the Detroit Health Department and the Michigan Department of Health and Human Services by December 2024 provide Narcan training for 500 residents in the city of Detroit with 25% being African American men from our identified communities.

With Instilling Wellness Through Workforce Development II (Instilling Wellness II), the Indian Health Center of Santa Clara Valley (IHC) will increase the capacity of the local service system to use data-driven approaches to create and implement effective substance use prevention programming and policies for urban American Indian/Alaska Native (AI/AN) youth aged 9-20 in Santa Clara County (SCC). Instilling Wellness II has two overarching goals: 1) to develop and increase infrastructure and capacity to conduct data-driven substance abuse prevention for AI/AN youth, and 2) to provide the SAMHSA developed and recommended culturally based best-practice model for AI/AN youth substance abuse prevention, GONA, adapted to include economic development strategies. As part of this work, IHC will complete a needs assessment and create a strategic plan. The strategic plan will identify a collaborative approach to utilize assets to prioritize and address long-term substance abuse prevention needs in the community. These priorities will be reinforced during regular interactions with the stakeholder groups. Instilling Wellness II will provide of an adapted, evidence-based Gathering of Native Americans (GONA) annually, aiming to promote cultural connectedness and increase job preparedness for 265 AI/AN youth and transitional age youth (TAY) by the end of the grant. IHC will engage three key stakeholder groups to ensure that our culturally appropriate data-based programming meets the behavioral priorities of the communities: the Native Youth Council, the California Statewide Epidemiological Workgroup (SEW), and the Community Coalition: 1) the State of California has an operational and on-going SEW that meets monthly. IHC will continue to participate in these meetings so that the needs of the AI/AN population are integrated into overall work; 2) the Native Youth Council (YC) will meet quarterly and will provide feedback and suggestions for the program application process, workshops, trainings, and follow-up activities; and 3) a Community Coalition comprised of quarterly meetings with community-based partners that will review data, provide input on priorities, policy, and e programming for urban AI/AN youth in SCC. It is anticipated that youth served by the project will experience increased job skills, cultural, resiliency and coping skills resulting in reduced substance use. Program impacts will be measured by monitoring the following outcomes: 30-day use of alcohol, marijuana, tobacco and prescription drug use, access, perception of harm, parent/peer disapproval, improvement in cultural connectedness, improvement in job skills perception, expansion of the youth participants professional social network, increases in hope for the future, and changes in job acquisition.

The geographic catchment area where DABO’s (Detroit Association of Black Organizations) project will be implemented is the city of Detroit in Wayne County, Michigan, with a population of 632,589 people. Based on 28 key indicators of economic disadvantage, such as child poverty, food insecurity, and uninsured rates, Detroit was ranked the neediest city in the United States compared to 181 cities. More than half of the population (56%) are below 200% of the Federal Poverty Level. DABO's SPF initiative plans to reach at least 50,000 Detroit residents through individual, group, and community level strategies. Major substances of concern for DABO are cannabis (marijuana), alcohol, opioids, and nicotine (vaping). DABO’s SPF-PFS funds will improve behavioral health and well-being in our Detroit community by implementing high quality programs, practices, and policies that are recovery-oriented, trauma-informed, and equity-based. SPF funding will complement and enhance DABO’s current substance use prevention efforts, such as the Drug-Free Coalition (DFC). DABO’s SPF is a multifaceted approach that incorporates evidence-based strategies and interventions at the individual, group, and community levels, with cultural competence and sustainability being two guiding principles. DABO’s comprehensive SPF program combines various strategies for a comprehensive approach that targets different groups (i.e., individuals/groups not yet engaging in substance use/risky behavior and individuals/groups already engaged in substance use) and targets multiple social contexts (socio-ecological model) focused on education, awareness, skill-building, promoting healthy decision-making and behavior change, community engagement, system and policy changes, and supportive environments. DABO considers Detroit’s unique characteristics and cultural context when implementing the combination of evidence-based practices (EBP) by modifying and tailoring interventions to fit our community's specific needs and ensuring they are culturally relevant. DABO’s evidence-based strategies, used throughout the five