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Programs through which police divert people away from arrest to mental health and addiction services have grown in number, type, diversity, and size over the past 50 years. To create a national profile of police diversion program types across the United States, researchers from 8 institutions interviewed local program directors and state and national leaders in the field of police diversion at arrest. Following a systematic literature review, interviews (n=44) were conducted via videoconference, recorded, and professionally transcribed. Eight co-authors open coded the transcripts, which was followed by re-reading and developing key themes during a collaborative retreat. Program Design themes included the importance of [1] multi-agency collaborations; [2] enabling infrastructure, (including laws, leaders, diverse funding, political will, community support, and high-capacity service array); [3] public education; and [4] earlier intervention with many paths to diversion. Operational advice from leaders included that: [5] Services must be tailored to the individual; [6] police officer training can maximize officer buy-in; [7] turnover among collaborators must be planned for; [8] long-term engagement is needed to serve hard to reach populations; and [9] staff should include people with lived experience of substance use.