“…The logic underlying this approach is that, given it is a frequent point of contact people living with OUD have with the formal healthcare system (Masson et al, 2002;Mor, Fleishman, Dresser, & Piette, 1992;Sohler et al, 2007), the ED is in a unique position to identify, develop, and implement solutions to improve outcomes for this population (Anderson, Hsieh, & Alter, 2016;Duber et al, 2018). There is indeed burgeoning evidence supporting ED-based interventions for OUD (Hawk & D'Onofrio, 2018), as prior studies have demonstrated feasibility of and patient receptiveness to opioid education and naloxone distribution (Dwyer et al, 2015) and positive outcomes for patients who begin buprenorphine treatment within the ED setting (Berg et al, 2007;D'Onofrio et al, 2017D'Onofrio et al, , 2015Johns, Bowman, & Moeller, 2018). Separate literature demonstrates promising and growing evidence that peers can improve recovery-oriented outcomes for OUD (Bassuk, Hanson, Greene, Richard, & Laudet, 2016;Reif et al, 2014), and these improvements are largely viewed as an effect of peers' ability to better connect with patients than clinicians who do not have lived recovery experience (Powell, Treitler, Peterson, Borys, & Hallcom, 2019;Salzer, 2002;White & Evans, 2014).…”