Agenda 12-12-23; 6-a - Opioid Advisory Committee Settlement Use Recommendations and Approval of Budget Amendment #4-B

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29 Summary OC-EMS is prepared to create and implement a PORT to address the growing rates of opioid overdoses within Orange County by filling an identified gap in connection to treatment. We are requesting funding for this initiative in order to support additional staff, a response vehicle and program-related supplies for three consecutive years. By providing this service in Orange County, we anticipate a reduction in opioid overdose deaths, increased access to harm-reduction resources and an improvement in quality of life for individuals suffering from OUD. References Jaeger, S., &Fuehrlein,B. (2020).Buprenorphine initiation to treat opioid use disorder in emergency rooms. Journal of the Neurological Sciences,411, 116716.https://doi.org/10.1016/J*jns.2020.116716 Soeffing,J.M.,Martin,L.D.,Fingerhood,M.L,Jasinski,D.R.,&Rastegar,D.A. (2009). Buprenorphine maintenance treatment in a primary care setting: Outcomes at 1 Year.Journal of Substance Abuse Treatment,37(4),426-430.https://doi.org/10.1016/J.jsat.2009.05.003 Kinsky, S.,Houck,P. R.,Mayes,K.,Loveland,D.,Daley,D.,&Schuster,J.M. (2019).A comparison of adherence, outcomes, and costs among opioid use disorder Medicaid patients treated with buprenorphine and methadone: A view from the payer perspective.Journal of Substance Abuse Treatment, 104, 15-21. https://doi.org/l0.1016/J*jsat.2019.05.015 McLean,K.,&Kavanaugh,P.R. (2019). "they're making it so hard for people to get help:"motivations for non- prescribed buprenorphine use in a time of treatment expansion.International Journal of Drug Policy, 71, 118-124.https:Hdoi.org/10.1016/j.drugpo.2019.06.019 NC-DHHS. (2023)Post Overdose Response Teams Coverage Map.Retrieved from https://www.ncdhhs.gov/about/department-initiatives/overdose-epidemic/first-responders State Office of EMS Medical Director's Update,May 3`d,2022 Greensboro,NC 10