Pain Self-Management and Treatment Engagement for Patients Taking Opioids

Inclusion Criteria: In order to be eligible to participate in this study, an individual must meet all of the following criteria: 1. Adults at least 18 years old 2. Ability to speak, read, and understand English 3. Capable of providing informed consent 4. Access to phone and/or internet 5. Current (defined as at least 1 primary care visit in the past 3 years) or new (confirmed appointment) primary care patient at a participating clinic 6. Must meet criteria for OUD or opioid misuse based on at least one of the following: 1. OUD Misuse Screening score of 3 or more (sometimes or more) on at least one of the questions 2. Meets criteria for DSM-5 Opioid Use Disorder on MINI-J 3. Documented diagnosis of Opioid use Disorder (OUD) 7. Have bothersome (Grade 2) or high impact chronic pain (Grade 3), based on the Graded Chronic Pain Scale-Revised (GCPS-R) Exclusion Criteria: An individual who meets any of the following criteria will be excluded from participation in this study: 1. Under 18 years of age 2. Have cancer-related pain 3. Are currently in jail, prison, overnight/residential facility as required by court of law or have pending legal action that could prevent participation in study activities 4. Have received prescribed, administered, or dispensed MOUD (buprenorphine, methadone, naltrexone) as maintenance treatment for OUD (excluding acute or short-term (\< 7 days) use of these medications to manage opioid withdrawal or pain management) within the past 90 days 5. Had an intentional suicide attempt within the past 3 months The investigators will not exclude individuals with common comorbidities, such as depression, anxiety, or alcohol, methamphetamine, and other substance use disorders.