COLORADO REGION 5 OPIOID ABATEMENT COUNCIL

Quarterly Progress Report | Strategic Plan Years 1-2

Reporting Period: 4/1/24-6/30/24

Region 5 Fiscal Agent:

Eagle County Public Health & Environment

Name and Contact of Individual Preparing Report:

Karina Schorr | Region 5 Opioid Abatement Council Coordinator, ECPHE | karina.schorr@eaglecounty.us | 970-328-9811

1. Overview

Project Accomplishments

The first 2024 Council meeting occurred on Wednesday, April 10th from 9 am - 11:30 am. Notes, outcomes from the Vision for Change Activity, and other relevant materials can be found in this folder: April 10th, 2024 Meeting

  • Agenda for this meeting:

    • Contractor Updates

      • Effct, High Rockies Harm Reduction, and OMNI all gave brief presentations on their work since contract execution in the Fall of 2023. Council members were given time to ask questions.

    • Vision for Change Activity

      • In this activity, designed to help guide future planning efforts, Council membres submitted answers to the following questions:

        • What do you hope we will be able to see in 2 years if we are successful (with opioid and substance use in general)?

        • What do you hope we will be able to see in 15 years if we are successful (with opioid and substance use abatement in general)?

        • What steps can we take to move towards that vision?

        • What values in contributing to opioid/substance use abatement are important to you?

      • After the activity, Council members were asked to reflect on their responses and whether we still feel aligned with planning efforts in 2022. Priorities from those sessions are below:

        • Harm Reduction

        • Stigma Reduction and Campaign

        • Regional Data Dashboards

        • Education campaign for youth

        • Recovery Community Organization

        • Regional Strategic Plan/Regional Needs Assessment

        • Mental Health Navigator

        • Provider trainings for workforce development

    • Strategic Planning & Next Steps

      • What to do with extra 2022-2024 funds?

        • As Region 5 continued to claim settlement funds in 2023 with no structure for continued prioritization, excess funding totaled $1.26 million in the beginning of 2024. In the April 10th Council meeting, attendees voted on options of how to use unallocated dollars as we approach the end of this current Strategic Plan. The following options were put to a vote:

          • Amend/expand existing contracts

          • Develop a mini-grant program or otherwise award funds to additional organizations

          • Leave the funds alone and roll everything into the 2025-2027 Strategic Plan period

        • Council members in attendance voted in favor of the first two options. In the following week Karina Schorr reached out to the Region 5 voting members to gather formal support for a workgroup to develop funding recommendations. The support for this workgroup was unanimous, and a budget for spending was set at $400,000, roughly one-third of the available funds.

      • Timeline for next Strategic Plan Submission

        • Given the Council’s support in pushing out excess funds before the end of 2024 attendees agreed to wait until March 2025 to submit the next Strategic Plan.

        • The next Council meeting was set for October 9th, 2024.

    • Elect co-chair

      • For this item Council members were asked to self-nominate if they were interested in filling this vacant position. No volunteers emerged, the position remains open and we will continue to look for candidates.

Unallocated Funding Workgroup

  • Per the discussion and consensus from the April Council meeting, a new Workgroup was formed with the purpose of pushing out a maximum of $400,000 in funds. Agendas, notes and proposals can be found in this folder: Unallocated Funding Workgroup

  • Requested vs Approved Funds to date:

    • Existing Contract Amendments

      • The OMNI Institute

        • Approved funding request: $7,500

          • Purpose: Support Spanish translation of the data dashboard

      • Effct LLC

        • Approved funding request: $18,100

          • Purpose: Printing and Distribution of campaign materials

        • Rejected funding request: $7,410

          • Duplication of social media channels into Spanish-specific pages

            • Notes: All campaign materials are available in Spanish and English. The workgroup did not see the value in spending the extra funds in duplicating existing channels when current pages are bilingual. The contractor was asked if they would be willing to conduct additional engagement with Spanish-speaking community members to see if the campaign content resonates with that population.

      • High Rockies Harm Reduction

        • Approved funding request: $88,897.28

          • Purpose: Vehicle maintenance, technology purchase for data collection, staffing support through end of contract period, indirect costs for contractor’s fiscal agent

    • Detention Center MAT funding

      • Garfield County Sheriff’s Office

        • Approved funding request: $38,400

          • Purpose: Provide long-acting injectable MAT for inmates

      • Summit County Sheriff’s Office

        • Approved funding request: $56,232.80

          • Purpose: Fill funding gap for STARR program which provides long-acting injectable MAT for inmates

      • Lake County Sheriff's Office

        • Approved funding request: $5,500

          • Purpose: Fund estimated 2024 medical need for inmates with substance use disorder.

