Alamance County Outlines Plans for 16.6 Million in Opioid Funds
At a Board of Commissioners meeting on November 18, 2025 county staff reported the community is projected to receive 16.6 million in opioid settlement funds between 2022 and 2038, and described how early spending is being directed. The funding will support recovery services including residential treatment and naloxone distribution, a shift that could expand local treatment access and change how courts handle substance use related cases.
Alamance County officials presented an update on opioid settlement funding and early program investments at the Board of Commissioners meeting on November 18, 2025. County behavioral health staff said the county is projected to receive 16.6 million between 2022 and 2038 under the state memorandum of agreement that governs distribution of opioid settlement proceeds. Staff outlined current spending priorities and next steps intended to expand treatment and harm reduction services across the county.
Commissioners heard that initial investments already underway include recovery supports, residential treatment capacity, distribution of naloxone to reverse overdoses, and preparations to establish a recovery court. Those actions are intended to strengthen pathways from crisis to treatment and to reduce the burden of untreated substance use on families, emergency services, and the local justice system. County staff noted that contracts and hiring have delayed some program data collection, but emphasized that implementation is proceeding.
The county agenda for the meeting lists an FY24/25 Opioid Settlement Report and meeting materials provide the official documentation of the presentation. Residents can review those materials to see program timelines and planned expenditures. Over the multi year funding window officials plan to balance immediate needs such as naloxone distribution with longer term investments in residential treatment and court based alternatives that connect people to sustained care.
For Alamance County residents the shift in funding priorities means more local options for crisis response and treatment referral, and the potential for reduced criminal justice outcomes for people whose legal matters stem from substance use. The establishment of a recovery court signals a move toward treatment centered responses in the local judicial system. As procurement and staffing proceed the county will provide further details on program locations enrollment criteria and expected start dates through future board reports and public materials.
