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Amoskeag Health and partners are proposing a Strategic Prevention Framework-Partnerships for Success (SPF-PFS) project in the City of Manchester New Hampshire. The proposed geographic catchment area includes neighborhoods that locals call "Center City," with its heavy concentration of low-income and racially/ethnically diverse populations. Located around the downtown area of Manchester, they include Census tracts 13, 14, 15, 16, 19, and 2004 on the east side; and 20, 21, and 22 on the west side of the Merrimack River. The population of focus is elementary, middle, and high school aged students in 13 Manchester School District schools located in the Center City Census tracts. Data from the 13 schools in 2022, of whom 51.9% are students of color (Hispanic/Latino, Black/African American, Asian/Pacific Islander, Indigenous, and Multiple Races), 50.9% are considered Economically Disadvantaged, and 50.4% qualify for the free or reduced lunch program, which meets the definition of underserved communities. There is an urgent need to develop and deliver community-based substance misuse prevention and mental health promotion services in Manchester's Center City. According to data from the 2021 Youth Risk Behavior Survey, Manchester youth are experiencing high rates of substance misuse and emotional distress that increase the risk for substance use and mental health disorders. Amoskeag Health and partner agencies are proposing to utilize the Strategic Prevention Framework to help accomplish our goals to (1) expand and strengthen the capacity of Amoskeag Health and its partners to develop and deliver community-based substance misuse prevention and mental health promotion services to the underserved populations in Manchester, NH; and (2) reduce the onset and the progression of substance use by implementing evidence-based prevention services in Manchester, NH that address the needs of the underserved populations in our community. We will implement an evidence-based substance use prevention and health promotion program for approximately 370 students per year.

Project Abstract Summary Project Name: Partnerships for Success-Substance Use Prevention and Mental Health Promotion Activities for Residents of Bartholomew, Jackson, and Jennings County. Substance use and mental health are identified as the highest priority health issues in all three counties and the activities that will be funded by this SAMHSA grant will address these two areas over the next 5 years. The goals of the project are to increase the capacity of Bartholomew, Jackson, and Jennings counties to reduce the high-risk behaviors that contribute to the high rate of deaths of despair in each county (alcohol-related deaths, suicides, and drug overdoses) including increasing individual and community perception of risks associated with excessive drinking including binge drinking and heavy drinking; increasing individual and community awareness of the importance of maintaining mental wellness in Bartholomew, Jackson, and Jennings counties, and increasing individual and community perception of the risks associated with prescription drug misuse and illicit drug use in Bartholomew, Jackson, and Jennings counties. The objectives include delivering social media campaigns, community education, and outreach efforts focused on these three areas. The strategies will impact at least 7500 residents of the three counties annually and 37,500 residents over the lifetime of the grant.

Lexington United intends to bring together five school districts in Lexington County, SC with a focus on reducing the onset and progression of substance misuse and its related problems by supporting the development and delivery of community-based substance misuse and prevention and mental health promotion services. Although prosperous in many Ways, Lexington has a significant need to re-engage communities and local systems to help reduce the onset and progression of substance use and related problems. Lexington is 699 square miles and inclusive of five separate school districts varying in size from small rural districts to larger more urban settings. Many individuals and families are drawn to Lexington given its high quality school districts, abundance of recreational resources, and business growth with high paying jobs. The 2020 census results indicate that the county grew by 12% from 2010 with a population of 293,991. Lexington has pockets of underserved communities in primary rural local that are greatly impacted by Substance Use Disorders. Lexington United will focus on Lexington School Districts 1, 2, 3, 4, and 5 where families are at high risk for substance use and mental health conditions, drug overdose, and disproportionate housing problems. Lexington United will convene communities to build infrastructure for evidence-based prevention, create conditions for collaborative activities including data sharing, promoting health and wellbeing with medical providers, lead Lexington County's Overdose Fatality Review, and strategically engage families in locations shown at highest risk. Through building infrastructure for progress on the Strategic Prevention Framework for readiness to implement required activities, deliver and measure high-quality prevention messaging and outreach activities, individual and small group prevention services, and mental health promotion, and to decrease youth substance use by implementing evidence-based prevention strategies that address behavior that may lead to substance use. The goals will be achieved through various strategies, to include, developing community-based coalitions within all five school districts of Lexington County, implement individuals and group prevention services to include universal, selective, and indicated strategies, to develop comprehensive media campaigns with prevention messaging intended to reach the population of focus, and to offer opportunities for individuals to engage in mental health promotion activities. Through the implementation of these strategies, Lexington United aims to increase collaboration among community partners, collect comprehensive needs assessment indicators, increase access to evidence-based prevention services, increase the number of individuals served across the IOM categories, increase the number of outreach activities intended for the population of focus, decrease access to substances among youth, and change attitudes favorable within substance misuse among the target population. Lexington United aims to reach 5,000 people annually with a project lifetime reach of 25,000.

Creating Community Changes on Substance Abuse Issues in Hancock County will be implemented with the intent to have benefit for all Hancock County residents. Our coalition works birth to death, with a primary focus on youth and identified drugs of choice in our community. For youth those substances are marijuana (including vaping THC) and alcohol. The adult population is struggling with methamphetamine and opiates. Our coalition plans to utilize evidence-based programs in schools, task force efforts on underage drinking and illegal drugs, youth education and alternative events, media education for both youth and adults, provide prevention tools for residents, offer training for parents and professionals, and provide initial intake fee to recovery houses for individuals who cannot afford to begin the treatment process on their own. This will be done through our partnership with Mental Health Partners of Hancock County. Successful implementation will address the goals and objectives listed here: Goal 1: Reduce marijuana use among youth in our community. Objective 1: Reduce 30-day marijuana usage rates among 9th, 10th, and 11th graders by 3% by September 29, 2028, as measured by the Indiana Youth Survey (INYS) conducted by Prevention Insights at Indiana University. Objective 2: Increase the percentage of youth who see smoking marijuana once or twice a week as having a moderate or great risk of harm by 10% among 9th, 10th, and 11th graders by September 29, 2028, as measured by the INYS. Objective 3: Reduce 30-day electronic vaping rates among 9th, 10th, and 11th graders by 5% by September 29, 2028, as measured by the INYS. Goal 2: Reduce alcohol use among youth in our community. Objective 1: Reduce 30-day alcohol usage rates among 9th, 10th, and 11th graders by 5% by September 29, 2028, as measured by the INYS. Objective 2: Reduce binge drinking rates among 9th, 10th, and 11th graders to half of where they stand from the 2022 INYS by September 29, 2028, as measured by the INYS. Success on this would put the respective binge drinking rates at 1.0 %, 1.25%, and 3.0%. Goal 3: Reduce drug abuse among adults in our community. Objective 1: Arrest data in Hancock County will show an 8% decrease annually in dealing/possession of cocaine/narcotic drugs. Objective 2: Arrest data in Hancock County will show an 8% decrease annually in dealing/possession of Schedule I-V drugs. Objective 3: Arrest data in Hancock County will show an 8% decrease annually in dealing/possession of methamphetamine. Objective 4: Arrest data in Hancock County will show an 8% decrease annually in dealing/possession of marijuana arrests.

