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Franklin County Public Health Prescription Drug Overdose Grant Evaluation Evaluation and Data Collection Plan Long term objective: To reduce prescription drug overdose (PDO) fatalities by 5% in Franklin County by August 31 st , 2019 in collaborating with the Opiate Action Plan Steering Committee (OAPSC) PSEC Strategies Indicators Data Source Analysis Increase the use of OARRS by engaging local healthcare systems and healthcare providers # of providers engaged # of opioids prescribed OARRS COHC Numerical count Content Analysis Documentation of Process Increase adoption of pain management policies # of FQHCS # of providers engaged # of policies # of resources FQHCs FCPH Local policies Numerical count Content Analysis Documentation of Process Increase naloxone training and kits to recently-released incarcerated people # of naloxone kits # of naloxone TTs # of staff trained # of trainings held # of people trained Franklin County Office of Justice Policy and Program FCPH Franklin County Correctional Facility Numerical count Content Analysis Documentation of Process Increase drug drop boxes at police departments # of drug boxes Pounds of drugs collected # of agencies Clinton Township police Columbus Police Madison Township Police Franklin Township FCPH Numerical count Content Analysis Documentation of Process Increase awareness of drug misuse and abuse in high school athletes # of coaches and high school staff trained # of resources created Satisfaction feedback # of high school athletes reached Identified high schools FCPH Count of trainings Text of trainings Numerical count Content Analysis Documentation of Process
Transcript
Page 1: Franklin County Public Health - NACCHO...Franklin County Public Health Prescription Drug Overdose Grant Evaluation Evaluation and Data Collection Plan Long term objective: To reduce

Franklin County Public Health Prescription Drug Overdose Grant Evaluation Evaluation and Data Collection Plan Long term objective: To reduce prescription drug overdose (PDO) fatalities by 5% in Franklin County by August 31st, 2019 in collaborating with the Opiate Action Plan Steering Committee (OAPSC) PSEC Strategies Indicators Data Source Analysis Increase the use of OARRS by engaging local healthcare systems and healthcare providers

# of providers engaged # of opioids prescribed

OARRS COHC

Numerical count Content Analysis Documentation of Process

Increase adoption of pain management policies

# of FQHCS # of providers engaged # of policies # of resources

FQHCs FCPH Local policies

Numerical count Content Analysis Documentation of Process

Increase naloxone training and kits to recently-released incarcerated people

# of naloxone kits # of naloxone TTs # of staff trained # of trainings held # of people trained

Franklin County Office of Justice Policy and Program FCPH Franklin County Correctional Facility

Numerical count Content Analysis Documentation of Process

Increase drug drop boxes at police departments

# of drug boxes Pounds of drugs collected # of agencies

Clinton Township police Columbus Police Madison Township Police Franklin Township FCPH

Numerical count Content Analysis Documentation of Process

Increase awareness of drug misuse and abuse in high school athletes

# of coaches and high school staff trained # of resources created Satisfaction feedback # of high school athletes reached

Identified high schools FCPH Count of trainings Text of trainings

Numerical count Content Analysis Documentation of Process

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Increase awareness of resources to decrease addiction and opioid related deaths in Franklin County

# of media impressions # of website visits # of social media engagements % of email open rate

Paul Werth Marketing Count of materials Text of materials

Numerical count Content Analysis Documentation of Process

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Logic Model: PSEC Strategy #1: Increase the use of OARRS by engaging local healthcare systems and healthcare providers

Inputs

Activities Outputs Short-term

Outcomes Intermediate

Outcomes Long-term Outcomes

Funding from ODH Data from ODH Technical assistance from ODH Relationship with local hospital systems Healthcare providers Staff

Review the State of Ohio Board of Pharmacy’s list of EMR vendors who have an OARRS interface module Identify practices that do not have the OARRS module in their EMR Collaborate with ODH to educate practices on the implementation of OARRS module Utilize ODH resources to train and educate providers on how to use the OARRS module

Decrease opioid prescribing rates as a result of using OARRS

By August 31, 2018, FCPH will increase the use of OARRS by engaging local healthcare systems and healthcare providers to integrate OARRS into their electronic health records, using Board of Pharmacy Resources.

