Peer Intervention to Link Overdose Survivors to Treatment (PILOT)

To be included in this study participants must:

• Be 18 years of age or older at time of first contact by research staff (no upper age limit for inclusion).
• Meet one of the following non-fatal overdose involving opioids (NFOO) criteria:

• Having presented to the Emergency Department for any health issue within the past 48 hours AND self-report having a known or suspected overdose involving opioids in the past 72 hours, OR
• Having presented to the Emergency Department within the past 48 hours for any SUD-related health issue, self-report having a known or suspected overdose involving opioids in the past 30 days
• Be able to provide sufficient locator information, defined as identifying at least two individual contacts other than the participant.
• Be able to speak English sufficiently to understand the study procedures and provide written informed consent to participate in the study as determined by research staff.
• Be willing and able to confirm future SUD treatment receipt as evidenced by 2 out of 3 of the following: (a) signing appropriate releases to for study staff to confirm treatment with follow-up provider; (b) having technology necessary to visualize medication bottles and transmit to study team utilizing HIPAA-compliant platform; and/or (c) able and willing to undergo toxicology tests (in person or via HIPAA-compliant videoconferencing).

Exclusion criteria

include those who are:

• Identified as having had an intentional overdose as the Index NFOO.
• Actively suicidal at the time of screening (defined as current intention and/or plan for suicide attempt).
• Unable to complete study baseline procedures due to medical or psychiatric condition.
• Currently in jail, prison or in police custody at the time of the index ED visit or under current terms of civil commitment or guardianship (i.e., OHRP-defined prisoner status).
• Previously randomized as a participant in this study - individuals may only be enrolled and randomized once.
• Unwilling to follow study procedures (e.g., unable to provide sufficient locator information [defined as two contacts] or unavailable for follow-up assessments).