HomeMy WebLinkAbout091823 agenda packet revisedREGULAR MEETING
Date: Monday, September 18, 2023 – REVISED
Time: 6:00 p.m.
Location: Commissioners Meeting Room Harnett County Resource Center & Library 455 McKinney Parkway, Lillington
Harnett County Board of Commissioners
Page | 1
1.Call to order – Chairman Matt Nicol
2.Pledge of Allegiance and Invocation – Commissioner Brooks Matthews
3.Consider additions and deletions to the published agenda.
4.Consent AgendaA.Minutesi.Regular Meeting Minutes of September 5, 2023
ii.Work Session Minutes of September 12, 2023
B.IT requests approval for the paging system upgrade to replace outdated and aging equipment.
This upgrade will affect our five tower sites, Lillington, Erwin, Angier, Micro Tower, Oakridge and
our 911 communication center. This will replace our existing VHF System for fire/EMS paging.
C.The Tax Administrator requested the Board of Commissioners make a decision in regard to late
applications for Elderly/Disabled Persons and Disabled Veteran exclusions as reviewed at the
September 12, 2023, work session. Applications are due June 1st each year per NCGS 105-282.1.
The attached list of applicants have submitted an application after the deadline. The applicants
meet all qualifications per General Statute and would have been approved for the exclusion had
the application been timely. Consensus of the Board of Commissioners were to approve the late
applications for Elderly/Disabled Persons and Disabled Veteran exclusions as reviewed at the
September 12, 2023 work session.
D.The Tax Administrator requested the Board of Commissioners make a decision in regard to the
late application for Iglesia Oasis de Restauracion, an exemption for church property. Applications
for church exemptions are due January 31st each year per NCGS 105-282.1. The attached
information from the applicant was submitted on March 17, 2023. The applicant met all
qualifications per General Statutes and would have been approved for the exemption had the
application been submitted in a timely manner. Consensus of the Board of Commissioners was
to approve the late application for exemption of church property.
E.The Tax Administrator requested the Board of Commissioners make a decision in regard to the
late applications for Disabled Veteran exclusions. Applications are due June 1st each year per
NCGS 105-282.1. The attached list of applicants have submitted an application after the
deadline. The applicants did not meet all qualifications per General Statute and would not have
HCBOC 091823 Pg. 1
Harnett County Board of Commissioners
Page | 2
been approved for the exclusion, regardless if the application had been timely. Consensus of
the Board was to approve the late applications for Disabled Veterans exclusion.
F.Solid Waste requests the Board of County Commissioners award a contract to Osborn Contract
Services to repair the Dunn Erwin Transfer Station floor. Bids were received through the proper
procurement process and after reviewing the references provided, review of proposal by our
engineering firm and the extensive experience that this vendor has with Transfer Station floor
repair, we ask for Board approval to move forward with the process to award the contract to
Osborn Contract Services, Inc. with a not to exceed amount of $276,247.00.
G.Administration requests the Board of Commissioners approve the final nonprofit funding
agreement from state appropriations for Carver’s Creek State Park.
5.Public Comment PeriodPeriod of up to 30 minutes for informal comments allowing 3 minutes for each presentation. Speakers are
requested to signup prior to the meeting. Speakers may sign up by contacting the clerk at
mdcapps@harnett.org at least one hour prior to the start of the meeting or by utilizing the signup sheet at the back of the room. The signup form will be picked up by the clerk 5 minutes before the published meeting start time.
6.Public Hearing to allow citizens an opportunity to comment on transportation needs and the proposed 5311 Community Transportation Program application for FY2025. Following the public hearing, the Board of Commissioners may adopt a Resolution for permission to apply for Public Transportation Program funding.
7.Public Input session for the proposed Opioid Task Force Strategic Plan.
8.County Manager’s Report – Brent Trout, County ManagerA.Introduction of Stephen Barrington, Economic Development DirectorB.Harnett County Veterans Services Activity ReportC.Harnett County Public Health Monthly ReportD.Interdepartmental Budget AmendmentsE.Budget Amendments – Motion to approve budget amendments as requested by the Finance Director
9.New BusinessA.Discuss and consider approval of a letter of support for the Sandhills Center and Eastpointe merger.
10.Closed Session
11. Adjournment
HCBOC 091823 Pg. 2
Harnett County Board of Commissioners
Page | 3
CONDUCT OF THE SEPTEMBER 18, 2023 MEETING
Live audio of the meeting will be streamed on the Harnett County Government’s YouTube Channel
at https://www.youtube.com/channel/UCU7mTF6HTD65x_98EhAMeMg/featured.
HCBOC 091823 Pg. 3
Harnett County Board of Commissioners
September 5, 2023 Regular Meeting Minutes
Page 1 of 2
HARNETT COUNTY BOARD OF COMMISSIONERS
Regular Meeting Minutes
September 5, 2023
The Harnett County Board of Commissioners met in regular session on Tuesday, September 5, 2023 at
9:00 am, in the Commissioners Meeting Room, Harnett County Resource Center and Library, 455
McKinney Parkway, Lillington, North Carolina.
Members present: Matthew B. Nicol, Chairman
William Morris, Vice Chairman
Barbara McKoy, Commissioner
W. Brooks Matthews, Commissioner
Lewis W. Weatherspoon, Commissioner
Staff present: Brent Trout, County Manager
Dwight Snow, County Attorney
Kimberly Honeycutt, Finance Officer
Melissa Capps, Clerk
Chairman Nicol called the meeting to order at 9:00 am.
Commissioner McKoy led the Pledge of Allegiance and provided the invocation.
Chairman Nicol called for any additions or deletions to the published agenda. Brent Trout, County
Manager, asked that Item 6. Discuss and consider approval of a Resolution to remit outstanding water
availability fees and fines be moved to the work session next week to discuss some additional information.
Commissioner McKoy made a motion to move Item 6 to the next work session. The motion was seconded
by Commissioner Weatherspoon and carried unanimously. Vice Chairman Morris made a motion to
approve the amended agenda. Commissioner Matthews seconded the motion. The motion carried
unanimously.
Commissioner Weatherspoon made a motion to approve the consent agenda. Vice Chairman Morris
seconded the motion. The motion passed unanimously. The items on the consent agenda were as follows:
A.Minutes
i.Regular Meeting Minutes of August 21, 2023
ii.Work Session Minutes of August 29, 2023
B.Harnett County Health Department requests approval of 620 ARPA COVID-19 School
Health Team Workforce funding from NC DHHS. These funds will be used to provide
COVID support and response in schools and to sustain a public health workforce which
includes school nurses and other school health professionals. Funding in the amount of
$120,328 was approved in FY 22-23, and the Health Department expended $76,458 leaving a
balance of $43,870. Additional funding above the $43,870 became available in the amount of
$33,642 bringing the FY 23-24 total to $77,512. The Health Department requests approval of
the additional $33,642.
Item 4Ai
HCBOC 091823 Pg. 4
Harnett County Board of Commissioners
September 5, 2023 Regular Meeting Minutes
Page 2 of 2
C. The Harnett County Public Library respectfully requests consideration of approval of the
recently updated Library Service Policy. The library plays a pivotal role in providing access
to information, promoting literacy, and fostering a sense of belonging for all residents. The
existing policy has served the library well, but given the evolving landscape of technology,
community needs, best practices, and the recent consolidation of our library system, we have
undertaken a comprehensive review and revision process to ensure that library policies
remain current, relevant, and inclusive. The proposed revision aligns with the values of our
community and the strategic goals of the county.
D. The legal department requests the approval of the land lease with leasehold improvements
between the County and Harnett Air, LLC. The annual lease amount is $8,976.80 for a period
of twenty years with three 5 year options to renew.
E. Administration requests approval of the Mid-Carolina Local Workforce Development Area
Chief Elected Official Board (CEOB) Agreement.
F. The Harnett County Board of Commissioners reappoint John Privett to the Harnett County
District H Tourism Authority Board to serve as the Business/Tourism related voting member
and reappoint Andrew Ruhland to the Board of Adjustment as the District 2 representative.
Chairman Nicol opened the meeting for informal comments by the public, allowing up to 3 minutes for
each presentation up to 30 minutes. The following person provided comments:
1. Jerry Rivas of 364 Twin Ponds Road, Sanford, NC.
No one else spoke. The public comment period was closed.
Mr. Trout stated we survived the hurricane/tropical storm very well. There were some outages, but they
were able to be fixed pretty quickly.
Vice Chairman Morris made a motion to approve the budget amendments as requested by the Finance
Director. The motion was seconded by Commissioner Weatherspoon and carried unanimously.
(Attachment 1)
Vice Chairman Morris made a motion to approve the tax rebates, refunds and releases are recommended
by the Tax Administrator. The motion was seconded by Commissioner McKoy and carried
unanimously. (Attachment 2)
Commissioner McKoy shared concerns regarding language used during the public comment period.
Vice Chairman Morris made a motion to adjourn at 9:09 am. The motion was seconded by
Commissioner Weatherspoon and carried unanimously.
____________________________________ ___________________________________
Matthew B. Nicol, Chairman Melissa D. Capps, Clerk
HCBOC 091823 Pg. 5
HCBOC 091823 Pg. 6
HCBOC 091823 Pg. 7
HCBOC 091823 Pg. 8
HCBOC 091823 Pg. 9
HCBOC 091823 Pg. 10
HCBOC 091823 Pg. 11
HCBOC 091823 Pg. 12
HCBOC 091823 Pg. 13
HCBOC 091823 Pg. 14
HCBOC 091823 Pg. 15
HCBOC 091823 Pg. 16
HCBOC 091823 Pg. 17
HCBOC 091823 Pg. 18
HCBOC 091823 Pg. 19
HCBOC 091823 Pg. 20
HCBOC 091823 Pg. 21
HCBOC 091823 Pg. 22
Harnett County Board of Commissioners
Work Session Minutes
September 12, 2023
Page 1 of 5
HARNETT COUNTY BOARD OF COMMISSIONERS
Minutes of Work Session
September 12, 2023
The Harnett County Board of Commissioners met in work session on Tuesday, September 12,
2023, at 9:00 am, in the Commissioners Meeting Room, Harnett County Resource Center and
Library, 455 McKinney Parkway, Lillington, North Carolina.
Members present: Matthew B. Nicol, Chairman
William Morris, Vice Chairman
Barbara McKoy, Commissioner (arrived at 9:37 am)
Lewis W. Weatherspoon, Commissioner
W. Brooks Matthews, Commissioner
Staff present: Dwight Snow, County Attorney
Brent Trout, County Manager
Kimberly Honeycutt, Finance Officer
Melissa Capps, Clerk
Chairman Nicol called the Harnett County Board of Commissioners meeting to order at 9:00 am.
Vice Chairman Morris led the Pledge of Allegiance and invocation.
The following agenda was before the Board of Commissioners:
1.Call to order – Chairman Matt Nicol
2.Pledge of Allegiance and Invocation –Commissioner Barbara McKoy
3.Update on Opioid Task Force Strategic Plan – Coley Price, Deputy County Manager
and Christopher Appel, Senior Staff Attorney
4.Discuss a request for a public hearing to allow citizens an opportunity to comment
on transportation needs and the proposed 5311 Community Transportation
Program; Barry Blevins, General Services Director
5.Discuss the award of a contract for the 2026 Reappraisal; Christine Wallace, Tax
Administrator
6.Discuss a request regarding late applications received for elderly/disabled, disabled
veteran, and church exclusions; Christine Wallace, Tax Administrator
7.Discuss approval of the Motorola VHF paging system upgrade; Ira Hall, Chief
Information Officer
8.Discuss a request to award a contract to Osborn Contract Services for the repair of
the Dunn Erwin Transfer Station floor in an amount not to exceed $276,247.00;
Chad Bean, Solid Waste Director
9.Development Services briefing on the following upcoming public hearings:
Item 4Aii
HCBOC 091823 Pg. 23
Harnett County Board of Commissioners
Work Session Minutes
September 12, 2023
Page 2 of 5
• Proposed Zoning Change: Case # PLAN2307-0005 Landowner / Applicant: LGI
Homes NC, LLC/ Greenfield Communities; 35.36 +/- acres; PIN # 0655-02-
6490.000; Proposed rezoning from the RA-40 to the RA-30 zoning district; Piney
Grove Rawls Rd., Fuquay- Varina; Hectors Creek Township.
• Proposed Zoning Change: Case # PLAN2308-0003 Landowner / Applicant: MVI
Group, LLC / CE Group, Inc.; 10.10 +/- acres; Pin #0653-30-4549.000; From
RA-20 M to Commercial Zoning District; Hector’s Creek Township; US Hwy
401 North.
10. Discuss a request to approve the final nonprofit funding agreement from state
appropriations for Carver’s Creek State Park; Ally Fouts, Management Analyst
11. Review applications to serve on Boards and Committees.
12. County Manager’s Report – Brent Trout, County Manager
• 4th Quarter Performance Management Report
• September 18, 2023, Regular Meeting Agenda Review
• Upcoming meetings and invitations
13. Closed Session
14. Adjourn
15. Reconvene as the governing body of Northwest Water & Sewer District to convene
into Closed Session for consultation with the County’s legal staff in order to
preserve the Attorney Client privilege concerning the handling of certain litigation
matters, pursuant to North Carolina General Statute Section 143-318.11 (a)(3).
16. Adjourn
Coley Price, Deputy County Manager, Christopher Appel, Senior Staff Attorney and Captain
Armstrong provided an update to the Board of Commissioners on the Opioid Task Force
Strategic Plan including the first draft of the plan titled "A Comprehensive Strategic Plan for the
Prevention of Harmful Substance Use and Overdose in Harnett County." The plan lays out three
main goals to address the opioid epidemic in our county: prevent harmful substance use, support
treatment and recovery, and reduce harm. The plan outlines specific strategies within each
priority, as well as a suggested timeline for completing initiatives. The opioid task force is
seeking public input on this draft of the strategic plan. After public input is received,
modifications will be made and the final plan will be presented for adoption. A public input
session is scheduled for the September 18th Board Meeting.
Barry Blevins, General Services Director, requested a public hearing to allow Harnett County
citizens an opportunity to comment on transportation needs and the proposed 5311 Community
Transportation Program application, as well as, Traveler's Aid application submission to the
North Carolina Department of Transportation, Integrated Mobility Division (NCDOT/IMD) no
later than October 6, 2023. At the conclusion of the public hearing, and as required by
NCDOT/IMD, HARTS seeks a Board resolution to apply, enter an agreement with NCDOT and
provide the necessary assurances and required match. Total grant budget is $749,312 with a total
county match of $94,948. Specifically, the Section 5311 program intends to enhance access for
citizens in non- urbanized areas to healthcare, shopping, education, employment, public services
HCBOC 091823 Pg. 24
Harnett County Board of Commissioners
Work Session Minutes
September 12, 2023
Page 3 of 5
and recreation. Section 5311 assists in the maintenance, development, improvement and use of
public transportation systems in non-urbanized areas. NCDOT/IMD Traveler's Aid Grant
purpose is to provide intercity bus and/or train tickets for disadvantaged individuals, victims of
domestic violence, and stranded travelers in need of transportation to other locations in times of
distress. Specifically, Traveler's Aid addresses transportation needs for persons escaping
domestic violence, experiencing a major medical crisis, job loss or homelessness. HARTS will
provide administration of the grant and the Harnett County Department of Social Services will
provide citizen application and service delivery. Requires a 50% match. The total grant budget
amount is $5,000 with a $2,500 local match. A public hearing is scheduled for the September
18, 2023 Board Meeting.
Christine Wallace, Tax Administrator, reviewed a request to award the contract for the 2026
reappraisal. The Harnett County Tax Department solicited a Request for Qualifications (RFQ)
from firms for contract services related to the furnishing of labor, material, and supplies along
with the performance of all work required for the completion and delivery of a walk-around
appraisal of all real property in Harnett County. Services would also include assistance to the
Tax Administrator and staff, the Board of County Commissioners, and the Board of Equalization
and Review. Services would also include assistance to county legal staff for appeals to the
Property Tax Commission. The Tax Administrator recommended the award of contract for the
2026 Reappraisal to Vincent Valuations for $2,036,300. Following discussion, consensus of the
Board was to go back out again for Request for Qualifications (RFQ).
Ms. Wallace requested the Board of Commissioners make a decision in regard to the late
applications for Elderly/Disabled persons and Disabled Veteran exclusions. Applications are due
June 1st each year per NCGS 105-282.1. The applicants meet all qualifications per General
Statute and would have been approved for the exclusion had the application been timely.
Consensus of the Board was to approve the late applications and for this item to be placed on the
next consent agenda.
Ms. Wallace requested the Board of Commissioners make a decision in regard to the late
application for Iglesia Oasis de Restauracion. Applications for church exemptions are due
January 31st each year per NCGS 105-282.1. The attached information from the applicant was
submitted on March 17, 2023. The applicant met all qualifications per General Statutes and
would have been approved for the exemption had the application been submitted in a timely
manner. Consensus of the Board was to approve the late applications and for this item to be
placed on the next consent agenda.
Ms. Wallace requested the Board of Commissioners make a decision in regard to the late
applications for Disabled Veteran exclusions. Applications are due June 1st each year per NCGS
105-282.1. The attached list of applicants have submitted an application after the deadline.
The applicants did not meet all qualifications per General Statute and would not have been
approved for the exclusion, regardless of if the application had been timely. Consensus of the
HCBOC 091823 Pg. 25
Harnett County Board of Commissioners
Work Session Minutes
September 12, 2023
Page 4 of 5
Board was to approve the late applications and for this item to be placed on the next consent
agenda.
Ira Hall, Chief Information Officer, reviewed a request for approval of a paging system upgrade
to replace outdated and aging equipment. This upgrade will affect our five tower sites,
Lillington, Erwin, Angier, Micro Tower, Oakridge and our 911 communication center. This will
replace our existing VHF System for fire/EMS paging. Consensus of the Board was to place this
item on the next consent agenda.
Chad Beane, Solid Waste Director, reviewed a request to award a contract to Osborne Contract
Services, Inc to repair the Dunn Erwin Transfer Station floor. Bids were received through the
proper procurement process and after reviewing the references provided, review of proposal by
our engineering firm and the extensive experience that this vendor has with Transfer Station
floor repair, we ask for Board approval to move forward with the process to award the contract to
Osborn Contract Services, Inc. with a not to exceed amount of $276,247.00. Consensus of the
Board was to place this item on the next consent agenda.
Mark Locklear, Development Services Manager, provided a briefing on the following upcoming
public hearings scheduled for October 16th:
• Proposed Zoning Change: Case # PLAN2307-0005 Landowner / Applicant: LGI Homes
NC, LLC/ Greenfield Communities; 35.36 +/- acres; PIN # 0655-02-6490.000; Proposed
rezoning from the RA-40 to the RA-30 zoning district; Piney Grove Rawls Rd., Fuquay-
Varina; Hectors Creek Township.
• Proposed Zoning Change: Case # PLAN2308-0003 Landowner / Applicant: MVI Group,
LLC / CE Group, Inc.; 10.10 +/- acres; Pin #0653-30-4549.000; From RA-20 M to
Commercial Zoning District; Hector’s Creek Township; US Hwy 401 North.
Ally Fouts, Management Analyst stated in the State of North Carolina's 2022-23 budget, $1.5
million was allocated to Harnett County to be passed along to 46 subrecipients, as specified by
Senator Burgin. Administration is requesting approval of a funding agreement with the North
Carolina Department of Natural and Cultural Resources to create a Harnett County entrance to
Carver's Creek State Park. Once the NC Department of Natural and Cultural Resources receives
their allocation, the granting of funds to all 46 subrecipients will be completed. Consensus of the
Board was to place this item on the next consent agenda.
Chairman Nicol stated a resignation has been received from Karen Boyd who serves as a District
5 representative on the Harnett County Commissioner for Women and Youth.
Brent Trout, County Manager, shared information regarding the 4th Quarter TEAM Harnett
Performance Management Report. We reviewed 37 Key Strategic Actions and Other Strategic
Actions directly related to the Harnett County Strategic Plan.
HCBOC 091823 Pg. 26
Harnett County Board of Commissioners
Work Session Minutes
September 12, 2023
Page 5 of 5
• Status of action items as of March 31, 2023
o 40% are pending action
o 25% are In-Process
o 35% are Completed
• Status of action items as of June 30, 2023
o 35% are pending action
o 19% are In-Process
o 46% are Completed
Mr. Trout stated as we go into January’s goal planning session we plan to have an outside
facilitator for discussion regarding what goals we want to look at for the next plan.
Vice Chairman Morris a motion to adjourn at 10:18 am. The motion was seconded by
Commissioner Weatherspoon and carried unanimously.
____________________________________ ___________________________________
Matthew B. Nicol, Chairman Melissa D. Capps, Clerk
HCBOC 091823 Pg. 27
\\lecfile\department\Admin\Clerk to the Board docs\AGENDAS\2023\091823\4B.1 agendaform2023 MCA-Motorola 2023
0912.docx Page 1 of 1
Board Meeting
Agenda Item
MEETING DATE: September 18, 2023
TO: HARNETT COUNTY BOARD OF COMMISSIONERS
SUBJECT: Motorola VHF paging system upgrade
REQUESTED BY: Ira Hall, Chief Information Officer
REQUEST:
We are seeking approval for a paging system upgrade to replace outdated and aging
equipment. This upgrade will affect our five tower sites, Lillington, Erwin, Angier,
Micro Tower, Oakridge and our 911 communication center. This will replace our
existing VHF System for fire/EMS paging.
