Form 0920 Quarterly Survey SSSP (PS22-2208)

[NCHHSTP] PS22-2208 Component 2 (Strengthening Syringe Services Programs) Program Evaluation

Attachment 5_NASTAD's Strengthening SSPs Quarterly Survey

Quarterly Survey SSSP (PS22-2208)

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Quarterly Survey SSSP (PS22-2208)

Please complete the survey below. Please refer to the Reference Guide at this link.


[If the above link does not work, please copy and paste the following into your browser: https://sites.uw.edu/sharpta/files/2023/07/Strengthening-Syringe-Service-Programs-Evaluation-Reference-Guide.pdf]


If you have any further questions or comments about this evaluation, please contact us at [email protected] Thank you!


Did your harm reduction program stop providing all Yes

Shape2 services any time between [event-label] (i.e., your No

SSP could not provide services when you had expected Don't know

to be open)? My program prefers not to answer this question.


Approximately how many hours was your SSP unexpectedly Number of hours: closed between [event-label]? Don't know

Shape4 My program prefers not to answer this question.


Has any of the following information changed for your harm reduction program between [event-label]?(Please select all that apply.)

Service delivery model (e.g., fixed-site, mail-based, vending machine, etc.)

Shape6 Shape7 Number of fixed sites/brick-and-mortar locations Number of harm reduction program vehicles Number of harm reduction vending machines

Supplies offered in harm reduction vending machines Engagement and/or outreach to specific demographic groups (e.g., Ladies' Nights or outreach in youth centers)

Shape8 Service area (i.e., the tribal nations, states/territories, and/or counties to which you offer services)

Shape9 Syringe provision model (e.g., 1:1, need-based, etc.)

Shape10 Number of paid full-time employees Number of paid part-time employees

Operating hours (number of hours per week) Services offered at your harm reduction program (by your SSP or a partner) (e.g., HCV testing, drug checking, MOUD, etc.)

Shape11 None of the above have changed in the last quarter. Don't know

My program prefers not to answer this question.


What is your SSP service delivery model?(Please select all that apply.)

Brick and mortar fixed site (including drop-in centers)

Shape13 Shape14 Backpack/outreach or foot/pedestrian-based Pop-up sites (tables, tent, etc.)

Delivery to regular locations (e.g., established route)

Shape15 Delivery to participant requested locations (e.g., home delivery)

Shape16 Mail-based distribution Vending machine

Other (please describe) Don't know

My program prefers not to answer this question.


Shape18 As of [quarterly reporting period] how many brick-and-mortar Number of locations:

locations did your harm reduction program operate? Don't know

My program prefers not to answer this question.


Shape20 As of [quarterly reporting period], how many outreach and/or delivery Number of vehicles: vehicles did your harm reduction program operate? Don't know

My program prefers not to answer this question.


As of [quarterly reporting period], how many harm reduction vending Number of vending machines: machines did your program operate? Don't know

Shape22 My program prefers not to answer this question.


As of [quarterly reporting period], what supplies did your harm reduction program offer in vending machines? (Please select all that apply.)

Syringes

Shape24 Intramuscular naloxone kits Nasal naloxone kits

Condoms and/or safer sex kits Other (please specify): Don't know

My program prefers not to answer this question.


As of [quarterly reporting period], did your harm reduction program conduct activities designed to engage any of the following demographic groups? (Please select all that apply. If your program serves participants in any of these categories but does not conduct activities specifically designed to engage them, please do not mark the box for that category.)

Lesbian, gay, bisexual, or queer persons Transgender, genderqueer, or non-binary persons Women

Shape26 American Indian or Alaska Native persons Asian persons

Black or African-American persons Hispanic or Latinx persons

Native Hawaiian or Other Pacific Islander persons Persons aged < 20 years

Persons aged 20 to 29 years

Persons aged 30 to 39 years

Persons aged 40 to 59 years Persons aged < or = 60 years Persons who trade sex

Other (please describe)

No, my program did not conduct activities designed to engage any specific demographic group(s).

Shape27 Don't know

My program prefers not to answer this question.


Between [event-label], which of the following service area changes occurred in your program? (Please select all that apply.)

