Forty-one million people need treatment for substance misuse annually, but more than 90% of them will never reach out for help. It’s time to shift the paradigm of traditional treatment that waits for someone to hit rock bottom to a more dynamic model that relies on early intervention with education, support from trained peer recovery coaches, and family engagement. In this session, better understand the staggering impact of substance use disorder (SUD) on Americans today, discuss the gaps in traditional addiction treatment, and learn how involving the family and peer coaches with lived experience in the recovery process improves sustained recovery.