Preferred Family Healthcare is one of only four providers in the state of Missouri to conduct a comprehensive, school-based substance abuse & violence prevention program. The Missouri School-based Prevention, Intervention, and Resources Initiative (S.P.I.R.I.T.) is implemented by PFH Prevention Specialists at the Knox County R-1 School District, Scotland County R-1 School District, South Shelby R-IV School District and Macon County R-1 School District. These Specialists use evidence based prevention curricula and best practices in grades Kindergarten through 10th to help education the students on the dangers of alcohol, tobacco and other drug use and abuse, as well as, working to reduce the number of bullying, cyber-bullying and other related acts of aggressive behaviors in the classrooms. The curricula being used is as follows: