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The State Technical Assistance Team Education and Supports (STATES) Consortium is a national alliance of physician, nurse, and allied health organizations with expertise in addiction medicine. STATES will support STR grantees across the nation in their mission to counter the opioid epidemic by developing local networks of experts providing technical assistance (TA) on prevention, treatment, and recovery from opioid use disorder (OUD).It is estimated that 2.4 million Americans have an OUD, and opioids claim tens of thousands of lives every year. Despite the existence of highly effective treatments, including medication assisted treatment (MAT), the majority of individuals with OUD are not engaged in treatment; those who are, often face difficulties with adherence and achieving long-term recovery. To close these gaps, STR funds were granted to the States and Territories in 2017 to expand access to effective prevention and treatment. The primary goal of the STATES Consortium is to build the capacity of Opioid STR grantees to utilize evidence-based practices (EBPs) in their communities to best serve individuals at risk of, or living with, OUDs. To achieve this goal, the STATES Consortium will identify and assemble local addiction medicine professionals and prevention, treatment and recovery support experts who can provide on-the-ground, culturally appropriate TA to an estimated 7,000 recipients based on assessed needs of the Opioid STR grantees. The Core Collaborators in the STATES Consortium include: American Academy of Addiction Psychiatry (AAAP), the Addiction Technology Transfer Centers (ATTCs), Boston Children’s Hospital, the Community Anti-Drug Coalitions of America (CADCA), Columbia University Division on Substance Use Disorders, the Center for Social Innovation (C4), and Research Triangle Institute (RTI). Core Collaborators have demonstrated expertise in addiction medicine, evidence-based prevention, treatment and recovery supports, delivery of culturally-appropriate TA, implementation (including sustainment), and evaluation. A large roster of partner organizations (e.g., the Association for Medical Education and Research in Substance Abuse (AMERSA), the American Osteopathic Academy of Addiction Medicine (AOAAM), the American Academy of Family Physicians, American Psychiatric Association (APA), American Medical Association (AMA), American College of Emergency Physicians (ACEP)) will ensure a deep supply of addiction specialists with the full range of necessary expertise. The main objectives of this proposal are to provide TA around EBPs and implementation strategies to increase the number of physicians and allied health professionals evaluating and treating OUD and associated conditions, and to increase the provision of prevention services and recovery support services through peers as well as professional providers. Measurable performance metrics include to: 1) increase the number of practitioners trained on prevention and treatment EBPs, including the DATA waiver; 2) increase the number of practitioners prescribing MAT; and 3) increase the number of individuals trained on overdose recognition and naloxone use.