Bay Mills Indian Community TOR - The Bay Mills Indian Community will utilize SAMHSA's Tribal Opioid Response funding to support the continuum of prevention, harm reduction, treatment, and recovery support services for opioid use disorder (OUD) and co-occurring substance use disorders, and stimulant misuse and use disorders, including those involving cocaine and methamphetamine. Bay Mills Indian Community Behavioral Health Department utilizes trauma informed, culturally/community adaptive evidence-based programming in all areas of the substance use disorder continuum. To date, SAMHSA’s TOR funding has aided in helping more than 500 families access prevention, harm reduction, treatment and recovery support services in a remote, rural tribal community. With the additional program funding, Bay Mills Indian Community seeks to provide access to services for an additional 900 program participants over the 5-year project period. Activities include inclusion of culturally significant practices: sweat lodges, community healing practices, monthly cultural activities, one on one Peer Recovery Support, one on one individual therapy, in school prevention programming and a new Pilot Program: Come Back Quick Response Team (QRT). With the high level of opioid/synthetic related overdoses in the geographical area, the need to provide immediate intervention and family response support is higher than it has ever been. The QRT Pilot Program seeks to provide resources at the high of a crisis and increase access to services for the individuals with opioid use/co-occurring substance use disorders.