COLORADO REGION 5 OPIOID ABATEMENT COUNCIL

Quarterly Progress Report | Strategic Plan Years 3-4

Reporting Period: 4/1/26-6/30/26

Region 5 Fiscal Agent:

Eagle County Public Health & Environment

Name and Contact of Individual Preparing Report:

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

1. Overview

Project Accomplishments

The next full Bi-Annual Region 5 meeting is Wednesday, August 19th from 9:00 am - 11:00 am. All meetings are virtual unless otherwise indicated.

  • The Executive Committee launched in March with healthy representation from the five counties. The committee is a mix of voting and non-voting members and is tasked with strategic and administrative oversight of the Region 5 Council. Running notes and agendas can be found in this folder: Executive Committee

    • A primary focus of the Executive Committee will be to review and make suggestions to the draft Policy & Procedure Manual. This document, which has been initially reviewed by the Eagle County Attorney’s Office, will provide thorough guidance and transparency on the Region’s governance model, funding processes, and procurement approach. Currently, the goal is to have the document finalized and adopted at the February 2027 meeting.

    • During this reporting period, the Executive Committee provided support and guidance for the new Region 5 awardee agreements. More details about the new agreements can be found in the following section.

    • The Executive Committee has also begun to weigh in on the 2027/28 Strategic Plan, which must be submitted to the AG’s Opioid Response Unit no later than March 15, 2027.

  • The 2026 Colorado Opioid Abatement Conference will take place in Summit County on September 30th. As the hosting region, the ROAC has been asked to identify a Council member to give opening remarks and 2-4 funded organizations to speak to the impact of opioid settlement funds on a local level. Potential candidates have been identified and will be confirmed in the coming weeks.

Challenges & Barriers

During this reporting period, the Eagle County Attorney’s Office (AO), acting as legal counsel for the Fiscal Agent, conducted a review of contract liability structures. Because fund allocations are governed regionally rather than solely by Eagle County, the AO recommended updating the contract format to better reflect this multi-entity model.

  • With input from the Executive Committee, the Region adopted a "unilateral agreement" structure signed exclusively by the contracting organization. The AO confirmed these agreements are legally binding, and the Colorado Opioid Abatement Council verified full compliance with the Colorado Opioid MOU, clearing the path for execution. While this new approach took some time to vet, the Council feels confident in adopting the recommendation.

Council Changes

No changes to Council membership to report during this time period.

2. Contractor Progress & Outcomes

Anti-Stigma & Education Campaign | Effct LLC

Deliverable Status

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. Data on the campaign reach and performance during this reporting period can be found in this document: Community Compass 2026 Q2 Report.pdf

Accomplishments

Physical ad placements debuted in Summit and Lake counties during this reporting period.

  • A billboard ad for the campaign went up in Leadville, which has a strong presence along a major roadway. Local stakeholders indicated this was the most effective placement for a physical ad, which will remain up into the following quarter.

  • Bus cards in Summit County were also finalized during this time and will be placed in the following quarter. These ads are placed inside the buses where passengers have ample time to engage with the message.

  • Similar bus ads were planned for the Aspen and Roaring Fork buses, but by the time the Effct team reached out to pay for placements, ad space had sold out for the season. The intention now is to make the ad placement purchase early in 2027 when those spots become available and have them live for the following summer.

  • The Effct team conducted a multi-day video shoot across Eagle, Lake, Pitkin, and Summit counties, capturing additional stories of substance use stories, recovery, support, and resource highlights to feature in the coming year. The following people were interviewed:

    • 4 interviewees in Summit County

    • 2 interviews in Eagle County

    • 1 interviewees in Pitkin County

    • 3 interviewees in Lake County

  • During this reporting period Effct also conducted a community stakeholder survey regarding the featured resources on the Community Compass website. Using the results of that survey, the Resources pages were updated and reflect a more accurate representation of entities in Region 5 for those who are seeking treatment or support.

