
COLORADO REGION 5 OPIOID ABATEMENT COUNCIL
Quarterly Progress Report | Strategic Plan Years 1-2
Reporting Period: 7/1/24-9/30/24
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 second 2024 Bi-Annual Council meeting is scheduled to take place on Wednesday, October 9th. A full break-down of the meeting will be available in the following progress report. Meeting notes, agendas, and slides can be found in this Google Drive folder: October 9th, 2024 Meeting
Ahead of the October 9th meeting, Karina Schorr obtained settlement distribution estimates for Region 5 for 2025-2028. Actual funding could increase if a) any new opioid settlements are reached or b) if any of the counties or towns/municipalities within Region 5 elect to divert their Local Government Share settlement funds to the Region. Currently all counties have chosen to keep their funds, and there is a relatively even split between towns/municipalities that are routing funds to the Region (Avon, Eagle, Gypsum, Minturn, Red Cliff, Vail, Basalt, Glenwood Springs, Leadville, Snowmass Village, Blue River) vs keeping them (Carbondale, New Castle, Parachute, Rifle, Silt, Aspen, Breckenridge, Dillon, Frisco, and Silverthorne).
Region 5 Estimated Settlement Distributions:
2024: $943,835.16
(Note: no funds were claimed this year, but the Region does not lose the ability to claim these in the future)
2025: $722,818.01
2026: $559,018.52
2027: $421,795.06
2028: $598,061.91
Including the rollover funding from the current Strategic Plan of 862,956.33 we anticipate a total funding amount of $4,108,484.99 to be available to the Region between the beginning of 2025 and the end of 2028.
Unallocated Funding Workgroup
Per the discussion and consensus from the April Council meeting, a new Workgroup was formed with the purpose of pushing out additional funds.
Agendas, notes and proposals can be found in this folder: Unallocated Funding Workgroup
Approved Funds to date: $404,316.08
Approved in the prior reporting period
The OMNI Institute: $7,500.00
Effct LLC: $18,100.00
High Rockies Harm Reduction: $88,897.28
Garfield County Sheriff’s Office: $38,400.00
Summit County Sheriff’s Office: $56,232.80
Lake County Sheriff's Office: $5,500.00
Total Approved Funds in previous reporting period: $214,164.00
Approved in this reporting period
Effct LLC
Amount Requested & Approved: $3,850
Purpose: Additional engagement with Region 5 Spanish-speaking community members to ensure Community Compass content is culturally relevant
Focus group/interview participant incentives: $100 for up to 10 participants ($1,000 total)
Labor costs for Effct to conduct interviews, evaluate, and report on outcomes: $2,850
Mind Springs Health
Amount requested: $214,650.00
Amount Approved: $185,836.00
Purpose: Close the capital gap for Mind Springs’ new Medical Withdrawal Management facility in Glenwood Springs.
On September 30th, the Colorado Attorney General’s Office put on the annual CO Opioid Response conference, this year located in Loveland. Region 5 sponsored 10 Council members, plus the Region 5 Coordinator, to attend. Travel expenses for Council members to attend the AG’s conference, as well as the following day’s Rethinking Addiction & Recovery Event, are considered Administrative & Planning Approved Purposes. Final expenses are still being submitted, but overall spending is anticipated to be around $5,500. Financial reporting, including the decrease in 2022-2023 Strategic Plan rollover funding, will be detailed in the following progress report when all expenses have been submitted.
Sponsored attendees of the conference are below:
Hal Edwards, Voting Member, Lake County
Nina Waters, Voting Member, Summit County
Jarid Rollins, Co-Chair, Garfield County
Hans Lutgring, Garfield County
Heidi McCollum, Lake County
Audrey Dickinson, Pitkin County
Raleigh Bacharach, Pitkin County
Jordana Sabella, Pitkin County
Jenny Wood, Summit County
Kristen Griffin, Summit County
Karina Schorr, Region 5 Coordinator, Eagle County
Recordings of all the conference sessions can be found here: Conference Recordings
Challenges & Barriers
The Eagle County Government Attorney’s office has been experiencing staffing challenges. This has resulted in longer than expected timelines when drafting and executing contracts. New contractors have been advised that this process may take at least 8 weeks, potentially longer.
Council Changes
Mason Hohstadt, Garfield County Public Health, continues to act 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.
