The ASSIST Study is designed to explore whether a brief, evidence based substance use screening and counseling approach can be easily integrated into routine survivorship care at St. Jude Children's Research Hospital. During a regularly scheduled psychosocial visit, participants complete the World Health Organization's Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST). This short questionnaire helps identify patterns of use related to tobacco, alcohol, cannabis, prescription medications, and other substances. Survivors whose results show possible risk receive a brief, supportive counseling session during the same appointment. This session uses motivational interviewing techniques to help individuals reflect on their use and consider steps to reduce potential harm. Primary Objective: \- Assess the feasibility and acceptability of implementing a standardized assessment of substance use and brief substance use reduction intervention in survivorship clinical settings. Secondary Objective: \- Evaluate the reliability of delivering a brief substance use intervention to reduce substance use behaviors among Adult Survivors of Childhood Cancer (ASCC) followed in the (ACT) Clinic.
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Enrollment Feasibility
Timeframe: Through study completion, an average of 1 year
Screener Feasibility
Timeframe: Through study completion, an average of 1 year
Brief Intervention Feasibility
Timeframe: Through study completion, an average of 1 year
Care coordination Feasibility
Timeframe: Through study completion, an average of 1 year
Screener Acceptability- Acceptability of Intervention Measure
Timeframe: Time 1 (1-week post baseline assessment)
Intervention Acceptability - Acceptability of Intervention Measure
Timeframe: Time 2 (3 months post baseline assessment)