Mail-based service area in TRIBAL NATIONS changed. Mail-based service are in STATES/TERRITORIES changed.

Shape29 Shape30 In-person/on-site service area (including vending machines) in TRIBAL NATIONS changed.

Shape31 In-person/on-site service area (including vending machines) in STATES/TERRITORIES changed.

Shape32 In-person/on-site service area (including vending machines) in COUNTIES changed.

Shape33 Don't know

My program prefers not to answer this question.


Shape35 Between [event-label], in which tribal nation(s) does Tribal nations: your program offer MAIL-BASED services? (Note: Your None

answer from the baseline survey will pre-populate Don't know

here.) My program prefers not to answer this question.


Between [event-label], in which state(s) or

territory(/-ies) did your harm reduction program begin MAIL-BASED services? (Please select all that apply.) (

All US states and territories Alabama

Shape37 American Samoa Alaska

Arizona Arkansas California Colorado Connecticut Delaware

District of Columbia (DC) Florida

Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland

Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada

New Hampshire New Jersey New Mexico New York

North Carolina North Dakota

Northern Mariana Islands Ohio

Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas

United States Virgin Islands Utah

Vermont Virginia Washington West Virginia Wisconsin Wyoming Don't know

My program prefers not to answer this question.


Shape39 Between [event-label], in which tribal nation(s) does Tribal nation(s): your program offer IN-PERSON or ON-SITE? services None

(including vending machines)? (Note: Your answer from Don't know

the baseline survey will pre-populate here.) My program prefers not to answer this question.


Between [event-label], in which state(s) or

territory(/-ies) did your harm reduction program offer IN-PERSON or ON-SITE services (including vending machines)? (Please select all that apply.) (

Alabama American Samoa Alaska

Shape41 Arizona Arkansas California Colorado Connecticut Delaware

District of Columbia (DC) Florida

Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland

Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada

New Hampshire New Jersey New Mexico New York

North Carolina North Dakota

Northern Mariana Islands Ohio

Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas

United States Virgin Islands Utah

Vermont Virginia Washington West Virginia Wisconsin Wyoming Don't know

My program prefers not to answer this question.


Between [event_label], in which Alaska borough(s) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Alaskan Boroughs Aleutians East Aleutians West Anchorage

Shape43 Bethel Bristol Bay Denali Dillingham

Fairbanks North Star Haines

Juneau

Kenai Peninsula Ketchikan Gateway Kodiak Island

Lake and Peninsula Matanuska-Susitna Nome

North Slope Northwest Arctic

Prince of Wales-Outer Ketchikan Sitka

Skagway-Hoonah-Angoon Southeast Fairbanks Valdez-Cordova

Wade Hampton Wrangell-Petersburg Yakutat

Yukon-Koyukuk Don't know

My program prefers not to answer this question.


Between [event-label], in which Alabama county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Alabama Counties Autauga

Baldwin Barbour Bibb Blount Bullock Butler Calhoun Chambers Cherokee Chilton Choctaw Clarke Clay Cleburne Coffee Colbert Conecuh Coosa Covington Crenshaw Cullman Dale Dallas

De Kalb Elmore Escambia Etowah Fayette Franklin Geneva Greene Hale Henry Houston Jackson Jefferson Lamar

Lauderdale Lawrence Lee Limestone Lowndes Macon Madison Marengo Marion Marshall Mobile Monroe Montgomery Morgan Perry Pickens

Pike Randolph Russell Shelby St. Clair Sumter Talladega

Tallapoosa Tuscaloosa Walker Washington Wilcox Winston

Shape45 07/30/2023 10:02pm

Don't know

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Shape46 My program prefers not to answer this question.

Page 9


Between [event_label], in which Arkansas county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Arkansas Counties Arkansas

Ashley Baxter Benton Boone Bradley Calhoun Carroll Chicot Clark Clay Cleburne Cleveland Columbia Conway

Craighead Crawford Crittenden Cross Dallas Desha Drew Faulkner Franklin Fulton Garland Grant Greene Hempstead Hot Spring Howard

Independence Izard

Jackson Jefferson Johnson Lafayette Lawrence Lee Lincoln Little River Logan Lonoke Madison Marion Miller Mississippi Monroe

Montgomery Nevada Newton Ouachita Perry Phillips

Pike Poinsett Polk Pope Prairie Pulaski Randolph Saline Scott Searcy

Sebastian Sevier Sharp

Shape48 07/30/2023 10:02pm

St. Francis

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Shape49 Stone Union

Van Buren Washington White Woodruff Yell

Don't know

My program prefers not to answer this question.


