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Project Name: The Fentanyl Education, Support Training, and Awareness (FESTA) Program Supports Hays County, Texas Our proposed FESTA Program aligns with the Strategic Prevention Framework-Partnerships for Success Program as we aim to reduce the onset and progression of substance misuse, broadly opioids, and specifically fentanyl, and its related consequences in Hays County, Texas. We will accomplish this by supporting the development and implementation of substance misuse prevention efforts using a multi-pronged approach: (a) information dissemination, (b) education, (c) alternative events, (d) problem identification and referral, (e) community-based processes, and (f) environmental strategies. Our FESTA Program will improve overall behavioral health outcomes at the universal, selective, and indicated population classifications, with a tailored focus on increasing awareness and education of opioids, particularly fentanyl, and reducing substance misuse throughout Hays County, Texas. Population(s) to be served: Adolescents (sixth through twelfth grade students) and the general adult population in Hays County, Texas. Project Goals and Measurable Objectives: The FESTA Program is guided by five overarching goals which align with the Strategic Prevention Framework: Assessment, Capacity, Planning, Implementation, and Evaluation. Our five goals are: (1) Assess, collect, and identify the current needs of sixth through twelfth grade students, teachers/staff, and parents/caretakers regarding the topic of substance misuse, as it relates to opioids; (2) Build Community Capacity with our Community Advisory Board (CAB) and youth Licensed Chemical Dependency Counselor (LCDC) to develop and implement strategies to prevent the misuse of substances and promote mental health and well-being among adolescents; (3) Plan to create and implement evidence-based educational curriculum/training for three targeted populations (i.e., students, teachers/staff, and parents/caretakers); (4) Implement quarterly and annual tailored community outreach events and educational curriculum/trainings to increase the awareness and knowledge of substance use/misuse and reduce the onset and progression of substance misuse; and (5) Evaluate the educational curriculum, trainings, and outreach activities’ acceptability, feasibility, and effectiveness, for quality improvement, via multi-method data collection tools. Strategies/Interventions: We will implement evidence-based, trauma-informed, data-driven activities to support our project goals and objectives: (1) collect a comprehensive, multi-method needs assessment; (2) establish a working Community Advisory Board with four leaders in Hays County; (3) create and implement state-mandated (required by Tucker’s Law) curriculum for sixth through twelfth grade students; (4) create and implement educational training and outreach for teachers/staff and parents/caretakers; (5) create and implement a train the trainer program for teachers/staff for sustainability of the project; (6) provide alternative events for students during Fentanyl Poisoning Awareness Week; (7) employ a youth Licensed Chemical Dependency Counselor (LCDC) for students for problem identification and referral; and (8) collect formative and summative data via surveys and interviews for quality improvement purposes, report findings as required by SAMHSA, and disseminate broadly to the Hays County community. Number of people to be served annual and throughout: We will serve 1,800 adolescents and 100 adults annually, and more than 9,000 adolescents and 500 adults (unduplicated) over the project's lifetime through (a) information dissemination, (b) education, (c) alternative events, (d) problem identification and referral, (e) community-based processes, and (f) environmental strategies.

CASAT, School of Public Health at the University of Nevada, Reno (UNR) is the applicant organization and will execute the SPF-PFS through UNR's NVCARES coalition, administered by CASAT. Through the SPF-PFS, CASAT will reduce alcohol, marijuana, and e-cigarette (""e-cig"") misuse among undergraduate students at UNR. The name of our project is SPF-PFS: Protecting Our Pack from Substance Misuse, referencing UNR’s mascot “the Wolf Pack.” The UNR undergraduate student body is diverse across race and ethnicity (25.3% Hispanic, 8.3% Asian, 3.6% Black, 0.6% American Indian/Alaskan Native, 0.5% Pacific Islander, and 9.3% multiple races/other), gender identity and sexual orientation (5.9% identify as nonbinary, 2.5% identify as transgender; 32.1% report a sexual orientation other than straight/heterosexual, including 16.2% bisexual, 4.1% gay, 3.0% lesbian, 8.8% another orientation), and socioeconomic status (SES; 18.8% receive Pell Grants, an indicator of lower SES). Most undergraduates (79.6%) are aged 24 or younger. Data comparing UNR students to a national reference sample shows UNR students report using all substances at higher rates than the reference sample and report experiencing more consequences of misuse. Given the overall magnitude of alcohol, marijuana, and e-cig use, higher reported use compared to a reference sample, and potential for long-term harms of these substances, the priorities are to reduce alcohol, marijuana, and e-cig use among UNR undergraduate students. Goal 1 is to expand and strengthen UNR’s prevention capacity (resources and readiness) to implement EBPIs that reduce risk and increase protection related to substance misuse. Objectives for this capacity goal include assessing readiness and resources and increasing these components of capacity over the five years of the grant; strengthening the NVCARES coalition by expanding membership and providing training on prevention, substance use consequences, and behavioral health disparities; training student leaders on policy, advocacy, and leadership and delivering educational presentations to various campus units; and obtaining additional funding as part of sustaining prevention. Goal 2 is to reduce the onset and progression of alcohol, marijuana, and e-cig use across UNR students, including underserved groups, by implementing EBPIs that reduce risk and increase protection. Objectives for this goal include implementing a mix of direct and indirect universal and selective strategies will include a social marketing campaign to address favorable attitudes towards substance use, low perceptions of harm, and promote mental health; an individual-level universal program to promote mental health, prosocial activities, prosocial peer associations, and close relationships; population-specific selective EBPIs to reduce risk and enhance protection and mental health promotion; and review/enhance substance-related policies on campus; reduce risk factors and increase protective factors; and a reduction in current and past three-month use of alcohol, marijuana, and e-cigs. This SPF-PFS project will reach at least 5,000 students in Year 1 through the social marketing campaign, universal EBPI, and other messaging/outreach strategies, and a total of 25,000 students through these strategies by the end of Year 5.

The Native American Health Center, Inc. (NAHC) proposes the implementation of Red Vision at its clinic sites located in the San Antonio/ Fruitvale neighborhoods of Oakland, California and the Mission Neighborhood of San Francisco, California. The target population includes Urban American Indian/ Alaska Native (AIAN) and other underserved youth aged 12+ and their families that reside in and around NAHC’s clinic neighborhoods. The primary geographic catchment area where the project will be implemented are zip codes 94601 representing East Oakland in Alameda County and 94110 representing the Inner Mission of San Francisco in San Francisco County. However, due to proximity and the availability of AIAN culturally specific programming, NAHC’s member profile also includes individuals that reside in neighboring zip codes and urban AIAN individuals that reside in NAHC’s 5-county radius including Alameda, San Francisco, Contra Costa, Marin, San Mateo, and Santa Clara Counties. Red Vision will serve 100 youth and their families annually and provide outreach and engagement to an additional 500 community members annually. The goals of the Red Vision project are as follows: Goal 1. Build community-driven capacity efforts to reduce the risk factors that may contribute to the onset and progression of substance misuse and its related problems for AIAN and other underserved youth aged 12+ and their families that reside in and around NAHC’s clinic neighborhoods. Goal 2. Decrease the onset and progression of substance misuse and its related problems by implementing accessible, culturally-responsive, evidence and community based, best practices for AIAN and other underserved youth aged 12+ and their families that reside in and around NAHC’s clinic neighborhoods.