      • Notes: The Eagle and Pitkin County detention centers declined to submit proposals.

        Total Approved Funds to Date: $214,164.00

  • Pending Requests

    • Mind Springs Health

      • Amount requested: $214,650.00

      • Purpose: Close the capital gap for Mind Springs’ new Medical Withdrawal Management facility in Glenwood Springs.

      • Mind Springs presented to the Workgroup on June 24th about the new detox facility that will serve the region. In a follow-up meeting on July 8th, workgroup members voted to recommend that the remaining workgroup budget be awarded to Mind Springs, a total of $185,836.00.

      • At the submission of this report, the work group's recommendation has been communicated to the Region 5 voting members. Funding is not formally approved until the voting members issue their support.

        • Voting members have been asked to submit any additional questions for Mind Springs and identify potential contract stipulations they would like to see included in an agreement. Eagle County, as fiscal agent, and Jarid Rollins, Region 5 Co-Chair, will be initiating contract negotiations in the following reporting period.

Challenges & Barriers

One Co-Chair position remains empty, Jarid Rollins occupying the other. As Rollins is a Licensed Social Worker in Garfield County, the ideal candidate for the other Co-Chair would be a Council member in a governmental position. At this time the vacancy is not a significant challenge, but filling the position will be an asset as we begin developing the 2025-2027 Strategic Plan process later this year.

Council Changes

Lake County Commissioner Hal Edwards has taken over the voting member position for Lake County. The position was previously occupied by Kayla Marcella, who stepped down from the Commissioner seat earlier in 2024.

Garfield County voting member County Commissioner Tom Jankovsky has returned from medical leave but has indicated that he wishes to continue deferring to Garfield County’s proxy voting member. Mason Hohstadt, Garfield County Public Health, is currently acting as the proxy voting member for Garfield County. It is not clear at this time whether the Council will need to identify a replacement voting member.

4 new Council members were on boarded during this reporting period:

  • Dustin Straight - Revolution Recovery Services, Eagle County

  • Julia Johannesen - Lake County Public Health, Lake County

  • Kelsy Maxie - Lake County Public Health, Lake County

  • Angilina Taylor - HeadQuarters, Pitkin County

2. Contractor Progress & Outcomes

Anti-Stigma & Education Campaign | Effct LLC

Deliverable Status

  • Effct’s Work Plan, with notes, status updates, and links to relevant documents can be found in this Google Sheets document: R5COAC Work Plan/Contractor Scope Tracking

  • All deliverables are currently on schedule.

Data Gathered/Reach

  • In this reporting period the Community Compass campaign began pushing content out to community members in all 5 counties of Region 5. Traffic data in this quarter:

    • 168,536 people reached on Facebook and Instagram

    • 727,892 impressions on Facebook and Instagram (the number of times ads/posts appeared in someone’s feed)

    • 3,705 link clicks on Facebook and Instagram

    • 24,322 post engagements on Facebook and Instagram (likes, comments, shares, etc)

    • 1,242 unique visitors to communitycompass.co website

    • 1,593 sessions on communitycompass.co website

    • Total population in Region 5 (according to 2020 Census): 173,265

  • During the July 12th Workgroup meeting, Council members indicated interest in seeing geographical engagement data (where within/outside of the Region community is interacting with the campaign the most/least) and most visited pages on the Community Compass website. This data will be included in future reports.

Accomplishments

  • In this quarter the Community Compass (CC) published its first public social media

    posts. Content featured on social media is also populated onto the CC website. All

    content is posted on social media in English and Spanish. Website can be switched

    back and forth between English and Spanish.

    • Content featured this quarter:

      • April 17th - CC Mission Statement April 26th - CC “What We Do”

      • May 13th - Resource Feature: High Rockies Harm Reduction

      • May 22nd - Educational Material: “What is harm reduction?”

      • May 28th - Community Member Highlight: Maggie Seldeen

      • June 6th - Video: How to find resources on CC website

      • June 18th - Educational Material: “What is peer recovery?”

