This document was originally released in 2019 as a guide to help policymakers end the opioid epidemic. This document has now been expanded to include best practices and action items regarding COVID-19 and racial inequities.

Historically, it has not been the responsibility of the sheriff s and jail administrators to be primary providers of substance use disorder treatments. But with thousands of Americans dying every week from drug overdoses and those recently released from jail among the most defenseless, the situation has changed - sheriffs have taken on the challenge.

This guide focuses on using medication-assisted treatment for opioid use disorder in jails and prisons, and during the reentry process when justice-involved persons return to the community. It provides an overview of policies and evidence-based practices that reduce the risk of overdose and relapse.

This toolkit explains how faith communities can contribute to harm reduction efforts within their communities in order to change principles, practices, and policies.

This webpage provides tools for primary care providers to help carry out the complex task of balancing pain management with the potential risks that prescription opioids pose.