Between [event-label], in which American Samoa county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All American Samoa Counties Eastern

Shape51 Manu'a Rose Island

Swains Island Western Don't know

My program prefers not to answer this question.



Between [event-label], in which Arizona county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Arizona Counties Apache

Shape53 Cochise Coconino Gila Graham Greenlee La Paz Maricopa Mohave Navajo Pima Pinal

Santa Cruz Yavapai Yuma Don't know

My program prefers not to answer this question.


Between [event-label], in which California

county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All California Counties Alameda

Shape55 Alpine Amador Butte Calaveras Colusa Contra Costa Del Norte

El Dorado Fresno Glenn Humboldt Imperial Inyo

Kern Kings Lake Lassen

Los Angeles Madera Marin Mariposa Mendocino Merced Modoc Mono Monterey Napa Nevada Orange Placer Plumas Riverside Sacramento San Benito

San Bernardino San Diego

San Francisco San Joaquin San Luis Obispo San Mateo Santa Barbara Santa Clara Santa Cruz Shasta

Sierra Siskiyou Solano Sonoma Stanislaus Sutter Tehama Trinity Tulare Tuolumne Ventura Yolo

Yuba

Don't know

My program prefers not to answer this question.


Shape57 Between [event-label], in which Colorado county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Colorado Counties Adams

Alamosa Arapahoe Archuleta Baca Bent Boulder Chaffee Cheyenne

Clear Creek Conejos Costilla Crowley Custer Delta Denver Dolores Douglas Eagle

El Paso Elbert Fremont Garfield Gilpin Grand Gunnison Hinsdale Huerfano Jackson Jefferson Kiowa

Kit Carson La Plata Lake Larimer Las Animas Lincoln Logan Mesa Mineral Moffat Montezuma Montrose Morgan Otero Ouray

Park Phillips Pitkin Prowers Pueblo Rio Blanco

Rio Grande Routt Saguache San Juan San Miguel Sedgwick Summit Teller Washington Weld

Yuma Don't know

My program prefers not to answer this question.


Between [event-label], in which Connecticut

county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Connecticut Counties Fairfield

Shape59 Hartford Litchfield Middlesex New Haven New London Tolland Windham Don't know

My program prefers not to answer this question.



Between [event-label], in which Delaware county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Delaware Counties Kent

Shape61 New Castle Sussex Don't know

My program prefers not to answer this question.


Between [event-label], in which Florida county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Florida Counties Alachua

Baker Bay Bradford Brevard Broward Calhoun Charlotte Citrus Clay Collier Columbia Dade

De Soto Dixie Duval Escambia Flagler Franklin Gadsden Gilchrist Glades Gulf Hamilton Hardee Hendry Hernando Highlands

Hillsborough Holmes Indian River Jackson Jefferson Lafayette Lake

Lee Leon Levy Liberty Madison Manatee Marion Martin Monroe Nassau

Okaloosa Okeechobee Orange Osceola Palm Beach Pasco Pinellas

Polk Putnam Santa Rosa Sarasota Seminole St. Johns St. Lucie Sumter Suwannee Taylor Union Volusia Wakulla Walton Washington

Shape63 07/30/2023 10:02pm

Don't know

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Shape64 My program prefers not to answer this question.