FINANCE OFFICER’S RECOMMENDATION:
COUNTY MANAGER’S RECOMMENDATION:
Item 4B
HCBOC 091823 Pg. 28
HCBOC 091823 Pg. 29
HCBOC 091823 Pg. 30
HCBOC 091823 Pg. 31
HCBOC 091823 Pg. 32
HCBOC 091823 Pg. 33
HCBOC 091823 Pg. 34
HCBOC 091823 Pg. 35
HCBOC 091823 Pg. 36
HCBOC 091823 Pg. 37
HCBOC 091823 Pg. 38
HCBOC 091823 Pg. 39
HCBOC 091823 Pg. 40
HCBOC 091823 Pg. 41
HCBOC 091823 Pg. 42
HCBOC 091823 Pg. 43
HCBOC 091823 Pg. 44
HCBOC 091823 Pg. 45
HCBOC 091823 Pg. 46
HCBOC 091823 Pg. 47
HCBOC 091823 Pg. 48
By: _________________
Matthew B. Nicol
Chairman
Date:_______________
HCBOC 091823 Pg. 49
HCBOC 091823 Pg. 50
HCBOC 091823 Pg. 51
HCBOC 091823 Pg. 52
HCBOC 091823 Pg. 53
HCBOC 091823 Pg. 54
HCBOC 091823 Pg. 55
HCBOC 091823 Pg. 56
HCBOC 091823 Pg. 57
HCBOC 091823 Pg. 58
HCBOC 091823 Pg. 59
HCBOC 091823 Pg. 60
HCBOC 091823 Pg. 61
HCBOC 091823 Pg. 62
HCBOC 091823 Pg. 63
Item 4C
HCBOC 091823 Pg. 64
HCBOC 091823 Pg. 65
HCBOC 091823 Pg. 66
Item 4D
HCBOC 091823 Pg. 67
HCBOC 091823 Pg. 68
Item 4E
HCBOC 091823 Pg. 69
HCBOC 091823 Pg. 70
Board Meeting
Agenda Item
MEETING DATE: September 18, 2023
TO: HARNETT COUNTY BOARD OF COMMISSIONERS
SUBJECT: Solid Waste -Osborn Contract Services, Inc. (transfer station floor repair)
REQUESTED BY: Chad Beane
REQUEST:
Award contract to Osborne Contract Services, Inc to repair the Dunn Erwin Transfer
Station floor. Bids were received through the proper procurement process and after
reviewing the references provided, review of proposal by our engineering firm and the
extensive experience that this vendor has with Transfer Station floor repair, we ask for
Board approval to move forward with the process to award the contract to Osborn
Contract Services, Inc. with a not to exceed amount of $276,247.00.
FINANCE OFFICER'S RECOMMENDATION:
COUNTY MANAGER'S RECOMMENDATION:
S:\Kelly J Smith\2023-2024\Agendas -board\Osbom -agendaform2023.docx
1 of 1
Page
Item 4F
HCBOC 091823 Pg. 71
HCBOC 091823 Pg. 72
HCBOC 091823 Pg. 73
HCBOC 091823 Pg. 74
HCBOC 091823 Pg. 75
HCBOC 091823 Pg. 76
HCBOC 091823 Pg. 77
HCBOC 091823 Pg. 78
HCBOC 091823 Pg. 79
HCBOC 091823 Pg. 80
HCBOC 091823 Pg. 81
HCBOC 091823 Pg. 82
HCBOC 091823 Pg. 83
\\lecfile\department\Admin\Clerk to the Board docs\AGENDAS\2023\091823\4G.1 Carver's Creek agenda item.docx
Page 1 of 1
Board Meeting
Agenda Item
MEETING DATE: September 18, 2023
TO: HARNETT COUNTY BOARD OF COMMISSIONERS
SUBJECT: Final Nonprofit Funding Agreement
REQUESTED BY: County Manager's Office (Ally Fouts)
REQUEST:
In the State of North Carolina's 2022-23 budget, $1.5 million was allocated to Harnett
County to be passed along to 46 subrecipients, as specified by Senator Burgin.
Administration is requesting approval of a funding agreement with the North Carolina
Department of Natural and Cultural Resources to create a Harnett County entrance to
Carver's Creek State Park. Once the NC Department of Natural and Cultural
Resources receives their allocation, the granting of funds to all 46 subrecipients will be
completed.
FINANCE OFFICER’S RECOMMENDATION:
COUNTY MANAGER’S RECOMMENDATION:
Item 4G
HCBOC 091823 Pg. 84
MOA 3005 – County of Harnett Page 1 of 6
MEMORANDUM OF AGREEMENT
COUNTY OF HARNETT
AND
NORTH CAROLINA DEPARTMENT OF NATURAL AND CULTURAL RESOURCES
CONTRACT NUMBER 3005
This Memorandum of Agreement is hereby made between County of Harnett, 455 McKinney
Parkway, P.O. Box 238, Lillington, North Carolina 27546, (910) 814-6006, afouts@harnett.org
(hereinafter referred to as “County”) and the North Carolina Department of Natural and Cultural
Resources, Division of Parks and Recreation, 109 East Jones Street, Raleigh, NC, 27601-1023,
with a mailing address of 4605 Mail Service Center, Raleigh, NC 27699-4605 (hereinafter
referred to as “Department” and together, the “Parties”). The Terms “Agreement” and
“Contract” are used interchangeably to refer to this Memorandum of Agreement.
WITNESSETH
WHEREAS, County desires to engage the Department to perform the services
hereinafter described;
THEREFORE, County and Department do mutually agree and Contract as follows:
1. Contractual Status: County and Department agree that Department shall perform the
services required of Department herein set forth; provided that Department is not and
will not by virtue of this contract acquire the status of an employee of the County.
2. Time of Performance: The effective date of this Agreement is upon final signature of
the Parties and shall end June 30, 2024.
3. Time of Essence: Time is of the essence in performing all activities regarding this
Agreement.
4. Scope of Services:
Department will:
A. Use the County provided funds to plan and began the implementation of an entrance
to Carver’s Creek State Park within Harnett County.
B. Implement adequate internal controls over disbursements.
C. Pre-audit all vouchers presented for payment to determine:
• Validity and accuracy of payment
• Payment due date
• Adequacy of documentation supporting payment
• Legality of disbursement
D. Assure adequate control of signature stamps/plates.
E. Assure adequate control of negotiable instrument.
F. Implement procedures to ensure that account balance is solvent and reconcile the
account monthly.
DocuSign Envelope ID: DD2B1F1B-A862-49DF-B634-88901AFE6364
HCBOC 091823 Pg. 85
MOA 3005 – County of Harnett Page 2 of 6
G. Provide quarterly reporting to County detailing disbursements of transferred funds.
Department shall exclude all refundable sales and use taxes from all reportable
expenditures before the expenses are entered.
County will:
A. Pay the Department one (1) lump sum payment of one hundred thousand dollars
($100,000.00) within fourteen (14) days of the execution of this Agreement.
5. Compensation: County agrees that it will pay Department an amount not to exceed
$100,000.00 for the services as specified in the Scope of Services. ABSOLUTELY NO
VERBAL CHANGES SHALL BE MADE TO THIS CONTRACT.
6. Invoice: Payment under this Agreement will be made upon receipt of an original invoice
from Department setting forth the amount due and payable pursuant to Paragraph 5,
Compensation, of this Agreement.
7. Payment Terms: Payment terms are not later than thirty (30) days after receipt of
correct invoices.
8. Agreement Administrators: The Agreement Administrators are as follow:
Department Agreement Administrator:
For All Day-To-Day Activities Described in Scope of Services
Eric Estes
Deputy Director of Administration
NC Division of Parks and Recreation
NC Department of Natural and Cultural Resources
Mailing Address: 1615 Mail Service Center, Raleigh, NC 27699-1615
Telephone: 919-707-9334
Email: eric.estes@ncparks.gov
Department Agreement Administrator: For Contract Issues
Cynthia Armes
Director of Procurement
NC Department of Natural and Cultural Resources
Office Address: 109 E. Jones Street, Raleigh, NC 27601-1023
Mailing Address: 4605 Mail Service Center, Raleigh, NC 27699-4605
Telephone: 919-814-6728
Email: cynthia.armes@ncdcr.gov
County Agreement Administrator
Ally Fouts
Lead for North Carolina Fellow
County of Harnett
Office Address: 455 McKinney Pkwy, Lillington, NC 27546
Mailing Address: P.O. Box 759, Lillington, NC 27546
Email: afouts@harnett.org
9. Availability of Funds: All terms and conditions of this Agreement are dependent upon
and subject to the allocation of funds for the purposes set forth and the Agreement shall
automatically terminate if funds cease to be available.
DocuSign Envelope ID: DD2B1F1B-A862-49DF-B634-88901AFE6364
HCBOC 091823 Pg. 86
MOA 3005 – County of Harnett Page 3 of 6
10. Compliance with Laws: The Parties shall comply with all laws, ordinances, codes,
rules, regulations, and licensing requirements that are applicable to the conduct of its
business, including those of federal, state, and local agencies having jurisdiction and/or
authority.
11. Governing Law: This Agreement is made under and shall be governed and construes
in accordance with the laws of the State of North Carolina.
12. Situs: The place of this Agreement, its situs and forum, shall be North Carolina, where
all matters, whether sounding in contract or tort, relating to its validity, construction,
interpretation and enforcement shall be determined.
13. Independent Contractor: The Department shall be considered to be an independent
Contractor and as such shall be wholly responsible for the work to be performed and for
the supervision of its employees. The Department represents that it has, or will secure
at its own expense, all personnel required in performing the services under this
Agreement. Such employees shall not be employees of or have any individual
contractual relationship with County.
14. Force Majeure: Neither party shall be deemed to be in default of its obligations
hereunder if and so long as it is prevented from performing such obligations by any act
of war, hostile foreign action, nuclear explosion, riot, strikes, civil insurrection, pandemic,
earthquake, hurricane, tornado, or other catastrophic natural event or act of God.
15. Termination for Convenience: Either Party may terminate this Agreement upon thirty
(30) days’ notice in writing to the other Party for any or no reason. Whereupon the
Agreement will be deemed canceled and of no further force and effect as of the date of
termination stated in said notice except as to obligations accrued between Parties up to
the time of such termination.
16. Termination for Cause: If, through any cause, a party to this Agreement shall fail to
fulfill in a timely and proper manner the obligations under this Agreement, then the other
Party shall thereupon have the right to terminate this Agreement by giving written notice
to the breaching Party of such termination and specifying the effective date thereof, at
least thirty (30) days before the effective date of termination.
17. Confidentiality: Any information or documents given to, prepared by, obtained by, or
assembled by Department under this Agreement shall be kept confidential and not
disclosed without the prior written approval of County.