  • Content featured this quarter:

    • April - Pathways to Recovery

      • Strategies for Maintaining Recovery

      • Featured Community Member: Jay Fullam, Jessica Tang, Dustin Straight, Becky Gordon

    • May - Pathways to Recovery

      • Peer Support Resources

      • Featured Community Member: Karlyn Fulmer, Cori Potter, Jay Fullam, Gabriel Cohen

    • June - Affordability of Care & Peer Support

      • A Way Out Resource Highlight

      • Featured Community Member: Ian Keith

    • Upcoming Content

      • July: Music Festival Safety

      • August: Relapse

      • September: National Recovery Month

Challenges/Barriers/Changes

No challenges to report during this period.

Harm Reduction | High Rockies Harm Reduction

Deliverable Status

Data Gathered/Reach

  • View the full HRHR 2026 Q1 Data spreadsheet here: 4.1.2026-6.30.2026 HRHR Distro Data.xlsx

    • During this reporting period, High Rockies Harm Reduction (HRHR) distributed the following supplies across Region 5:

      • Nasal spray Naloxone: 360

      • Intramuscular Naloxone: 5

      • Fentanyl Test Strips: 289

      • Xylazine Test Strips: 103

      • Benzo Test Strips: 21

      • Nitazene Test Strips: 18

      • Medetomidine Test Strips: 20

      • Methamphetamine Test Strips: 26

      • Syringes Out (distributed to participants): 1,116

      • Syringes In (used syringes collected and disposed of by HRHR): 2,290

      • IV Kits: 29

      • Sterile Snorting Kits: 35

      • Sterile Pipes: 43

      • Sexual Risk Reduction Items: 210

      • Personal Hygiene Items (toothbrushes, soap, combs, etc.): 204

      • Wound Care Items: 392

      • Food & Water: 169

    • Participant Interactions

      • Eagle County: 14 (plus 4 large-scale events, participants not tracked)

      • Garfield County: 36 (plus 2 large-scale events, participants not tracked)

      • Lake County: 12 (plus 1 large-scale event, participants not tracked)

      • Pitkin County: 8

      • Summit County: 1 (plus 3 large-scale events, participants not tracked)

Accomplishments

  • During this reporting period, weekly services officially began. Full details of HRHR’s service schedule can be found on their website (click here for link). The current schedule (subject to change) is as follows:

    • Eagle County

      • Thursday, Gypsum - 10:00 am - 12:00 pm

      • Thursday, Edwards – 1:00 pm - 3:00 pm

      • Friday, Basalt (Roaring Fork Valley) – 12:00 pm - 2:00 pm

    • Garfield County

      • Wednesday, Glenwood Springs – 12:00 pm - 2:00 pm

      • Friday, Carbondale – 4:00 pm - 6:00 pm

    • Lake County

      • Wednesday, Leadville (Mission) – 9:00 am - 11:00 am

      • Wednesday, Leadville (Library) – 12:00 pm - 3:00 pm

    • Pitkin County

      • Thursday, Aspen – 12:00 pm - 2:00 pm

      • Thursday, Snowmass – 4:00 pm - 6:00 pm

    • Summit County

      • Friday, Breckenridge – 10:00 am - 12:00 pm

      • Friday, Dillon – 1:00 pm - 3:00 pm

Challenges/Barriers/Changes

  • One of the vans is experiencing some electrical issues with inaccurate codes being shown on the interface and the heater not functioning. HRHR will take the van to Denver for repairs, which should be covered under the VanLife Customs warranty. The mobile office temporarily being out of commission will impact weekly services in some counties, but they will resume when repairs are completed.

Data Dashboard | The OMNI Institute

Deliverable Status

Data Gathered/Reach

  • During this reporting period, the dashboard attracted 336 unique visitors.

    • The top five visited pages (besides Home) were:

      • Social Determinants of Health

      • Mental Health

      • Who We Are

      • Overview

      • Key Outcomes

Accomplishments

  • A new navigation menu went live during this reporting period, addressing the workgroup’s concern about user experience.

Challenges/Barriers/Changes

  • Next steps for Council involvement and the dashboard’s evolution are still being discussed. During this time period, the workgroup reached out to OMNI for a quote on conducting some partner outreach, but no firm direction has been determined at this point.

3. Financial Status

R5OAC Funding Tracker Awarded vs Received and Allocated.