Page 16


Between [event-label], in which Georgia county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Georgia Counties Appling

Atkinson Bacon Baker Baldwin Banks Barrow Bartow Ben Hill Berrien Bibb Bleckley Brantley Brooks Bryan Bulloch Burke Butts Calhoun Camden Candler Carroll Catoosa Charlton Chatham

Chattahoochee

Chattooga Cherokee Clarke Clay Clayton Clinch Cobb Coffee Colquitt Columbia Cook Coweta Crawford Crisp Dade Dawson De Kalb Decatur Dodge Dooly Dougherty Douglas Early Echols Effingham Elbert Emanuel Evans Fannin Fayette Floyd Forsyth Franklin Fulton Gilmer Glascock Glynn Gordon Grady Greene Gwinnett

Shape66 07/30/2023 10:02pm

Habersham

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Shape67 Hancock Haralson Harris Hart Heard Henry Houston Irwin Jackson Jasper Jeff Davis Jefferson Jenkins Johnson Jones Lamar Lanier Laurens Lee Liberty Lincoln Long Lowndes Lumpkin Macon Madison Marion McDuffie McIntosh

Meriwether

Miller Mitchell Monroe Montgomery Morgan Murray Muscogee Newton Oconee Oglethorpe Paulding Peach Pickens Pierce

Pike Polk Pulaski Putnam Quitman Rabun

Randolph Richmond Rockdale Schley Screven Seminole Spalding Stephens Stewart Sumter Talbot Taliaferro Tattnall Taylor Telfair Terrell Thomas Tift Toombs Towns

Shape68 Troup Turner Twiggs Union Upson Walker Walton Ware Warren Washington Wayne Webster Wheeler White Whitfield Wilcox Wilkes Wilkinson Worth Don't know

My program prefers not to answer this question.


Between [event-label], in which Hawaii county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Hawaii Counties Hawaii

Shape70 Honolulu Kalawao Kauai Maui

Don't know

My program prefers not to answer this question.

Page 19


Between [event-label], in which Iowa county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Iowa Counties Adair

Adams Allamakee Appanoose Audubon Benton Black Hawk Boone Bremer Buchanan Buena Vista Butler Calhoun Carroll

Cass Cedar

Cerro Gordo Cherokee Chickasaw Clarke

Clay Clayton Clinton Crawford Dallas Davis Decatur Delaware Des Moines Dickinson Dubuque Emmet Fayette Floyd Franklin Fremont Greene Grundy Guthrie Hamilton Hancock Hardin Harrison Henry Howard Humboldt Ida

Iowa

Jackson Jasper Jefferson Johnson Jones Keokuk Kossuth Lee

Linn Louisa Lucas Lyon Madison Mahaska Marion Marshall Mills Mitchell Monona

Shape72 07/30/2023 10:02pm

Monroe

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Shape73 Montgomery Muscatine O'Brien Osceola Page

Palo Alto Plymouth Pocahontas Polk Pottawattamie Poweshiek Ringgold

Sac Scott Shelby Sioux Story Tama Taylor Union

Van Buren Wapello Warren Washington Wayne Webster Winnebago Winneshiek Woodbury Worth Wright Don't know

My program prefers not to answer this question.


Between [event-label], in which Idaho county(/-ies) did your harm reduction program provide IN-PERSON

and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Idaho Counties Ada

Shape75 Adams Bannock Bear Lake Benewah Bingham Blaine Boise Bonner Bonneville Boundary Butte Camas Canyon Caribou Cassia Clark Clearwater Custer Elmore Franklin Fremont Gem Gooding Idaho Jefferson Jerome Kootenai Latah Lemhi Lewis Lincoln Madison Minidoka Nez Perce Oneida Owyhee Payette Power Shoshone Teton Twin Falls Valley

Washington

Don't know

My program prefers not to answer this question.





















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Between [event-label], in which Illinois county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Illinois Counties Adams

Alexander Bond Boone Brown Bureau Calhoun Carroll Cass Champaign Christian Clark

Clay Clinton Coles Cook Crawford

Cumberland De Witt DeKalb Douglas DuPage Edgar Edwards Effingham Fayette Ford Franklin Fulton Gallatin Greene Grundy Hamilton Hancock Hardin Henderson Henry Iroquois Jackson Jasper Jefferson Jersey

Jo Daviess

Johnson Kane Kankakee Kendall Knox

La Salle Lake Lawrence Lee Livingston Logan Macon Macoupin Madison Marion Marshall Mason Massac McDonough McHenry McLean Menard Mercer Monroe

Shape77 07/30/2023 10:02pm

Montgomery

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Shape78 Morgan Moultrie Ogle Peoria Perry Piatt Pike Pope Pulaski Putnam

Randolph Richland Rock Island Saline Sangamon Schuyler Scott Shelby

St. Clair Stark Stephenson Tazewell Union Vermilion Wabash Warren Washington Wayne White Whiteside Will Williamson Winnebago Woodford Don't know

My program prefers not to answer this question.

