Specifications include, but are not limited to: a) The awarded applicant(s) shall hire or maintain at minimum one Emergency Departmentbased navigator who shall, at minimum: i. Develop and implement activities to link patients who are at risk for overdose, have opioid use disorder (OUD), or have stimulant use disorder (StUD) to peer support services. ii. Provide rapid support services to increase linkage to evidence-based treatment including medications for opioid use disorder (MOUD). iii. Provide patient education and resources on naloxone, primary overdose prevention resources, and harm reduction resources. b) The awarded applicant(s) shall optimize care for their patients at risk for overdose, have OUD, or have StUD, through enhanced communications, education, training, and technical assistance for healthcare professionals (including, but not limited to, physicians, advanced practice providers, nurses, and administrative staff) to increase awareness of care options and reduce stigma surrounding substance use. i. The awarded applicant(s) shall identify at minimum one MOUD Clinical Champion who will promote access to evidence based MOUD treatment, provide education and mentorship to clinical peers on MOUD to support perception and attitudes towards MOUD, and advance linkage to care efforts. ii. The awarded applicant(s) shall develop and implement activities to build and sustain an environment within the Emergency Department that welcomes patient disclosure of substance use without stigma. iii. The awarded applicant(s) shall develop and implement activities to increase awareness of health system wide care options for patients at risk for overdose, have OUD, or have StUD. c) The awarded applicant(s) shall build and implement universal screening and linkage to care workflows and policies for patients presenting to the Emergency Department for overdose and other reasons that may represent sequelae of substance use to connect patients to trauma-informed, evidence-based treatment and resources.