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Home My WebLink About3/26/2024 - Opioid Abatement Fund - Spring 2024 Grant Applications,. . Opioid Abatement Fund Spring 2024 Grant Applications Board of Supervisors Work Session March 26, 2024 Presentation overview • Overview of the Opioid Abatement Authority and related opioid settlement funding • Direct distributions • Disbursements through the Opioid Abatement Authority • Today's issue: Roanoke County's participation in Spring 2024 Opioid Abatement Authority (OAA) Grant Applications ROANOKE~COUNTY 2 \'IRl,INIA ~ Isl 1818 History • For several years, we worked with outside opioid litigation counsel in efforts to recover costs incurred and to be incurred in abating the opioid addiction epidemic • On July 27, 2021, the Board of Supervisors reviewed (and approved by resolution) a Memorandum of Understanding that was negotiated by our outside counsel and the office of the Attorney General regarding the distribution of settlement funds Direct distributions • Distributed directly to VA cities and counties by the settlement administrator (without flowing through the OAA) • "Distributors" • McKesson Corporation • Cardinal Health, Inc. • AmerisourceBergen Corporation • Johnson and Johnson (Janssen Pharmaceuticals, Inc.) • Mallinckrodt ROANOKE ~COUNTY 4 VI llt ,I N I ,\ ~ ~ ' . Settlement Distributors Janssen Mallinckrodt Settlement Distributors Janssen Settlement Distributors Janssen Mallinckrodt TOTAL TOTAL TOTAL ' Roanoke County Current Total $230,594 $285,618 $34,122 $550,334 Roanoke County FV2025-2039 $1,236,961 $83,880 $1,320,841 Roanoke County Total $1,467,555 $369,498 $34,122 $1,871,175 ROANOKE ~COUNTY 5 -VIRl.lNI,\ ~ 1ST 18!8 I Virginia Opioid Abatement Authority (OAA) • Established by the Virginia General Assembly in 2021 as an independent entity to abate and remediate the opioid epidemic in the Commonwealth • Financial assistance offered through the OAA consists of settlement funds paid to Virginia by prescription opioid manufacturers and companies in the prescription opioid distribution network • OAA rules are the "gold standard" best practice for managing opioid funds • Roanoke County adopted the "gold standard" on March 28, 2023 6 ROA~.?,~: ~ S?,~.~TY I Background -"abatement" • Abatement • to treat, prevent, or reduce opioid use disorder or the misuse of opioids or otherwise abate or remediate the opioid epidemic • Part of the OAA Board's responsibility is to determine what qualifies as abatement when making a decision about financial support • The "gold standard" applied to all distributions, assures the County will always be in compliance with the settlements l ROA~2,~'. ~ s~'~'~TY Commonwealth Share 15% Opioid Abatement Authority 55% Cities and Counties, 15% City/ County Partnerships 35% , State Agencies _ "G 'I' _ _' l~tl \~~\ 15% e (fa~ b-\Vs p · Unrestricted, 35% ROANOKE~COUNTY 8 VIRCINIA ~ hT 18.l/l Available Roanoke County Direct Distributions from the OAA Fiscal Year Amount 2023 $139,537 -------·---- 2024 $23,473 2025 $29,380 TOTAL $192,390 Fiscal Year Amount 2026-2039 $454,926 Fiscal Year Total Amount 2023-2039 $647,316 25% Incentive $33,806 $5,868 $7,345 $47,019 25% Incentive $113,734 25% Incentive $160,753 Total $173,343 $29,341 $36,725 -~-- $239,409 Total $568,660 Total $808,069 ROANOKE ~COUNTY 9 VIRt.lNIA ~ FST 18]8 Project Development Process • Roanoke Valley Collective Response (RVCR) Support • Housed within the Roanoke Valley-Alleghany Regional Commission • A multi-sector approach working across systems to find new and effective strategies to solve the opioid and addiction crisis across the Roanoke Valley • RVCR Stakeholders-monthly meetings • Over 230 members and 150 organizations across 11 localities • Members include law enforcement, Emergency Medical Services, healthcare, local and state government, education, community support organizations, faith community, ousiness community, and individuals and families personally touched by addiction. • Local Judges ROANOKE~COUNTY 10 VIRl,INI,\ ~ hi 1818 Commonwealth Share 15% Opioid