This three year, $300,000 SAMHSA grant is a partnership with the Behavioral Health Network, Preferred Family Healthcare and Epharmix.  The TACC project focuses on delivering technology assisted interventions, such as text messaging and telecoaching in addition to current substance use outreach and treatment services to assist high need populations with substance use recovery, co-occurring mental health concerns and chronic medical conditions.  The population of focus is those within the St. Louis area who are identified by Medicaid claims as high utilizers of medical services and a history of a substance use diagnosis.  The goal of the project is to reduce the cost of emergency care, engage individuals with complicated challenges,  and provide them with stabilizing evidenced-based interventions such as Motivational Interviewing and Critical Time Intervention.