Opioid Settlement Funds-presentation

The City of Gle ndale
& Opioid Se ttle me nt 
Funds
Presented by Elise Smith, MPA
17 August 2023

1
The Opioid Epidemic and the National Settlement
2
The ONE AZ Agreement
3
National and Local Overdose Trends
4
What is Being Done in Glendale
5
What You Need to Know About Fentanyl
Age nda

The Opioid Epide mic 
and the National 
Se ttle me nt

Awareness of the under-
treatment of pain (Jones et al., 
2018)
Persisted for 30+ years; 
3 major waves 
The Opioid 
Epide mic

Source: Visual Capitalist

The National Se ttle me nt
"Failure to prevent the flooding of 
communities with opioids"
Settlements across the supply chain:
• Manufacturers 
• Distributors
• Pharmacies
Arizona elected to participate in all 
settlement efforts

The ONE AZ 
Agre e me nt

St a t e of Arizon a
Cit y of Glen da le
At t orn ey Gen era l
Ma ricopa Cou n t y
Dist ribu t or Set t lem en t
Gle ndale 's 
Allocations
McKesson, Cardinal Health, and 
AmerisourceBergen
Ja n ssen Set t lem en t
Janssen Pharmaceuticals and parent 
company Johnson & Johnson
Cit y of Glen da le

Provide 
Treatment in 
Pregnancy
Support Data 
Collection & 
Research
Expand 
Services for 
NAS
Improve 
Treatment in 
Prison & Jail
Increase use of 
MOUD
Broaden Access 
to Naloxone
Expand Harm 
Reduction
Enrich Prevention 
Strategies
Increase Warm 
Handoff & 
Recovery
The Abate me nt Strate gie s

National and Local 
Ove rdose Tre nds

1 in 3 a du lt s had either a 
substance use disorder or a 
mental illness
94% of people with a substance 
use disorder did not receive any 
treatment
In the Unite d 
State s
Source: SAMHSA (2023)

6000%
Increase in the death 
rate for synthetic 
opioids​
Heroin
Natural/semi-synthetic opioids
Synthetic opioids
Source: Maricopa County Dept of Public Health
Ove rdose Tre nds
Maricopa County's Death Rates

In 20 21, 12% of all 
Gle ndale ove rdose s 
we re fatal.
Source: Maricopa County Dept of Public Health

Fatal Overdoses in Glendale
Nonfatal Overdoses in 
Glendale
Ove rdose Tre nds
Fatal and Nonfatal Overdoses in Glendale
201
9
20 2
0
20 2
1
853
870
777
117
108
81
1,000
750
500
250
0
Source: Maricopa County Dept of Public Health
2019
2020
2021
Glendale's fatal and 
non fatal overdose 
rates are higher than 
the countywide rate 
from 2019-2021

County Fatal Overdose Rate
Glendale Fatal Overdose Rate
2019
2020
2021
32.7
43.1
47.6
44.9
41.7
33.9
Ove rdose Tre nds
Rates of Fatal Overdoses in Glendale
46%
Increase in fatal 
overdose rates in 
Glendale 2019-2021​
Source: Maricopa County Dept of Public Health

What is Be ing Done in 
Gle ndale

Data Activitie s
Environme ntal Scan and 
Re se arch Inte rvie ws
Substance Use Community 
Ne e ds Asse ssme nt
City Data on Ove rdose 
Tre nds

Targe t Outcome s
Provide immediate response 
to individuals in crisis
Reduce incidences of 
overdose and overdose-
related death
Improve Data Quality & 
Information Sharing
Leverage the resources of 
local service providers
Enhance education on addiction and promote compassion for 
people living with substance use disorder

What You Ne e d to 
Know About Fe ntanyl

What is 
Fe ntanyl?
Synthetic opioid used to treat 
pain
Comes in illicit forms
Source: ARK Behavioral Health

Illicit Fe ntanyl
Referred to as "blues" or 
"M30s"
Usually ingested or smoked
One pill does not always kill

Available in nasal spray and 
injectable forms
Safe to use on anyone
Shelf life of 3 years
Ove rdose First Aid
Narcan and Naloxone
Source: Adobe Stock

Signs & 
Symptoms 
of Ove rdose
SLUMPED OVER
PINPOINT PUPILS
BLUE OR GRAY LIPS 
NO RESPONSE TO 
PAIN

Fre e 
Re source s
How to Use Naloxone TikTok
by End Overdose
Youth Discussion Guide 
by King County, WA
Find Naloxone in Arizona
Overdose Response Certification

Tha nk
You