1.1.1 Increase New York State's Opportunity Index Score by 5%

1.1.2 Reduce the age-adjusted percentage of adult New Yorkers reporting frequent mental distress during the past month by 10% to no more than 10.7%. Baseline: 11.9%

1.1.2.1 Reduce the percentage of adults 65+ New Yorkers reporting frequent mental distress during the past month by 10% to no more than 13%.

1.1.2.2 Reduce the adult New Yorkers with income less than $15,000 reporting frequent mental distress during the past month by 10% to no more than 9.9%.

1.1.2.3 Reduce the adult New Yorkers with incomes between $15,000 to $74,000 New Yorkers reporting frequent mental distress during the past month by 10% to no more than 21.8%

1.1.3 Reduce the number of youth grades 9-12 who felt sad or hopeless by 10% to no more than 27.4%

1.1.1 Build community wealth: Approaches include creating and supporting inclusive, healthy public spaces, using the power of anchor institutions such as hospitals to revitalize neighborhoods, supporting democratically operated worker cooperatives, reemployment and supported employment.

1.1.2 Support housing improvement, affordability and stability through approaches such as housing improvement, community land trusts and using a "whole person" approach in medical care.

1.1.3 Create and sustain inclusive, healthy public spaces: Ensure space for physical activity, food access, sleep; civic and community engagement across the lifespan

1.1.4 Integrate social and emotional approaches across the lifespan. Support programs that establish caring and trusting relationships with older people. Examples include the Village Model, Intergenerational Community, Integrating social emotional learning in schools, Community Schools, parenting education.

1.1.5 Enable resilience for people living with chronic illness: Strengthening protective factors include independence, social support, positive explanatory styles, self-care, self-esteem, and reduced anxiety.

1.2.1 Increase New York State's Economy Scores by 7% to 52.3%

1.2.2 Increase New York State's Community Scores by 7% to 61.3%

1.2.3 Increase New York State's Education Scores by 7% to 59.9%

1.2.4 Increase New York State's Health Scores by 7% to 68.1%

1.2.1 Implement evidence-based Home visiting programs: These programs provide structured visits by trained professionals and paraprofessionals to pregnant women and families, particularly those considered at-risk, necessary resources and skills to raise children who are physically, socially, and emotionally healthy and ready to learn.

1.2.2 Mental Health First Aid is an evidence- based public education program that teaches people how to respond to individuals who are experiencing one or more acute mental health crises (such as suicidal thoughts or behavior, an acute stress reaction, panic attacks or acute psychotic behavior) or are in the early stages of one or more chronic mental health problems (such as depressive, anxiety or psychotic disorders, which may occur with substance abuse).

1.2.3 Policy and program interventions that promote inclusion, integration and competence

1.2.4 Use thoughtful messaging on mental illness and substance use: Expert opinion in messaging about Mental, Emotional, and Behavioral Health humanize the experiences and struggles of person living with disorders; highlight structural barriers; avoid blaming people for the disorder or associate disorders with violence.

2.1.1 Reduce the percentage of youth in grades 9-12 reporting the use of alcohol on at least one day for the past 30 days by 10% from 27.1% in2017 to 24.4%

2.1.2 Reduce the age-adjusted percentage of adult (age 18 and older) binge drinking (5 drinks or more for men during one occasion, and 4 or more drinks for women during one occasion) during the past month by 10% to no more than 16.4%

2.1.3 Reduce the age-adjusted percentage of adult (age 55+ and older) binge drinking (5 drinks or more for men during one occasion, and 4 or more drinks for women during one occasion) during the past month by 10% from 21.7% in 2017 to 19.5%

2.1.1 Implement environmental approaches, including reducing alcohol access, implementing responsible beverage services, reducing risk of drinking and driving, and underage alcohol access

2.1.2 Implement School based prevention: Implement/Expand School-Based Prevention Services. Life Skills Training (LST) is a school-based program that aims to prevent alcohol, tobacco, and marijuana use and violence by targeting major social and psychological factors that promote the initiation of substance use and other risky behaviors. Teen Intervene is a brief, early intervention program for 12- to 19-year-olds who display the early stages of alcohol or drug involvement. Integrating stages of change theory, motivational enhancement, and cognitive-behavioral therapy, the intervention aims to help teens reduce and ultimately eliminate their substance use.

2.1.3 Integrate trauma-informed approaches into prevention programs by training staff, developing protocols and cross-system collaboration

2.1.4 Implement routine screening and brief behavioral counseling in primary care settings to reduce unhealthy alcohol use for adults 18 years or older, including pregnant women

2.1.5 Implement Screening, Brief Intervention, and Referral to Treatment (SBIRT) Electronic screening and brief interventions (e-SBI) using electronic devices (e.g., computers, telephones, or mobile devices) to facilitate delivery of key elements of traditional SBI

2.1.6 Integrate trauma-informed approaches and responses into prevention programs by training staff, developing protocols and engaging in cross-system collaboration

2.2.1 Reduce the age-adjusted overdose deaths involving any opioid by 7% to 14.3 per 100,000 population

2.2.2 Increase the age-adjusted rate of patients who received at least one Buprenorphine prescription for opioid use disorder by 20% to 415.6 per 100,000 population.

