Memphis-Shelby County Schools - Component 1 (see abstract) - Memphis-Shelby County Schools (MSCS) proposes to provide Component 1 services in the metropolitan statistical area of Memphis, TN, a high-need, high-poverty city. In its Year 1 work plan for the four approaches that make up the What Works in Schools Model (HED, HS, SSE, and ENGAGE), MSCS will build on its current work as a DASH 1807 recipient. The project team will work with all middle and high schools and will identify three schools in healthcare deserts to serve as a student-led pilot addressing all four approaches. The project team’s HED, HS, and SSE partnerships with community organizations and the district’s own internal partners will benefit from all partners’ strong history of participation in DASH 1807 grant-funded professional development. Parent engagement strategies used in DASH 1807 will be continued, especially as students transition in and out of the district’s Alternative programs. The current service learning embedded in MSCS’s HED curriculum (Michigan Model – Family Life) will be expanded through collaboration with MSCS departments Curriculum & Instruction, Student Affairs, Equity, and Family & Community Engagement to identify and compile lists of key mentoring, service learning, leadership, and other positive youth development opportunities available to middle and high school students in school and in the community. The current School Based Health Clinics (SBHCs) will work with project staff and MSCS Communications to increase marketing and education that leverages student voice. Student Advisory groups will work with project staff to utilize assessment tools to ensure SBHCs and the district’s Family Wellness Centers are youth friendly places to receive health services, with a focus on sexual, behavioral and mental health services. Student-gathered data will be used to drive professional development topics. The project team will work with clinic and center managers to set up training and share results. MSCS plans to incorporate all ACEs questions (Tier 2) into its surveillance activities. In its Year 1 work plan for surveillance, all activities will move the district and the Memphis community towards a long-term goal of increased understanding of youth risk behaviors and school health policies and practices as measured by the YRBS and School Health Profiles. As in previous administrations of the YRBS in MSCS, the survey will be administered to both middle and high school students. Short-term outcomes will be to obtain weighted YRBS and School Health Profiles data for the district and subgroups and to develop baselines for intermediate and 5-year outcomes. The YRBS data will be used to monitor whether grant activities within the four approaches are leading to longer term positive outcomes identified in the CDC’s logic model, namely, decreasing the percentages of adolescents who participate in risk behaviors and increasing the percentages of adolescents who participate in risk avoidance behaviors. The Profiles data will be used to assess the intermediate outcomes identified in the logic model, which include increasing the number of schools that deliver exemplary health education (HE), improving students’ access to youth-friendly health services (HS), and creating and maintaining a safe and supportive environment (SSE) for students.