Table 1.

Proportion of Public Substance Use Agency Officials Identifying Issues as Priorities for Youth Substance Use, State and County Officials, 2020

	All N= 122	State n= 42	County n= 80
	%	%	%	χ2	p
Addressing the social determinants of youth substance use	87	92	84	1.43	0.23
Adverse childhood experiences/childhood trauma	85	82	86	0.36	0.55
Increasing access to school-based youth substance use disorder prevention/treatment programs	82	83	81	0.04	0.84
Impact of parental substance use disorder on youth	80	83	79	0.33	0.56
Improving the implementation evidence-based youth substance use disorder treatment/prevention programs	79	92	73	6.05	0.01
Increasing access to community-based youth substance use disorder prevention/treatment programs	79	82	78	0.33	0.57
Increasing access to family-focused youth substance use disorder treatment/prevention and treatment programs	76	78	75	0.07	0.79
Coordinating youth substance use disorder services with community-based social services	76	68	81	2.45	0.12
Preventing opioid deaths among youth	73	69	74	0.34	0.56
Increasing/aligning the use of quality measures in youth substance use disorder treatment and prevention programs	72	80	68	1.76	0.18
Increasing access to harm reduction education for young people	66	58	70	1.73	0.19
Increasing access to naloxone for youth in communities and schools	49	55	46	0.83	0.36
Increasing access to medications for opioid use disorder among youth	49	43	52	0.94	0.33
De-implementing youth substance use disorder treatment/prevention programs that are not evidence-based	41	65	28	15.18	<0.001

^*An issue was coded as a “priority” if rated of 4 or 5 on 5-point Likert-scale.