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1. Create youth-led peer education and outreach programs to teach students how to support and approach their peers around teen issues, such as substance abuse, sexual activity and mental health because youth are most willing to talk to and listen to people their own age. 2. Educate parents about the reality that affects teens today and reasons, signs/symptoms, and consequences of substance abuse, sexual activity and mental health and provide them with non-judgmental mechanism/tools to communicate openly with their teens and how to react to specific situations. 3. Create awell-rounded health and wellness curriculum for students that includes, real-life youth stories, personal experiences and uses compelling, fact-based information to inform students about physical and mental effects of decisions they make. On a regional level, the TVAHI designed four regional issues using the aggregate prescriptive recommendations from all cities as guiding principles. These issues are as follows: Issue I Adolescents face significant barriers to health care. Health education and anticipatory guidance serve as primary prevention strategies and precursors to effective health care access for adolescents. Issue II Adolescents are under significant stress and pressure. Adolescents face conflicting demands from their parents, teachers, peers and themselves in school and at home. The lack of access to mental health resources and social supports to help young people cope and mitigate the stress when they need it most can lead to depression, self-destructive behavior and suicide. Issue III Adolescents need more genuine opportunities to develop their full leadership potential. All youth have leadership potential. However, they lack access to opportunities to build youth assets, work with other youth to make a positive impact on their lives and apply their skills in the real world. Issue IV In a time where everybody is facing a decrease in resources, we have to work together to ensure that all youth have access to the support and opportunities they need for positive development. Tri-Valley cities, schools, communities, parents and youth have a deep commitment to creating healthy communities in the Tri-Valley. The individual Tri-Valley cities have dedicated some resources to youth. Similar to other regional efforts (e.g., transportation), this is an opportunity for Dublin, Livermore and Pleasanton to collaborate regionally to leverage resources and to realize a vision for all youth living in the Tri-Valley. On January 24, 2008, city council and school board members, YPB members and city and county staff met to discuss the prescriptive recommendations issued by each city and agreed that a gap analysis (Attachment A) was necessary to identify common Page 2 of 3