National Opioid Settlement Funding Question Title * Durham County will receive almost $11.6 million over the next 18 years from the National Opioid Settlement (NOS) to address the opioid epidemic. Before spending settlement funds, every county must first select which opioid mitigation strategies they would like to fund. There are 12 strategies that are eligible for NOS funding. The Board of County Commissioners would like to hear from citizens on how best to invest these settlement funds.Which of the following areas of intervention are opportunities for improving substance use disorder-related outcomes in Durham County? (Click all that apply) 1. Collaborative strategic planning. Support collaborative strategic planning to address opioid misuse, addiction, overdose, or related issues, including staff support, facilitation services, or other defined activity. 2. Evidence-based addiction treatment. Support evidence-based addiction treatment consistent with national practice guidelines for the treatment of opioid use disorder – including Medication-Assisted Treatment (MAT) – through Opioid Treatment Programs, qualified providers of Office-Based Opioid Treatment, Federally Qualified Health Centers, treatment offered in conjunction with justice system programs, or other community-based programs offering evidence- based addiction treatment. 3. Recovery support services. Fund evidence-based recovery support services, including peer support specialists or care navigators based in local health departments, social service offices, detention facilities, community-based organizations, or other settings that support people in treatment or recovery, or people who use drugs, in accessing addiction treatment, recovery support, harm reduction services, primary healthcare, or other services or supports they need to improve their health or well-being. 4. Recovery housing support. Fund programs offering recovery housing support to people in treatment or recovery, or people who use drugs, such as assistance with rent, move-in deposits, or utilities; or fund recovery housing programs that provide housing to individuals receiving Medication-Assisted Treatment for opioid use disorder. 5. Employment-related services. Fund programs offering employment support services to people in treatment or recovery, or people who use drugs, such as job training, job skills, job placement, interview coaching, resume review, professional attire, relevant courses at community colleges or vocational schools, transportation services or transportation vouchers to facilitate any of these activities, or similar services or supports. 6. Early intervention. Fund programs, services, or training to encourage early identification and intervention for children or adolescents who may be struggling with problematic use of drugs or mental health conditions, including Youth Mental Health First Aid, peer-based programs, or similar approaches. Training programs may target parents, family members, caregivers, teachers, school staff, peers, neighbors, health or human services professionals, or others in contact with children or adolescents. 7. Naloxone distribution. Support programs or organizations that distribute naloxone to persons at risk of overdose or their social networks, such as Syringe Service Programs, post-overdose response teams, programs that provide naloxone to persons upon release from jail or prison, emergency medical service providers or hospital emergency departments that provide naloxone to persons at risk of overdose, or community-based organizations that provide services to people who use drugs. 8. Post-overdose response team. Support post-overdose response teams that connect persons who have experienced non-fatal drug overdoses to addiction treatment, recovery support, harm reduction services, primary healthcare, or other services or supports they need to improve their health or well-being. 9. Syringe Service Program. Support Syringe Service Programs operated by any organization authorized by state laws that provide syringes, naloxone, or other harm reduction supplies; that dispose of used syringes; that connect clients to prevention, treatment, recovery support, behavioral healthcare, primary healthcare, or other services or supports they need. 10. Criminal justice diversion programs. Support pre-arrest or post-arrest diversion programs, or pre-trial service programs, that provide or connect individuals involved or at risk of becoming involved in the criminal justice system to addiction treatment, recovery support, harm reduction services, primary healthcare, prevention, or other services or supports they need. 11. Addiction treatment for incarcerated persons. Support evidence-based addiction treatment, including Medication-Assisted Treatment, to persons who are incarcerated in jail or prison. 12. Reentry Programs. Support programs that provide or connect incarcerated persons to addiction treatment, recovery support, harm reduction services, primary healthcare, or other services or supports they need upon release from jail or prison. Question Title * Which of these strategies should Durham County create, expand, or sustain with funding from the Opioid Settlement? (Please choose up to 3) Highest Priority Second-Highest Priority Third-Highest Priority Collaborative strategic planning Collaborative strategic planning Highest Priority Collaborative strategic planning Second-Highest Priority Collaborative strategic planning Third-Highest Priority Evidence-based addiction treatment Evidence-based addiction treatment Highest Priority Evidence-based addiction treatment Second-Highest Priority Evidence-based addiction treatment Third-Highest Priority Recovery support services Recovery support services Highest Priority Recovery support services Second-Highest Priority Recovery support services Third-Highest Priority Recovery housing support Recovery housing support Highest Priority Recovery housing support Second-Highest Priority Recovery housing support Third-Highest Priority Employment-related services Employment-related services Highest Priority Employment-related services Second-Highest Priority Employment-related services Third-Highest Priority Early intervention Early intervention Highest Priority Early intervention Second-Highest Priority Early intervention Third-Highest Priority Naloxone distribution Naloxone distribution Highest Priority Naloxone distribution Second-Highest Priority Naloxone distribution Third-Highest Priority Post-overdose response team Post-overdose response team Highest Priority Post-overdose response team Second-Highest Priority Post-overdose response team Third-Highest Priority Syringe Service Program Syringe Service Program Highest Priority Syringe Service Program Second-Highest Priority Syringe Service Program Third-Highest Priority Criminal justice diversion programs Criminal justice diversion programs Highest Priority Criminal justice diversion programs Second-Highest Priority Criminal justice diversion programs Third-Highest Priority Addiction treatment for incarcerated persons Addiction treatment for incarcerated persons Highest Priority Addiction treatment for incarcerated persons Second-Highest Priority Addiction treatment for incarcerated persons Third-Highest Priority Reentry Programs Reentry Programs Highest Priority Reentry Programs Second-Highest Priority Reentry Programs Third-Highest Priority Question Title * What services, programs are missing from the 12 strategies above? Question Title * What areas/neighborhoods have been hardest hit by the opioid epidemic? Question Title * What resources do you think would be the most important to bring to those areas/neighborhoods? Question Title * Are there other community issues that overlap with our opioid problems? Next
