The history of All4Knox begins in 2018 under the direction of Knox County Mayor Glenn Jacobs and former City of Knoxville Mayor Madeline Rogero. Leaders from the city, county, Metro Drug Coalition, Knox County Health Department, and District Attorney General's Office began meeting to discuss the ways in which they and other agencies could more effectively respond to the opioid epidemic and save lives. These conversations led to the 2018 Mayors' Community Summit: A Community Discussion on Substance Misuse. It became clear that there were many who were already working towards positive change, and just as many that felt their efforts existed in silos. They were operating independently from each other despite their commonly held goal. A framework was needed to organize the multitude of prevention, treatment, and recovery services.
Launched in the summer of 2019, All4Knox was formed with the purpose of streamlining the existing substance misuse response work and creating a cohesive, strategic, multi-sector effort. Organizations and community partners from across the county serve as members of All4Knox through its Implementation Teams, and/or the Overdose Fatality Review Team. From healthcare and recovery housing to the justice system and non-profit organizations: all are impacted by substance misuse, all are needed at the table.
Substance misuse is a community issue. Be part of the solution. Be All4Knox.
See what's coming up — click here to check out our event calendar.
All4Knox is guided by three-year strategi plans that bring our community together to reduce substance misuse and strengthen support for individuals and families. Our first plan (2020-2023) was shaped with guidance from the Substance Abuse and Mental Health Services Administration (SAMHSA) and gathered input from nine community sectors to set shared priorities. Building on that foundation, our new All4Knox Strategic Plan (2025-2027) was developed by the All4Knox implementation teams to identify next steps in prevention, treatment, recovery, and wrap-around supports. Together, these plans show how Knox County is working to create meaningful and sustainable progress.
All4Knox meetings are open to the public. If you plan to attend, please register by contacting us or by clicking, Get Involved.
The Overdose Fatality Review (OFR) Team is a multi-sector team with representatives from criminal justice, healthcare, the medical examiner's office, and other community partners. It meets every month to conduct confidential individual case reviews of overdose deaths, identify trends in overdose fatalities, and produce potential overdose response strategies.
The Knox County OFR Team has reconvened and is meeting monthly for case reviews. For more information, contact the OFR Team Facilitator, Ryan Hood at Ryan.Hood@knoxcounty.org.