The Partnership for Success in Montana Project will address SAMHSA's priorities, the prevention of underage drinking among person aged 9 to 20, and two additional state priority substances: youth misuse of marijuana and methamphetamine. The project uses the Strategic Prevention Framework to employ a two-level prevention approach. Level 1 focuses on 12 specific high-need counties by utilizing the Selective approaches. Level 2 utilizes Universal prevention approaches for disproportionately impacted populations in all counties.
The 12 identified as high-need counties to be served through Level 1 Selective approaches include: Big Horn, Blaine, Dawson, Deer Lodge, Hill, Glacier, Lake, Lincoln, Madison, Powell, Roosevelt and Rosebud. Counties were selected by ranking rates of substance use surveys and violations, probation rates, teem birth rates, juvenile offenses and high-risk indicators for youth. These frontier counties have significant Native American population, and experience high rates of unemployment, poverty, overall substance use and legal infractions. Each community will implement the Strategic Prevention Framework with an emphasis on building capacity to sustain a community level prevention infrastructure. Universal and environmental evidence based prevention programming, policy changes and practices, and connecting high risk youth and families to prevention services via the Montana CONNECT system will improve overall healthy development and resiliency. The expected reach: 24,186 youth (ages 9-20) and 110,890 adults across the life of the project.
The goal of Level 2 will be to prevent the onset of youth substance abuse by focusing on preventing harm, promoting primary prevention efforts across all communities, and improving collaborations to support family and healthy youth development. The following strategies will be implemented: 1) Engaging Montana Parents campaign to improve the Social Emotional Skills of parents and youth with an eye to foster parents, grandparents raising grandchildren, and parent wellness; 2) Implementing SMART Moves to reach 1200 youth served through the Montana Alliance of Boys and Girls Clubs; 3) Creating a Healthy Pregnancy Outcomes Consortium including Maternal Child Health and Healthy Mothers/Healthy Babies, to develop a statewide media campaign to increase knowledge of the effects of using substances during pregnancy, reduce stigma for seeking help, and engage in an on-line referral process to state/local resource. The Level 2 strategies will wraparound the identified Level 1 county-level prevention efforts. The expected reach:153,553 youth ages(9-20) and 789,017 adults across the life of the project.
By 2023, the goal is to reduce youth 30-day use rates of alcohol and marijuana statewide and within each of the high need counties by 5% using the 2016 Prevention Needs Assessment (PNA) Baseline: Alcohol - on-probation 53.3%, in foster care 32.3%, on reservation 29%; Marijuana - on probation, 40.4%, in foster care 23.9%, on reservation 15.7%. Additionally, by 2023, reduce youth 30-day use rates of meth by 0.2% using the 2016 PNA Baseline: Meth - on probation 2.6%, in foster care 1.5%, on reservation 0.3%