The likelihood of engaging in risky behavior is higher during adolescence, a critical developmental stage. Motivation, learning and memory are critical issues for adolescents as well as school expectations. By carefully screening and using brief intervention and referral to treatment or services (SBIRT), adolescents can be provided with support and counseling for risky behaviors. Motivational interviewing is used with adolescents We acknowledge concerns about this model, but concerns about addiction and risky behavior are addressed in this approach and intervention. Adverse Childhood Experiences are reviewed as well as Social Determinates of Health, Adolescents and Addiction, Adolescents and SBIRT, Life Skills Training, Discussion and Conclusions.