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Welcome to Pivot Prevention and Health Services. We work towards an addiction-free community through prevention. Pivot directors and staff believe that alcohol, tobacco and other drug use and problem gambling are preventable. Our goals are to reduce the prevalence of substance abuse and problem gambling in Jefferson County. To delay first use of alcohol, tobacco and other drugs and gambling behavior among youth as long as possible. To decrease the negative health, social, and economic consequences and costs associated with substance use and problem gambling. Contact us today for more information!