The Eaton County Jail houses up to 374 inmates and has an average daily population of 250 individuals. Of those, an average of three to five are detoxing from substances in the jail per day. The jail has seen an increase in the number of individuals suffering with both mental health and substance use disorders among the inmate population. The Eaton County Sheriff’s Office initiated the formation of a local chapter of Families Against Narcotics and are joining with private ancillary treatment providers, both in the jail and in the community. The Sheriff’s Office and Eaton County Jail provide a jail-based residential treatment program for individuals identified as having substance use disorders or co-occurring disorders. Individuals enrolled in the program are required to receive behavioral health therapy and elective MAT. They also receive case management/reentry services, recovery coaches, vocational/education services, 12-step groups, and faith-based services. Upon release, individuals in the program transition to a community-based program that includes nearly all of the same treatment providers and services.