By May 30, 2019, one health care provider practice will integrate OARRS into their electronic health record.

By August 31, 2019, FCPH in collaboration with the OAPSC will reduce prescription drug overdose (PDO) fatalities by 5 % in Franklin County. Decrease the opioid prescribing rate of Franklin County as a result of prescribing providers using OAARS as a part of pain management practice

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Logic Model: PSEC Strategy #2: Increase adoption of pain management policies

Inputs

Activities Outputs Short-term

Outcomes Intermediate

Outcomes Long-term Outcomes

Funding from ODH Data from ODH Technical assistance from ODH Federally Qualified Health Centers (FQHCs) Relationship with local hospital systems Chiropractic Association Healthcare providers Staff

Conduct an assessment of pain management policies currently in place at hospital systems Identify and engage FQHC to implement a pain management policy Support the FQHC to increase access to alternative pain management options Work with Chiropractic Association to identify alternative pain management options

Adoption of evidence-based alternative pain management therapy by one health care provider

By August 31, 2018, FCPH will encourage the adoption of pain management policies in health care systems that include alternate therapies in addition to prescription opioids.

By May 30, 2019, one health care provider practice (FQHC) will adopt an evidence based alternative pain management therapy.

By August 31, 2019, FCPH in collaboration with the OAPSC will reduce prescription drug overdose (PDO) fatalities by 5 % in Franklin County. Increase alternative pain management therapies as primary intervention for pain

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Logic Model: PSEC Strategy #3: Increase naloxone training and kits to recently-released incarcerated people

Inputs

Activities Outputs Short-term

Outcomes Intermediate

Outcomes Long-term Outcomes

Funding from ODH Data from ODH Technical assistance from ODH Correctional Facilities and Staff Ohio Legislation Franklin County Public Health Staff

Identify a correctional facility for implementation of naloxone distribution Establish naloxone purchasing agreement with the correctional facility Establish a protocol with facility for how to dispense naloxone Establish protocol for choosing which released offenders receive naloxone Provide train-the-trainer to Office of Justice Policy staff on the signs and symptoms of an opiate overdose and how to dispense naloxone Educate staff on Ohio legislation related to naloxone Provide naloxone kits to correctional facility for soon-to-be-released inmate training Receive reports from correctional facilities on distribution of naloxone to released offenders

Expand access to naloxone at point-of-release from one correctional facility

By August 31, 2018, FCPH will expand access to naloxone by facilitating provision of naloxone upon release from one correctional facilities. By February 28, 2019, FCPH will host 1 training for Office of Justice Policy staff on naloxone.

By May 30, 2019, correctional facility will have 70% of Pathways graduates receiving naloxone kits and training. By February 28, 2019, 100% of Office of Justice Policy Peer Support staff will be trained on how to use naloxone

By August 31, 2019, FCPH in collaboration with the OAPSC will reduce prescription drug overdose (PDO) fatalities by 5 % in Franklin County. Decrease the number of individuals who re-enter society and resume drug use

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Logic Model: PSEC Strategy #4: Increase drug drop boxes at police departments

Inputs

Activities Outputs Short-term

Outcomes Intermediate

Outcomes Long-term Outcomes

Funding from ODH Data from ODH Technical assistance from ODH Law Enforcement Agencies Franklin County Public Health Staff

Identify partners within OAPSC to support the procurement of disposal drop boxes and sustainable disposal options Assess the number of law enforcement agencies that do not have medication disposal drop boxes Map existing drop boxes with GIS and publish it to FCPH website Determine 4 locations at law enforcement agencies for new drop boxes based on hotspot mapping

Increased number of drug drop boxes at police departments

By August 31, 2018, FCPH will assist law enforcement agencies or pharmacies in acquiring drug drop boxes to collect excess medications in the community. By September 1, 2018, FCPH will identify 4 of partners to support procurement of disposal drop boxes and sustainable disposal options.

By December 1, 2018, location of drug drop boxes will be mapped and published on FCPH’s website. By February 28, 2019, four new drop boxes will be placed in hot spot areas.