The Eastside Community Prevention Initiative (CPI) will positively impact the Eastside Neighborhoods by forming site-specific Community Prevention Teams. The project will target 2,500 youth of whom 99% identify as African American. Furthermore, 90% are economically disadvantaged and 28% are receiving some form of special education. Along with culturally (race, ethnicity, and sexual orientation) and age-appropriate strategies targeting Eastside youth, this project will also implement a series of environmental strategies targeting parents of school-aged youth, young adults aged 26 to 35, and the retail community serving the Eastside of Detroit. The Empowerment Zone Coalition (EZC) will engage the innate capacity, competencies, and resources to implement all SPF-PFS Required Activities beginning with the Strategic Prevention Framework (SPF). The EZC 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 Eastside Community Profile within the first 60 days along with a Behavioral Health Disparities Impact Statement. The updated Epidemiology Report will provide more complete information on the origin and effect of substance abuse, addiction, and recovery in the Eastside neighborhoods of Detroit. This new information will be used to strengthen prevention capacity/infrastructure, leverage other funding streams, and resources in both Denby and East English Village communities by updating our messaging and outreach strategies. The Capacity step facilitated by the Project Director and Community Coordinators, will engage stakeholders [outreach], develop site-specific Community Prevention Teams, and work with the teams to raise awareness [messaging] of the priorities identified in the Epi Report. Over the ensuing 9- to 10-month period each prevention team will engage in strategic Planning facilitated by the Community Coordinators and Data Analyst. Additional assessment and capacity building activities will be conducted to fill gaps as they are identified. Most notable will be the completion of Epi Reports for the Denby & East English Village communities. The reports will demystify factors influencing substance abuse; evidence-based strategies, programs, and activities that prevent the onset and reduce the progression of substance misuse and associated problem behaviors. An outline of a comprehensive approach including a logic model and 12-month action plan are key components of the Epi Report. Each action plan will detail a mix of evidence-based programs and activities selected by the prevention teams. At the end of the 5-year project period, the CPI will expand the coalition to include three community-specific prevention teams, increase the number of evidence-based environmental strategies working to prevent substance abuse among youth and adults, and significantly decrease the use rates for alcohol, marijuana, and opioids for both youth and adults.

Fayette County Partners for Success will reach the Fayette County, West Virginia communities of Midland Trail and Meadow Bridge. This project will expand primary prevention resources, capacity and skills in these underserved areas of this rural Appalachian county. The main objective will be to reduce cannabis use in youth and young adults ages 12 to 20 years old by addressing the norms regarding cannabis use. We will achieve this by using the evidence-based program “Too Good for Drugs” in schools, increasing community awareness through parent education, and coordinating the efforts to add healthy alternative activities to our underserved areas. The first goal of the project is to decrease youth cannabis use by increasing the perception of harm. The main strategy used to accomplish this will be providing the evidence-based education of “Too Good for Drugs”, with fidelity, to 1,000 students annually across five schools to include the entire Kindergarten through 9th grade classes in the underserved areas. The measurable objective will be that by September 2024 there will be an increase of the perception of harm of cannabis reported by middle school youth from 50% to 55% and in high schools a decrease of “ever use cannabis” rates from 12% to 10%, as measured by Integrated Community Engagement (ICE) Collaborative Surveys. The second goal of the project is to increase protective factors associated with youth substance use through healthy alternative activities in each of the underserved communities. The primary strategy used for this goal will be to provide one weekly summer program and twelve additional activities, one each month of the year, for youth in the underserved areas. The measurable objective will be that by September 2024, the rates of Meadow Bridge 7th-12th grade students who report “less than one outside of school activity per week” will decrease from 23% to 21% and Midland Trail 7th-12th grade students who report “less than one outside of school activity per week” will decrease from 27% to 25% , as measured by ICE Collaborative Surveys. The estimated number of youth served annually is 836 and over the lifetime of the project is 4,180. The last goal of the project is to increase effectiveness of community partnerships through expanding Fayette Prevention Coalition meetings into underserved areas. The main strategy to accomplish this goal will be by the community-based process of collaborating with key community stakeholders to provide prevention, intervention, treatment, and recovery resources to each underserved area. Holding at least two meetings in each of the underserved areas by September 2024 and ten meetings in the underserved areas over the lifetime of the project will be the measurable objective. Fayette County has made significant progress in implementing primary prevention strategies. This funding will provide more tools to reduce the initiation of substance use in the mentioned communities.

Project Name: Strategic Prevention Framework - Partnerships for Success for Communities Population of Focus: Youth (12-18) and the general population of Fort Bend County. Project Summary: FBRC aims to reduce the occurrence of underage drinking and vaping use among youth in the Fort Bent County catchment area, increase the utilization of medications for opioid use disorder as an option for the treatment of people suffering from Opioid Use Disorder, and increase the mental health services. The proposed project will enhance the ability of established community organizations to create community-level change, strengthen collaborations among communities and local government, prevent and reduce substance abuse and enhance access to mental health services. FBRC proposes to serve 500 youth and adults annually and more than 2,500 over the project's lifetime through information dissemination, education, alternatives, problem id & referral, community-based process, and environmental strategies. Goals and Objectives: Goal 1: Prevent and reduce the progression of underage drinking and youth use of vaping in Fort Bend County. Objective 1.1: By September 29, 2028, decrease youth use of alcohol (grade 7-11) as measured by a decrease in youth reporting past 30-day alcohol use on the PRIDE Survey from 10.3% to 9.8%. Objective 1.2: By September 29, 2028, decrease youth use of e-devices (grade 7-11) as measured by a decrease in youth reporting past 30-day e-device use on the PRIDE School Survey from 7.2% to 6.84%. Goal 2: Increase awareness of Medications for Opioid Use Disorder as a treatment for OUD. Objective 2.1: By September 29, 2028, increase partnerships with medical practitioners and treatment providers to include MOUD as part of their routine treatment options from 31 to 35% as measured by the number of providers using MOUD. Goal 3: Promote mental health services, enhance access to mental health services, and reduce stigma associated with mental health. Objective 3.1: By September 29, 2028, establish linkages/partnerships to increase the utilization of mental health services among underserved populations in Fort Bend by 30% as measured by the number of individuals accessing mental health services. FBRC proposes to meet the project goals and objectives by implementing strategies that include, providing information (town halls, educational presentations, workshops, PSAs, information dissemination, and social media), education (enhancing skills via training to parents, first responders, healthcare providers, employers, etc.), alternative activities (Family Game Nights, community events and fairs, summer camps), problem identification & referral (support and advocate for mental health screening and referral), community-based process (building capacity, asset mapping, resource-sharing), and modifying/changing policies (advocate for routine use of MOUD, social hosting policies, installation of cape disposal drop box).

