Bridge, a program of the Public Health Institute, is establishing a culture of evidence-based medicine to treat substance use disorders through an accelerated training program for healthcare providers that supports, enhances, and increases access to 24/7 treatment in every community. Though California ranks only 37th in the country for prescription opioid deaths, the death rates in 16 rural California counties are high enough to put them in the top 10 for the whole nation, and overdoses by synthetic opioids were up 44 percent in California in 2017.