Northwest Prevention Technology Transfer Center - Every year, Region 10 communities lose millions of dollars and thousands of bright futures to alcohol, tobacco, other drug use, suicide, violence, and crime. The Region 10 Northwest Prevention Technology Transfer Center (NWPTTC) aims to advance the substance misuse prevention workforce's ability to activate community prevention by applying prevention and implementation science principles to select, implement, and evaluate equity-informed approaches that reduce substance misuse and its' harmful consequences. Through this Center, the IMProving Prevention Through ACTion (IMPACT) Research Lab at Washington State University, in close collaboration with the Social Development Research Group at University of Washington, and the Center for the Application of Substance Abuse Technologies at the University of Nevada, Reno, will serve the substance misuse prevention workforce in Alaska, Idaho, Oregon, and Washington, including 271 Federally Recognized Tribes, and hundreds of community coalitions and Certified Prevention Specialists (CPS) by providing consistent access to high quality, culturally sensitive training and technical assistance (TTA) that enables them to address disparities in the access, use, and outcomes of behavioral health prevention. The NWPTTC aims to serve 5,625 individuals by the end of Year 5 (1,125 per Year, Years 1-5) through in-person and distance training workshops, one-on-one and small group technical assistance consultations, online self-paced courses, a prevention fellowship program, a leadership academy, and other TTA events and products. We will accomplish this by building upon and extending the successful partnerships and TTA developed over the past six years to achieve five primary goals: 1) Effectively and efficiently collaborate and communicate with local, regional, and national prevention partners on an ongoing basis to identify regional prevention workforce needs, enhance the effectiveness and reach of TTA, and reduce duplication of efforts; 2) Deliver innovative basic TTA to improve Region 10 prevention workforce knowledge and awareness of prevention science-informed practice that promotes health equity and addresses disparities in the access, use, and outcomes of behavioral health prevention; 3) Deliver innovative targeted TTA to improve Region 10 prevention workforce skills in substance misuse prevention that promote health equity and address disparities in access, use, and outcomes of behavioral health, and increase the number of Region 10 CPS; 4) Deliver innovative intensive TTA to sustain and increase prevention leaders and organizations’ capacity to address disparities in the access, use, and outcomes of behavioral health prevention; and 5) Develop and execute a data-driven continuous quality improvement approach to evaluate and improve the effectiveness of the NWPTTC TTA products and services.