On behalf of the community sectors living in the rural counties of Southern Rio Arriba and Northern Santa Fe, Hands Across Cultures Corp., a 501(c)(3) private, non-profit organization, will facilitate a coordinated effort to improve infrastructure and collaboration between Workgroups and coalitions, the Rio Arriba Revive Collaborative Partnership for Success (The Partnership), to address local drug crises. The recent Community Needs Assessment illustrated significant alcohol, opioid, methamphetamine and prescription drug abuse. Collaboratively, Revive has priorities an attainable focus on preventing onset of substance use among youth 9-20, reducing opioid and prescription drug abuse an increasing perceptions of harm. Populations to be served: Youth ages 12-17. Demographics and Clinical Characteristics include 51% Female and 49% Male. Race and Ethnicity (based on most recent DFC Youth Core Measure Survey) Hispanic/Latino 76.7%, White/Caucasian 12.9%, American Indian/Alaskan Native 17.2%, Black/African American 2.8%, Asian 1.7%, Another/Mixed Race 1.0%. The two major goals of The Partnership are 1) Strengthen prevention capacity/infrastructure and community collaboration by implementing Strategies that Enhance Skills 2) Reduce youth substance use in catchment area by implementing Strategies that Change Consequences, Reduce Access, Modify Policies, Provide Information and Provide Support. Objective 1: Increase the collaboration and capacity of Coalition leadership and membership by 5% to impact objectives associated with the in Action Plan as measured by the Coalition Effectiveness Tool by September 29, 2028. Objective 1: Increase the perception of risk of the legal consequences among youth regarding the arrest of adults for providing alcohol to minors by 10% of baseline as measured by the Youth Core Measures Survey in catchment area by September 29, 2028. Objective 2: Reduce the number of students reporting “Very Easy” and “Somewhat Easy” access to alcohol as measured by the Core Measures Survey by 10% in catchment area from baseline data by September 29, 2028. Objective 3: Increase the enforcement of alcohol, prescription pill abuse and drug policies by increasing the reported incidence of enforcement in catchment area by 10% by August 29, 2025. Objective 4: Decrease youth social access to alcohol by decreasing the number of adults who provide alcohol to minors by 10% by increasing adherence implementation of the Social Host Ordinance in catchment area, NM by September 29, 2028. Objective 5: Increase perceived risk DWI by 10%, as well as, the perceived risk of youth “riding with someone who has been drinking alcohol” by 10% as measured by the Core Measure Survey by September 29, 2028. Objective 6: Reduce the number of students who report using Prescription Drugs not prescribed by 10% as measured by the Core Measure Survey in the catchment area by September 29, 2028.

Marshall Medical Center is located in the rural Western Sierra Foothills of El Dorado County, California. Marshall Medical Center proses to partner with locally Federally Qualified Health Center, El Dorado Community Health Center, and nonprofit Access El Dorado to improve equitable access to substance use education, treatment and recovery support services for Black, Indigenous, and People of Color (BIPOC) communities. Infrastructure consisting of dedicated staff and organizational structures will be created to facilitate a systematic approach to identifying, designing, implementing and analyzing community-level interventions specifically informed by, and tailored for, El Dorado County BIPOC communities, particularly Latinz and Native peoples. To increase the capacity to improve access to substance use education, treatment and recovery support services for BIPOC communities in El Dorado County, the position of Equity Navigator will be created. The Equity Navigator will be a BIPOC person that will embed within the community to provide direct outreach and support, moving seamlessly from working within each partner organization to being on the ground in the community. The Equity Navigator will use a harm reduction approach, truly meeting people where they are at to provide community-level assessments, brief interventions and navigation to services, without judgement or coercion, in the community, hospital and clinic settings. Further, Equity Representatives, BIPOC professionals with passion for working with people who use drugs, will be hired from each partner organization to assist with community-level intervention design, implementation and analysis, as well as community outreach. To facilitate the meetings of program staff and interested community stakeholders for local data identification and assessment, intervention design, and implementation and analysis planning, the El Dorado Equity Collaborative (EDEC) will be created. EDEC will develop evidence based data-driven interventions using proven systematic processes to improve access to substance use education, treatment, and recovery support services for BIPOC communities. EDEC will implement at least 3 community-level interventions. To ensure community involvement in intervention development, the Latinx Advisory Group and Native Advisory Group will be formed. The Latinx Advisory Group and Native Advisory Group will consist of Latinx and Native professionals and community champions who will provide community-level insight on needs, recommendations for interventions, and feedback on implementation and analysis plans. Directly engaging BIPOC communities will be essential to the success of the EDEC program. To improve community outreach, EDEC will host at least 4 outreach events each program year in the community to provide targeted substance use education and access to treatment and recovery support services. Naloxone and fentanyl test strips will be distributed freely at all outreach events. EDEC staff will also distribute point in time surveys to assess barriers to knowledge of substance use issues and treatment and recovery support services. Results of point in time surveys will be shared in the community and used to support intervention development. Social media campaigns and web presence will also be utilized to expand EDEC's reach into BIPOC communities. The EDEC program will likely serve hundreds of BIPOC community members each year, helping make El Dorado County a recovery ready community for everyone.

