Brief Motivational Interviewing +/- Mindfulness Training for Adolescent Alcohol Use in Pediatric Primary Care

Inclusion Criteria: * 12-17 years old * Receiving pediatric primary care (PPC) services through the Johns Hopkins Medical Institute healthcare network * Screening positive for moderate or high alcohol use risk as indicated by a S2BI score (i.e., showing any monthly alcohol use in the past 12 months) * Able to speak, understand, and read in English or Spanish * Able to provide assent, and receiving parental consent/permission to participate. Exclusion Criteria: * Severe medical or psychiatric condition (e.g., behavioral dysregulation, psychopathology, or cognitive impairment that in the judgement of study or PPC provider may make participation hazardous \[e.g., psychosis, homicidality, active suicidality, mania\]) * Intellectual Disability (self-, caregiver-, or PPC-reported, or PPC-documented) * Current or recent specialty substance use disorder treatment in the past 6 months * Demonstrated current physiological alcohol withdrawal requiring urgent inpatient referral in the judgement of study or PPC physician * Reported regular opioid, benzodiazepine, or cocaine use (\> weekly) or history of opioid, benzodiazepine, or cocaine overdose in the past 6 months * Previous experience with a mindfulness-based intervention in the past 12 months * Current regular meditation practice (\> 30 min/day for \> 5 days avg. over 30 days prior to screening).