A comprehensive prevention program includes a broad array of prevention strategies directed at individuals who have not been identified as needing treatment for substance abuse. The comprehensive prevention programs shall include activities and strategies appropriate for the target group and are provided in a variety of settings for both the general population, as well as targeted sub-groups who are at high risk for substance abuse.

(1) Universal Prevention. Universal prevention programs promote a proactive process that addresses the health and wellness of individuals, families, and communities by enhancing their protective factors. Services are designed to deter the use of ATOD and to foster the development of social and physical environments that facilitate healthy ATOD-free lifestyles. This program type is designed to target a very large audience or population, such as community, school or neighborhood that has not been identified on the basis of individual risk. The required strategies are as follows: (A) information dissemination; (B) education; (C) alternative activities; (D) problem identification and referral; (E) community-based process; and (F) environmental, as defined in 42 CFR, §96.125(b).

(2) Selective Prevention. Selective prevention programs promote a proactive process to address and promote the health and wellness of individuals, families, and communities by enhancing protective factors and by averting factors that place an individual at risk for substance abuse. Services target individuals or subgroups of the general population who are determined to be at risk for substance abuse, such as children of substance abusers. This program type is designed to target individuals whose risk of developing a substance use or abuse disorder is significantly higher than average. The required strategies are as follows: (A) information dissemination; (B) education; (C) alternative activities; (D) problem identification and referral; (E) community-based process; and (F) environmental, as defined in 42 CFR, §96.125(b).

(3) Indicated Prevention. Indicated prevention programs identify individuals who are experiencing early signs of substance abuse and other related problem behaviors associated with substance abuse. These individuals have not reached the point where a clinical diagnosis of substance abuse can be made. This program type is designed to target youth who are showing early warning signs of substance use, such as experimenting or abuse, and/or exhibiting other problem behaviors that may lead to substance use or abuse if not addressed. The required strategies are as follows: (A) information dissemination; (B) education; (C) alternative activities; (D) problem identification and referral; (E) community-based process; and (F) environmental, as defined in 42 CFR, §96.125(b).

(4) Community Coalition Partnership. A community coalition partnership is a collaborative partnership of individuals and/or organizations that strives to prevent and reduce illegal and harmful use of ATOD by implementing community- and evidence-based environmental prevention strategies designed to affect the social, cultural, political, and economic processes of communities. The required strategies are as follows: (A) information dissemination; (B) community-based process; and (C) environmental, as defined in 42 CFR, §96.125(b).

(5) Prevention Resource Center (PRC). A prevention resource center is a regional prevention education materials clearinghouse, and regional prevention training coordinating entity within each of the eleven Health and Human Services Commission's public health regions. The required strategies are as follows: (A) information dissemination; (B) community-based process; and (C) environmental, as defined in 42 CFR, §96.125(b).

Source Note: The provisions of this §321.7 adopted to be effective September 2, 2012, 37 TexReg 6600; transferred effective March 15, 2020, as published in the February 21, 2020 issue of the Texas Register, 45 TexReg 1240