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pdfThank you for participating in the National Council for Mental Wellbeing’s Tools for Overdose Prevention Survey. This
survey is being conducted in collaboration with the CDC. The purpose of the survey is two-fold: 1) to determine what
general overdose prevention/substance use resources are helpful for the field and 2) to assess the utility of tools the
National Council has previously developed and disseminated.
A preview of the survey is available by clicking the print icon on the top right of this page. We anticipate the survey will
take 30-40 minutes to complete. You may stop the survey at any time and come back to it later.
Please feel free to contact Danielle Hornung at DanielleH@thenationalcouncil.org i f y o u n e e d
assistance/accommodations to complete the survey.
Page 1 of 6
The questions on this page are intended so that we can get to know you better. Thank you in advance for answering
them as best as you can.
1 . Please select your US HHS Region (designated by state): (Select one option)
Region I: CT, ME, MA, NH, RI, VT
Region III: DE, DC, MD, PA, VA, WV
Region IV: AL, FL, GA, KY, MS, NC, SC, TN
Region V: IL, IN, MI, MN, OH, WI
Region VII: IA, KS, MO, NE
Region VIII: CO, MT, ND, SD, UT, WY
Region IX: AZ, CA, HI, NV and the six U.S. Associated Pacific Jurisdictions
Region X: AK, ID, OR, WA
Region II: NJ, NY, Puerto Rico, Virgin Islands
Region VI: AR, LA, NM, OK, TX
2 . What is your organization or agency type? Select all that apply.
Certified Community Behavioral Health Clinic (CCBHC)
Community-based Organization
State Health Department
Local Health Department
Other (Please specify) ______________
3 . What is your position within your organization/agency?
4 . What is your job title/role?
5 . How would you best describe the geographic area that your health department serves? Select all that apply.
Rural
Suburban
Urban
Other (Please specify) ______________
6 . From your perspective, how easy or difficult has it been for programs to carry out services such as syringe services, naloxone or test strip
distribution to people who use drugs (PWUD) or at high risk of overdose in your jurisdiction over the last year? (Select one option)
Very easy
Fairly easy
Fairly difficult
Neither easy nor difficult
Very difficult
7 . Please explain your response regarding ease or difficulty in carrying out these services in your jurisdiction.
8 . I am interested in participating in a follow-up interview based on my responses to the questions in the survey. (Select one option)
Yes
No
NOTE : Display this comment only if answer to( ( Q#8 is Y e s ) )
If you selected "Yes" above, please provide your name and email in the text boxes below.
N O T E : Answer the below question only if answer to( ( Q#8 is Y e s ) )
9 . Your Name:
N O T E : Answer the below question only if answer to( ( Q#8 is Y e s ) )
1 0 . Your E-Mail Address:
Page 2 of 6
Items 1-4 ask you about you/your organization and partners/grantees’ awareness, access and use of specific tools for
overdose prevention. For your reference, here is a link to relevant tools that the National Council for Mental Wellbeing
has developed and disseminated in partnership with the CDC: Tools_For_Overdose_Prevention
1 1 . (1/17). Does your organization/agency have partners/grantees? Note: a “partner/grantee” is an organization that your organization sends fund
to for overdose prevention efforts in your jurisdiction.” (Select one option)
Yes
No
(2/17). The following are tools for overdose prevention focused on "Intentionally Including People with Lived and Living
Experience: A Series of Tools and Resources" as made available by the National Council for Mental Wellbeing (see
Tools_For_Overdose_Prevention). Thinking about your organization/agency, please respond as best as you can: ( S e l e c t a l l
that apply)
1 2 . My Organization/Agency and I...
Are Aware of the Tool
Have Accessed the Tool
Have Used the Tool
(a) Ensuring the Inclusion of People with Lived and
Living Experience in Health Departments’
Overdose Surveillance and Prevention Efforts: An
Overview
(b) Hiring People With Lived and Living Experience
Within Local and State Health Departments
(c) Engaging People with Lived and Living
Experience in Overdose Data Collection,
Interpretation and Dissemination
(d) Meaningfully Partnering With Harm Reduction
Organizations and Other Community-based
Organizations That Serve People Who Use Drugs
NOTE : Answer the below question only if answer to( ( Q#11 is Y e s ) )
Thinking about y o u r partners/grantees (in general), please respond as best as you can: (Select all that apply)
1 3 . My Partners/Grantees...