      • June 25th - Resource Connection: Peer Support near you

    • Upcoming Topics

      • July 2024 - Peer Recovery

      • August 2024 - Understanding Substance Use Disorder

      • September 2024 - Medication Assisted Treatment

      • October 2024 - Naloxone

  • In this reporting period Effct was approved for extra funding to take the lead on the printing and dissemination of physical campaign materials. The previous version of Effct’s work plan relied on Council members to print and distribute brochures and flyers using files provided by the contractor. This funding relieves Council and Workgroup members capacity and strengthens Effct’s relationships with regional stakeholders.

Challenges/Barriers/Changes

  • In the following reporting period Effct intends to conduct a series of community member interviews across Region 5. Identifying and contacting individuals in recovery willing to share their story in such a public manner is a slow process. Workgroup members spent time during the July 12th meeting brainstorming organizations that may already have relationships with such individuals and will conduct outreach in the following quarter.

Harm Reduction | High Rockies Harm Reduction

Deliverable Status

  • High Rockies Harm Reduction’s Work Plan, with notes, status updates, and links to relevant documents can be found in this Google Sheets document: R5COAC Work Plan/Contractor Scope Tracking

  • All deliverables are currently on schedule.

Data Gathered/Reach

  • Between April 1, 2024 and June 30, 2024, High Rockies Harm Reduction delivered 19 service events across Region 5, A full breakdown of supplies distributed per event can be found in this document: HRHR 2024 Q2 DATA.pdf

  • April Events

  • 4/5/24 - Apres Concert, Vail, Eagle County

  • Participants: Not tracked, large-scale event

  • 4/6/24 - Apres Concert, Vail, Eagle County

  • Participants: Not tracked, large-scale event

  • 4/12/24 - 3rd Street, Carbondale, Garfield County

  • Participants: 4

  • 4/26/24 - Colorado Mountain College & Transit Center, Summit County

  • Participants: 3

  • May Events:

    • 5/1/24 - Eagle Valley High School Safety Fair, Eagle County

      • Participants: Not tracked, large-scale event

    • 5/2/24 - Battle Mountain High School Safety Fair, Eagle County

      • Participants: Not tracked, large-scale event

    • 5/2/24 - The Pad event, Beauty Rehab, Silverthorne, Summit County

      • Participants: Not tracked, large-scale event

    • 5/10/24 - Mid Valley Family Practice, Basalt, Eagle County (Roaring Fork side)

      • Participants: 1

    • 5/10/24 - 3rd Street, Carbondale, Garfield County

      • Participants: 3

  • June Events:

    • 6/5/24 - Momenta Recovery Staff, Glenwood Springs, Garfield County

      • Participants: Not tracked, large-scale event

    • 6/7/24 - First Friday, Carbondale, Garfield County

      • Participants: Not tracked, large-scale event

    • 6/9/24 - A Spiritual Center, Carbondale, Garfield County

      • Participants:

    • 6/13/24 - HHS Building/Buttermilk, Aspen, Pitkin County

      • Participants: 7

    • 6/14/24 - Mountain Valley Family Practice, Basalt, Eagle County (Roaring Fork side)

      • Participants: 2

    • 6/14/24 - 3rd Street, Carbondale, Garfield County

      • Participants: 1

    • 6/15/24 - Pride Event, Leadville, Lake County

      • Participants: Not tracked, large-scale event

    • 6/15/24 - Pride Event, Glenwood Springs, Garfield County

      • Participants: Not tracked, large-scale event

    • 6/22/24 - Library, Leadville, Lake County

      • Participants: 5

    • 6/28/24 - Transit Center, Frisco, Summit County

      • Participants: 1

  • During these events High Rockies Harm Reduction distributed the following supplies:

    • Narcan (two doses per box): 171

    • Kloxxado (two doses per box): 238

    • Intramuscular Naloxone: 0

    • Fentanyl Test Strips: 799

    • Condoms: 288

    • Sterile Snorting Kits: 17

Accomplishments

  • High Rockies Harm Reduction has established a monthly schedule of providing services in each county per the Work Plan. Each service day (except for Lake County) aims to be set up in two locations; the daytime service located in an area close to employment centers (town centers/close to ski mountains), and afternoon services located closer to workforce housing.

