The University of Nevada, Reno's CASAT is the applicant for the Rural Opioid Technical Assistance Regional Centers for Region 9 (ROTA-R9). The ROTA-R9 Project will assist rural communities in effectively addressing opioid and stimulant misuse by providing high quality/innovative training and technical assistance (TTA) to the 43 counties (within 4 states) and 6 jurisdictions in the Region 9 catchment area that are non-metropolitan statistical areas. Specifically, that includes the rural areas in: American Samoa, Arizona, California, Commonwealth of the Northern Mariana Islands, Federated States of Micronesia, Guam, Hawaii, Nevada, Republic of Marshall Islands, and Republic of Palau. Partnerships with the U.S. Department of Agriculture Cooperative Extension staff, State Opioid Recipients (SOR) and Tribal Opioid Recipients (TOR), community/faith-based organizations, recovery community groups, consumers and family members and other stakeholders including racial and ethnic and/or LGBTQ+specific organizations will be enhancesd and created to ensure effective service delivery. Project Goals/Objectives include: 1) Increase collaboration among ROTA-R9 stakeholders by: creating an Advisory Board and an Extension/TTC Council and conducting quarterly meetings, developing a listserv, a toll-free phone line and an online request form to increase access, and a web-based calendar of events that will link with other Region 9 stakeholders' events including TTCs, TOR TA providers, and other HHS training centers to avoid duplication and leverage services; 2) Increase rural extension and behavioral health professionals awareness, knowledge, and skills by: conducting a needs assessment to determine TTA needs, conduct 3 intensive learning opportunities that focus on skill development for EBPs; implement two 2-part webinars in Years 1 & 2, offering consultation sessions to increase skill development (5 in Year 1 and 10 in Year 2), host a training for Extension SNAP Educators partnering with Leah's Pantry and Nevada Extension experts on stimulant use and nutrition, and trauma-informed care, and create/pilot a ToT on an EBP identified through the needs assessment; 3) Enhance access to rural tailored learning opportunities and resources by: creating/maintaining a ROTA-R9 website, create 2 guidance documents, toolkits, and tip sheets, implement a monthly online media series featuring videos or podcasts; develop one online self-paced course for extension professionals related to opioid/stimulant misuse, and develop products that extension professionals can distribute or that the general public can download; 4) Maximize the impact of rural service delivery by highlighting the use of virtual service delivery, crisis intervention, and ethical issues by: developing tip sheets on best practices in virtual service delivery for treatment and recovery services, collaborate with the Western Regional Agricultural Stress Program to offer a two-part webinar series on telephone crisis intervention programs, create a three-part webinar series on rural ethical issues for behavioral health professionals, and conduct webinars on providing instruction on how to use social media to decrease stigma and promote treatment and recovery services; and 5) Increase the reach, impact, and effectiveness of ROTA-R9 services over the course of the project through evaluation and continuous quality improvement activities utilizing GPRA to track target events and number of people, feedback surveys and other performance measures strategies to track outputs and outcomes, and conduct key informant interviews to collect feedback from stakeholders. Over the course of the two-year project, the ROTA-R9 will serve no less than 1,910 people (no less than 410 people in Year 1 due to project start-up and no than an average of 1,500 people in Year 2).