Case Study: Understanding Reasons Behind Declining Rates of Opioid Overdose In Eastern Kentucky Counties

Grants and Contracts Details


Project Goals • Analyze reasons for declining rates of overdose mortality in counties in eastern Kentucky that have occurred even as overdose rates have risen in the state of Kentucky as a whole, as well as in the Appalachian regions of neighboring states such as Pennsylvania, Ohio, and West Virginia. • Identify potential policies and interventions driving the declines that can be implemented in other communities. • Broadly disseminate findings through chosen communications channels that may include reports, issue briefs, fact sheets, presentations, webinars, posters, and peer reviewed publications. Activities include: 1. Conduct an analysis of declining overdose mortality rates in eastern Kentucky, with a focus on counties that have seen the steepest declines (Johnson, Clay, Floyd, Carter, and Powell). Identify community characteristics and specific drivers of declining overdose rates. a. Identify programs, interventions, and resources that may contribute to fighting the opioid epidemic and reducing rates of overdose mortality. b. Identify applicable laws and policies that impact opioid overdose including, but not limited to opioid accessibility, naloxone availability, Medication Assisted Treatment access, syringe service programs, etc. 2. Identify perceived reasons why trends in Kentucky are not being seen in other Appalachian states, and identify policy differences that may contribute to these trends. a. Identify perceived barriers and facilitators to addressing the opioid epidemic and overdose mortality rates and how those may differ in other states and communities. 3. Identify successful elements of the opioid response in eastern Kentucky that can be replicated in other counties. 4. Develop and implement a communication plan for dissemination of results. Roles and Responsibilities This scope outlines the specific roles and responsibilities of the National Association of County and City Health Officials (NACCHO) and NORC to implement the Center for Disease Control and Prevention (CDC) funded project Case Study: Understanding Reasons Behind Declining Rates of Opioid Overdose In Five Southeastern Kentucky Counties to meet the goals outlined above. As the funder of this project, CDC serves in the role of technical monitor, advising project partners to ensure activities and deliverables meet the needs of CDC and the community served through the project. NACCHO As the grant recipient, NACCHO serves as the overall project manager and fiscal agent for the work outlined. This includes establishing the award with NORC, monitoring budgets, and ensuring activities and project deliverables occur on-time and are high quality. Additional NACCHO activities include: • Provide support for the activities of NORC as described below. • Provide appropriate capacity building as required to local organizations related to data gathering efforts. • Support NORC in the dissemination of results to NACCHO members through existing communications channels, fact sheets, issue briefs, and conference presentations/workshops. NORC NORC serves as the main project investigator with responsibilities for gathering and analyzing data and creating appropriate reports and other materials to communicate findings and further public health practice. Additional NORC activities include: • Conduct data collection and analysis activities directly related to addressing the project goals. • Provide appropriate awards to local community partners to support data gathering and evaluation efforts. • Provide appropriate capacity building as required to local organizations related to data gathering efforts. University of Kentucky Center of Excellence in Rural Health UK Center of Excellence in Rural Health will provide support to NORC throughout the project. Their scope of work will include: • Provide feedback on qualitative data collection plan • Assist with recruitment of stakeholders for focus groups and interviews • Organize site visit logistics • Provide feedback on analysis and summary of project findings • Review final report
Effective start/end date1/1/207/31/21


  • National Opinion Research Center: $58,000.00


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