    • Pitkin County

      • 2nd Thursday of each month

      • 12 pm - 2 pm, Pitkin County Health & Human Services, Aspen

      • 4 pm - 6 pm, Buttermilk RFTA bus stop, Aspen

    • Garfield County

      • 2nd Fridays of each month

        • 12 pm - 2 pm, MidValley Family Practice, Basalt

        • 4 pm - 6 pm, Third St Center, Carbondale

    • Eagle County

      • 4th Thursday of each month

        • 12 pm - 2 pm, Vail Health, Eagle

        • 4 pm - 6 pm, Eagle County Paramedics Services, Edwards

    • Summit County

      • 4th Friday of each month

        • 12 pm - 2 pm, Colorado Mountain College, Breckenridge

        • 4 pm - 6 pm, Frisco Transfer Center, Frisco

    • Lake County

      • 4th Saturday of each month

        • 12 pm - 4 pm, Leadville Library

  • High Rockies Harm Reduction has received a used ambulance from Eagle County Paramedics. This vehicle, with its bay and built in storage, is uniquely suited for delivering services. A question remains about yearly maintenance costs but the group will monitor services. An initial budget for maintenance has been approved for $10,000 for the remainder of the contract period.

    • Obtaining the ambulance was a very difficult process; High Rockies Harm Reduction’s fiscal agent, the Colorado Nonprofit Development Center (CNDC), required the ambulance to be emissions tested before it could be registered. As no counties or municipalities on the Western Slope require emissions testing, the ambulance needed to get to Denver to complete the test. However, Eagle County Paramedics were not able to release the ambulance without it being registered, resulting in a near failure to obtain the vehicle. Eventually, CNDC agreed to waive the emissions requirement for a short period of time so that HRHR could get the ambulance to Denver.

  • Additional funding to support the High Rockies Harm Reduction contract has been approved by the Council. The amendments have been passed to the Eagle County attorney’s office, we anticipate that the changes will be adopted in the following reporting period. A miscommunication in the initial contract amount between Region 5 and the contractor would have left no funding available to High Rockies Harm Reduction for the final 8 months of their contract. These funds were reviewed and approved by the Unallocated Funding Workgroup and voting members. A breakdown in funding is below:

    • Personnel Support: $66,800

    • Technology purchase for data collection: $500

    • Vehicle Maintenance: $10,000

    • Indirect for HRHR fiscal agent: $11,597.28

Challenges/Barriers/Changes

  • Although services are being delivered in every county each month, there are no services in Western Garfield county. The Harm Reduction workgroup is brainstorming

    locations in Rifle, Silt, and Parachute to potentially add to future schedules.

  • The lack of a reliable vehicle has put a strain on HRHR in delivering services. While HRHR met their requirement of delivering at least one service per month in each

    county, having access to the ambulance will greatly aid staff in the following reporting period as we move towards the goal of weekly services.

  • Locations in Eagle County have not attracted much foot traffic so far. The group will continue to identify and connect with community partners to find ideal service areas.

  • Peer Support Specialist recruitment has proven to be a more difficult process than anticipated. In the new funding request, personnel compensation was increased from $20/hr to $25/hr to attract more candidates.

Data Dashboard | The OMNI Institute

Deliverable Status

Data Gathered/Reach

  • OMNI is currently in the process of collecting data for the dashboard. These efforts will include accessing publicly available data and establishing connections with the holders of privately owned data as well

    • Access to specific indicators is indicated below. Data Obtained - Data being transferred - Data Requested - Data Source not Identified/unsure about access:

    • Domain Name: Outcomes

      • Opioid Use - 4 indicators awaiting transfer from HKCS

      • Overdose Data - 14 indicators requested from Vital Statistics Program that we are certain we will be able to get

      • Overdose Data - 34 indicators requested from CO Hospital Association that we are certain we will be able to get, 1 indicator that we are unsure about being able to obtain

      • Overdose Data - 3 indicators downloaded from CDC

    • Domain Name: Strategies/Interventions

      • Harm Reduction: 7 indicators on HRHR's activities and reach - pending transfer

      • Treatment Access: 1 indicator downloaded by BRFSS

      • Treatment Access: 1 indicator requested from CO Health Access survey, uncertain whether we will be able to get county-level/regional data

      • Anti-Stigma Campaign Metrics: 20 indicators downloaded from Effct

    • Domain Name: Upstream/Risk/Protective Factors

      • Alcohol and Other Drug Use: 7 indicators from HKCS that we are certain we will be able to get

      • Availability of Treatment and Recovery Services: 12 indicators downloaded from SAMHSA

      • Demographic Data - 24 indicators downloaded from Census

      • Demographic Data - 1 indicator downloaded from HUD

      • Ease of Access - 1 indicator from HKCS that we are certain we will be able to get

