Project Name: Targeted Capacity Expansion: Medication Assisted Treatment – Prescription Drug and Opioid Addiction. Summary: Compass Health Network (Compass) will partner with local ambulance districts and Peer Support Specialists in hospital emergency rooms to outreach and engage individuals with opioid use disorders (OUD) and co-occurring OUD/mental health diagnoses. As both a Certified Community Behavioral Health Center (CCBHC) and a Federally Qualified Health Center (FQHC) customers can expect a robust, integrated, recovery-oriented system of care that addresses both behavioral health and primary care service needs. Referrals into the program will be assigned a treatment team designed to meet their specific needs. Treatment team members will follow Compass’s documented Opioid Use Disorder Care Path with the goal of moving each customer towards a full, productive life. The first several months of service will include multiple “touches” from service team members to effectively engage and re-engage customers during this critical stage of intervention. The service milieu will be based on evidenced-based best practices and will include medication assisted treatment, testing for high risk co-morbid conditions like HIV/AIDS and Hepatitis B&C, peer support, counseling, community-based integrated health services including recovery support services, and primary care services. Population to be Served: Our population of focus will be uninsured and underinsured individuals 18 years or older with an opioid use disorder (OUD) living in St. Charles, Lincoln, Warren and Franklin counties in Missouri. The population in the targeted geography is roughly 580,000. While primarily Caucasian, roughly 58,000 people are non-white, racially and ethnically diverse (July 1, 2016 estimate, Data USA). Lead by Compass’s Cultural Diversity and Inclusion Committee, Compass will follow Culturally and Linguistically Appropriate Services (CLAS) standards to provide individualized, appropriate care. Lastly, according to SAMHSA, 64.2% of all individuals with a substance use disorder (SUD) maintain a co-occurring mental illness (MI) (SAMSHA, “Behavioral Health Trends in the United States,” 2014 National Survey on Drug Use and Health). Since 1972, Compass has served those with co-occurring SUD/MI with proven, effective, outcome-based models and is abundantly prepared to serve this subpopulation of focus. Goals and Objectives: 1)Increase the number of individuals with an OUD receiving MAT services at Compass locations in Franklin, Lincoln, St. Charles and Warren counties in Missouri; 2) Decrease illicit opioid use and opioid prescription misuse in customers served under this grant; 3) Increase the number of Compass providers certified to provide MAT services; 4) Provide education and training on OUD-related treatment to Compass primary care providers; and 5) Increase referrals into OUD services month over month throughout grant year 1. Number of People to be served: 100, year 1; 100, year 2, 100, year 3.