►
Description
Briefing of the Buncombe County Board of Commissioners on September 20, 2022. The briefing is a chance for Commissioners to review agenda items before the meeting. No motions will take place during the briefing.
A
A
All
right,
I
think
we're
ready
to
get
started
so
called
a
meeting
to
order
for
the
briefing
meeting
Commissioners.
The
primary
update
at
our
meeting
today
is
the
opioid
settlement
funding
plan.
Are
there
any
other
items
on
the
that?
Are
there
any
other
items?
People
would
like
to
discuss
at
the
briefing
meeting
today
and
are
there
any
questions
about
any
items
on
the
agenda
for
the
regular
meeting?
A
All
right,
then
we
will
consider
the
agenda
for
the
briefing
meeting
to
be
what
we
have
published
here.
So
let's
go
ahead
and
jump
into
it
and
we'll
get
an
update
on
the
opioid
settlement
funding
plan.
B
At
the
same
time,
we
are
entering
into
our
short-term
phase
of
Planning
by
starting
our
strategic
planning
process.
An
outline
of
this
process
has
been
included
in
your
handouts.
Please
let
me
know
if
there
are
any
questions
or
feedback
about
what
we
have
included.
This
does
mirror
what
the
Moa
outlines
as
elements
as
part
of
strategic
planning,
and
so
with
this
we
are
shifting
our
Focus
to
the
in-depth
engagement
needs
identified
by
our
fiscal
year,
23
project
team
to
help
shape
recommendations
for
funding
allocation.
B
After
this
fiscal
year,
this
month
we
formally
began
a
steering
committee
with
approximately
45
Community
stakeholders
to
guide
the
strategic
planning
process.
So
by
leveraging
the
wisdom
from
this
larger
group,
we
will
build
a
foundation
for
an
intentional
community
outreach
strategy
which
we
aim
to
Foster
throughout
the
next
17
years.
B
We
anticipate
this
committee
to
meet
regularly
between
now
and
December
to
produce
a
plan
designed
to
guide
funding
recommendations
for
the
use
of
settlement
funds
in
fiscal
years,
2024
through
2026..
So
looking
at
kind
of
expanding
the
timeline,
letting
people
know
what
to
expect
versus
every
year,
not
sure
where
that
Focus
will
be
so
this
committee
will
create
each
of
the
project
outputs
listed
in
the
handout
to
inform
the
criteria
that
will
serve
as
the
basis
for
those
future
Financial
recommendations.
So
this
group
is
really
helping
create
that
vision.
B
For
us,
what
are
the
root
cause
analysis?
Are
we
really
getting
to
the
depths
of
it
really
scanning
our
community
for
the
needs,
and
then,
with
this
kind
of
foundation,
this
Vision,
we
can
make
future
funding
recommendations.
So
this
group
is
not
going
to
be
recommending
what
gets
funded.
But
what
are
those
elements
that
we're
looking
for?
B
B
At
the
same
time,
the
project
team
highlighted
the
urgency
of
action.
We
must
use
these
dollars
to
save
lives
in
our
community
today,
and
yet
we
also
need
to
operate
intentionally
really
identifying
those
programs
and
strategies
to
support
the
efforts
using
data
and
understanding
truly
who
is
being
served
and
who
is
not
being
served
in
our
community
by
whom
to
what
extent
and
with
what
impact.
B
So
we
were
asked
to
understand
the
need
for
Action
within
the
context
of
existing
gaps
in
Access
and
opportunity
for
care.
So,
with
this
in
mind,
we
came
to
a
compromise
of
identifying
programs
that
are
providing
crucial,
life-saving
services
within
the
county
and
are
currently
facing
time-sensitive
funding
needs
due
to
Grants
ending
this
fiscal
year,
while
also
committing
to
a
more
in-depth
strategic
planning
process
designed
to
identify
the
types
of
gaps
and
opportunities
for
important
consideration
for
funding.
B
Further,
we
have
learned
that
both
recovery,
housing
and
early
intervention
for
young
people
vulnerable
to
substance
misuse,
are
commonly
shared
priorities,
but
we
need
to
further
examine
what
is
needed
to
effectively
operationalize
that
financial
support
So.
