Over five years, Drexel University aims to screen nearly 28,000 adolescents and provide at least brief intervention to nearly 5,000 youth and their parents. We will use a family centered care model and host most of our screening and data collection (GPRA) on a web-based, informatics platform called BH-Works. Our target population is adolescents aged 12-18 years being served in outpatient behavioral and health specialty care services. Adolescents will be initially screened with the CRAFT for risk of substance use. Based on our community survey data, we estimate about 30% of youth will be in need of services. Unfortunately, Philadelphia has very few treatment programs and even fewer early intervention programs for youth at risk. To address this significant need, we propose implementing a family-based, adolescent, co-occurring SBIRT project in settings beyond where SBIRT has traditionally been used. We have partnered with three community-based agencies that, combined, have over 25 unique programs ranging from traditional outpatient to crisis, to home-based services for children in the welfare system. We have 15 years of experience implementing screening, assessment, treatment, and referral programs across the state of Pennsylvania and feel confident we can adapted SBIRT to these various settings. Each agency will be trained in the SBIRT model. We will integrate our web-based clinical management system with the EMR at each agency. For brief intervention, we will train staff in motivational interviewing. We will also provide an online support/psycho education group for parents of these youth. For adolescents in need of brief intervention, the CMHC agencies will learn to deliver attachment based family therapy, an empirically-supported therapy that addresses trauma, family distress and other co-occurring challenges. We will also offer this treatment as an online option. We anticipate screening 600 youth in year one, 2,460 in year two, 6,860 in year three, 8,960 in year four, and 8,960 in year five for a total of nearly 28,000 youth over the course of five years.