The Multnomah County Health Department (MCHD) Strategic Prevention Framework Project will serve Multnomah County, Oregon, and will positively impact substance use disorder/mental health outcomes and root cases for all 808,098 county residents by prioritizing the needs of BIPOC youth. Multnomah County's total population is 7.5% Asian, 5.4% Black/African American, 12.3% Latine, 12.9% multiracial, 1.0% Native American/Alaska Native, 0.6% Pacific Islander, and 67.4% white, non-Latine. Compared to the 32.6% of the total population identifying as BIPOC, 46.6% of Multnomah County's children and youth are BIPOC.
Specific prevention interventions to be implemented will be determined during the Strategic Prevention Framework community engagement process, but will include community prevention messaging and prevention programming providing individual and small group services. All activities will work toward the following goal and objectives. GOAL: Promote protective factors among youth, especially BIPOC and other systemically marginalized populations, to foster resilience and emotional wellbeing across the lifecourse and reduce the onset and progression of substance misuse and its related problems. Objective 1: Meaningfully engage and expand partnerships with community-based organizations (CBOs), schools, community members, and people with lived experience to identify priorities and effective, evidence-based and/or innovative approaches and implement corresponding interventions. Objective 1.a: By December 31, 2024 (90 days within start of grant), involve at least four youth/youth-representing coalitions, three culturally specific CBOs, two SUD service agencies, and five school districts in input-gathering sessions. Objective 1.b: By March 31, 2025 (180 days within start of grant), contract with at least 2 partner organizations to implement evidence-based interventions. Objective 1.c: By September 29, 2025, 2026, 2027, 2028, and 2029, involve at least four youth/youth-representing coalitions, three culturally specific CBOs, two SUD service agencies, and five school districts in program quality improvement. Objective 2: Expand primary prevention programming tailored to youth, BIPOC, and LGBTQ2SIA+ communities with a focus on protective factors, Adverse Childhood Experiences (ACEs), and root causes of illicit substance misuse. Objective 2.a: By March 31, 2025, implement at least two new prevention programs providing individual and small group services. Objective 2.b: By September 29, 2025, reach 50 individuals with new prevention programs providing individual and small group services, with at least 50% identifying as BIPOC. By September 29, 2026, 2027, 2028, and 2029, reach 100 individuals with these programs each year, with at least 50% identifying as BIPOC. Objective 3: Expand community-wide substance misuse prevention messaging to increase awareness and encourage helpful, supportive conversations across generations and across socioecological contexts. Objective 3.a: By September 29, 2025, 2026, 2027, 2028, and 2029, expand substance misuse prevention campaigns by at least one specific population focus each year (e.g., transcreate campaign materials in an additional language, tailor for an additional type of trusted adult in young people’s lives, etc.). Objective 3.b: By September 29, 2025, 2026, 2027, 2028, and 2029, increase reach of community substance misuse prevention messaging by partnering with one culturally specific and/or youth-engaging media source each year.
Exact numbers of people to be served will depend on the specific interventions selected after the community engaged planning process. MCHD estimates that prevention programming providing individual/small group services will reach 50 individuals in Year 1 and 100 annually in Years 2-5 (450 total). Community prevention messaging’s reach will be much greater, potentially reaching hundreds of thousands if broad communications campaigns are implemented.