By August 31, 2019, FCPH in collaboration with the OAPSC will reduce prescription drug overdose (PDO) fatalities by 5 % in Franklin County. Increase availability of medication disposal boxes

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Logic Model: PSEC Supportive Strategy #1: Increase awareness of drug misuse and abuse in high school athletes

Inputs

Activities Outputs Short-term

Outcomes Intermediate

Outcomes Long-term Outcomes

Funding from ODH Data from ODH Technical assistance from ODH ADAMH Education Service Center (ESC) Ohio High School Athletic Association Franklin County Public Health Staff

Assess high school athletic program need for drug abuse prevention education Research and create hybrid sports injury program with educational materials and trainings Identify 2 high schools with athletics programs to implement trainings Identify coaches, athletic trainers, and school officials for implementation of the program Collaborate with Ohio High School Athletic Association and engage in train-the-trainer at the 2 high schools chosen with athletic programs

Create hybrid sports injury version of Generation Rx

By August 31, 2018, FCPH will generate and begin implementation of a Generation Rx Hybrid Program aimed at high school athletes. By April 1, 2019, FCPH will identify coaches, athletic trainers and school officials for implementation of program. By date, FCPH will identify two high schools for training.

By June 1, 2019, FCPH will have hosted 2 of trainings at identified high schools.

By August 31, 2019, FCPH in collaboration with the OAPSC will reduce prescription drug overdose (PDO) fatalities by 5 % in Franklin County. Increased awareness of viable pain management alternatives and symptoms that indicate potential addiction among young athletes

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Logic Model: PSEC Supportive Strategy #2: Increase awareness of resources to decrease addiction and opioid related deaths in FC

Inputs

Activities Outputs Short-term

Outcomes Intermediate

Outcomes Long-term Outcomes

Funding from ODH Data from ODH Technical assistance from ODH Paul Werth Ohio Opiate Education Alliance Public Media Franklin County Public Health Staff

FCPH communications team and Program Coordinator will work together to design advertisement materials to be posted on social media accounts relating to drug disposal and National Drug Take Back Day. FCPH communications team and Program Coordinator will work with a media buyer to determine demographic targets for the advertisement. Media buyer will purchase sponsored advertisement space on social media platform to target pre-identified demographics. FCPH will receive monthly reports of interactions and views from the media buyer.

Create media campaign to raise awareness of resources related to opioid addiction

By date, FCPH will have designs for advertisement materials relating to drug disposal and National Drug Take Back Day. By March 15, 2019, FCPH will identify demographic targets. By March 15, 2019, FCPH will have a communications plan for media campaign.

By August 31, 2019, FCPH will promote a media campaign by utilizing social media sponsored advertisements to increase awareness surrounding drug disposal and National Drug Take Back Day.

By August 31, 2019, FCPH in collaboration with the OAPSC will reduce prescription drug overdose (PDO) fatalities by 5 % in Franklin County. Increased awareness of drug disposal with knowledge of resources for how to prevent addiction

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OMPP Community: Frederick County, MD

Date: February 15, 2018

Intervening Variable Contributing Factor Strategy Outcome Measures Collected No outcome data collected during the July-December reporting period.

Social Access/Availability

Lack of knowledge of (medication) disposal sites

Proper disposal of prescription drugs education

By June 2016, there will be an increase in knowledge of disposal sites by 10% from 57% to 63%, as measured by MPOS data See January-June 2017 evaluation report pp. 4-6

Within 1 year of program implementation there will be a decrease in social access of opioids in Frederick County by 5% from 86% to 82%, as measured by MPOS data See January-June 2017 evaluation report pp. 6-7

By the end of the program there will be a reduction in opioid misuse by 5% from 23% to 22%, as measured by MPOS data

Perception of Risk Low perceived risk of the danger of prescription opioids

Social Marketing Campaign/Media Interventions

By June 30, 2016, Frederick County residents (who have an opinion) will report an increase in perceived danger of prescription opioids from (2015 baseline of) 68% to 71% as measured by MPOS data.