steps of the SPF model to reduce and prevent substance use, are described below. A major focus on the community level includes Community Mobilization by engaging the community to take collective action against substance use by raising awareness; promoting community involvement; and fostering partnerships between community organizations, schools, parents, churches, local businesses, and local authorities. DABO is a leader in convening and mobilizing the community and will methodically do this at each step of SPF’s circular model. DABO will engage diverse community stakeholders, strengthen its prevention team, and raise community awareness about substance misuse. DABO has an established community-based prevention coalition, the MNCC DFC, which brings key stakeholders together to collaborate on prevention efforts and share resources. The SPF efforts will build on this and collaborate with the MNCC DFC. DABO will also build on its Media Campaigns and Prevention Messaging & Outreach to deliver prevention messages, promote healthy behaviors, and challenge social norms related to substance use. DABO’s campaigns include television, radio, online, print (i.e., posters, flyers, brochures), presentation, and social media platforms to disseminate information. DABO currently provides evidence-based prevention services such as Too Good For Drugs, Toward No Drug Abuse, Strengthening Families, and Families Against Narcotics. The SPF grant will expand individual and group level interventions to include the Moral Reconation Therapy (MRT). The MRT intervention helps reduce the likelihood of individuals engaging in substance abuse or developing addiction-related problems through 1) enhancing decision-making skills, 2) addressing underlying factors, and 3) building prosocial skills.

The DuPage County Health Department (Wheaton, Illinois) proposes the Strategic Prevention Framework-Partnerships for Success (SPF-PFS) project, which will unify DuPage County, Illinois (catchment area) organizations and coalitions to improve health equity by targeting two data-informed priority drug misuse categories: marijuana and alcohol misuse among a defined countywide population of focus. Project strategies will specifically address both onset (preventive) and progression (recovery-oriented) focused substance misuse problems identified for these subpopulations of focus: (1) youth ages 11 to 18 (middle school through high school) across DuPage County; and (2) adults over age 18, especially adults between ages 18 and 39, an age range particularly susceptible to fatal overdoses (DuPage Coroner’s Office, 2022). Across the two substance misuse categories for both youth and adults, there will be two specific culturally relevant and trauma-informed emphases: (1) strengthening coalition-building capacity and substance misuse reduction in high-risk communities beginning with a pilot “coalition-to-coalition” mentoring program in West Chicago and Addison and expanding to other communities throughout the project period. These communities are greatly impacted by substance use disorders in that average 30-day usage rates are higher than the county as a whole, and there is the presence of multiple risk factors: high proportions of underrepresented and underserved minority groups historically linked to discrimination or exclusion (Healthy People, 2030), lower levels of educational attainment, high poverty levels, lack of coordinated access to preventive and treatment resources, and high levels of adults with serious mental illness. (2) coordinating substance use prevention messaging and stigma reducing strategies and campaigns for LGBTQ+ communities to positively impact social norms, reduce risk factors, and improve protective factors. DuPage County, Illinois comprises 39 municipalities in the densely populated, western suburbs of Chicago. Recent trends show that DuPage County is becoming more diverse, especially the Hispanic population, which was 9% in 2000 and is 15% in 2022. Low-income populations are growing while higher income populations continue to decline. Nearly 70,000 children are served by the Medicaid program (Impact DuPage 2022). The DuPage limited English proficiency rate is higher than the state average. The project has two goals: (1) Increase the capacity of DuPage County community groups to reduce high-risk behaviors that contribute to substance use addiction and mental illness among adults and youth through establishing local coalitions; (2) Decrease past 30-day use rates among DuPage County youth by increasing the capacity of parents and schools to implement evidenced-based strategies proven to prevent youth substance use. A total of seven measurable project objectives are aligned with the two goals in addition to measurable SAMHSA performance objectives. The project will reach a minimum of 460,451 residents annually through county-wide awareness building and preventive messaging. A targeted approach will reach over 50,000 youth and adults annually in high-risk communities. Overall, the project will reach well over 1 million residents (duplicated) over the five-year project period.

