Pivot 2 Health

About Pivot The Board and Staff of Pivot are convinced that alcohol, tobacco and other drug use and problem gambling are preventable. In conjunction with New York State Office of Alcoholism and Substance Abuse Services the Pivot goals are to: reduce the prevalence of substance use and abuse and problem gambling in Jefferson County; delay first use of alcohol, tobacco and other drugs and gambling behavior among youth as long as possible; decrease the negative health, social, and economic consequences and costs associated with substance use and problem gambling; and, prevent, through early identification and brief intervention and referral, the escalation of substance use and gambling behaviors to levels requiring treatment. Prevention - the most cost-effective method of obtaining these goals.