School-based prevention programs have been proven effective in reducing alcohol and other drug (AOD) related harms, however, a systematic literature review and consultations with Aboriginal and Torres Strait Islander communities have identified a gap in culturally inclusive, prevention programs for Indigenous youth. To address this, Strong & Deadly Futures was co-developed with Indigenous creative agencies and Aboriginal and Torres Strait Islander teachers and students. The program aims to prevent the uptake of tobacco, alcohol, and cannabis use among young people, foster safe attitudes, promote responsible decision-making, improve psychological wellbeing and empowerment. After a successful pilot, we are now testing the program's efficacy through a cluster randomized controlled trial involving years 8-10 students across 22 schools in NSW, QLD, and WA. The majority (57%) of the participating schools are in regional to remote areas. This trial aims to evaluate the effectiveness of the Strong & Deadly Futures program in enhancing wellbeing and preventing AOD-related harms among Aboriginal and Torres Strait Islander youth. Furthermore, we will explore the role of protective factors such as cultural connection and cultural safety among school students. The trial is underpinned by extensive regional consultation and adaptation phases in collaboration with Aboriginal and/or Torres Strait Islander community groups, guided by an Aboriginal Reference Group. Initial results from the trial and insights from the community consultations, particularly a community in Far North Queensland, will be presented.

Strong & Deadly Futures draws on the latest evidence about effective wellbeing promotion and prioritises cultural strengths and skill development. This program, which schools can enrol to implement in 2025, will fill a critical gap in school-based alcohol and drug education efforts by providing an empowering, strengths-based approach tailored for culturally and geographically diverse classrooms.

Three Key Learnings:

1. Consultations with a range of Aboriginal and/or Torres Strait Islander stakeholders determined that evidenced-based alcohol and other drug prevention education should include messaging that is empowering, strengths-based and contain elements of cultural identity.
2. Co-designing a health program together with Aboriginal and Torres Strait Islander communities and young people makes it more likely that they will engage with and benefit from it.
3. Adaptations to the program recognises the diversity between communities and ensures that they have a strong voice and authentic representation within the program.