Adaptation and Evaluation of Bright Horizons

This study will test if a program called 'Bright Horizons' is effective at reducing binge substance use among adolescents.Bright Horizons is a culturally adapted intervention developed and tested through a partnership between The White Mountain Apache Tribe and Johns Hopkins University. Bright Horizons is a brief intervention that teaches emotion regulation, coping skills, and problem solving. The intervention also uses goal setting to reduce alcohol and other substance use and to connect to individuals with treatment.

Inclusion Criteria:Aged 12-17Confirmed binge alcohol use event reported to the surveillance system within 90 daysSelf identify as Native AmericanReside on or near the Fort Apache Indian ReservationHave parental or legal guardian consent/provide youth assentExclusion Criteria:Unstable and severe medical, psychiatric or drug use problems that necessitates inpatient treatmentAcute suicidal or homicidal ideation requiring immediate interventionRecent and severe stressful life events such as physical or sexual abuse, or violent crime victimization that requires specific and high intensity interventions or out of home placementDoesn't speak EnglishSeverally visually impaired