COLORADO REGION 5 OPIOID ABATEMENT COUNCIL

Quarterly Progress Report | Strategic Plan Years 3-4

Reporting Period: 4/1/25-6/30/25

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

During this reporting period, Region 5 convened its first Special and Executive Sessions. This was a valuable opportunity for the Region to establish additional clarity around the Council’s roles and policies. A more thorough report on the content and outcomes of the matters discussed in the Special and Executive Session will be made available when a final conclusion of the matter has been reached: 6.16.25 R5 Opioid Abatement Council Meeting Agenda & Notes

  • Administrative Items

    • Co-Chair self-nomination: no self-nominations. Interested parties were encouraged to reach out to Jarid Rollins and Karina Schorr

    • Lapsed Council members: per the Region’s bylaws, Council members who had not attended any of the past 3 consecutive bi-annual meetings are subject to removal. With the exception of two members identified as voting member proxies (Matt Sherr (Eagle) and Lindsay Maisch (Pitkin) the Region 5 voting members voted unanimously to remove lapsed members. Removed members are listed on the Lapsed Members tab on the Roster, and will still receive communication as community stakeholders. Updated roster and list of lapsed members can be found here: Region 5 Opioid Abatement Council Roster - updated 2.26.25.xlsx

  • Contractor Updates

    • The Contracting Workgroup has continued to meet and develop the upcoming funding opportunities. The workgroup is tasked with developing the posting language, application requirements, and scoring criteria for the Treatment/Recovery RFP and Youth Programming Mini-Grant RFA. Both funding opportunities have a release date goal of September 1st, 2025.

Challenges & Barriers

No challenges or barriers to report for the Council operations during this reporting period.

Council Changes

Karina Schorr and Kelsy Maxie, Director of Lake County Public Health, presented to the Lake County Board of County Commissioners, who are all first-time elected officials to that office, about the Region 5 Opioid Abatement Council. The Commissioners delegated their county vote to Maxie. Heidi McCollum remains the proxy voting member for Lake County.

  • No new Council members were onboarded during this reporting period.

Per the Region 5 Bylaws, Council members who had missed three consecutive Council meetings (and had not been involved in a workgroup) have been removed from the Region 5 roster. A new tab on the Roster document has been added to track lapsed members: Region 5 Opioid Abatement Council Roster - updated 2.26.25.xlsx

  • All Council members were encouraged to review the active representatives from their county and consider if there are any gaps that should be filled. Prospective Council members can contact Karina Schorr directly.

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. Data provided by Effct during this reporting period covers the first three months of 2025.

  • Data for 2025 can be found in this document: Community Compass 2024 EOY Report

  • Website

    • 3,708 Site Sessions

    • 3,627 Unique Visitors

    • 535 clicks on resource pages

    • Most Visited Pages:

      • 1. Stories

      • 2. Resources

      • 3. All Region 5 Resources

      • 4. Eagle County Resources

      • 5. Community Events

  • Socials

    • Facebook

      • 925,560 Impressions (number of times a post was displayed to a user, regardless if the user engaged with the post)

      • 21,461 Link Clicks

    • Instagram

      • 202,197 Impressions

      • 1,300 Link Clicks

    • Snapchat

      • 442,324 Impressions

      • 1,479 Link Clicks

    • TikTok

      • 798,456 Impressions

      • 5,684 Link Clicks

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. The website can be switched back and forth between English and Spanish. The website can be switched back and forth between English and Spanish.

  • Content featured this quarter:

    • April - Party & Resort Culture/Positive Behavior Change

      • How to recognize party culture

      • Substance use is not “Self Care”

      • Tips for safe partying

      • Community Member feature: Jessica Taing

    • May - Positive Behavior Change/ Combatting Loneliness

      • How does loneliness impact substance use?

      • How to find activities that support recovery

      • Community Member feature: Dustin Straight

      • Finding Community in Recovery

    • June - Combatting Loneliness

      • How does isolation impact substance use?

      • How to fight isolation without substances?

      • How to tell if someone is feeling isolated?

