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Opioid Settlement Funds Presented by Rick St. John, Deputy City Manager & Elise Smith, Public Health Fellow Agenda 2 1 Discussion of Opioid Funds 5 Regional Trends and Context 2 Needs Assessment Findings 6 Efficacy of Medications for Opioid Use Disorder 3 Strategies for Fund Disbursement 7 Terros Behavioral & Maverick House 4 Proposal for Special Procurement 8 Request for Consensus Discussion of Opioid Funds The Opioid Settlement Funds 4 • Council approved retention of funds in a previous March workshop • Glendale will receive funds from Opioid Settlements o Paid out over the next 16 years o Distributor & Jannsen Settlement • Spending must align with 9 abatement strategies Needs Assessment Findings Data Collection Activities 6 • Conducted by Public Health Fellow • Connecting with Regional Providers • Research Interviews with First Responders Environmental Scan & Research Interviews Substance Use Community Needs Assessment City Data on Overdose Trends • Conducted by LeCroy and Milligan via MCDPH • Community Listening Sessions • Multiple Surveys • Maricopa County Epidemiology Dept. • Trends Over Time • Trends by Demographic • Trends by Zip code Key Takeaways 7 Leverage and integrate the resources of local service providers Reduce incidences of overdose and overdose- related death Enhance education on addiction and promote compassion for people living with substance use disorder Provide immediate response to individuals in crisis Improve data quality and information sharing Strategies for Fund Disbursement Strategies for Disbursement 9 • Opportunities to address substance use from a variety of perspectives o i.e., treatment, education, youth prevention • Seek proposals from local organizations via an RSOQ o Proposals presented to a multidisciplinary panel o Contracts w/selected providers will be brought to Council in a Voting Meeting Proposal for Special Procurement 11 Special Procurement Proposal • Approval of a one-time, special procurement project, supporting new construction on Terros' Maverick House treatment facility to expand the use of Medications for Opioid Use Disorder in Glendale. Overdose Trends and Context The Impact of the Opioid Epidemic Increase in death rate related to synthetic opioids 13 Regional Overdose Trends 6000% Source: Maricopa County Department of Public Health Overdose Trends in Glendale 14 Source: Jenny Durda – Business Intelligence and Analytics Officer, Organizational Performance; Maricopa County Department of Public Health (2023) Overdose Incidents Over Time • Increases in overdose trends persist over the last 6 years • Glendale saw a 46% increase in fatal overdose rates in 2021 15 Source: Jenny Durda – Business Intelligence and Analytics Officer, Organizational Performance Maps of Overdose Incidents Responded to By Glendale Fire Dept. Efficacy of Medications for Opioid Use Disorder (MOUD) An Evidence-Based Intervention 17 What are Medications for Opioid Use Disorder (MOUD)? • Medications that normalize brain chemistry • Blocks euphoria of alcohol and opioids • Relieves physiological cravings • Normalizes body functions • One part of a "whole patient" approach to treatment • Counseling and therapies help sustain recovery • Medication Assisted Treatment (MAT) Source: SAMHSA. (2023). Medications for Substance Use Disorders. 18 Efficacy of Medication Assisted Therapy • MAT Decreases... • Opioid Use • Opioid-Related Overdose Deaths • Spread of Infectious Disease • Crime • MAT Increases... • Social Functioning • Treatment Retention Source: NIDA. (2023). Effective Treatments for Opioid Addiction. Relapses During Treatment Among Those Who Received Treatment for Opioid Addiction 19 Source: Clark et al. (2015). Risk Factors for Relapse... Terros- Maverick House Credentials and Community Impact Terros Health & Maverick House 21 • Terros Health oArizona-based network oServing Arizonans since 1969 oMental health & substance use treatment o15 Locations across the Valley 22 Services and Benefit of Expansion • Maverick House Residential Treatment Facility Located in 85301 Offers: oVariety of Counseling Options o Daily 12-Step Meetings o Treatment/Discharge Planning oMedication Assisted Treatment (Referrals) • Benefits of Expansion Create dedicated drop off location for first responders with patients in crisis Enables onsite induction of medications for opioid use disorder Financial Readiness 23 • Total of Opioid Funds Received by Glendale as of August 8, 2023 o$551,608.12 • Maverick House Expansion oShovel-ready project oOne-time expense; remainder covered by Terros o$200,000.00 Financial Readiness 24 Budget Justification Allowable Costs Legal and Administrative Expenses $20,000 Architectural and Engineering Fees $10,000 Project Inspection Fees $3,500 Site Work $10,000 Demolition and Removal $15,000 Minor Alterations and Renovations (construction) $83,000 Equipment $48,000 Contingencies $10,000 TOTAL PROJECT COSTS $240,000 Request for Consensus 26 Request for Consensus Proposal • Approval of a one-time, special procurement project, supporting new construction on Terros' Maverick House treatment facility to expand the use of Medications for Opioid Use Disorder in Glendale. Thank You References 28 Clark, R. E., Baxter, J. D., Aweh, G., O'Connell, E., Fisher, W. H., & Barton, B. A. (2015). Risk Factors for Relapse and Higher Costs Among Medicaid Members with Opioid Dependence or Abuse: Opioid Agonists, Comorbidities, and Treatment History. Journal of substance abuse treatment, 57, 75–80. https://doi.org/10.1016/j.jsat.2015.05.001 Jenny Durda – Business Intelligence and Analytics Officer, Organizational Performance Maricopa County Department of Public Health. (2021). Mental Health and Substance Use Data. Retrieved from https://www.maricopa.gov/5079/Mental-Health-and-Substance-Use NIDA. (2016). Effective Treatments for Opioid Addiction. Retrieved from https://nida.nih.gov/publications/effective-treatments-opioid- addiction Substance Abuse and Mental Health Services Administration. (2023). Medications for Substance Use Disorders. Retrieved from https://nida.nih.gov/publications/effective-treatments-opioid-addiction