Project Abstract The proposed project, the St. Lucie County Strategic Prevention Initiative (SLC-SPI), will serve the youth and their families in St. Lucie County, Florida, operated by the Roundtable of St. Lucie County (RT) and committed partners. St. Lucie County is located on the East Coast of Florida, 40 miles north of West Palm Beach, with an estimated population of 343,579 residents in the 2022 US Census.1 The County is comprised of two major cities, Fort Pierce and Port St. Lucie, as well as other municipalities and unincorporated areas. The St. Lucie County School District serves youth countywide and currently has 45,661 students enrolled in the public schools from PreK through 12th grade with a series of risk factors that can contribute to substance use, mental health challenges, and related consequences. St. Lucie County Schools have a higher rate of economically disadvantaged students than Statewide averages, as well as higher rates of students with a homeless and English Language Learner (ELL) status youth Statewide. Our student population is racially and ethnically diverse with 31.8% of students Black or African American, above Statewide averages, and 34.8% of students are Hispanic. Strategies throughout the action plan directly target local conditions, as well as risk and protective factors communities of color are experiencing to improve equity and reduce disparities that impact substance use. The purpose of the SLC-SPI is to strengthen the community-level prevention capacity of St. Lucie County to both identify local prevention priorities as well as respond to issues identified by developing and implementing strategies that prevent the misuse of substances and promote mental health and well-being among St Lucie County youth and their families, with an increased focus on our most underserved communities. The Project proposes a comprehensive mix of evidenced-based prevention approaches and services that align with SAMHSA’s expectations to implement high-quality programs, practices, and policies that are recovery-oriented, trauma-informed, and equity-based as a means of improving behavioral health in St. Lucie County. The opportunity will expand and strengthen the capacity of local community prevention providers to implement evidence-based prevention programs to help reduce the onset and progression of substance misuse and its related problems in St. Lucie County by providing St. Lucie County Strategic Prevention Partnership, under the umbrella of the Roundtable of St. Lucie County, by supporting the development and delivery of community-based substance abuse misuse prevention and mental health promotion services and increase its ability to strengthen collaborations and collectively work with community partners. By utilizing the 5 steps of the Strategic Prevention Framework (assessment, capacity, planning, implementation, and evaluation and incorporating a data-driven approach to implementing evidence-based services to underserved communities, SPF-PFS will enhance the Roundtable’s mission to sustain a team of county and business leaders who mobilize resources to improve the education, health, safety, nutrition, and care of all children in St. Lucie County. Our partner agencies, other organizations and collaboratives, businesses, and community advocates will address root causes that lead to increased risk for youth substance misuse and mental health challenges by implementing norms campaigns, offering Teen Mental Health First Aid, access to Pediatric Integrated Care and providing community-wide trauma-informed care approaches and Functional Family Therapy to underserved communities. Each year, the project will reach an estimated 200,00 residents per year with universal prevention methods (indirect), 425 St. Lucie County youth and 250 parents/caregivers with universal prevention methods (direct), and 20 youth and their caregivers with Indicated prevention methods.

Healthy WashCo: Partnerships 2 Success aims to primarily serve youth 6th-12th grades throughout Washburn County, expanding to families and community members. Washburn County is rural and has high rates of poverty, mental health problems, and substance abuse. During the first year of the project 16,752 people are projected to be served. 83,760 are expected to be served throughout the entire five year lifetime of the project. Healthy WashCo: Partnership 2 Success hopes to create a healthier community by implementing more mental health services, providing youth with pro-social activities, and reducing substance abuse/misuse. Healthy WashCo: Partnership 2 success will implement more mental health services by having a school based mental health professional work with youth in a local education agency. The mental health professional will work with students one on one as well as lead groups. This will be implemented by April of 2024. Healthy WashCo hopes to increase mental health services and reduce substance misuse by delivering evidence-based social emotional learning curricula and systemic AODA prevention programming within its county school districts. This will go into effect by April 2025. To promote prosocial youth activities in Washburn County, Healthy WashCo will be opening a Youth Center. This youth center will be a safe place for youth to go and will provide structured activities for youth to participate in. The youth center will combat youth substance abuse/misuse and at home risk factors. Local data regarding substance use/misuse will play a key role in the plan to utilize the strategic prevention framework.

The purpose of the Curry County ATOD and Mental Health Prevention Project is to prevent the onset and reduce the progression of marijuana and opioid use and mental health issues among youth and young adults. Based on recent data, our project prioritizes youth ages 11-17 and young adults 18-24 as the populations of focus and anticipate serving 3,000 annually. We will utilize the Strategic Prevention Framework (SPF) to assess, build capacity, plan, implement, and evaluate culturally competent evidence-based curricula in County schools, Curry County Youth Services programs, and the Adult Detention Center. Additional goals include; increasing the County's capacity for substance use prevention by using environmental strategies to address social access, retail access, and social norms related to substance use, and increasing the coalition and community capacity to support ongoing prevention by implementing efforts to maintain the community's prevention system.

The Boston SPF-PFS Project, led by the Boston Public Health Commission (BPHC), is designed to help reduce the onset and progression of substance misuse and its related problems among Boston youth and young ages 12-21—primarily Black, Latinx and Asian (as well as LGBTQ youth of color)—living in underserved Boston neighborhoods. Population to be served The majority (well over 50%) of those to be served by the project will be Black and Latinx youth and young adults—meeting the definition of underserved populations. Boston’s Black and Latinx residents are inequitable affected by community violence, large gaps in income and wealth and a range of other health and social inequities. In addition, over 50% of those to be served by the expansion of the prevention activities described in this application will be residents of Dorchester, Roxbury and Mattapan—three neighborhoods which are home to the majority of Boston’s Black residents and many Latinx residents. These neighborhoods have income levels and educational attainment levels far below that of the city as a whole1—and are inequitably affected by community violence and opioid overdoses.2 Goals, objectives and strategies: The overall goal of the proposed Boston SPF-PFS project is to help reduce the onset and progression of substance misuse and its related problems among Boston youth and young adults of color living in underserved neighborhoods. To achieve this goal, the project has the following objectives: Objective 1. Assessment: By the end of month 3, complete an assessment identifying substance use concerns that are having negative consequences among our population of focus, as well as risk and protective factors, including identifying sub-populations and specific communities which are at greater risk or underserved Objective 2. Partnership: By month 6, grow the network of community partners implementing the CopeCode Club prevention campaign from the current 3 (working in East Boston, Allston-Brighton, and Chinatown) to a total of 7 (adding the neighborhoods of Dorchester, Mattapan, Roxbury and Jamaica Plain). Objective 3. Implementation: By month 6, implement the CopeCode Club prevention campaign in 7 Boston neighborhoods, directing engaging 100 youth in year 1 and 150 youth annually in subsequent years to build positive coping skills that reduce the prevalence of mental/behavioral health factors that lead to substance use Number of people to be served: The project will directly engage 100 youth and young adults in year 1 and 150 annually in subsequent years—for a total of 700 directly served over the project period. Thousands of additional youth and young adults will be reached with prevention messages through social media, paid media and other means.

