Prevention-focused services in schools are a proactive approach to student wellness and can help students succeed in school and life. The implementation of prevention-focused services builds supportive learning environments where students can attend school, be ready to learn, and are prepared for future success. Ohio law requires school districts to report on the types of prevention-focused programs, services, and supports provided in each building operated by the district, for each grade kindergarten through 12. In the 2023-2024 school year, there were 3,422 traditional public schools, community schools, career-technical education schools, STEM schools, and state-supported organizations in the state that were required to complete reporting. This report provides information regarding: (1) needs assessment and evaluation; (2) prevention-focused services for students; (3) curriculum; (4) programs and supports; (5) providers of prevention-focused services; (6) prevention-focused services for staff; (7) community partnerships; (8) engaging parents and families; and (9) student voice.