Individuals who work in medication-assisted treatment (MAT) programs that serve justice-involved populations face challenging conditions that can cause elevated levels of stress. Although some studies focus on stress faced by MAT professionals, few examine their coping mechanisms. This study applies the Mayo Clinic's "4A's" of stress management-accept, adapt, avoid, and alter-to better understand ways medical staff working in MAT programs manage stress. The research team used NVivo software to analyze original qualitative data from 83 MAT employees servicing justice-involved populations. The 4A's framework successfully applies to the MAT employee context. Specifically, respondents relied on the stress management techniques