18. Copyright: No deliverable items produced in whole or in part under this Agreement
shall be the subject of an application for copyright by or on behalf of the Department.
Notwithstanding the foregoing, the Parties shall retain ownership rights to any
copyrighted works developed independently under this agreement in accordance with
U.S. copyright law.
19. Access to Persons and Records: The North Carolina State Auditor and the
Department’s internal auditors shall have access to persons and records as a result of
all contracts or grants entered into by State agencies or political subdivisions in
accordance with General Statute 147-64.7 and Session Law 2010-194, Section 21 (i.e.,
the State Auditors and internal auditors may audit the records related to this Agreement
to verify accounts and data affecting fees or performance). Both Parties shall retain all
records for a period of five (5) years following completion of the contract.
20. Assignment: This Agreement or any interest therein shall not be assigned or
transferred by the Department. The Department shall not subcontract any work to be
performed pursuant to this Agreement without the written approval of the County. No
DocuSign Envelope ID: DD2B1F1B-A862-49DF-B634-88901AFE6364
HCBOC 091823 Pg. 87
MOA 3005 – County of Harnett Page 4 of 6
assignment of the Department’s obligations nor the Department’s right to receive
payment hereunder shall be permitted. However, upon written request approved by the
issuing purchasing authority, the County may:
a. Forward the Department’s payment check(s) directly to any person or entity
designated by the Department, or
b. Include any person or entity designated by Department as a joint payee on the
Department’s payment check(s). In no event shall such approval and action
obligate the County to anyone other than the Department and the Department
shall remain responsible for fulfillment of all contract obligations.
21. Affirmative Action: The Department shall take affirmative action in complying with all
Federal and State requirements concerning fair employment and employment of people
with disabilities and concerning the treatment of all employees without regard to
discrimination by reason of race, color, religion, sex, national origin, age, sexual
orientation, or disability.
22. Insurance: County acknowledges and agrees that Department of Natural and Cultural
Resources, is a department of the State of North Carolina that has made the decision to
self-insure and that the State’s decision to self-insure satisfies any and all insurance
requirements in regard to this Agreement and all subsequent actions taken hereunder.
The Department shall provide County within thirty (30) days written notice of any
alteration or material change to State’s decision to self-insure.
23. Amendments: This Contract shall not be amended orally or by performance, but only
by written amendments duly executed by the County and the Department.
24. Entire Agreement: This contract and any documents incorporated specifically by
reference represent the entire agreement between the parties and supersede all prior
oral or written statements or agreements. All promises, requirements, terms, conditions,
provisions, representations, guarantees, and warranties contained herein shall survive
the contract expiration or termination date unless specifically provided otherwise herein,
or unless superseded by applicable Federal or State statutes of limitation.
25. Sovereign Immunity: Notwithstanding any other term or provision in The Contract,
nothing herein is intended nor shall be interpreted as waiving any claim or defense based
on the principle of sovereign immunity or other State or federal constitutional provision or
principle that otherwise would be available to a State under applicable law.
26. General Indemnity: Each Party shall be responsible for the negligent and intentional
conduct of its officers and the employees arising out of the performance of this
Agreement to the extent permitted by the laws of North Carolina, including the North
Carolina Tort Claims Act, the Defense of State Employees Act, and the Excess Liability
Policy administered through the North Carolina Department of Insurance, subject to the
availability of appropriations and in proportion to and to the extent that such liability for
damages is caused by or results from the acts of each party, its officers or employees.
27. N.C. G.S.§ 133-32: It is unlawful for any vendor or Contractor to make gifts or to give
favors to any State employee of the Department. This prohibition covers those vendors
and Contractors who: (1) have a contract with a governmental agency, (2) have
performed under such a contract within the past year, or (3) anticipate bidding on such a
contract in the future.
28. Limitation on Warranties: To the fullest extent allowable under applicable law,
services and deliverables provided to Department pursuant to this agreement are
DocuSign Envelope ID: DD2B1F1B-A862-49DF-B634-88901AFE6364
HCBOC 091823 Pg. 88
MOA 3005 – County of Harnett Page 5 of 6
provided "as is" without warranty of any kind, either express or implied, including but not
limited to, the implied warranties of merchantability, or fitness for a particular purpose.
29. Contract Documents: The Contract shall consist of the following documents in order of
precedence:
(a) Amendments to this Contract, if any;
(b) This Contract;
In the event of a conflict between or among the terms of the Contract Documents, the
term in the Contract Document with the highest precedence shall prevail. Amendments
to the Agreement (if any) shall have the highest precedence, the Contract shall have the
second highest precedence. These documents shall constitute the entire agreement
between the parties and supersede all other prior oral or written statements or
agreements.
DocuSign Envelope ID: DD2B1F1B-A862-49DF-B634-88901AFE6364
HCBOC 091823 Pg. 89
MOA 3005 – County of Harnett Page 6 of 6
SIGNATURE PAGE
IN WITNESS WHEREOF, County and Department have each executed this Agreement.
COUNTY OF HARNETT
Brent Trout
County Manager
Date
This instrument has been preaudited in the manner required by the Local Government
Budget and Fiscal Control Act.
Kimberly Honeycutt Finance Officer
Date
NORTH CAROLINA DEPARTMENT OF NATURAL AND CULTURAL RESOURCES
Jeff Michael Deputy Secretary of Natural Resources
Date
APPROVED AS TO RECEIPT OF FUNDS
4601-437990-1680504
Joshua Davis
Chief Financial Officer
Date
APPROVED FOR CONTRACT
Cynthia Armes
Director of Procurement
Date
DocuSign Envelope ID: DD2B1F1B-A862-49DF-B634-88901AFE6364
8/31/2023
9/5/2023
9/5/2023
9/5/2023
9/5/2023
HCBOC 091823 Pg. 90
Item 6
HCBOC 091823 Pg. 91
HCBOC 091823 Pg. 92
HCBOC 091823 Pg. 93
HCBOC 091823 Pg. 94
HCBOC 091823 Pg. 95
HCBOC 091823 Pg. 96
HCBOC 091823 Pg. 97
HCBOC 091823 Pg. 98
HCBOC 091823 Pg. 99
HCBOC 091823 Pg. 100
HCBOC 091823 Pg. 101
HCBOC 091823 Pg. 102
HCBOC 091823 Pg. 103
HCBOC 091823 Pg. 104
HCBOC 091823 Pg. 105
HCBOC 091823 Pg. 106
HCBOC 091823 Pg. 107
HCBOC 091823 Pg. 108
HCBOC 091823 Pg. 109
HCBOC 091823 Pg. 110
HCBOC 091823 Pg. 111
HCBOC 091823 Pg. 112
HCBOC 091823 Pg. 113
HCBOC 091823 Pg. 114
HCBOC 091823 Pg. 115
HCBOC 091823 Pg. 116
HCBOC 091823 Pg. 117
HCBOC 091823 Pg. 118
HCBOC 091823 Pg. 119
HCBOC 091823 Pg. 120
HCBOC 091823 Pg. 121
HCBOC 091823 Pg. 122
HCBOC 091823 Pg. 123
HCBOC 091823 Pg. 124
HCBOC 091823 Pg. 125
HCBOC 091823 Pg. 126
HCBOC 091823 Pg. 127
HCBOC 091823 Pg. 128
HCBOC 091823 Pg. 129
HCBOC 091823 Pg. 130
HCBOC 091823 Pg. 131
HCBOC 091823 Pg. 132
HCBOC 091823 Pg. 133
HCBOC 091823 Pg. 134
HCBOC 091823 Pg. 135
HCBOC 091823 Pg. 136
HCBOC 091823 Pg. 137
HCBOC 091823 Pg. 138
HCBOC 091823 Pg. 139
HCBOC 091823 Pg. 140
HCBOC 091823 Pg. 141
HCBOC 091823 Pg. 142
HCBOC 091823 Pg. 143
HCBOC 091823 Pg. 144
HCBOC 091823 Pg. 145
HCBOC 091823 Pg. 146
HCBOC 091823 Pg. 147
HCBOC 091823 Pg. 148
HCBOC 091823 Pg. 149
HCBOC 091823 Pg. 150
HCBOC 091823 Pg. 151
HCBOC 091823 Pg. 152
HCBOC 091823 Pg. 153
HCBOC 091823 Pg. 154
HCBOC 091823 Pg. 155
HCBOC 091823 Pg. 156
HCBOC 091823 Pg. 157
HCBOC 091823 Pg. 158
HCBOC 091823 Pg. 159
HCBOC 091823 Pg. 160
HCBOC 091823 Pg. 161
HCBOC 091823 Pg. 162
HCBOC 091823 Pg. 163
HCBOC 091823 Pg. 164
HCBOC 091823 Pg. 165
HCBOC 091823 Pg. 166
HCBOC 091823 Pg. 167
HCBOC 091823 Pg. 168
HCBOC 091823 Pg. 169
HCBOC 091823 Pg. 170
HCBOC 091823 Pg. 171
HCBOC 091823 Pg. 172
HCBOC 091823 Pg. 173
HCBOC 091823 Pg. 174
HCBOC 091823 Pg. 175
HCBOC 091823 Pg. 176
HCBOC 091823 Pg. 177
HCBOC 091823 Pg. 178
HCBOC 091823 Pg. 179
HCBOC 091823 Pg. 180
HCBOC 091823 Pg. 181
HCBOC 091823 Pg. 182
HCBOC 091823 Pg. 183
HCBOC 091823 Pg. 184
HCBOC 091823 Pg. 185
HCBOC 091823 Pg. 186
HCBOC 091823 Pg. 187
HCBOC 091823 Pg. 188
\\lecfile\department\Admin\Clerk to the Board docs\AGENDAS\2023\091823\7.1 September BOC updates agenda
item.docx Page 1 of 1
Board Meeting
Agenda Item
MEETING DATE: September 18, 2023
TO: HARNETT COUNTY BOARD OF COMMISSIONERS
SUBJECT: Opioid Task Force Updates & Strategic Plan
REQUESTED BY: County Manager's Office
REQUEST:
Representatives are providing updates from the Opioid Task Force, including the first
draft of the plan titled "A Comprehensive Strategic Plan for the Prevention of Harmful
Substance Use and Overdose in Harnett County." The plan lays out three main goals to
address the opioid epidemic in our county: prevent harmful substance use, support
treatment and recovery, and reduce harm. The plan outlines specific strategies within
each priority, as well as a suggested timeline for completing initiatives.
The opioid task force is seeking public input on this draft of the strategic plan. After
public input is received, modifications will be made and the final plan will be presented
for adoption.
