The Texas Targeted Opioid Response (TTOR) program will expand prevention and treatment efforts that promote recovery and early intervention for populations identified as high risk for opioid use disorders (OUD). This program will enhance outreach and education for the public, provide training to enhance workforce, and target individuals at risk of developing OUDs, or a potential overdose. TTOR will focus on three populations at highest risk for OUD: people who live in major metropolitan areas; women who are pregnant and postpartum; and people who have a history of prescription opioid misuse or are at risk of developing an opioid issue. The Texas Statewide Behavioral Health Strategic Plan identified access to treatment, unmet treatment needs, fortifying re-entry services, and increasing recovery support services (RSS) as essential for behavioral health planning. TTOR will serve approximately 14,710 persons over two years. TTOR will partner with the state agency representatives in addition to consumers, advocates, and provider members to ensure stakeholder input is incorporated. TTOR will also provide a comprehensive approach to treatment, access to housing, employment, immunization and testing. In addition to traditional prevention activities, TTOR will provide training and technical assistance to peers, providers, and prescribers working in settings ranging from primary care to jails. Topics will include opioid use and misuse, the importance of evidence-based practices with a focus on Medication Assisted Treatment, overdose prevention, and RSS. TTOR funding will also allow for enhanced Mobile Crisis Outreach Teams and the addition of peer supports outreach teams focused on intervention, prevention and supports. These additions will enhance early identification and service connections for opioid users in crisis and/or seeking treatment options. Finally, TTOR will expand opiate treatment capacity to address waitlist and access constraints.