See January-June 2017 evaluation report pp.12-13

Within two years of program implementation, the percentage of Frederick County residents (who have an opinion) who perceive a great risk of harm in using non-prescribed opioids to treat their pain will increase by 5% from (2015 baseline of) 71% to 75% as measured by MPOS data. See January-June 2017 evaluation report pp. 13-15

By the end of the program there will be a reduction in opioid misuse by 5% from 23% to 22%, as measured by MPOS data

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Please complete the following section for each strategy in your strategic plan. (List by strategy):

Summarize all strategy activities from July 1, 2017 through December 31, 2017.

Strategy: Proper Disposal of Prescription Drugs Education

How well was the implementation plan followed? The implementation plan was followed as intended.

Were the action steps followed and completed as planned? Yes. Highlights below document initiation and completion of planned activities:

✓ Promoted drug-drop box locations through presentations (e.g., Law Enforcement Center open house, Back to School Bash health fair, In the Street event); Stay In The Know website; media mention

✓ Planned/promoted/participated in 10/28/17 DTBD

✓ Established/maintained links from the “Take Back My Life” web page, FCHD page, and FCHD Facebook pages, Stay In the Know website and opioids webpage on the drop box locations.

Currently, all unused/unwanted medications (are gathered at the Frederick County Law Enforcement Center and then taken, by the Frederick County sheriff’s office, to West Virginia for disposal. Early in the reporting period, Coalition members identified a need to relieve law enforcement partners of their responsibility for this task. Subsequently, the OMPP Coordinator, in close discussion with law enforcement, researched—and successfully identified—a commercial vendor to assume this task. A vendor (licensed with the DEA to collect and dispose of, controlled substances) has been identified. Pursuant to successful negotiations (all involving law enforcement), the vendor will collect the medications weekly, and will count, separate controlled substances from the overall deposit, and provide the data to the OMPP initiative. It is anticipated that this service will be incorporated into the FY 2019 Strategic Plan, and the cost reflected in the Implementation budget.

Were any changes made to the implementation plan? No

What challenges were faced? Late approval of FY 18 implementation budget delayed implementation.

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Were the implementation goals achieved and expected numbers reached? Yes, although there was no specific target amount for disposed medications, we used banner ads, mobile geofencing, flyers, social media, Facebook pay per click ads, and press releases to promote the Drug take back event; notified community partners via email, fax, and in-person visits to including nursing homes, funeral homes, mental health and substance abuse treatment programs, the Department of Aging, veterinarians, home health agencies and pharmacies (including visits to 50 pharmacies and 7 other medical facilities where we distributed DTBD flyers, etc.); and partnered with the Overdose Response grant to promote pharmacy training for Narcan education.

The weight of medications collected during FY 2017, and FY 2018 YTD by each law enforcement partner (Department of Natural Resources-DNR;

Maryland State Police-MSP; Frederick City Police-FCP) is shown on Chart 2.

Sept. 15 Apr. 16 Oct. 16 Apr-17 Oct. 28

Cars 200 311 270 270 230

Packets 300 380 500 350 301

0

200

400

600

Chart 1Frederick County

DTBD Traffic and Materials ResultsOctober 2015-October 2017

Cars Packets

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If “no” for any of these questions, why not?

As previously reported, additional drop-boxes were not installed due to circumstances beyond control of the OMPP initiative. The strategy was modified in the FY 18 Strategic Plan to focus on utilization of existing boxes.

Did the strategy target and reach who it was intended? Explain how you know, and why or why not. Undetermined.

The target population for DTBD is the entire community. We expected that there would be traffic at all disposal sites—and there was, although somewhat less than that of the two prior events. As for who (in terms of “customers”) disposed of medications, we do not collect those data. We do have google analytics data on the demographics of DTBD media (see chart below). These data indicate that viewers were a) overwhelmingly female (82%) and b) predominantly over age 45, with the highest percentage over the age of 55. We also note that a substantial number of

“depositors” in October 2017 used the disposal bags distributed at the April 2017 event—indicating repeat customers, a sign of acceptance of the messages re: safe disposal. And, several participants expressed their gratitude for the DTBD event. Geo-fencing and behavioral DTBD ads performed well, resulting in a combined 974,183 impressions and 1,052 clicks; and there was a good balance of mobile and desktop ad sizes.

