DAYTON, Ohio -- An Ohio county is taking a trauma-informed approach to its work on preventing marijuana use in teens.

As marijuana policy changes were enacted in Ohio over the last few years, families in Montgomery County grew concerned about the impact it would have on teenagers' perceived risk of substance use.

In response, the county's Alcohol Drug Addiction Mental Health Services (ADAMHS), provides prevention programming in all of its 16 public-school districts, as well as parochial and charter schools.

Tristyn Ball, director of prevention and early intervention services for Montgomery County ADAMHS, said it is important to get at the root cause of drug use.

"What we've shifted to is an approach that, rather than using punitive measures, really moving towards, if a young person is using, really identifying why are they using marijuana?" Ball explained. "And what can we do to give them the skills that they need to perhaps make healthier decisions?"

ADAMHS has partnered with Dayton Children's Hospital and its student resiliency coordinators, who work directly with young people who have endured trauma.

Local county data show that around 15% of young people have tried marijuana, which has decreased over the last few years. Many that do use are starting as young as 13 years old, which can have an impact on brain development.

Medical marijuana was legalized in Ohio in 2016. Many studies show that medicinal cannabis can be helpful for adults in treating chronic pain, as well as effects from certain diseases. Ball pointed out their prevention work is not about stigmatizing medical marijuana use, but about understanding the impact substances can have on teenagers.

"Medicine is medicine, you know, it's prescribed by a doctor," Ball emphasized. "When we look at opioids, or really any kind of controlled substance, we trust medical professionals to prescribe that. It's just about making sure that overall our goal is just the health and wellness of a young person."

Over the past year, Ball noted ADAMHS has screened more than 1,000 students in the county for behavioral-health indicators, including depression, anxiety and substance use.

MANCHESTER, N.H. - September is National Recovery Month, and New Hampshire groups are working to raise awareness about the many paths to recovery from alcohol or substance-use disorders.

This Saturday in Manchester, a "Rally 4 Recovery" will feature speakers sharing their own personal stories, as well as booths representing treatment centers, health agencies and various recovery tools - from 12-Step programs to SMART Recovery, Recovery Dharma and more.

"The rally really is a chance for people in recovery to demonstrate that no matter how low we may have fallen in our lives, we do recover, we do get better," said Keith Howard executive director of the group Hope for New Hampshire Recovery, which is leading the event.

Howard said there will be more than 40 booths, as well as juggling instructors, visual art and live musicians, all of whom are in recovery themselves. He said these stories are powerful for helping people who may be struggling with addiction as well as their friends, families and neighbors.

During this awareness month, advocates are working to reduce the stigma around addiction and mental illness; they say it often can prevent people from seeking the help they need. Howard said it's important to "show up, show pride and show the world we get better." He said his own story is an example of what hope - and help - can do.

"I was living on the streets - homeless, toothless and pretty much hopeless," he said, "and thanks to work that I did as directed by folks in recovery, today I'm able to be executive director of a large Recovery Center."

The Substance Abuse and Mental Health Services Administration has free, confidential and anonymous resources for people dealing with addiction - themselves, friends or family. The SAMHSA hotline can be reached at 1-800-662-HELP, and its Behavioral Health Treatment Services Locator can be found at findtreatment.samhsa.gov.

NASHVILLE, Tenn. -- Tennesseans paused to remember International Overdose Awareness Day today, as the state reported increased numbers of overdose deaths.

Anthony Jackson, director of prevention and early intervention for the Tennessee Department of Mental Health and Substance Abuse Services, said the pandemic worsened conditions that fueled the increase in overdose deaths, such as disconnection from recovery resources and increased stress and anxiety.

"COVID's created a situation where maybe they've been isolated a little more than they would have been otherwise," Jackson explained. "Maybe there's been some economic difficulties or economic anxieties that may have triggered a relapse of some sort."

Preliminary numbers released by the Centers for Disease Control and Prevention indicate more than 3,000 Tennesseans died from a drug overdose in 2020.

Community groups across the state are holding memorials, trainings and awareness events to remember the lives lost, celebrate the survivors of overdose, and educate residents on the tools to prevent overdoses.

Jackson noted since the overdose prevention program began in late 2017, regional overdose prevention specialists have saved more than 26,000 lives through overdose reversal.

"You may not know who's impacted by this," Jackson observed. "You may not think you need to be trained, but you do. Because you need to understand this could impact anyone."

According to the Tennessee Department of Mental Health, the state's regional overdose prevention specialists have distributed more than 71,000 naloxone kits and recorded more than 11,000 opioid overdose reversals over the past year.

COLUMBUS, Ohio - With new teachers, classmates and expectations, back to school is full of uncertainties and anxieties. Stressful transitions increase chances that a teen will turn to drugs or alcohol to cope.

Geena Crosby - prevention coordinator for youth and young adult services with the Prevention Action Alliance - said there are many ways to support teens during these times, starting with listening.

She said that means allowing their feelings and concerns to be heard, and not trying to fix the problem. And where possible, allow them to voice their own opinions and make decisions.

"Young people want to feel trusted and they want to feel like they have some autonomy over their choices and what they do," said Crosby. "And I think if we can have those open and honest conversations that's going to be the best option."

While it's easy to loosen discipline during trying times, Crosby said rules and boundaries actually build trust. She also noted that maintaining daily routines and ensuring everyone is eating well, exercising and getting enough sleep can help keep the family strong.

Parents also tend to feel anxieties and pressures at the start of the school year, however Crosby said those concerns should not be projected onto kids.

"There may be things that they're not even worrying about," said Crosby. "And you talking about your worries is only going to increase their worry on top of everything they're already concerned with."

Crosby recommended staying connected to the teachers, coaches and other adults at school, and asking for help and support when needed.

"If you're worrying about your student and how they're doing," said Crosby, "then seeking out professional help whether it's within the school or outside of the school, to maybe help your student navigate some of those challenges or help you navigate some of those challenges with your student is going to be really important."

According to the federal Monitoring the Future Survey from June, despite declines in availability, alcohol and marijuana use among eighth-, tenth- and 12th-grade students did not change significantly during the pandemic.