Volunteers of America of the Carolinas (VOAC) proposes to serve individuals residing in the southern contiguous North Carolina counties of Bladen, Brunswick, Columbus, and Pender through the Quad County Save Program designed to prevent the onset and reduce the progression of substance use and related problems by strengthening prevention capacity and infrastructure at the community level. The Quad County Save Program will focus its efforts on Veterans and LGBTQ+ individuals along with the multigenerational impact of substance use in the rural four-county service area. The proposed service area’s total population is 277,125;1 1.4% identify as American Indian, Native Alaskan; 15.6% Black or African American; 6.3% as Hispanic or Latino; 5.4% multiracial; and 73.5% White.2 There are 138,174 males and 143,683 females.3 There are 7,194 grandparents living with their own grandchildren under the age of 18.4 The poverty rate in Bladen is nearly double the rate experienced in North Carolina (12.8%) and the U.S. (12.5%) and the child poverty rate soars to 41.1%. Goal 1: VOAC in collaboration with the Quad County Substance Use Coalition (QCSUC) – the program’s Advisory Council - will conduct a formal Needs Assessment to identify subpopulations who are vulnerable to substance use and to better understand access, use, and outcome disparities. Objective a. Within the first 90 days, begin conducting a formal Needs Assessment led by the Data Analyst that will be completed by Month 4 and submitted to SAMSHA with the second quarterly report. Objective b. By Month 4, Quad County Save Program staff and the QCSUC will use Needs Assessment findings to identify up to three data driven community substance misuse prevention and mental health promotion priorities. Goal 2: VOAC will lead prevention capacity and infrastructure building efforts at the community level to support development, implementation, and evaluation of prevention, education, outreach, and assessment strategies that will address resource gaps identified in the Needs Assessment. Objective a. Existing partnerships will be strengthened and new partnerships will be established via the QCSUC comprised of diverse stakeholders and key community leaders who will meet monthly beginning in Month 1 and throughout the funding period to increase capacity to address identified needs. Objective b. By Month 4, the QCSUC and Quad County Save Program staff will identify the most appropriate, culturally competent, evidence-based programs and prevention strategies to implement based on Needs Assessment outcomes. Goal 3: Prevent the onset and reduce the progression of substance use for individuals targeting vulnerable subpopulations in the community based on the Needs Assessment by implementing culturally competent, evidence-based programs (EBPs), policies, and practices. Objective a. Provide individual and small group prevention education to 75 students, parents, and grandparents throughout Year 1 through the selected, evidence-based substance use prevention curriculum; annually reach 250 in Years 2-5 for a total of 1,075. Objective b. As a result of prevention education, using pre- and post-survey results, 80% of participants will report improved awareness and knowledge of substance misuse and mental health issues impacting the community and how to connect with services. Objective c. Provide in-person and virtual prevention messaging and outreach to 100 community members including the QCSUC and other community stakeholders in Year 1; by the end of Years 2-5 reach 300; for a total of 1,300 community members reached. Objective d. As a result of prevention education, using pre- and post-survey results, 80% of participants will report improved awareness and knowledge of substance misuse and mental health issues impacting the community and how to connect with services.

Children's Aid and Family Services (CAFS) is requesting $375,000 from the Substance Abuse Mental Health Services Administration (SAMHSA) to establish the Bergen County Higher Education Addiction Prevention Consortium (BC HEAP Consortium) in collaboration with five (5) postsecondary institutions in Bergen County, NJ: Bergen County Community College, Eastwick College, Fairleigh Dickinson University, Felician University, and Ramapo College. This consortium aims to develop a comprehensive prevention framework tailored to college-enrolled students aged 17-25 across all five (5) institutions. This will effectively strengthen and build upon the organization’s existing prevention work throughout Bergen County and expand the capacity of local community prevention providers to implement evidence-based prevention programs. Led by CAFS, the BC HEAP Consortium aims to accomplish three primary goals: 1) Increase collaboration among the five (5) Bergen County Higher Education Institutions to address substance use and misuse amongst students between the ages of 17 and 25, 2) decrease substance use and misuse among postsecondary students between 17 and 25 years old, and 3) increase access to resources that reduce the harms related to substance use/misuse and support mental wellness and recovery. Postsecondary student drug use and misuse is a recognized problem in the United States. Research studies and surveys have consistently shown that substance use among this population is prevalent and can have serious consequences. Commonly misused substances among college students include alcohol, marijuana, prescription medications (such as stimulants, sedatives and opioids), and illicit drugs which may include counterfeit prescription pills which, when analyzed by law enforcement, all contain fentanyl or other analogues of fentanyl. The use of these substances can lead to a range of negative outcomes, including academic difficulties, impaired judgment, risky behaviors (such as driving under the influence), physical and mental health issues, addiction, legal consequences, overdose and possibly even death. This demographic often faces barriers in accessing support services and resources tailored to their unique needs, underscoring the urgency for targeted prevention efforts within this age group. By addressing these gaps, the proposed project aims to enhance the overall well-being and academic success of college-enrolled students while fostering a culture of wellness and safety on campus. Addressing college student drug use and misuse requires a comprehensive and multi-faceted approach that takes into account the complex factors influencing substance use behaviors among this population. It also requires collaboration among various stakeholders, including universities, colleges, community organizations, healthcare providers, law enforcement agencies, and policymakers. The BC HEAP Consortium, with representation from all five (5) institutions, will coordinate these efforts to establish cohesive prevention initiatives across campuses, engaging student participants, faculty, staff, administration and other stakeholders in the process.

The Council on Alcohol and Drug Abuse for Greater New Orleans (d.b.a. CADA Prevention and Recovery Center) a CARF accredited and experienced SAMHSA prevention provider with 63 years of experience and 10 years proven ability to strengthen prevention capacity while addressing substance misuse using the Strategic Prevention Framework will implement the Greater New Orleans Partnerships for Success project to expand trauma-informed community based substance misuse prevention/mental health promotion services to reduce the onset and progression of electronic cigarette use, marijuana use, alcohol use, and poor mental health (cyber bullying, suicide prevention) and related problems among at-risk youth in High Need Communities (HNCs). Population of focus. High-risk youth (age 9-20): 50% Female; 49% Male; 1% Transgender; 5% LGBTQIA+; 50% African American, 35% Hispanic/Latinx; 70% age 11-17; 30% age 18-20; 50% at/below poverty and 50% trauma involved; 60% from Orleans Parish; 40% from Jefferson Parish. Interventions: 1) Complete comprehensive data-driven SPF planning and Disparities Impact Statement; 2) Implement a comprehensive prevention approach to include use of EBPs: LifeSkills Training (alcohol use, marijuana use), Project Northland (cyber bullying) and Catch My Breath (e-cigarette use); policies, practices (environmental) designed for the three identified community-level prevention priorities; 3) Identify TA and training needs; 4) Build capacity to address e-cigarette use, marijuana use and alcohol use identified through SPF; 5) Collect and report community-level data to monitor SPF-PFS progress and disseminate outcomes; 6) Mobilize coalition to advance substance misuse prevention and mental health promotion services; 7) Develop community prevention messaging, outreach and social marketing strategies and disseminate social media campaigns; and 8) Share PTTCs resources to disseminate prevention best-practices. Goals: 1) Increase the capacity of HNC to reduce substance misuse consumption, consequences, and risk factors by building coalitions; 2) Strengthen prevention capacity in HNCs by using SPF planning to reduce behavioral health disparities and expanded access to youth priority groups in under-served HNCs; 3) Build/sustain youth leadership; 4) Prevent the onset and reduce e-cigarette use/marijuana use/alcohol use in HNCs using trauma-informed, culturally responsive EBPs and by developing policies, practices that address individual, relationship, community, and environmental domains; 5) Strengthen and sustain the capacity of prevention infrastructure at state and community levels, including mental health promotion of the 988 Suicide and Crisis Lifeline; and 6) Disseminate community prevention messages and SAMHSA social media prevention campaigns. Objectives. Between 9/30/24 and 9/29/24: 85% of coalition and youth will participate in SPF planning; 80% of youth will report no e-cigarette use; 80% of youth will report no marijuana use; 80% of youth will report no alcohol use; disseminate 988 Lifeline to 18,000 at-risk youth. # of youth served. 5,500 annually; 27,500 in five years.

