Substance Use Disorders is a pervasive, costly, and devastating problem impacting all communities across America. North Carolina is eminently impacted by Substance Use Disorders use; over 13,000 residents have died from accidental opioid overdoses since 1999.Of the 21.7 million people in need of treatment in the United States in 2015, only 10.8% received it. Additionally, 95.4% of individuals meeting the criteria for a substance use disorder did not receive treatment or did not think that they needed treatment. It is estimated that this results from a combination of the stigma, lack of awareness, misperception and missed opportunities related to engaging and serving individuals with Substance Use Disorders contribute to this statistic. This Focus Group will address the issues of Substance Use Disorder and the best practices to reach and treat the affected individuals.