PROSPER Step-by-Step, State-by-State (P2S): Expansion of an Extension-Based Opioid Prevention Capacity-Building System

The project affects 10 states Extension systems and the communities they work with (CO, KY, TN, MO, UT, VT, IA, VA, OH, PA). Like other states implementing PROSPER, TN and KY will be implementing a multi-step, Extension-powered prevention T/TA capacity-building system guided by the scientifically proven PROSPER Delivery System. The PROSPER Delivery System remains one of the few models proven as efficacious for the high-quality delivery of evidence-based programs, and it currently is the only system designed for use within Extension that has been shown to reduce opioid misuse through a randomized controlled trial. Our primary prevention T/TA and capacity-building goals will be pursued with an innovative partnership among the PROSPER Network Organization based in the ISU Partnerships in Prevention Science Institute, The University of Tennessee, the University of Kentucky, the National Guard Counterdrug Task Force, the Midwest Counterdrug Training Center, and Public Health partners. PROSPER’s positive results to date are expected to be enhanced by the proposed multi-step T/TA capacity-building system that adapts the original PROSPER model, adding programming content and prevention strategies to specifically address the risks of opioid and prescription drug misuse. The proposed T/TA capacity-building system--called PROSPERing Step-by-step, State by state (P2S)--entails: (1) Mobilizing and Organizing for the P2S System; (2) Conducting Supplemental Training at the County Level for P2S Implementation; and (3) Conducting Core Programming/ Prevention Activities. This will be followed by P2S planning that includes strategies for conducting specialty trainings (e.g., media, environmental strategies) and capacity building for sustainability. Significantly, this project will demonstrate a proven and sustainable T/TA model that can continue to scale nationally. This project will continue the capacity building for the scale up among Extension and Public Health stakeholders and prospective P2S trainees in additional states, enhancing their capacity to support a comprehensive community systems approach to address the opioid epidemic and achieve positive impacts for their youth and families.


Principal Investigator: Greg Pliler

Funder: Substance Abuse and Mental Health Services Administration (SAMHSA)