RUMC is a 470 bed healthcare facility and teaching institution on Staten Island which offers a spectrum of patient care from emergent, acute, primary to behavioral health. The hospital is a leading community health partner that employs 3 Certified Recovery Peer Advocates (CRPAs) in their emergency department. The CRPAs provide harm reduction training including narcan and fentanyl kit distribution. They also engage patients with SUD that come in through the ED and provide bedside interventions and warm handoff to treatment services post-discharge. In addition, CRPAs follow up with all patients via phone call to check on progress. The RUMC Center for Integrative Behavioral Medicine offers inpatient and outpatient mental health services which provide evaluations and care referrals for those seeking SUD care and treatment. The “Bridges to Wellness” partial hospitalization program provides extensive support for individuals in overdose or addiction recovery transition back into their lives.