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OPIOIDS RESPONSE PLAN Chandler City Council Meeting August 7, 2023 Opioid Settlement Agreement Overview Allows the State and participating local governments to enter into an agreement with certain pharmaceutical supply chain participants to settle legal matters related to damages incurred through opioid dispensing Settlement funds are shared 44% with the State and 56% with participating local governments based on population Total settlement agreement funds have not been established as additional agreements with pharmaceutical supply chain participants continue to be entered into Council authorized the City Attorney to enter the One Arizona Opioid Settlement Memorandum of Understanding on December 10, 2020 Strategic Framework Guidance Community Safety: • Prevention initiatives and emergency response services that support a safe, vibrant and healthy city • Investments in people, technology and outreach that build community trust in being a safe city for all • Partnerships with service providers that sustainably address behavioral health and homelessness, recognizing the City’s role as a facilitator and convener Neighborhoods: • Amenities, infrastructure and services that support community safety and align with the needs of people in the surrounding neighborhood Opioid Settlement Agreement Funding Guidelines 70% of funding received must be used for future opioid remediation Local Governments are allowed to use funds internally or can partner with community agencies and/or regional partners for many of the approved purposes given accountability and reporting obligations are met A maximum of 15% can be spent on opioid crisis-related reimbursement and administrative expenses A maximum of 15% can be spent on non-opioid remediation expenses An annual report is required to be filed by July 31 Opioid Settlement Agreement Funding Guidelines Treatment • Treat Opioid Use Disorder (OUD) • Support people in treatment and recovery • Connect people who need help to the help they need (connections to care) • Address the needs of criminal justice involved persons • Address the needs of pregnant/parenting women and families, including babies with neonatal abstinence syndrome Prevention • Prevent over prescribing and ensure appropriate prescribing and dispensing of opioids • Prevent misuse of opioids • Prevent overdose deaths and other harms Other Strategies • First responders • Leadership, planning and coordination • Training • Research Funds can only be used for "Approved Purposes": Opioid Settlement Agreement Funding Received and Anticipated As of July 12, 2023 – Subject to Change Funding Received Funding Anticipated Opioids Response Plan Immediate crisis response that can be quickly deployed in the community Long-term collaboration with internal and external stakeholders Phase I Phase II o Leave Behind Kit o Defibrillators o Data Collection o Opioid Response Unit o Education Phase I Defibrillators: o The Police Department will purchase 90 additional defibrillators to equip every patrol vehicle on the road. o Timeline: September promotion, October implementation o Budget: $191,282 (90 defibrillators) Leave Behind Kits: o “Leave Behind Kits” will be made available for the PD Mental Health Unit, community navigators and on fire vehicles. o The kits are comprised of testing strips for Fentanyl and Xylazine, Narcan, and addiction resources and education materials. o The kits will be distributed when responders encounter a situation with opioid usage or suspected usage. o The purpose of the kits is to educate and potentially prevent future overdosing of opioids. o Timeline: September promotion, October implementation o Budget: $36,000 (250 kits) Data Collection System: o Staff will develop a system to collect a “by name list” of individuals engaged in frequent interaction with City staff due to the residents’ opioid addiction. o Additional data will be collected for the purpose of reporting to the Mayor/Council and City Management. o Timeline: October implementation Phase II Mobile Unit: o A pilot Opioid Response Unit will be created and staffed with a contracted trained behavioral health professional and a City of Chandler community navigator. o A van will be identified and equipped for mobile response. o The unit will operate during peak times for calls for service and will facilitate transfer of residents in crisis to appropriate care facilities. o The pilot will begin with 35 hours of service a week. o Timeline: January implementation o Budget: $190,000 (for one calendar year at 35hr/wk) Education: o For FY23/24 the City will allocate funds to a nonprofit organization to provide Opioid Education services. o Staff will design a scope of work and release an RFP for Opioid Education services to be contracted through the annual Human Services Allocations process for future years. o The City will contract for these services beginning in FY 24/25 (funding source and amount TBD). o Timeline: FY24/25 Contract for Opioid Education o Budget: FY23/24: $10,000; FY24/25: To be determined Opioid Response Plan Proposed Budget *Including a year one contingency of $77,144.21, the total proposed budget is $504,426.21. Possible use of contingency funds include funding for the Opioid Response Unit and leave behind kits in FY 24/24. Timeline Council Approved Entering into One Arizona MOU Chandler Starts Receiving Settlement Payments Opioid Settlement Guidance Released and City Council Presentation Internal Working Group Formed Internal Working Group Meeting December 10, 2020 April 2023 April 2023 April - July 2023 October 2022 Next Steps Council Input on Draft Phase I and II of Opioid Response Plan o Phase II Development and Continued Community Partner Collaboration o Internal Working Group Incorporates Council Input to Final Plan Opioid Response Plan Finalized and Implemented in Community 1 2 3