Are Aware of the
Have Used the
I Do Not
Tool
Have Accessed the
Tool
Tool
Know
(a) Ensuring the Inclusion of People with Lived and
Living Experience in Health Departments’
Overdose Surveillance and Prevention Efforts: An
Overview
(b) Hiring People With Lived and Living Experience
Within Local and State Health Departments
(c) Engaging People with Lived and Living
Experience in Overdose Data Collection,
Interpretation and Dissemination
(d) Meaningfully Partnering With Harm Reduction
Organizations and Other Community-based
Organizations That Serve People Who Use Drugs
1 4 . Please use the space below to explain your response(s) to item (2/17).
(3/17). The following are tools for overdose prevention made available by the National Council for Mental Wellbeing (see
Tools_For_Overdose_Prevention). Thinking about your organization/agency, please respond as best as you can: ( S e l e c t a l l
that apply)
1 5 . My Organization/Agency and I...
Are Aware of the Tool
(a) Enhancing Harm Reduction Services in Health
Departments: Harm Reduction Vending Machines
(b) Enhancing Harm Reduction Services in Health
Departments: Fentanyl Test Strips and Other Drug
Have Accessed the Tool
Have Used the Tool
Checking Equipment
NOTE : Answer the below question only if answer to( ( Q#11 is Y e s ) )
Thinking about your partners/grantees (in general), please respond as best as you can: (Select all that apply)
1 6 . My Partners/Grantees...
Are Aware of the
(a) Enhancing Harm Reduction Services in Health
Departments: Harm Reduction Vending Machines
(b) Enhancing Harm Reduction Services in Health
Departments: Fentanyl Test Strips and Other Drug
Have Used the
I Do Not
Tool
Have Accessed the
Tool
Tool
Know
Checking Equipment
1 7 . Please use the space below to explain your response(s) to item (3/17).
(4/17). The following are tools for overdose prevention focused on "Workforce Development Resources" as made available
by the National Council for Mental Wellbeing (see Tools_For_Overdose_Prevention). Thinking about your
organization/agency, please respond as best as you can: (Select all that apply)
1 8 . My Organization/Agency and I...
Are Aware of the Tool
(a) Establishing Peer Support Services for Overdose
Response: A Toolkit for Health Departments
(b) Overdose Response and Linkage to Care: A
Roadmap for Health Departments
(c) Linkage to Care to Prevent Overdose: Strategies
from the Field
(d) Establishing Culturally Centered Peer Support
Services
Have Accessed the Tool
Have Used the Tool
NOTE : Answer the below question only if answer to( ( Q#11 is Y e s ) )
Thinking about y o u r partners/grantees, please respond as best as you can: (Select all that apply)
1 9 . My Partners/Grantees...
Are Aware of the
(a) Establishing Peer Support Services for Overdose
Response: A Toolkit for Health Departments
(b) Overdose Response and Linkage to Care: A
Roadmap for Health Departments
(c) Linkage to Care to Prevent Overdose: Strategies
from the Field
(d) Establishing Culturally Centered Peer Support
Services
Have Used the
I Do Not
Tool
Tool
Tool
Know
20. Please use the space below to explain your response(s) to item (4/17).
Have Accessed the
Page 3 of 6
Items 5-11 ask you to give your thoughts on specific areas involving tools for overdose prevention.
2 1 . (5/17). In general, what tools, training, and/or technical assistance focused on overdose prevention to do you find helpful to better understand
overdose prevention and support you in your role? Please explain.
22. (6/17). What formats or types of tools are useful for you? Select all that apply.
Briefings (e.g. brief resource documents)
Templates (e.g. sample job descriptions or employee handbook policies)
Webinars (provided live or recorded)
Worksheets (e.g. organizational self-assessments)
Other (Please specify) ______________
None of the above
2 3 . (7/17). What topics in overdose prevention are you seeking? Select all that apply.
Information on overdose prevention topics in which my jurisdiction is not effective or struggling.
Information that is more setting specific (e.g., health systems, public safety, urban versus rural).
Information on overdose prevention topics in which my jurisdiction is already working and would like to expand our knowledge
base.
Other (Please specify) ______________
None of the above
24. For items (6/17) and (7/17), are there other formats of tools or other topics that you are seeking? If so, please explain further.
2 5 . (8/17). When accessing overdose prevention tools, do you have at least some knowledge about the following topic areas? Select all that
apply.
Primary prevention of substance use
Secondary prevention
Evidence-based treatment
Medication for Addiction Treatment (MAT)
Recovery and peer support
Other (Please specify) ______________
None of the above
2 6 . (9/17). When accessing overdose prevention tools, do you have no knowledge at all about the following topic areas? Select all that apply.
Primary prevention of substance use
Secondary prevention
Evidence-based treatment
Medication for Addiction Treatment (MAT)
Recovery and peer support
Other (Please specify) ______________
None of the above
27. Please use the space below to explain your response(s) to items (8/17) and (9/17).
2 8 . (10/17). What are some ideal features of tools for you? (e.g., length, specific content areas). Please explain.
2 9 . (11/17). How do you want resources and tools for overdose prevention to be shared with you? Select all that apply.
Conferences
E-Mail Listserv
In-Person Meetings
Virtual Meetings/Webinars
Other (Please specify) ______________
None of the above
3 0 . For item (11/17), is there anything else you want us to know about your reasoning for selecting those methods for sharing tools? If so, please
explain.
Page 4 of 6
Items 12-14 ask you provide information on how you share these tools with your jurisdiction and how those people and
organizations use these tools for overdose prevention.
( 1 2 / 1 7 ) . Generally speaking, who is using the tools for the implementation of overdose prevention programs within your
organization/agency? If your organization does not have the staff position listed, select "N/A".
3 1 . Within Your Organization/Agency
Yes
No
Not Sure
N/A
(a) Program Manager
(b) Primary Investigator
(c) Administrator/Leadership
(d) Staff Working Directly with People Who Use
Drugs (PWUD)
NOTE : Answer the below question only if answer to( ( Q#11 is Y e s ) )
Generally speaking, who is using the tools for the implementation of overdose prevention programs among your
partners/grantees? As a reminder, a "partner/grantee" is an organization that your organization sends fund to for overdose
prevention efforts in your jurisdiction.
3 2 . Among Your Partners/Grantees
Yes
No
Not Sure
(a) Program Manager
(b) Administrator/Leadership
(c) Primary Investigator
(d) Staff Working Directly with People Who Use
Drugs (PWUD)
3 3 . (13/17). How do you share tools for overdose prevention with your jurisdiction and/or with your partners/grantees? Select all that apply.
Conferences
E-Mail Listserv
In-Person Meetings
Virtual Meetings/Webinars
Other (Please specify) ______________
We do not have partners/grantees involved in overdose prevention
3 4 . Please use the space below to explain your response(s) to item (12/17) and item (13/17).
3 5 . (14/17). How do you think your jurisdiction and/or your partners/grantees use these tools? Please explain.
Page 5 of 6
Items 15-17 ask you to provide information on potential modification of tools for overdose prevention.
3 6 . (15/17). Generally speaking, do you read the tool(s) for overdose prevention once or do you find yourself returning to the tool(s) as a
reference guide? Please explain.
37. (16/17). Are y o u modifying any of these tools (e.g. taking these tools and tailoring them to your community)? (Select one option)
Yes
No
N O T E : Answer the below question only if answer to( ( Q#37 is Y e s ) )
3 8 . How are you modifying these tools? Please explain.
NOTE : Answer the below question only if answer to( ( Q#11 is Y e s ) )
3 9 . Are your partners/grantees modifying any of these tools? (Select one option)
Yes
I Don't Know
No
N O T E : Answer the below question only if answer to( ( Q#39 is Y e s ) )
40. If so, how are your partners/grantees modifying the tools (e.g., taking these tools and tailoring it to the populations they serve)? Please
explain.
N O T E : Answer the below question only if answer to( ( Q#11 is Y e s ) )
4 1 . From your perspective, do your partners/grantees want a more hands-on approach (like a webinar) or a document they can open and read
on their own time? Please explain.
If you do not know, enter "Don't Know".
42. (17/17). What specific expertise do you want to see reflected in a tool? (e.g., academic/research, epidemiological, evidence-based, lived
experience, on-the-ground experience, grant/funding, programmatic, etc.). Please explain.
4 3 . Please provide any other comments and feedback about your use and thoughts on tools for overdose prevention.
Page 6 of 6
| File Type | application/pdf |
| File Modified | 2025-02-13 |
| File Created | 2025-02-10 |