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HomeMy WebLinkAboutAgenda - 06-04-2024; 8-g - Opioid Spending Authorization Resolutions 1 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: June 4, 2024 Action Agenda Item No. 8-g SUBJECT: Opioid Spending Authorization Resolutions DEPARTMENT: County Commissioners ATTACHMENT(S): INFORMATION CONTACT: REVISED & ORIGINAL Spending Quintana Stewart, Orange County Authorization Resolution — RES- Health Director, 919-245-2412 2023-029 REVISED & ORIGINAL Spending Authorization Resolution — RES- 2023-077 PURPOSE: To approve revised Opioid Settlement Spending Authorization Resolutions that reflect corrections required by the North Carolina Association of County Commissioners (NCACC) Opioid Settlement Technical Assistance Team (OSTAT). BACKGROUND: Health Department staff met with OSTAT on Friday, April 19, 2024. During the meeting OSTAT provided feedback on the County's submitted spending authorization resolutions previously approved by the Board of Commissioners. Staff received two (2) corrective actions needed to process two (2) of the three (3) submitted spending authorization resolutions. For the original spending authorization resolution approved by the Board on April 18, 2023, the funding allocations require a change to one (1) year rather than multi years. This is the preference of OSTAT, and requires changes to three (3)funding allocations (Lantern Project, Freedom House and FIT). For the original spending authorization resolution approved by the Board on December 12, 2023, a revised resolution is needed to identify only one (1) mitigation strategy per project allocation amount, rather than multiple strategies. This requires changes to allocation documentation for Reintegration Support Network (RSN) and Transition Recovery & Support Collaborative. Both projects previously listed multiple strategies on the December 12' resolution. FINANCIAL IMPACT: There is no financial impact associated with approval of the revised resolutions. SOCIAL JUSTICE IMPACT: The following Orange County Social Justice Goals are applicable to this item: • GOAL: CREATE A SAFE COMMUNITY 2 The reduction of risks from vehicle/traffic accidents, childhood and senior injuries, gang activity, substance abuse and domestic violence. • GOAL: ENSURE ECONOMIC SELF-SUFFICIENCY The creation and preservation of infrastructure, policies, programs and funding necessary for residents to provide shelter, food, clothing and medical care for themselves and their dependents. Efforts to address opioid abuse will create a safe community and ensure a community network of basic human services and infrastructure that maintains, protects and promotes the well-being of all residents in Orange County. ENVIRONMENTAL IMPACT: There is no Orange County Environmental Responsibility Goal impact associated with this item. RECOMMENDATION(S): The Manager recommends the Board approve and authorize the Chair to sign the revised spending authorization resolutions. 3 RES-2024-033 A RESOLUTION BY THE COUNTY OF ORANGE, NORTH CAROLINA TO DIRECT THE EXPENDITURE OF OPIOID SETTLEMENT FUNDS WHEREAS Orange County,North Carolina has joined 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 drawingfrom 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 Strategy 3 d. Amounted authorized for this strategy: $ $164 862.00 e. Period of time during which expenditure may take place: Start date July 1, 2023 through End date_June 30, 2024 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, 4 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: $__122,188.00 e. Period of time during which expenditure may take place: Start date July 1 2023 through End date_June 30, 2024 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: $ 70,000 e. Period of time during which expenditure may take place: Start date July 1 2023 through End date_June 30, 2024 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. 5 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 authorized strategy a. Name of strategy: Naloxone Distribution 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 7 d. Amounted authorized for this strategy: $ 14 500.00 e. Period of time during which expenditure may take place: Start date July 1 2023 through End date_June 30, 2024 f. Description of the program,project, or activity: _ Funds needed to purchase narcan and naloxone for County First Responders and to keep community vending machines stocked. g. Provider: _CRJD and EMS ] The total dollar amount of Opioid Settlement Funds appropriated across the above named and authorized strategies is $881,553.55. Adopted this the 4ffi day of June, 2024. Jamezetta Bedford, Chair Orange County Board of Commissioners ATTEST: Laura Jensen, Clerk to the Board COUNTY SEAL 6 R ES-2023-029,'(o ;L1146.1.q 3 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 fiend as required by section D of the MOA; WHEREAS section E.6 of the MOA states: E.6. Process for drawingfrom om 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 S=ort 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 Strategy 3 d. Amounted authorized for this strategy: $ $164,862.00 e. Period of time during which expenditure may take place: Start date July 1 2023 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, 7 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: $ 122 188.00 e. Period of time during which expenditure may take place: Start date July 1 2023 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 Pro ram 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: $__70,.000 e. Period of time during which expenditure may take place: Start date July 1 2023 through End date June 3 0, 2425 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. 