Coastlands Ministries (DBA Project Lazarus) served Wilkes County, North Carolina, which has a population of 68,756 and has seen overdose deaths decline in the county but naloxone administrations by emergency medical services (EMS) increase. Project Lazarus established an OFR board and implemented ODMAP, through which it has identified two major hot spots and has been able to track trends in overdoses and identify ways in which the county can improve responses. Project Lazarus also linked 132 individuals, many of whom were released from jail, to services such as SUD treatment, housing, transportation, and employment assistance, as well as provided assistance with justice system-related needs.