Onslow County COSSUP Site-Based Program

Onslow County, North Carolina is applying for O-BJA-2023-171527,
Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program, Category 1,
Subcategory 1b, to expand evidence-based substance use treatment in the Onslow County
Detention Center (OCDC), Court programming to identify need for services for children and
youth impacted by their parent/family substance use, recovery housing support and
comprehensive, real-time, information collection, analysis and trends. Onslow County is in the
southeastern coastal plain of North Carolina and has an estimated population of 209,491. There
are also approximately 45,079 active-duty marines and sailors stationed at Camp Lejeune and
New River Air Station. Onslow County has experienced the ravages of the opioid epidemic at a
higher level than many communities in the state, and has worked since 2016 to strategically
develop services and resources to support their citizens. The overarching goal of this application
is to provide linkages for those affected by an opioid use disorder or other substance disuse to
treatment services and resources. This includes both those incarcerated, and the children and
families affected by substance use. Project activities include establishing a therapeutic
community within the OCDC for individuals with substance use disorders. Inmates will be
provided evidence-based treatment such as individual and group counseling, family support
when appropriate, strategies for relapse prevention to include harm reduction, community and
social support systems, and crisis contingency planning. Case plans will be developed with the
inmate and community resource connections made upon release. Referrals will be made to
Oxford House for safe, sober housing while partnering to increase recovery housing inventory
within the County. In addition, a Licensed Clinical Addictions Specialist will coordinate with the
Courts, (including the new Veterans Treatment Court), the Department of Social Services (DSS),
Child Protective Services (CPS) and the OCDC to provide immediate linkages to appropriate
services for children, youth, and families in cases where substance misuse is identified.
Comprehensive, real-time data will be collected and analyzed by the Project Manager and a
multi-disciplinary workgroup of service provider agencies and community stakeholders to
monitor progress to goals and guide the program. Onslow County currently has a BJA FY21
Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program (O-BJA-2021-
94008) providing medication assisted treatment (MAT) and case management in the Onslow
County Detention Center.