August 26, 2024, MB#57 Special Meeting  Catawba County Board of Commissioners Special Meeting -Healthy and Safe Community Workshop Monday, August 26, 2024, 8:30a.m.  The Catawba County Board of Commissioners met in a Special Session on Monday, August 26, 2024, immediately following the regularly scheduled Subcommittee Meeting, at 8:30 a.m., at the Catawba County Board of Elections Meeting Room, 145 Government Drive, Newton, North Carolina. The purpose of this Special Meeting was to hold as strategic planning workshop around the Healthy and Safe Community focus area. Present were Chair Randy senhower, Vice-Chair Austin Allran, and Commissioners Robert C. Abernethy, Jr., Also present were County Manager Mary Furtado, Assistant County Manager Paul Murray, Assistant County Manager Justin Merritt, County Attorney Jodi Stewart, and County Clerk Dale Stiles. Dr. Beth Penley, Newton Conover City Schools Associate Superintendent, Jamie Todd, Opioid SUD Program Coordinator and Sylvia 1. Chair Randy Isenhower called the Catawba County Board of Commissioners to order at 8:39 a.m., noting a  Barbara G. Beatty, and Cole Setzer.  Fisher, EMS Manager were also present. quorum was present. 2. Presentations.  a. County Manager Mary Furtado presented the Board with a review of key take-aways from a previous workshop in December 2023, including key themes in community data and the resulting County service pressures. These complex problems are driving a more complex service response than ever before. Ms. Furtado overviewed a parallel approach to addressing these challenges - one focused on "right care, right place, right time" service interventions, and the other focused on prevention through creating a Community b. Opioid SUD Program Coordinator Jamie Todd presented the Board with a substance use data snapshot of Catawba County. Mr. Todd also provided the Board with Catawba County substance use updates overviewing the various activities he has conducted with County departments and external partners. C. EMS Manager Sylvia Fisher and Jamie Todd presented the Board with information on the proposed Post Overdose Response Team (PORT) and Community Paramedicine Pilot Program, program functions, d. Dr. Beth Penley, Newton Conover City Schools Associate Superintendent, and Jamie Todd presented the Board with an overview of the School Resilience Pilot, that included data and what it tells us, and how to best use the data in schools, resilience framework, foundational practices, community approach, how to After the presentation, the Board discussed substance use demographics, funding possibilities, and the Staff recommended the Board of Commissioners appropriate $449,000 in funding; authorize four (4) full-time positions to support establishment of PORT Community Paramedic Program; and authorize addition of Peer Support Specialist position to pay plan, at pay grade 68. Program Costs include: three (3) full-time PORT Community Paramedics-s382,000, and one (1) full-time Peer Support Specialist - $67,000; totaling  Culture of Resilience.  process, providers, and cost.  monitor progress, and anticipated results over time.  desire for additional data on who is being most heavily impacted by this issue.  $449,000. Revenue Source Catawba' Valley Medical Center  Requested Appropriation $250,000  145    August 26, 2024, MB#57 Special Meeting  Opioid Settlement Funds  $199,000 $449,000  Commissioner Robert C. Abernethy Jr., made a motion to appropriate $449,000 in funding, authorize 4 full- time positions to support establishment of PORT Community Paramedic Program; and authorize addition of Peer Support Specialist position to pay plan, at grate 68. The motion passed 4-1 with Chair Isenhower, Vice- Chair Allran and Commissioners Abernethy and Beatty inf favor. Commissioner Setzer opposed the motion Staff recommended the Board of Commissioners appropriate $80,000 in Opioid Settlement Funds to support school-based resilience pilot program. Vice-Chair Austin Allran made a motion to appropriate $80,000 in Opioid Settlement Funds to support school-Dased resilience pilot program. The motion passed 3-2 with Chair Isenhower, Vice-Chair Allran and Commissioner Beatty in favor. Commissioners Setzer and Abernethy  opposed the motion. The following resolution applies:  2024-26  AF RESOLUTION BY CATAWBA COUNTY  TO DIRECT THE EXPENDITURE OF OPIOID SETTLEMENT FUNDS  WHEREAS, Catawba County has joined national settlement agreements with companies engaged in the manufacturing, distribution, and dispensing of opioids, including settlements with drug distributors Cardinal, McKesson, and AmersourceBergen, and the drug maker Johnson & Johnson and its subsidiary Janssen WHEREAS, the allocation, use, and reporting of funds stemming from these national settlement agreements and certain bankruptcy resolutions ("Opioid Settlement Funds") are governed by the Memoranda of Agreement Between the State of North Carolina and Local Governments on Proceeds Relating to the WHEREAS, Catawba County has received Opioid Settlement Funds pursuant to these national settlement agreements and deposited the Opioid Settlement Funds in a separate special revenue fund as required by  Pharmaceuticals; and  Settlement of Opioid Litigation ("MOA"); and  section D of the MOA; and  WHEREAS, section E.6 of the MOA states: E.6. Process for drawing from special revenue funds.  