Inclusion Criteria:  Emergency Department patients 18 years of age or older Treated in the ED during screening hours Moderate to severe AUD as determined by DSM-5 criteria Able to speak and understand English Medically stable for an interview as determined by their primary ED provider Willing and able to consent to study participation Two points of contact available for follow-up  Exclusion Criteria:  ED patients younger than 18 years of age Medically or psychiatrically unstable as determined by the ED provider Unable to speak or understand English Unable to provide consent for study participation Past year opioid dependence Urine drug screen positive for opioids Current or anticipated need for opioid medications for pain Anticipated surgical procedure within 14-day of ED visit Serologic evidence of liver disease (LFTs 3X normal) within 7 days of enrollment Cirrhosis either by PMH or self-report Pregnant or breastfeeding Lacking contact information for follow-up Requiring in-patient admission for medical or psychiatric reasons Patient receiving a sexual assault forensics exam (SAFE) Patient suspected of having COVID-19 Patient is actively suicidal or homicidal Previously enrolled in either the implementation or feasibility phase of the study Be a prisoner or in police custody at the time of the index ED visit Be currently (anytime within the last 14 days) enrolled in formal addiction treatment, including by court order.