As
a
result,
we
have
included
the
option
to
fund
efforts
designed
to
better
understand
the
status
of
and
needs
surrounding,
each
of
these
approaches
in
Buncombe
County
today.
B
This
is
allowing
us
to
have
that
stop
gap
for
programs
that
are
meeting
the
needs
of
our
community
while
we're
also
getting
into
that
deeper
engagement,
getting
feedback
for
planning
for
fiscal
year,
24.
we're
hoping
to
be
in
line
with
the
regular
budgeting
cycle,
and
so
this
is
just
to
help
extend
some
of
our
current
programs
through
the
end
of
this
fiscal
year.
B
And
this
just
kind
of
gives
you
a
little
bit
of
a
visual
we're
looking
at
spending
a
little
over
500
000
this,
if
anything
would
maybe
adjust
lower.
My
hope
is,
that
is
the
maximum
that
would
be
asked
potentially
lower,
and
so
then,
all
of
those
dollars
that
we're
receiving
this
fiscal
year
will
be
available
for
future
planning,
whether
for
fiscal
year
2024
or
it
may
be
something
that
we're
extending
It
Through
The
Years,
where
funding
reduces.
B
So
the
next
steps
my
plan
is
for
October
4th
is
to
come
to
you
all
with
a
final
recommended
financial
plan
for
approval.
We
will
also
be
having
some
updates
from
our
mac
program
so
that
you
all
can
hear
the
work
that
our
Port
team
has
been
doing
in
conjunction
with
mayhec
and
with
the
detention
center
and
even
our
syringe
service
program
and
the
peer
support
and
how
all
of
those
work
together,
as
well
as
our
re-entry
that
helps
connect
people
to
those
services
and
between
October
and
in
January
February.
B
We're
doing
our
strategic
planning
deeper
community
outreach.
So
then
I
hope
in
January
February
to
provide
updates
about
the
planning
process.
What
was
the
vision
that
our
community
came
up
with
the
root
cause
analysis
Etc,
and
with
that
we
will
be
integrating
into
the
County's
budget
cycle
for
planning
having
recommendations
for
the
fiscal
year
24
and
through
2026.
C
Foreign,
thank
you
all
so
much
and
to
staff
and
Community
Partners.
Just
a
lot
of
hard
work
has
gone
into
getting
us
to
this
point
and
it's
exciting
to
be
at
the
stage.
I
had
a
couple.
Questions
just
want
to
make
sure
I'm
tracking
closely
as
we
move
forward
in
terms
of
the
the
slide
that
details,
the
programs
that
this
518
000
would
be
allocated
for
the
community,
paramedicine,
therapist
and
medication
for
addiction
treatment
is
that
would
that
actually
be
for
additional
mat
slots?
That's
what
it
says
is.
B
We're
it
there
there's
been
a
lot
of
back
and
forth,
so
there's
a
very
good
chance
that
the
safer
together
will
be
able
to
have
that
covered,
and
it
could
look
at
extending
that.
What's
that
need
are
we
I
know
what
I'm
understanding
is
that
we
are
looking
at
upping
with
mayhet
some
of
those
slots,
but
that
should
be
coming
through
the
safer
together
Grant,
so
I
may
on
October
4th
may
be
coming
back
and
not
needing
immediate
funding
for
that,
because
the
safer
together
Grant
is
covering
it.
C
C
Assisted
treatment
is
a
really
high
priority,
as
we
think
about
steps
and
interventions
to
actually
reduce
overdose
deaths,
and
so
I
would
be
really
interested
if
we
could
just
kind
of
go
a
little
bit
further
down
the
rabbit
hole
into
the
data
there
and
figure
out.
C
C
The
conversation
with
with
fellow
Commissioners
we've
have
invited
for
for
our
next
meeting:
Dr
suchen
Shukla
from
mayhec
Claire
Hubbard
from
Community
paramedic
and
I'm
Sarah
Gayton
from
the
map
program
at
the
Detention
Center
to
share
updates
about
how
those
what
we're
seeing
from
those
programs
and
also
kind
of
a
fresh
look
at
overall
data
on
overdose
and
overdose
deaths.
I.
C
Think,
as
everyone
knows,
and
as
is
the
case
with
many
of
the
issues,
we're
working
on
the
pandemic
has
been
a
really
tough
period
and
we
have
seen
you
know
some
conservative
concerning
increases
in
overdoses
and
overdose
deaths
everywhere.
