St. Mary’s Regional Health Center (St. Mary’s) worked in Becker, Hubbard, Mahnomen, Norma, and Polk Counties, located in Northwestern Minnesota. RROE funds were used to start a diversion program in Becker County, including hiring a social worker who supported justice-involved individuals. St. Mary’s developed a 12-week opioid education series that aired in all five counties via social media, radio, and local television and similarly shared information across all five counties about National Drug Take Back Day. Community picnics were also held on the White Earth Reservation at each of the five villages, which included free naloxone training and naloxone and had 100 to 250 people in attendance. Finally, St. Mary’s worked with the White Earth Reservation to identify a needed patch for its law enforcement agency to enter information into ODMAP, which is now being used as a pilot to encourage other agencies to also report data into ODMAP.