Sallisaw's Cara Project will serve individuals at risk of opioid overdose of all ages in Sequoyah County. The goals of the project are to increase availability of opioid overdose reversal medications to first responders and community members. Secondary goals are to train and provide resources for first responders and members of other key sectors on carrying and administering naloxone; to train and provide resources for first responders and other community members of safety around fentanyl, carfentanil, and other dangerous drugs to protect themselves from exposure; and establish processes for referral to appropriate treatment and recovery communities. We will train 200 first responders per year, for a total of 800 individuals; distribute 2,000 naloxone kits annually, for a total of 8,000; provide information dissemination to 5,000 individuals annually, for a total of 20,000; and reach 100 individuals with outreach activit8ies, for a total of 400 people. Objectives are to provide monthly community naloxone trainings to 24 community partners annually, develop online training resources, promote use and training of ODMAP in training events, create and implement public education campaign, assist partners with policy development regarding safety precautions around fentanyl, integrate fentanyl safety training into naloxone training, promote trainings, gather feedback, and provide resources through website and social media, conduct policy review of crisis intervention services at clinics and healthcare partners, develop written set of recommendations to enhance Crisis Intervention Team responses, coordinate training and strategic planning sessions for the Northeast Health Systems, develop collaborative system of outreach and referrals materials to be administered to families of individuals receiving naloxone, provide education to policy makers on the utility of a 911 Good Samaritan Law. Sequoyah County is primarily Caucasian (65.5%) with a significant Native American population (22.0%). The poverty rate is 2934% and unemployment rate is 6.6%, much higher than the state rate of 4.1% (U.S. Census Bureau 2016)