Wilson County Substance Abuse Coalition, dba the Wilson County Substance Prevention Coalition (WCSPC), proposes the Wilson County Partnerships for Success project, which is grounded in the Strategic Prevention Framework, a community engagement model that results in data-driven, evidence-based services that are provided to underserved residents of rural Wilson County, North Carolina. The population of focus includes Wilson County youth (ages 10-17) and young adults (ages 18-24) who are at risk for substance misuse, including those in recovery who are at risk for return to use. Within this population, WCSPC will focus on underserved racial/ethnic communities (Black/African American and Hispanic/Latino youth and young adults) as well as youth and young adults from the LGBTQ+ community. The population of Wilson County is 78,369, of which 14,796 are youth and young adults (18.9%). The overarching goal of the project is to reduce the onset and progression of substance misuse and its related problems through development and delivery of community-based substance misuse prevention and mental health promotion services. Strategies will include primary, secondary, and tertiary prevention programming and activities. Project goals and objectives are as follows: Goal #1: Increase the capacity of providers, youth serving organizations, and community members to provide and support prevention services. Objective 1.1: By September 29, 2025, establish collegiate recovery/trauma-informed campuses with Wilson Community College and Barton College. Objective 1.2: By September 29, 2028, expand the Lock Your Meds campaign through distribution of 11,090 lock bags and lock boxes. Objective 1.3: By September 29, 2028, provide 20 Naloxone trainings to college-bound students and youth-based staff. Objective 1.4: By September 29, 2028, provide 4 Youth Screening, Brief Intervention, Referral to Treatment (YSBIRT) trainings to a total of 64 individuals from youth-serving organizations. Objective 1.5: By September 29, 2028, provide 8 recovery coach trainings to a total of 184 individuals from youth-serving organizations and community members who work with youth. Goal #2: Increase youth engagement in prevention services and activities. Objective 2.1: By September 29, 2028, expand WCSPC’s Youth Coalition by 100%. Objective 2.2: By September 29, 2024, establish at least one formal partnership with an organization that serves LGBTQ+ youth and young adults. Objective 2.3: By September 29, 2024, establish at least one formal partnership with a Hispanic faith-based organization to work with Hispanic youth and young adults. Objective 2.4: By September 29, 2024, develop a plan to expand outreach to Black/African American youth and their parents/guardians. Goal #3: Develop data-informed enforcement and prevention policies with county retailers and establishments within the City of Wilson’s social district. Objective 3.1: By September 29, 2028, increase compliance with alcohol ID verification with retailers by 20%. Objective 3.2: By September 29, 2028, increase compliance with tobacco ID verification with retailers by 20%. Objective 3.3: By September 29, 2028, conduct 10 Naloxone trainings with local bar staff. Goal #4: Reduce rates of first use and increase knowledge and understanding of risk factors among students in 6th-12th grades over a 5-year period. Objective 4.1: By September 29, 2028, decrease the number of students responding yes to past 30-day substance use in the PRIDE survey by 20%. Objective 4.2: By September 29, 2028, provide 30 prevention workshops with 6th-12th grade students.

Abstract Summary The ADAPT Strategic Partnerships for Success project is a comprehensive prevention approach primarily targeting youth aged 12-17 and adult residents of Stone and Taney counties deep in the Ozark Mountains of SW Missouri. The project will be implemented by the Branson School District ADAPT (Alcohol & Drug Abuse Prevention Team), a collaboration of thirty-five local community and government organizations working to reduce and prevent the use of alcohol and other drugs. ADAPT also has active youth participation. Through the implementation of evidence-based prevention strategies, the project goals are to prevent youth and adult substance use/misuse of alcohol, cannabis and nicotine; equip community members with the knowledge, skills and abilities needed to address risk and protective factors associated with substance use/misuse; and to build capacity to provide effective prevention strategies within the coverage area. The mostly rural, two-county service area includes almost 88,000 residents, 17,000 youth under the age of 18, and over 35,000 households. Substance use prevention resources are limited within the mountainous service area. The Missouri Student Survey indicates Stone and Taney County youth have easy access to alcohol, cannabis, and tobacco through retailers or family members. Many youth perceive substance use as having low or no risk, and parental and peer approval of youth substance use is increasing. Stone and Taney Counties’ Community Health Needs Assessments indicate substance misuse is a growing problem for adults. More than one-fifth of adults use tobacco, adult binge drinking is growing, and cannabis use is more prevalent and accepted as evidenced by the recent opening of 5 new cannabis dispensaries and the 2022 passing of recreational use in Missouri. Project goals will be accomplished by strengthening the prevention capacity and infrastructure at the community level, implementing strategic evidence-based programs with partner agencies, and utilizing the Strategic Prevention Framework and the CADCA 7 Strategies for Community Change. Capacity building will include identifying resources and gaps, recruiting stakeholders to ensure broad-based community support, reducing duplication of efforts, and increasing stakeholder collaboration. By the end of Year 5, the project will expand or implement prevention strategies in 5 out of the ten schools, train 16 prevention educators, and design community-wide workshops on mental health and substance use prevention. The project will also address youth access through delivery of locking medication storage bags, liquor cabinet locks and alcohol retailer compliance checks with local law enforcement. Collaboration with local treatment and recovery support providers will improve access to services, pro-social activities, and peer support. The estimated unduplicated number of people directly served is 4,050 (2,700 youth aged 12-17 and 1,350 adults); 75,000 will be reached through educational media. Project initiatives will be age-specific, developmentally appropriate, and culturally sensitive. Data will be disaggregated to ensure infrastructure is developed and enhanced to engage subpopulations, including underserved populations. Other indicators of success include declines in local DWI rates, school punitive actions for substance use, and emergency room visits related to mental health and/or substance use.

