G: Linkage Between RISE Goals, Root Causes of Opioid Crisis, Opioid Ecosystem, & the SOAP
The goals and approved uses of the Opioid Settlement Agreement overlap and support the vision for the Illinois Opioid Remediation Trust Fund, listed in the chart below.
| RISE Goal |
Root Cause |
Ecosystem Component |
SOAP Priorities |
| Relieve multi-generational harms |
The War on Drugs and it Impact: Discriminatory drug policies, such as the disparity in sentencing for cocaine and crack cocaine possession, have led to the mass incarceration of Black and Hispanic individuals. |
Criminal Legal System |
Justice-Involved Populations and Public Safety |
| Relieve multi-generational harms |
Vulnerable Populations and Disparities: A lack of the 4Ss (safety, security, stability, and survival) are associated with health and social consequences. |
Child Welfare
Employment
Education
|
Social Equity |
| Relieve multi-generational harms |
Personal and Generational Trauma, is strongly associated with SUD risk. |
Employment |
Social Equity |
| Increase access to harm reduction services |
Racial Disparities in Overdose Deaths: Since 2015, the overdose death rate among Black men has risen 213%. |
First Responders
Harm Reduction
|
Harm Reduction |
| Support treatment and prevention services |
The Evolving Substance Use Landscape: Due to historical heroin use and systemic racism, Black individuals have been more likely to be exposed to fentanyl-laced heroin. |
Illegal Supply and Supply Control |
Prevention |
| Support treatment and prevention services |
The Role of Fentanyl: Illicit fentanyl, produced and trafficked by cartels, has exacerbated the opioid crisis, leading to a surge in overdose deaths. |
Substance Use Disorder Treatment |
Treatment and Recovery |
| Support treatment and prevention services |
COVID exacerbated the impact of all the root causes noted here especially with Black individuals across the state and country. |
Medical Care
Education
|
Treatment and Recovery
Prevention
|
| Enhance access to recovery supports |
Individual Vulnerabilities: Social determinants of health, such as poverty, unemployment, and lack of access to healthcare, are linked to increased SUD risk. |
Income Support and Homeless Services |
Treatment and Recovery |
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