As of 2010, Durham County was the sixth most populous county in North Carolina. In North Carolina, overdose death rates doubled from 2010 to 2016. The state experienced an estimated 98.8 percent increase in fentanyl-related overdose deaths from 2015 to 2016. A recent study of incarcerated individuals conducted in North Carolina found that the risk of overdose death post-release was 40 times greater than that of the general population. Approximately 250–300 people per month report current use of opioids cycle through the Durham County Detention Center. The Detention Center is in the process of implementing an opioid use disorder screening tool and is seeking to become a provider of MAT services to incarcerated individuals. The MAT program will work in cooperation with the existing STARR (Substance Abuse and Recidivism Reduction) program, which provides harm-reduction and overdose education to individuals with substance use disorder. The center will also be working with community-based MAT treatment providers to link individuals with opioid use disorder to treatment upon their release.