Northpointe Council Inc (NCI) is a 501(c)(3) whose mission is to provide high-quality, person-centered prevention, intervention, treatment, and recovery to those affected by substance use disorders and other addictions from the Greater Niagara Area. NCI's Prevention and Education (P&E) program has operated for over 50 years in Niagara County and has been effective at providing substance use prevention services to youth and adults throughout the county while operating as the fiscal agent and overseeing the funded community coalition, the Community Health Alliance of North Tonawanda (CHANT). Niagara County is considered socioeconomically disadvantaged as they have historically experienced health disparities with sparse resources available. According to Census data, 53% of students in the county are considered poor. The U.S. Census Bureau's Small Area Health Insurance Estimates 20 Program 2017 data reported that 8,640 individuals under 65 years of age were uninsured. Those without health insurance face a significant barrier to accessing needed healthcare. Additionally, access to transportation has been a major barrier for both Niagara Falls and Lockport residents. Additionally, Niagara County was designated by the federal government as a High Intensity Drug Trafficking Area (HIDTA), implicating that 100% of the county has been greatly impacted by substance use disorder (SUD). According to the 2021 NYS Opioid Annual Report, Niagara County ranked in the top 10 counties in all of NYS with the highest crude rate for opioid burden at 296.2 (per 100,000). According to HIDTA data, the three cities in Niagara County, Niagara Falls, Lockport, and North Tonawanda, have the highest concentrations of opioid-related overdoses (498 out of 746, or 66.8 percent) and related fatalities (53 out of 69, or 76.8 percent). NCI is requesting a total of $1,875,000 from SAMHSA's Strategic Prevention Framework grant that will span over the course of five years. This implementation will help to 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. This project will focus on Niagara County residents with a special focus on the city of Niagara Falls. By the conclusion of year one, the initiative will have established and built relationships within the city of Niagara Falls to meet collective outcomes, including the formation of a youth focused community coalition. NCI will have reduced youth substance use throughout the county by implementing evidence-based programs with a specific focus on alcohol, nicotine, and marijuana. School-based survey results collected will demonstrate this decline in early initiation of substance use. To combat the stigma surrounding substance use and mental health, this project will have promoted programs aimed at mental, emotional, and behavioral well-being to community members across the lifespan. This project will include an FTE Prevention Specialist whose sole purpose will be to offer information, presentations, and programming and throughout the county that will work towards achieving these outcomes. NCI will report positive outcomes in reducing early initiation of drug use, perceived risk of drug use, availability of alcohol and other drugs and favorable attitudes toward drug use by youth. Outcomes will also indicate an improvement of social emotional competency, improvement of perception of harm regarding violence and an improvement in behavior, performance, and relationships with youth.

Building Community Capacity for Prevention in Franklin County and the North Quabbin The Communities That Care Coalition of Franklin County and the North Quabbin will follow the Strategic Prevention Framework to reduce youth use of alcohol, tobacco, and marijuana and promote mental health among youth in our rural region, with a focus on youth from underserved communities in our public schools. We will focus on building capacity for municipal policy improvements and youth leadership in prevention. Our region encompasses 88,000 people in thirty small rural towns. 62% of our public school students are high needs, 53% are low income, 24% have disabilities, and 19% are people of color. Our Coalition has received national recognition for our 20-year track record of successfully reducing youth drug and alcohol use, nonetheless youth alcohol, tobacco, and marijuana use remain a significant problem, and mental health problems among youth have risen dramatically. The prevention infrastructure here has a strong core but is small and underfunded. In addition, we find ourselves in a moment of significant policy opportunity while Massachusetts rolls out retail cannabis, debates alcohol regulations, and overhauls its public health system. Our goals and objectives for this project are: Goal 1: Build community and coalition capacity for municipal policy improvements a) By 2025, the coalition will have a strong Regional Policy and Norms Workgroup that meets bimonthly and includes members from all four counties of Western Mass, municipal leaders, boards of health, law enforcement, people in recovery, parents, youth, and young adults. b) By 2026, the Coalition will have published sets