The Berkshire Overdose Addiction Prevention Collaborative (BOAPC) implements local policy, practice, systems, and/or environmental changes to prevent the misuse of opioids and reduce the risk of overdose and related harms from substance use. The Collaborative consists of participants from across Berkshire County including community service organizations, medical and behavioral health practitioners, local government, law enforcement, harm reduction, treatment/recovery providers, education, people in recovery, friends and family of people who use drugs and individual citizens alike. BOAPC provides an engaging space for these partners to work together to identify needs in the community and collaborate on implementing solutions.