3 new Council members were on boarded during this reporting period:
Barbara Corcoran - Valley View Hospital, Garfield County
Angel Bujanda Gutierrez, Lake County Government
April Lund - Garfield County Sheriff’s Office
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 continued to publish and sponsor digital content in all 5 counties of Region 5. Traffic data in this quarter:
Website
10,617 sessions (566% increase)
9,031 unique visitors (580% increase)
Majority of visitors come from Facebook, TikTok and Snapchat
864 clicks on resource pages (200% increase)
Socials
Facebook
Over 5,200 link clicks and 1,000 content interactions
Instagram
Over 3,900 link clicks and 400 content interactions
Snapchat
Over 2,600 clicks
TikTok
Over 5,700 clicks
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.
Effct has also begun compiling quarterly reports to demonstrate the reach of the campaign. The 2024 Q2 report can be found here.
Accomplishments
In this quarter the Community Compass (CC) continued to publish social media posts featuring local recovery stories and educational content with the goal of directing traffic to the Community Compass and featured resource websites. 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:
July 2nd - Community Member Highlight: Vanessa Lane
July 9th - Resource Feature: Rise Up Recovery
July 18th - Community Member Highlight: Rob Shearon
July 24th - Resource Feature: Reconnected Recovery Foundation
July 31st - Community Member Highlight: Eric Turner
August 4th - Resource Feature: Rock to Recover
August 13th - Educational Material: What is Substance Use Disorder?
August 22nd - Educational Material: Treatment Options for SUDs
August 28th - Educational Material: Reducing Stigma for SUDs
September 4th - Community Member Highlight: Jose Saez
September 13th - Event Promotion: Reconnected/MIRA Recovery event
September 23rd: Educational Material: What is MAT?
September 27th: Educational Material: How does MAT work?
Upcoming Topics
October 2024 - All About Naloxone, Sober October
November 2024 - Gratitude for Sobriety (acknowledgement of holidays being a difficult time for those in recovery - will feature coping skills)
December 2024 - Connection and Support (continuation of holiday-related recovery content)
January 2025 - Achieving and Maintaining Sobriety (Dry January)
February 2025 - Responsible Pain Management
In this reporting period Effct visited Region 5 to capture video content to feature in upcoming posts. Featuring stories of recovery has grown as an area of interest within the workgroup as a way to combat stigma and encourage community members with SUD to seek treatment. These video interviews will be utilized in the following reporting period to bolster the story-telling aspect of the campaign.
During a video shoot with team members with Reconnected Recovery Foundation, members of the organization shared with Effct that a community member had specifically cited CC as a connector to Reconnected and a reason that they decided to seek help. Anecdotes such as this are extremely encouraging and we hope to hear more going forward!
Challenges/Barriers/Changes
During this reporting period, a second addition to Effct’s contract was approved within the Unallocated Funding Workgroup. As a part of Effct’s initial added funding proposal to the Unallocated Funding Workgroup, the contractor offered to duplicate all social media channels in Spanish to attract more Spanish-speaking community members. All campaign content is available in Spanish and in English on consolidated pages. The workgroup did not feel that duplication of pages would be a responsible use of funds, and instead asked Effct if they would be interested in conducting additional community engagement with Spanish-speakers in Region 5 to see how the current campaign materials resonated culturally. Effct proposed a $3,850 budget for this additional engagements; $1,000 was approved to support up to 10 community member stipends of $100, and $2,850 was approved to support Effct’s personnel costs, including conducting the engagement, reporting, and evaluation. In the updated contract a deadline of December 31, 2024 was set for this added deliverable.
In the September workgroup meeting, members discussed the possibility of including virtual providers on the CC website. This came about because Karina Schorr was approached by Klinic Pro, a Denver-based substance use treatment provider. The workgroup members decided that for the time being CC would only feature resources with physical locations within Region 5, but if one of those providers offer virtual services (either in-house or through a third party contractor) the website can highlight that as a service format.
It is possible that the campaign, specifically the website, still needs some refinement before the workgroup feels ready to share it out more broadly. Pitkin County Public Health pushed out the campaign as a part of their own media outreach efforts and heard back from community organizations that they weren’t sure what the purpose of the campaign was. Upon further review, Pitkin county staff reviewed the Pitkin County Resources page and had several edits. A brand launch via press releases to the major local media outlets will take place in Q4.