of model policies for youth substance use prevention and mental health promotion for selectboards, city councils, and boards of health. c) By 2028, at least 10,000 people will have been reached with media messages about community policies and norms affecting youth substance use and mental health. d) By 2028, at least ten different selectboards, city councils, and/or boards of health will have adopted model policies for alcohol, e-cigarettes, cannabis, advertising, etc. Goal 2: Build capacity for youth leadership and engagement in prevention a) By the end of the 180 days, the coalition will have designed and started a new Youth Leader program, and the first 12+ Youth Leaders will be engaged b) Each year, at least 12 youth will be engaged as Youth Leaders, and will be engaged in a combination of outreach, education, and advocacy work at least monthly. They will be trained in Youth Mental Health First Aid or a similar program annually. c) By 2028, at least 5,000 youth will have been reached through educational outreach led by Youth Leaders. Goal 3: Gather and share high-quality data on youth health locally a) We will conduct a Student Health Survey in February of each year, with all 9 school districts participating, and 70-80% of 8th, 10th, and 12th grade students (1,500 students) in the sample. b) We will conduct focus groups with at least 10 youth, 10 parents, and 10 youth services providers each spring/summer to supplement the Student Health Survey data. c) We will engage at least 12 youth leaders in survey design, administration, and reporting to the community. We expect this project to reach the majority of the region's 88,000 residents - especially its 7,900 public school students - through shifting community policies and norms from the strategies outlined above.

The Erie County Health Department (ECHD) and its consortium members propose to utilize the Strategic Prevention Framework to strengthen the capacity of Erie County’s high-risk rural communities to implement and sustain mental health and behavioral health prevention, treatment, and recovery services. The population of focus is individuals (adult and children/youth) residing in Erie County struggling with on-going behavioral health issues or experiencing a crisis event including, but not limited to, overdose, Substance Use Disorder/Opiate Use Disorder (SUD/OUD), Serious Emotional Disturbance (SED), Serious Mental Illness (SMI), and Co-Occurring Disorder (COD). The defined geographic catchment is Erie County, Ohio, population 74,852. Per the U.S. Census Bureau 88% of the population is Caucasian, 11% is Black/African American, and 4% Hispanic. Sandusky, the most populous town in the service area, has a population of 25,000; 67% are Caucasian, 23% Black/African American, and 7% Hispanic. The poverty rate within the city limits is 21%, significantly higher than county (11.6%) and state (13.4%) rates. This instability feeds directly into addiction rates as those who struggle to find and keep stable employment are at a higher risk of substance abuse according to the National Institutes of Health. Within the service area are 14 mental health or substance abuse service providers: 3 provide Mental Health Services, 9 offer varying levels of mental health and/or SUD treatment, and 6 provide M.A.T. and/or SUD treatment, however, there remain barriers to care as most residents live in rural areas with limited access to these services or providers. The project aligns with the Healthy People 2030 Initiative by focusing on the reduction of preventable death/injury related to substance use disorders. In this rural service area, treatment and recovery programs are not easily accessible because of the distance between program locations, long wait times to enter programs, and a lack of public transportation to and from these locations. Service Gap: This project fills a void that exists in access to behavioral and mental health care services. Erie County is an HRSA-designated rural area and both a Health Professional Shortage Area (HPSA) and Medically Underserved Community (MUC). The ECHD has identified three over-arching goals for this project: 1) By September 30, 2024, foster inter-agency collaboration to increase access to behavioral and mental health services to be measured through the establishment of a coordinated referral system among agencies and organizations in the rural county; 2) by September 30, 2028, enhance community-wide communication and education through the facilitation of regular information-sharing and collaborative efforts among agencies and organizations to result in educational workshops and training sessions that will reach a minimum of 500 residents within the rural county to improve community awareness and knowledge about behavioral and mental health; 3) by September 30, 2028, strengthen local workforce capacity through collaborative training initiatives to certify 10 local healthcare professionals in evidence-based behavioral and mental health practices within the rural county, fostering collaboration and ensuring a well-equipped workforce to provide quality services to the community.

