The Florida State Opioid Response Grant will implement a comprehensive approach to addressing opioid and stimulant misuse, disorders, and overdoses. The populations of focus for this project are uninsured and underinsured individuals who misuse stimulants or opioids, and individuals diagnosed with an opioid or stimulant use disorder. This includes individuals with cooccurring mental health conditions. SOR funded providers will serve individuals reentering communities from criminal justice settings, parents in the child welfare system, and all others who meet eligibility. The overarching goal of the project is to reduce numbers and rates of opioid caused deaths. A major objective of the program is to increase access to the most effective treatments for opioid and stimulant use disorders, including increased admissions to buprenorphine or methadone maintenance treatment. The total number of unduplicated individuals targeted to receive treatment services per year is 10,000. The SOR funded service array for opioid and stimulant misuse and disorders is comprehensive and covers the entire spectrum of care across primary prevention, harm reduction, treatment, and recovery support domains. Covered services include outreach, assessment, crisis support, intervention, medical services, day care, day treatment, case management, incidental expenses, in home and onsite, outpatient, recovery support, supported employment, supportive housing, and aftercare. Hospital bridge programs, which initiate services in the Emergency Department and link individuals to longer term care through a community based network service provider, will be maintained and expanded. Naloxone nasal spray distribution, and associated overdose recognition and response training, will increase through a Naloxone Saturation Plan implemented by the Overdose Prevention Program. SOR funds will be used to provide overdose prevention and response training to at least 10,000 individuals per year. The Department will partner with the Florida Harm Reduction Collective to implement a mail based naloxone distribution service for the hardest to reach populations. To prevent opioid and stimulant misuse among young people, SOR funds will be used to implement evidence based prevention programs such as Life Skills Training and multifaceted media campaigns, among others. Recovery support services include increased access to recovery housing, with a goal to establish 44 additional Oxford Houses per year. Training for judges and court staff will be provided through a partnership with the Office of State Courts Administrator. Mobile and telemedicine based low barrier buprenorphine clinic program development training and TA will be provided through a partnership with the University of Miami Miller School of Medicine. Additionally, the project will expand the MAT Prescriber Peer Mentoring Project, which uses expert mentors to advise and guide prescribers through both formal instructional sessions and realtime consultations. Additionally, SOR funds will be used to implement Recovery Community Organizations with training and technical assistance by Faces and Voices of Recovery. The program will deploy Recovery Quality Improvement Specialists to conduct quality assurance reviews around recovery oriented practices and manage activities related to the development of recovery oriented systems of care. Behavioral Health Consultants will use their clinical expertise to collaborate with child protective investigators and dependency case managers to build knowledge within front line staff for identifying substance use disorders, improving engagement with families, and improving access to treatment.