      • Community Member feature: Sherry Randall

  • Upcoming Content

    • July: Recovery Friendly Workplace Initiative

    • August: How can people in recovery help others in recovery?

    • September: Recovery Month

Challenges/Barriers/Changes

The Contracting Workgroup met with Effct to discuss a new/refined scope of work for the contract extension. Effct’s current contract term ends October 31st. New aspects of the contract extension will include an emphasis on physical advertisement purchases and refined processes for approving content, particularly Community Member Feature videos. When a new Work Plan is finalized the tracking document will be updated so that Council members can easily track objectives and progress.

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

  • High Rockies Harm Reduction is behind on the following objectives:

    • Goal 1, Objective 1.e: Train 1-2 FT/PT Harm Reduction Peer Support Specialists

    • Goal 2, Objective 1. B: Identify high need areas and propose a schedule of weekly service provisions in ID’d areas for each of the R5OAC counties to the HR work group

      • While 1 FT Peer Support specialist has been hired and high need areas have been identified, it is not feasible for HRHR to expand weekly services in Eagle, Lake and Summit counties without a 2nd Peer Support Specialist (PSS) dedicated to the Eastern portion of the Region. The travel required of the current team, all of whom live in the Roaring Fork Valley, to provide weekly services in 3 counties 50-100 miles from Garfield and Pitkin counties, is not sustainable.

Data Gathered/Reach

  • View the full HRHR 2024 Q4 Data spreadsheet here: HRHR Q2 2025 Data.xlsx

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

    • Narcan (two doses per box): 418

    • Kloxxado (two doses per box): 5

    • Intramuscular Naloxone: 6

    • Fentanyl Test Strips: 726

    • Xylazine Test Strips: 0

    • Syringes Out (distributed to participants): 672

    • Syringes In (used syringes collected and disposed by HRHR): 320

    • IV Kits: 27

    • Sterile Snorting Kits: 55

    • Condoms: 148

  • 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.). Therefore the below data does not include events where HRHR was present in the community but did not distribute supplies to at least one client.

    • Eagle County participant interactions in this reporting period: 2

      • Garfield County participant interactions in this reporting period: 101

      • Lake County participant interactions in this reporting period: 12

      • Pitkin County participant interactions in this reporting period: 32

      • Summit County participant interactions in this reporting period: 0

      • High Rockies Harm Reduction provided supplies and services at six community level events in this reporting period::

        • Highlands Closing, Aspen, 4/13/25

        • Dandelion Day, Carbondale: 5/10/25

        • Glenwood Springs Pride: 6/7/25

        • Leadville Pride: 6/7/25

        • Avon Pride: 6/14/25

        • Queer Prom, Glenwood Springs: 6/21/25

Accomplishments

  • The Region 5 application for the Infrastructure Share Round 3 funding opportunity was selected and received the full funding requested to purchase two new Ford Transit Cargo vans and outfit them as mobile offices. The funds and deliverables will be added to High Rockies Harm Reduction’s contract extension budget and scope. In the scope of work for that funding opportunity, which has been incorporated into High Rockies Harm Reduction’s contract extension, a new start date for the 2nd Peer Support Professional role has been set for March 1, 2026. Once that role is filled and that staff member has a reliable vehicle to utilize, increasing the frequency of services in Eagle, Lake and Summit counties will be more feasible. Actual dates for obtaining the vehicles may need to be adjusted as HRHR is currently working with its Fiscal Agent, the Colorado Nonprofit Development Center, to work through the administrative processes and requirements.

Challenges/Barriers/Changes

  • Services in Eagle and Summit counties are not attracting much traffic/participants. While HRHR has established consistent locations and monthly schedules for services, there may be a lack of community awareness that is resulting in low participation. HRHR is planning on conducting some additional marketing and community outreach in the coming reporting period. HRHR has also seen increased participation numbers in Garfield and Pitkin counties when they move from monthly to weekly services, indicating that regular and consistent schedules facilitate better engagement. The Harm Reduction Workgroup and HRHR continue to work towards increasing the frequency of services in Eagle, Lake, and Summit counties.

