The misuse of opioids such as heroin, morphine, and prescription pain medicines is a devastating public health crisis, but it also is critically affecting our nation’s courts. The number of children in foster care because of parental substance abuse has nearly tripled since 2012, and drug overdose deaths are at record highs. Top state court leaders have formed a task force to find solutions, examine current efforts, and make recommendations to address the opioid epidemic’s ongoing impact on the justice system. Task force co-chairs, Indiana Chief Justice Loretta H. Rush and Tennessee State Court Administrator Deborah Taylor Tate, discuss efforts courts are taking to address this situation.