evidence: Risk for drug-related death is significantly elevated in the 4 weeks following release from prison (Merrall et al., 2010). Among adults released from Washington State prisons between 1999 and 2003, the all-cause risk of death in the 2 weeks post release was 12.7 times greater than for other residents, and drug overdose was the leading cause of death after release (Binswanger et al., 2016). Drug overdose death after release from incarceration has been linked to multiple individual and social determinants. Individual risk factors for overdose include a decrease in drug tolerance while incarcerated due to no drug access or access to low purity drugs (Merrall et al., 2010). Risks of overdose are further elevated when heroin is used with other substances (e.g., alcohol, benzodiazepines, and other depressants) (Coffin et al., 2007), there is presence of comorbid medical disorders (e.g., HIV and mental health disorders) (Coffin et al., 2007), and there is a history of prior overdose (Coffin et al., 2007) or injection of drugs (Merrall et al., 2010). Formerly incarcerated individuals, moreover, may be exposed to socio-cultural norms or behaviors that encourage drug use (i.e., drug use to celebrate release).