Oldham County Detention Center Brings Take-Home ONEbox® Overdose Response to La Grange, Kentucky

LA GRANGE, Ky., Oct. 13th, 2026: Oldham County Detention Center launched a take-home ONEbox® program in La Grange, Kentucky, with 30 kits available to people leaving custody and visitors on July 22, 2026. The video-guided overdose response system applies an “AED for overdose” approach: put naloxone and clear instructions together for the person responding. The county’s program brings that support beyond the jail and into homes.

Six Oldham County residents died from drug overdoses in 2025, according to provisional data in the Kentucky Office of Drug Control Policy’s 2025 Drug Overdose Fatality Report⁠. Naloxone (available under brands including Narcan®) can reverse an opioid overdose. Speed matters because an overdose can slow or stop breathing. The detention center’s take-home ONEbox program aims to put the medication and instructions within reach of people returning home and those around them.

The first weeks after leaving jail are a critical period for overdose prevention. A 2024 study in the American Journal of Public Health, using Minnesota data from 2020 and 2021, found that people released from jail experienced an overdose death rate 15.5 times that of the state’s general population, after adjusting for age and gender. (Hill et al., 2024) A Philadelphia study published in Drug and Alcohol Dependence in 2018 found that the overdose death rate during the first two weeks after jail release was nearly 37 times that of the city’s nonincarcerated population. (Pizzicato et al., 2018). These findings underscore the importance of making take-home naloxone and overdose response education part of release planning.

“Recovery begins with hope, and hope begins with keeping people alive. The ONEbox is just one piece of our recovery mission,” said Jeff Tindall, Oldham County Jailer, in the July 22 launch announcement.

ONEbox automatically plays a one-minute emergency video in English and Spanish when opened, guiding a bystander through an opioid overdose response. A five-minute training mode supports preparation before an emergency, and a QR code provides smartphone access to the video as a backup. The kit also includes written naloxone instructions and personal protective equipment. A bystander should call 911, give naloxone and stay with the person until emergency help arrives.

Oldham County purchased the kits using its direct opioid settlement allocation. “We are grateful to see these dollars invested in lifesaving programs. These kits will provide Kentuckians with the chance at long-term recovery,” said Kentucky Attorney General Russell Coleman in the July 22, 2026, launch announcement. The Oldham County Health Department was already distributing kits at convenience stores, motels and restaurants when the detention center program launched. Now, people leaving custody and visitors can call the detention center at (502) 222-3500 to ask about kit availability.

“An overdose response plan can’t begin and end at the jail door,” said Isaiah Gunther, Chief Operations Officer, Rapid Risk Reduction (R3). “The people returning home, their families and their neighbors are part of that plan. You never know who may have to respond to an overdose. We’re here to support Oldham County Detention Center’s work to make sure they have a way to help, not just a warning about the risks.”

About Oldham County Detention Center Oldham County Detention Center is the county jail in La Grange, Kentucky, led by Jailer Jeff Tindall. The center makes recovery part of its mission, offering programs intended to give people in custody another opportunity to seek treatment and rebuild their lives. Its overdose prevention work extends beyond the jail, providing take-home naloxone and response instructions to people leaving custody and visitors. These efforts connect the center’s recovery mission with the safety of families and the broader Oldham County community. Learn more at Oldham County’s official website⁠, www.oldhamcountyky.gov/contact

About ONEbox® and Rapid Risk Reduction (R3) ONEbox® is a video-guided overdose response system that turns passive naloxone storage into an active tool for bystander intervention. Bilingual (English and Spanish) video instructions play automatically the moment the box is opened, a built-in training mode teaches anyone to recognize the signs of an opioid overdose and respond, and QR-enabled reporting helps sites track restocking and use. ONEbox® makes public access naloxone usable by anyone, anywhere people gather, from workplaces and schools to libraries, transit hubs, and government buildings. ONEbox® is manufactured by our team in Huntington, West Virginia, and has been deployed with leading institutions including Duke University, Stanford University, Clemson University, Metro Nashville Public Schools, and the State of West Virginia. Rapid Risk Reduction (R3) builds connective, responsive risk reduction infrastructure for communities working toward zero fatal overdoses. Learn more at www.oneboxready.com

Media Contacts Jeff Tindall, Oldham County Jailer, Oldham County Detention Center jtindall@oldhamcountyky.gov | (502) 222-3500

For ONEbox® consultation or purchasing inquiries: Isaiah Gunther, Chief Operations Officer, Rapid Risk Reduction (R3) | isaiah@rthree.io | (740) 861-8491

Citations/Sources Centers for Disease Control and Prevention. (2024, May 2). 5 things to know about naloxone. https://www.cdc.gov/overdose-prevention/reversing-overdose/about-naloxone.html

Hill, K., Bodurtha, P. J., Winkelman, T. N. A., & Howell, B. A. (2024). Postrelease risk of overdose and all-cause death among persons released from jail or prison: Minnesota, March 2020–December 2021. American Journal of Public Health, 114(9), 913–922. https://doi.org/10.2105/AJPH.2024.307723

Kentucky Department for Local Government. (n.d.). Oldham County. Retrieved October 13, 2026, from https://kydlgweb.ky.gov/Counties/16_CountyView.cfm?County=Oldham

Kentucky Office of the Attorney General. (2026, July 22). Attorney General Coleman joins Oldham County leaders for launch of ONEbox program at detention center [Press release]. Kentucky.gov. https://www.kentucky.gov/Pages/Activity-stream.aspx?n=AttorneyGeneral&prId=1959

Pizzicato, L. N., Drake, R., Domer-Shank, R., Johnson, C. C., & Viner, K. M. (2018). Beyond the walls: Risk factors for overdose mortality following release from the Philadelphia Department of Prisons. Drug and Alcohol Dependence, 189, 108–115. https://doi.org/10.1016/j.drugalcdep.2018.04.034

Rapid Risk Reduction. (n.d.). ONEbox® re-entry program for county jails. ONEbox. https://oneboxready.com/programs/re-entry

Steel, M., Mirzaian, M., & Daniels, L. (2026). 2025 drug overdose fatality report. Kentucky Injury Prevention and Research Center. https://odcp.ky.gov/Documents/2025%20Overdose%20Fatality%20Report.pdf