In this brief, authors Michael Staunton and Eleanor Jaffee review the key findings and recommendations from research conducted in the first half of the Coös Youth Study, which began in 2008 and is planned to continue through 2018. The study explores young people's decisions about their educational and job opportunities in rural northern New Hampshire and their plans to stay in their home region or move away. The authors discuss the highlights of these topics: youth aspirations and perceptions of regional opportunities, substance use and mental health, participation in extracurricular and out-of-school activities, youth retention and out-migration, and community attachment and school connectedness.