FINANCE OFFICER’S RECOMMENDATION:
COUNTY MANAGER’S RECOMMENDATION:
Item 7
HCBOC 091823 Pg. 189
The SOLVE Approach
A Comprehensive Strategic Plan for the
Prevention of Harmful Substance Use and
Overdose in Harnett County
Stigma
Ownership
Leadership
Values
Equity
HCBOC 091823 Pg. 190
Key Leaders in the Creation of the SOLVE Approach .................................................................................... 2
The Strategic Planning Process ..................................................................................................................... 4
The SOLVE Approach ..................................................................................................................................... 5
Tiered Prevention Logic ................................................................................................................................ 7
Primary Prevention: .................................................................................................................................. 7
Secondary Prevention: .............................................................................................................................. 7
Tertiary Prevention: .................................................................................................................................. 7
Our Strategies ............................................................................................................................................... 9
Goal 1. Prevent Harmful Substance Use ................................................................................................... 9
Goal 2. Support Treatment and Recovery ................................................................................................ 9
Goal 3. Reduce Harm ................................................................................................................................ 9
Goal 1: Prevent Harmful Substance Use ..................................................................................................... 10
Strategy 1.1: Targeted Support for At-Risk Youth and Families ............................................................. 10
Strategy 1.2: Leverage Peer Support Networks and Community Advocacy ........................................... 10
Strategy 1.3: Engage Faith Communities in Education and Stigma Reduction ....................................... 10
Goal 2: Support Treatment and Recovery .................................................................................................. 12
Strategy 2.1: Adopt Treatment Models for Justice-Involved Individuals ............................................... 12
Strategy 2.2: Enhance Existing Healthcare Networks to Improve Continuum of Care for Substance Use
Disorder ................................................................................................................................................... 12
Strategy 2.3: Develop Community Supports for Recovery (Transportation, Housing, Employment, etc.)
................................................................................................................................................................ 13
Goal 3: Reduce Harm .................................................................................................................................. 14
Strategy 3.1: Universal Access to Naloxone ............................................................................................ 14
Strategy 3.2: Improve Health and Safety for Substance Users ............................................................... 14
Strategy 3.3: Eliminate Accidental Exposures to Drugs and Paraphernalia in the Community .............. 14
Appendices .................................................................................................................................................. 16
The SOLVE Approach Graphic ..................................................................................................................... 17
Comprehensive Strategy Table ................................................................................................................... 18
Initiative Timeline Checklist ........................................................................................................................ 20
HCBOC 091823 Pg. 191
2
Key Leaders in the Creation of the SOLVE Approach
Harnett County Opioid Task Force Members
Harnett County Board of Commissioners
District 1- Barbara McKoy
District 2- William Morris (Vice-Chairman)
District 3- Brooks Matthews
District 4- Lewis Weatherspoon
District 5- Matthew Nicol (Chairman)
Harnett County Elected Officials
District Attorney Suzanne Matthews
Sheriff Wayne Coats
Harnett County Reaching Rural Team
Christopher Appel, Senior Staff Attorney (Harnett County)
Coley Price, Deputy County Manager (Harnett County)
Dr. David Tillman, Chair of Public Health (Campbell University)
Capt. Jeff Armstrong, Deputy Sheriff (Harnett County)
Jermaine White, Assistant Superintendent (Harnett County Schools)
John Rouse, Health Director (Harnett County)
Mark Morris, Executive Director (Good Hope Hospital)
Additional Harnett County Employees
Team Lead: Ally Fouts, Management Analyst
Maj. Aaron Meredith, Sheriff’s Office
Alex Belanovich, Emergency Services
Barry Blevins, General Services Director
Brent Trout, County Manager
David Cowan, Emergency Services
Maj. Gary McNeill, Sheriff’s Office
Jennifer Haney, Emergency Services
Josh Christensen, Sheriff’s Office
Larry Smith, Emergency Management Director
Leslie Owens, Emergency Services
Mary Jane Sauls, Health Department
Paul Polinski, Department of Social Services Director
Tim Adamaszek, Department of Social Services
Community Partners
Amy Brown (Daymark Recovery)
Amy Godwin
Anne Kimball (Sandhills Center)
Bishop Fred Clarida
Bishop Reginald S. Hinton, Sr.
Cory Hess (Harnett Health)
HCBOC 091823 Pg. 192
3
Dr. Eric Morse
Hallie Huffman (Morse Clinic)
Dr. John Briggs
Kiara Mungo (The Carter Clinic)
Marilyn Gilliam (Sandhills Center)
Dr. Regina Bray-Brown (Harnett Health)
Dr. Robert Agnello (Campbell University)
Dr. Rosa Marie Smith Williams
Tammy Williams (City of Dunn)
Tony Spear
Primary Author of the SOLVE Approach
Dr. David Tillman, Chair of Public Health (Campbell University)
HCBOC 091823 Pg. 193
4
The Strategic Planning Process
Over a nine-month period (December 2022 to August 2023), comprehensive strategic planning brought
together community stakeholders from across the county to effectively prevent overdoses and harmful
substances. This multifaceted approach involved several key steps, including public meetings for feedback
gathering, qualitative data collection through key informant interviews, analysis of secondary data, and the
active participation of a task force in priority-setting. By integrating these elements, this group of
stakeholders was able to develop targeted and informed strategies to address these pressing issues.
The process began with a series of public meetings, where community members, local organizations,
healthcare professionals, law enforcement, educators, and other relevant stakeholders came together to
share their perspectives and insights. These meetings served as a platform for open dialogue, enabling
participants to voice their concerns, ideas, and experiences related to overdoses and substance use. By
soliciting diverse viewpoints, task force members gained a comprehensive understanding of the challenges
they faced and potential solutions.
In parallel, qualitative data collection through key informant interviews was conducted. Key informants, who
included healthcare providers, social workers, community leaders, and individuals in recovery, were
interviewed to gather in-depth insights into the root causes of substance use and overdoses, as well as the
existing resources and gaps in the community. These interviews offered a nuanced and personal perspective
that complemented quantitative data and informed the development of culturally sensitive and contextually
relevant prevention strategies.
As part of the strategic planning process, the analysis of secondary data came into play. Relevant data
sources, such as hospital records, law enforcement reports, and existing research studies, were examined to
identify trends, demographics, and patterns of substance use and overdose occurrences within the
community. This quantitative analysis helped to substantiate and contextualize the qualitative findings,
providing a data-driven foundation for decision-making.
To facilitate focused and coordinated efforts, a task force was established, comprising representatives from
various sectors, including healthcare, education, law enforcement, social services, and community advoc acy.
This task force played a pivotal role in reviewing the feedback gathered from public meetings, synthesizing
insights from key informant interviews, and analyzing the secondary data. Through collaborative discussions,
the task force identified priority areas and goals for the prevention efforts, considering the unique needs and
strengths of the community.
Once priorities were identified, the task force worked collectively to develop a comprehensive strategic plan.
This plan outlined specific objectives, actionable steps, and timelines for implementing evidence-based
prevention strategies. It included initiatives such as community education programs, accessible treatment
options, harm reduction initiatives, law enforcement collaboration, and support servi ces for individuals and
families affected by substance use disorders and overdoses.
The strategic plan documented here is the result of a comprehensive strategic planning process for
preventing overdoses and harmful substance use that was a collaborative and data-informed process that
engaged stakeholders through public meetings, qualitative interviews, data analysis, and task force
participation over the past nine months (December 2022 to August 2023). By harnessing the insights and
expertise of diverse community members, this approach resulted in tailored and effective strategies that
address the complex challenges of substance misuse and overdose within a framework of equity, inclusivity,
and shared responsibility.
HCBOC 091823 Pg. 194
5
The SOLVE Approach
In Harnett County, we realize that addressing the challenges of harmful substance use and overdose will
require flexible implementation and continuous evolution of our plan. Therefore, perhaps the most
fundamental work of the strategic planning process is a commitment to a framework for implementation that
we refer to as the SOLVE approach. The SOLVE approach outlines guidelines for thinking and action which
form the basis of our implementation year-over-year. This five-fold path should provide a strategic lens for
leaders at all levels of decision-making,
S - Stigma is reduced.
We commit to addressing life-threatening community stigma that acts as a barrier to treatment and recovery.
Stigma plays a significant role as a barrier to both substance use disorder prevention and overdose
prevention. Stigma creates an environment where individuals are reluctant to seek help or discuss their
struggles openly due to the fear of judgment, shame, and discrimination. This inhibits people from accessing
necessary information, support, and treatment for substance use disorders. Additionally, when it comes to
overdose prevention, stigma can prevent timely intervention and emergency assistance, as witnesses or
bystanders might hesitate to intervene or call for help out of concern for being stigmatized. Addressing
stigma is crucial to fostering a supportive and open community where individuals feel empowered to seek
help, engage in prevention efforts, and potentially save lives through prompt overdose response.
O – Ownership is shared.
We commit to addressing this collectively and using all of our resources and all of our systems to care for all
of our people. When a community collectively takes responsibility for these issues, it creates an environment
of mutual support, empathy, and shared knowledge. This ownership involves community members looking
out for one another, raising awareness, and promoting education about substance misuse and its risks. In our
county, seeing this crisis as a crisis we all share encourages active collaboration between local organizations,
law enforcement, healthcare providers, and policymakers to implement effective prevention strategies,
treatment options, and harm reduction initiatives. This united effort contributes to a safer and healthier
community that is better equipped to address and mitigate the challenges posed by substance use disorders
and overdoses.
L - Learning is continuous.
We commit to ongoing work to understand best practices, to learn from latest research, and to evaluate our
own efforts. These ongoing processes involve studying and understanding the ever-evolving patterns of
substance misuse, identifying risk factors, and assessing the effectiveness of prevention strategies. By
continuously learning from past experiences and evaluating the impact of interventions, we can refine our
HCBOC 091823 Pg. 195
6
approaches, develop targeted initiatives, and adapt to emerging challenges. This iterative process ensures
that prevention measures remain evidence-based, relevant, and responsive to the changing landscape of
substance use and overdose risks.
V - Values are foundational.
We commit to cultivating responses rooted in the shared values of our community–including our faith
communities. Community values, rooted in empathy and compassion, can reduce stigma surrounding
addiction, making it easier for individuals to seek help without fear of judgment. By uniting community
members and drawing upon our fundamental values and principles, our efforts create a more comprehensive
approach to prevention, addressing both the physical and emotional aspects of substance use disorders and
overdose risks.
E – Equity is centered.
We commit to comprehensive action that works to ensure the needs of all groups within our community are
being addressed. Equity plays a pivotal role in substance use disorder prevention and overdose prevention
by ensuring that everyone, By addressing the root causes of substance misuse, such as poverty, trauma, and
social disparities, equity-focused approaches strive to create a level playing field where indivi duals--
regardless of their background or circumstances--has access to resources, information, and support.. This
includes tailoring prevention strategies to meet the specific needs of diverse communities and providing
culturally sensitive interventions that acknowledge and respect different perspectives. Through an equitable
lens, we can break down barriers, reduce inequalities, and empower all individuals to make informed choices,
seek help when needed, and ultimately prevent substance use disorders and ov erdose events in a more
inclusive and just manner.
