The New Jersey State Targeted Opioid Response Initiative (STORI) will address the opioid crisis using a variety of strategies. The objectives are to increase access to treatment, reduce unmet treatment need and reduce opioid related deaths. A new fee-for-service treatment initiative will be developed that will include a wide range of levels of care and the use of evidenced based practices, particularly medication assisted treatment (MAT). STORI will focus on individuals with Opioid Use Disorder (OUD) and other overdose survivors, veterans, individuals released from incarceration in last 60 days, and young and older adults. Prevention efforts will focus on community education programs for older adults with the goal to reduce demand for and misuse of opiate prescriptions. Additional training on naloxone will be provided to schools, jails and prisons, and naloxone kits will be distributed. STORI services will encompass training of primary health and behavioral health care practitioners on best practices for the prescribing of opiates and expanded use of MAT. STORI will provide peer training for volunteers. New Jersey has a number of initiatives dealing with these issues intends to leverage all these initiatives with this current grant opportunity to maximize its efforts. Family support will be provided through the development of three regional Family Support Centers. Anticipated outcomes of the STORI include: reduction/abstinence from drugs and alcohol, increase in employment, reduced criminal justice involvement, increase in stable housing, increased social connectedness, and increased percentage of individuals completing treatment at the recommended level of care. Additional outcomes include: reducing opioid overdoses, increasing retention in treatment, reducing the length of time to relapse and prolonging recovery, and increasing number of individuals receiving MAT. STORI will serve 8,671 individuals annually and 17,342 individuals over the two-year project.