Overdose deaths involving opioids in Monroe County, NY are rising at an alarming rate. The Nurse Practitioner DATA Waiver training program will reduce opioid-related overdoses and deaths by increasing the capacity of the NP workforce to provide Medication Assisted Treatment (MAT), and of all advanced practice nursing students, faculty and preceptors to diagnose opioid use disorders, identify opioid prescription misuse, and prevent opioid overdose and death. To achieve these goals, the Data Waiver training program, in conjunction with the American Society of Addiction Medicine (ASAM), will immediately offer current students, faculty and preceptors the ASAM online training for DATA Waiver at no cost, so that a minimum of 20 students, faculty and preceptors will be eligible for a waiver within the first two years of the grant. At the same time, the standard curriculum for students admitted after fall, 2018 will begin to integrate the DATA waiver competencies into specific required graduate level nursing courses, drawing upon the expertise of our faculty from Nursing, Mental Health Counseling, and Pharmacy, our physician MAT consultant/trainer, and our clinical partners who will provide each NP student with a substantive MAT shadowing experience. As a result, 100% of NP students will be eligible to apply for a DATA waiver upon graduation, adding 75 DATA waiver eligible practitioners to the workforce in 2021 and each year thereafter. In addition, building upon our experience in integrating and sustaining SBIRT (Screening, Brief Intervention, and Referral to Treatment), the curriculum for all advanced practice nurses will be enhanced to include adolescents, older adults, and pregnant women, advanced skills in motivational interviewing and cultural competence, sources and effects of stigma, self-help and peer coaching, the NYS Department of Health certified opioid overdose prevention training, and practice delivering MAT with standardized patients. The SBIRT website will be updated to include MAT resources, and faculty and preceptors and other community practitioners will be able to take the enhanced training each year of the grant at no cost. Marketing of the program will begin in year one, so as to recruit NP students with an interest in acquiring DATA Waiver training as part of their course of study. To measure success in achieving these goals, the data collected and analyzed each semester will include: number of individuals trained in classroom setting; number receiving practical application training through shadowing; types of students trained; utility of training experience; extent to which curriculum has changed to incorporate DATA waiver training as a meaningful part of standard curriculum, intent to apply for a Waiver, the number who apply for a waiver and extent to which students prescribe once practicing. A minimum of 90% of students will report an increase in perceived effectiveness in MAT and satisfaction with their training and the relevance and usefulness of the training to their career. Students will also be queried about their interest in a DATA waiver each semester and intent to apply for waiver after graduation, and a baseline will be established in year 2 to determine the benchmark for future waiver applications.