The Building Bridges Initiative


Individuals with opioid use disorder (OUD) pass through jails each year, placing correctional facilities at the epicenter of the opioid crisis. Few jails offer the FDA-approved medications — buprenorphine, methadone, and naltrexone — that have consistently been shown to be the most effective forms of treatment for OUD when combined with behavioral therapies.

The Building Bridges demonstration project, co-funded by the Bureau of Justice Assistance and Arnold Ventures, supports a nine-month planning process for 16 counties committed to implementing medication-assisted treatment in jails and enhancing collaboration between jails and community-based treatment providers. Communities receive coaching and technical assistance to develop a comprehensive continuum of care model that targets the jail population and builds bridges between in-custody and community-based treatment and supervision, including probation, parole, and court-based programs.

Reducing overdose deaths and recidivism by establishing effective, comprehensive in-custody treatment and maintaining continuity of services from jail to community-based supervision.