Looking ahead, the survey report indicates Orange County officials will need to strengthen the infrastructure that supports prevention, harm reduction, access to care, and long-term recovery. This includes increasing funding for a redesigned response aligned with community-identified priorities; expanding education and public awareness initiatives; and improving access to a comprehensive set of supports—from Naloxone distribution and mental health services to stronger referral pathways with regional treatment providers. These recommendations aim to build upon existing strengths, improve information flow between systems and residents, and address key barriers with practical, sustainable, and compassionate strategies. Last fall, the Orange County Epidemic Intelligence Council (EpIC) conducted a community survey to help evaluate service barriers, awareness gaps, and ways to take action in response to opioid misuse. Following evaluation, staff reported on key findings to the Board of Supervisors at their April 28 meeting. The data provides a valuable window into the intersection of national trends and local realities. Community members recognized recent progress, expanded public awareness, increased Naloxone distribution, strengthened harm-reduction activities, and growing engagement across neighborhoods, agencies, and partner organizations. At the same time, residents identified persistent challenges: limited pathways to mental and behavioral healthcare, inconsistent access to treatment, transportation barriers, and the continued influence of stigma on help-seeking behaviors. Participants emphasized the need for stronger education and outreach efforts, more accessible and affordable services, and a coordinated, person-centered system of care that addresses interconnected needs such as mental health support, stable housing, family involvement, and recovery-friendly environments. Peer support and social connection were repeatedly highlighted as essential, creating spaces where people feel understood, welcomed, and supported without judgment. EpIC Survey Helps Identify Priority Actions for Opioid Response Adapted from the Orange County Opioids Crisis Community Needs & Strategic Pathways Report by Dr. Laura Mahan, Opioid Response Program Coordinator, Orange County Administration and Dr. Mathieu Bere, Faculty Affiliate, George Mason University
1. Redirect and increase funding to build a redesigned opioid response aligned with community-identified needs. 2. Strengthen countywide education and awareness efforts so residents know what services exist and how to access them. 3. Improve accessibility to Naloxone and expand treatment options, ensuring timely, affordable, and local pathways to care. 4. Invest in peer support and recovery networks, recognizing the essential role of lived experience in reducing stigma and building trust. 5. Address transportation barriers that prevent people from reaching treatment, services, and recovery supports. 6. Activate community willingness to engage by creating clear, accessible opportunities for involvement. 7. Integrate mental health care across all stages of prevention, treatment, and recovery.
Together, these priorities outline a path toward a more coordinated, community-driven response that matches the urgency of the crisis with the strength and resilience of the people who call Orange County home. Those in need should know resources are available. The Interactive Opioid Response Map is a keystone product of EpIC’s efforts in partnership with Orange County GIS. Those currently in crisis should dial 988 to reach the 988 Suicide & Crisis Lifeline, a 24/7/365 confidential resource. 21 OCI May 2026
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