R2023-12 Resolution Authorizing Approval of Proposal from Crossing Healthcare and Heriage Behavioral Health Center for Use of Opioid Settlement Funds

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drinking and 4.8% of the population is at risk for heavy drinking3;these are lower than the Illinois rates of 19.9%and 7.6%, respectively. While local data is not available,within Illinois, heavy drinking rates are highest among persons aged 25-44(9.9%), followed by persons aged 18-24(8.7%), and persons aged 45-64 (6.8%). By race and ethnicity,non-Hispanic Whites have the highest heavy drinking rate(8.7%), followed by non-Hispanic Blacks(6.8%), Hispanics of any race(4.80/o),and non-Hispanic Asians(4.7%). Males have higher heavy drinking rates (7.9%)than females(7.2%).Heavy drinking rates are highest among the highest income earners at 8.9%, closely followed by persons with the lowest income(8.6%). Persons identified as unmarried couples have the highest heavy drinking rates(11.8%),followed by never married persons (10.5%)and persons who are divorced/separated(8.10/6).1 Macon County data is not available,but within Illinois 64.3 percent of recent mothers reported alcohol use in the three months before pregnancy 5, and 5.2 babies per 100,000 were born to mothers who drank alcohol in pregnancy.6 While Illinois was experiencing an opioid overdose pandemic prior to the onset of the coronavirus pandemic,opioid overdoses surged during the pandemic. Statewide,the number of opioid overdose deaths in the first three quarters of 2020 were 36%higher than the first three quarters of 2019. The annual number of opioid overdose-related ED visits increased 16.8%and EMS encounters increased 20.9% in 2020 compared to 2019.The trend for overdoses has increased since 2019,with the peak for ED visits,EMS encounters, and fatalities in May 2020. Since then,monthly totals have trended downwards. When looking at the rural/urban distribution of opioid overdose-related visits,Macon County is considered small urban.The small urban county grouping ED visit rate increased by 11%between the first quarter of 2020 and the first quarter of 2019. In the first quarter of 2020, age-specific fatality rates demonstrated a marked disparity between the same period in 2019.The rate of opioid overdose fatalities disproportionately occurred in the non-Hispanic(NH)Black or African American population in the 45-64 age range.In fact,the highest fatality rate in each age group occurred in the NH Black or African American population,except in the 25-34 age group,where the NH White population had the highest fatality rate. Synthetic opioids,specifically fentanyl,are the leading cause of fatal drug overdoses in Illinois and were responsible for 84%of opioid fatalities and 70%of all drug fatalities in 2020.8 Of the opioid related fatalities in Macon County in 2020,57.7%were synthetically involved. Within the County, synthetics were responsible for the most fatal overdoses by Whites(57.1%)and Blacks (60.6%), as well as persons of all ages,with synthetics being responsible for 61.5%of overdoses among persons aged 35-44, as well as 50%of fatal overdoses among persons aged 25-34 and persons aged 55-64.9 'Illinois BRFSS,2015-2019 °Illinois BRFSS,20I9 a IDPH,PRAMS Data,2019 6 IDSP Illinois Center far Vital Statistics,2019 7"Illinois Opiaid.Overdose Epidemic During the Covid-19 Pandemic',Illinois Department of Public Health s IDPH,Statewide Semi-Annual Opioid Report,August 2021 9 IDPH,Opioid Dashboard,2021 City of Decatur Opiate Settlement Funds Request 2