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Opioid settlement program reports naloxone distribution, recovery court outcomes and provider start-ups

Burke County Board of Commissioners ยท November 4, 2025

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Summary

County opioid-settlement staff reported distributing more than 1,000 naloxone kits countywide, establishing an opioid settlement department and sustaining an expanded recovery court. Provider-led startup strategies (family-centered treatment, recovery housing, low-barrier MAT) have drawn down startup funds and begun receiving referrals.

The county's opioid-settlement coordinator reported Nov. 3 that the program has transitioned to an independent department and distributed more than 1,000 naloxone kits across Burke County while expanding education and recovery services.

County staff said the program funded a sustained recovery court that served 15 participants in the most recent reporting year; staff reported treatment linkage and other outcomes: 100% of participants received naloxone kits, 80% adhered to treatment at six months and 73% showed housing or employment retention measures. The program also reported monthly peer-support coalition meetings, a videography project to document lived experience, and partnerships with local providers.

Staff said they found a lower-cost naloxone vendor (reducing kit costs from about $38 to $22) and have made offers for a community navigator and post-overdose response positions to start in mid-November. Three provider proposals are under review by the opioid advisory committee for additional funding or activation: Burke Recovery (clinical assessments), Christ Centered Recovery (recovery housing) and Catawba Valley Health (reentry services).