A Treatment Court summit for members of the Council of Statewide Treatment Court Coordinators (CSTCC), the Council of Chief Justices (CCJ), and the Council of State Court Administrators (COSCA), was held in October 2022. The two-and-a-half-day event entitled “Treatment Court Summit: Emerging Issues” sought to identify and examine national emerging issues facing the Treatment Court field. Discussion of several issues led to some consensus on the proposed development and revision of state and national treatment court policy, as well as the resources necessary to effectuate short- and long-term solutions to identified challenges. The four challenge areas identified by the CSTCC are universal screening and equal access, drug use trends and responses, harm reduction, and fidelity and certification to the treatment court model. Read about these challenges in more detail in this letter from the CSTCC.