 The investigators have adapted this intervention so that it can be utilized in a rural as well as urban setting. The investigators have trained clinical staff, measured their fidelity to the intervention and successfully implemented it across three Veterans Affairs VA Substance Use Disorder SUD treatment programs Omaha, Lincoln and Grand Island. In 2012 an intriguing study showed that peer referral to 12-step support groups was significantly more effective than clinician referral.7 This is of particular interest given the scarcity of addiction counselors in rural communities and enhances the interventions applicability to rural settings and other disciplines. 