Millions of individuals and families are affected by substance use disorders and overdose in the United States. Deflection programs provide an opportunity for law enforcement to connect individuals with substance use challenges to appropriate treatment and services to improve health and public safety outcomes. We evaluated the efforts of community agencies and law enforcement in Jackson, Johnson, and Williamson counties to develop the Little Egypt Alternative Pathways (LEAP) deflection program. We conducted an evaluation using field observations and surveys. Based on our findings, we recommended addressing participant attendance and engagement; clarifying stakeholder roles and responsibilities; and ensuring program outcomes are measurable and achievable.