FY2023 Strategic Prevention Framework-Partnerships for Success for States-North Carolina - The Division of Mental Health, Developmental Disabilities, and Substance Use Services (DMH/DD/SUS) of the North Carolina Department of Health and Human Services (NC DHHS) will serve North Carolinians at highest risk for underage alcohol use, prescription drug and cannabis products misuse through the proposed 2023-2028 North Carolina Strategic Prevention Framework-Partnership for Success (NC SPF-PFS) project. The purpose of this project is to prevent the onset and reduce the progression of underage alcohol use, prescription drug misuse, cannabis products use, their related consequences and the enhancement of quality mental health, social emotional health and resilience for youth and young adults ages 12-25 in counties and populations of high need across North Carolina. Evidence-based prevention programs, policies, and practices will be implemented for youth and young adults ages 12-25, communities and underserved areas within selected communities. The NC SPF-PFS will focus 60% of the total grant funding toward subrecipient grants in six communities showing greatest need related to the prevention of youth alcohol, prescription drug misuse and cannabis products use. All are economically distressed, rural, racially/ethnically diverse areas, and In addition, subrecipients awarded funding will spend at least 50% of their funds to address the needs of a disparately impacted population in their area. NC DHHS will award subaward grants in six of the following nineteen eligible counties: Bertie, Bladen, Duplin, Edgecombe, Greene, Halifax, Hertford, Hoke,Lenoir, Martin, Nash, Northampton, Robeson, Sampson, Scotland, Tyrrell, Washington, Wayne and Wilson counties. These focal communities will receive guidance and support in implementing the Strategic Prevention Framework, and in implementing evidence-based programs, policies, and practices for preventing underage drinking, prescription drug misuse, and cannabis products use focusing on the following goals: Goal 1: Increase perceptions of harm of alcohol, marijuana and other cannabis products, and prescription medication misuse among youth and young adults ages 12-25 in underserved communities Goal 2: Decrease easy access to alcohol and prescription medications among youth and young adults ages 12-25 in underserved communities Goal 3: Reduce the onset and progression of alcohol, marijuana and other cannabis products, and prescription medication misuse among youth and young adults ages 12-25 in underserved communities. Goal 4: Promote social emotional health and resilience and enhance mental health among youth and young adults ages 12-25 in underserved communities Goal 5: Increase the prevention infrastructure capacity in underserved communities to utilize the SPF to implement data-driven substance misuse prevention and mental health promotion strategies