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
View the full HRHR 2024 Q3 Data spreadsheet here: HRHR 2024 Q3 Data
During this reporting period, High Rockies Harm Reduction (HRHR) distributed the following supplies across Region 5:
Narcan (two doses per box): 159
Kloxxado (two doses per box): 10
Intramuscular Naloxone: 0
Fentanyl Test Strips: 165
Xylazine Test Strips: 100
Condoms: 20
Sterile Snorting Kits: 8
Sterile Injection Kits: 2
While participant data is somewhat difficult to capture for all of HRHR’s services (many events take place during large scale community events i.e. concerts, festivals) the below data reflects participants at the service events under the Region 5 contract. A participant is defined as an individual who engages with HRHR at a service event AND takes at least one piece of supplies (ie Narcan, fentanyl test strip, sterile injection kit etc.) The below data does not include participants at community-level events.
Previous quarterly reports may not have accurately reflected the number of services in each county as HRHR does not record an event in their data systems if no participants engage or take supplies. HRHR, using funds approved under the Region 5 contract amendment, has purchased 2 tablets that will aid with data collection in the future, and we will continue to look at ways in which data can be shared back with the Council in a way that demonstrates the impacts of this program.
Eagle County participants in this reporting period: 7
Garfield County participants in this reporting period: 6
Lake County participants in this reporting period: 2
Pitkin County participants in this reporting period: 16
Summit County participants in this reporting period: 5
Accomplishments
High Rockies Harm Reduction has established a monthly schedule of providing services in each county per the Work Plan, as well as weekly services in Garfield and Pitkin counties. Current schedule is outlined below:
Aspen,Pitkin County
Thursdays 12 pm - 2pm
Pitkin County Health & Human Services
Snowmass, Pitkin County
Thursdays, 4pm - 6 pm
Brush Creek Intercept Lot
Basalt, Garfield County
Fridays 12 pm - 2 pm
Mid Valley Family Practice
Carbondale, Garfield County
Fridays, 4 pm - 6 pm
3rd St Center
Eagle County
4th Thursday of each month
12 pm - 2 pm, Vail Health, Eagle
4 pm - 6 pm, Colorado Mountain College, Edwards
Summit County
4th Friday of each month
12 pm - 2 pm, Colorado Mountain College, Breckenridge
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.
Challenges/Barriers/Changes
HRHR has changed the location of its Edwards (Eagle County) monthly services to the Colorado Mountain College campus at 150 Miller Ranch Rd, Edwards, CO 81632. HRHR believes this location will attract much more foot traffic moving forward. Previously these services were being conducted at the Eagle County Paramedics offices in Edwards, which is not in a location that can capture pedestrians easily.
The Frisco Transit Center location has been removed from the Summit County schedule. HRHR staff expressed discomfort and safety concerns about conducting services in this location. HRHR is looking for an alternative location in Summit County.
While HRHR has obtained the used ambulance, a second vehicle that can be dedicated to the Eastern part of Region 5 (Eastern Eagle, Lake, and Summit counties) is essential to expanding services in these areas. Currently all of HRHR’s staff lives in the Roaring Fork Valley, so traveling to Eagle/Lake/Summit is a significant expense of resources. A second vehicle would increase the ability for HRHR to move to a weekly service schedule for each county, which in turn would increase the hours necessary to attract a second FTE Peer Support Specialist candidate.
It is likely that another round of the COAG Infrastructure Share Grant will be announced in the coming months. The question has been raised as to whether Region 5 could support HRHR in applying for a grant that could fund the purchase of a new vehicle for this purpose.
The Council and workgroup members have expressed dedication to helping HRHR grow their services and become more stable as a sophomore nonprofit organization. In the past the burden has been put on the contractor to grow and adapt to the Council’s expectations, but it is becoming clear that Council must also be flexible and check assumptions when helping support a recently established organization.
Data Dashboard | The OMNI Institute
Deliverable Status
OMNI’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
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. In the previous quarterly report the following indicators had not been obtained, and updates on access during this reporting period can be found below:
Domain Name: Outcomes
Overdose Data - 1 indicators downloaded Vital Statistics Program
Overdose Data - 5 indicators downloaded from the CO Hospital Association
Alcohol and Other Drug Use: 5 indicators downloaded from HKCS
This indicator has been re-categorized under Outcomes as we anticipate being able to see a reduction in these numbers over time as a result of opioid abatement efforts. This indicator was originally categorized under Upstream/Risk/Protective Factors.