But
we're
also
seeing
that
when
folks
get
access
to
Matt,
it
is
saving
lives.
C
So
as
as
we
think
about
kind
of
how
we're
investing
this
first
stage
of
the
settlement
money
it
feels
like
if
there
are
opportunities
for
more
members
of
our
community,
have
access
to
mat
treatment
that
that's
something
I'd
be
really
interested
in
as
a
as
a
starting
point.
In
that
conversation.
B
You
are
ready
to
get
that
treatment,
have
access
and
I
think
also
understanding.
There's
a
lot.
You
know
a
lot
more
that
goes
along
with
that
right.
Getting
the
medication
is
one
thing,
but
organizing
yourself
be
able
to
get
to
that
appointment.
All
of
those
other
needs,
and
so
that's
where
even
that
recovery,
Support
Services
really
helps
I
know
even
heard
recently
that
there
were
a
hundred
reported
Community
overdose
reversals
with
naloxone.
B
So
we
know
that's
being
underreported,
so
while
Matt
is
also
important,
it's
also
having
naloxone
available
so
that
people
have
another
day.
You
know,
maybe
today,
I
wasn't
feeling
it,
but
now
I've
reached
my
another
low
that
I
might
be
ready
to
access
that
treatment,
and
so
it
really
is
kind
of
all
of
these
programs
working
together.
That
gives
people
these
opportunities
to
access
that
treatment,
if
not
today
tomorrow,
and
what
I
even
hear
is
a
lot
of
the
peer
supports.
They
may
have
been
offered.
B
C
That's
very
helpful.
Thank
you.
I
wanted
to
also
just
revisit
I
think
when
you
all
had
last
presented
to
us
talked
about
an
Community
level.
Rfp
opening
up
through
which
additional
funds
would
be
administered.
Is
that
something
that
you're
thinking
will
happen
in
or
what's
the
timeline
around
when
that
might
open
up?
Probably.
B
In
that
January
February,
so,
okay
by
the
end
of
this
year,
we'll
have
a
good
like
a
good
Vision
right.
What
are
those
elements
that
we
want
to
see
that
can
help
guide
what
those
rfps
may
look
like
and
that
we
have
a
deeper
understanding
of
what's
needed,
who's,
funded
who's,
not
funded
and
also
I,
think
even
figuring
out.
Is
it
a
request
for
proposals
if
we're
really
wanting
to
look
at
Grassroots
organizations
that
are
doing
the
work?
What's
going
to
be
something
that's
accessible
for
them?
B
Recognizing
some
of
the
limitations
so
I
feel,
like
you
know,
we're
still
diving
in
a
little
deeper
on.
How
can
we
make
that
accessible.
C
Thank
you.
That's
super
helpful
and
again
I.
Think
just
kind
of
bouncing
I
appreciate
this
opportunity
at
the
commission
level
to
be
having
this
conversation
and
I.
Think
one
of
the
one
of
the
questions
that
I'll
look
forward
to
engaging
with
fix,
as
we
head
into
our
budget
cycle
is,
is,
is
thinking
about
how
what's
happening
through
the
settlement
dollars
connects
into
the
broader
body
of
work
that
the
county
has
for
many
years
been
doing
around
opiate
response,
and
you
know
just
to
be
really
clear.
C
I
think
my
great
hope
is
that
this
funding
can
be
really
supplemental
and
help
strengthen
and
expand
our
efforts,
not
just
substitute
for
funding
that
has
come
from
other
sources,
although
there
may
be
cases
where
that
makes
that
ends
up
making
the
most
sense
in
some
areas.
But
thinking
about
you
know,
there's
one
question
about
how
do
these
dollars
get
allocated
over
a
17-year
period
and
then
there's
kind
of
the?