10 25 40 75336 233 198

767

12001000

800

3000

0

500

1000

1500

2000

2500

3000

3500

17-Oct 17-Apr 28-Oct Total 18 month

Chart 2Federick County

Drug Take Back Day ResultsFY 2017 and 2018 YTD

DNR MSP FCP

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(See additional data under social media strategy). The media consultant suggested that future Facebook Pay per Click (PPC) strategies be adjusted to reflect the demographic results.

Were outcome results as expected? Yes and no.

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MPOS data indicate that fewer 2016 respondents know where to drop off unused medications than replied affirmatively in 2015. However, as discussed more fully below, 2015 respondents were not asked if they knew where to drop off unused/unwanted medications. At the same time 69% of 2016 MPOS respondents said they did know the location of drop off boxes in the county. Social marketing data from 6/12/17 through 7/15/17 (the four weeks following launch of the Stayintheknow.org website with Facts about Opioids webpages) indicates that the Monitor. Secure. Dispose. Message reached 4,340 individuals, with 67 reactions posted and 82 clicks recorded.

Data Concerns/Limitations:

There was no MPOS data collection during the reporting period. Thus, no additional assessment of outcomes occurred. As well, we repeat the issues/concerns we expressed in the January-June 2017 evaluation report:

✓ The demographic profile of respondents to the Time 1 and Time 2 surveys differed in one substantive way: i.e., the number of respondents ages 18-25 increased from 11.8% (34 respondents) to 29.56% (128 respondents). It appears (and is discussed more fully below) that the increased proportion of 18-25-year-old respondents affected the data.

✓ There were some differences between the Time 1 and Time 2 surveys, in the wording of the questions, the response options, and the data analyses. These are discussed in the context of the analyses below.

✓ The time between Time 1 and Time 2 was less than 2 years. OMPP interventions had only been in place for 6 months when the Time 2 survey was administered. Thus, the likelihood that the interventions had effected detectible changes in knowledge and/or behavior is not great.

✓ The timing of the surveys does not comport with the time frames identified for change in short-term and intermediate objectives. The

MPOS may not be the most accurate yardstick to measure change. As well, it would be very helpful if we knew (before we develop the FY 2019 Strategic Plan) the MPOS administration schedule going forward so we can identify reasonable target dates for outcomes that the survey can measure.

Short-Term and Intermediate Outcomes related to Social Access of Opioids (as of June 30, 2017)

See January-June 2017 evaluation report pp. 4-7

Strategy: Social Marketing Campaign/Media Interventions

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How well was the implementation plan followed? The implementation plan was followed as outlined in the Strategic Plan, with focus of the

efforts on risks of opioid use and safe storage and disposal of unused/unwanted medications.

Were the action steps followed and completed as planned? Yes. The campaign occurred on several levels and utilized several communication methods, including websites dedicated to general prevention topics including opioids (stayintheknow.org with a dedicated Facts about Opioids page) and opioid addiction (takebackmylife.org); printed materials (flyers, posters, Frederick News Post articles and advertising); in-person presentations to school, workplace, health care, professional, community, and other organizations); on-site visits to pharmacies and other medical professionals); and participation in community events). Highlights included:

✓ Continuation and refinement of the Facts about Opioids media campaign via the StayInTheKnow.org website.

✓ Continuation of “Take Back My Life” public communication campaign to raise awareness of opioid and heroin misuse in Frederick County, using a wide range of media including a dedicated takebackmylife.org website. This site is linked to the SITK website under the resources tab.

✓ Weekly status meetings with Channel Communication assured implementation/monitoring of media plan and adjustments when/where needed

✓ Continuation of the OMPP Coordinator’s visits to pharmacies and other medical facilities to provide patient information on opioid risks (as well as DTBD events)

✓ Exploration of supporting a TIPS (Threats In Plain Sight) room in Frederick County.

