This study will design and pilot/feasibility test a culturally grounded intervention to increase the treatment seeking of Pacific Islanders with opioid use disorders in formal services.

For the clinical trial arm of this pilot/feasibility study, the investigators will conduct a pilot/feasibility test of our conceptual model of culturally grounded intervention components with 20 Pacific Islander adults with experience with opioid use disorders, then conduct 2 focus groups per site to finalize the components and items for larger R01 pilot and randomized wait-list controlled testing.

Inclusion Criteria:

• Of Pacific Islander/Native Hawaiian or part-Pacific Islander/Native Hawaiian heritage.
• Live in Utah or Hawaii.
• For all lay Pacific Islander adult participants: must be over 18 years of age.
• Fluent (oral and reading) in English or Native Hawaiian.

For target Pacific Islander participants with OUDs, additional inclusion criteria is:

- Presence of active OUD, as screened via 8-item Rapid Opioid Dependence Scale.

Exclusion Criteria:

• Do not meet inclusion criteria,
• Are unwilling to participate,
• Fails to provide or retracts consent,
• Reside outside the target communities of Utah or Hawaii