HCBOC 091823 Pg. 196
7
Tiered Prevention Logic
This plan aims to construct a robust framework of prevention strategies designed to combat harmful
substance use and overdose. This comprehensive framework involves three distinct tiers—primary,
secondary, and tertiary—to guide the county's efforts to safeguard its community members from the
devastating consequences of substance abuse. By taking a proactive approach, intervening at critical
junctures, and providing comprehensive support, Harnett County envisions a future marked by reduced
substance-related harm and enhanced well-being for its residents.
Primary Prevention:
Harnett County leaders will collaborate to initiate a robust primary prevention strategy that fosters resilien cy
among children and youth, particularly those with adverse childhood experiences (ACEs). ACEs are traumatic
events that occur during childhood and have been linked to increased risk of substance abuse and other
negative outcomes. Recognizing this, the county will implement trauma-informed educational initiatives in
schools to raise awareness about ACEs and provide tools for building emotional resilience. These efforts will
empower educators, caregivers, and mentors to create supportive environments that buffer against the
development of substance use as a coping mechanism. Additionally, Harnett County will organize community
workshops to equip parents and caregivers with the skills to address ACEs and promote healthy coping
strategies within the family unit.
Secondary Prevention:
Primary care and clinical settings will play a pivotal role in Harnett County's secondary prevention efforts.
Healthcare providers will be supported in conducting routine screenings for substance use risk factors during
patient visits. By utilizing standardized screening tools, clinicians will identify individuals who exhibit signs of
substance misuse or those who are in high-risk situations, such as individuals with a history of substance use,
mental health issues, or justice system involvement. Recognizing the potential impact of early intervention,
primary care providers will offer brief interventions and referrals to specialized treatment services, steering
individuals away from the progression of substance-related problems. In addition, we will establish
collaborative networks with schools, social service agencies, and community organizations to ensure that at-
risk individuals receive comprehensive support, including counseling and access to resources that address
underlying vulnerabilities.
Tertiary Prevention:
Harnett County envisions a robust tertiary prevention framework that embraces harm reduction,
comprehensive treatment access, and recovery support, particularly for justice-involved individuals. Harm
reduction initiatives are implemented to minimize the risks associated with ongoing substance use, including
the provision of clean needles, supervised injection facilities, and access to naloxone, a medication that
reverses opioid overdoses.
Moreover, the county will prioritize equitable access to a full range of treatment supports, encompassing
detoxification programs, medication-assisted treatment, and intensive outpatient services. This commitment
will ensure that individuals seeking recovery have a spectrum of options to address their unique needs.
Additionally, we will reinforce the additional recovery services that facilitate long -term recovery--including
transportation assistance, housing support, and job-seeking.
In a concerted effort to support justice-involved individuals, Harnett County will establish specialized
programs within correctional facilities that provide counseling, skill-building workshops, and peer support
for substance abuse recovery. Upon reintegration into the community, individuals will be conn ected with
ongoing recovery resources, vocational training, and social services to facilitate their transition and reduce
recidivism rates.
HCBOC 091823 Pg. 197
8
In the envisioned future of Harnett County, a comprehensive approach to prevention will drive the efforts to
combat harmful substance use and overdose. By simultaneously addressing the spectrum of prevention—
primary, secondary, and tertiary—and prioritizing resiliency-building efforts for children and youth with
ACEs, the county will create a landscape where individuals are empowered to make informed choices, access
support at various stages, and navigate their journeys towards recovery and wellbeing. Through these
multifaceted strategies, Harnett County is poised to forge a brighter, healthier future for its community, built
on a foundation of comprehensive prevention and compassionate support.
HCBOC 091823 Pg. 198
9
Our Strategies
Addressing harmful substance use and preventing overdoses requires a comprehensive and multi -faceted
approach that encompasses prevention, treatment, and harm reduction. This three-fold strategic response
recognizes the interconnected nature of these challenges and aims to create a well-rounded framework that
addresses the diverse needs of individuals and communities. By focusing on prevention, supporting
treatment and recovery, and reducing harm, this approach seeks to not only mitigate the immediate risks
associated with substance use but also promote long-term health, well-being, and community resilience.
Goal 1. Prevent Harmful Substance Use: The first goal focuses on transforming community-level systems to
prevent the onset of harmful substance use. This entails instituting evidence-based prevention programs in
schools, community centers, churches, and other pertinent environments, with the aim of enhancing the
capacity of these systems to equip individuals, particularly youth, with the knowledge and skills necessary for
informed decision-making. By elevating awareness regarding the perils of substance misuse, advocating for
healthy coping mechanisms, and cultivating a sense of belonging and purpose, the strategies aligned with this
goal empower the community to foster positive conditions and deter the progression towards addiction.
Goal 2. Support Treatment and Recovery: The second goal focuses on providing accessible and effective
treatment options for individuals struggling with substance use disorders. This involves expanding the
availability of addiction treatment services, including counseling, therapy, medication-assisted treatment, and
support groups. By reducing barriers to entry, such as stigma and lack of resources, individuals are more
likely to seek help and embark on a path of recovery. Furthermore, ongoing support is essential in sustaining
recovery efforts. Peer support networks, mental health services, and vocational training programs contribute
to holistic healing and empowerment, enabling individuals to rebuild their lives and regain a sense of
purpose.
Goal 3. Reduce Harm: The third goal centers on harm reduction, recognizing that some individuals may
continue to use substances despite efforts to prevent or treat addiction. This approach seeks to minimize the
negative consequences associated with substance use, such as overdose and the spread of diseases.
Nationally, harm reduction initiatives include the distribution of naloxone, a medication that can reverse
opioid overdoses, safe injection sites, needle exchange programs, and access to clean and safe drug supplies.
By providing a safe and nonjudgmental environment, Harnett County’s harm reduction efforts will not only
save lives but also create opportunities for individuals to engage with healthcare providers and access
resources that can facilitate their journey toward recovery.
In conclusion, a three-fold strategic response for preventing harmful substance use and overdose
encompasses prevention, support for treatment and recovery, and harm reduction. By addressing these
dimensions, communities can establish a comprehensive approach that promotes well-being, resilience, and
inclusivity. This multifaceted strategy recognizes that preventing and addressing substance misuse requires a
collaborative effort that values education, compassion, and the provision of a range of resources and services
to support individuals on their paths toward healthi er lives.
HCBOC 091823 Pg. 199
10
Goal 1: Prevent Harmful Substance Use
The overarching objective of Goal 1 is to proactively address and mitigate the occurrence of harmful
substance use within the community. By implementing a series of strategic initiatives, this goal seeks to
create an environment that discourages the initiation and progression of substance misuse, thereby
safeguarding the well-being and futures of individuals.
Strategy 1.1: Targeted Support for At-Risk Youth and Families
Strategy 1.1 centers on offering specialized assistance to individuals and families who are particularly
susceptible to the risks associated with harmful substance use. Through tailored interventions, resources, and
guidance, this strategy aims to empower at-risk youth and their families with the necessary tools and
knowledge to make informed decisions and steer clear of substance misuse. By addressing potential
vulnerabilities early on, this approach contributes to the prevention of substance-related issues before they
escalate.
Key Initiatives:
Implement an evidence-based targeted support program in Harnett County Schools for
students with at-risk for harmful substance use
Cultivate collaboration between faith communities, DSS, and the local health department to
reinvigorate educational programs and support groups for foster families and “grandparents
raising kids”
Strategy 1.2: Leverage Peer Support Networks and Community Advocacy
Strategy 1.2 capitalizes on the strength of community connections and peer support networks to cultivate an
environment of mutual encouragement and responsible decision-making. By fostering a sense of solidarity
among individuals who have overcome similar challenges, this strategy promotes positive behaviors and
dissuades harmful substance use. Additionally, through community advocacy efforts, this approach raises
awareness and mobilizes collective action, reinforcing the community's commitment to prevention and
reinforcing social norms that discourage substance misuse.
Key Initiatives:
Encourage the formal incorporation of a parent advocacy group for Harnett County parents
with lived experience of the devastating effects of harmful substance use on their children’s
lives (example of a similar initiative - http://jocoangels.com/)
Develop a recovery community organization led by individuals with direct lived experiences
with substance use challenges to provide recovery-oriented advocacy, education, and
community-buiding (example of a similar initiative - https://wilkesrecoveryrevolution.com/)
Strategy 1.3: Engage Faith Communities in Education and Stigma Reduction
Strategy 1.3 involves collaborating with faith communities to educate their members on the perils of harmful
substance use while simultaneously addressing the stigmatization associated with addiction. By integrating
substance use education within faith-based teachings, this strategy fosters a culture of understanding,
compassion, and support. Through proactive efforts to reduce stigma, faith communities become catalysts for
change, creating an environment where individuals are more inclined to seek help and resources without fear
of judgment.
HCBOC 091823 Pg. 200
11
Key Initiatives:
Convene a conference for faith leaders in Harnett County and the surrounding region to explore
models for engaging faith communities in all tiers of prevention of harmful substance use and
overdose
Facilitate the engagement of local faith communities in Mental Health First Aid training as well
as more advanced, in-depth training for clergy
Establish a “SERVE & S.O.L.V.E.” communication network with affiliated clergy and
congregations across the county
HCBOC 091823 Pg. 201
12
Goal 2: Support Treatment and Recovery
The central aspiration of Goal 2 is to provide comprehensive assistance and resources to individuals
grappling with substance use disorder, fostering their journey towards treatment and sustained recovery. By
embracing targeted strategies, this goal endeavors to establish an ecosystem of care that addresses the
diverse needs of affected individuals and facilitates their transition towards healthier, fulfilling lives .
Strategy 2.1: Adopt Treatment Models for Justice-Involved Individuals
Strategy 2.1 centers on implementing specialized treatment models that are tailored to individuals who have
been involved with the justice system. By recognizing the unique challenges and requirements of this
population, this strategy seeks to break the cycle of substance use and criminal behavior through effective
interventions, counseling, and support. By integrating treatment within the justice system, this approach
endeavors to reduce recidivism and promote lasting recovery.
Key Initiatives:
Establish MAT/MOUD in the jail for incarcerated individuals currently in treatment (Phase 1)
and those who would like to initiate treatment in jail (Phase 2)
Create a law-enforcement assisted diversion (LEAD) pre-arrest program redirecting individuals
involved in low-level offenses toward community-based support services rather than traditional
criminal justice processing
Expand on the current Veteran Treatment Court program to develop a similar recovery court
for the general population which offers individuals with substance use disorders an alternative
to incarceration, focusing on treatment, supervision, and rehabilitation for recovery.
Strategy 2.2: Enhance Existing Healthcare Networks to Improve Continuum of Care for Substance Use
Disorder
Strategy 2.2 is focused on strengthening the existing healthcare infrastructure to ensure a seamless
continuum of care for individuals with substance use disorder. By fostering collaboration and coordination
among medical professionals, counselors, and support services, this strategy aims to provide comprehensive
and integrated care that addresses both physical and psychological aspects of addiction. Through enhanced
communication and shared expertise, individuals can access a more holistic treatment experience that
supports their recovery journey.