✓ Presentations on the risks of opioids to a variety of audiences by the OMPP Coordinator and Coalition partners. For example:

o Wells House at Gale Recovery purchased the rights to the documentary “Written Off” for presentation at the County’s colleges (i.e., FCC, Hood, and Mt. Saint Mary’s).

o Ft. Detrick also purchased the right and airs the film once/month as part of required drug and alcohol training. One such event involved the OMPP Coordinator and Ft. Detrick health officer presenting overdose data to an audience of 100-150.

o The film “Breaking Heroin’s Grip” has been incorporated into the Frederick County Public School curriculum to help educate students on the dangers of prescription drugs and heroin. This film was chosen as it features Maryland residents and offers the positive perspective that recovery is possible.

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o Information on the dangers of drugs and the StayInTheKnow campaign at the Law Enforcement Center Open house (200 attendees); Back to School Bash Health Fair (500 participants); Tuscarora High School teacher training (45 participants); In the Streets Community Block Party in downtown Frederick (500 + participants).

Were any changes made to the implementation plan? No

What challenges were faced? Implementation activities that depend on approval of the FY 2018 implementation budget (e.g., planning the FY 18 media campaign) were put on hold awaiting budget approval.

Were the implementation goals achieved and expected numbers reached? Yes.

We anticipated using 2 media formats, and, used several (social media—including Facebook, Banner Ads, Twitter, Blog Series; geo fencing; movie theater PSA; newspaper ad; print material).

o The Stay in the Know campaign was launched in early June.

o Data for the 6/12 through 7/18/17 period show:

• 1,080 page views

• 904 unique page views, and

• 3:17 minutes spent on average on the page.

✓ Facts about Opioids social media engagement for November 2017 reveal the following:

o Facebook:

• 1,181 impressions

• 54 engagements (i.e., likes, shares, comments, etc.)

• 263 people were reached by the post with most activity: “In one year calls for help involving heroin addiction rose 300% in Frederick County. How can prescription drugs lead to heroin use? Follow the link…

. o Twitter:

• 757 impressions

• 15 engagements

• Tweet with most activity: How the brain is affected…

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o Instagram:

• 97 impressions

• 5 engagements

• Post with most activity: “the most powerful weapon for preventing prescription #opioid misuse—for yourself or loved ones—is knowledge.

o The top posts for the Facts About Opioids were for:

• #Fact: 90% of people suffering…” which reached 8,593 visitors, and generated 147 reactions and 502 clicks

• www.takebackmylife.org which reached 6,272 visitors, generated 55 reactions and 139 clicks

• Monitor.Secure.Dispose which reached 4,340 visitors, generated 67 reactions and 82 clicks

• Click Through Rate (CTR) .51%

✓ The Take Back My Life campaign page was revised in May 2017 to connect to more resources. Google analytics data show a total of 5,447page views, of which 3,321 were unique views, and 2,570 new viewers. Average time on the page was 1 minute. In the past 6 months, 60 visits were FCHD referrals, and the average time spent by these viewers was 0:04:25 minutes.

✓ DTBD October 2017

o 7 months of Prescription Drug Take Back messaging (through December 31, 2017) on the FCHD web page were as follows:

• 1262 Page views

• 989 Unique views

• 0:01:44 Average time

o Geo Fencing (October 2017)

• Impressions 416,069

• Clicks=527

• CTR=0.13%

o Frederick News Post (FNP) banner ads to educate the public about the dangers of prescription medications, opioid misuse and drop box locations with links to drug box page

• Impressions =99,999

• Clicks=85

• CTR= 0.09% (above the national average CTR of 0.07%)

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o Movie Theater (NCM) Cross-Platform Banner ads 11-17-17 through 12/18/17:

• Impressions = 169,577

• CTR: 0.68% (three times the average industry rate of 0.20%)

o Movie Theater (NCM) Cross-Platform Banner ads 12/19/17 through 1/18/18:

• Impressions = 117,547

• CTR: 1.26% (five times the average industry rate of 0.20%)

If “no” for any of these questions, why not? NA

Did the strategy target and reach who it was intended? Explain how you know, and why or why not. Yes. the strategy targeted and reached the anticipated audience as evidenced by the Google Analytics data and pharmacy reports. The charts below provide snapshots of visitors to SITK overall, and Facebook posts/paid ads for the June-July 2017 period. Both charts document high representation from the populations we are targeting through social media.