      • Mental Health - 13 indicators from HKCS that we are certain we will be able to get

      • Mental Health Risk and Protective Factors: 1 indicator downloaded from CBP 2021

      • Mental Health Risk and Protective Factors: 6 indicators downloaded from CDC BRFSS

      • Mental Health Risk and Protective Factors: 1 indicator downloaded from CDC WONDER

      • Mental Health Risk and Protective Factors: 3 indicators downloaded from Colorado Health Association

      • Mental Health Risk and Protective Factors: 2 indicators downloaded from NPPES NPI 2023

      • Mental Health Risk and Protective Factors: 2 indicator downloaded from Census

      • Mental Health Risk and Protective Factors: 1 indicator downloaded from CO Violent Deaths

      • Mental Health Risk and Protective Factors: 1 indicator downloaded from Vital Statistics Program

      • Mental Health Risk and Protective Factors: 6 indicators requested from CO Health Access survey, uncertain whether we will be able to get county-level/regional data

      • Opioid Prescription Data: 1 indicator requested from CDPHE that we are certain we will be able to get

      • Opioid Prescription Data: 2 indicators downloaded from CMS

      • Opioid Prescription Data: 1 indicator downloaded from CDC NCIPC

      • Opioid Prescription Data: 3 indicators requested from PMPD/CDPHE, uncertain whether we will be able to get county-level/regional data

      • Prevalence of Alcohol and Drugs, Other than Opioids: 1 indicator downloaded from CDPHE

      • Prevalence of Alcohol and Drugs, Other than Opioids: 1 indicator downloaded from CDC BRFSS

      • Prevalence of Alcohol and Drugs, Other than Opioids: 6 indicators downloaded from CDPHE

      • Social Determinants of Health (SDoH) Factors: 1 indicator downloaded, 1 indicator pending/unsure whether we can get from American Community Survey

      • SDoH Factors: 1 indicator downloaded from BLS LAUS

      • SDoH Factors: 1 indicator downloaded from CBP 2021

      • SDoH Factors: 1 indicator downloaded from CDC

      • SDoH Factors: 7 indicators downloaded from HUD

      • SDoH Factors: 2 indicators downloaded from LODES

      • SDoH Factors: 1 indicator downloaded from County Health Rankings

      • SDoH Factors: 23 indicators downloaded from Census

      • SDoH Factors: 2 indicators downloaded from USDA

      • SDoH Factors: 1 indicator requested from CO Health Access survey, uncertain whether we will be able to get county-level/regional data

      • Youth perceptions: 5 indicators requested from HKCS that we are certain we can get

    • Next steps:

      • Investigate ability to obtain county-level data from National Survey on Drug Use and Health, Colorado Crime Stats, and Uniform Crime Reports data

      • If major/important gaps remain, reach out to Region 5 partners named by council members for additional data collected by county agencies to determine whether consistent data is being collected across all R5 counties

      • Prioritize indicators to be included in dashboard based on strategic plan document, the narrative that we are telling about Region 5, and capacity/capabilities of Tableau

Accomplishments

  • Funding that will support the translation of the dashboard into Spanish was approved during this reporting period.

Challenges/Barriers/Changes

  • While OMNI has already obtained or is in the process of obtaining the majority of the data for the dashboard, some gaps in access remain. The Data Dashboard workgroup will convene and brainstorm potential solutions when OMNI has completed its current processes.

3. Financial Status

R5OAC Funding Tracker Awarded vs Received and Allocated

TOTAL AWARDED AMOUNT: $ 1,969,422.41

Total Allocated Funds per Priority

  • Harm Reduction - High Rockies Harm Reduction: $188,897.28

  • Prevention/Education: $425,600

    • Data Dashboard - OMNI: $107,500

    • Anti-Stigma/Education Campaign - Effct LLC: $318,100

  • Treatment - Regional Detention Centers: $100,132.80

    • Garfield County: $38,400

    • Lake County: $5,500

    • Summit County: $56,232.80

  • Administrative: $206,000

    • Infrastructure Grant (supports Karina Schorr’s position): $150,000

    • Administrative Costs (to support Chelsea Carnaoli’s contributions in 2023): $56,000

