The purpose of the Nebraska State Opioid Response (SOR) program is to increase access to FDA-approved medications for the treatment of Opioid Use Disorder (OUD) and support prevention, risk reduction, treatment, and recovery services for OUD and other concurrent substance use disorders (SUD) including stimulant use and misuse. The Nebraska SOR program achieves this through our ongoing collaboration with healthcare and community-based service providers, subject matter experts, stakeholders, and key leaders across the care continuum. Additionally, the SOR program aims to mitigate the effects of OUD and SUDs including the use and misuse of stimulants, prescription opioids and illicit drugs by identifying needs, increasing access to treatment including Medication-Assisted Treatment (MAT) and naloxone, providing OUD and stimulant education, and reducing drug overdose and stimulant deaths through the provision of prevention, risk reduction, treatment, and recovery activities. The Division of Behavioral Health (DBH) intends to partner with agencies and key community sectors to provide services to underserved and at risk populations living in both rural and urban communities statewide. The SOR intends to assess needs, provide opioid and stimulant education and awareness, and reducing stigma surrounding OUD, stimulant use and misuse, and concurrent SUDs. FDA-approved MAT medications will be provided in addition to the distribution of naloxone to communities of need, at-risk individuals, first responders, and others. Nebraska's focus on treatment includes implementing clinically appropriate EBPs for OUD and stimulant use treatment including training providers in the ECHO model; enhancing the utilization of MAT through the funding of Buprenorphine; providing training and education to peer support specialist on opioids and stimulants; and assisting patients with treatment and recovery costs. SOR funding will also assist in providing recovery-oriented care through supportive housing and trauma-informed care. DBH will work with community coalitions and regional behavioral health authorities to implement EBPs targeting Nebraska schools aged children. Over the anticipated two year time period of the SOR grant, DBH intends to reach approximately 230 individuals with treatment services, 550 recovery support services and 1,000,000 through targeted prevention activities.