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Although the results, in terms of reaching the target audience are impressive, the media consultant has suggested a “a paid backing behind social media calendars” which, they think, will increase awareness and drive more traffic to the social pages and Stay In The Know website. This and other recommendations will be considered as we move forward with the Facts about Opioids (and other social media) campaign under the Stay in the Know umbrella.

Were outcome results as expected? No outcome data were collected/analyzed during the reporting period. Discussion of outcomes below repeats that of the January-June 2017 evaluation report.

Short-Term and Intermediate Outcomes related to Perception of Risk of Opioids (as of July 2017)

See January-June 2017 evaluation report pp. 13-15

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Conclusion:

What have been the coalition’s overall successes and challenges? In addition to the successes iterated in the February-December 2016 evaluation report, we note:

✓ The FY 2018 Marketing/media campaign was finalized. The OMPP Coalition welcomed 7 new members, including representatives from Parks and Recreation and Human Resources, Maryland State Police, a community member and an advocate.

✓ Maintenance of the website, StayInTheKnow.org, with a page dedicated to opioid misuse

As for challenges, it would appear from the data that our greatest challenge is one of messaging and stimulating behavioral change among our target population regarding safe disposal of medications and sharing medications.

How has the coalition increased its capacity over time?

✓ The OMPP Coalition includes a broad range of key agencies, organizations and individuals involved in responding to the

opioid crisis in Frederick County. Members include representatives from Law enforcement (local, State, and DEA), pharmacist, FMH-hospital, local government, substance abuse treatment, Frederick Community college, Fort Detrick, parks and recreation, local community members and Frederick County school system.

✓ The OMPP Leadership Team continues to build and maintain strong relationships with coalition partners as well as the Substance Abuse

Council; Harm Reduction Team; OFRT and OIT team; and SEOW work group to help educate the community on the dangers of prescription drugs, and proper storage and disposal of unused/unwanted medications. Additionally, more and more often the OMPP Coordinator is asked to participate in planning groups, such as that for Recovery Month, and on panels to share information and perspectives on opioid misuse and prevention.

✓ OMPP Leadership Team members continue to expand their knowledge and skills related to opioid misuse prevention, and, to that end, attended several CAPT and other webinars and seminars/conferences focusing on opioid misuse. As well the OMPP Coordinator attended the annual NCADD-Maryland Tuerk Conference on Addiction Treatment

What are your plans to address the challenges you identified?

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The primary challenge, according to the data, is reaching the target population in ways that stimulate them to action. We are aware that members of the target population see and hear our messages; however, the MPOS data suggest that they are not changing their behavior, especially regarding disposal of unused/unwanted medications and sharing medications. Moreover, if MPOS data are a true reflection of respondents’ “intentions,” we need to be more vigorous in messaging around both behaviors. We have begun to plan for FY 19 and will reflect on and respond to this challenge as we develop the plan. As well, we continue to discuss these challenges with our media partners so that, together, we can devise “louder” and more directive calls to action.

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Franklin County Public Health Prescription Drug Overdose Grant Evaluation Stakeholder Assessment and Engagement Plan

Stakeholder Name Stakeholder Category Role in the Evaluation

Ohio Department of Health

Tertiary External Reviewer

Franklin County Public Health

Secondary Planning Team and External Reviewer

Central Ohio Hospital Council – Jeff Klingler

Secondary Planning Team

Healthcare Providers Primary Implementer Federally Qualified Healthcare Centers

Primary Implementer

Franklin County Office of Justice Policy and Programs

Primary Implementer

Franklin County Correctional Facility

Primary Implementer

Pathways to Healthy Living Program Participants

Primary Program Participants

Law Enforcement Agencies

Primary Implementer

Franklin County ADAMH Board

Secondary Planning Team

Educational Service Center – (Education Work Group)

Secondary/Primary Planning Team and Implementer

Ohio High School Athletic Association

Secondary/Primary Planning Team and Implementer

High School Athletic Programs

Primary Program Participants

Ohio Opiate Education Alliance – Denial, Ohio Campaign

Secondary/Primary Planning Team and Implementer

Paul Werth Associates (marketing)

Tertiary/Secondary External Reviewer and Planning Team


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