Where are we failing before people ever enter treatment?

• What populations are we not reaching at all?

• Where are prevention services not accessible or not utilized?

What is getting worse—and why?

• Are you seeing increases in certain substances, age groups, or risk behaviors?

• What environmental or social drivers are contributing?

What barriers are limiting prevention effectiveness?

• How are policies like parental consent (e.g., SB12) affecting reach?

• What funding or reporting requirements are limiting flexibility?

What models are actually working?

• Which programs are showing measurable behavior change or reduced risk?

• What’s scalable vs. highly localized?

Where are prevention and treatment disconnected?

• Are there missed opportunities to refer into care earlier?

• What would a better “handoff” from prevention to intervention look like?