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The Country has been experiencing a Nationwide Opioid Epidemic in which communities and law enforcement have been struggling to understand and address. The Ulster County Sheriff started a Law Enforcement Opioid Response Team (ORACLE) in 2019 and in 2020 with the help of a Bureau of Justice grant the Sheriff’s Office worked with the community and Ulster County government stakeholders to design and implement an overdose response team with wrap around harm reduction and care management services. In 2022 with additional support from the Buearu of Justice the team expanded to include a Substance Use Community Care Manager and Jail ReEntry Coordinator Through the work of the Sheriff’s ORACLE team, the Ulster County Sheriff’s office was able to develop a unique and coordinated system to not only respond to non-fatal overdose, but also collect data that had never before been available to target specific interventions based on demographics, location, nature of overdose, and drug of choice. It is through this work that the Sheriff’s Office has identified that in 2023 more than 25% of non fatal overdoses were in fact intentional suicide attempts. This presentation will capture the model in which the Sheriff’s offices uses to identify all overdoses, response methods, data collection, and the emerging urgency to address the overdose epidemic using a co-occuring behavioral health response, as well as the model and workflow we developed to do so.

PRESENTER: Sheriff Juan Figueroa, Ulster County Sheriff’s Office, Juanita Hotchkiss, Dir. Community & Incarcerated Services, Detective Albert Babcock, Ulster County Sheriff’s Office, NY, and Lieutenant Chad Storey, Ulster County Sheriff’s Office

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