Project Title Strategic Prevention Framework: Partnerships for Success for Communities and Tribes Target Population The project’s target population will be adult (18+ years old) and youth (12 to 17 years old) residents who have SUDs or CODs or are at risk of developing SUDs or CODs. Project Summary Via the project, CITC will complete 11 main activities that will follow the US SAMHSA’s SPF in 5 steps—assessment, capacity, planning, implementation, and evaluation—and under 2 guiding principles—cultural competence and sustainability. Those activities will address CITC’s 3 data-driven substance use prevention promotion priorities: (i) underage alcohol use, (ii) excessive alcohol use, and (iii) any opioid use. ? Objective 1.1. By the end of the project’s 30th day, establish a substance use prevention advisory committee. ? Objective 1.2. By the end of the project’s 90th day, complete and submit a substance use prevention assessment for the Anchorage MSA. ? Objective 2.1a. By the end the project’s 1st year, facilitate and hold 6 online partner engagement meetings. ? Objectives 2.1b to 2.1e. By the ends of the project’s 2nd, 3rd, 4th, and 5th years, facilitate and hold 12 online partner engagement meetings each. ? Objective 2.2. By the end of the project’s 180th day, create an inter-organizational substance use prevention training curriculum. ? Objective 2.3a. By the end of the project’s 1st year, facilitate substance use prevention trainings for 40 professionals. ? Objective 2.3b to 2.3e. By the ends of the project’s 2nd, 3rd, 4th, and 5th years, facilitate substance use prevention trainings for 80 professionals each. ? Objective 3.1. By the end of the project’s 180th day, complete and submit a project implementation plan. ? Objective 3.2. By the end of the project’s 180th day, complete and submit a project strategy plan. ? Objective 4.1a. By the end of the project’s 1st year, facilitate and/or implement 2 inter-organizational substance use prevention service and/or resource coordination efforts. ? Objectives 4.1b to 4.1e. By the ends of the project’s 2nd, 3rd, 4th, and 5th years, facilitate and/or implement 4 inter-organizational substance use prevention services and/or resource coordination efforts each. ? Objective 4.2a. By the end of the project’s 1st year, provide substance use prevention-focused counseling sessions and supportive services to 24 unduplicated individuals and families. ? Objectives 4.2b to 4.2e. By the ends of the project’s 2nd, 3rd, 4th, and 5th years, provide substance use prevention-focused counseling sessions and supportive services to 48 unduplicated individuals and families each. ? Objective 4.3a. By the end of the project’s 1st year, facilitate and hold 6 culture day events. ? Objectives 4.3b to 4.3e. By the ends of the project’s 2nd, 3rd, 4th, and 5th years, facilitate and hold 12 culture day events each. ? Objective 4.4a. By the end of the project’s 1st year, provide social and emotional learning services to 5 primary and intermediate school teachers. ? Objectives 4.4b to 4.4e. By the ends of the project’s 2nd, 3rd, 4th, and 5th years, provide social and emotional learning services to 10 primary and intermediate school teachers each. Project Outcomes Via the project, CITC will (i) establish a substance use prevention advisory committee, (ii) complete a substance use prevention assessment for the Anchorage MSA, (iii) create an inter-organizational substance use prevention training curriculum, (iv) implement numerous substance use prevention service and/or resource coordination efforts, (v) provide substance use prevention services to 264 unduplicated individuals, and (vi) provide social and emotional learning services to 55 unduplicated primary and intermediate school teachers.

The Volunteers of America Chesapeake and Carolina (VOACC) will serve the communities of Newport News, Portsmouth, Isle of Wight, and Franklin Virginia in helping 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. The proposed program will expand and strengthen the capacity of local community prevention providers to implement evidence-based prevention programs through the delivery of evidence-based substance misuse prevention at the community level. The area has a combined estimated population of 300,000, the majority identify as Black/African American (51%); 49% identify as White; Latino/Hispanic population is 7%; American Indiana population 2%. 51% of the population identifies as female.17% of the population is under the age of 18; 36% are age 65 or older. The unemployment rate is 7%; medium income (Bureau of Economic Analysis/BEA) is $29,000. The Estimated Population Below Poverty (Small Area Income and Poverty Estimates/SAIPE) is 20%. The area has the highest state concentration of veterans, 16.4% of the area population. Target Audience: Youth, LGBTQ, Pregnant Women, Military/Veterans, Individuals in Recovery. Goal 1: Increase the capacity of community organizations, including faith-based partnerships, parents, coaches and youth to reduce high-risk behaviors that contribute to substance use (and relapse) through community outreach, workshops/trainings. (Psychoeducation Groups – Workshops/Training). Objective 1: Conduct 5 specialized workshops per year targeting high risk population: Youth, LGBTQ, Pregnant Women, Military/Veterans, Individuals in Recovery. Objective 2: Develop and implement a social media campaign to educate on high-risk behaviors and provide information and resources to support reduction of high-risk behaviors. Goal 2: To reduce substance, use relapse through community-based partnerships and collaborations. Objective 1: Refer individuals in need of additional support to substance use case management services. Objective 2: Strengthen collaborations and integration of services through existing youth focused programs, including reentry, gun violence prevention and education/job training. Objective 3: Identify and train 2 community members to become certified peer specialists to lead prevention workshops and trainings. Objective 4: Offer 2 Mental Health First Aid training to community partners per year. Through these, VOACC will 2 monthly messaging and community outreach over the 5-year program, for a total of 108 activities. The projected number of individuals to be reached is 15 monthly for a total of 1,620. The social media outreach is estimated at 2,400.

