The goal of this clinical trial is to establish whether brief interventions for alcohol use can be delivered in schools for both indicated prevention and selected prevention, determine if an expanded workforce is an effective model for screening, brief intervention, and referral to treatment (SBIRT) delivery in schools, and explore whether brief intervention effectiveness is comparable in minoritized versus non-minoritized adolescents. Participants will be students at high schools across Massachusetts. High schools will be randomized to one of four intervention groups. Participants will complete a baseline survey prior to their school-wide screening for SBIRT, and then will complete four follow-up surveys over two years.
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Past 30-day alcohol use frequency
Timeframe: 6, 12, 18, and 24 months
Past 30-day cannabis use frequency
Timeframe: 6, 12, 18, and 24 months
Past 30-day nicotine use frequency
Timeframe: 6, 12, 18, and 24 months