We are working in Hearne, a small, rural community in east central Texas. We originally planned to address substance use health disparities. Through our first year of research we learned from the community that was a symptom, but one of the underlying reasons was lack of opportunities for youth. We reprogrammed our project to look at increasing opportunities. We’re using a process called “human-centered design” or “design thinking” to engage youth to develop their own program, set of products, or whatever the result is. We don’t have the answer at the beginning of the process. We’ll work with youth over the next year and a half to develop their program and then pilot test it.