Northumberland County, Pennsylvania, is located in the central/northeastern part of the state and is home to 93,950 residents. Northumberland County used its RROE funds to establish its safe care manager position, implement the Strengthening Families program, and expand recovery support services and community education about SUD. The safe care manager created safe care plans for 29 mothers and children and referred another 144 clients to services such as mental health assessments, inpatient withdrawal management, intensive outpatient substance use treatment, transition housing, peer support services, and food or nutrition assistance programs. Strengthening Families was implemented in 3 school districts, while 145 individuals participated in the county’s Overdose Awareness Day and nearly 440 participated in the local recovery walk.