2.2.3 Reduce the opioid analgesics prescription for pain, age-adjusted rate by 5% to 350.0 per 1,000 population

2.2.4 Reduce all emergency department visits (including outpatients and admitted patients) involving any opioid overdose, age-adjusted rate by 5% to 53.3 per 100,000 population

2.2.1 Increase availability of/access and linkages to medication-assisted treatment (MAT) including Buprenorphine

2.2.2 Increase availability of/access to overdose reversal (Naloxone) trainings to prescribers, pharmacists and consumers

2.2.3 Promote and encourage prescriber education and familiarity with opioid prescribing guidelines and limits as imposed by NYS statutes and regulations

2.2.4 Build support systems to care for opioid users or at risk of an overdose

2.2.5 Establish additional permanent safe disposal sites for prescription drugs and organized take-back days

2.2.6 Integrate trauma informed approaches in training staff and implementing program and policy

2.3.1 Reduce the percentage of adults experiencing two or more adverse childhood experiences (ACEs) by 5% to no more than 33.8%

2.3.2 Reduce indicated reports of abuse/maltreatment rate per 1,000 children and youth ages 0-17 years by 9% to 15.6 per 1,000 children and youth ages 0-17 years

2.3.3 Increase communities reached by opportunities to build resilience by at least 10 percent

2.3.1 Integrate principles of trauma-informat approach in governance and leadership, policy, physical environment, engagement and involvement, cross sector collaboration, screening, assessment and treatment services, training and workforce development, progress monitoring and quality assurance, financing and evaluation

2.3.2 Address Adverse Childhood Experiences and other types of trauma in the primary care setting

2.3.3 Grow resilient communties through education, engagement, activation/mobilization and celebration

2.3.4 Implement evidence-based Home visiting programs: These programs provide structured visits by trained professionals and paraprofessionals to pregnant women and families, particularly those considered at-risk, necessary resources and skills to raise children who are physically, socially, and emotionally healthy and ready to learn.

2.4.1: Reduce the past year prevalence of major depressive episode among adults aged 18 or older by 5% to no more than 6.2%. - Tracking Indicator

2.4.2 Reduce the past-year prevalence of major depressive episodes among adolescents aged 12-17 years by 10% to no more than 10.4%

2.4.1 Strengthen economic supports: strengthen household financial security; policies that stabilize housing

2.4.2 Strengthening resources for families and caregivers

2.4.3 Implement an evidence-based cognitive behavioral approach such as Peter Lewinsohn's Coping with Depression course, Gregory Clarke's Cognitive-Behavioral Prevention Intervention

2.4.4 Implement the Combined Parent-Child Cognitive-Behavioral Therapy (CPC_CBT): This is a short-term (16-20 sessions), strength-based therapy program for children ages 3-17 and their parents (or caregivers) in families where parents engage in a continuum of coercive parenting strategies. These families can include those who have been substantiated for physical abuse, those who have had multiple unsubstantiated referrals, and those who fear they may lose control with their child.

2.5.1 Reduce suicide attempts by New York adolescents (youth grades 9 to 12) who attempted suicide one or more times in the past year by 10% to no more than 9.1%.

2.5.2 Reduce the age-adjusted suicide mortality rate by 10% to 7 per 100,000.

2.5.1 Strengthen economic supports: strengthen household financial security; policies that stabilize housing

2.5.2 Strengthen access and delivery of suicide care - Zero Suicide: Zero Suicide is a commitment to comprehensive suicide safer care in health & behavioral health care systems.

2.5.3 Create protective environments: Reduce access to lethal means among persons at risk of suicide; integrate trauma informed approaches, reduce excessive alcohol use

2.5.4 Identify and support people at risk: Gatekeeper Training, crisis intervention, treatment for people at risk of sucide, treatment to prevent re-attempts, postvention, safe reporting and messaging about suicides

2.5.5 Promote connectedness, each coping and problem-solving skills: social emotional learning, parenting and family relationship programs, peer norm program

2.6.1 Decrease by 20% the prevalence of cigarette smoking among adults who are diagnosed with serious mental illness to 27.4%

2.6.1 Implement a multilevel intervention model that focused at the individual, health systems, community and policy-levels

2.6.2 Integrated treatment: Concurrent therapy for mental illness and nicotine addiction have the best outcomes. Smokers who receive mental health treatment have higher quit rates than those who do not. For example, people with schizophrenia showed better quit rates with the medication bupropion, compared with placebo, and showed no worsening of psychiatric symptoms. A combination of the medication varenicline and behavioral support has shown promise for helping people with bipolar and major depressive disorders quit, with no worsening of psychiatric symptoms. A clinical trial found that a combination of varenicline and cognitive behavioral therapy (CBT) was more effective than CBT alone for helping people with serious mental illness stop smoking for a prolonged period—after 1 year of treatment and at 6 months after treatment ended.

2.6.3 Support and strengthen licensing requirement to include improved screening and treatment of tobacco dependence by mental health providers.