Problem-solving courts have operated as separate courts or dockets as an alternative to adjudication or incarceration for more than 20 years. These programs offer clients court accountability, intensive supervision, drug testing, and treatment for substance use disorders, mental health conditions, and other issues. Drug, mental health, domestic violence, and veteran’s courts are the most common problem-solving models, with 3,000 in existence around the country. This article provides a state and national overview of problem-solving courts, components shown to reduce recidivism and increase public safety, and implications for policy and practice.