Page 24


Between [event-label], in which Indiana county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Indiana Counties Adams

Allen Bartholomew Benton Blackford Boone

Brown Carroll Cass Clark Clay Clinton Crawford Daviess De Kalb Dearborn Decatur Delaware Dubois Elkhart Fayette Floyd Fountain Franklin Fulton Gibson Grant Greene Hamilton Hancock Harrison Hendricks Henry Howard

Huntington

Jackson Jasper Jay Jefferson Jennings Johnson Knox

Kosciusko La Porte Lagrange Lake Lawrence Madison Marion Marshall Martin Miami Monroe Montgomery Morgan Newton Noble

Ohio Orange Owen Parke Perry Pike Porter Posey Pulaski Putnam

Shape80 07/30/2023 10:02pm

Randolph

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Shape81 Ripley Rush Scott Shelby Spencer St. Joseph Starke Steuben Sullivan

Switzerland Tippecanoe Tipton Union

Vanderburgh Vermillion Vigo

Wabash Warren Warrick Washington Wayne Wells

White Whitley Don't know

My program prefers not to answer this question.

Page 26


Between [event-label], in which Kansas county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Kansas Counties Allen

Anderson Atchison Barber Barton Bourbon Brown Butler Chase Chautauqua Cherokee Cheyenne Clark

Clay Cloud Coffey Comanche Cowley Crawford Decatur Dickinson Doniphan Douglas Edwards Elk

Ellis Ellsworth Finney Ford Franklin Geary Gove Graham Grant Gray Greeley

Greenwood Hamilton Harper Harvey Haskell Hodgeman Jackson Jefferson Jewell Johnson Kearny Kingman Kiowa Labette Lane Leavenworth Lincoln

Linn Logan Lyon Marion Marshall McPherson Meade Miami Mitchell

Montgomery Morris Morton Nemaha Neosho

Shape83 07/30/2023 10:02pm

Ness

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Shape84 Norton Osage Osborne Ottawa Pawnee Phillips

Pottawatomie Pratt

Rawlins Reno Republic Rice Riley Rooks Rush Russell Saline Scott Sedgwick Seward Shawnee Sheridan Sherman Smith Stafford Stanton Stevens Sumner Thomas Trego

Wabaunsee Wallace Washington Wichita Wilson Woodson Wyandotte Don't know

My program prefers not to answer this question.

Page 28


Between [event-label], in which Kentucky county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Kentucky Counties Adair

Allen Anderson Ballard Barren Bath

Bell Boone Bourbon Boyd Boyle Bracken Breathitt

Breckinridge Bullitt

Butler Caldwell Calloway Campbell Carlisle Carroll Carter Casey Christian Clark Clay Clinton

Crittenden Cumberland Daviess Edmonson Elliott

Estill Fayette Fleming Floyd Franklin Fulton Gallatin Garrard Grant Graves Grayson Green Greenup Hancock Hardin Harlan Harrison Hart Henderson Henry Hickman Hopkins Jackson Jefferson Jessamine Johnson Kenton Knott Knox Larue Laurel Lawrence Lee

Leslie

Letcher

Shape86 07/30/2023 10:02pm

Lewis

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Shape87 Lincoln Livingston Logan Lyon Madison Magoffin Marion Marshall Martin Mason McCracken McCreary McLean Meade Menifee Mercer Metcalfe Monroe

Montgomery Morgan Muhlenberg Nelson Nicholas Ohio Oldham Owen Owsley Pendleton Perry

Pike Powell Pulaski Robertson Rockcastle Rowan Russell Scott Shelby Simpson Spencer Taylor Todd

Trigg Trimble Union Warren Washington Wayne Webster Whitley Wolfe Woodford Don't know

My program prefers not to answer this question.