Abatement Authority 55% Cities and Counties, 15% City/ County Partnerships 35¾ State Agencies 15¾ Unrestricted, 35¾ ROANOKE~COUNTY 11 VIRGI N IA ~ 1ST 18.18 Recommended Individual Grant Project • The Partnership for Community Wellness {PCW) • The Partnership for Community Wellness (PCW} supports the healthy development of youth and community by identifying risk indicators and collaboratively engaging the population through research, education, and overall wellness promotion. • The grant money would be used for additional staffing, dat e collection and evaluation, program development and implementation and partnership and service growth and community engagement. Roanoke County Match OAA Direct Share Total $16,500 $165,000 $181,500 ROANOKE ~COUNTY 12 VIRl.lNIJ\ ~ hT 18"!8 Recommended Individual Grant Project • Family Service of Roanoke Valley (FSRV) • The program aims to provide outpatient counseling and family support services on a sliding fee scale, addressing barriers such as lack of health insurance coverage, high copays, or transportation issues. • This funding would be used to support Roanoke County residents who have been negatively impacted by substance use in their family and/or household and who need mental health support services. Roanoke County Match OAA Direct Share Total $4,000 $40,000 $44,000 _:.__..,,_.-...,..-...-....=---------------'-===---=--=------,;;-;-,-;: ROANOKE ~COUNTY 13 VIRl;INIA ~ Fsl. 1818 Recommended Cooperative Grant Project • Collective Response funding-Year Two • Cross-functional group committed to addressing the Opioid and addiction crisis in the Roanoke Valley • OAA funds provide opportunity to provide long-term sustainability • Expand staff, Improve office space, and create marketing • Assist with the coordination of regional programming of Settlement Funds Roanoke County Roanoke City Anticipated OAA Total $25,000 $158,100 $746,668 $929,768 ROANOKE ~COUNTY 14 Vi Rt ;f N I/\ ~~ Recommended Cooperative Grant Project • Juvenile and Domestic Relations Court • Hire two Navigator Care Specialists to serve families affected by opioid use disorder • Goal to keep families together and kids out of the foster care system • The Navigator Care Specialist will work with parents in which opioid use disorder is the primary reason for agency involvement through Child Protective Services or Foster Care with an overarching goal to help effect changes in family and achieve family reunification. Roanoke County Roanoke City City of Salem Anticipated OAA Total $25,000 $28,000 $7,000 $108,000 $168,000 ROANOKE ~COUNTY 15 VIIH ,I N IA ~ 1\1 1818 Recommended Cooperative Grant Project • Twelve Foundation • Residential treatment facility that will serve pregnant and postpartum women and their infants, replacing the services previously provided at Bethany Hall • Approximately 28 women and 28 infants a year can be served for a minimum of ten years (the length of the lease) • Grant will be used for "upfit" costs Roanoke County Roanoke City Anticipated OAA Total $27,500 $27,500 $225,472 $280,472 ROANOKE ~COUNTY 16 VIRCI N lt\ ~ F\l 18l8 Recommended? Cooperative Grant Project • Risk Mitigation/ Virginia Harm Reduction Coalition • Using spectrometer analysis to confirm the composition of illicit drugs; particularly dangerous contaminants. Project includes staffing, training, and supply costs. • The project will support research, prevention, education, and data and surveillance. Roanoke County Roanoke City Anticipated OAA Total $10,000 $10,000 $80,000 $100,000 ROANOKE ~COUNTY 17 \'11u;1NIA ~ hi 18!8 I I ' Summary-Totals Roanoke County Match $108,000 Other Locality Match $230,600 Total Anticipated OAA $1,160,140 OAA Direct Share $205,000 • Current balance of Roanoke County Sett l ement Funds-$550,344 Total Regional Impact $1,703,740 • Remaining funds if grants are successful and matches are made-$442,344 ROANOKE ~COUNTY 18 V11u;1NIA ~ 1\7 llll8 .... . Future Opportunities • Blue Ridge Behavioral Healthcare • Bradley Free Clinic • Four Truths • Additional Opportunities ROANOKE~COUNTY 19 -VIR\,INI,\ ~ l\l 1818