Project Thrive will enhance and expand early intervention, treatment, and recovery support services through our Certified Community Behavior Health Clinic (CCBHC) which operates in partnership with School Health Clinics of Santa Clara (SHC) and Pacific Clinics (PC). The target population is adolescents ages 12-17 and Transitional Age Youth ages 18-25 and their families/primary caregiver that largely represent under-served, low-income families in San Jose, California. Services will be delivered in an integrated manner throughout 5 clinics to allow for more comprehensive screening, assessment, and treatment of substance use and/or co-occurring disorders (SUD/COD) in a manner that is more consistent with the target community's help-seeking behaviors. We expected to outreach over 2700 adolescents/TAY in schools or the foster care system and serve approximately 150-200 unduplicated clients annually. Our goals are: Goal 1. Increase substance use outreach and screening for adolescents/TAY. 1A. Increase the number of adolescent/TAY receiving education and messaging on substance-free, healthy choices. 1B. Increase the number of adolescents screened for alcohol, tobacco, and illicit drug use. Goal 2. Increase access to comprehensive, family-centered, trauma-informed, evidence-based, coordinated, and integrated outpatient system of care. 2A. Increase the overall number of new adolescents/TAY receiving services. 2B. Increase the number of adolescents/TAY referred for further assessment of SUD/COD. 2C. Increase the number of adolescents/TAY at-risk SUD/COD receiving early intervention to reduce risky substance use or misuse. 2D. Increase the number of adolescents/TAY receiving evidence-based SUD/COD treatment. Goal 3. Increase tobacco use psychoeducation, counseling, and/or intervention as part of a standard CCBHC practice. 3A. Provide tobacco-use psychoeducation to adolescents/TAY who screen positive for tobacco use. 3B. Provide counseling and/or intervention to adolescents/TAY who screen positive for tobacco. 3C. Provide augmented, pregnancy-tailored counseling for pregnant clients with tobacco use. Goal 4. Increase access to Medication-Assisted Treatment to promote remission from SUD/COD and prevent relapse. 4A. Provide MAT evaluation for adolescent/TAY ages 16-25 with SUD/COD. 4B. Provide MAT adolescents/TAY who are evaluated to be appropriate. Goal 5. Increase access to recovery supports for adolescents/TAY with SUD/COD and their families/primary caregivers. 5A. Increase the number of adolescents/TAY receiving systems navigations. 5B. Create a Youth Advisory group for youth voice in SUD/COD services. 5C. Increase the number of adolescents/TAY receiving peer recovery support services. Goal 6. Increase surveillance and intervention for common medical comorbidities of adolescents/TAY with SUD/COD. 6A. Provide medical surveillance for HIV and hepatitis to adolescents/TAY with SUD/COD. 6B. Prescribe Prep for HIV and vaccines for hepatitis to eligible adolescents/TAY with SUD/COD.