Shape89 Between [event-label], in which Louisiana parish(es) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Louisiana Parishes Acadia

Allen Ascension Assumption Avoyelles Beauregard Bienville Bossier Caddo Calcasieu Caldwell Cameron Catahoula Claiborne Concordia De Soto

East Baton Rouge East Carroll

East Feliciana Evangeline Franklin Grant

Iberia Iberville Jackson Jefferson

Jefferson Davis La Salle Lafayette Lafourche Lincoln Livingston Madison Morehouse Natchitoches Orleans Ouachita Plaquemines Pointe Coupee Rapides

Red River Richland Sabine

St. Bernard St. Charles St. Helena St. James

St. John the Baptist St. Landry

St. Martin St. Mary

St. Tammany Tangipahoa Tensas Terrebonne Union Vermilion Vernon Washington Webster

West Baton Rouge West Carroll

West Feliciana Winn

Don't know

My program prefers not to answer this question.


Between [event-label], in which Massachusetts county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Massachusetts Counties Barnstable

Shape91 Berkshire Bristol Dukes Essex Franklin Hampden Hampshire Middlesex Nantucket Norfolk Plymouth Suffolk Worcester Don't know

My program prefers not to answer this question.



Between [event-label], in which Maryland county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Maryland Counties Allegany

Shape93 Anne Arundel Baltimore Baltimore city Calvert Caroline Carroll

Cecil Charles Dorchester Frederick Garrett Harford Howard Kent Montgomery

Prince George's Queen Anne's Somerset

St. Mary's Talbot Washington Wicomico Worcester Don't know

My program prefers not to answer this question.


Between [event-label], in which Maine county(/-ies) did your harm reduction program provide IN-PERSON

and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Maine Counties Androscoggin Aroostook Cumberland Franklin

Shape95 Hancock Kennebec Knox Lincoln Oxford Penobscot Piscataquis Sagadahoc Somerset Waldo Washington York

Don't know

My program prefers not to answer this question.


Between [event-label], in which Michigan county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Michigan Counties Alcona

Alger Allegan Alpena Antrim Arenac Baraga Barry Bay Benzie Berrien Branch Calhoun Cass

Charlevoix Cheboygan Chippewa Clare Clinton Crawford Delta Dickinson Eaton Emmet Genesee Gladwin Gogebic

Grand Traverse Gratiot Hillsdale Houghton Huron

Ingham Ionia Iosco Iron Isabella Jackson

Kalamazoo Kalkaska Kent Keweenaw Lake Lapeer Leelanau Lenawee Livingston Luce Mackinac Macomb Manistee Marquette Mason Mecosta Menominee Midland Missaukee Monroe Montcalm

Montmorency Muskegon Newaygo Oakland Oceana Ogemaw Ontonagon Osceola

Shape97 07/30/2023 10:02pm

Oscoda

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Shape98 Otsego Ottawa Presque Isle Roscommon Saginaw Sanilac Schoolcraft Shiawassee St. Clair

St. Joseph Tuscola Van Buren Washtenaw Wayne Wexford Don't know

My program prefers not to answer this question.

Page 35


Between [event-label], in which Minnesota

county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Minnesota Counties Aitkin

Anoka Becker Beltrami Benton Big Stone Blue Earth Brown Carlton Carver Cass Chippewa Chisago Clay Clearwater Cook

Cottonwood Crow Wing Dakota Dodge Douglas Faribault Fillmore Freeborn Goodhue Grant Hennepin Houston Hubbard Isanti Itasca Jackson Kanabec Kandiyohi Kittson

Koochiching Lac qui Parle Lake

Lake of the Woods Le Sueur

Lincoln Lyon Mahnomen Marshall Martin McLeod Meeker Mille Lacs Morrison Mower Murray Nicollet Nobles Norman Olmsted Otter Tail Pennington Pine Pipestone Polk

Pope Ramsey Red Lake Redwood Renville Rice Rock

Shape100 07/30/2023 10:02pm

Roseau

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Shape101 Scott Sherburne Sibley

St. Louis Stearns Steele Stevens Swift Todd Traverse Wabasha Wadena Waseca

Washington Watonwan Wilkin Winona Wright

Yellow Medicine Don't know

My program prefers not to answer this question.

