The following actions have been identified by the Communtiy Wellness Action Team and the Coalition for a Safe and Drug Free Swain County as ideas for what can work for our community to make a difference on the substance misuse priority.

Actions and Approaches Identified by Our Partners: These are actions and approaches that our partners think can make a difference on substance misuse in Swain County.

• Lockbox/Dropbox Campaigns
• Narcan
• Education
• Cooperative Medical Community
• Policies and Laws
• Continued Medical Education classes
• Suboxone
• Awareness 
• Acceptance and Communication within the Community
• Training in Narcan 
• Syringe Exchange

What is Currently Working in Our Community: These are actions and approaches that are currently in place in our community to make a difference on substance misuse in Swain County.

• Lockbox/Dropbox Campaigns
• Quitline
• Narcan Community Distribution
• Tobacco Free Spaces
• Syringe Exchange on the Cherokee Indian Reservation

Evidence-Based Strategies: These are actions and approaches that have been shown to make a difference on substance misuse.

What Community Members Most Affected by Substance Misuse Say: These are the actions and approaches recommended by members of our community who are most affected by substance misuse.

• Lockbox and Dropbox Campaigns
• Narcan Community Distribution
• Tobacco Free Spaces

Process for Selecting Priority Strategies

The Community Wellness Action Team and the Coalition for a Safe and Drug Free Swain County reviewed the community health assessment data in September and October of 2018, following those meetings the substance misuse was unanimously selected. Following the selection of the substance misuse priority, both groups met and completed the whole distance exercise to walk through the results based accountability format in selecting actionable items. The two groups used dot voting to select an indicator measure to use, and from there used dot voting to select three action items that are feasible and high-leverage. Community members were given three separate votes -- communication power, proxy power, and data power. From those three votes, the groups selected the action items indicated in this scorecard. 

These stratagies and processes are also used for other indicators we are tracking and include:

• # of ED Visits due to overdose
• # of ED Visits due to overdose deaths 
• % of Swain County adults 18+ who use tobacco