The Nez Perce Tribe (Nimiipuu) propose the Strategic Prevention Framework-Partnerships for Success (SPF-PFS) effort to address the problem of alcohol and marijuana use among 655 Native American children and youth ages 10 through 24 years on our remote rural reservation. The Nez Perce Reservation is in north central Idaho and represents the geographic catchment area. The Students for Success Program within the Education Department is the implementing agency for the tribe and is in Lapwai, the seat of tribal government. Participatory Action Research will guide the SPF-PFS process. According to the University of Kansas' Community Tool Box, Action Research involves people ""who are most affected by a community issue - typically in collaboration or partnership with others who have research skills – to conduct research on and analyze that issue, with the goal of devising strategies to resolve it."" We propose to directly engage youth and young adults in learning more about an issue that affects them (alcohol, opioid, and marijuana use) and take action (e.g. develop solutions) to help resolve the problem. We will coordinate with our youth/young adult advisory board (Native America Hear Our Voices Arise-NAHOVA). In preparation for this proposal, NAHOVA generated a hot spot analysis that identified alcohol misuse as “the worst problem.” NAHOVA also identified opioids and marijuana as problems of focus. The Nez Perce Tribe’s SPF-PFS priorities are to prevent the initiation of alcohol, opioids, and marijuana use among Native American children and youth and reduce the misuse of alcohol and marijuana by Native American youth and young adults on the Nez Perce Reservation. NAHOVA identified traditional-cultural activities, peer-to-peer mentoring, and the SAMHSA-developed Culture and Drugs Don’t Mix curriculum for universal prevention and Talking Circles for targeted prevention. Nimiipuu Behavioral Health is a partner offering EBPs (e.g., Trauma-Focused Cognitive Behavioral Therapy) for indicated prevention. SPF-PFS goals and objectives include (space limitations prevent listing all objectives): Goal 1: Reduce the percentage of Native American children and youth, ages 10 to 14, reporting lifetime (ever) alcohol use and lifetime (ever) marijuana use. Objective 1.1: By September 30, 2029, reduce by 15% (from a baseline of 29.5%) the number of Native American youth ages 10 to 14 reporting lifetime (ever) alcohol use, as measured by CDC’s Youth Risk Behavior Survey. Goal 2: Reduce the percentage of Native American youth and young adults, ages 12 to 24, reporting lifetime (ever) opioid use. Objective 2.2: By September 30, 2029, reduce by 10% the number of Native American young adults ages 18 to 24 reporting lifetime (ever) opioid use, as measured by YRBS responses to the Nez Perce Tribe’s Adult Community Survey. Objective 2.3: By September 30, 2029, maintain the lifetime (ever) opioid use % of less than 1% among Native American youth ages 10 to 17, as measured by CDC’s Youth Risk Behavior Survey. Goal 3: Reduce the percentage of Native American youth and young adults, ages 12 to 24, reporting alcohol, opioid, and marijuana use within the past 30 days. Objective 4.2: By September 30, 2029, reduce by 10% the number of Native American young adults ages 18 to 24 reporting binge drinking within the past 30 days, as measured by YRBS responses to the Nez Perce Tribe’s Adult Community Survey.

Project Seven Star will serve Native American youth and families within the Cherokee Nation Reservation. The primary population of focus will be Native American (NA) youth (0-18) who reside in the fourteen county tribal area, with an emphasis on NA youth being raised by grandparents and kinship providers. The secondary population of focus is NA adults connected to NA youth, such as: Family members, caregivers, elders, and concerned citizens. Grandparents and elders can provide important social support to protect grandchildren from negative health outcomes, particularly in tribal communities where culture is an important protective factor. This is demonstrative of the promise and premise of a multigenerational prevention approach. There is data to support that the loss of land, language, and culture, in addition to discrimination in the form of both macro and micro aggressions, manifest in present day individuals who identify as Native American. This trauma may contribute to an increased likelihood of depression, poly-drug use, post-traumatic stress disorder, and suicide among Native Americans. It is fundamental for safe, stable, and nurturing relationships and environments to be created and sustained as a protection of the impacts of substance abuse. Increasingly, definitions of determinants of health are being expanded to include our connections. This includes social inclusion, civic participation, and, significantly, connection to culture. For Native Americans, who experienced generations of forced disconnection and dislocation, the repercussions continue. These data tell us not only that many of our children have started to use and misuse substances, but also that we have an opportunity to prevent the onset and interrupt the progression of misuse. We believe that connecting young people to their culture, and fostering relationships and knowledge sharing across generations, is a key prevention strategy. Project Seven Star will leverage the lessons and successes of the last grant cycle to bolster the transmission of cultural knowledge between our carriers of wisdom and middle and high school students in Cherokee Nation. Native youth deserve support, guidance, and hope as they navigate adolescence. Project Seven Star responds to two significant and connected risk factors- underage alcohol use and cultural disconnection- by teaching, modeling, and fortifying culturally centered practices in service of balance and wellness. The goals of Project Seven Star are to increase awareness about the connections between culture and health, increase the capacity of Cherokee Nation to utilize culture to prevent youth substance use, increase youth resilience through cultural engagement and wisdom sharing, and to increase access to mental health and prevention services for Native American youth in Cherokee Nation. We will pursue these goals by developing and disseminating messages, trainings, and events that highlight the protective functions of culture; enhancing the skills and tools of caregivers, elders, and family members; and connecting youth to appropriate and responsive resources. Using the Strategic Prevention Framework, with a focus on cultural alignment, we anticipate serving a minimum of 100 youth and 50 adults annually, and over 750 people over the lifetime of the grant.

Guara Bi, Inc., a 501C3 nonprofit organization in Puerto Rico, is presenting a proposal in response to the SPF-PFS-Communities/Tribes SP-23-004 RFP. The catchment area is Vega Baja, Puerto Rico, a town and municipality located on the coast of north central Puerto Rico. FY 24 Guara Bi SPF-PFS will be located in Vega Baja, but the program will serve youth from all over the island. The prevention project will focus on youth ages 13-24 and their families. The project will target underage drinking, marijuana, and electronic cigarettes (vaping). The choice to focus on these three priority areas is based on the results of the Youth Risk Behavior Survey and from The PR Administration for Mental Health and Substance Use Services (ASSMCA) youth survey. Guara Bi anticipates serving 360 unique persons over the course of this project (Y1=40, Y2-5=80 per year). The measurable goals and objectives include: Goal 1: Strengthen community-level prevention capacity in Puerto Rico to identify and address alcohol, marijuana use, and electronic cigarettes among youth ages 13-24 years. Objective 1.1: By December 31, 2024, complete a comprehensive Needs Assessment to identify current substance use concerns, negative community consequences related to use, risk and protective factors, and subpopulations most at-risk and/or underserved. Objective 1.2: By March 31, 2025, develop a detailed implementation plan to reduce risk and enhance protective factors. Objective 1.3: By September 2029, design and post 108 prevention messages (Y1=12; Y2-5=24 annually) on Facebook, Instagram, or Twitter related to alcohol, electronic cigarettes, and marijuana use. Objective 1.4: By September 2029, conduct 4 Community Outreach Events monthly, and 4 Prevention Workshops monthly, reaching at least 100 individuals per year (500 over the life of the grant). Objective 1.5: Reduce underage drinking by discouraging adults from buying alcohol for minors through the Sticker Shock Campaign, conducted biannually, as evidenced by campaign logs. Goal 2: Prevent the onset of or reduce the progression of alcohol, marijuana, electronic cigarettes use/misuse among 360 youth ages 13-24 years living in Puerto Rico. Objective 2.1: By September 2029, provide Life Skills Training (LST) to 360 youth (Y1=40; Y2- 5=80 annually) evidenced by enrollment records. Objective 2.2: By September 2029, 80% of the youth will complete LST successfully evidenced by the discharge status in the clinical data system (CDS). Objective 2.3: By September 2029, 80% of the youth completing LST will not begin using tobacco, alcohol, or marijuana, remain abstinent, or reduce use measured by the GPRA. Objective 2.4: By September 2029, 80% of the youth completing LST will increase their disapproval and perceived risk of harm of tobacco, alcohol, and marijuana use measured by the LST pre/post-test and GPRA. Goal 3: Strengthen protective factors and mitigate risk factors among youth aged 13-24 years living in Puerto Rico. Objective 3.1: By September 2029, 80% of youth completing LST will increase Assertiveness, Self-Control, and/or Relaxation skills measured by the LST pre/post-test. Objective 3.2: By September 2029, 80% of the youth completing LST will remain in school measured by school records. Objective 3.3: By September 2029, 80% of youth will have stable housing as evidenced by GPRA. Objective 3.4: By September 2029, 80% of youth completing LST will decrease their perception that substance use is “cool” measured by the LST pre/post-test.