The mission of the Upriver Youth Leadership Council (UYLC) is to empower youth and adults to build a healthier community through prevention leadership. UYLC is committed to building a strong, healthy community that offers our youth positive alternatives to using drugs and alcohol. UYLC is currently focusing on reducing underage drinking and youth marijuana use by reducing access (both social and retail), changing social norms, increasing the perception of harm, and providing more prosocial opportunities for families and for youth. The UYLC service area mirrors the school district boundaries, and prevention services are open to all community members. Kamiah has a long lineage of Native Americans, loggers, foresters, and agriculture industry workers who embrace a "Work Hard-Play Hard" lifestyle that historically included alcohol and smoking. Marijuana and meth use have also become prevalent over time. Most notable about Kamiah residents is the tremendous amount of community pride and action as a family unit in times of need, and this carries over into our coalition work; there is always someone there to help us out with whatever we need. Kamiah is a small frontier town located in central Idaho with a population of about 4600 within the 83536 zip code. Kamiah is located in two counties (Idaho and Lewis) and is on the Nez Perce Tribe Reservation. The three primary goals of the Upriver Youth Leadership Council are to: 1. Foster leadership and resilience skills in our community youth. 2. Prevent the initiation of youth substance use. 3. Build a collaborative, sustainable community-wide prevention infrastructure. UYLC will use the Strategic Prevention Framework Model to achieve the goal and objectives of the 2023 Partnerships for Success application: GOAL 1: Strengthen prevention capacity and infrastructure at the community level to reduce the prevalence of 30-day substance use in KSD students 6-12th grade. Objective 1a: By 9/29/2024, expand the UYLC SAFE HOMES by developing eight prevention videos and purchasing one kiosk. Objective 2a: By 9/29/2024, one community teen center will be operational six days per week to increase pro-social opportunities for youth and families in Kamiah. Objective 3a: By 9/29/2024, one School resource officer will be placed in the KSD to reduce behavioral issues related to substance misuse. o Objective 4a: By 9/29/2024, 1,000 hours of behavioral health services will be facilitated to reduce the incidence of substance misuse related to poor mental and emotional health. Objective 5a: By 9/29/2024, one recovery center will be operational to provide recovery support services that promote recovery through advocacy, education, and service. Objective 6a: By 9/29/2024, Provide training of ten UYLC/YAB members on the Strategic Prevention Framework Model.

California State University, Northridge (CSUN) seeks a five-year grant to build campus community capacity to reduce the onset and progression of substance misuse and strengthen mental health coping skills among underserved students within the surrounding San Fernando Valley community in north Los Angeles County. The Valley is largely Hispanic, more than 40% foreign born, and comprised predominantly of low-income families. CSUN is a Hispanic Serving Institution with 70% of its students underserved; and supports educational growth and community health and wellbeing to the Valley population. National College Health Assessment reports tom 2021 show that of those surveyed, 24% of CSUN students used cannabis in the last three months, 57% used alcohol, and of those, 36% consumed five or more drinks at least once within the last two weeks. Additionally, 75% of students at CSUN in 2021 reported moderate to serious psychological distress, and only 6.5% received services on campus. Such statistics underscore the need for innovative initiatives that integrate substance misuse prevention and mental health coping skills. With this project, CSUN aims to develop and implement an innovative substance use prevention and coping skills app (MATAspire: Mental health Awareness Tailored App for Substance Prevention and Integrated Resilience Education) in partnership with University Counseling Services and other CSUN community partners to address the following essential needs: provide accessible, evidence-based, and culturally relevant substance misuse prevention and resilience coping strategies to underserved students; and increase promotion and awareness of substance misuse and mental health, resilience and wellness services to the campus community. We aim to meet these needs and increase the CSUN community infrastructure via three evidence-based intervention strategies aligned with SAMHSA’s strategic prevention framework: (1) provide five 15-minute interactive substance misuse prevention modules via app platform; (2) include a sixth mental health, resilience and wellbeing coping skills app module; and (3) develop a CSUN community initiative to educate and increase awareness of substance misuse and mental health and wellbeing resources on campus. These strategies are achieved via the following objectives: (1) recruit 200 students yearly, for a total of 1,000 students across five years, to participate in the MATAspire program; (2) increase substance misuse prevention knowledge and protective coping skills awareness by 25% among MATAspire participants; (3) reach 1,000 underserved students each year, for a total of 4,000 students, through a culturally-responsive on-campus outreach campaign to create awareness of, and reduce stigma associated with, substance misuse and mental health and wellbeing support services; (4) increase campus-wide utilization of substance misuse and mental health prevention services by at least 10%; and (5) reduce past 30-day substance use, and reports of symptoms of depression and anxiety by 20% among MATAspire participants. All program components are designed to integrate with existing substance use prevention and mental health and wellbeing strategies at CSUN.

