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PSCC Backup 04/17/2026 (MAT)Collier County Sheriff’s Office MEDICATION-ASSISTED TREATMENT PROGRAM (MAT) OPIOID ABATEMENT SETTLEMENT OPIOID ABATEMENT SETTLEMENT • Jail Medication-Assisted Treatment (MAT) •5-year agreement – $2.85M (05/01/2024) •CCSO •$1.1M years one and two* •$600K years three and four* •$500K year five* •We are in year 3•Based on agreement between Collier County and the Office of the Attorney General •Managed by the Collier County Community and Human Human Services Division * CONTINGENT UPON ALLOCATION AVAILABILITY Who is served? • Any inmate who is arrested and actively participating in MAT in the community •Any inmate who suffers from an Opiate Use Disorder (OUD) Medications Used • Methadone • Subutex • Bupernorphine • Vivitrol • Naltrexone • Suboxone • Sublocade injectible •Brixadi injectible Staffing • Advanced Registered Nurse Practitioner (YesCare)* • Registered Nurse (YesCare)* • Discharge Planner (CCSO) • MAT Care Coordinator (CCSO) PAID FOR VIA THE AGREEMENT Grant Goals • Reduction of detoxes in jail • Reduction of overdoses in community • Continuum of Care • Treatment Statistics Inmates served / Recidivism Since inception of program: ◦570 inmates have been served ◦64% success rate ◦Continuum of care ◦18% recidivism rate* *RECIDIVISM BASED ON ONE-YEAR POST-RELEASE Statistics Reduction in jail detox: •2023 calendar year 26% of intakes were on withdrawl protocol •2024 calendar year 22% of intakes were on withdrawl protocol •2025 calendar year 18% of intakes were on withdrawl protocol Overdose and Narcan Statistics CCSO response to overdoses* Fatal overdoses in Collier County decreased by 32% between 2022 and 2023 •* Source: High Intensity Drug Trafficking Areas (HIDTA) •** Source: Florida Health Year Non-Fatal overdoses Fatal Overdoses Total Overdoses Narcan Deploy- ment Single Narcan deploy- ment Multiple Narcan Deploy- ment 2024 567 53 620 176 48 224 2025 501 19 520 108 35 143 Updates • Met on October 27,2025 •All deliverables have been met Needs •Key missing component is peer support •If further funding becomes available, we’d like to add a virtual counseling and peer support application to the inmate’s mobile kiosks. OPIOID SETTLEMENT FUNDS STRATEGIC PLAN Evidence-Based | Accountable | Life-Saving Opioid Settlement History The State of Florida filed a lawsuit against numerous defendants including Purdue Pharma, Cardinal Health, and Johnson and Johnson, among others, seeking compensation for incurred expenses related to the opioid epidemic. In June of 2021, the Collier County Board of County Commissioners approved Resolution 2021-136 authorizing Collier County to join with the state of Florida and other local governmental units as a participant in the Florida memorandum of understanding and formal agreements implementing a unified plan for the use of opioid settlement funds. Collier County's plan is designed to reduce opioid-related harm and prevent future addiction by investing opioid settlement funds in evidence-based prevention, treatment, recovery, and diversion strategies implemented through strong community partnerships. INTERLOCAL AGREEMENTS Description of Project: Develop and distribute awareness prevention messaging and track the number of individuals reached with the messaging. Fire Rescue Departments: Track and report the number of Naloxone kits distributed to the CDRT on a semiannual basis. Incorporate Opioid awareness as well as Narcan use into CPR/AED program and distribute Narcan at the main Fire Station. Opioid funds are used for CPR Instructors staff time and Opioid teaching materials. In 2025 these services reached and informed 414 individuals and distributed 142 Naloxone Kits. CITY OF MARCO ISLAND CITY OF NAPLES •Funds being coordinated to reduce misuse, prevent overdoses, and expand treatment/recovery access •Direct services led at county/state level •City role: Public safety response + partnerships (Collier County, DOH, community coalitions) PROVIDER LEVEL INVESTMENTS DAVID LAWRENCE CENTERS FOR BEHAVIORAL HEALTH (DLC) Funded Components: Staffing: 0.5 FTE Nurse and 0.5 FTE Outreach Specialist Detoxification and Crisis Support Bed Days Crisis Hotline/Centralized Call Center Operations Residential and Inpatient Treatment Bed Days Expected Outcomes: Increased initiation of MAT Reduced fatal overdoses Reduced repeat overdoses Improved treatment retention and continuity of care Improved long-term recovery outcomes Reduced relapse rates Performance Focus: Crisis stabilization provider: MAT initiation rates, crisis diversion outcomes, bed utilization, and linkage to continuing care METRO TREATMENT OF FLORIDA D/B/A NEW SEASON TREATMENT CENTER Funded Components: MAT Medication and Pharmacy Supplies Transportation Assistance, including bus passes and ride-share support Expected Outcomes Increased initiation of MAT Reduced fatal overdoses Reduced repeat overdoses Improved treatment retention and continuity of care Improved long-term recovery outcomes Reduced relapse