LPKNC is collaborating with youth, families, and community partners to craft a strategic roadmap that will drive the implementation of initiatives aimed at reducing substance misuse and enhancing mental health and well-being in Ward 5. The project will reach 7000 youth and 4000 adult/caregivers. The demographics of the population are primarily Hispanic but will reach African-Americans and Caucasians. The goals include; Increase youth perception of risk/harm of substances. Increase adult perception of the harm of drugs. To increase mental health education and provide strategies and interventions for improving mental well-being, To increase awareness and access to mental health, healthcare, and grief support services. A few objectives are: By September 2029, 5,000 youth will participate in an evidenced based strategy or program that will increase the perception of harm of alcohol and marijuana with youth ages 8 to 17 by 10% as measured by a pre/post survey. By September 2029, 2,500 parents/caregiver will participate in an evidenced based strategy or program that increases parental disapproval of the risks/harm of underage drinking, opioids and marijuana by 5% as measured by pre/post survey. By September 2029, 1,600 English and Spanish speaking parents/caregivers will participate in mental health education workshops that increase knowledge, awareness and attitudes by 10% on mental health, early warning signs, self-care strategies, mental health crisis, and local and national resources for mental health as measured by pre/post survey. By September 2029, 1,600 English and Spanish speaking parents/caregivers will increase knowledge of community resources and accessing services by 10% measured by pre/post survey.

The Multnomah County Health Department (MCHD) Strategic Prevention Framework Project will serve Multnomah County, Oregon, and will positively impact substance use disorder/mental health outcomes and root cases for all 808,098 county residents by prioritizing the needs of BIPOC youth. Multnomah County's total population is 7.5% Asian, 5.4% Black/African American, 12.3% Latine, 12.9% multiracial, 1.0% Native American/Alaska Native, 0.6% Pacific Islander, and 67.4% white, non-Latine. Compared to the 32.6% of the total population identifying as BIPOC, 46.6% of Multnomah County's children and youth are BIPOC. Specific prevention interventions to be implemented will be determined during the Strategic Prevention Framework community engagement process, but will include community prevention messaging and prevention programming providing individual and small group services. All activities will work toward the following goal and objectives. GOAL: Promote protective factors among youth, especially BIPOC and other systemically marginalized populations, to foster resilience and emotional wellbeing across the lifecourse and reduce the onset and progression of substance misuse and its related problems. Objective 1: Meaningfully engage and expand partnerships with community-based organizations (CBOs), schools, community members, and people with lived experience to identify priorities and effective, evidence-based and/or innovative approaches and implement corresponding interventions. Objective 1.a: By December 31, 2024 (90 days within start of grant), involve at least four youth/youth-representing coalitions, three culturally specific CBOs, two SUD service agencies, and five school districts in input-gathering sessions. Objective 1.b: By March 31, 2025 (180 days within start of grant), contract with at least 2 partner organizations to implement evidence-based interventions. Objective 1.c: By September 29, 2025, 2026, 2027, 2028, and 2029, involve at least four youth/youth-representing coalitions, three culturally specific CBOs, two SUD service agencies, and five school districts in program quality improvement. Objective 2: Expand primary prevention programming tailored to youth, BIPOC, and LGBTQ2SIA+ communities with a focus on protective factors, Adverse Childhood Experiences (ACEs), and root causes of illicit substance misuse. Objective 2.a: By March 31, 2025, implement at least two new prevention programs providing individual and small group services. Objective 2.b: By September 29, 2025, reach 50 individuals with new prevention programs providing individual and small group services, with at least 50% identifying as BIPOC. By September 29, 2026, 2027, 2028, and 2029, reach 100 individuals with these programs each year, with at least 50% identifying as BIPOC. Objective 3: Expand community-wide substance misuse prevention messaging to increase awareness and encourage helpful, supportive conversations across generations and across socioecological contexts. Objective 3.a: By September 29, 2025, 2026, 2027, 2028, and 2029, expand substance misuse prevention campaigns by at least one specific population focus each year (e.g., transcreate campaign materials in an additional language, tailor for an additional type of trusted adult in young people’s lives, etc.). Objective 3.b: By September 29, 2025, 2026, 2027, 2028, and 2029, increase reach of community substance misuse prevention messaging by partnering with one culturally specific and/or youth-engaging media source each year. Exact numbers of people to be served will depend on the specific interventions selected after the community engaged planning process. MCHD estimates that prevention programming providing individual/small group services will reach 50 individuals in Year 1 and 100 annually in Years 2-5 (450 total). Community prevention messaging’s reach will be much greater, potentially reaching hundreds of thousands if broad communications campaigns are implemented.

Northern Santa Fe and Southern Rio Arriba Counties in New Mexico will be the catchment area for the Strategic Prevention Framework-Partnerships for Success (PFS) grant. The Connecting Our Voice program through the National Latino Behavioral Health Association will collaborate with the schools and community partners to strengthen prevention infrastructure. The Connecting Our Voices PFS will implement universal evidence-based initiatives to prevent the onset and progression of substance abuse, specifically alcohol, marijuana, and opioids. School age youth across the both the Espanola and Pojoaque school districts will receive universal prevention programming. The Youth Advisory Council will be grown and trained in evidence-based prevention. Capacity to address higher risk students and disparities among LGBTQ youth, Hispanics, Native Americans, and adults with four or more Adverse Childhood Experiences (ACEs) will be built. Connecting Our Voices Program Goals Include: •Increasing substance abuse prevention infrastructure and capacity to collect and use local data to assess needs and readiness, develop a data-driven strategic plan, and implement evidence-based substance abuse prevention approaches. •Reducing underage drinking, marijuana use, and delaying early initiation of alcohol and marijuana use among youth. •Reducing opioid misuse and overdoses among youth and adults. •Reducing behavioral health disparities in the Espanola Valley and Pojoaque Valley, including access to mental health and substance use services. The proposed activities will reach the entire county populations of nearly 200,000 people, 1,500 youth and young adults through in-school evidence-based programming and Youth Advisory Council meetings and events, 100 parents, and an additional subset of adults who participate in forums or other events over the course of the five-year grant. Annually, 200 youth, and 50 community members and parents will receive prevention training. Media and messaging will to reach the entire community through radio, outdoor ads, newspaper, and social media. This comprehensive approach will prevent the onset and reduce the progression of substance abuse and its related problems while strengthening prevention capacity and infrastructure, to sustain efforts at the community level.

