The Indiana Adolescent & Family Recovery and Intervention Services Expansion (RISE) is a proposed outpatient family-based screening, consultation, treatment and referral program that would serve adolescent/transition age youth (ages 12-18) with substance use disorders or co-occurring mental health/substance use disorders across the state. This application pulls together an already robust urban, academic Adolescent Dual Diagnosis Program with full telemedicine capabilities and an established statewide primary care/emergency room consultation infrastructure, amplifying those services with additional providers and care coordination in order to achieve the following project goals: (1) expand program reach to youth in underserved, rural counties; (2) impact a much larger number of youth and caregivers than at present; (3) extend the adolescent treatment team's mission to include caregiver assessment, brief intervention and referral to treatment (4) enhance access to recovery coaches who are competent at supporting adolescents; (5) expand our youth behavioral health access program for pediatricians/primary care providers to include support for adolescent and caregiver SUDs (objective: n=200 consultations annually, 1,000 over project period); and (6) provide community messaging and education around adolescent addiction assessment and treatment. The State of Indiana is among the most underserved in terms of youth addiction treatment workforce, hence the need for the statewide approach. For adolescents, the proposed program will utilize well-established, evidenced based screening (i.e., S2BI, BSTAD, AUDIT), assessment (i.e., TLFB, KSADS), and treatment modalities (i.e., MET/CBT, pharmacotherapies, contingency management) that are packaged together in the ENCOMPASS model for adolescents with co-occurring disorders. Our team has been learning and refining our competence with this model for >10 years and are now one of a small group certified to train others on this model. Therefore, aside from onboarding some new team members, our team will be able to immediately assess and treat adolescents and caregivers without a lengthy training or implementation period. All adolescents and caregivers will be offered screening (objective: n=2,000 annually, 10,000 over project period), and some will need a brief intervention (objective: n=200 annually, 1,000 over project period), or treatment (MET/CBT, pharmacotherapy; objective: n=100 adolescents/25 caregivers annually, 625 over project period). Our team is well-situated to accomplish the project goals and greatly expand our capacity to provide substance use disorder risk screening, provider consultation, and treatment to Indiana adolescents and their caregivers who have yet to access this needed care.