Opioid overdose deaths have increased dramatically over the last two decades, leading federal authorities to declare an epidemic. Though the opioid death rate in Spokane county has decreased since 2006, non-fatal opioid events continue to increase. Opioid overdose hospitalizations have increased 2.5-fold since 2004. Opioids are highly addictive substances and a leading cause of morbidity and mortality due to widespread misuse. In the past 10 years, more than 500 people have died from opioid-related deaths in Spokane County–about 4 people per month.