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Home My WebLink AboutRES-2023-077-Opioid Advisory Committee Settlement use recommendations and approval of budget amendment 4-B i RES - 2023 - 077 r A RESOLUTION BY THE COUNTY OF ORANGE , NORTH CAROLINA TO DIRECT THE EXPENDITURE OF OPIOID SETTLEMENT FUNDS WHEREAS Orange County, North Carolina has j oined national settlement agreements with companies engaged in the manufacturing, distribution, and dispensing of opioids , including settlements with drug distributors Cardinal , McKesson, and AmerisourceBergen, and the drug maker Johnson & Johnson and its subsidiary Janssen Pharmaceuticals ; WHEREAS the allocation, use , and reporting of funds stemming from these national settlement agreements and certain bankruptcy resolutions (" Opioid Settlement Funds ") are governed by the Memorandum of Agreement Between the State of North Carolina and Local Governments on Proceeds Relating to the Settlement of Opioid Litigation ("MOA") ; WHEREAS Orange County has received Opioid Settlement Funds pursuant to these national settlement agreements and deposited the Opioid Settlement Funds in a separate special revenue fund as required by section D of the MOA , WHEREAS section E . 6 of the MOA states : E . 6 . Process for drawing from special revenue funds . a. Budget item or resolution required . Opioid Settlement Funds can be used for a purpose when the Governing Body includes in its budget or passes a separate resolution authorizing the expenditure of a stated amount of Opioid Settlement Funds for that purpose or those purposes during a specified period of time . b . Budget item or resolution details . The budget or resolution should (i) indicate that it is an authorization for expenditure of opioid settlement funds ; (ii) state the specific strategy or strategies the county or municipality intends to fund pursuant to Option A or Option B , using the item letter and/or number in Exhibit A or Exhibit B to identify each funded strategy , and (iii) state the amount dedicated to each strategy for a stated period of time . NOW, THEREFORE BE IT RESOLVED , in alignment with the NC MOA, Orange County , authorizes the expenditure of opioid settlement funds as follows . 1 . First strategy authorized a . Name of strategy : Recovery Support Services b . Strategy is included in Exhibit Exhibit A (Exhibit A, Exhibit B ) c . Item letter and/or number in Exhibit A or Exhibit B to the MOA : Exhibit A Strateg L.3 d . Amounted authorized for this strategy : $ $ 173 105 . 00 e . Period of time during which expenditure may take place : Start date July 1 , 2024 through End date _June 30 , 2025 f. Description of the program, project, or activity : The Lantern Project is a collaboration between the Criminal Justice Resource Department and subcontractor Freedom House Recovery Center . The mission is to support justice - impacted individuals with substance use disorder through evidence -based strategies , interventions and programming designed to reduce their vulnerability to overdose , death, COVID - 19 infection and recidivism . The mission is to light the path to recovery through harm reduction, diversion, reentry support and treatment . g . Provider : Criminal Justice Resource Department 2 . Second strategy authorized a. Name of strategy : Evidence -based addiction treatment b . Strategy is included in Exhibit Exhibit A (Exhibit A, Exhibit B ) c . Item letter and/or number in Exhibit A or Exhibit B to the MOA : Strategy 2 d . Amounted authorized for this strategy : $ 128 297 . 00 e . Period of time during which expenditure may take place . Start date Jul 1 2024 through End date June 30 , 2025 f. Description of the program, project, or activity . Freedom House connects with individuals screened in the Orange County Detention Center who have a history of Opioid Use Disorder . The licensed clinician will conduct a Comprehensive Clinical Assessment to ascertain the best treatment options for the individual prior to or upon release from incarceration . Freedom House will utilize a Peer Support Specialist post incarceration to assist individuals with connecting to the recommended treatment . The Peer will work with the individual as long as needed to connect them with treatment, community resources , court appearances and to support the individual in recovery to curb recidivism . The clinician will reevaluation as needed when and if life circumstances change prior to engaging in treatment . g . Provider : Freedom House 3 . Third authorized strategy a. Name of strategy : Reentry Program b . Strategy is included in Exhibit Exhibit A (Exhibit A, Exhibit B ) c . Item letter and/or number in Exhibit A or Exhibit B to the MOA : Strategy 12 d . Amounted authorized for this strategy : $ 73 500 e . Period of time during which expenditure may take place : Start date Jul 1 2024 through End date June 30 , 2025 f. Description of the program, project, or activity : The NC FIT Program is a comprehensive reentry program that focuses on unmet health needs for people released from incarceration . NC FIT provides connections to primary care , behavioral health and substance use disorder treatment . All NC FIT Community Health Workers have personal histories of incarceration . The NC FIT Program is based on the Transitions Clinic Network Model which is an evidence-based program that complies with Strategy A in the settlement MOU . We request funding to continue a grant funded position for 1 FTE CHW that has been hired by the OC Health Department . CHW position will focus on assisting people being released from the Detention center with a diagnosis of Opioid Use Disorder . This FIT CHW position will work closely with efforts supported by the Lantern Project run through the CJRD . The NC FIT Program will continue to provide regular support and technical assistance to Orange County supporting the Orange County FIT Program, Jail -based MAT at the Detention center, collaboration with the CJRD and linkages to Piedmont Health Services . g . Provider : NC FIT 4 . Fourth strategy authorized a. Name of strategy : Recovery Support Services & Early Intervention b . Strategy is included in Exhibit Exhibit A (Exhibit A, Exhibit B ) c . Item letter and/or number in Exhibit A or Exhibit B to the MOA : Exhibit A Strategy 3 and 6 d . Amounted authorized for this strategy : $ $ 20 000 . 