8 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 authorized strategy a. Name of strategy: Naloxone Distribution 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 7 d. Amounted authorized for this strategy: $ 14 500.00 e. Period of time during which expenditure may take place: Start date July 1, 2023 through End date June 30,2024 f Description of the program,project, or activity:_ Funds needed to purchase narcan and naloxone for County First Responders and to keep community vending machines stocked. g. Provider: CRJD and EMS The total dollar amount of Opioid Settlement Funds appropriated across the above named and authorized strategies is $881,553.55. Adopted this the 18th day of April, 2023. alt"P� Aea Jameofa,Be ord, Chair Orange County Board of Chair/ ATTE T: Laura Jensen, le k to the Board COUNTY SEAL 9 RES-2024-034 A RESOLUTION BY THE COUNTY OF ORANGE, NORTH CAROLINA TO DIRECT THE EXPENDITURE OF OPIOID SETTLEMENT FUNDS WHEREAS Orange County,North Carolina has joined 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 drawingfrom 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 Strategy 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- 10 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 July 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 July 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 11 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 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 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_Janua . 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 Orange County,NC; funds will support staff salary, supplies and needed software. 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 12 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: —Orange County 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: _Strategy 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 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 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: 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: _Strategy I 13 d. Amounted authorized for this strategy: $_108,025.00 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: _ 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 4th day of June, 2024. Jamezetta Bedford, Chair Orange County Board of Commissioners ATTEST: Laura Jensen, Clerk to the Board COUNTY SEAL 14 RES-2023-0771 J'-6 A RESOLUTION BY THE COUNTY OF ORANGE,NORTH CAROLINA TO DIRECT THE EXPENDITURE OF OPIOID SETTLEMENT FUNDS WHEREAS Orange County,North Carolina has joined 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 Strategy 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- 15 impacted individuals with substance use disorder through evidence-based strategies, interventions and programming designed to reduce their vulnerability to overdose, death, CCVID-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: Strategy2 d. Amounted authorized for this strategy: $ 12$ 297.00 e. Period of time during which expenditure may tape place: Start date__July 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 xhibit 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 July 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 16 CHW positron 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: Recove1y 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 & 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 rune 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 Grange, 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 S. 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 January 1, 2024 through End date December 31, 2025 £ Description of the program,project, or activity: Development and implementation of a PORT within the geographic constraints of Orange County,NC; funds will support staff salary, supplies and needed software. 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 17 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: —Orange County Emergency Services 6. Sixth authorized strategy a. Name of strategy: Early Intervention b. Strategy is included in Exhibit Exhibit A Exhibit A, Exbit B hi c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: _Strategy d. Amounted authorized for this strategy: $ 20 000 e. Period of time during which expenditure may take place: Start date January 1,202-4 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 Txhibit 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 Janu . 1, 2024 through End date June 30, 2024 £ 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 xhibit A Exhibit B c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Strategy 1 18 I Amounted authorized for this strategy: $ 108 025.00 e. Period of time during which expenditure may take place: Start date_January 1, 2021 through End date December 31, 2025 f. Description of the program,project, or activity: The Orange County Opioid Program Manager(Harm Reduction Coordinator)will be responsible for overseeing the development, administration, budget, grant management, and reporting for Change 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. Jamee,46ta B46ord, Chair Orange County Board of mmissioners 2ATTE: T: LM Laura Jensen erk to the Board. COUNTY {% k 17