Einstein healthcare network- adolescent and adult sbirt - before the pandemic, the city of philadelphia had high rates of substance use and reports of poor mental health

While IT will be sometime until the full effects of covid are know, we expect significant increases in the need for services. Philadelphia ranks among the worst of all large cities in binge drinking, tobacco use and substance use. The city is considered the epicenter of the nation's opioid epidemic with the highest rate of overdose deaths of any big city in america. The primary goal of this project is to identify and effectively intervene with adolescents and adults who are at moderate to high risk for psychosocial or health care problems related to their alcohol, tobacco, or substance use. To achieve this goal we have the following objectives: increase the number of community settings where sbirt is provided; develop a quality improvement plan to ensure model fidelity across all sites; increase the number of unique population groups receiving services including adolescents, pregnant women, interconception women and underserved primary care patients. This project will serve 219,678 unduplicated individuals over five years. Einstein healthcare network is a private, non-profit multi facility network serving one of the most disadvantaged populations in the nation. Einstein is considered a private healthcare safety-net, bearing a large share of responsibility for caring for the poor as measured by service to medicare, medicaid and uninsured. Einstein's mission is with humanity, humility and honor, to heal by providing exceptional healthcare and education for as many as we can reach.