Engaging Patients in Coordinated Care

the EPICC logo

EPICC (Engaging Patients in Care Coordination) links individuals age 14+ with severe opioid use disorder (OUD) to community based treatment with the help of Peer Recovery Coaches.

The goal of EPICC is to reduce the number of opioid-related deaths in Eastern Missouri.

a reassuring hand placed on the shoulder of a seated, young man facing away from us

Peer Recovery Coaches

EPICC Coaches are individuals who have lived experience in substance use and recovery. They are able to make strong connections to referred clients through shared understanding, respect, and mutual empowerment. Coaches are trained and certified by the Missouri Department of Mental Health.

a handsome, gray curly haired, doctor in a white coat with stethascope hung over his shoulders

Medication Assisted Treatment

MAT is the use of medication such as buprenorphine or methadone in combination with counseling and other therapies to treatment opioid use disorders. EPICC promotes the use of MAT in hospitals and can provide short-term “bridge prescriptions” for clients until they can be seen by a treatment provider.

sign over the entrance of the Mercy Hospital


EPICC receives referrals from every hospital in Missouri’s Eastern Region (25). Referrals are also made from eight EMS/fire districts. Individuals are referred to one of seven substance use treatment provider agencies. Other partners include Missouri Institute of Mental Health and PreventED, who provide opioid overdose education. Prevent ED also facilitates distribution of Narcan/Nalaxone, which reverses the effects of an overdose.

very pregnant woman gently holding her hands over her belly

Addressing Special Populations

EPICC has a Recovery Coach on site at the BJC Perinatal Behavioral Clinic to assist pregnant and postpartum women. Through a collaboration with the Youth & Family TREE project, EPICC serves youth ages 14-17. EPICC also works with the Faith Community, using two churches from the Bridges to Care & Recovery program to provide telehealth access to provider agencies, overdose education and Narcan distribution, and SmartRecovery groups.

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Since 2016, EPICC has received more than 10,000 referrals.

bar chart showing EPICC at 42% and others at 18%

42% of clients admitted to substance use treatment were still engaged three months later. Other similar programs have rates around 18%.

Click the following to view or download the EPICC:

Impact Statement

Annual Report

For more information, please send an email to Christie Becker-Markovich, Director of Recovery Initiatives:


EPICC is funded by: