Opioid Abuse Strategic Plan (Various Initiatives)

Opioid Abuse Strategic Plan (Various Initiatives) is sponsored by South Dakota Department of Social Services (DSS) and Department of Health (DOH) (funded by SAMHSA SOR Grant Program and National Opioid Settlement Funds). This represents a comprehensive strategic plan guiding and leveraging multiple federal opioid funding resources to address opioid overdoses and opioid use disorder (OUD) in South Dakota.

2025 Annual Report - South Dakota Opioid Funding 1 # Federal Opioid Funding and # National Opioid Settlement 2025 Annual Report - South Dakota Opioid Funding 2 On behalf of the Department of Health and Department of Social Services, please find the enclosed report outlining Federal Opioid Funding and National Opioid Settlement Funding for the previous, current, and future federal fiscal years (Oct 1, 2023 – Sept 30, 2026).

The report lists accomplishments, planned initiatives, and key outcomes associated with South Dakota’s four shared strategies, all of which aim to impact opioid misuse and opioid use disorder: 1. Prevention and Early Identification 2. Treatment and Recovery 3.

Reducing Illicit Supply 4. Response to Opioid Misuse We are grateful to those who have established and maintained an intricate system for delivering financial funding to address opioid concerns, a response that formally began in 2016 with federal funding. This funding has significantly changed the landscape of opioid treatment and recovery supports available to South Dakotans for the better.

The 2021 addition of National Opioid Settlement Funding has we are excited to share with you. To date, 44 unique initiatives have been supported through the Community Grants Program, funded through disbursements made to the statewide share of the National Opioid Settlement.

As of September 2025, South Dakota has received more than $33 million in Opioid Settlement Funding, disbursed directly to more than 60 counties and cities and to the state directly. A full breakdown of how these funds have been distributed is provided in this report.

Through these grants we have been able to support state initiatives in developing overdose follow-up programs and prescription drug monitoring initiatives, public-private partnerships such as expanding access to naloxone statewide, and non-profit initiatives in all aspects of prevention, treatment, and recovery.

We are very excited about these projects and the sustainability planning suggested by the Opioid Advisory Committee, which will allow us the flexibility to continue supporting the current federally funded initiatives should that funding lapse or change in the future. Significant amounts of settlement funds were received by the state in the last year, prompting enhancements to the community granting process.

These enhancements create multiple avenues by which individuals and organizations looking to address opioid use concerns Our collective aim of reducing deaths due to opioid overdose in South Dakota remains our core focus.

234 individuals are known to have had an improved condition following administration of naloxone in a suspected opioid overdose in the last year, and more than 7,400 naloxone kits have been distributed to first responders, individuals in treatment, and through anonymous access points in that same timeframe.

Our efforts to ensure South Dakotans have access to naloxone in emergency situations expanded in 2025 to now include anonymous distribution through public access boxes placed across 14 South Dakota communities. Naloxone saturation has been achieved in seven counties, with efforts continuing to saturate the remaining counties and maintain adequate supplies statewide.

More than 2,400 South Dakotans accessed SOR-funded evidence-based treatment services or entered recovery support systems this past year. Through a combination of funding sources, our agencies have secured access to these life-saving measures for those with limited or no ability to pay. A small sampling of their stories of personal impact are featured in this report.

No two South Dakota communities are the same. Our departments use methods that empower individual communities to develop their own, unique response by connecting local treatment resources and recovery supports with their residents.

We are excited to oversee these two departments’ shared strategic efforts into the coming year, and we commit to ensuring services and supports along the full continuum of care are available statewide so that they might accompany South Dakotans journeying along the Secretary of Social Services Secretary of Health 2025 Annual Report - South Dakota Opioid Funding 3 Background ..............................................................................................................................................................................................................................................................................................

4 Acronyms & Abbreviations .............................................................................................................................................................................................................................................................

4 Overview ..................................................................................................................................................................................................................................................................................................

5 Previous, Current, and Future Federal Fiscal Year Allocations .................................................................................................................................................................................

6 Overview ...................................................................................................................................................................................................................................................................................................

7 Statewide Share Allocations ..........................................................................................................................................................................................................................................................

8 Localized Share Allocations ...........................................................................................................................................................................................................................................................

11 Plan Updates & Capacity Building Efforts .............................................................................................................................................................................................................................

12 Goal Area 1: Prevention and Early Intervention ..................................................................................................................................................................................................................

16 Goal Area 2: Treatment and Recovery ....................................................................................................................................................................................................................................

20 Goal Area 3: Reducing Illicit Supply .........................................................................................................................................................................................................................................

23 Goal Area 4: Response to Opioid Misuse ..............................................................................................................................................................................................................................

24 A: Opioid Abuse Advisory Committee Members ...............................................................................................................................................................................................................

26 B: Opioid Settlement Participating Local Governments ..............................................................................................................................................................................................

27 C: Opioid Settlement Localized Share Funds Detail .......................................................................................................................................................................................................

28 D: Opioid Settlement Statewide Share Funds Detail ......................................................................................................................................................................................................

34 2025 Annual Report - South Dakota Opioid Funding 4 In 2016, South Dakota Department of Health (DOH) was awarded the Prescription Drug Overdose: Data-Driven Prevention Initiative planning grant from the CDC to support and build efforts to track and understand the full impact of opioid use and misuse in the state.

The purpose of the grant to prevent misuse of opioids; and c) to develop a strategy to enhance and integrate current surveillance efforts for more accurate and timely data. To oversee this work, the first iteration of the South Dakota Opioid Advisory Committee was created.

In 2017, the South Dakota Department of Social Services (DSS) was awarded the State Targeted Response to the Opioid Crisis Grant (STR) from SAMHSA; additional grant funding has continued through the State Opioid Response Grants (SOR), also issued by SAMHSA.

Federal funding priorities focus on increasing access to treatment, reducing unmet treatment needs, and reducing opioid overdose-related deaths through the provision of prevention, treatment, and recovery activities for Opioid Use Disorder. In 2019, DOH was awarded the Overdose Data to Action (OD2A) grant from CDC.

The purpose of the grant is to support the collection of high- quality, complete, and timely data on opioid and all drug overdoses, and to use that data to inform prevention and response efforts to reduce opioid overdose deaths through partnerships with communities and other state partners. Work continues through the Overdose Data to Action in States (OD2A-S) grant from CDC.

In 2021, the Opioid Advisory Committee was restructured and expanded to 17 members to provide more insight from providers and other key stakeholders. In 2022, initial disbursements of Opioid Settlement Funds started arriving in the state. These funds are intended to support opioid use abatement in the state.

The South Dakota Legislature, at the advisement of the Attorney General’s office, assigned the oversight of the Opioid Settlement Funds to the Secretary of the Department of Social Services.

With the Opioid Advisory Committee already in place, the Secretary’s Office opted to use that group’s tenured experience to advise on Opioid Settlement Funds as well, assuring consistent operations across all three phases of funding support (DOH, DSS, and National Opioid Settlement).

In 2022, in accordance with the requirements of National Opioid Settlement Agreement, the Opioid Advisory Committee was expanded to 22 total members (Appendix A).

# ACRONYMS AND ABBREVIATIONS CDC Centers for Disease Control and Prevention, U.S. Department of Health & Human Services DATA Drug Addiction Treatment Act of 2000 DEA Drug Enforcement Administration DDPI Prescription Drug Overdose: Data Driven Prevention Initiative DOH South Dakota Department of Health DOJ U.S. Department of Justice DSS South Dakota Department of Social Services EMS Emergency Medical Services MOA Memorandum of Agreement MOUD Medications for Opioid Use Disorder NARCAN NARCAN® (naloxone HCl) NASADAD National Association of State Alcohol and Drug Agency Directors OD2A Overdose Data to Action Grant OD2A-S Overdose Data to Action in States Grant OEND Overdose Education and Naloxone Distribution PDMP Prescription Drug Monitoring Program SAMHSA Substance Abuse and Mental Health Services Administration, U.S. Department of Health & Human Services SDAHO South Dakota Association of Healthcare Organizations SOR State Opioid Response Grants SUD Substance Use Disorder 2025 Annual Report - South Dakota Opioid Funding 5 federal fiscal years and are referenced throughout this report.

Substance Abuse and Mental Health State Opioid Response (SOR 3) Grant Award: $4,000,000 per year Funding End Date: September 29, 2024 Federal Fiscal Years: FFY23 - FFY24 Centers for Disease Control and Award: $1,865,943 in Years 1-3 Funding end date: August 31, 2028 Federal Fiscal Years: FFY24 - FFY28 Substance Abuse and Mental Health State Opioid Response (SOR 4) Grant Award: $4,070,272 per year Funding End Date: September 29, 2027 Federal Fiscal Years: FFY25 - FFY27 Substance Abuse and Mental Health State Opioid Response (SOR 4) Grant S1 Funding End Date: September 29, 2026 Federal Fiscal Years: FFY26 Lead Agency: DSS 2025 Annual Report - South Dakota Opioid Funding 6 data capacity efforts and grant administration.

Budget Breakdown By Federal Fiscal Year PREVIOUS, CURRENT, AND FUTURE FEDERAL FISCAL YEAR ALLOCATIONS Administrative & Required Staffing Prevention & Early Identification > Administrative & Required Staffing > Treatment & Recovery Supports > Response to Opioid Misuse > Prevention & Early Identification > Total Impact for previous reporting periods > FFY2023-2025: $18,224,761 > FFY2022-2024: $18,912,388 > FFY2021-2023: $19,962,279 Use of Funds between FFY2024 and FFY2026 Total Impact: $18,238,373 2025 Annual Report - South Dakota Opioid Funding 7 South Dakota began receiving funds from the National Opioid Settlement in 2022.

These funds were placed into the Opioid Abatement and Remediation Fund ( House Bill 1038 ) to support efforts related to opioid abuse prevention, treatment, and recovery across the state. Settlement funds were divided proportionally across all participating state and local governments, with 70% allocated to the state (Statewide Share) and 30% allocated and disbursed directly to Participating Local Governments (Localized Share).

Eligible governments included all South Dakota counties, and cities and towns with populations over 10,000 (based on the U.S. Census Bureau’s Vintage 2019 population totals pursuant to the National Settlement Agreement). Appendix B features a list of those cities and counties that opted to participate in the National Settlement Agreement.

The Memorandum of Agreement (MOA), based on the National Settlement Agreement provisions, was fully executed November 2022 after receiving all Participating Local Governments’ signatures. The first disbursements were received in December 2022 by the State and Participating Local Governments. • An advisory committee is required to provide formal recommendations to the Secretary of DSS for use of the Statewide Share.

The Opioid Abuse Advisory Committee serves this role and adopted bylaws to reflect that scope in its August 2023 meeting. • Department of Social Services is tasked with oversight of the funding and assurance that it is used in a manner that in its judgment will best address the opioid crisis within the state. DSS is also tasked with adhering to the state’s normal budgeting process.

• By January 31 of each calendar year, Participating Local Governments shall certify to the Opioid Abuse Advisory Committee that all opioid funds expended during the preceding calendar year were used in accordance with the MOA on projects, programs, and strategies that constitute Approved Uses. In addition to the below summary, please reference Appendix C for an accounting of the Localized Share.

• By December 31, the State shall publish in a report online detailing for the preceding fiscal year: (1) the amount of the Statewide Share received; (2) the amount of the Statewide Share expended and a description for each program or activity receiving funds; and (3) the amount of any grants awarded—listing the recipients, amounts awarded, amounts disbursed, disbursement terms, and programs, strategies, and projects funded.

In addition to the below summary information, please reference Appendix D for an accounting of the Statewide Share. # OPIOID SETTLEMENT FUNDS Refer to the South Dakota Opioid Settlement Dashboard on dss. sd.

gov for updates to these figures as funds are National settlement information including copies of settlement agreements, FAQs, documents, and other information is available and managed by the Plaintiffs’ > https://nationalopioidsettlement. com/ More than $28. 6 MILLION in opioid settlement funding has been disbursed to South Dakota participating governments as of June 30, 2025.

Disbursements made to the Statewide Share are kept in an interest-bearing account. Interest accrual through SFY2025 = $897,996.

through State Fiscal Year 2025 > $0 $18,000,000 $6,000,000 $12,000,000 2025 Annual Report - South Dakota Opioid Funding 8 Statewide Share Allocations A total of $20,282,957 has been disbursed to the Statewide Share since 2022, with $5,773,393 of that received in the most recent state In January 2023, the Opioid Abuse Advisory Committee recommended more than $16M in allocations towards several key programs as identified below.

In State Fiscal Years 2023 through 2025, $6,457,228 of those allocations was obligated and expended . Initial settlement fund distributions were directed primarily toward addressing the immediate crisis and stabilizing urgent needs related to opioid use in South Dakota. Since that time, the Advisory Committee has recommended a statewide needs assessment to identify gaps in prevention, treatment, and recovery services.

This assessment, expected to be complete by the end of SFY2026, will be used to guide future funding priorities as well as provide baseline information from which to measure impact of funded initiatives.

The recommended allocations center on several key interventions: • Supporting prescribers in monitoring patient opioid access and provide accountability for prescribing practices via the Prescription Drug Monitoring Program in partnership with the South Dakota Board of Pharmacy • Development of Overdose Follow-Up Programs that can impact individuals following a nonfatal opioid-related overdose in partnership with two contracted providers - Project Recovery (Rapid City) and Emily’s Hope (Sioux Falls) • The Community Grant Program , designed to support projects of all sizes led by South Dakota-based organizations working to prevent, treat, or reduce the impacts associated with opioid misuse across the state • Increasing access to overdose reversal medications in order to reduce deaths or related hospitalizations or harm Each intervention was designed to contribute to the overall goal of mitigating the impact of opioid use and misuse across South Dakota STATEWIDE SHARE BREAKDOWN: ALLOCATED, OBLIGATED, AND SPENT Funds reported through the end of SFY2025 (June 30, 2025) 2025 Annual Report - South Dakota Opioid Funding 9 Strategy Program Purpose Supported Activities in SFY 2025 programs aimed at impacting individuals following a non- fatal opioid-related overdose, connecting them to resources that best meet their needs to The overdose follow-up program supports individuals recently affected by overdose, aiming to prevent recurrence and strengthen connections to care.

Beginning January 1, 2024, DSS contracted with two entities to pilot two overdose follow-up programs (selected through a RFP process): Emily’s Hope and Project Recovery. Emily’s Hope efforts are expanding beyond Minnehaha & Lincoln Counties in the next fiscal year to Codington, Brookings, Turner, Yankton, and Clay. Project Recovery is serving Pennington, Lawrence, Custer, Butte, Meade, Oglala Lakota and Roberts.

Initial work during 2024 centered around building community relationships, onboarding staff, and training medical providers. During 2025, each program continued building relationships in order to increase referrals and build community partnerships.

opioid access and provide accountability for prescribing Prescription Drug Monitoring Program supports included on-going payroll expenses for PDMP staff and costs associated with the PMP AWARxE technology that provides real-time information to prescribers to improve accuracy, reduce controlled substance misuse, and identify patients that may be at risk for overdose.

To make funding available organizations for targeted efforts that abate the opioid crisis at the local level. Since inception, the Community Grants Program has resulted in 44 awards made to South Dakota-based organizations working to prevent, treat, or reduce the impacts of the opioid crisis within the state.

In 2024, a significant increase in settlement funding was received by the state resulting in a significant increase in Community Grant awards in SFY2025 far exceeding previously available funding. More than $1,000,000 in new grant funding was awarded in SFY25 alone, with the most recent awardees initiating their work in June 2025.

Additionally, in the summer of 2025, a subcommittee of the Opioid Advisory Committee met to review and develop an updated funding framework by which to guide future Community Grant Program investment priorities with the intent of supporting projects of all sizes, including those with the capacity to make transformative change of regional or statewide impact.

This framework along with a supporting application system will launch in November 2025, details of which can be reviewed on dss. sd. gov. reversal medication across overdose deaths or related hospitalizations or harm.

Beginning in April 2025, Emily’s Hope was contracted to supplement existing distribution efforts led by DSS by focusing on anonymous access points for and distribution of naloxone kits across South Dakota. Public access boxes are being placed in high-traffic areas identified through state overdose data.

Additionally, Emily’s Hope will distribute kits to businesses and nonprofits for use with high-risk populations and placement near AEDs. The initiative complements existing efforts targeting first responders and vulnerable communities, aiming to expand access and save lives.

STATEWIDE SHARE ALLOCATIONS | PURPOSE & PROGRESS MADE The following provides a breakdown of these efforts, financial allocations, and the progress made throughout the preceding state fiscal year. A detailed accounting of individual awards made using Statewide Share funds, by strategy, is available in Appendix D.

Information on allocations, obligations, and expenditures made for these initiatives is also on the South Dakota Opioid Settlement Dashboard at dss. sd. gov .

The following factors are considered for projects that are supported by Statewide Collaborative Development is essential to building comprehensive community response. Key partners may include civic leaders, local law enforcement, mental health providers, public health agencies, schools, peer and recovery networks, housing/social service agencies, and community organizations.

Data and Outcome Measures must be appropriate and relatable to the scale of the project scope of work. Ongoing monitoring ensures project effectiveness and alignment with settlement fund approved uses. Statewide Impact with broad reach ensures the statewide share of settlement resources are allocated to all populations and in all communities.

Program Evaluations that demonstrate the ability to assess whether or not the goals are achieved, ensure accountability to the settlement fund approved uses, monitor progress towards project goals, and demonstrate impact or change.

2025 Annual Report - South Dakota Opioid Funding 10 Strategy Program Purpose Progress Made - SFY 2025 assessment to identify gaps in opioid treatment, prevention, and recovery services, the findings of which will be used to determine future funding priorities for statewide share Following the Advisory Committee’s recommendation to allocate up to $350,000 for this effort, DSS issued a Request for Proposal in January 2025 to solicit vendor(s) with relevant expertise and skills to conduct a comprehensive needs assessment and gap analysis across each of the approved use areas associated with the National Opioid Settlement MOA.

After reviewing 11 submitted proposals, contracts were awarded in April 2025 to two organizations: Steadman Group, to assess all aspects of Treatment and Recovery, and the University of South Dakota, to assess Prevention related programming and initiatives available statewide. Contracts began in June 2025 for both scopes of work. Final reports will be made in the spring of 2026.

To ensure State Opioid Strategic should federal funding end, the Committee aims to reserve $12M (two years of programming) by setting aside 25% of each As of the end of SFY2025 a total of $4,587,836 has been set aside for this purpose, or 38% of the target balance.

The funds are held in an interest-bearing account and accounted for by DSS in their biannual reporting to the Opioid Abuse Advisory coordination, and reporting of funded initiatives and local In its January 2024 meeting, the Opioid Abuse Advisory Committee authorized the use of up to 5% of received disbursements from the statewide share to be used for administrative costs.

The initial allocation was calculated by taking 5% of the first two disbursements from the Mallinckrodt settlement received April and November 2023. Subsequent allocations have been based off all settlement funds received STATEWIDE SHARE ALLOCATIONS | PURPOSE & PROGRESS MADE (CONTINUED) The following provides a breakdown of these efforts, financial allocations, and the progress made throughout the preceding state fiscal year.

A detailed accounting of individual awards made using Statewide Share funds, by strategy, is available in Appendix D. Information on allocations, obligations, and expenditures made for these initiatives is also on the South Dakota Opioid Settlement Dashboard at dss. sd.

gov . Program sustainability is a hallmark to assuring the ongoing structure of the South Dakota’s opioid treatment, recovery, response, and prevention efforts. This report has identified several very valuable programs that have been funded by DOH and DSS primarily through federal discretionary grant programs, the outcomes of which have provided treatment and recovery support cost assistance to thousands of patients over the years.

Through expanded access to and capacity building for MOUD treatment, stand-alone and integrated peer recovery support services, statewide Naloxone distribution through first responders and new partnerships with entities like Emily’s Hope, school- and community-based prevention programming and other similar efforts, the state has created a safety net of resources by which to treat, support, and engage individuals impacted by or at risk for opioid misuse.

To assure at least two years of continued support for projects like these, the Opioid Advisory Committee elected to set aside a portion of the Statewide Share of National Opioid Settlement funds as they are disbursed, with the goal of reaching $12 million.

To meet this crucial goal the committee has recommended that 25% of all statewide share of Settlement Funds be designated for program sustainability until the goal balance has been retained.

Electing to retain only 25% until the target is met assures that the remaining 75% can be directed to expanding opioid abatement efforts across the state through Community Grants, Overdose Follow-up Programs, and expanded Naloxone Access programs, all while providing some assurance that the treatment, recovery, and prevention systems established and supported through federal funding could continue in the event in the event of funding lapse or change.

2025 Annual Report - South Dakota Opioid Funding 11 The largest portion of funds was directed towards expanding the availability of treatment for Opioid Use Disorder (OUD), similar to the preceding calendar year.

Local governments invested a total of $1,038,964 in this area Localized Share Allocations This funding represents 30% of South Dakota’s total settlement allocation and was distributed directly to participating local governments.

The state’s approach, rooted in the principle that “no two South Dakota communities are the same,” empowered local entities to tailor their responses to their unique needs while adhering to approved uses outlined in the MOA. This report reflects an accounting of all disbursements made in both State Fiscal Year 2023 and State Fiscal Year 2024.

Per the terms of the MOA, Participating Local Governments are required to report expenditure and award data to the Department of Social Services annually by January 31 for the preceding calendar year.

Expenditures are categorized into three main areas - Treatment, Prevention, and Other Strategies - in alignment with the MOA As of the end of calendar year 2024, 40 of the 66 Participating Local Governments reported expenditures or allocations for their opioid settlement funds received.

These local initiatives, supported by the settlement funds, will continue to play a crucial role in South Dakota’s comprehensive strategy to address opioid use and misuse. The ongoing reporting and oversight mechanisms, including annual certification to the Opioid Advisory Committee, ensure transparency and accountability in the use of these resources.

Appendix C features additional information on the Localized Share, the amounts disbursed to each Participating Local Government, and their reported expenditures and awards. For more information, you may find the point of contact for each Participating Local Government at https://dss. sd.

gov/behavioralhealth/grantinfo. aspx.

OTHER STRATEGIES BREAKDOWN (1) Breakdown of Expended And Awarded Funds in CY2024 Disbursement Total > A: $173,038 B: $685,835 > A: Treat Opioid Use Disorder > B: Connect people who need help to the help they need > C: Support people in treatment and recovery, and reduce stigma > D: Address the needs of criminal justice-involved persons Local governments also allocated resources to prevention strategies, with $334,241 invested in evidence-based prevention programs in schools and community education initiatives (CY2023 $126,992).

> G: $193,476 H: $140,765 > G: Prevent misuse of opioids > H: Prevent overdose deaths and other harms An investment of $82,088 was made in other strategies per the approved uses identified in the MOA (CY2023 $27,665).

> J: Leadership Planning & Coordination > (1) No awards or allocations were reported for the following Approved Use > categories per the MOA: Treatment-E, Address the needs of women who are > or may become pregnant; Prevention-F, Prevent over-prescribing and ensure > proper prescribing of opioids; or Other Strategies-L, Research.

Expended and Awarded Total > $0 $1,000,000 $500,000 $1,500,000 > $0 $1,000,000 $500,000 $1,500,000 > $0 $1,000,000 $500,000 $1,500,000 2025 Annual Report - South Dakota Opioid Funding 12 Committee informed the objectives within the plan. The plan was last updated in June 2021.

Several strategies were combined into other initiatives at that time, including exploring the potential for a comprehensive opioid management program within South Dakota Medicaid (now part of strategies 4 and 5) and offering training on available treatment options to jails statewide (now part of strategies 1 and 2). 1.

Promote and provide professional education and training on evidence- based practices for opioid misuse prevention and early intervention. 2. Support continued practice improvement through tools that implement evidence-based care for opioid use disorder such as prescription drug monitoring program 3.

Continue to raise awareness around resources and information available through community-based prevention and media strategies that address the risks associated with opioid misuse. 4. Enhance supports for alternative pain management strategies through expanded partnerships and awareness 5.

