The following report is designed to present current data and statistics regarding substance use and its impacts in Southern Nevada. In addition the information is used to inform a community prevention plan for the PACT Coalition by looking at existing rates of substance use and related injuries and outcomes, along with an assessment of capacity as expressed by community stakeholders. Finally, this plan lays out the target areas of emphasis for the PACT Coalition over the next three years in an effort to prevent substance use in Clark County, Nevada.