In 2015, Mission West Virginia (MWV) received a TPP Program Tier 1B grant to replicate an evidence-based program to scale in a high-need community. MWV implemented Teaching Health Instead of Nagging Kids (THINK) TPP—which aimed to delay sexual initiation, reduce sexual activity and unprotected sex among teens, connect teens to needed services, and engage the community in prevention efforts—in 19 rural counties across West Virginia. In this case study, MWV describes how its multi-component approach built on existing adolescent health initiatives and infrastructure to scale THINK TPP in rural communities across a wide geographic area.

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