Domain Name: Upstream/Risk/Protective Factors
Ease of Access - 3 indicator downloaded from HKCS
Mental Health - 13 indicators downloaded from HKCS
Mental Health Risk and Protective Factors: 6 indicators downloaded from CO Health Access survey, uncertain whether we will be able to get county-level/regional data
Opioid Prescription Data: 1 indicator downloaded from CDPHE
Opioid Prescription Data: 3 indicators requested from PMPD/CDPHE, indicators were not available at the county level
Social Determinants of Health (SDoH) Factors: 1 indicator downloaded from American Community Survey
SDoH Factors: 1 indicator downloaded from CO Health Access survey
Youth perceptions: 5 indicators downloaded from HKCS
Next steps:
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 the dashboard based on the strategic plan document, the narrative that we are telling about Region 5, and capacity/capabilities of Tableau.
Accomplishments
Nearly all of the data that was planned to be included on that dashboard has been obtained. OMNI has begun thinking about website design and dashboard formatting and will share options with workgroup members in upcoming monthly meetings.
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: $285,968.80
Mind Springs Medically Managed WIthdrawal Facility: $185,836
Regional Detention Centers: $100,132.80
Garfield County: $38,400.00
Lake County: $5,500.00
Summit County: $56,232.80
Administrative: $206,000.00
Infrastructure Grant (supports Karina Schorr’s position): $150,000
Administrative Costs (to support Chelsea Carnaoli’s contributions in 2023): $56,000
Unallocated Funds: $862,956.30 (claimed by the REgion but not pledged to any specific organization or funding process at this time)
Recovery Services - General: $108,568.38
School Based Programs: $284,840.25
Treatment - General: $469,547.70
Expenses
Total Expenses to Date: $390,226.40
7/01/24-9/30/24 Expenses: $78,663.88
High Rockies Harm Reduction
Invoice amount: $2,328.00
Submitted 9/01/24
Description: Technology fo rData Collection (2 Samsung Tablets), Initiatial Ambulance maintenance & Check-Up, Fiscal Sponsors Indirect Rate & Admin Costs
Notes: An advanced Personnel Salary item was previously approved and paid during a prior invoicing period so no personnel expenses were submitted for this quarter.
The OMNI Institute
Total invoice amount: $12,497.88 ($4,165.96 x 3)
Submitted: 7/30/24, 8/31/24, 9/31/24
Description: Regular monthly invoicing for Q3
Effct
Invoice amount: $25,438
Submitted: 9/16/24
Description: Labor and ad sales for Q3
Garfield County Detention Center
Invoice Amount: $38,400.00
Submitted: 9/16/24
Description: Long-acting injectable MAT drugs, Brixadi or equivalent in accordance with September 10th, 2024 contract
In the previous reporting period, Voting Members inquired about whether settlement funds were being held in a way that could gain interest. Eagle County is not currently holding the funds in such an account, but at the urging of the voting members, Karina Schorr reached out to Eagle County Finance department to explore options. Anna Earl, Eagle County Finance Director, recommended a Liquid Asset account as it would garner a nearly 4% interest rate (rates fluctuate) and allow ease of fund withdrawals as needed. Information regarding the Liquid Asset account options was sent to the Voting Members, who will be asked to vote in favor or opposition of transferring the funds during the October 9th Council meeting.
4. Sustainability
Strategic Planning Years 3-4
In order to prepare for the October 9th Council meeting, Karina Schorr looked at the outcomes from the April 10th visioning exercise and extracted several objectives for each funding category. Council members then ranked the objectives via a survey. A full breakdown of those results and discussion will be detailed in the following quarterly report. The goals that were ranked are outlined below in no particular order:
Prevention
Increase protective factors (ie high school graduation rates) and/or reduce risk factors (ie criminal justice involvement) for youth in Region
Increase access to integrated health in all 5 counties
Increase community knowledge around substance misuse and decrease stigma around seeking treatment and recovery
Prevent prescription drug misuse through programming for healthcare providers and patients
Harm Reduction
Increase mobile harm reduction services (Narcan, syringe exchange, peer support, and referrals)
Increase accessibility to naloxone (Narcan) for community organizations (ie libraries, schools, non-profits) across Region 5
Increase community knowledge on how to recognize an overdose, use naloxone, and naloxone Good Samaritan laws
Train first responders/healthcare providers on harm reduction strategies
Treatment
Support/expand treatment workforce
Increase MAT and Behavioral Health services within Detention Centers for justice system involved individuals
Increase connections to care (ie strengthen referral systems, increase warm hand-off services)
Increase accessibility/affordability of existing substance use treatment options
Increase treatment options (outpatient and inpatient) throughout Region
Recovery
Invest in recovery housing/sober living facilities
Increase social support for Region 5 residents in recovery
Increase wraparound/case management services for individuals exiting treatment to remain in recovery
Survey participants will also be asked to select what percentage of Region 5’s settlement funding they would like to see allocated across the 4 program categories.