Support awareness of and access to Medications for Opioid Use Disorder and recovery supports through continued training and education, enhanced referral systems, linkages to care, connection to resources, and treatment cost 6. Improve treatment engagement and retention through care coordination and follow-up services, peer and family support services, recovery housing, case management, and other recovery support services. 7.

Increase access to safe medication storage and disposal through drug take-back programs and at-home medication storage and disposal. 8. Enhance overdose education and naloxone distribution across South Dakota through expanded training and continued coordinated about specific projects at https://letsbeclearsd.

com/about. 2025 Annual Report - South Dakota Opioid Funding 13 Federal opioid funding has been utilized to provide cost assistance as a payer of last resort for South Dakotans experiencing opioid or stimulant use disorder-related diagnoses through both treatment and recovery support services.

Client outcome data was collected through administration of the Center for Substance Abuse Treatment Government Performance and Results Act (GPRA) Client Outcome Measures for Discretionary Programs Tool during this reporting period.

The client-level tool collects information on substance use history, employment/ education status, criminal justice involvement, social connectedness, health/behavioral/social consequences, and housing stability. The tool is administered through an interview between provider and patient at the point of intake (start of services), at follow-up (six months later), and again at discharge from services.

Defined as having a permanent place to live in the community > Total matched records = 1,045 > (2) Reflects client level outcome data as reported through SAMHSA’s Performance Accountability and Reporting System (SPARS) associated with individuals receiving State > Opioid Response-funded treatment cost assistance between the period of October 2022 and September 2025 who responded to the interview questions at both intake and > follow-up.

Individuals who refused the questionnaire or did not answer the question, and those that participated in just the intake tool, were not included in this analysis.

Employed or attending school > Total matched records = 1,083 Report some alcohol or illegal drug use in the past 30 days > Total matched records = 1,150 > Total matched records = 1,045 A second client-level outcome tool, developed in FFY24 by the SD State Opioid Response team, is utilized among SOR-contracted providers in treatment and recovery support services to gain additional insight into the impact of services provided.

The short, confidential, de-identified survey asks individuals about their perceptions of care and the impact the program(s) they are participating in are having on their personal recovery. The tool is offered to individuals on a quarterly basis.

> of clients strongly agree or > agree they are satisfied with > the care they receive from > of clients strongly agree or > agree that receiving services > has limited their legal issues > with police and the criminal > of clients say they are > currently meeting their > personal goals for reducing > their quality of life to a > return to use in the last CLIENT-LEVEL IMPACTS: SOR-FUNDED TREATMENT AND RECOVERY SERVICES PERCEPTIONS BETWEEN APRIL 2024 - SEPTEMBER 2025 MATCHED INTAKES BETWEEN OCTOBER 2022 - SEPTEMBER 2025 2025 Annual Report - South Dakota Opioid Funding 14 “This mom connected with ReNew’s Women’s Advocates three and a half years ago while in jail, beginning a transformative journey through addiction recovery and parenthood.

After losing custody of her first son due to her struggles with substance use, she committed to change and began building a support system through ReNew’s programs while living at One Heart Campus. She regained custody of her first son just before giving birth to her second and later reunited with her partner when he was released from prison, with both committing to recovery and parenting goals together.

The couple now has three children, including a daughter born in July 2024, and has maintained their recovery while being gainfully employed, attending church, and actively engaging in parenting education. Their dedication to forming strong bonds with all their children, including those they reunited with, demonstrates their commitment to breaking generational cycles and providing a stable, loving home. ” prison as his only future.

Project Recovery gave him a completely new outlook, update, he maintained one continuous year of sobriety, looking “SO MUCH better. ” “This client started MOUD while in the inpatient program, and has achieved nearly seven months of recovery, his most voluntary sober time ever.

Previously a heavy polysubstance user who nearly died from withdrawal complications, he now supports his wife in her recovery journey (she started MOUD in July) and has set a goal to become an addiction counselor, exploring peer support as a pathway.

His transformation from life-threatening addiction to supporting others represents the powerful cycle of recovery, giving “A woman entered recovery housing struggling with years of heroin addiction that had cost her custody of her two sons and led to criminal activity with her