The Cherokee Indian Hospital Medication Assisted Treatment Program Expansion Initiative will serve the Eastern Band of the Cherokee Indians in a multifaceted approach. This initiative will continue to expand the Medication Assisted Treatment Program at Cherokee Indian Hospital utilizing pharmacological interventions of Suboxone and Methadone, in conjunction with evidence based, stage wise, clinical group and individual therapy as well as Peer Support Services. This initiative will serve enrolled members of the ECBI diagnosed with an Opioid or Stimulant Use Disorder. To broaden the program, assertive community outreach visits will be utilized to assist program participants when a higher-level support is needed. In addition, a Re-Entry Specialist position will join the existing MAT Program team. This specialist will be located within the Tribal Justice Center and will focus on intense discharge planning with program participants as well as community/home based visits for up to 60 days post incarceration to link participants with needed services and meeting basic needs. This initiative intends to serve at least 100 program participants in year one with that number growing to 125 participants in grant year 2. The goals for the initiative are to increase participation in each treatment phase of the MAT program through the use pharmacological intervention, individual/group therapy, assertive community outreach visits, Peer Support services, and intensive discharge planning and follow up for incarcerated program participants. Other goals of the project are as follows: at least 25 new MAT program participants will gain employment within the first year of treatment; the team will work with 100% of program participants who have Family Safety/DSS involvement to assist them in meeting all requirements of those programs.