The catchment area is Cocke County, Tennessee, a rural county (landmass 434.57 square miles) located in the Appalachian Mountains of eastern TN. The prevention project will focus on youth aged 7-18 and their families. Prevention strategies will occur during both in-school and out-of-school. Understanding the intergenerational nature of substance misuse in Appalachia, the project also will target parents or caretakers to break the addiction cycle. WestCare Tennessee (WCTN) anticipates the demographics of the program will closely reflect the racial/ethnic demographics of the community but will place additional emphasis on low-income families who traditionally have less access to resources and care. GOAL 1: Strengthen community-level prevention capacity in Cocke County, Tennessee to address alcohol consumption, tobacco use, and vaping among youth aged 7-18 years. Objective 1.1: By December 31, 2023, complete a comprehensive Needs Assessment to identify substance use concerns, negative community consequences related to use, risk and protective factors, and subpopulations most at-risk and/or underserved. Objective 1.2: By March 31, 2024, develop a detailed implementation plan to reduce risk and enhance protective factors. Objective 1.3: By September 2028, design and post 108 prevention messages (Yl = 12; Y2-Y5 = 24 annually) on social media (e.g., Facebook, Instagram, or Twitter) related to alcohol consumption, tobacco use, and vaping. GOAL 2: Prevent the onset of or reduce the progression of alcohol consumption, tobacco use, and vaping among youth aged 7-18 living in Cocke County, Tennessee. Objective 2.1: By September 2028, provide age-appropriate evidence-based alcohol prevention education using either An Apple a Day (AAD) or Alcohol Literacy Challenge (ALC) to 210 youth aged 7-18 years (Yl = 30; Y2-Y4 = 50 annually; Y5 = 30) as evidenced by enrollment records. Objective 2.2: By September 2027, provide vaping prevention education using CATCH My Breath (CMB) to 210 youth aged 10-18 years (Yl = 30; Y2-Y4 = 50 annually; Y5 = 30) as evidenced by enrollment records. Objective 2.3: By September 2028, 90% of the youth who report tobacco use and/or vaping will receive smoking cessation education using Project CONNECT as evidenced by enrollment records. Objective 2.4: By September 2028, 80% of youth enrolled in the program will successfully complete as evidenced by their discharge status in the WestCare Clinical Data System (CDS). Objective 2.5: By September 2028, 80% of youth who complete the program will not begin using alcohol, tobacco, or vaping, remain abstinent, or reduce use as measured by a program-specific pre/post questionnaire and the GPRA. GOAL 3: Strengthen protective factors and mitigate risk factors among youth aged 7-18 years living in Cocke County, Tennessee. Objective 3.1: By September 2028, 80% of youth who complete the program will increase their disapproval of alcohol consumption, tobacco use, and vaping as measured by a program-specific pre/post questionnaire. Objective 3.2: By September 2028, 80% of youth who complete the program will increase their risk perceptions related to alcohol consumption, tobacco use, and vaping as measured by a program-specific pre/post questionnaire. Objective 3.3: By September 2028, 80% of youth who complete AAD or ALC will reduce positive attitudes towards alcohol consumption as measured by a program­ specific pre/post questionnaire. Objective 3.4: By September 2028, 80% of youth who complete CMB will reduce positive attitudes towards tobacco use and vaping as measured by a program­ specific pre/post questionnaire. Objective 3.5: By September 2028, 80% of youth who complete the program will remain in school as measured by a program-specific pre/post questionnaire.

Mississippi Youth Five-county Region for Enhancing Narcotic, Drug, and Substance Use Awareness (MY FRENDS) The Mississippi Public Health Institute (MSPHI) and its partners propose to launch MY FRENDS (MS Youth Five-county Region for Enhancing Narcotic, Drug, and Substance Use Awareness), which will directly serve 3000 youth and young adults total (600 per year) and reach another 40,000 over five years with media messaging. Groups will be demographically diverse by age, gender, and race-ethnicity. Prioritizing a range of environmental strategies to include population-based interventions, media messaging, and policy innovations, MY FRENDS will help reduce the onset and progression of substance misuse and its related problems by supporting the development and delivery of substance misuse prevention and mental health promotion services within the Hinds, Madison, Rankin, Scott, and Warren catchment area as well as among the Mississippi Band of Choctaw Indians (MBCI) in nearby east central MS. Focal populations will include youth and young adults ages 9-20 for underage drinking along with marijuana, opioid, and stimulant (MOSt) use/misuse prevention for youth and young adults. Mississippi (MS) exhibits the most pronounced negative social indicators in the US, including the nation’s most limited access to mental health services. MS youth and young adults also face many developmental hurdles. MS’s child poverty rate (28.1%) is coupled with an early age of alcohol onset and elevated underage drinking, marijuana, opioid, and stimulant risks. The communities to be served by MY FRENDS have elevated drug use rates, particularly for high school juniors and seniors, coupled with lax perceptions of harm. Nearly two-thirds of surveyed middle school and high school students perceive no risk or minimal risk associated with heavy alcohol use. About half have similarly misguided views about the perceived risks associated with regular marijuana use. These problems are magnified by MS’s permissive climate toward alcohol use and underage drinking. MS has no keg registration policy and legally permits minors ages 18-20 years old to drink beer and wine at home with a parent or guardian. The five Jackson-area counties and MBCI communities have sufficient nearness to permit simultaneous service, but each has distinctive features. Least affluent Hinds and Scott contrast with more affluent Madison, while mostly white Rankin is distinct from mostly African American Hinds and appreciably Hispanic Scott County. Urbanized Hinds stands in distinction to more rural Madison and Scott. The MBCI will add to this diverse mix of communities and cultures. MY FRENDS will use a comparative implementation and evaluation design to test the efficacy of interventions across distinct but adjacent locales that are all high-need, low-capacity. MY FRENDS will be governed by SPF, a community engagement model grounded in public health principles, data-driven protocols, and evidence-based services delivered to high-risk underserved communities. MY FRENDS will: (1) Reduce underage drinking among catchment area youth ages 9-20. (2) Reduce marijuana, opioid, and stimulant (MOSt) use/misuse for catchment area high school and college students. (3) Reduce school-related drug use consequences. (4) Increase the perceived risk of harm associated with all priority substances. (5) Track and evaluate prevention programming. (6) Reduce behavioral health disparities. (7) Establish robust data systems. (8) Improve the local drug prevention infrastructure for coalition functioning, prevention messaging, and policy development. Evidence-based practices (EBPs) will include, among others, Alcohol.edu, policy innovations (e.g., keg registration), Social Host enforcement, media messaging, Project Sticker Shock, and Hazelden’s Alternate Routes.

SAFIR's SPF-PFS grant aims to strengthen the prevention infrastructure of Indian River County by fostering community collaboration, while targeting the reduction of illicit opioid use, alcohol use, and vaping among youth and adults. The target population for the project will be high-need neighborhoods throughout the county, concentrating on minorities and underserved individuals. Through the development and implementation of comprehensive programs and interventions, the project seeks to promote mental health, resilience, and hope among both adults and youth in Indian River County, ultimately improving the overall well-being and quality of life in the community.

This project will work within our communities to help reduce the onset and progression of youth substance misuse. Through a process of gathering data both through in-person focus groups and anonymous surveys, we will get to the root of why and what youth are using and what they see in their community at a protective factor as well as the risks they see around mental health, wellness and substance use. Choosing programs guided by youth input will be one way we will achieve our goals of reducing youth substance misuse. The other is to understand the community's norms through looking at the access to substances, engagement of community partners, understanding what partners are doing such as our school district and engage others serving our youth, especially parents to build their skills on how to talk to productively talk & listen with youth. This creates increased protective factors in the community as the community becomes more connected. Connection = Prevention is a key mantra we hope to infuse in our communities through the work of this grant. We will achieve this by using a process that has a long history of success if you follow it to fidelity. The plan includes five key steps that include assessing the community needs, looking at our capacity to meet the needs, making plans based on the data from the assessment and increasing our ability to do the work by engaging and collaborating with key partners, implementing programs that have shown to be promising or gold star in outcomes that match our needs, evaluating the success of the programs and doing it all over again. Raising up all youth and families is critical to this work. That means we will invest significant time building relationships with our underrepresented communities and work specifically on programs, messaging and events that meet their needs in a way that may not meet others. This work takes time, talent and treasure which will be taken into account as part of a sustainability plan so this work can continue to support youth and families to live healthy and productive lives.

