Quality SBHC providers blend clinical competence and effective collaboration in the education setting. It is a highly skilled and multi-faceted role. To ensure quality of substance use-related care for adolescents, it is imperative that both pre-professional and continuing education programs equip SBHCs accordingly.

Training for providers at all levels (pre-professional and continuing education) should address:

  • Adolescent development, as well as adolescent-specific substance use treatment
  • Strategies for minimizing stigma related to substance use and mental health conditions
  • Appropriate use of standardized screening tools
  • Adolescent-specific motivational interviewing strategies
  • Concepts of trauma-informed care and their application to adolescent settings
  • Strategies for managing vicarious trauma/compassion fatigue

SBHC staff should also receive specific training on school collaboration and integration, grounded in the Alliance’s core competencies. SBHC staff providing SBIRT should receive training on differences between HIPAA, FERPA, and 42 CFR confidentiality protections in school health settings.


  • Anna’s recording on training, assessing, and supporting providers
  • Allison’s recording on workflows
  • Kognito info?
  • NORC learners guide to adolescent SBIRT
  • HIPAA/FERPA resources
  • Harris et al (2016) Barriers to Addressing Adolescent Substance Use: Perceptions of New York School-Based Health Center Providers
  • Harris (2016) Communicating about screening, brief intervention, and referral to treatment: Messaging strategies to raise awareness and promote voluntary adoption and implementation among New York school-based health center providers
  • Something on secondary trauma?