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86 <br /> • Integrated campus community engagement and education: Student Wellness pairs <br /> naloxone distribution with population specific-focused outreach, educational <br /> programming, and recovery support services tailored to college and community <br /> environments, something that SHAC's broader community clinical services are not <br /> designed to specifically provide. <br /> The proposed expansion would complement existing services while addressing critical gaps in <br /> our current distribution model. Several states have demonstrated the effectiveness of using <br /> opioid settlement funds for campus-based naloxone programs. In Ohio, for example, the state <br /> health department has successfully implemented emergency naloxone access cabinets across <br /> public and private universities through state opioid response initiatives (Ohio Department of <br /> Health, 2023). Similarly, the Virginia Department of Health now includes public universities as <br /> authorized partners in their statewide overdose prevention strategy, establishing a precedent <br /> for using settlement funds to support campus-based distribution programs (Virginia Department <br /> of Health, 2023). <br /> Implementing similar evidence-based approaches at UNC-Chapel Hill can ensure sustainable <br /> access to life-saving naloxone while addressing the documented needs of our campus <br /> community. <br /> Several eastern states already supply public institutions of higher education with naloxone for <br /> accessible distribution using opioid settlement funds: <br /> • Institutions of Higher Education in Ohio: The Governor established a successful <br /> model for expanding naloxone access on college campuses. Through state opioid <br /> response initiatives, it has provided free emergency naloxone access cabinets to both <br /> public and private universities, demonstrating how state-level programs can <br /> effectively support campus-based overdose prevention efforts. <br /> • Institutions of Higher Education in Virginia: The Department of Health provides no- <br /> cost naloxone to public universities as authorized partners in their statewide <br /> overdose prevention strategy. This demonstrates an established precedent for state <br /> opioid settlement funds to support campus-based naloxone distribution programs. <br /> • University of Rhode Island: URI's College of Pharmacy has been instrumental in <br /> distributing naloxone kits. Through the Community First Responder Program, <br /> thousands of free naloxone kits have been provided to the public. These efforts are <br /> supported by opioid settlement funds (URI, 2023). <br /> • Marshall University: In collaboration with West Virginia state health officials, <br /> Marshall University has proposed a $20 million project to reduce overdoses. This <br /> initiative is part of West Virginia's broader strategy to allocate opioid settlement <br /> funds effectively, and university involvement plays a key role in addressing the crisis <br /> (Associated Press, 2023). <br /> 2 <br />