Key Initiatives:
Establish a post-overdose response team in the county that utilizes community paramedicine
and primary care providers alongside other professionals to provide immediate support and
resources after an overdose to connect individuals to treatment and prevent future overdoses
Equip primary care providers to effectively manage medication assisted treatment for
substance use disorders in primary care settings
Increase access to the full range of behavioral health services and MAT/MOUD, including
expanded use of mobile clinics and telehealth services
Develop a local inpatient detoxification center to provide a medically supervised process where
individuals with substance use disorders receive intensive care and support to safely manage
withdrawal symptoms in a controlled environment.
HCBOC 091823 Pg. 202
13
Strategy 2.3: Develop Community Supports for Recovery (Transportation, Housing, Employment, etc.)
Strategy 2.3 involves the creation of a supportive environment that addresses the multifaceted needs of
individuals in recovery. This strategy recognizes the importance of providing essential community supports
such as transportation, stable housing, and employment opportunities. By removing practical barriers that
often hinder recovery, this approach enhances individuals' ability to sustain their progress and reintegrate
into society, thus reinforcing the foundation for long-term well-being.
Key Initiatives:
Create a pilot program for enhancing HARTS transportation services through microtransit
and/or rideshare to facilitate recovery through improved access to healthcare appointments,
counseling/therapy, group meetings, appointments with social service providers, and grocery
stores.
Expand availability of recovery and transitional housing in Harnett County
Develop a program to incentive employers in Harnett County to become “Recovery -Friendly
Workplaces”.
HCBOC 091823 Pg. 203
14
Goal 3: Reduce Harm
The overarching aspiration of Goal 3 is to minimize the negative consequences associated with substance use,
focusing on safeguarding the well-being of both individuals and the community as a whole. By implementing
a set of strategic initiatives, this goal aims to create an environment that prioritizes safety, health, and harm
reduction, thereby mitigating the risks and adverse outcomes often linked with substance misuse.
Strategy 3.1: Universal Access to Naloxone
Strategy 3.1 centers on ensuring widespread availability and accessibility of naloxone, a medication that can
reverse opioid overdoses. By making naloxone readily accessible to both individuals at risk of overdose and
their support networks, this strategy enables timely intervention in emergency situations, potentially saving
lives. The promotion of universal naloxone access aligns with the goal of reducing harm by providing a vital
tool to address the immediate and life-threatening consequences of overdose incidents.
Key Initiatives:
Ensure naloxone availability at every school within Harnett County Schools
Make free, low-barrier naloxone available for every individual who is released from detention
in Harnett County Jail, along with overdose prevention and response training
Explore distribution of naloxone through networks of community-based organizations and
faith-based organizations
Strategy 3.2: Improve Health and Safety for Substance Users
Strategy 3.2 seeks to enhance the overall health and safety of individuals who use substances. This approach
encompasses a comprehensive range of measures, including the provision of harm reduction services, access
to medical care, and the dissemination of accurate information about safer substance use practices. By
prioritizing the well-being of substance users and offering resources to mitigate potential risks, this strategy
contributes to minimizing adverse health outcomes and promoting responsible behaviors within the context
of substance use.
Key Initiatives:
Develop and distribute locally-adapted health and safety kits for people who use drugs that
include a quick guide to local resources, overdose education, reproductive health and STI
prevention, sanitizing wipes, wound care supplies, fentanyl test strips, and naloxone
Provide technical assistance (including grantwriting support) to community-based
organizations and/or faith-based organizations to establish a syringe service program in
Harnett County
Strategy 3.3: Eliminate Accidental Exposures to Drugs and Paraphernalia in the Community
Strategy 3.3 focuses on creating a community environment that is free from accidental exposures to drugs
and associated paraphernalia. This approach involves targeted efforts to address issues such as improper
disposal of substances and related items, as well as the creation of safe space s for substance users to engage
in their activities without endangering themselves or others. By eliminating accidental exposures, this
strategy contributes to enhancing community safety, reducing the potential for harm, and fostering a more
supportive and secure environment for all members of the community.
HCBOC 091823 Pg. 204
15
Key Initiatives:
Conduct a multi-level messaging campaign to prevent accidental drug exposures in young
children—including printed messaging to faith communities, social media campaigns,
community workshops, and local broadcast media.
Increase safe disposal of needles and other drug paraphernalia through supervised collection
sites and secure sharps containers in public places throughout the county.
HCBOC 091823 Pg. 205
16
Appendices
HCBOC 091823 Pg. 206
17
The SOLVE Approach Graphic
HCBOC 091823 Pg. 207
18
Comprehensive Strategy Table
Goal 1: Prevent Harmful Substance Use
Strategy 1.1: Targeted Support for At-Risk Youth and Families
Cultivate collaboration between faith communities, DSS, and the local health
department to reinvigorate educational programs and support groups for foster
families and “grandparents raising kids”
Implement an evidence-based targeted support program in Harnett County Schools
for students with at-risk for harmful substance use
Strategy 1.2: Leverage Peer Support Networks and Community Advocacy
Develop a recovery community organization led by individuals with direct lived
experiences with substance use challenges to provide recovery-oriented advocacy,
education, and community-building
Encourage the formal incorporation of a parent advocacy group for Harnett County
parents with lived experience of the devastating effects of harmful substance use on
their children’s lives
Strategy 1.3: Engage Faith Communities in Education and Stigma Reduction
Convene a conference for faith leaders in Harnett County and the surrounding region
to explore models for engaging faith communities in all tiers of prevention of harmful
substance use and overdose
Establish a “SERVE & S.O.L.V.E.” communication network with affiliated clergy and
congregations across the county
Facilitate the engagement of local faith communities in Mental Health First Aid
training as well as more advanced, in-depth training for clergy
Goal 2: Support Treatment and Recovery
Strategy 2.1: Adopt Treatment Models for Justice-Involved Individuals
Create a law-enforcement assisted diversion (LEAD) pre-arrest program redirecting
individuals involved in low-level offenses toward community-based support services
rather than traditional criminal justice processing
Establish MAT/MOUD in the jail for incarcerated individuals currently in treatment
(Phase 1) and those who would like to initiate treatment in jail (Phase 2)
Expand on the current Veteran Treatment Court program to develop a similar
recovery court for the general population which offers individuals with substance use
disorders an alternative to incarceration, focusing on treatment, supervision, and
rehabilitation for recovery
Strategy 2.2: Enhance Existing Healthcare Networks to Improve Continuum of Care for
Substance Use Disorder
Develop a local inpatient detoxification center to provide a medically supervised
process where individuals with substance use disorders receive intensive care and
support to safely manage withdrawal symptoms in a controlled environment
Equip primary care providers to effectively manage medication assisted treatment for
substance use disorders in primary care settings
Establish a post-overdose response team in the county that utilizes community
paramedicine and primary care providers alongside other professionals to provide
immediate support and resources after an overdose to connect individuals to
treatment and prevent future overdoses
HCBOC 091823 Pg. 208
19
Increase access to the full range of behavioral health services and MAT/MOUD,
including expanded use of mobile clinics and telehealth services
Strategy 2.3: Develop Community Supports for Recovery (Transportation, Housing,
Employment, etc.)
Create a pilot program for enhancing HARTS transportation services through
microtransit and/or rideshare to facilitate recovery through improved access to
healthcare appointments, counseling/therapy, group meetings, appointments with
social service providers, and grocery stores.
Develop a program to incentive employers in Harnett County to become “Recovery-
Friendly Workplaces”.
Expand availability of recovery and transitional housing in Harnett County
Goal 3: Reduce Harm
Strategy 3.1: Universal Access to Naloxone
Ensure naloxone availability at every school within Harnett County Schools
Explore distribution of naloxone through networks of community-based
organizations and faith-based organizations
Make free, low-barrier naloxone available for every individual who is released from
detention in Harnett County Jail, along with overdose prevention and response
training
Strategy 3.2: Improve Health and Safety for Substance Users
Develop and distribute locally-adapted health and safety kits for people who use
drugs that include a quick guide to local resources, overdose education, reproductive
health and STI prevention, sanitizing wipes, wound care supplies, fentanyl test strips,
and naloxone
Provide technical assistance (including grantwriting support) to community-based
organizations and/or faith-based organizations to establish a syringe service program
in Harnett County
Strategy 3.3: Eliminate Accidental Exposures to Drugs and Paraphernalia in the
Community
Conduct a multi-level messaging campaign to prevent accidental drug exposures in
young children—including printed messaging to faith communities, social media
campaigns, community workshops, and local broadcast media.
Increase safe disposal of needles and other drug paraphernalia through supervised
collection sites and secure sharps containers in public places throughout the county.
HCBOC 091823 Pg. 209
20
Initiative Timeline Checklist
2023
Q4
Ensure naloxone availability at every school within Harnett County Schools
Establish MAT/MOUD in the jail for incarcerated individuals currently in
treatment (Phase 1) and those who would like to initiate treatment in jail (Phase
2)
2024
Q1
Convene a conference for faith leaders in Harnett County and the surrounding
region to explore models for engaging faith communities in all tiers of prevention
of harmful substance use and overdose
Encourage the formal incorporation of a parent advocacy group for Harnett
County parents with lived experience of the devastating effects of harmful
substance use on their children’s lives
Establish a post-overdose response team in the county that utilizes community
paramedicine and primary care providers alongside other professionals to
provide immediate support and resources after an overdose to connect
individuals to treatment and prevent future overdoses
Q2
Facilitate the engagement of local faith communities in Mental Health First Aid
training as well as more advanced, in-depth training for clergy
Make free, low-barrier naloxone available for every individual who is released
from detention in Harnett County Jail, along with overdose prevention and
response training
Q3
Implement an evidence-based targeted support program in Harnett County
Schools for students with at-risk for harmful substance use
Equip primary care providers to effectively manage medication assisted
treatment for substance use disorders in primary care settings
Increase safe disposal of needles and other drug paraphernalia through
supervised collection sites and secure sharps containers in public places
throughout the county.
Q4
Conduct a multi-level messaging campaign to prevent accidental drug exposures
in young children—including printed messaging to faith communities, social
media campaigns, community workshops, and local broadcast media.
