Contributing Factors (What's helping the trend?):

• • Community based overdose action teams
  • Community public health education and prevention programs
  • Treatment programs for individuals living with substance misuse/abuse
  • Naloxone distribution

Restricting Factors (What's keeping the trend from improving?):

• • Covid-19 pandemic. The pandemic restricted program activities, access, and availability
  • Lack of access to treatment due to transportation challenges, geographic location, and financial barriers

Equity Issues (What disparities are contributing?):

• • Racial and ethnic minorities
  • Sexual orientation and gender minorities
  • Immigrant populations
  • Geographic location
  • Disadvantaged by reduced economic stability
  • Disabled populations
  • Homeless populations
  • Individuals living with mental health conditions
  • Incarcerated populations
  • Experiencing limited educational attainment or limited health literacy
  • Non-English speaking populations
  • Tribal populations

Clermont County Community Service

Clermont County Family & Children First

Clermont County Mental Health & Recovery Board

Clermont County Opiate Task Force

Clermont County Public Health

Clermont County Public Health - WIC

UC Area Health Education Center

Evidence-based resources:

• Principles of Drug Abuse Treatment for Criminal Justice Populations - A Research-Based Guide
• Substance Abuse and Mental Health Services Administration's National Helpline
• TIP 63: Medications for Opioid Use Disorder

Naloxone education and distribution program

Syringe services programs (SSPs)

Medication-assisted treatment (MAT)

Recovery communities and peer supports / Housing programs for people with behavioral health conditions

Naloxone education and distribution program

• Partner with Fire/EMS providers to establish leave behind naloxone programs. Currently, Miami Township Fire/EMS are coming onboard and Union and Felicity/Franklin Fire/EMS are working towards establishing these programs as well. (Clermont County Public Health)
• Promote naloxone distribution through Project DAWN site (Clermont County Public Health, Clermont County Mental Health & Recovery Board)

Syringe services programs (SSPs)

• Promote the Syringe Services Program which offers the following services: Syringe Exchange, Narcan Distribution, Hygiene Kits, and referral to treatment services through a peer coach (Clermont County Public Health)

Medication-assisted treatment (MAT)

• MAT trainings (UC Area Health Education Center)
• Monthly training and education to physicians on chronic pain through ECHO (Clermont County Mental Health & Recovery Board)

Recovery communities and peer supports / Housing programs for people with behavioral health conditions

• Quick Response Team (QRT)  - provide information on recovery through partnerships with law enforcement/EMS (Clermont County Public Health)
• Provide treatment alternatives to residents through the Community Alternative Sentencing Center (CASC) (Clermont County Public Health)
• Screen WIC program participants for current drug use and provide referrals as needed (Clermont County Public Health - WIC)
• Collaborate with Clermont Recovery Center to provide bags with information on substance use to families at food box drive-thrus (Clermont County Family & Children First)
• Provide funding and access to recovery communities and peer supports (Clermont County Mental Health & Recovery Board)
• Establish Housing First with referral systems for homeless shelters (Clermont County Community Service)
• Develop 2 additional in-county recovery houses (Clermont County Mental Health & Recovery Board)

Policy Development/ Enactment/ Monitoring

• Monitor and support legislation to reduce stigma and increase treatment and recovery (Clermont County Opiate Task Force)