The Montana State Opioid Response (SOR) grant will be implemented statewide to expand prevention, treatment and recovery support services among five target populations: American Indians, pregnant women/women of childbearing age, veterans, justice system involved persons and older adults. The SOR grant will build upon activities initiated under the Opioid State Targeted Response grant, substantially increasing access to treatment for the target populations. The SOR grant focuses on three primary goals and related objectives, proposing to serve 3,226 unduplicated individuals through MAT, Naloxone training, and Peer Support training. The first goal, increases access to MAT of OUD for underserved target population, will be accomplished by increasing the number of Hubs and Spokes offering MAT, increasing the number of waivered providers offering MAT, and ensuring that 100 percent of state approved treatment providers are educated in the value of MAT and their role in treating OUD. Montana estimates 1,800 unduplicated individuals from the underserved target populations will received MAT for OUD during the two-year grant period. The second goal focuses on reducing overdose deaths through prevention and recovery activities. Objectives include: providing Best Practices Naloxone training to 1,386 individuals in 56 counties; ensuring access to Naloxone for those trained; including at least one Peer Support Specialist in each contracted Hub and Spoke team; and developing a health communications plan for delivering targeted messages to identified audiences. The third goal is to enhance collaborations to support state and health providers to meet grant goals and Montana's OUD strategic plan objectives. This will be accomplished by establishing and Advisory Workgroup to develop a MAT integration plan addressing MAT delivery within criminal justice and hospital and primary care settings. Also addressing this goal, the State Opioid Coordinator will develop a workforce development plan to guide training, academic detailing, and technical assistance. To ensure that MAT service begin within the first three months of the project, planning and preparation activities will begin prior to the grant start date of September 30, 2018. Sustainability is a critical component to ensure that activities under the project continue after the grant period. One strategy for sustainability is to develop a cadre of qualified trainers to self-sustain the training capacity. Partner organizations will be involved to help build MAT and OUD expertise and educational materials and encouraged to incorporate ongoing support into their individual purpose statements and strategic plans. Finally, the Montana Department of Public Health and Human Services will continue to work with federal and state agencies to maximize and innovatively braid funds available through various sources, as well as work with state legislators for resources or changes to Montana law, to improve and protect the health, wellbeing, and self-reliance of all Montanans.