The Southwestern Regional Day Report Center (SRDRC), the community correction diversion and alternative sentencing provider for the four-county region of Boone, Lincoln, Logan, and Mingo in West Virginia, has implemented the Fresh Start Program. The goals of Fresh Start are to improve access to treatment and support services; promote skill development through educational and vocational services; reduce the risk of recidivism; and improve the quality of life among individuals affected by opioid use. The Fresh Start Program is a three-phase, opioid-specific treatment program that combines intensive outpatient treatment, case management services, and unique education and life skill opportunities through agricultural and artisan community-based mentorships. Referrals to Fresh Start come through SRDRC and local courts. Fresh Start also partners with the Logan County Health Department at a satellite health center to provide harm-reduction services to at-risk opioid users.