Opioid Settlement Funds (OSF)

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About Opioid Settlement Funds (OSF)

California joined the national lawsuits against manufacturers, distributors, and other entities responsible for aiding the opioid epidemic. Funds from the settlements and bankruptcies are provided to states, cities, and counties through different Fund Accounts under the relevant National Opioid Settlement Agreements, National Mallinckrodt Bankruptcy Plan, and Endo Public Opioid Trust Agreement.

The National Opioid Settlements directly allocate funds to state and local governments to invest funds in evidence-based practices to address their local community's needs.

Planning Process

A Multi-Department Planning Committee was convened to help identify top funding priority and develop a spending plan with recommendations to Madera County Board of Supervisors. These priorities were selected based on review of data, review of best practices and evidence-based practices from the different sectors, review of the county’s behavioral health substance use disorders wait times data, capacity, and continuum of care. These priorities were also selected as an initial investment by Madera County.

OSF Spending Plan Priorities

Priority #1: Increase Access to SUD Treatment Capacity to Reduce Opiate Addiction and Other Substance Use Disorders

Increase Treatment Capacity and Access to Substance Use Disorders by Using Centralized Access and Crisis Line (559) 673-3508
Utilize ASAM Comprehensive Assessment & Level of Care Placement Tool
Utilize Evidence Based Intensive Outpatient Matrix Model Intensive, 5 Months Program, Specialty Treatment Tracks including Opiate Use Disorders, Methamphetamine, Alcohol, & Marijuana
Implement Aftercare Relapse Prevention Services
Implement Drug Testing as Therapeutic Intervention & Level of Care Placements
Provide Care Coordination, Warm Hand Offs, Linkage, & Case Management Services
Use Multi-Disciplinary Team Meetings for Efficient & High-Quality Care Planning
Use Case Client Conferences for Accountability & Investment in Treatment & Recovery
Provide SUD Services to 60 Individuals Per Year

Priority #2: Sustain C.O.P.E. Initiative to Reduce Overdoses & Implement SUD System Navigator to Track Madera County Residents in Area Hospital Emergency Departments

Coordinate and support all county wide COPE activities with multiple departments and organizations such as BHS, PH, DSS, Sheriff, and community agencies to reduce opiate overdoses in Madera County and save lives.
Organize Alerts for Communities to be Prepared to Address Overdoses
Coordinate Communications and Information to Communities with CAO PIT Team
Develop COPE Newsletter & Keep Community Informed and Key Leaders
Incorporate Updates in County Website for Transparency to the Community
Provide Outreach and Medication Education
Convene Overdose Death Review Panel
Provide Community Group for Peer Support and Mentoring
Develop Communications Strategy
Provide Linkage to Treatment, Case Management, and Other Services to Madera Patients in Hospital Emergency Department

Click Here learn more about our Community Overdoes Prevention Efforts (COPE)

Priority #3: Implement Keepin’ It R.E.A.L. Program by Madera County Sheriff Department

Hire Deputy Sheriff and Certify as Keepin’ It R.E.A.L. Instructor
Keepin’ It R.E.A.L. is an evidence-based substance use prevention program designed to strengthen protective factors that prevent substance use and abuse. It’s a 10-week program, with 45-minute lessons
Implement Keepin’ It R.E.A.L. county wide
Evaluate Program effectiveness
Prepare Report on Number of Schools and Students Served
Keepin’ It REAL Pre-Post assessments
- Pre-Post assessments measures changes in knowledge, attitudes, and skills among students

Priority #4: Create Monitoring Systems to Track Outcomes & Costs of Each Priority

Establish administrative analyst position to create monitoring systems to track outcomes and costs associated with the funding priorities
Develop data collection system under each priority to guide future investment decision-making and seeking additional investment
Develop MOU with hospitals and/or agencies serving the client populations under each funding priority to coordinate care and services
Develop annual report on performance outcomes

Madera County

Opioid Settlement Funds (OSF)

About Opioid Settlement Funds (OSF)

Planning Process

Community Overdose Prevention Efforts

Keepin' it Real

Overdose Map Data