TOTAL AWARDED AMOUNT: $ 2,697,339.44

This information may differ compared to what is available on the COAG opioid Regional Share website due to braided funding tracking and update schedules.

Total Allocated Funds per Priority Area 2023-2026

  • Prevention – $ 728,950.00

    • Anti-Stigma/Education Campaign - Effct LLC: $558,950.00

    • Youth Programming Mini-Grants: $140,000.00

    • Uncommitted Prevention Funds: $30,000 - these funds will be reallocated in the new Strategic Plan, but will likely stay in the Prevention category

      • During this reporting period Elevated Community Health withdrew their project from funding, citing limited capacity and concerns over the new procurement approach.

  • Harm Reduction - High Rockies Harm Reduction: $707,015.72 (Regional and Infrastructure Shares)

  • Treatment/Recovery – $710,468.80

    • Mind Springs Medically Managed Withdrawal Facility: $31,000

    • Regional Detention Centers MAT: $79,888.28

      • Garfield County: $38,400.00

      • Summit County: $41,488.28

    • A Way Out: $448,500.00

      Hard Beauty Peer Recovery Program: $51,500

      Uncommitted Funds: $99,580.52 - these funds will be allocated in the new Strategic Plan, but likely will stay in the Treatment/Recovery category

    • Lake County Treatment Access: $20,000.00

    • General Treatment (use TBD) - $79,580.52

  • Leadership, Planning & Coordination – $509,976.65

    • Data Dashboard - OMNI: $167,500.00

    • Staffing: $325,593.00

      • Infrastructure Grant (to support Karina Schorr’s position in 2024-25): $135,000.00

      • Regional Share (will support Karina Schorr’s position in 2025-2026): $190,593.00

    • COAG Conference Room, Board & Travel costs for Council members: $16,883.03

      • Regional Share (expensed in 2024): $5,148.62

      • McKinsey Subdivision Settlement (to cover expenses in 2025 & 2026): $11,735.03

  • Administrative – Fiscal Agent Treasury Fees 2023-26: $40,928.27

    • Infrastructure Share: $15,000.00

    • Regional Share: $25,928.27

Expenses

Total Expenses to Date: $1,447,194.23

4/01/26-6/30/26 Expenses: $113,594.24

  • High Rockies Harm Reduction

    • Invoice amount: $71,168.24

      • Submitted 05/28/2026

      • Description: Staff Salaries, General Operating costs, Indirect

  • The OMNI Institute

    • Total quarterly expense amount: $7,500.00

    • Invoice Dates: 4/20/26, 5/31/26, 6/30/26

      • Amount: $2,500

      • Description: Ongoing maintenance of dashboard and website

  • Effct LLC

    • Invoice amount: $34,926.00

    • Submitted: 07/02/2026

    • Description: Ads Investment, Website Maintenance, Travel and Participant Incentives, Labor

4. Sustainability

Community-Based Partnerships

The Region is very excited about a new batch of featured community members Effct interviewed during this reporting period. This effort represents a growing interest in Region 5 to bring visibility to stories of recovery and loss.

A Way Out has been working on establishing a presence in Lake County, although at the close of this reporting period the agreement was not yet finalized. Additionally, they are working to deepen their presence in Summit County. The team has been working diligently to meet with partner organizations, share information about services, establish referral pathways, and train new staff to serve this portion of the County.

Funding Prioritization

No changes to funding prioritization during this time.

5. Successes and Lessons Learned

Successes

At the submission of this report, all seven agreements that were approved in February have been executed fully. Now that the expectations and limitations for the new Eagle County procurement processes are clear, we anticipate smoother and more efficient contracting timelines in the future. The focus in the following quarter for these new awardees will be to set them up in the Eagle County Finance system for invoicing and brainstorming tracking approaches for the new projects, similar to what occurs in the main portion of this report.

Lessons Learned

Although it has been repeatedly put on the back burner to address more urgent needs (for example, the new procurement approach deemed necessary by the Eagle County Attorney’s Office), the Policy and Procedure Manual remains a critical need to formalize and clarify the Region’s approach to iterative processes and growth. After the August 19th ROAC meeting, Karina Schorr will make additional efforts towards putting the draft manual in front of the Executive Committee for review.

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2026: Quarter 1