Inclusion Criteria:  Adult (≥18 years) English speaking Not receiving cancer treatment Who have a positive opioid misuse screen on the POMI will be eligible to learn about this study  Exclusion Criteria:  Are pregnant (given potential pre/post-natal opioid use complications among pregnant women/offspring Can-not provide collateral contact information for ≥2 contact persons (to ensure consistent contact/follow up) Do not have a reliable land line or mobile phone to be contacted by study staff Are filling only buprenorphine (given some formulations are not indicated for pain) Plan to leave the area for an extended period of time in the next 6 months Have had a psychotic and/or manic episode in the last 30 days (before consent, patients will be asked to screen for psychosis Do not provide permission to access their state prescription drug monitoring data.