The purpose of this Needs Assessment is to inform the Statewide Plan that will address opioid misuse and OUDs in the State. Per SB 390, the Needs Assessment must use qualitative and quantitative data as well as evidenced-based practices to determine the gaps and recommendations. Nevada is also responsible for ensuring a full and accurate reporting of all opioid litigation and settlement dollars for all programs across the State, including reporting from county and local entities. DHHS provided key seminal reports to Mercer with information pertaining to the opioid-related issues, needs, and conditions in Nevada. These documents provided key information on the following:
• Persons and families impacted by the use of opioids and other substances
• Providers of treatment for OUDs and other SUDs
• SUD prevention coalitions
• Communities of persons in recovery from OUD and other SUDs
• Providers of services to reduce the harm caused by OUDs and other SUDs
• Persons involved in the child welfare system
• Providers of social services
• Faith-based organizations
• Providers of healthcare and entities that provide health care services
• Members of diverse communities disproportionately impacted by opioid use and OUDs

Over 30 reports were provided and reviewed by Mercer. A full list of reports can be found in Appendix A. Mercer reviewed all reports to pull key information and data for analysis and synthesis to prepare this report. Mercer presented early concepts and draft outlines of the Needs Assessment to both the ACRN and SURG subcommittees for feedback. Mercer also met with various stakeholders for further discussion of available reports and data.