Improving Outcomes for Emergency Department Patients With Alcohol Problems

Inclusion Criteria: Screening: * Presenting for care in the Ann Arbor Veterans Health Administration (VHA) ED * Medically stable * Able to provide informed consent Enrollment: * Have an AUDIT-C score of 4 or more for men and 3 or more for women in the prior 3 months, indicating that they meet criteria for hazardous use (NIAAA 2005; World Health Organization) * Have a telephone and/or the ability to provide information about individuals who can help contact the participant Exclusion Criteria: Screening: * Do not understand English * Patients in or having received substance abuse treatment in the past 3-months, per medical record * Patients in or having received peer services in the past 3-months, per medical record * Pregnant women * Patients deemed unable to provide informed consent * Profound psychotic symptoms and/or cognitive deficits that would prevent patients from understanding the content of the intervention and/or assessments Enrollment: * Patients currently active in or having received alcohol or other substance abuse treatment in the past 3-months, per self-report screening. * Patients currently active in or having received peer services in the past 3-months, per self-report screening.