Marin County Grand Jury
• 2024-2025
• Agency Response
Opioid Misuse: Strengthening Marin County’s Response
⚠️ Translation Notice: This content has been automatically translated. The original English text is the official version. Translation may contain errors.
⚠️ Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.
Findings and Recommendations 6 findings
F1
The Marin County Department of Health and Human Services, through RxSafe Marin and the Drug Medi-Cal Organized Delivery System, has initiated robust prevention and treatment programs to address the opioid epidemic.
Related Recommendations (1)
R1
The Marin County Department of Health and Human Services should in fiscal year 2021– 2022 expand naloxone availability throughout the county in accordance with the American Medical Association guidelines.
F2
Expanded distribution and availability of naloxone throughout Marin County could help provide additional life-saving opportunities to reverse opioid overdoses.
Related Recommendations (1)
R2
The Marin County Department of Health and Human Services should conduct a detailed cost-benefit analysis in fiscal year 2021–2022 to determine if additional recovery coaches are warranted and, if so, retain them.
F3
Additional substance use navigators, who play a critical role in the hospital setting by guiding substance use disorder patients toward appropriate treatment, would enable more patients to obtain the follow-up support required for their recovery.
Related Recommendations (1)
R3
The Marin County Department of Health and Human Services should expand its efforts in fiscal year 2021–2022 to increase the number of X-waivered prescribers and to provide incentives for currently X-waivered prescribers to treat more patients up to their authorized limits.
F4
Additional recovery coaches, who play a critical role by connecting substance users to appropriate treatment, would enable more patients to obtain the support network required for their recovery.
Related Recommendations (1)
R4
The Marin County Department of Health and Human Services should pursue funding and opportunities in fiscal year 2021–2022 to increase the number of beds available in long- term recovery residences.
F5
Marin County is unable to help some of its opioid use disorder patients who need medication-assisted treatment because of a shortage of X-waivered providers and because current X-waivered providers are serving fewer than the number of patients they are authorized to treat.
Related Recommendations (1)
R5
Marin Healthcare District, through MarinHealth, should conduct a detailed cost-benefit analysis in fiscal year 2021–2022 to determine if additional substance use navigators are warranted and, if so, retain them. Marin County Civil Grand Jury Opioid Misuse: Strengthening Marin County’s Response
F6
Marin County lacks a sufficient number of beds in long-term recovery residences to offer needed support and aftercare for substance use disorder patients.
No recommendations for this finding