Central Vermont Prevention Coalition’s (CVPC) FUTURE VT (Families Uniting to Understand & Resolve Substance Effects in Vermont) is designed to reduce youth cannabis and alcohol use in Central Vermont and to address the larger, more systematic structural issues related to health equity by implementing evidence-based, trauma-informed approaches that are recovery-centered. The primary population to be served are rural youth ages 12-18 and their families, including children living with parents with a Substance Use Disorder (SUD), LGBTQ+ youth, and children living in poverty within Washington County plus five towns in Orange County, Vermont. Central VT has an alarming prevalence of alcohol and cannabis among youth. Youth use cannabis and drink alcohol at higher rates than the national average, and have very low perceptions of harm, perceived peer disapproval of use, and perceived parental disapproval of use. Further, a large proportion of youth live with an adult with an SUD, a risk factor for underage use, and a very large proportion are LGBTQ+, an underserved population that faces a great number of health disparities. FUTURE VT will follow the Strategic Prevention Framework to identify and respond to community needs. FUTURE VT‘s project goals and selected measurable objectives include: Goal 1) Interrupting generational cycles of addiction in our rural community by increasing the capacity of CVPC and its partners to implement community-based substance misuse services at the family level; 1.1 By September 2029, reduce the percentage of youth who report they have lived with a parent or guardian who was having a problem with alcohol or drug use by 3%. 1.2: By September 2029, increase the percentage of youth who feel they have a parent or adult caregiver who they can talk about how they are feeling to by 5%. 1.3: By September 2029, increase the number of times parents or guardians are speaking to their children about alcohol and drug use to 3 or 4 times a month by 10%. 1.4: By September 2029, reduce the number of children who are removed from their homes because of substance use as a primary factor by 5%. Goal 2) Reducing the onset and progression of cannabis use in school age youth by expanding access to evidence-based strategies in schools and in the community where youth are served; 2.1: By September 2029, increase perception of harm amongst youth in grades 9-12 around cannabis use by 5%. 2.2: By September 2029, increase peer disapproval of cannabis use among youth in grades 9-12 by 5%. 2.3: By September 2029, decrease past 30-day cannabis use in catchment area by youth in grades 9-12 by 5%. 2.4: By September 2029, reduce the number of disciplinary infractions for cannabis use in school settings by 25%. Goal 3) Reducing the onset and progression of alcohol use in school age youth by expanding access to evidence-based strategies in schools and in the community where youth are served. 3.1: By September 2029, increase perception of harm amongst youth in grades 9-12 around alcohol use by 5%. 3.2: By September 2029, increase peer disapproval of cannabis use among youth in grades 9-12 by 5%. 3.3: By September 2029, decrease past 30-day alcohol use in catchment area by youth in grades 9-12 by 5%. 3.4: By September 2029, reduce the number of disciplinary infractions for alcohol use in school settings by 25%. The estimated unduplicated number of people FUTURE VT will serve 3,495 unduplicated individuals (3,195 youth ages 12-18 and 300 adult caregivers) through individual and small group prevention services through the lifetime of the project. Duplicated, we estimate Year 1: 840, Year 2: 840, Year 3: 1,502, Year 4: 1,887, Year 5: 2,756. An estimated 25,500 will be reached through community prevention messaging and outreach (8,504 youth ages 12-18 and 17,009 adult caregivers). Data will be disaggregated to ensure subpopulations can be identified and engaged, including underserved populations.

Children’s Hospital Los Angeles (CHLA) is proposing to implement the Strategic Prevention Framework – Partnerships for Success for Communities, Local Governments, Universities, and Tribes/Tribal Organizations (FOA No. SP-23-004), a project to build the capacity of local community providers and youth leaders 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 services. This project will focus on the community Northeast LA (NELA), one of the most densely populated and impoverished neighborhoods in Los Angeles. The primary strategies for this Strategic Prevention Framework grant will be 1) to build the capacity of a multi-sector coalition to engage in data informed community planning to reduce substance use and improve mental health in adolescents and young adults in the community; 2) to engage and train youth leaders at 2 charter high schools advocate for school based and community change. The goals of the project are 1: to prevent the onset and reduce the progression of alcohol, marijuana, and opioid use and their related harms among adolescents and young adults (AYA) in NELA and 2) to increase youth-led and youth-informed structural change efforts around substance use prevention efforts and mental health promotion in NELA. Objectives include: 1.1: By 9/29/29, community leaders, parents, and students will have a greater understanding of evolving community needs and service gaps around AYA substance use and mental health in the NELA by reviewing the results of a multi-sector/multi-method needs assessment; 1.2: By 9/29/29, 50 community leaders in NELA will have knowledge competency on the Strategic Prevention Framework (SPF) model and on effective prevention strategies for AYA; 1.3: By 9/29/29, CHLA staff will reach a minimum of 1,000 young people in NELA through community prevention activities or events, including substance use prevention and mental health education. 1.4: By 9/29/29 500 parents and caregivers will learn about the intersectionality of mental health and substance use and local mental health and substance use resources. 1.5: By 9/29/29, students in target schools will report a statistically significant reduction in alcohol, marijuana, and/or opioid use as compared to baseline as measured through annual school-based surveys. 1.6: By 9/29/29, students in target schools will know how to access mental health, substance use prevention, and overdose prevention resources. 2.1: By 9/29/29, CHLA staff recruits and trains 75 youth leaders for two advisory boards in NELA on substance use prevention, overdose prevention, mental health promotion, and SPF. 2.2: By 9/29/29, youth leaders, with CHLA support, will plan and implement a minimum of 3 large community prevention events and 10 school-based events to inform the school community on substance use prevention, overdose prevention, and mental health promotion 2.3: By 9/29/29, youth leaders, with CHLA support, will identify barriers to mental health and substance use prevention and advocate for 3 structural changes on their school campus and/or community to address those barriers with school leaders, local neighborhood councils, coalitions, and/or elected officials. We expect to provide education, training, and/or evidence-based services to an average of 325 parents, community leaders, young people, and youth leaders annually and 1,625 individuals over the course of the project. Based on community and school demographics, the youth served will be 80% Latinx, 9% Other, 3% White, and 1% African American.

WestCare Ohio (WC-OH), d/b/a East End Community Services, seeks $1,775,386.95 for the Families are Essential for Prevention (FEP) program, a five-year, community-based Strategic Prevention Framework program in Dayton. PEPP will serve children ages 3-11 and their families through education and activities to prevent, reduce, and delay the onset and progression of alcohol, marijuana, and opioid misuse. FEP will use evidence-based practices in collaboration with community partners to deliver culturally responsive and accessible prevention services. FEP will deliver the evidence-based curriculum Strengthening Families using the Social Resiliency Model to 24 adults with children annually (120 over the life of the grant) at Head Start, as well as deliver the Too Good for Drugs and Violence curriculum to 24 kindergarten students annually (120 over the life of the grant) at Ruskin School. Additionally, FEP will launch the parent/caregiver-driven “Parent Café,” which will hold monthly events, and will invite program completers to participate in a Parent Advisory Group to help evaluate and add value to programming. Parents/caregivers also will produce quarterly social media messaging focused on engaged parenting and prevention. All program components will be delivered to enhance access and reduce barriers in a trauma-informed, multicultural, bilingual approach that is compatible with the community composition of Dayton. Through this program, WC-OH and community partners ADAMHS, Preschool Promise, and the Miami Child Development Centers, FEP will expand prevention capacity at the neighborhood level and implement public awareness campaigns to reach additional youth, their families, significant others, teachers, clergy, and community residents. The goals of FEP are to increase parent/guardian/caregiver’s ability to instill protective factors - against drug and alcohol misuse - of children in their care, reduce the risk of future engagement in drug and alcohol misuse by increasing protective factors in youth, and strengthen the capacity of community to ensure that substance abuse prevention outcomes achieved are sustained and that effective prevention interventions continue. Objectives include: 75% of children completing the program each year will increase their Self-Advocacy, Personal Behavior and Pro-Social skills, and 75% of participating parents/caregivers will increase their monitoring skills in the well-being of their children. To achieve these objectives, FEP will employ a Project Director, two (2) Prevention Specialists Data Analyst, and a contracted Director of Research and Evaluation, with the program overseen by an Executive Director. Ultimately, FEP will not only achieve the target outcomes of substance use reduction and prevention, but change attitudes and norms regarding substance use. In order to ensure sustainability, WC-OH will collaborate with a community partner on at least one (1) funding request annually to strengthen the capacity to prevent and address substance abuse among youth by leveraging other funding.