  • Unallocated Funds: $1,048,792.33

    • Recovery Services - General: $294,404.38

    • School Based Programs: $284,840.25

    • Treatment - General: $569,547.70

Expenses

Total Expenses to Date: $337,00.52

4/01/24-6/30/24 Expenses: $69,997.88

  • High Rockies Harm Reduction

    • Invoice amount: $20,000

    • Submitted6/01/24

    • Description: FTE Peer Support Specialist Salary for June, July & August, Additional Peer Support Specialist Salary fund for Summit/Eagle/Lake recruit, Fiscal Sponsor Indirect Rate & Admin Costs

    • Notes: The Eagle/Lake/Summit Peer Support Salary recruit item was approved by the Harm Reduction Workgroup on May 31st, 2024

  • The OMNI Institute

    • Total invoice amount: $12,497.88 ($4,165.96 x 3)

    • Submitted: 4/31/24, 5/31/24, 6/30/24

    • Description: Regular monthly invoicing for Q2

  • Effct

    • Invoice amount: $37,500

    • Submitted: 4/03/24

    • Description: Regular quarterly invoicing for Effct contract FY1Q2

4. Sustainability

Strategic Planning Years 3-5

During the April 10th Council meeting attendees identified intended outcomes at 2 and 15 years as a result of this funding. These outcomes will help guide the Strategic Planning process the group will begin in the fall for funding prioritization from 2025-2027. A full process has not been developed at this point.

  • Although the CO Attorney General’s office only requires Strategic Plans be submitted every 2 years, there is growing practice and conversation from other regions about wanting to establish plans for 3-5 years. Given the sustainability of funding available to the region, we will be asking the Region 5 Council to consider priorities beyond 2025-2027.

The Colorado Attorney General’s office is transitioning to a new Approved Purpose document. The new document is referred to as Exhibit E. In a recent meeting with the CO AG’s Opioid Team an overview of the differences between the initial Approved Purpose document (Exhibit A) was addressed. Exhibit E does not disqualify any Approved Purposes identified in Exhibit A, but does provide more specificity and guidance for aligned strategies. At this point we do not anticipate any negative impact in this transition.

Community Based Partnerships

During this quarter the Region 5 Council provided a letter of support to Recovery Resources, which operates in Summit and Pitkin counties. The letter was unanimously supported by voting members for Recovery Resource’s application to Region 3 (Weld County) to support the SUD services the Summit County location provides to Region 3 residents.

During this reporting period several organizations reached out to Karina Schorr to inquire about funding availability. Running notes for these types of outreach are being tracked in this document Community Org Outreach Notes - R5OAC

  • The Buddy Program, Roaring Fork Valley

    • The Buddy Program operates from Aspen to Glenwood Springs and connects adult mentors to youth as well as peer to peer youth programs in 4 Roaring Fork area schools. They currently receive tobacco and marijuana funding as a prevention program.

  • Antelope Recovery

    • Antelope Recovery is based in the Denver-metro area and provides remote IOP behavioral health services for youth. They are currently working with other organizations in Region 5, including Summit SmartTeam, YouthZone, and Mountain Strong.

  • Goldfinch Health

    • This organization does not currently operate in Colorado, but has received opioid settlement funding from Iowa and Tennessee to provide support for surgery patients and surgery centers. Services include provider prescribing practice training and patient recovery navigation, and non-opioid pain management advocacy.

Funding Prioritization

The only change to funding prioritization in this period was the inclusion of County Detention Centers in the Strategic Plan.

  • These agreements align with the Exhibit E Approved Purpose of Schedule A F.1 TREATMENT FOR INCARCERATED POPULATIONS - Provide evidence based treatment and recovery support, including MAT for persons with OUD and co-occurring SUD/MH disorders within and transitioning out of the criminal justice system; and F.2 Increase funding for jails to provide treatment to inmates with OUD.

Other funding allocated to current contractors aligns with the Strategic Plan and Approved Purposes as it is currently written.

5. Successes and Lessons Learned

Successes

The Resource E-Packet has continued to be useful, partiuclarly as new Council members are onboarded. Resource E-Packet

A process with the Regional voting members has been developed with good results for more straightforward items. When a matter needs formal approval from the voting members, Karina Schorr emails the voting members asking them to submit their votes via email, also giving them the opportunity to ask questions. However, as items have become more complex (such as funding approval) this process feels somewhat inefficient and may need to be examined more closely in the future.

Lessons Learned

In this reporting period several organizations reached out to Karina Schorr to inquire about funding. Word about opioid settlement funding becoming available on a local level is growing, and all Council members should be prepared to answer questions about our decision-making processes, the Approved Purposes of the funds, and upcoming opportunities for organizations.

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2024: Quarter 3