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Title:
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Opioid Response Planning: Substance Use Plan
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Title
Opioid Response Planning: Substance Use Plan
Description
This report provides an update to the Economic Development and Housing Subcommittee on the next steps in the development of the City of Phoenix Substance Use Plan.
THIS ITEM IS FOR INFORMATION ONLY.
Report
Summary
In August of 2021, the City of Phoenix joined cities, towns, and counties across Arizona in signing on to the One Arizona Opioid Settlement Memorandum of Understanding (“One Arizona agreement”). The One Arizona Agreement outlines the distribution of the estimated $542 million dollars that Arizona will receive over 18 years. As part of the spending framework, 56 percent of the total settlement will be disbursed to local governments and 44 percent of the total settlement will remain with the State to fund future opioid programs and response efforts. The City of Phoenix began receiving its first installment of funds from Maricopa County in 2022. It is anticipated that the City will receive an average of three million dollars per year based on current estimates.
Under the One Arizona Opioid Settlement, funds must be used for future opioid strategies that are nationally recognized. Approved uses include evidence-based, evidence-informed strategies addressing:
Treatment of Opioid Use Disorder (OUD).
Support for people in treatment and recovery.
Support for people who have or are at risk of developing OUD.
Prevention of overdose deaths and other harms.
Prevention of opioid misuse.
In March of 2023, the Public Health staff presented to subcommittee outlining activities and actions to be taken as part of the City’s planning to inform the development of the City’s substance use plan and directing the use of settlement dollars. These actions included:
Scan of existing departmental policies and practices related to substance use.
Development of trainings and professional development opportunities for City employees related to opioid prevention, treatment, harm reduction and evidence-based strategies.
Review and investigate opportunities to expand naloxone (Narcan) access through city departments and outreach opportunities.
Develop a dashboard to improve opioid related surveillance including fatal and non-fatal overdoses to inform planning, future actions, and evaluation.
Planning and implementation of community information and feedback forums.
Comprehensive needs assessment including surveys led by the Maricopa County Department of Public Health (MCDPH) and a community survey led by the City of Phoenix.
Timeline:
All actions have been completed as follows:
Winter 2022-23:
Office of Public Health (OPH) was established.
First settlement installment received.
Spring 2023:
Council presentation on Opioid Response Planning and actions.
Departmental scan launched with survey and key informant interviews.
Community Education Forums held in each council district.
Work began on development of Opioid Dashboard.
MCDPH launched substance use needs assessment.
Summer 2023:
Intergovernmental Agreement between the Office of Public Health and Arizona State University Substance Use Addiction and Translational Research Network (SATRN) approved by the City Council.
MCDPH published substance use needs assessment of service providers.
Office of Public Health and ASU SATRN launched the Community Opioid Survey for Phoenix residents.
The City of Phoenix Naloxone Program is launched city-wide with Narcan available across all city library locations.
Fall 2023:
City of Phoenix closed community opioid survey with 765 responses.
MCDPH published needs assessment report on People Who Use Drugs.
Winter 2024:
ASU SATRN and OPH analyzed results of community assessment and internal scan.
OPH and library services launched community opioid education in partnership with Southwest Behavioral and Health Services.
OPH, Phoenix Fire, Phoenix Police and ITS finalized Phase One of the City of Phoenix Substance Use and Overdose Dashboard (PSUOD).
Spring 2024:
OPH and ASU SATRN presented Environmental Scan results to Council subcommittee highlighting priority areas for further action based on all needs assessments and surveys completed in 2023.
The PSUOD launched on the City’s website.
Phoenix Opioid Community Survey Report published.
OPH presented needs assessment results and draft priority areas to City Manager’s Community Mental Health, Wellness, Public Health and Safety Task Force.
Summer 2024 - Next Steps
OPH and ASU SATRN present needs assessment results and draft priority areas of action to community via existing meetings of neighborhood groups, coalitions, advisories etc.
Develop final draft of the City of Phoenix Substance Use Response Plan (2025-2030).
Fall 2024
Present Draft City of Phoenix Substance Use Response Plan (2025-2030) to Council for approval.
Develop and present first annual action plan based on City’s approved Substance Use Plan.
Priority areas for action identified through the 2023 Substance Use Needs Assessments for the City of Phoenix include:
Surveillance and Data to inform ongoing planning and evaluation.
Crisis and Post-Overdose Response Teams.
Prevention programs in K-12 settings.
Increase housing access for people who use drugs and people in treatment and recovery.
Harm Reduction including naloxone access and increasing street outreach.
Care Navigation.
Justice System Diversion.
Transportation services for treatment and recovery services.
Expansion of mobile services.
Addressing stigma.
Needs assessment and surveillance data will be presented along with these priority areas for action to community for further consultation to inform the final Draft of the City of Phoenix Substance Use Response Plan. Once the draft plan is reviewed and approved by council the OPH will implement annual action plans for utilization of settlement funds supporting priority areas. ASU SATRN will support the OPH with the implementation of the plan and evaluation of actions.
Financial Impact
The funding associated with this work will come from the Opioid Settlement dollars as part of the One Arizona Memorandum of Understanding. To date the City has received $11,398,195.34 as part of its installments of funding across eight settlements covering years 2021 to the present.
Department
Responsible Department
This item is submitted by Assistant City Manager Lori Bays and the Office of Public Health.