South Dakota's Strategic Prevention Framework-Partnerships for Success: Capacity Building in the Central Region - South Dakota's Strategic Prevention Framework-Partnerships for Success: Capacity Building in the Central Region will expand the state's capacity to implement key prevention priorities through the addition of a new Central Prevention Resource Center and support for five new community-based coalitions in the target catchment area of South Dakota’s Behavioral Health Region 2. The population to be served through direct service delivery represents nearly 77,000 South Dakotans (about 9% of total state population), with additional impacts in the area of mental health promotion statewide. The following factors are notable: 11 of the 19 counties in Region 2 demonstrated higher than the state average rates for individuals living below poverty; 10 of 19 counties in Region 2 have higher than state average minority populations, predominantly American Indian; access to behavioral health providers within 15 minutes from home is lower than average in 8 of 15 counties, only 12 of the 19 counties in Region 2 had ratio estimates of mental health providers and nine of those twelve counties had a higher ratio of mental health providers than the state; Region 2 has the highest rate per 100,000 of deaths by suicide (47.5), intentional self-harm (204.5), and intentional overdose (106.2) compared to other substate regions and the state of South Dakota. The state aims to directly impact 1,000 individuals (adults and youth) annually through the accomplishment of four goals that center on the implementation of the SPF process. Goal 1 - Increase and enhance the capacity of communities in central South Dakota to support the implementation of the Strategic Prevention Framework. Key initiatives include establishing the new Central Prevention Resource Center and five new community coalitions, with services beginning by Month 4 of the project period. Dedicated staff within the state team, including enhanced data analysis capabilities under the leadership of the state’s behavioral health epidemiologist, will be integral to the deployment of these objectives. Goal 2 - Prevent the onset of underage drinking and marijuana use and its related problems in vulnerable South Dakota counties by implementing evidence-based prevention programming and practices through the statewide prevention delivery system. In partnership with the infrastructure established in Goal 1, the state will utilize the community health assessment framework and findings to validate primary substance(s) of misuse and target development of community-based coalitions. All evidence-based interventions selected will be culturally competent and reflect the priority populations selected based on the strategic prevention framework assessment phase. Goal 3 – Reduce the profession of substance misuse among youth and adults and its related problems in vulnerable South Dakota counties. Impact measures tied to the original problems identified in the assessment phase will be defined and regularly monitored as implementation of evidence-based prevention interventions continues throughout the grant period. Goal 4 – Encourage and increase protective factors and healthy behaviors through mental health promotion activities with the aim of preventing onset of diagnosable disorders and reducing risk factors. In coordination with the state’s behavioral health awareness campaign, the team will develop and create a community toolkit that incorporates mental health promotion activities for use statewide.