rates Performance Focus: Low-barrier MAT access point: MAT retention rates, missed-dose reduction, and continuity of outpatient engagement. COLLIER COUNTY SHERIFF’S OFFICE (CCSO) Funded Components: Medication and Pharmacy Supplies in Support of MAT Contracted Clinical Staffing: 1 FTE Registered Nurse (RN) and 1 FTE Advanced Registered Nurse Practitioner (ARNP) Supplies and Equipment supporting treatment and overdose response Outreach/Education: Laced & Lethal: public service media campaign Expected Outcomes Reduced arrests for low-level substance use offenses Increased overdose reversals Reduced fatal overdoses Increased treatment engagement among justice-involved individuals Reduced incarceration recidivism Performance Focus: Primary justice-system intervention point: diversion enrollment, post-release treatment linkage, naloxone administrations, reduced recidivism, and public outreach/education. PLANNED PROVIDER LEVEL INVESTMENTS STRATEGIC ROLE: * HCN serves as a front-line harm reduction partner, providing mobile MAT and support to individuals otherwise unable to secure treatment. DESCRIPTION OF PROJECT: * To provide mobile MAT for individuals with opioid use disorder. FUNDED COMPONENTS:* MAT medication and pharmacy supplies EXPECTED OUTCOMES:* Reduced fatal overdoses* Improved long-term recovery outcomes* Reduced relapse rates HEALTHCARE NETWORK - COLLIER HEALTH SERVICES STRATEGIC ROLE: To collect, analyze, and share essential opioid related data to improve the capability of the community and not-for-profit entities to abate the opioid crisis. DESCRIPTION OF PROJECT: The mission of an opioid abatement data collaborative is to enhance delivery of opioid use disorder (OUD) and co-occurring substance use disorder/mental health (SUD/MH) services to collier county residents by encouraging transparency, communication, and collaboration among all related community providers, organizations, interested government agencies, and educational institutions. FUNDED COMPONENTSData collection software and reporting EXPECTED OUTCOMESTimely identification of emerging overdose threatsdata-informed resource allocationclear documentation of settlement fund impact OPIOID ABATEMENT DATA COLLABORATIVE CONSIDERATION FOR FUTURE PREVENTION FUNDING AND POTENTIAL PROGRAMS TO ADDRESS GAPS Future Funding Considerations –Continuum of Prevention, Treatment & Recovery Supports Recovery & Treatment Engagement ◦UTURN Program ◦Peer-driven, 12-step–grounded recovery support ◦“Whatever it takes” model to ensure compliance (Drug Court, high-recidivism individuals) ◦Peer-Led Recovery Support ◦Lived-experience peers improve trust, outreach, and care navigation ◦Proven to increase treatment initiation & retention (esp. post-overdose, discharge) Youth & Family Prevention ◦Family-Based Programs (e.g., Strengthening Families) ◦Improve parenting, communication, monitoring → reduces early use ◦School-Based SEL ◦Builds refusal skills, emotional regulation → reduces use (20–75%) ◦Mentoring Programs ◦Positive peer/adult relationships → reduces risk behaviors Questions& Suggestions  What priorities should guide future prevention funding?  What gaps remain unaddressed?  Which programs or strategies should be prioritized to fill these gaps?  Additional questions or recommendations? Lori Greenberg Opioid Program Manager Community & Human Services Office – 239-252-5238 THANK YOUFOR YOUR TIME AND PARTNERSHIP WE APPRECIATE YOUR LEADERSHIP AND COMMITMENT TO THIS WORK Donald LucianoAssistant Division Director - Community & Human Services Office:239-252-2509 OPIOID DATA COLLABORATIVE UPDATE Dana Sebastian –Grants Manager Project Timeline At-a-glance REQUEST FOR PROPOSAL September 8, 2025 - Collier County issued Request for Proposal No. 25-8353, “Opioid Data Collaborative”. 2025 Sep SUBMISSIONS RECEIVED October 31, 2025 –Three submissions were received by the submission deadline. 2025 Oct PROPOSAL SCORING January 5, 2026 – Selection Committee convened to review proposals and deliberate. 2026 Jan PRESENTATION SCORING February 18, 2026 – Selection convened for Oral Presentation and final ranking. 2026 Feb CURRENT STATUS As of April 17, 2026, Collier County is in contract negotiations with one vendor. Project is anticipated to go live in early Fall 2026. 2026 Apr OPIOID DATA COLLABORATIVE PROJECT TIMELINE 02 OVERVIEW The Opioid Data Collaborative will gather back-end data from various health record systems and consolidate the information in a secure manner for each participant to access. The high-level data will identify system gaps, enhance partnerships, promote initiatives, and support future project proposals. Narcan DistributionIncome Level DATA ELEMENTS Demographics (Age) Narcan DeploymentsInsurance CoverageDemographics (Sex) Demographics (Race) Demographics (Ethnicity) Employment Status Demographics (Zip Code) Housing Status Domestic Violence Survivor Disability Status Veteran Status Mental Health Diagnosis Substance Use Diagnosis Marchman Acts Fatalities Recidivism Any We Missed? Baker Acts THANK YOU!