00 e . Period of time during which expenditure may take place : Start date January 1 , 2024 through End date June 30 , 2024 f. Description of the program, project, or activity . Reintegration Support Network (RSN) will increase the number of specially trained mentors (Certified Peer Support Specialist and/or Recovery Coach Academy Certified) providing evidence - informed support to youth experiencing challenges related to substance use , mental health, and justice -involvement . RSN will adapt an evidenced-based, adult peer- support model to meet the unique needs of youth in Orange , Durham, Chatham, and Alamance Counties . RSN uses specially trained mentors (NC certified peer support specialists , or Recovery Coach Academy trained) to interrupt the daily systemic and structural pressures that create gaps in opportunities for youth (ages 13 -20 ) especially those with challenges related to mental health, substance use , and/or juvenile justice involvement . Funds will support some of the operating expenses and contractual needs . g . Provider : Reintegration Support Network 5 . Fifth strategy authorized a. Name of strategy : _Post - Overdose Response Team b . Strategy is included in Exhibit Exhibit A (Exhibit A . Exhibit B ) c . Item letter and/or number in Exhibit A or Exhibit B to the MOA : Strategy 8 d . Amounted authorized for this strategy : $ 244 020 . 00 e . Period of time during which expenditure may take place : Start date Janupa 1 , 2024 through End date December 31 , 2025 f. Description of the program, project, or activity . Development and implementation of a PORT within the geographic constraints of ill support staff salary, supplies and needed software . Orange County, NC ; funds w PORTs are specialized teams that respond to opioid overdoses in real time or within 24- 72 hours of the overdose event . Upon implementation, the OC -EMS PORT will meet individuals where they are at in their addiction by providing harm reduction resources , linkage to treatment services , and medication- assisted treatment (MAT) induction and administration . This service will be available to all eligible individuals that OC -EMS interfaces with during EMS incidents and will be provided as a referral for collaborating departments , emergency departments , organizations and the community at- large . PORTs have become the standard of care in post- overdose services nationally and locally , with 41 North Carolina counties currently having an active PORT in place . g . Provider : JOrange Coup . Emergency Services 6 . Sixth authorized strategy a . Name of strategy : Early Intervention b . Strategy is included in Exhibit Exhibit A (Exhibit A, Exhibit B ) c . Item letter and/or number in Exhibit A or Exhibit B to the MOA : JStrategy 6 d . Amounted authorized for this strategy : $ 20 , 000 e . Period of time during which expenditure may take place : Start date January 1 , 2024 through End date _June 30 , 2024 f. Description of the program, project, or activity : Grow Your World (GYW) plans to serve youth and provide materials and training to youth- serving community members to equip them to better support youth facing the opioid crisis . Funds will support the naloxone , CPR and Mental Health First Aid community training program . g . Provider : Grow Your World 7 . Seventh authorized strategy a. Name of strategy . Recovery Support & Reentry Programs , b . Strategy is included in Exhibit Exhibit A (Exhibit A, Exhibit B ) c . Item letter and/or number in Exhibit A or Exhibit B to the MOA : Strategy 3 & 12_ d . Amounted authorized for this strategy : $ 20 000 . 00 e . Period of time during which expenditure may take place : Start date JanuM 1 , 2024 through End date June 3 0 , 2024 f. Description of the program, project, or activity : _ The Transition Recovery and Support Collaborative (TSRC) is a five -partner mutual effort to provide direct Recovery Support Services and Reentry Programs to those with opioid use disorders , related substance use disorders and other comorbidities . TSRC ' s role is to collaboratively augment and extend clinical and other traditional evidence -based addiction treatment services for these disorders and comorbidities . The Collaborative is led by Wounded Healers of North Carolina (a 501 (c) (3 )) . Funds to support purchase of the Reentry Peer Support Specialist Curriculum from Texas . g . Provider : _Transition Recovery and Support Collaborative 8 . Eighth authorized strategy a . Name of strategy : Collaborative Strategic Planning b . Strategy is included in Exhibit Exhibit A (Exhibit A, Exhibit B ) c . Item letter and/or number in Exhibit A or Exhibit B to the MOA : �Strateg I d . Amounted authorized for this strategy : $J108 , 025 . 00 e . Period of time during which expenditure may take place : Start date January 1 , 2024 through End date December 31 , 2025 f. Description of the program, project, or activity : _ r The Orange County Opioid Program Manager (Harm Reduction Coordinator) will be responsible for overseeing the development, administration, budget, grant management , and reporting for Orange County ' s Opioid Settlement Program . This position will work with closely with Orange County staff and community partners involved in community overdose prevention, education, harm reduction, treatment opportunities and recovery support . They will ensure all reporting requirements are met for the Opioid Settlement Fund and pursue additional resources to advance this work . g . Provider : _Orange County Health Department The total dollar amount of Opioid Settlement Funds appropriated across the above named and authorized strategies is $ 786 , 947 . Adopted this the 12th day of December, 2023 . Jamq0 tta B ford, Chair Orange County Board of mmissioners ATTE T : Laura Jensen erk to the Board COUNTY 441 4� v% F ` •,SFr, � �;,.-. i