Primary Health Solutions - Treatment and Recovery Services for Youth, Young Adults, and Families - Project Name: Primary Health Solutions - Treatment & Recovery Services for Youth, Young Adults & Families  Project Summary: Butler County Community Health Consortium dba Primary Health Solutions will implement a community-wide substance use prevention, treatment, and recovery program to address the behavioral health needs of youth, young adults, and families in southwestern Ohio in partnership with local school districts, youth recovery service providers, a domestic violence shelter and supportive housing provider, and a juvenile justice agency.  Population of Focus: PHS will provide access to integrated outpatient, intensive outpatient, and day treatment services for youth (ages 12–17) and young adults (ages 18–25) with substance use and/or co-occurring mental health disorders, and their family members and caregivers through 17 service delivery site locations across Butler, Montgomery, and Preble Counties in Ohio.  Strategies & Interventions: Client-level, selective interventions include universal screening for substance use among PHS primary care and behavioral health patients aged 12-25 years, with brief intervention and referral to treatment as appropriate. Indicated interventions for SUD/COD will include: Motivational Interviewing, Motivational Enhancement Therapy, Personalized Drinking Feedback, Solutions-Focused Brief Therapy, Person-Centered Planning, Wraparound Services, Medication Assisted Treatment (including MOUD/MAUD), recovery housing, and peer support services. Universal interventions include Social Norms Media Marketing to correct substance use misperceptions, Psycho-education and Skill Building Groups, and the School Health and Alcohol Harm Reduction Project for student substance use prevention education.   Project Goal & Objectives: The project goal is to improve the health outcomes of youth, young adults, and their family members by reducing their use of alcohol, tobacco, cannabis, and other substances and supporting the pursuit of their recovery goals. Under this goal, PHS has identified 13 measurable objectives: (1) PHS will sign a formal MOU for Year 1 youth-specific MOUD/MAUD services while building capacity to provide MOUD/MAUD for youth at PHS sites in Years 2-5; (2) PHS will increase its number of providers able to offer MAT/MOUD by three; (3) PHS will enroll a minimum of 50 unduplicated youth and young adults in Year 1 and 100 in Years 2-5 (450 total); (4) At least 90% of PHS patients aged 12 to 25 years will receive annual screenings for substance use and mental health conditions; (5) 100% of youth (12–17) whose screenings reveal alcohol use will receive brief intervention by their primary care or behavioral health provider and referral to treatment, and 100% of young adults (18-25) and caregivers whose screenings reveal alcohol misuse will receive referrals to treatment; (6) At least 90% of PHS patients ages 12–25 will receive annual tobacco use screening and 100% with positive screen will be referred to treatment; (7) At least 75% of youth and young adults receiving care for SUD/COD will complete individualized care plans; (8) 100% of clients receiving SAMHSA-funded services will be screened for Fetal Alcohol Spectrum Disorders; (9) PHS will extend behavioral health hours from 5pm to 8pm on weekdays and 8am to 6pm on Saturdays; (10) PHS will implement a substance use reduction public health campaign that reaches at least 50,000 youth and young adults annually; (11) PHS will provide voluntary training for school staff to identify substance use, use motivational interviewing, and refer students to behavioral health treatment; (12) PHS will distribute prevention education to at least five school districts; and (13) Program data will be reported in SPARS per SAMHSA standards.