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