C
If
you
take
the
plane
up
the
bigger
question
about
how
is
Buncombe
County
continuing
to
develop
a
strategy
that
is,
first
and
foremost,
saving
lives
by
reducing
overdose
deaths
and
reducing
overdoses,
and
then
creating
services
and
programs
to
help
people
rebuild
their
lives,
and
it's
so
exciting
to
see
how
robustly
you
all
are
building
out
this
set
of
questions
around
how
the
settlement
funding
will
be
allocated
and
that,
of
course,
ties
into
this
brighter
question,
but
just
also
flagging
at
the
commission
level
that
part
of
why
I
you
know
part
of
why
we
want
to
get
this
fresh
data
and
and
updates
at
our
next
meeting
is
so
that
we
can
kind
of
take
the
plane
up
in
that
way
and
say:
okay,
what
are
we
seeing
in
terms
of
Trends,
and
how
do
we
take
this
step
from
I?
C
Think
where
we've
been,
which
is
having
in
some
ways
you
know
very
Innovative,
very
impactful
projects
that
that
sometimes
operate
discreetly
from
each
other
into
having
a
truly
integrated
county
level
strategy
around
the
next
chapter
of
our
work.
In
response
to
the
opioid
crisis,
which
you
know
continues
to
really
hit
our
community
hard
and
so
many
in
our
community
really
hard
so
just
kind
of
previewing.
C
Some
of
the
conversations
that
I
hope
we
can
all
dig
into
at
our
next
meeting.
But
then,
as
this
work
continues
and
and
through
the
budget
cycle
and
how
we
think
about
the
settlement
funding
as
sort
of
a
piece
of
this
broader
policy,
but
also
budgetary
work.
That
needs
to
happen
so
and.
B
As
you
said,
that
and
I'm
glad,
you
did
because
I
think
with
it's
important.
It's
what's
our
foundation
right.
What
do
we
know
whether
it's
opioids,
whether
it's
methamphetamine,
whether
it's
something
else
right
that
is
coming
into
our
community?
Do
we
as
a
county,
have
the
infrastructure
and
that
Foundation
to
provide
support
to
services
and
then
we're
using
opioid
to
maybe
write
tackle
that
one
specific
expand,
additional
access
to
support,
because
obviously
the
opioid
settlement
is
not
going
to
be
able
to
support
all
of
these
strategies
that
are
needed
and
over
the
17
years.
B
So
what
do
we
want
to
invest
in
that
we
know
will
be
flexible,
no
matter
what
we're
facing
what
you
know
epidemic
could
be,
but
could
pop
up
tomorrow.
We're
already
seeing
you
know.
Poly
substance
use
is
a
big
issue,
and
so
it's
not
just
addressing
opioids.
It's
even
diving
into
the
other
substances
that
are
coming
up
so
I
think
that
it
is
important
that
long-term
plan.
What
do
we
want
to
have
as
our
foundation
and
then
how
do
we
supplement
and
and
Target
specific
needs.
D
What
I'm
glad
to
see
too,
is
that
we
know
we
need
the
long-term
plan,
that's
going
to
be
over
17
years,
but
you're
taking
it
in
pieces
like
from
now
until
26.
I.
Think
that's
good,
because
that
allows
us
to
do
our
job,
putting
the
budget.
You
know
putting
all
that
together
and
we
know
where
we
need
to.
You
know
how
we
gonna
eat
this
pie.
D
B
A
Do
I
have
a
question.
Thank
you.
So
it
looks
great
I
really
appreciate
the
update.
I
guess
one
question
I
had
is.
A
Are
the
opioid
settlement
funds
or
any
of
them
intended
to
be
invested
in
terms
of
like
future
prevention
type
of
work,
whatever
that
might
look
like
or
just
looking
at
these
programs,
it
looks
like
it's
they're
focused
on
you
know,
providing
support
and
options
for
folks
who
have
developed.
You
know
an
opioid
or
some
other
related
kind
of
addiction,
so
just
curious,
if
that's
part
of
that,
or
is
that,
are
the
efforts
to
do
those
types
of
works
not
occurring
through
these
resources.
B
They're
not
necessarily
occurring
through
these
resources,
but
that's
collaborative
strategic
planning
is
where
we'll
be
looking
more,
you
know
and
again
still,
what
does
this
look
like?
But
how
do
we
tap
into
some
of
those
providers
that
are
doing
that
work
from
young
people?
How
do
we
get
feedback
from
young
people
about
what
they
truly
need?
You
know
being
part
of
a
group
that
was
looking
at
the
Faces
of
Recovery
and
how
do
we?
B
Let
young
people
know
that
if
they
need
help
to
reach
out
and
those
young
people
say
we
don't
care
about
a
poster.
