St. Louis County is home to 3.6 percent of Minnesota’s population, but 10.5 percent of the state’s opioid overdose deaths happen in St. Louis County. Combining heroin and opioid overdose deaths in Minnesota, St. Louis County ranks third statewide, just behind Hennepin and Ramsey Counties’ overdose rates. A St. Louis County Jail survey of inmates conducted in January 2019 found that 52 percent of inmates self-disclosed that they have used heroin/opioids; 35 percent stated they used heroin/opioids on a daily basis; and 11 percent reported they were on a medication-assisted treatment (MAT) program prior to arrest. The St. Louis County Jail is working to ensure that individuals coming into jail who are on an MAT program can continue the program and that those screened for an opioid use disorder and in need of MAT can get started on MAT in jail. St. Louis County is using its Building Bridges implementation funding to hire an MAT navigator who works to promote recovery through coordination of care, linkages to treatment, and building relationships with community agencies and individuals involved with the justice system. The county also developed two training sessions for peer recovery specialists in the region and is helping peer recovery support specialists connect with individuals who have substance use disorder and are involved in the criminal justice system.