“…Substance use disorders (SUDs) affect approximately 15% of individuals age 12 and older (Ahrnsbrak et al, 2017). Risky substance use is associated with immediate and long-term consequences to the individual and the larger community, including physical and mental health challenges, decreased academic performance, relationship problems, crime, and lost wages (Arria et al, 2013; Gryczynski et al, 2016; Henkel, 2011; Hingson, Zha, & Weitzman, 2009; Juibari et al, 2018). The financial toll associated with substance abuse is approximately $400 billion annually in the US (National Drug Intelligence Center, 2011; Sacks, Gonzales, Bouchery, Tomedi, & Brewer, 2015).…”