There is a serious gap in treatment at the jail. Many inmates are suffering from serious addiction and mental health issues. Often, they have experienced trauma in their lives which lead to self-medication with illicit substances. In turn, their substance use leads directly or indirectly to incarceration. While in jail, there is little treatment available. This means that the inmate must wait until their release to receive evidence-based treatment and linkage to on-going care. But research shows that the time immediately after discharge from jail carries the most risk for death, bad events, and recidivism. Gaps in treatment impact the individuals at risk as well as each of us. PCARE is aimed at meeting this gap by bringing treatment to jail. Increased overdose deaths, increased crime, increased recidivism affect us all with high costs, diminished quality of community life and poorer overall public health. Improving treatment is a win for each of us.