The One Voice of Hunterdon - Partnership for Success grant focuses on underserved populations within the targeted area to emphasize substance use prevention and mental health resources that are culturally appropriate. The population of focus addresses lower socio-economic gaps, Hispanic/Latino and LGBTQIA+ communities experiencing marginalization and barriers to mental and physical health care, ages 17-25 graduating from high school aging out of the public school system and finally further reducing substance use disorder within the rural faith communities. Strategies and interventions revolve around offering Publicity, Programs and Products. The publicity will include bilingual Town Takeover to promote a single message across the community to unite all members and emphasis on supporting Pride month. Programs will focus on training faith leaders in SBIRT, training peer recovery coaches in places of faith, offering bilingual Mental Health First Aid training for adults and teens, customizing Strengthening Families Programs for rural communities, and LGBTQIA+ families through the Family Acceptance Project, and a 3-part Talk series addressing issues for post high school, ages 17-25 young adults. Finally, a sustainable product will be developed and implemented: MAP - a Mental Health Accessibility Portal app and toolkit (MAP) offered to the community to increase accessibility and confidence regarding mental health resources in all target population supported by the grant. Program goals will be measured by increasing overall coalition capacity, increasing confidence of accessing mental health resources, and increasing youth and parental perception of harm of substances, which would ultimately decrease youth past 30-day use. Within a total service population of 60,000 made up of select zip codes of Hunterdon County, indirect services are aimed at the entire population and direct services will reach 725 at-risk community members annually with a total project lifetime of 3,625 total people reached.

The Center for Urban Youth and Family Development is a community-based nonprofit that focuses on providing comprehensive substance misuse prevention through strategic alliances and interagency collaborations. Our partnerships serve to strengthen our ability to advocate for and provide services to the youth and families of Detroit. The Center started in 2011 providing support to youth transitioning into and out of the foster care system. Often youth emerge from the foster care system vulnerable to risks and with fewer safeguards resulting in high rates of substance use disorders. The Center empowers youth to overcome the struggles and challenges by providing them substance misuse prevention, life skills training, mental health promotion services, and workforce development programs. The Center for Urban Youth and Family Development 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 the Westside. Strengthening prevention capacity/infrastructure at the community level, Strengthening Capacity is a central area of focus through this project. CUYFD has expertise in the SPF model and will provide extensive training of the model to all partners to create a cross-sectional task force to develop a sustainable infrastructure to support the goals of the PFS grant. CUYFD will also contact the SPF-PFS State recipients to establish a plan for regular communications and engagement to ensure the coordination of efforts; address gaps in prevention, improve networking relationships and promote partnerships within the community. The proposed geographic catchment area for the project will lie within the zip codes, 48204, 48235, 48238 that are commonly referred to as the region of the Westside of Detroit, Michigan. We will replicate effective strategies in areas where those efforts do not yet exist to expand effective interventions, while identifying new strategies at the same time, utilize 7 intervention strategies of change. Based on preliminary assessment data, the substances of concern are alcohol and marijuana, and the population of focus are at-risk youth, Black LGBTQIA plus individuals and Black families living below the poverty level. Our overall population focus impacted by the infrastructure development planned to reach with prevention messaging and mental health promotion, specific demographics will be collected, will be the residents of Westside Detroit, 92,673 based on health disparities, high unemployment rates, no access to healthcare, and high percentage of those living in poverty.