Project Catchment Areas, Populations, Demographic Profile - The primary focus of this proposal is to 1) prevent the onset and reduce the progression of substance use and its related problems among at-risk youth and young adults aged 10-25, and 2) strengthen the prevention/promotion infrastructure and capacity within Anne Arundel and Carroll counties by sharing functions and resources and providing technical assistance and training. A priority focus is on Spanish-speaking families, LGBTQ+ individuals, and youth with parents with SUD based on high patterns of substance use, Social Determinants (SDoH) of Health Equity indicators, and Adverse Childhood Experiences (ACE's) data in Anne Arundel and Carroll counties. Anne Arundel County had the third highest rate of intoxication deaths in 2020 in Maryland. Carroll County had a 6% increase in overdoses in Hampstead/Manchester in 2021 (12% were in youth under 24). The population served will include 25,000 individuals. Providing Services to Priority Populations - In Maryland, 19.4% of high school students that identify Gay, Lesbian or Bisexual had their first drink before age 13, 27.6% reported past 30 day alcohol use, 24.6% past 30 day marijuana use. In Anne Arundel County, Black residents are more than twice as likely to lack health insurance and the Hispanic population is almost three times more likely, in comparison to White residents, and 10% of the county's population live in medically underserved census tracts: Annapolis, Glen Burnie, Brooklyn Park, and Severn zip codes have high poverty, households on SNAP, and minority populations. In Annapolis, Hispanic residents make up 22.8% of the population. 8.1% of residents in poverty, 10.99% overdose deaths. Brooklyn Park is medically underserved and a health shortage area, 24.8% of residents in poverty, 60.9% minority population, 13.09% overdose deaths. BGCCC sites include Westminster, Taneytown, Hampstead, Sykesville, and Mt Airy: 44% of members are classified as minorities, 64% receive FaRMS (free and reduced lunch), and 70% are designated as low to moderate income by the Department of Housing & Urban Development. BGCCC also provides outreach to Spanish-speaking populations. Currently, 27 % of youth in the after-school program in Westminster identify as Hispanic. Middle school sites (Northwest, North Carroll, Sykesville and Mt Airy) serve an additional 15% of Hispanic youth. We also address the needs of the LGBTQ+ populations in our catchment areas: 22.6% LGB youth report emotional abuse; Household Substance Use- - 20.4% Black, 28.9% Hispanic/Latino, 36.1% LGB, 40.4% transgender; and HS Substance Use- 41.10% Hispanic/Latino, 47.5% LGB, 57.0% Transgender. GOAL 1: Reduce youth use and onset of substances in Anne Arundel and Carroll counties by implementing early childhood interventions, family-based programs, community/ environmental approaches that address high-risk behaviors that lead to use initiation. Alignment with Statement of Need: 1) Youth aged 10-25 are at highest risk Objectives: 1) Reduce the rate of substance use by 10% among those 12-25 years old; 2) Reduce the number of alcohol and drug-related hospitalizations in the catchment area by 10%; 3) Reduce alcohol and drug-related overdose mortality in the catchment area by 5%. GOAL 2: Increase the capacity of the substance use prevention systems in Anne Arundel and Carroll counties to reduce the SDoH indicators that may contribute to substance use. Alignment with Statement of Need: There currently is limited infrastructure for prevention efforts in the catchment areas. Objectives: 1) BHRT staff will have trained 75% of county level prevention staff on SPF and addressing SDoH indicators; 2) Prevention staff will administer upstream evidence-based programs in substance use to 5+ sites; 3) Increase SPF knowledge/skills of the state workforce by 10%.

POPULATION SERVED: Native American (Apache) children and adults residing on the Fort Apache Indian Reservation in Arizona with a focus on children and adolescents. STRATEGIES & INTERVENTIONS: This project will provide mental health, behavioral health, and substance use disorder resources and prevention strategies to Apache children and youth. Services will help reverse normalization of substance use in the community and include partnership-building, screening and referral to specific resources provided by the project; public prevention activities; provision of training to parents, families, and community members; and the establishment of a community advisory board to promote infrastructure coordination and development. PROJECT GOALS AND OBJECTIVES: The project's three goals are (1) expand access to evidence-based, culturally-informed programming for the focus population by implementing community-based mental health promotion and wellbeing services in collaboration with schools located on the Fort Apache Indian Reservation, (2) decrease substance use and abuse in the target population by expanding access to culturally-informed, evidence-based intervention programs for Native American youth, and (3) increase the capacity of families of the focus population and members of the community to recognize and address substance use, misuse, and abuse. The objectives aligned to these goals are (1a) to provide culturally-grounded group prevention programming for at least 50 children and youth identified by Fort Apache Indian Reservation schools as at-risk for mental/behavioral health warning signs, (2a) screen at least 100 children and youth for substance misuse through the Apache community-based surveillance system and referred those eligible for services, (2b) offer individualized brief psychoeducational interventions to at least 30 children and youth who screened positive for substance misuse, (3a) train at least 30 adult community members annually about the signs of substance misuse/disorders and how to refer individuals for services through a learning series and other community events in partnership with Apache Behavioral Health Services (White Mountain Apache Tribe) and other community stakeholders, and (3b) annually publish 4 public service announcements in the newspaper, host 4 awareness-oriented radio talk shows, and distribute educational materials at 4 community outreach events. NUMBER OF INDIVIDUALS SERVED: This project will reach many people on the reservation through broad community outreach, public service announcements, and distribution of prevention materials at events and activities. However, we anticipate directly serving about 1,050 people. This includes 100 screened individuals, 80 students receiving direct services, and 30 adults participating in training sessions.