While important discussion around the 2025-2026 Strategic Plan will occur during the October 9th meeting, a workgroup that will convene monthly (at a minimum) will need to establish the details of funding priorities and approaches for the next two years.
Community Based Partnerships
During this reporting period, the ReConnected Foundation reached out to Effct to request data to help refine their outreach to Spanish-speaking community members. In reviewing the consent language from the community engagement sessions Effct conducted, Karina Schorr and Effct determined that participants did not opt in to sharing that data outside of the Region 5 Council. Consent language will be updated for future engagements to give the Council the ability to share insights with partner organizations. The following consent language was approved for future community engagement sessions:
“Your participation in this survey is completely voluntary. The survey is anonymous, and we will not collect any personally identifiable information (such as your name, address, or other personal details). The responses you provide will be combined with those of other participants and shared only with partner organizations involved in substance use recovery efforts. No individual responses or identifying details will be shared. The data collected will be used solely for research and program improvement purposes, ensuring your privacy and confidentiality.”
Workgroup members also expressed a desire for a formal request process, and data sharing agreements (including a clause that would prohibit public distribution of data) before disseminating outcomes to partner organizations.
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 . Organizations reaching out to inquire about funding during this reporting period included:
Vida Foundation, Eagle County
Alosa Health
Funding Prioritization
The only change to funding prioritization in this period was the approved funding for Mind Springs Medically Managed Withdrawal facility capital investment.
This agreements aligns with the Exhibit E Approved Purpose of Schedule A B.4 MEDICATION ASSISTED TREATMENT (“MAT”) DISTRIBUTION AND OTHER OPIOID-RELATED TREATMENT - Provide treatment and recovery support services such as residential and inpatient treatment, intensive outpatient treatment, outpatient therapy or counseling, and recovery housing that allow or integrate medication with other support services.
5. Successes and Lessons Learned
Successes
During this reporting period Karina Schorr and Chelsea Carnaoli, with feedback from Jarid Rollins and Heath Harmon, finalized a draft of bylaws for the Region 5 Council. In Q1 of 2024 it was discovered that the region had never formally adopted any bylaws. A draft had been drawn up when The Steadman Group was working with Region 5 to establish the Council, but the contract expired before the draft was finalized and adopted. The bylaws were sent to the Voting Members who, with one small addition requested, unanimously supported adopting them as written. Click here to view the bylaws: Bylaws
Lessons Learned
A major takeaway is the need for clear communication in outreach efforts. For example, Pitkin County Public Health received feedback that community organizations weren't fully clear on the Community Compass campaign's purpose. This highlighted the importance of refining the campaign messaging on the Community Compass website to ensure the goals and services are communicated effectively to stakeholders and community members alike. Moving forward, adjustments to campaign messaging and a press launch to local media outlets are planned to address this.
This is a good lesson to keep in mind as the Region prepares to release more funding opportunities with the 2025-2026 Strategic Plan.
Another significant lesson involves the handling of participant data, especially as community partners increasingly request insights to improve outreach. Effct and Karina Schorr identified a need to update consent language for future community engagement to allow broader data sharing while respecting privacy. This change will include new consent language and establish a formal data-sharing request process to safeguard participant anonymity while supporting partner organizations' needs for engagement insights. Overall, this request from the ReConnected Foundation was a great opportunity for the workgroup to begin thinking about how the Anti-Stigma and Education Campaign can begin integrating with other regional efforts.
Challenges that emerged during this reporting period demonstrated the need for adaptability to meet evolving community needs. High Rockies Harm Reduction adjusted service sites to increase accessibility, relocating from the Frisco Transit Center due to safety concerns and shifting the Edwards services to a more central area to increase foot traffic. Additionally, the request for a second vehicle to cover remote regions exemplifies the program's responsiveness in addressing logistical challenges to expand reach and improve service delivery.