Regional Judicial Opioid Initiative (RJOI)


RJOI was created in response to the need for information, education, and resources to address the opioid epidemic. Welcome video from Chief Justice Maureen O'Connor.

Interactive RJOI Data Maps



RJOIstatesMAT Basics and How to Find a Quality MAT Program

RJOIstatesHow to Assess Quality Treatment Providers

RJOIstatesRJOI Action Research Partner Report

* NOTE: MS Word template is available to create state-specific version incorporating unique state rules and statutes. Contact Us

RJOI State Resources and Team Membership Opioid initiatives, members, and partners can be accessed utilizing the dropdown menu below.

RJOI Activities


    Child Welfare

    Evidence-Based Practices

    Prescription Drug Monitoring

    Regional Treatment Capacity


Calendar of Events

Additional Resources

NJOTF Opioid Resource Center A repository of current best practices, policies, research, statistics, podcasts, and educational materials on addressing opioids in the courts.

Questions or Comments

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About RJOI In August of 2016, a multi-state regional summit was convened in Cincinnati, Ohio by the Supreme Court of Ohio. Over 150 attendees, along with national partners, representing states across the region at the epicenter of the opioid epidemic met to discuss the impact of the opioid epidemic in the region. Summit delegates developed a regional action plan with strategies to combat the opioid epidemic and formed the Regional Judicial Opioid Initiative (RJOI).

In September 2017, the Leadership Committee finalized the RJOI Charter signed by the Chief Justices from the region and established the organizational structure of the initiative. The eight RJOI states include: Illinois, Indiana, Kentucky, Michigan, North Carolina, Ohio, Tennessee, and West Virginia. Introduction video from Chairman Judge Duane Slone.

Judge Slone Receives 2019 William H. Rehnquist Award for Judicial Excellence

Tennessee Judge Duane Slone, of the Circuit Court in the Fourth Judicial District, was recognized for his ground-breaking work helping people with opioid use disorder and was presented the prestigious Rehnquist Award by the Chief Justice of the United States John G. Roberts, Jr. during a ceremony at the U.S. Supreme Court on November 21st.

The Rehnquist Award honors a state court judge who demonstrates the qualities of judicial excellence, including integrity, fairness, open-mindedness, knowledge of the law, professional ethics, creativity, sound judgment, intellectual courage, and decisiveness.

Judge Slone’s commitment and approach have transformed how many Tennessee courts – and courts around the country – have become part of the solution in the opioid crisis. He has identified three steps all courts should implement, regardless of charges people face.

  • Encourage universal screening for substance use disorders of everyone processed into jail.  
  • Conduct clinical assessments at the earliest opportunity and provide rapid connections to court-approved treatment providers and support services. 
  • Use the court’s leverage to keep the individuals engaged in treatment and recovery for as long as it takes. 

Click here for full press release and podcast.