Clackamas County is the third most populous county in Oregon. According to the Oregon Health Authority, the county experienced 27 opioid-related overdose deaths in 2017. There were an additional 69 non-heroin opioid and 14 heroin hospitalizations in 2017. In a recent Clackamas County-focused study of naloxone delivery to individuals discharging from jail, of 232 participants, 46 percent confirmed that they had experienced at least one overdose, and 49 percent indicated an interest in receiving treatment for opioid use disorder. Clackamas County seeks to develop and implement a criminal justice continuum of care for opioid users. The county is working toward building system capacity for Community Corrections to meet with individuals in custody, conduct assessments, and coordinate care for individuals in need. In addition, the county is striving to implement MAT in the jail and to make MAT more easily accessible in the community.