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

Title: Franklin County, KY Strategic Framework Prevention Program Summary: Yes Arts seeks Strategic Prevention Framework funding to conduct programming that reduces the onset of substance misuse among middle and high school students in Franklin County, KY. In partnership with the Wanda Joyce Robinson Foundation and the Just Say Yes coalition administered by the Franklin County Health Department, the project team will target vulnerable teens, including underserved populations (racial or ethnic minority; lesbian, gay, bisexual, or questioning their sexual orientation; identify gender as non-binary or “other”; and/or parent/caregiver history of incarceration). Local evidence-based programming will include Youth Cafes, Parent Cafes, YES Card promotion, the KRUSH program, and other activities. Population Served: The project will serve the community of Franklin County in central Kentucky. Franklin County has a total population of 51,118, 20.8% of whom are under 18 years old. 51.8% of residents are female. The racial and ethnic make-up of Franklin County is 81.2% Non-Hispanic White, 10.3% Non-Hispanic Black, 3.8% Hispanic, 2.2% Asian, and 0.4% American Indian & Alaska Native. The median household income is $59,900 and 90% of residents have completed high school. 18% of children live in poverty, and 29% live in single-parent households. Franklin County Youth Survey data showed that 23% of 7th-10th grade students consider themselves to be lesbian, gay, bisexual, or questioning their sexual orientation. Strategies/Interventions: Programming that will address substance misuse and risk & protective factor trends among local youth will include Youth Cafes, YES Card promotion, the KRUSH program, and other evidence-based activities. Project Goals and Measurable Objectives: Goal 1 – Increase awareness • 70% or above response rate from 7th-12th graders in annual Franklin County Youth Survey • Yearly analysis of the Franklin County Youth Survey through 1 community-wide report and 6 school-level reports • Database to track prevalence of 3 priority substance misuse indicators and 6 priority risk and protective factors among 3 priority underserved populations of focus • 4 biannual reports on data from each partner’s data instrument, with a focus on cultural competence and analysis including racial disparities • Outreach to 7,500 community members on Franklin County Youth Survey analysis findings Goal 2 – Strengthen capacity • Attend and meaningfully engage in at least 5 community-wide partner meetings • Partner with 5 community organizations whose clientele are majority underserved populations • Hire a 0.5 time Program Coordinator • Hire a 0.75 time Community Prevention Messaging and Outreach Specialist • Develop a Community-Wide Prevention Sustainability Plan focused on asset mapping, staff retention, and staff transitions • Train 25 community agencies and 250 community members in Trauma-Informed Approaches, Behavioral Health Equity, Cultural Competency, and Substance Misuse Risk & Protective Factors • Train 12 youth leaders in Youth Cafes • Complete an actionable plan for a cultural competency and equity assessment of all Franklin County SUD prevention organizations Goal 3 – Decrease youth substance misuse • 25% of Franklin County middle schoolers will use YES Cards to pay for evidence-based after school and out-of-school programming • 20 caregiver-led Parent Cafes will have been held in Franklin County • 10 youth-led Youth Cafes will have been held in Franklin County • 1,000 Franklin County youth will have received high-quality, evidence-based youth programming from the applicant and sub-recipients • 200 Franklin County students impacted by incarceration will have received weekly evidence-based programming through the Wanda Joyce Robinson Foundation’s KRUSH program • Yes Arts will have provided 500 evidence-based programs to Franklin County youth with a family history of SUD Number of people served: 1,600 annually; 8,000 over 5 years

Palm Beach County Behavioral Health Coalition's proposed Palm Beach County partnerships for Success will provide resources, leadership, proven strategies, and program evaluation to strengthen local prevention capacity and infrastructure in Hispanic youth. The project will reduce high rates of drinking, marijuana and electronic nicotine delivery systems use among youth and address mental health concerns. The program goals are to strengthen prevention capacity/infrastructure at the community level and reduce youth substance abuse and correlated problems. The community we serve is highly diverse with nearly 58% of its 160,000 local students eligible for free and reduced lunch. However, disparities are evident with higher use rates and mental health concerns, which highlights the need for infrastructure development that will improve, lower, and sustain the capacity of substance use prevention and promote mental health. Using evidenced based strategies we expect to reach 60,000 annually and 240,000 throughout the full duration of the project. Program goals are to strengthen capacity/infrastructure at the community level and reduce youth substance use and substance abuse-related problems. Goal 1 objective is to increase community capacity for prevention by increasing community substance use prevention initiatives by 10% as measured by the number of prevention activities and campaigns that are implemented at the local level by 9.29.2028. Goal 2 objective is to reduce past 30 day alcohol and marijuana use by 5% among PBC middle and high school students and increase perception of harm among them by 10% as measured by the bi-annual Florida Youth Substance Abuse Survey (FYSAS), Florida Specific Youth Survey (FSYS) and focus groups. Utilizing the strategic prevention framework produced by CADCA, we will be focused on the assessment, capacity building, planning, implementation, evaluation, and utilizing a continuous improvement model.

Oklahoma State University Community Wellness Programs Project: PRISM The primary focus of this proposal will be the creation of the Center for Prevention Research and Intervention on Substance Misuse (PRISM) at Oklahoma State University (OSU). The purpose of the PRISM will be to prevent the onset, and reduce the progression, of substance misuse and reduce substance misuse-related problems among students, faculty, and staff at OSU, as well as in Payne County, OK. The proposed catchment area for this project includes OSU, Payne County, and its communities. Stillwater is the county seat for Payne County, a rural county in north-central Oklahoma. According to the Census Bureau, Stillwater is the tenth largest city in Oklahoma with a population of 48,394, while its MSA has a population of 81,646 according to the 2020 census. Stillwater has a land area of 229.79 square miles and a population density of 1,624.5 people/square mile. OSU is a large, public, land grant university with an enrollment of 24,649 undergraduates and graduate students from over 100 countries and all 50 states. OSU is the sixth largest employer in the state of Oklahoma with approximately 7,100 employees system wide. The presence of a large, land grant university, in a rural community, lends itself to several unique substance use/misuse challenges. First, college-aged drinking is widely identified as a substance misuse problem nationwide. Following these trends, 48.5% of OSU students who took the National College Health Assessment in 2022 (NCHA) reported binge drinking at least once within the past two weeks, at the time of the survey. Of further concern, 19.9% of students who reported drinking alcohol experienced a brownout episode within the past 30 days. A full 10.1% of the same students reported at least 1 full blackout episode in the past 30 days. In 2018, Oklahoma passed one of the least restrictive medical marijuana laws in the nation. Accordingly, marijuana use rates on campus, and in surrounding communities, have rapidly increased. Of the students surveyed, 41.7% report lifetime use of marijuana with 19.2% of those reporting use within the last 30 days. In addition, 14% of those reporting past cannabis use also indicated their use of marijuana led to health, social, legal, and/or financial problems. Campus leaders are largely aware of these issues, and OSU does produce a wide variety of resources and some interventions aimed at preventing substance use/misuse among students and staff. These efforts often remain siloed, however, and are rarely evidence-based or evaluated as effective behavioral change agents. PRISM will implement a unified and comprehensive approach to prevention programming at OSU and in its surrounding communities. This will include a mix of evidence-based programs, policies, and/or practices that best address the community's selected prevention priorities. This centralization will ensure more efficient and effective interventions with more measurable outcomes more likely to produce sustainable behavior change. Additionally, it will allow PRISM to provide focused and effective TA and training, based on the needs of the requesting entity. PRISM will work to strengthen prevention capacity infrastructure at the community level by working with a community coalition to ensure cultural competency, identify disparate populations, and affect environmental level interventions.