The Summit County Sheriff’s Office has established the Strategies to Avoid Relapse and Recidivism (S.T.A.R.R.) program, which provides substance use and mental health treatment services within the Detention Facility. The team consists of a law enforcement coordinator, Case Manager, and Licensed Mental Health Clinician. Group and individual therapy sessions are offered to motivated inmates, with a focus on changing patterns of substance use, anger, communication and life skills, and addressing trauma. A newer service provided by the S.T.A.R.R. program used to treat substance use disorder is Acudetox, which has been found to be effective in helping individuals manage opiate withdrawal symptoms, cope with cravings, and increase overall calmness and wellbeing. 

Mental health is also a focus of the S.T.A.R.R. program and Medication Assisted Treatment (MAT) and Eye Movement Desensitization and Reprocessing (EMDR) are often utilized. EMDR is the leading intervention for trauma based disorders including Post Traumatic Stress Disorder (PTSD).

The care of an individual does not end upon release. S.T.A.R.R. and SMART teams work closely to link individuals being released from jail to free or low-cost services in the community with competency enhancement and re-entry coordinator services. The teams also collaborate to ensure SMART team clients who are taken into custody have a smooth transition into S.T.A.R.R. services. 

Both the SMART and S.T.A.R.R. programs are tied together through a shared community based steering committee and stakeholder group.