a. Budget item or resolution required. Opioid Settlement Funds can be used for a purpose when the Governing Body includes in its budget or passes a separate resolution authorizing the expenditure ofa stated amount of Opioid Settlement Funds for that purpose or those purposes during a specified period b. Budget item or resolution details. The budget or resolution should () indicate that it is an authorization for expenditure of opioid settlement funds; (i) state the specific strategy or strategies the county or municipality intends to fund pursuant to Option A or Option B, using the item letter and/or number in Exhibit A or Exhibit B to identify each funded strategy, and (ili) state the amount dedicated to each NOW, THEREFORE BE IT RESOLVED, in alignment with the NC MOA, the Catawba County Board of  oft time.  strategy for a stated period of time.  County Commissioners authorizes the expenditure of opioid settlement funds as follows: a. Name of strategy: Opioid /S Substance Use Disorder Program Coordinator C. Item letter and/or number in Exhibit A or Exhibit Bi to the MOA: Exhibit A Item 1  1. First strategy authorized: b. Strategy is included in: Exhibit A  146    August 26, 2024, MB#57 Special Meeting  d. Amount authorized for this strategy: $251,753 e. Period of time during which expenditure may take place: Start date 8/7/2023 through End date 6/30/2025  Description of the program, project, or activity: Provides funding to employ an Opioid / Substance Use Disorder Program Coordinator Position and provide related operating expenses to explore loversee I implement the County's collaborative strategic planning efforts related to Opioid I Substance Use Disorder, and criminal justice diversion programs (part of duties will be to work with  Drug Court and' Veterans Court). g. Provider: Catawba County h. Date(s) of BOC Action: 8/7/23; 6/3/24 2. Second strategy authorized: b. Strategy is included in: Exhibit A d. Amount authorized for this strategy: $180,000 e. Period of time during which expenditure may take place: Start date 7/1/2024 through End date 6/30/2025  a. Name of strategy: Medication Assisted Treatment (MAT) in Detention Centers C. Item letter and/or numberi in Exhibit A or Exhibit Bi to the MOA: Exhibit A, Item 11  Description of the program, project, or activity: Provides medically assisted treatment for this purpose and associated therapy for inmates in the Catawba County Detention Center. g. Provider: Catawba County Sheriff's Office and its contracted medical provider/s.  h. Date(s) of BOC. Action: 6/3/24 3. Third strategy authorized: a. Name of strategy: Community Paramedicine/PORT b. Strategy is included in: Exhibit A d. Amount authorized for this strategy: $199,000 e. Period oft time during which expenditure may take place: Start date 8/26/2024 through End date 6/30/2025  C. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Exhibit A, Item 8  Description of the program, project, or activity: A post-overdose response team (PORT), is an overdose follow-up program that allows Community Paramedics to visit a person who experienced an overdose within 24-72 hours of the incident. PORTS provide support, education, and access to evidence-based treatment such as medication for opioid use disorder (MOUD) and other life-saving  resources.  g. Provider: Catawba County Emergency Services /Emergency Medical Services  h. Date(s) of BOC. Action: 8/26/24 4. Fourth strategy authorized: b. Strategy is included in: Exhibit A d. Amount authorized for this strategy: $80,000 e. Period of time during which expenditure may take place: Start date 8/26/2024 through End date 6/30/2025  a. Name of strategy: Newton-Conover City Schools (N-CCS) School Resilience Pilot - Item letter and/or number in Exhibit. A or Exhibit Bi to the MOA: Exhibit A, Item 6  Description of the program, project, or activity: Partner with N-CCS to continue building out School Resilience Framework. Structure as pilot program to potentially serve as model for other schools  i. facilitating framework ii.  Fund full-time School Psychologist ($61,000); part-time Community Outreach Coordinator ($19,000) at N-CCS as part of pilot team; roles are critical to defining and Moving forward, develop replicable, measurable model and implementation method  that can be scaled to fit other school systems, based on readiness.  147    August 26, 2024, MB#57 Special Meeting  g. Provider: N-CCS h. Date(s) of BOC Action: 8/26/24 strategies is $710,753. This the 26th day of August, 2024.  The total dollar amount of Opioid Settlement Funds appropriated across the above named and authorized  3. Adjournment. Upon a motion by Commissioner Beatty which unanimously carried, the meeting was  adjourned at 10:45 a.m. with no further action.  C22 Randy Isenhower, Chair Catawba County Board of Commissioners Duslke Dale R. Stiles, County Clerk  148