Boone County Alliance (BCA) Partnerships for Success will serve 19,828 children and youth up to age 18 and the entire population of Boone County, Kentucky (139,093), with a focus on underserved economically disadvantaged students, to prevent substance misuse and promote mental health, and particularly regarding prevention of vaping, marijuana use, and suicide and promotion of related mental health conditions. Strategies, interventions, and activities of the project will be structured using SAMHSA’s Strategic Prevention Framework and include: 1) Regular assessment of current needs in the communities of Boone County; 2) Building capacity by developing required plans and documents, identifying gaps in partnerships, including partnerships with state and national technical assistance providers; conducting monthly meetings and Executive Committee meetings; and developing infrastructure to support eventual identity as a freestanding nonprofit agency for BCA; 3) Strategic planning to incorporate a wide range of partners including youth to create data-based plans and guide coalition infrastructure development; 4) Implementation of a) Information Dissemination, b) Education, c) Alternatives; d) Problem Identification and Referral; e) Community-based Process; and f) Environmental Supports and Changes through activities targeting vaping, marijuana use and suicide. Some of those activities include: Red Ribbon Week, Operation Parent, 988 suicide and crisis hotline promotion, encouraging schools to implement evidence-based prevention curriculums, and other activities to meet emerging community needs as identified by assessments; 5) Evaluation to provide ongoing data about project activities to ensure continuous improvement and annual summary of progress in support of regular reports to the funder, community, and coalition. The goal of the project is to 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 in Boone County, Kentucky. Objectives are: 1: By September 29, 2028 BCA will increase reach to 80% of county residents with prevention messaging, as measured by activity logs. 2: BCA will increase reach of prevention messaging and individual and small group services focused on vaping, marijuana, and suicide prevention to 85% of students in Boone County schools, as measured by school attendance and activity logs. 3: By September 29, 2028 student reports of perception of harm of vaping among Boone County students will increase by 2% per year, as measured by the KIP survey. 4: By September 29, 2028 student reports of perception of harm of marijuana use among Boone County students will increase by 2% each year, as measured by the KIP survey. 5: By September 29, 2028 student reports of suicide attempts among Boone County students will decrease by 2% per year, as measured by the KIP survey. 6: By September 29, 2028 strengthened infrastructures will increase capacity and sustainability, as measured by artifacts and documents on file. 139,093 people including 19,828 children and youth will be served annually, with a similar number served each year of the five-year project.

Project Oh-nee-kah-shee Wahoi^ (Respect for life) will follow the Strategic Prevention Framework (SPF) five-step process to address existing service gaps related to building and expanding substance misuse prevention and mental health promotion capacity in the Osage Nation communities. Project Oh-nee-kah-shee Wahoi^ is informed by the successes, lessons learned, and voices of community members and project partners from Project Wahoi^, resulting in an approach that is culturally competent, sustainable, trauma-informed, and evidence-based. The population of focus for the proposed project is all Osages and other Native Americans residing within Osage County. Approximately 1000 individuals will be served annually, and a cumulative total of 5000 contacts will be made throughout the project’s lifetime. The project will carry out five goals that coincide with each step of the SPF process: (SPF Step 1), Engage in assessments including the Community Readiness Model, identify prevention priorities, (SPF Step 2) identify and coordinate prevention training for prevention professionals, parents, school staff, students, and community members, (SPF Step 3) develop a comprehensive Osage Nation substance misuse and mental health promotion strategic action plan, provide technical assistance to help schools build their strategic action plans, (SPF Step 4) link schools to prevention resources to implement the plans, and (SPF Step 5) conduct evaluation activities at every step of the process. Project Oh-nee-kah-shee Wahoi^ will include the implementation of evidence-based, culturally appropriate activities and holistic practices, such as Gathering of Native Americans (GONA) developed through a training project from the Center for Substance Abuse Prevention, using Cedar smoke for special blessings and spiritual cleansing, traditional dances, drumming, singing sacred songs, storytelling passed down by tribal elders, and Osage Hand Games. Specific activities and practices will be chosen based on effectiveness for addressing the substance misuse/mental health promotion priorities that reflect the intended outcomes, valid evaluation components, and cultural integrity. In addition, the project will sponsor/co-sponsor cultural activities to reach and serve the communities of high need in the Osage Nation.