Community Health Project, Inc. d/b/a Callen-Lorde Community Health Center (Callen-Lorde) is applying for FY 2021 Screening, Brief Intervention and Referral to Treatment funding from the Substance Abuse and Mental Health Services Administration to implement an agency-wide, multi-site screening, brief intervention, and referral to treatment (SBIRT) program. Callen-Lorde's proposed SBIRT program will be implemented in both adult and pediatric outpatient health care settings. Callen-Lorde's population of focus is comprised of LGBTQ adolescent and adult persons, aged 13 and older, living within the five boroughs of New York City (Bronx, Brooklyn, Manhattan, Queens and Staten Island), with an emphasis on reaching the most underserved members of this population, including those who are people of color, low income, living with HIV or uninsured. Callen-Lorde will employ SBIRT funding to address the demonstrated risk and elevated prevalence of substance misuse and barriers to treatment access among New York City's LGBTQ communities by integrating dedicated SBIRT programming within the agency's routine primary care operations in effort to systematically identify and treat patients at risk of/or living with addiction. Callen-Lorde's proposed SBIRT services will be delivered by an interdisciplinary team of Medical Providers, Behavioral Health Providers, Addictions Coordinators, and Peer Recovery Specialists, who will work together to ensure patients seamlessly transition through all stages of the proposed SBIRT care pathway. Callen-Lorde's proposed SBIRT project will further increase substance use disorder treatment access and engagement for patients living with severe addiction through provision of on-site MAT services, and by leveraging community partnerships with specialty substance use treatment providers with expertise in serving the population of focus. Over the five-year project period, Callen-Lorde expects to serve at least 20,000 SBIRT clients across the agency's city-wide network of Federally Qualified Health Centers.