  • Reliable transportation continues to be a challenge, with the HRHR vehicle breaking down during this reporting period. Impact to services was minimal as staff was able to utilize personal vehicles. However, we continue to see the need for improved infrastructure and look forward to implementing the Infrastructure Share project.

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

  • Objective 4.c - Final English version of the dashboard is behind on the target completion date. Pending review and approval by workgroup members, the dashboard is anticipated to be published in August 2025. Please see the Challenges/Barriers/Changes section for more information.

Data Gathered/Reach

  • OMNI has gathered all necessary data for the dashboard at this time. The contractor is currently exploring how best to display the Social Determinants of Health and Upstream Factor data on the website. The Data Dashboard workgroup will continue to give input on how to organize and visualize data.

Accomplishments

  • In this reporting period, OMNI continued to gather feedback from the Data Dashboard workgroup regarding the overall look, organization, content, and function of the website.

Challenges/Barriers/Changes

  • The publish date of the dashboard has been pushed back. While most work is complete, the final two Social Determinants of Health dashboards and data updates for the High Rockies and Community Compass sites are still in progress. These components are expected to be ready for review by mid-late July. Following a quick review, a full site launch, including all new dashboards, is targeted for sometime in August.

3. Financial Status

R5OAC Funding Tracker Awarded vs Received and Allocated

TOTAL AWARDED AMOUNT: $ 2,703,900.36

This tracker reflects original amounts allocated per Strategic Plans. Because of grant application and procurement processes all of the 2022/24 Strategic Plan contracts have bled into 2025. Per the Attorney General office’s guidance, the Region has rolled over all unspent funds from 2022/24 into the 2025/26 Strategic Plan. Therefore, the allocations across plans will appear different on this sheet compared to what is linked in the Region 5 Strategic Plan amounts on the COAG opioid Regional Share website.

The spreadsheet also includes every source of funding received to date. Those three sources are:

  • Regional Share: $ 2,299,504.09 claimed to date

  • Infrastructure Share: $392,643.24

    • $150,000.00 awarded in Round 2

    • $242,643.24 awarded in Round 3, with High Rockies Harm Reduction as the Implementing Organization

  • McKinsey Subdivisions Settlement: $11,735.03

    • Note: The McKinsey Subdivisions Settlement is specific to Local Governments (counties and municipalities). All of the funding the Region has received is from municipalities who have chosen to route their funds to the Region. Because the State was not a party to this settlement this funding does not appear in COST (Colorado Opioid Settlement Tracker) and the Region is not required to report these expenses. The funds must be used for Approved Purposes per Exhibit E. The Strategic Plan workgroup voted in January to use these funds to support Council member COAC Conference attendance and education opportunities in 2025/26.

Total Allocated Funds per Priority Area 2023-2026

  • Prevention – $638,950.00

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

    • Youth Programming Mini-Grants: $80,000.00

  • Harm Reduction - High Rockies Harm Reduction: $707,015.72

  • Treatment/Recovery – $800,468.80

    • Mind Springs Medically Managed Withdrawal Facility: $185,836.00

    • Regional Detention Centers: $94.632.80

      • Garfield County: $38,400

      • Lake County: $5,500

        • Note: In January 2025, the Lake County Sheriff’s Office turned down this funding opportunity.

      • Summit County: $56,232.80

    • Treatment/Recovery RFP: $500,000.00

    • Lake County Treatment Access: $20,000.00

  • 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: $903,799.75

4/01/25 - 6/30/25 Expenses: $94,876.86

  • High Rockies Harm Reduction total

    • Total invoice amount: $21,521.00

      • Submitted 5/22/25

      • Description: FTE Peer Support Professional @ $25/hour ($4,604/month)for June, July, August, Deposit to Vanlife Customs for vehicle conversion, CNDC Indirect Rate