The University of Missouri-St. Louis, Missouri Institute of Mental Health (UMSL-MIMH) will deliver an integrated substance use and mental health prevention intervention to minority youth ages 13-24, especially those at highest risk. The project proposes to incorporate the use of a behavioral therapist to assist with mental health well-being. The project entitled the SPF-PFS-Communities/Tribes, will allow UMSL-MIMH to partner with local health departments and other social service organizations to create infrastructure that will increase substance misuse and mental health prevention services for minority youth ages 13-24 and particularly African Americans. African American youth show vulnerability to violence, accidents, sexually transmitted diseases, HIV/AIDS, tobacco use, mental health issues, drug and alcohol misuse, teen pregnancy, as well as risk factors that lead to heart disease and cancer later on in life such as inadequate physical activity, smoking, and poor nutritional habits. UMSL-MIMH's integrated prevention intervention will help meet some of these challenges faced by African American youth by employing substance misuse and mental health prevention education workshops utilizing evidence-based practices coupled with the development and promotion of community prevention messaging and outreach activities. Additionally, a behavioral health therapist will assist participants in dealing with mental health concerns. The intervention plans to reach a total of 900 youth across the five-year grant cycle. Measurable outcomes include: 1) Increased knowledge about substance misuse; 2) Decreased substance misuse; 3) Decreased risk behaviors; 4) Increased mental health well-being; and 5) Increased community capacity to provide substance misuse and mental health prevention services.

Serving a predominantly rural 10-county area from its Lowndes County hub, Legacy Behavioral Health Services (LBHS), the largest public safety net provider in South Georgia, proposes to strengthen partnerships to collaboratively establish an enduring infrastructure focused on substance misuse prevention for children. LBHS currently delivers person-centered, evidence-based prevention, treatment, and recovery services and pursues this opportunity to deepen its capacity, reduce prevalence of misuse, and achieve improved behavioral health outcomes. We propose two goals: 1) Increase school and community-based prevention activities for children in grades 6-12 in Lowndes County, and 2) Increase focused partnerships and community awareness of underage drug and alcohol use. Our goals and objectives are geared to address indicators of need such as 20% of students (grades 6-12) reporting alcohol use before age 9 while 9% currently use alcohol and up to 7.9% are using marijuana, and there is a lack of current prevention activities. The rural nature of the area provides too much unstructured time and we can increase community awareness on student substance use. We are partnering with key local and statewide partners including our local school systems, pediatric physician practices, government and criminal justice organizations, community youth service providers, and faith-based organizations to address population health improvements through EBP prevention programs (e.g., All Stars Core, Project Alert, Prevention Plus Wellness, and evidence-informed Cannabis/ Marijuana Awareness and Prevention Toolkit) and modification to environmental factors. Our partners will come together in a Strategic Prevention Steering Committee (SPSC) and a Youth Leaders Council, providing vehicles for developing and implementing strategies, promoting education and awareness, and garnering community buy-in. LBHS has designed an achievable approach with a timeline that stages assessment, capacity building, planning, implementation, and evaluation with reasonable cadence and considering dependencies. Already actively engaged in providing direct behavioral health support to students and schools through the local Apex Program, LBHS will build out prevention programming through these existing school relationships and with new and strengthened community partnerships. We aim to develop and distribute materials for school personnel to facilitate identifying at-risk children; develop educational materials for parents and caregivers and distribute to all public-school middle school parents annually; increase attendance in EBP prevention activities by 20% in applicable middle schools; expand school prevention activities in middle and high schools by 40%; and identify and modify one environmental factor the community can change by the end of Year 2. This will create the foundational model for eventual cascading to the full 10-county area. LBHS’s strong Continuous Quality Improvement (CQI) infrastructure, use of the ASPIRE to Excellence® Quality Framework, and Plan-Do-Study-Act CQI methods will be customized to the strategic prevention framework to track implemented interventions and the capacity of our community partners to engage in the process. Leveraging the SPSC to refine the measures that will describe our impact as well as to provide regular monitoring, we will evaluate measures specific to EBPs, goals and associated objective, and operational processes, the latter to identify process improvements. We will design and create a project-specific information system-based database for collection of related data and reporting including sufficient delineation of data characteristics to report out Disparity Impact Statements annually. We will review the selected measures annually as a formal project activity and internally at least quarterly, more routinely monthly.

The Bridge Center, Inc. (TBCI) and their collaborating organizations are applying to obtain Substance Abuse and Mental Health Services Administration, Strategic Prevention Framework – Partnerships for Success for Communities, Local Governments, Universities, Colleges, and Tribes/Tribal Organizations Grant funding, to support their Prevention Educators Advancing Care & Empowerment (PEACE) project. The PEACE project will provide comprehensive substance abuse prevention and mental health promotion, and enhanced infrastructure for youth and young adult residents throughout Greater Mobile County in the state of Alabama. These funds will be well utilized in the effort to improve the overall level and quality of substance abuse prevention and mental health promotion in this high-needs community by making certain that fewer citizens are having their lives devastated by addiction and untreated mental illness, so that they might lead happier and more successful lives. Goal 1: Increase the direct involvement of Mobile County businesses, organizations, and interested individuals in preventing the onset and reducing the progression of substance abuse and its related problems, and in promoting positive mental health amongst children and youth over a five-year period. Objective 1: By the end of March 2025, PEACE will have convened a coalition of citizens and representatives from various sectors of the community to strengthen Fulton’s substance abuse prevention and mental health promotion capacity and greater community infrastructure by completing the steps of SAMHSA’s Strategic Prevention Framework. Objective 2) Each year, PEACE will have maintained 90% of coalition community partnerships to increase capacity to fill gaps and address other problems related to substance abuse and mental health promotion. Goal 2: Establish and maintain active involvement of youth and young adults in sharing the message of substance abuse prevention and mental health promotion over the five years of the program. Objective 3) By the end of 2029, PEACE will have increased Mobile’s infrastructure by training 50 students (10 annually) as Peer Educators to disseminate substance abuse prevention and youth mental health promotion information. Objective 4) By the end of 2029, the Health Educators assisted by Peer Educators will have provided 10 evidenced based prevention mixed best practices sessions to 1,000 children and youth (150 to 225 annually) to increase knowledge, perceived risk of harm, and behavioral change regarding alcohol, tobacco products and marijuana use, in addition to promoting positive mental health via violence reduction. Goal 3: Reach out to share the message of substance abuse prevention and mental health promotion to individuals in the greater community not being served directly by the project over the five years of the program. Objective 5: By the end of 2029, PEACE will have implemented fifteen (15) traditional and media campaigns (three a year) to reach 5,000 (1,000 a year) children, youth and young adults targeting the prevention of underage drinking, marijuana and tobacco products use, in addition to promoting positive mental health.

