In 2018, the San Antonio (Texas) Fire Department Mobile Integrated Health program developed the Texas Targeted Opioid Response program, designed to help stabilize patients with a history of opioid use in a pre-hospital setting and refer them to a facility to assist with the long-term rehabilitation and recovery. The program aims to be the bridge between overdose and the counseling/recovery center, distribution of Narcan, and education of patients and families. In 2019, the fire department started a medication-assisted treatment program with the intent of providing in-field induction of Suboxone to assist patients awaiting treatment.