02/05/2026
๐ฟ Prevention That Works
We are proud to share groundbreaking results from a major research partnership between Cherokee Nation Behavioral Health and Emory University. The NIH HEAL Initiativeยฎ (Helping to End Addiction Long-termยฎ) Cherokee Nation Prevention Trial II studied students across 20 rural high schools on the Reservation, testing a combined family and school-based approach to prevent substance misuse among our youth.
The results speak for themselves. By the end of 12th grade, students who participated in the intervention showed dramatically lower rates of substance use: cannabis use decreased 44%, alcohol use decreased 45%, binge drinking decreased 49%, and prescription opioid misuse decreased 57% compared to students in the control group.
This multi-year study proves that culturally informed prevention programs can create real, measurable change in our communities. We extend our gratitude to Juli Skinner, MSW, LMSW, Senior Director of Behavioral Health at CNHS, whose leadership was instrumental in this achievement, and to all the families, students, and school partners who made this work possible.
This research, published as "Primary Prevention of Drug Overdoses in Rural Low-Resource and Tribal Communities: A Cluster Randomized Trial," represents hope and a path forward for protecting our young people.