The ACCESS Project

(America’s Community Coalitions Expanding SBIRT Services)

The ACCESS Toolkit is a free web-based tool designed to facilitate an increase in the adoption of SBIRT policies and/or practices within health care entities to ensure compliance with health care reform demands to advance integrative care critical for youth, and address growing health disparities of substance use and physical health issues in a coordinated way. This toolkit has an updated compilation of a wide variety of tools, guidance, and resources for community based SBIRT implementation.

Underage drinking is a primary concern in the substance abuse field. Underage drinking and/or binge drinking can have long-term health effects on brain development and growth. CADCA recognizes that universal prevention efforts can be effective; however, there is also a great need for integrating risk reduction approaches with adolescent populations.

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), screening brief intervention and referral to treatment (SBIRT) is designed as a prevention approach to reduce and stop the trajectory towards substance use disorders. A major need within the country is the adoption of the universal practice of adolescent SBIRT in healthcare and other community settings, especially in underserved local communities.

CADCA is currently working with five coalitions to explore best practices for screening, brief intervention and referral to treatment (SBIRT) to reduce underage drinking in communities across the country. CADCA will provide ongoing training and technical assistance and will monitor the success of the coalitions. The work will bring existing SBIRT services to scale and integrate lessons from these five coalitions into an online toolkit to share with coalitions nationwide.

CADCA’s work, supported by the Hilton Foundation, will be built into phases. The first phase will culminate in the selection of the coalitions followed by a meeting to bring them together for the first time at CADCA’s Mid-Year Training Institute. Later phases will include the construction of the online toolkit, ongoing training by content experts, and youth engagement. For this last part, CADCA’s Youth Services program will advocate through a Photovoice exhibit at the National Leadership Forum alongside that meeting’s Hill Day activities.


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