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Onslow officials outline FY27 opioid-settlement plan and launch RTI-led strategic planning
Summary
Onslow County health staff proposed a FY27 opioid-settlement spending plan that would set aside $928,000 for selected strategies and asked the Board of Commissioners to approve allocations totaling $1.3 million in expected FY27 payments; RTI International will lead a strategic-planning process to produce a living implementation plan for the county.
Onslow County health department officials on the SOAR team presented a proposed FY27 opioid settlement spending plan and described a new strategic-planning process that will guide how the county invests future settlement dollars.
Amy Small, community relations manager at the Onslow County Health Department, said the county is proposing to set aside $928,000 across selected strategies in FY27 while the total FY27 payment to the county will be $1,300,000. Small said the collaborative strategic planning strategy would be allocated $195,000 to cover the opioid program coordinator’s salary and RTI International’s planning work; recovery support services were proposed to receive $383,000; early intervention $100,000; addiction treatment for incarcerated persons $130,000; and reentry services $120,000. Small said the county intentionally did not request the full available funding in order to leave flexibility for emergent needs and noted that any spending must be approved by the Board of Commissioners and must align with Exhibit A strategies and the state memorandum of agreement.
The proposed allocations are preliminary and would be subject to formal approval by the Board of Commissioners. Small told attendees that unspent dollars roll over and that, by contract, the county may not exceed the board-approved budget even by a dollar.
Megan Doyle of RTI International said RTI is conducting stakeholder mapping, reviewing existing assessments and will work with the opioid settlement funds subcommittee to develop measurable key performance indicators and a monitoring framework. Doyle described the plan the consultants will prepare as a "living document" intended for regular revision and said RTI aims to present the draft strategic plan to the Board of Commissioners in late fall or early winter.
Why it matters: settlement dollars are time-limited and the county faces a planned decline in available funds over coming years; officials said the planning process aims to build sustainability by aligning strategies with measurable outcomes and by identifying other braided funding sources for long-term support.
Next steps: the health department will request Board of Commissioners approval of the FY27 plan and continue stakeholder engagement as RTI prepares the strategic plan for county review.
