Wctn SPF - 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.