You
know
give
us
something
on
Tick
Tock
like
show
us
a
little
video
and
so
I
think
this
is
a
time
where
we're
going
to
really
need
to
dive
in
and
hear
from
our
young
people
what's
needed.
What
are
those
resources?
One
thing
that
I
am
hearing,
though,
is
and
even
for
those
families
is
where
do
I
go
for
these
Services?
Where
are
the
support
so
being
able
to
recognize?
B
Do
we
have
the
supports
and
services
available,
but
we
need
to
educate
our
community
more
on
how
to
access
them?
Are
there
some
low-hanging
fruits
or
do
we
need
to
really
create
a
new
program?
You
know
a
lot
of
training
has
been
done
in
Buncombe
County
for
mental
health.
B
Youth
first
aid
is
that
something
that
we
need
to
add
there's
not
enough
or
do
we
need
to
now
add
on
to
that
something
new
and
different,
or
maybe
more
specific,
so
really
in
these
next
couple
months
and
the
funds
for
collaborative
strategic
planning
will
help
us
learn
more
about
what
our
community
needs
for
early
intervention
and
what
would
make
that
difference?
What.
A
Organizations
in
the
community
are
working
on
that
piece,
I
mean
I,
know
like
within
the
medical
community.
Of
course,
there's
been
a
lot
of
attention
in
recent
Years
Around
the
issues
of
over-prescribing
opioids
for
legitimate
medical
purposes.
But
you
know
if
they're
over
prescribed
or
not
carefully
prescribed,
then
they,
you
know
I
guess
at
least
when
the
commission's
been
briefed
on
that
in
the
past
I
think
we
heard
that
that's
actually
the
single
largest
source
of
how
people
develop
addictions
right.
It's
not
through
recreational
drug
uses
through
being
prescribed
these
opioids
for
legitimate
medical
purposes.
A
But
then
you
know
unintentionally,
developing
you
know
an
addiction
to
them.
I,
don't
know
if
that's
still
the
primary
like
entryway
into
this,
you
know
or
if
that's
changed,
but
who,
who
is
who's
working
on
that
side
of
it.
B
I
think
we
youth
work
of
sharing
that
knowledge,
the
take
backs
and
I
think
it's
even
you
know
what
I've
noticed
in
the
work
that
I've
done
in
working
with
young
people
and
especially
with
the
pandemic,
is
losing
their
purpose.
What
do
I
have
to
look
forward
to
in
life
dealing
with
even
their
stressors
from
their
parents
right?
B
Our
young
people
have
trauma,
and
sometimes
they're
traumatized
from
adults
who
have
been
traumatized
and
haven't
healed,
so
I
think
it
is
that
like
deeper
hole
of
like
what's
going
to
make
the
most
impact
and
that's
what
we
hope
to
really
dive
into
I
know:
Buncombe
County
Schools
is
doing
a
lot
in
looking
at
incorporating
social,
emotional
learning,
United
Way
for
United
ways,
communities
and
schools
have
some
contracts
to
provide
School
support
groups.
So
it's
not
for
any
students.
Insurance
is
enough
question.
B
A
Well,
sometime
I,
just
as
part
of
these
overall
discussions,
you
know,
I
would
just
I
would
be
interested
in
sort
of
hearing
some
more
updates
around
that
you
know
because,
obviously
I
think
there's
a
lot
of
these
strategies
are
really
promising.
I
mean
you
know
in
some
super
supportive
of
everything
that
you've
gone
over,
but
just
would
love
to
hear
more
about
the
current
thinking
from
those
who
are
most
involved
in
it
around.
A
What
are
the
opportunities
seem
to
reduce
the
pipeline
of
future?
You
know
addiction
channels
in
the
community
so
that
over
time,
hopefully
that's
you
know,
that's
diminishing,
because
it's
just
such
it's
just
a
so
pervasive,
like
you
know
what
what
options
are
there
on
the
front
end
to
kind
of
reduce
the
entryway
into
it?
So
anyway,
thank
you
for
the
updates
and
Commissioners
any
other
questions
or
comments
on
this
item
all
right.
Thank
you
so
much.
Thank
you,
Victoria
all
right,
Commissioners,
that's
the
that's!