  • The OMNI Institute

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

    • Submitted: 4/30/25, 5/31/25, 6/30/25

    • Description: Regular monthly invoicing for Q2

  • Effct LLC

    • Invoice amount: $44,749.00

    • Submitted: 8/06/25

    • Description: Labor and ads sales for Q2, print materials, labor & mailing

  • Summit County Detention Center

    • Total invoice amount: $16,108.98

    • Invoice #1 4/11/25: $8,048.36

      • Reimbursement of Doctor hours for MAT Program, 8 Reimbursement of MAT Meds, Reimbursement of MAT Expenses - COREMR software, STARR Client Recovery Facility Fee

    • Invoice #2 5/14/25: $4,923.92

      • Reimbursement of Doctor hours for MAT Program, Reimbursement of MAT Meds, Reimbursement of MAT Expenses - COREMR software, MAT Client Labs

    • Invoice #3 6/11/25: $3,136.70

      • Reimbursement of Doctor hours for MAT Program, Reimbursement of MAT Meds, Reimbursement of MAT Expenses - COREMR software, MAT Client Labs

4. Sustainability

Strategic Planning Years 3-4

Region 5 submitted its 2025/26 Strategic Plan to the COAC on March 14th, 2025. Existing contracts that will continue to receive funding are being drafted. New funding opportunities are being developed and will be released for applications on September 1st, 2025. As 2025 represents the commencement of the Strategic Plan for years 3 and 4, this section will be removed from future reports and updates on the contract process will be incorporated into other areas of the reporting template.

Community Based Partnerships

When the Region initially approved the $20,000 Treatment Access funding for the 2025/26 plan, the intention was to offer those dollars to A Way Out if they were able to expand their operations into Lake County, the only county in Region 5 where they do not currently provide their services. A Way Out’s board expressed hesitation at accepting the funding as the demand for their services has increased significantly in the previous years already and worry about expanding too quickly. Karina Schorr and Kelsy Maxie have been exploring other potential recipients of these funds that would still align with the intention of expanding access to treatment for Lake County residents, who have very few options. Currently Schorr and Maxie are in talks with St Vincent hospital, the only MAT provider in the county, to see if there is a way the funds can be put to use within their current service model. More updates will be available in future reports.

Funding Prioritization

In this reporting period Region 5 received news that additional opioid settlements were finalized and the Regional Share distributions estimates have increased:

  • Region 5’s previous estimate was $9.1 million over the 18 year funding period; it has now been updated to just over $10 million. Some of these new funds will be available for the Region to claim between 2025-2028.

  • The Contracting Workgroup is currently reviewing these increased funding amounts, as well as some Unexpended Funds from lapsed contracts, to see if they wish to develop a recommendation for how much to spend, and how to prioritize them. At a minimum, the Region should anticipate needing to reassign the Unexpended Funds to new Approved Purpose categories as those funds have already been claimed. The goal date to confirm a new Approved Purpose category is February 2026, when the Region submits its annual expenditure report and certifies its anticipated spending. The Region is not obligated to claim the additional distribution amounts.

5. Successes and Lessons Learned

Successes

The Region, with High Rockies Harm Reduction listed as the Implementing Organization, was awarded an award from the COAC Infrastructure Share to invest in the infrastructure of HRHR’s mobile operations. This award represents a significant opportunity to improve the reliability and reach of these mobile services throughout the five counties, and the R5OAC is incredibly grateful to be selected as one of 12 awards the COAC funded out of a competitive pool of 46 eligible submissions. More updates on this project will be available in coming reports.

Lessons Learned

As the Region prepared for its first Special and Executive Sessions this reporting period it became apparent that there was a need to establish and document additional guidance and processes beyond what is specified in the Bylaws for off-schedule meetings and decision-making. Karina Schorr has been working with Eagle County’s Attorneys Office and is developing a Policy and Procedure Manual. This document will not only expand on the applicability of the Colorado Open Meeting Laws and Colorado Open Records Act to the Region’s operations, but also detail various prioritization and funding processes with a goal of increasing transparency for members of the public. More updates on this manual will be provided in future reports as the content is adjusted, finalized, and adopted by the Region.

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