For many individuals, the intersection of substance use and incarceration reflects not a single bad decision, but the weight of systemic challenges, trauma, and unmet health needs. When the full range of treatments for opioid addiction are not available in correctional facilities, it can interrupt recovery and break the connection to care that individuals had available in the community.
Through partnerships between the Allegheny County Department of Human Services (DHS), the Allegheny County Jail (ACJ), and community-based providers, the County offers medication for opioid use disorder (MOUD) to individuals in custody. MOUD is widely recognized as the gold standard for treating opioid use disorder (OUD). This collaborative effort strengthens coordination between public health and justice systems and helps ensure continuity of care for people navigating both incarceration and addiction.
We invite you to explore this page to understand why MOUD in jail matters—and how communities can drive continued progress.
Dashboard and Report
The dashboard and report, available on this page, highlight both the scale of the MOUD program at the ACJ and the cross-system collaboration it took to make it work.
- The Medication for Opioid Use Disorder (MOUD) in the Allegheny County Jail (ACJ) Dashboard provides near real-time data on individuals receiving MOUD in the jail — including demographics, treatment timelines, prior access to care, and post-release connections to community-based services.
- From Barriers to Breakthroughs: Delivering Lifesaving Opioid Use Disorder Treatment to People in the Allegheny County Jail documents the County’s path to MOUD implementation— detailing operational hurdles, public engagement and the crucial role of opioid settlement funds (OSF). This report also highlights the perspectives and lived experiences of county staff, providers and jail officials.
Key Takeaways From 2024
- Program reach: Nearly 1,800 individuals received MOUD during their time in the ACJ—about as many people as the jail holds on any given day.
- Timeliness of care: 46% of individuals began MOUD within two days of entering the jail and 83% started within the first week.
- Reentry support: Over half of individuals leaving the jail connected with a community-based provider within three days.
- Decline in overdose fatalities: 17% of all fatal overdoses in Allegheny County involved individuals who left jail within the previous 12 months—a decrease from 19% between 2016 and 2020. Of those 2024 deaths, only 29% occurred within 90 days of release, compared to about 50% during earlier years. The timing of this decline aligns with expanded MOUD access and increased reentry support, suggesting that timely treatment may be helping to prevent overdose deaths.
How DHS Uses This Information
DHS uses the dashboard and report to monitor outcomes and drive system improvement. Specifically, DHS uses this information to:
- Track program implementation and spot disparities in access, timing, and outcomes
- Make decisions that improve coordination between the jail and community providers
- Use public funding—such as opioid settlement funds—responsibly and equitably to support what works
- Share insights and lessons learned with other communities and jurisdictions looking to pursue similar efforts
What’s Next
DHS will continue to use real-time data to strengthen reentry coordination, invest in peer support, monitor disparities across the system and guide ongoing improvements in care. Insights discussed inform decisions that make human services responsive, effective and equitable.
While Allegheny County remains one of the few jurisdictions in the country offering jail-based MOUD, it doesn’t have to stand alone. Opioid settlement funds are flexible and available nationwide, giving other communities the opportunity to build similar programs that support health, recovery, and continuity of care for people impacted by addiction and incarceration.
County staff, community providers and Jail leadership have worked together to show that even complex systems can deliver timely, effective treatment; their efforts lay the groundwork for broader change — turning short-term resources into long-term impact, demonstrating how local innovation can inform national progress, and building a foundation others can strengthen and carry forward.
Questions or Feedback?
We welcome your questions and suggestions. To share feedback, you can reach us at DHSResearch@alleghenycounty.us.
If you’d like to stay informed, consider signing up for our newsletter. To learn how to use DHS data in your research, please visit our Requesting Data page. Thank you for your time and interest. Your engagement helps shape and improve how we share data that matters.