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OPIOID RESPONSE PLAN Chandler City Council Work Session November 9, 2023 Opioid Settlement Agreement Overview Entered into March 1, 2022 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 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 October 25, 2023 Funding Received Funding Anticipated Cumulative Council Subcommittee Feedback August 7, 2023 1. Focus on a prevention-first strategy when allocating resources while providing supportive treatment and intervention when needed 2. Prioritize leave-behind kits as a means of supporting a prevention- first strategy 3. Include funding/programming for inpatient rehabilitation services 4. Preference for funds to be used for services versus equipment Opioid Response Plan 1. Education Approved funding purpose: "prevent misuse of opioids" and "prevent overdose deaths and other harms" 2. Leave Behind Kits Approved funding purpose: "connections to care," "prevent misuse of opioids," and prevent overdose deaths and other harms" 3. Opioid Response Unit Approved funding purpose: "support people in treatment and recovery" and "connections to care“ 4. Sober Living Services Approved funding purpose: "support people in treatment and recovery" 5. Data Collection Approved funding purpose: "leadership, planning and coordination" and "research" Opioid Response Plan 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: $50,000; FY24/25: To be determined 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: January 2024 implementation o Budget: $19,455 (250 kits) Opioid Response Unit: o A pilot Opioid Response Unit will be created and staffed with a contracted trained behavioral health organization 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 40 hours of service a week. o Timeline: January 2024 implementation o Budget: $313,605 (for one calendar year at 40hr/wk) Opioid Response Plan Sober Living Services: o The city would pay for sober living following in-patient treatment via contracts with multiple vendors. o The average length of time the city pays before a client can pick up the cost is 4 weeks. o Timeline: January 2024 implementation o Budget: $57,000 (75 clients) Data Collection: o Staff will develop a system to collect information on frequent interaction with city staff due to opioid addiction. o Proposed performance metrics will be measured and reported to the Mayor/Council and city management. o Timeline: January 2024 implementation o Budget: $0.00 Opioid Response Plan Proposed Budget Item Cost Opioid Education $50,000 Leave Behind Kits $19,455 Opioid Response Unit $313,605 Sober Living Services $57,000 Total $440,060 Proposed Performance Goals and Metrics ✓Number of people receiving preventative education as measured by attendance. (ex in-person or virtual education sessions) Goal is 2,000 individuals for year 1. ✓Number of leave behind kits distributed as measured by distribution records. (ex each distributing entity will be reporting number of kits distributed) Goal is 250 kits for year 1. ✓Number of persons connected to behavioral health services as measured by participant intake. (ex detox, clinic or rehab) Goal is 200 per year. ✓Number of people connected to medical services as measured by participant referral. (ex A1C screenings, immunizations, blood pressure screenings, or medication consultation) Goal is 200 per year. ✓Number of persons enrolled in city services as measured by participant intake. (ex, Chandler Connect or Operation Open Door) Goal is 50 per year. ✓Number of persons enrolling in sober living as measured by participant intake. (Coordinated by city staff) Goal is 75 people per year. Timeline Opioid Settlement Agreement Entered Into Chandler starts receiving settlement payments Opioid Settlement Guidance Released and City Council Presentation Internal Working Group Formed March 1, 2022 April 2023 April 2023 October 2022 August 2023 Council Subcommittee Meets Council Work Session November 9, 2023 Early 2024 Opioid Response Plan Implementation Next Steps Council Input on Draft Opioid Response Plan o Staff acquires materials and works with vendors to implement Council approved Opioid Response Plan Continued learning and adjustments to plan 1 2 3