ESCSB Prevention Services seek to reduce the problems related to alcohol, problem gambling, tobacco, opioids, and other drugs while encouraging overall mental well-being. Efforts to bring awareness of these issues to the community are combined with offering evidence-based curricula in partnership with local schools, community groups, and non-profit organizations.

Prevention Services work to reduce individual, family, and environmental risk factors while increasing resiliency and enhancing protective factors. We recognize that achieving comprehensive community wellness requires a collaborative approach.

The Substance Abuse Mental Health Services Administration’s (SAMHSA) Strategic Prevention Framework (SPF) is utilized to assess community needs related to the prevention of substance use disorders and the promotion of mental health. The Prevention Team helps to plan and implement evidence-based strategies and engage in evaluation following the implementation of these strategies.


The Office of Prevention develops, promotes, and delivers nationally recognized, evidence-based programs and services through a sustained comprehensive approach that incorporates home, family, school, and community environments.

Prevention services and activities provide educational, practical, and meaningful experiences for youth, families, individuals, and organizations in order to enhance and improve positive life and social skills and to develop appropriate peer and community support systems.

Programs are provided in a variety of formats including:

Registration and Enrollment

Enrollment is based on federally approved criteria for Substance Abuse Prevention Services, program capacity, and individual eligibility. All ESCSB Prevention Services and programming are funded via state and/or federal substance abuse prevention funds, which provide the cost of services to each eligible participant. All materials and information will be provided at no cost to eligible participants.

Naloxone Training – REVIVE! Opioid Overdose Reversal Training

Learn how to administer Naloxone/Narcan to someone experiencing an Opioid Overdose. This course teaches you how to recognize the signs of an Opioid Overdose, administer Naloxone, and get the appropriate professional help. Over three Virginians die each day due to an Opioid Overdose. Learn how to save a life and help keep your family safe. The class is free and takes about an hour to complete.

Listed below are the services offered by Prevention Services:


  • Adverse Childhood Experiences (ACEs): Parents Workshop
  • Youth Mental Health First Aid


  • Al’s Pals: Kids Making Healthy Choices

Community Education:

  • Adverse Childhood Experiences (ACE) Interface Training
  • Adult & Youth Mental Health First Aid
  • Counter Tools: Tobacco Prevention Merchant Education
  • Harm Reduction Outreach
  • QPR Suicide Prevention Education
  • REVIVE! Lay-Rescuer Training (Naloxone training)
  • Lock & Talk Virginia

Coalition Efforts:

  • Health Planning Region V: Suicide Prevention Task Force
  • Eastern Shore Healthy Communities
  • Community Partners of the Eastern Shore (CPES)
    • Eastern Shore Overdose Fatality Review Team (ESOFRT)
    • Executive Committee
    • Homeless Management Information System (HMIS) Committee
    • Public Relations & Resource Assistance Committee
    • Rapid Response Team (RRT)
    • Wellness & Recovery Committee

Suicide Prevention Pizza Boxes

Since late 2020, our Prevention team has delivered over 4,000 pizza boxes to local pizzerias in hopes of spreading awareness and destigmatizing the topic of suicide. The pizza box includes a statewide statistic on suicide, as well as resources for support. Our hope is to kick off the conversation of suicide and its prevalence in our lives. Many Eastern Shore residents and visitors struggle with depression and overall mental wellbeing. It’s an important time to talk to friends and loved ones about what is going on. If you or someone you know needs support, call our Emergency Services at 757-442-7707, or the National Suicide Prevention Lifeline at 1-800-273-8255.

Together, we can save lives, one slice at a time

Participating restaurants and pizzerias include:

Prevention team delivers pizza boxes to the community
Individuals experiencing a crisis should call 911 or
ESCSB Emergency Services at 757-442-7707

Upcoming Events

12:00 pm REVIVE! Naloxone Training @ ESCSB - Prevention
REVIVE! Naloxone Training @ ESCSB - Prevention
Dec 15 @ 12:00 pm – 1:00 pm
Register online
view all events


Check out our FAQ page for more information.

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Over 2,000

are served annually by the ESCSB.

No one will be denied access to services due to inability to pay. There is a discounted/sliding fee schedule available.

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