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Substance Use Disorder

Single white dogwood flower with green leaves poking out form behind,
More than 50,000 people in WNC struggle with Substance Use Disorder and almost half (47.4%) of adults living in the region report that their lives have been negatively affected by substance misuse (by self or someone else). Overdoses claim the lives of more than 200 WNC residents annually. 
Upon its creation, Dogwood Health Trust committed to providing $5 million per year for five years for the purpose of funding programs and services dedicated to addressing substance use disorder for residents of Western North Carolina in conjunction with programs of the North Carolina Department of Health and Human Services. In 2020, Dogwood granted $5 million in work to address substance use disorder in 18 counties and the Qualla Boundary in WNC. By targeting opportunities already based within these counties and supporting work that is locally driven, we are seeing early wins. 


 $5 million per year


  • Increase access to behavioral health and substance use prevention and treatment services. 


  • Reduce opioid overdose mortality throughout the region
  • Reduce untreated behavioral health and substance use disorder in populations that have been disproportionately impacted due to disparities such as systemic racism, lack of equitable access, etc.
  • Prevent and reduce behavioral health issues and substance use (tobacco, alcohol, illicit and prescription drugs) in youth ages 3-18 throughout WNC


Estimated Annual Deaths Avoided




Counties Served by Grantee Program

in 2020

60 Goal

$5M Goal

18 Goal


Dogwood Health Trust is requesting proposals from counties, municipalities, or the Eastern Band of Cherokee Indians located in our 18- county service region in Western North Carolina, including the Qualla Boundary, that would like to conduct opioid-related collaborative planning in their communities in advance of the distribution of proceeds from the historic $26 billion national opioid settlement agreement announced on July 21, 2021.

Dogwood Health Trust awarded $5 million in Substance Use Disorder (SUD) grants in 2020.