Patient Navigator Plus Remote mHealth Adherence Support With Incentives to Improve Linkage and Retention Among Hospitalized Patients With Opioid and Methamphetamine Use Who Initiate Buprenorphine

Inclusion Criteria

Inclusion Criteria: * Adult greater than or equal to 18 years of age * Admitted to Harborview Medical Center (HMC) on any inpatient service * Initiated on buprenorphine for OUD while in the hospital or at the time of discharge and planning to continue outpatient * Used methamphetamine within the past 30 days (any route of administration or frequency) * Willing to be randomized to video-DOT * Willing and able to use a smartphone (study can provide) and work with patient navigator * Discharge setting does not preclude the use of video-DOT (i.e., nursing home, inpatient psychiatry, etc.) Exclusion Criteria: * Unable or unwilling to use smartphone (phones to be provided when needed) * Cognitive impairment (acute or chronic) resulting in inability to provide informed consent * Currently incarcerated and will discharge to jail or prison * Plans to discontinue buprenorphine in the near future (\<3 months) * Lives far away such that cannot keep study visit at 30 days post-discharge * Not English speaking * Behavioral risk per discretion of research staff