This CARA proposal will address the public health problems of prescription drug and opioid use amongst youth ages 12 to18 years old by using the 7 strategies for community change to increase the youth perception of harm of prescription drug/opioid use. Northwest Family Services? Vibrant Future Coalition (VFC) will work to improve the capacity of VFC to address prescription drug/opioid misuse and abuse among youth, with special attention to Latinx youth, by increasing coalition membership of this particular audience. Finally, we plan to increase the number of people and organizations that get trained to help curb prescription drug/opioid use, misuse and abuse.The outcomes we expect to achieve are as follows:CARA Goal 1: Reduce prescription drug and opioid misuse/abuse in youth in North Clackamas.Objective 1: By June 30, 2025, increase by 6 percent in 11th, 8th and 6th grade, youth perception of harm of prescription drug misuse/abuse as indicated in Student Health Survey.Objective 2: By June 30, 2025 increase by 2,800+ people (at least 800 Latinx) and 40+ organizations (at least 12 Latinx focused organizations) those trained and working on curbing community opioid misuse/abuse, especially by youth, as measured by number of people and organizations who have successfully completed 1+ trainings on PMOP initiatives (Naloxone, Opioid Prevention, SBIRT, etc.).CARA Goal 2: Change the culture and context regarding accessibility of youth opioid/prescription drug use/misuse in the North Clackamas community. Objective 1: By June 30, 2025, expand and improve the capacity of VFC to address prescription drug/opioid misuse and abuse among youth ages 18 years old and younger, with special attention to Latinx youth, by increasing coalition membership working directly on prescription drug/opioid prevention strategies by 80% as measured by the number of growth of Latinx members that attend monthly Macro committee and Prevention & Equity committee meetings.There
has been a widespread and growing opioid and prescription drug problem plaguing our youth and families in the North Clackamas community. Some of the most concerning statistics include the perception of harm of prescription drugs among youth in all grade levels that are reported on the Oregon Student Wellness Survey. Throughout the entire school district, the students who perceive there is ?little to no risk? in using prescription drugs has been increasing every year since 2014. In 2014, 17.5% of 6th graders, 12.6% of 8th graders and 9.4% of 11th graders perceived there to be little to no risk. In 2018, this increased by 2% amongst 6th graders, and almost 4% amongst 11th graders. In 2014, peer disapproval rate was 81.7% in 6th grade, 77.1% in 8th grade, and 81.1% in 11th grade for an average of 79.9 %, which means over 20% of youth did not feel that their peers thought it was wrong or very wrong. In 2016, the average across all three grades was 80.7%, or again, around 20% of youth did not feel that their peers believe this dangerous trend was wrong or very wrong for them to engage in. The abuse and attitude vary in our large school district. At New Urban High School, almost one out of five youth abused prescription medications in the last 30 days (SWS 2018). Regardless of the slight variances over time, it is alarming that prescription drug and opioid use are on the rise; intervention is in order. While VFC?s efforts have greatly impacted the community; continued support is vital to ensure sustainability and progress. Our focus on the Latinx community will help us to better refine our efforts and be able to offer culturally specific strategies to address the rising use of prescription drugs and opioids among Latinos.