IDHS/SUPR is proposing a comprehensive spectrum of outreach and referral, Medication Assisted Recovery (MAR) and other evidence-based treatment resources, for supporting the continuum of prevention, harm reduction, treatment, and recovery support services for opioid use disorder (OUD), stimulant use disorder, and other concurrent substance use disorders in Illinois. This application's population of focus is Illinois residents who are experiencing opioid use disorder (OUD) and/or stimulant use disorder (SUD) related problems. The statewide opioid overdose rate has increased from 17 per 100,000 in 2019 to 26 per 100,000 in 2022. Non-Hispanic Black individuals of any age are 3.5 times more likely to die from an opioid overdose than non-Hispanic White individuals of any age. The fatality rate of non-Hispanic Black individuals aged 45-54 and 65+ is 4.1 and 6.2 times higher than non-Hispanic White individuals of the same age, respectively. Co-occurring chronic health and mental health disorders will also be addressed. IDHS/SUPR will utilize SAMHSA funds primarily to support direct services. IDHS/SUPR will 1) Establish statewide administrative and infrastructure capabilities responsible for planning, coordinating, monitoring, and evaluation of Illinois SOR4 grant-supported prevention, harm reduction, treatment, and recovery support services, strategies and activities; 2) Increase the availability of evidence-based, culturally responsive, trauma-informed, and evidence-informed outreach, prevention, harm reduction, treatment, and recovery support services that are available for Illinois residents with opioid use disorders (OUD) and stimulant use disorders (SUD); ensure the use of recovery-oriented, and equity-centered principles in contracts and grants, and establish grants that ensure focus on populations experiencing the highest rates of overdose; and 3) Implement data collection and evaluation activities that will assist in documenting the implementation, achievements, and outcomes of the treatment, recovery support, harm reduction, and prevention activities supported through the SOR4 grant awarded to Illinois. Illinois’ State Overdose Action Plan (SOAP) serves as Illinois strategic plan. All SOR SUD treatment contracts and NOFOs address the range of issues required to ensure that the needs of diverse populations are being met, and that behavioral health equity is a prioritized strategic goal, as described in our SOAP. IDHS/SUPR will expand existing initiatives to further address the needs of underserved communities and populations, including BIPOC communities, LGBTIQI+ individuals, transitional age youth and older adults. IDHS/SUPR and the IDHS Division of Mental Health (DMH) are working closely on recovery and recovery support services. Throughout the course of the SOR4 grant, IDHS/SUPR will explore multiple options to sustain these funded services. IDHS/SUPR has already created a blended funding stream for the purchase of naloxone. IDHS/SUPR plans to evaluate, monitor and ensure fidelity of the evidence-based practices being implemented by our service providers. When deviations occur, retraining and technical assistance will be provided.