The North Country Health Consortium, acting as the North Country Public Health Network Provider Agency for northern New Hampshire, aims to establish the North Country Community Of Prevention practices, Education, and Stigma reduction (North Country COPES). This initiative is rooted in the Strategic Prevention Framework, which is a community engagement model designed to deliver data-driven, evidence-based programs and practices to rural, underserved communities in Coös and Northern Grafton Counties, encompassing the North Country Public Health Network. Notably, this region exhibits the highest poverty rate among New Hampshire’s 13 Regional Public Health Networks. The project targets 2527 youth (ages 15-19). Additionally, North Country COPES aims to address the needs of at-risk and marginalized youth and young adults within the LGBTQ+ communities of the North Country. The overarching objective of this endeavor is to mitigate the onset and progression of substance misuse and its associated issues through the development and implementation of substance misuse prevention and mental wellness promotion strategies. The project's goals and objectives are as follows: Goal #1: Enhance the capacity North Country prevention providers to recognize, delay, and mitigate substance use among rural and LGBTQ+ youth. Objective 1: Assemble Leadership Committee and NC COPES members. Objective 2: Deliver 300 hours of evidence-based training annually for regional prevention partners. Goal #2: Decrease substance use rates among rural North Country youth by implementing mental health promotion initiatives and bolstering community support systems. Objective 1: Conduct five community climate projects and 15 school climate projects. Objective 2: Conduct social media training for youth and prevention providers. Objective 3: Host annual UP Conference for youth. Objective 4: Recruit and train Youth Leadership Through Adventure adult advisors. Objective 5: Train staff on SBIRT model and confidentiality standards. Goal #3: Decrease substance use rates among LGBTQ+ youth in the North Country by implementing evidence-based peer supports and trauma-informed practices within organizations serving youth. Objective 1: Conduct prevention-focused cultural competency training. Objective 2: Train five trainers to provide peer-to-peer groups.

Project Frontliners is a targeted youth substance use prevention initiative focused on mitigating the onset and progression of alcohol, marijuana, and opioid use among Black and Brown minority youth residing in historically underserved communities in South Florida. This program, operating in high crime, high poverty areas of Broward County, aims to engage 200 students annually in grades 4-11, attending Title 1 schools. Over the project's lifespan, a total of 1000 students will benefit from its comprehensive prevention programming. Leveraging the Strategic Prevention Framework, Project Frontliners systematically collects and applies data to guide prevention efforts. This involves identifying specific substance misuse issues prevalent in the catchment area, strategically selecting intervention approaches, and continuously evaluating community progress. In addressing behavioral health disparities, Project Frontliners implements evidence-based youth substance use prevention programming. The initiative encompasses youth leadership development initiatives and the training of trusted adults in Youth Mental Health First Aid (50 per year; 250 for the project). Additionally, participating youth receive training in Teen Mental Health First Aid (25 per year; 125 for the project). The overarching goals of Project Frontliners are threefold. First, it seeks to decrease youth substance use by implementing evidence-based programs that enhance protective factors. Second, it aims to strengthen the capacity of trusted adults to detect early signs of mental health issues in youth. Lastly, the initiative endeavors to enhance the capacity of community-based organizations in Broward County to leverage resources and optimize youth substance use prevention programming. Project Frontliners is a vital initiative committed to fostering positive change and creating a resilient environment for minority youth in South Florida.

Through the Strategic Prevention Framework-Partnerships for Success for Communities, Local Governments, Universities, Colleges, and Tribes/Tribal Organizations, the Iowa Tribe of Oklahoma Perkins Family Clinic Behavioral Health Department plan 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, expand and strengthen the capacity of local community prevention providers to implement evidence-based prevention programs, and provide evidence-based services to underserved communities while promoting mental health and well-being. The Iowa Tribe of Oklahoma, Perkins Family Clinic Behavioral Health, continues to grow and service the rural communities of Lincoln, Logan and Payne Counties in Oklahoma with medical, dental, behavioral health and substance use treatment to Iowa Tribal Members, clients with any Tribal affiliation and non-Native clients. Perkins Family Clinic and Perkins Family Clinic Behavioral Health have worked closely with local school districts to provide prevention in the middle school using Botvin LifeSkills. Through the SPF-PFS funding, grant staff would increase the prevention services to younger grades and broaden the prevention services to other locations within the Iowa Tribe of Oklahoma catchment area. Throughout the life of the grant, key personnel will educate the community on the prevention gaps and implement prevention programs in three public school systems.

Project Title: Southern Arizona Coalitions Partnerships for Success Project Duration: September 30, 2024 - September 29, 2029 Applicant Name: Construyendo Circulos de Paz/Constructing Circles of Peace Project Point of Contact: Blanca Acosta, Executive Director Constructing Circles of Peace is proposing the Southern Arizona Coalitions Partnerships for Success to reduce onset and progression of youth substance use and prevalence of negative youth mental health outcomes through use of evidence-based programs and prevention education and outreach methods. Using the Strategic Prevention Framework, the project will include iterative assessment, capacity building, planning, implementation and evaluation of prevention strategies in a collaborative effort across the three rural U.S.-Mexico border communities of Cochise, Santa Cruz and Yuma Counties located in Southern Arizona. All three counties in this project are HRSA-designated areas in rural, underserved areas of Arizona that are disparately impacted by SUD. The service area is 62% Latino and 50.8% of our population is living in poverty. Goals for this project include decreasing youth substance use by addressing knowledge, attitudes and behaviors that lead to you use; increasing mental health awareness, knowledge and healthy coping and resiliency skills among youth; and decreasing health inequalities for past 30 youth substance use and prevalence of depression, anxiety and suicide among Latino youth living in our border communities. Project objectives include obtaining increases in perceived risks of youth substance use and decreases in youth access to substance and attitudes and norms that favor substance use. Additional objectives include increasing mental health awareness, knowledge and youth resiliency skills. Performance targets over the five year project include reaching 8,000 youth ages 12-17 years and 12,000 caregivers with universal, selected or indicated prevention efforts, including 114,000 community members with prevention messaging and 3,750 youth with individual and small group prevention services. Collaboration will occur between the Santa Cruz County Substance Abuse Coalition, Campesinos sin Fronteras Coalition and the Mayauel II (Amistades) Coalition.

The community-level prevention capacity will identify and address local substance use prevention concerns such as marijuana and opioids. Priority 1. Preventing Overdose Objective 1.0: Prevent overdose deaths by increasing access and utilization of harm reduction approaches for LGBTQI+ youth. Objective 2.0: Support primary prevention and strengths-based recovery approaches that reduce barriers and create more opportunities for LGBTQI+ youth to thrive. Priority 2. Promoting Resilience and Emotional Health for Children, Youth, and Families Objective 2.1.0: Increase access to a comprehensive array of equity-driven behavioral health programs by increasing program integration to support LGBTQI+ youth. Priority 3. Strengthening the Behavioral Health Workforce Objective 3.1.0: Support the active recruitment, training, and retention of diverse, qualified LGBTQI+ youth into the behavioral health workforce. .