Grays Harbor County Public Health & Social Services Department serves an area of approximately 2,000 square miles on the western border of Washington State. Its RROE project focused on creating a “system of care” in the jail, which allowed for 126 individuals to receive medication for opioid use disorder and 82 individuals to be connected to reentry supports like long-term treatment, stable housing, and employment. The department also developed a community education/ anti-stigma campaign, supported a quick response team (QRT) for 16 months that responded to 203 reported overdoses, and placed a peer navigator within the local therapeutic court. Both the peer navigator and the system of care are being funded and continued after the conclusion of the RROE project.