evidence: Opioid use and incarceration are interrelated problems in the United States. Even prior to the current opioid-driven overdose epidemic, up to one-third of people who used heroin were incarcerated annually (Boutwell, Nijhawan, Zaller, & Rich, 2007). Opioid use disorder (OUD) is more severe and advanced in justice-involved populations than in the general population (Winkelman, Chang, & Binswanger, 2018). While incarcerated, individuals often undergo a period of reduced opioid use that may lead to a diminished physiological tolerance to opioids (Binswanger et al., 2007). Reduced tolerance has been identified as a significant contributor to risk for drug overdose following release from incarceration, and it is estimated that individuals released from incarceration have nearly 13 times the risk of death as the general population, with overdose as the leading cause (Binswanger et al., 2016; Brinkley-Rubinstein et al., 2018; Green et al., 2018).