New Hampshire's project will be a comprehensive approach to address OUD crisis through various prevention, treatment, and recovery services targeted at high-risk populations. Populations have been selected due to their high risk of substance use, OUD, and overdose events and fatalities. The identified target populations of focus include pregnant women with OUD and parents in recovery, youth in recovery, children and families involved with the Division of Children due to substance use, and incarcerated men and women scheduled to re-enter the community. NH anticipates serving approximately 988 individuals. NH plans to implement selective prevention services, treatment services, and peer recovery support services. NH has chosen EBPs that are designed for the populations of focus and will implement those practices with selected community-based providers and organizations that can demonstrate willingness and readiness to engage in this specialized work. Unique to this proposal is the emphasis on a strong collaboration between a multitude of DHHS and other state agencies, all of which are experiencing the challenges of the state's opiate crisis for the populations they serve. NH will use these funds to open access to critical services that may not be accessible for the target populations due to insurance coverage barriers, as well as services that are not yet part of any benefit plan. Examples of these services include; family peer support, youth peer support, enhanced care coordination, support services that increase treatment engagement (childcare, transportation), and parenting education. NH is eager to partner with other STR funded states to participate in SAMHSA's national evaluation and is committed to working alongside SAMHSA's priorities for this funding as a means to increase access to treatment, reduce unmet treatment need, and reduce opioid overdose related deaths through the provision of prevention, treatment and recovery activities for opioid use disorder.