Establish a “SERVE & S.O.L.V.E.” communication network with affiliated clergy
and congregations across the county
Explore distribution of naloxone through networks of community-based
organizations and faith-based organizations
Increase access to the full range of behavioral health services and MAT/MOUD,
including expanded use of mobile clinics and telehealth services
HCBOC 091823 Pg. 210
21
2025
Q1
Cultivate collaboration between faith communities, DSS, and the local health
department to reinvigorate educational programs and support groups for foster
families and “grandparents raising kids”
Q2
Develop a recovery community organization led by individuals with direct lived
experiences with substance use challenges to provide recovery-oriented
advocacy, education, and community-building
Q3
Provide technical assistance (including grantwriting support) to community-
based organizations and/or faith-based organizations to establish a syringe
service program in Harnett County
Q4
Create a pilot program for enhancing HARTS transportation services through
microtransit and/or rideshare to facilitate recovery through improved access to
healthcare appointments, counseling/therapy, group meetings, appointments
with social service providers, and grocery stores.
Develop and distribute locally-adapted health and safety kits for people who use
drugs that include a quick guide to local resources, overdose education,
reproductive health and STI prevention, sanitizing wipes, wound care supplies,
fentanyl test strips, and naloxone
2026
Q4
Create a law-enforcement assisted diversion (LEAD) pre-arrest program
redirecting individuals involved in low-level offenses toward community-based
support services rather than traditional criminal justice processing
Develop a local inpatient detoxification center to provide a medically supervised
process where individuals with substance use disorders receive intensive care
and support to safely manage withdrawal symptoms in a controlled environment
Expand availability of recovery and transitional housing in Harnett County
2027
Q1
Develop a program to incentive employers in Harnett County to become
“Recovery-Friendly Workplaces”.
2028
Q4
Expand on the current Veteran Treatment Court program to develop a similar
recovery court for the general population which offers individuals with
substance use disorders an alternative to incarceration, focusing on treatment,
supervision, and rehabilitation for recovery
HCBOC 091823 Pg. 211
September 12, 2023
OPIOID TASK FORCE UPDATES
HCBOC 091823 Pg. 212
Overview
01
02Present Strategic
Plan for Public Input
Provide updates from
the Opioid Task Force
03 Share intentions for
moving forward
HCBOC 091823 Pg. 213
01
Opioid Task Force
Updates
HCBOC 091823 Pg. 214
Timeline Overview
•April : MOA with NC, led Attorney General’s office
•Summer : funds received; began engaging stakeholders
and forming opioid task force
•September 12 : first official opioid task force meeting
•October 20 : opioid task force meeting
•November : accepted into Reaching Rural initiative
•December : Reaching Rural kick -off meeting with coaches
•December : Sheriff’s Office began exploring MOUD programming for jail
2022
HCBOC 091823 Pg. 215
Timeline Overview
•Continuous monthly meetings with Reaching Rural coaches
•February 9 : opioid task force meeting (presentation
by Dr. Tillman and his students)
•February : Reaching Rural visit to Loudoun County, VA
•March 27 : presentation by Dr. Agnello
•April 20 : opioid task force meeting (prioritization)
•May 8 -10 : Reaching Rural visit to Franklin County, MA
•May 15 : presentation of identified priorities and public input session at
Board of Commissioners meeting
2023
HCBOC 091823 Pg. 216
HCBOC 091823 Pg. 217
Timeline Overview
•May 31 : virtual site visit with 8th Judicial District (Judge Heath)
•June 7 -8 : NCACC Summit on Reducing Overdose in Durham
•June 15 : Phase I of MOUD in Harnett County Detention Center
•June 15 : opioid task force meeting
•June 21 : visit to Wayne County Sheriff’s
Office (jail MOUD program )
•July 24 : Presentation at NACo Conference
(“ The Opioid Epidemic in Rural America”)
2023
HCBOC 091823 Pg. 218
HCBOC 091823 Pg. 219
Timeline Overview
•July 31 : Building Bridges application submitted
•August : expansion of Community Paramedicine
•August : advertised Jail Re -Entry Navigator position
•August : Harnett County Schools hired CSW
•August 17 : opioid task force meeting
•August 24 : attended Fayetteville Police
Department’s LEAD Meeting
•September 5 : naloxone distribution at Health
Department
2023
HCBOC 091823 Pg. 220
02
Draft of
Strategic Plan
HCBOC 091823 Pg. 221
Strategic Planning Process
•Public meetings to gather feedback and promote dialogue
•Key informant interviews
•Analysis of secondary data
•Priority -setting exercise with active participation of task force
•Application of “tiered prevention logic” to the identified priorities
HCBOC 091823 Pg. 222
APPROACH
HCBOC 091823 Pg. 223
HCBOC 091823 Pg. 224
Goal 01
•Strategy 1.1: Targeted Support for At -Risk Youth and Families
Cultivate collaboration between faith communities, DSS, and Health
Department to support youth in foster situations
Evidence -based targeted support program in Harnett County Schools
•Strategy 1.2: Leverage Peer Support Networks & Community Advocacy
Develop community organization led by individuals with lived experience
Encourage formal incorporation of parent advocacy group
•Strategy 1.3: Engage Faith Communities in Education & Stigma Reduction
Conference to engage local faith leaders
Establish “SERVE & SOLVE” communication network across county
Mental Health First Aid training
Prevent Harmful Substance Use
HCBOC 091823 Pg. 225
Goal 02
•Strategy 2.1: Adopt Treatment Models for Justice -Involved Individuals
Law Enforcement Assisted Diversion (LEAD) pre -arrest program
Establish MAT/MOUD program in jail
Expand on Veterans Treatment Court to develop similar recovery court for
individuals of general population with Substance Use Disorder
•Strategy 2.2: Enhance Healthcare Networks to Improve Continuum of Care
Develop local inpatient detox & treatment center
Equip primary care providers to manage MAT/MOUD
Establish post -overdose response team
Increase access to behavioral health and MAT/MOUD services
•Strategy 2.3: Develop Community Supports for Recovery
Create pilot program for transportation to/from appointments through HARTS
Incentivize employers to become “Recovery -Friendly Workplaces”
Expand availability of recovery and transitional housing
Support Treatment and Recovery
HCBOC 091823 Pg. 226
Goal 03
•Strategy 3.1: Universal Access to Naloxone
Ensure availability in all schools
Explore distribution through community networks
Make available to all individuals released from jail, along with overdose
prevention and response training
•Strategy 3.2: Improve Health and Safety for Substance Users
Develop and distribute locally -adapted health and safety kits
Provide technical assistance to community organizations to establish syringe
service programming
•Strategy 3.3: Eliminate Accidental Exposures to Drugs and Paraphernalia
Conduct messaging campaign to prevent accidental exposures
Increase opportunities for safe disposal of needles and paraphernalia
Reduce Harm
HCBOC 091823 Pg. 227
Initiative Timeline Checklist page 20
HCBOC 091823 Pg. 228
03
Future Progress
HCBOC 091823 Pg. 229
Acquiring Knowledge and Resources from other Organizations
•Wayne County (MOUD program in jail)
•McDowell County & Avery County (NCACC Conference in August)
•Fayetteville Police Department (LEAD Program)
•Nidhi Sachdeva , NCACC Director
HCBOC 091823 Pg. 230
Moving Forwa rd
•Seeking feedback on strategic plan (public input 9/18 @ 6pm)
•Present final draft to opioid task force on 10/19
•Request adoption by County Commissioners in November
•Task force is splitting into three subcommittees, aligning with
main three goals
•Prevention and Education
•Treatment and Recovery
•Harm Reduction
•Hope to hear back about Building Bridges soon
HCBOC 091823 Pg. 231
Moving Forwa rd
•Jail MOUD Phase II implementation late 2023 -early 2024
•Jail Re -Entry Navigator interviews upcoming
•Peer Support
•December 5 -9: Final Reaching Rural site visit and project
presentations in Loudoun County, VA
•Seeking grant opportunities to fuel strategic planning priorities
•Quarterly updates on opioid task force and strategic plan
implementation
HCBOC 091823 Pg. 232
THANKYOU
HCBOC 091823 Pg. 233
Item 8BHCBOC 091823 Pg. 234
July 1, 2023 - June 30, 2024 Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun TOTAL AVG.
Front Desk - Check-in Appointments 978 1188 2166 1083
Health Clinics
Adult Women Wellness Clinic 2 5 7 3.5
Care Coordination for Children (CC4C)144 142 286 143
Child Health - Sick Clinic 138 149 287 143.5
Child Health - Well Clinic 155 182 337 168.5
County Employee Health Clinic 101 107 208 104
Family Planning 126 138 264 132
Immunizations 121 330 451 225.5
COVID Vaccines 12 30 42 21
Maternity (Prenatal Clinic)157 170 327 163.5
OB Care Management (OBCM)185 190 375 187.5
Postpartum Home Visits 0 0 0 0
Refer/Repeat Pap 3 1 4 2
STD Services 76 95 171 85.5
TB Services 91 90 181 90.5
Welcome Baby Home Visits 0 0 0 0
Total Services 1311 1629 2940 1470
Reportable Disease Cases
Tuberculosis 0 0 0 0
HIV - (Quarterly report)0 0 0 0
AIDS - (Quarterly report)0 0 0 0
SYPHILIS - (Quarterly report)8 1 9 4.5
OTHER STD's 21 71 92 46
Other (salmonella, campylobacter, etc)7 3 10 5
Total Services 36 75 111 55.5
Health Education
Outreach 229 430 659 329.5
Laboratory Clients 1030 1260 2290 1145
Laboratory Tests 687 823 1510 755
HIV Tests 97 124 221 110.5
WIC Active Participation 3581 3581 3581
Vital Statistics
Births In County 38 43 81 40.5
Births Out of County 132 156 288 144
Deaths 58 68 126 63
Environmental Health
Applications Received 105 155 260 130
Permits Issued 92 98 190 95
Completions Issued 65 60 125 62.5
Repair Permits Applied 105 2 107 53.5
Permits Denied 0 0 0 0
Site Visits 92 123 215 107.5
Food and Lodging
Establishments Inspected/Reinspected 63 80 143 71.5
Visits /Construction/Critical 18 43 61 30.5
Complaints 7 4 11 5.5
Private Water Supplies
Well Applications Received 4 3 7 3.5
updated 7/08/2022
updated 09-07-2023
Activities Summary
Harnett County Department of Public Health Item 8C
HCBOC 091823 Pg. 235
Item 8D
HCBOC 091823 Pg. 236
HCBOC 091823 Pg. 237
HCBOC 091823 Pg. 238
HCBOC 091823 Pg. 239
HCBOC 091823 Pg. 240
HCBOC 091823 Pg. 241
HCBOC 091823 Pg. 242
HCBOC 091823 Pg. 243
Item 8E
HCBOC 091823 Pg. 244
HCBOC 091823 Pg. 245
HCBOC 091823 Pg. 246
HCBOC 091823 Pg. 247
HCBOC 091823 Pg. 248
HCBOC 091823 Pg. 249
HCBOC 091823 Pg. 250
HCBOC 091823 Pg. 251
HCBOC 091823 Pg. 252
HCBOC 091823 Pg. 253
HCBOC 091823 Pg. 254
HCBOC 091823 Pg. 255
HCBOC 091823 Pg. 256
HCBOC 091823 Pg. 257