A comprehensive primary substance use and misuse prevention program that includes activities and services in many settings directed at people who have not been determined to require treatment for a substance-use disorder within the Institute of Medicine's Continuum of Care (PDF).

Grantees providing substance use and misuse prevention services must follow Substance Abuse and Mental Health Services Administration's Strategic Prevention Framework model as a guide to assist in planning and implementing prevention strategies, programs and related activities.

The Health and Human Services Commission's Medical and Social Services Division-Behavioral Health Services section funds 225 school and community-based programs statewide to address consequences and problem behaviors related to the state's four prevention priorities: underage alcohol use, underage tobacco and nicotine products use, marijuana and other cannabinoid use, prescription drug misuse, and the use and misuse of other drugs and substances. Substance Use and Misuse Prevention offers five individual program types that are listed as follows:

  • Community Coalition Partnerships - Programs that work in the community to engage and mobilize various sectors of the community to implement evidence-based environmental strategies with a primary focus on changing policies and influencing social norms related to substance use and misuse.
  • Prevention Resource Centers - Work to increase the capacity of the statewide substance use and misuse prevention system by enhancing community collaboration, increasing community awareness and readiness, providing information and resources on substance use and related behavioral health data, supporting professional development of the prevention workforce, and providing resources for evaluation activities within each service region. Prevention Resource Centers also support the federal Synar requirement by conducting voluntary tobacco retail compliance checks throughout the state to help reduce youth access to tobacco and other nicotine products.
  • Youth Prevention Indicated – Provide strategies and interventions that address people because of initiative behaviors and related risk factors that place them at an elevated risk for substance use and misuse. While the target population might show early signs of substance use and misuse, indicated services are not designed for people with a diagnosable substance use disorder.
  • Youth Prevention Selective – Provide strategies and interventions that address specific subgroups of the general population known to have risk factors that increase the likelihood of substance use and misuse.
  • Youth Prevention Universal – Provide strategies and interventions that address the general public or a segment of the entire population with average probability of developing a substance use disorder, risk or condition.

The primary strategy and intervention employed by the Youth Prevention Programs is the delivery of evidence-based curricula (Excel), recognized by Substance Abuse and Mental Health Service Administration and approved by HHSC. Prevention contractors deliver one of the 10 HHSC-approved evidence-based prevention curricula:

  • All Stars
  • Creating Lasting Family Connections
  • Curriculum-Based Support Group Program
  • Life Skills Training
  • Positive Action
  • Project Toward No Drug Abuse
  • Reconnecting Youth
  • Strengthening Families Program: For Parents and Youth 10-14
  • Strengthening Families Program: 14-session curriculum
  • Too Good for Drugs

(See HHS Approved Youth Prevention Curricula [PDF] for more details.)

In addition, the Strategic Prevention Framework-Partnerships for Success and the Strategic Prevention Framework-Prescription Drugs discretionary grants have been awarded by Substance Abuse and Mental Health Service Administration to provide for additional primary prevention activities across Texas.

Strategic Prevention Framework-Partnerships for Success consists of eight funded community coalitions, located in high needs counties of Dallas, Tarrant, Harris (two), Bexar and the border counties of Cameron, Hidalgo and Zapata, all tasked at reducing underage alcohol consumption and prescription drug misuse and abuse. These coalitions were developed to mobilize the community to implement evidence-based environmental strategies with a primary focus to change policies and influence social norms related to substance use and misuse. To find additional information about the Strategic Prevention Framework-Partnerships for Success discretionary grant, click here.

Strategic Prevention Framework-Prescription Drugs is a five-year discretionary grant with the purpose of raising awareness about the dangers of sharing prescription medications and collaborating with pharmaceutical and medical communities on the risks of overprescribing to young adults. It brings prescription drug abuse prevention activities and education to schools, communities, parents/guardians, prescribers and their patients. Strategic Prevention Framework-Prescription Drugs grant funds must be used primarily to support infrastructure development and enhance current prescription drug misuse prevention using statewide epidemiological and Prescription Drug Monitoring Program data to identify areas where prescription drug misuse is most prevalent, as well as gaps in the data. Additional requirements are to disseminate the Centers for Disease Control Guideline for Prescribing Opioids for Chronic Pain and use the Strategic Prevention Framework model to develop a statewide needs assessment, strategic plan and implementation plan. Interagency coordination among state agencies will be pivotal to accomplish these goals. Substance Abuse and Mental Health Service Administration will track reductions in opioid overdoses and the incorporation of Prescription Drug Monitoring Program data into needs assessments and strategic plans as indicators of the program's success. To learn more about the Strategic Prevention Framework-Prescription Drugs discretionary grant, click here.

Contract and Statements of Work

Statements of work listed on the website are generalized. For contract-specific requirements such as quarterly and yearly goals for performance measures, target populations and required evidence-based curriculum, the contractor must refer to the statements of work specified for each of their programs' contracts.