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Sheriff presents jail-based opioid treatment plan costing about $164,264 over two years; board requests further review
Summary
The sheriff presented a proposed jail-based opioid treatment program estimated at $164,264 for two years; board members asked for legal and operational review and did not vote, asking staff to return with more details.
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The Effingham County sheriff outlined a proposed opioid treatment program for people detained in the county jail that would add standardized mental-health screening and, where clinically appropriate, medication-assisted treatment and counseling. The sheriff’s plan, developed with Advanced Correctional Healthcare and other partners, estimates total costs of $164,264 over two years based on modeled use of six individuals.
Speaker 14 said the program includes intake screening, weekly counseling hours, medication injections when indicated, follow-up lab work and office visits. He said the proposal reflects estimates because the county does not yet know how many detainees would need services.
County counsel and other members asked for time to review legal, operational and partnership questions. Speaker 11 said a full legal review will determine whether all elements fit ARPA or opioid-settlement funding rules and whether pretrial conditions could link the program to supervised release in some cases. Several members said they favor the concept but want clarity on oversight, whether the program should be limited to people in custody, and how the county will avoid crowding out other local providers.
No formal vote was taken. The board directed staff to continue review and return to the committee with more specific cost and operational details before any appropriation.