Page 37


Between [event-label], in which Missouri county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Missouri Counties Adair

Andrew Atchison Audrain Barry Barton Bates Benton Bollinger Boone Buchanan Butler Caldwell Callaway Camden

Cape Girardeau Carroll

Carter Cass Cedar Chariton Christian Clark Clay Clinton Cole Cooper Crawford Dade Dallas Daviess De Kalb Dent Douglas Dunklin Franklin

Gasconade Gentry Greene Grundy Harrison Henry Hickory Holt Howard Howell Iron Jackson Jasper Jefferson Johnson Knox Laclede Lafayette Lawrence Lewis Lincoln Linn Livingston Macon Madison Maries Marion McDonald Mercer Miller Mississippi

Shape103 07/30/2023 10:02pm

Moniteau

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Shape104 Monroe Montgomery Morgan

New Madrid Newton Nodaway Oregon Osage Ozark Pemiscot Perry

Pettis Phelps Pike Platte Polk Pulaski Putnam Ralls Randolph Ray Reynolds Ripley Saline Schuyler Scotland Scott Shannon Shelby

St. Charles St. Clair

St. Francois St. Louis

St. Louis city Ste. Genevieve Stoddard Stone

Sullivan Taney Texas Vernon Warren Washington Wayne Webster Worth Wright Don't know

My program prefers not to answer this question.


Between [event-label], in which Northern Mariana Island(s) did your harm reduction program provide

IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Northern Mariana Islands Northern Islands

Shape106 Rota Saipan Tinian Don't know

My program prefers not to answer this question.

Page 39


Between [event-label], in which Mississippi

county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Mississippi Counties Adams

Alcorn Amite Attala Benton Bolivar Calhoun Carroll Chickasaw Choctaw Claiborne Clarke Clay Coahoma Copiah Covington DeSoto Forrest Franklin George Greene Grenada Hancock Harrison Hinds Holmes

Humphreys

Issaquena Itawamba Jackson Jasper Jefferson

Jefferson Davis Jones

Kemper Lafayette Lamar Lauderdale Lawrence Leake

Lee Leflore Lincoln Lowndes Madison Marion Marshall Monroe

Montgomery Neshoba Newton Noxubee Oktibbeha Panola

Pearl River Perry

Pike Pontotoc Prentiss Quitman Rankin Scott Sharkey Simpson Smith Stone Sunflower

Shape108 07/30/2023 10:02pm

Tallahatchie

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Shape109 Tate Tippah Tishomingo Tunica Union Walthall Warren Washington Wayne Webster Wilkinson Winston Yalobusha Yazoo Don't know

My program prefers not to answer this question.


Between [event-label], in which Montana county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Montana Counties Beaverhead

Shape111 Big Horn Blaine Broadwater Carbon Carter Cascade Chouteau Custer Daniels Dawson Deer Lodge Fallon Fergus Flathead Gallatin Garfield Glacier

Golden Valley Granite

Hill Jefferson Judith Basin Lake

Lewis and Clark Liberty

Lincoln Madison McCone Meagher Mineral Missoula Musselshell Park Petroleum Phillips Pondera Powder River Powell Prairie Ravalli Richland Roosevelt Rosebud Sanders Sheridan Silver Bow Stillwater Sweet Grass Teton

Toole

Treasure Valley Wheatland Wibaux Yellowstone

Yellowstone National Park Don't know

My program prefers not to answer this question.









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Between [event-label], in which North Carolina county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All North Carolina Counties Alamance

Alexander Alleghany Anson Ashe Avery Beaufort Bertie Bladen Brunswick Buncombe Burke Cabarrus Caldwell Camden Carteret Caswell Catawba Chatham Cherokee Chowan Clay Cleveland Columbus Craven

Cumberland

Currituck Dare Davidson Davie Duplin Durham Edgecombe Forsyth Franklin Gaston Gates Graham Granville Greene Guilford Halifax Harnett Haywood Henderson Hertford Hoke

Hyde Iredell Jackson Johnston Jones Lee Lenoir Lincoln Macon Madison Martin McDowell

Mecklenburg Mitchell Montgomery Moore

Nash

New Hanover Northampton Onslow

Shape113 07/30/2023 10:02pm

Orange

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Shape114 Pamlico Pasquotank Pender Perquimans Person

Pitt Polk

Randolph Richmond Robeson Rockingham Rowan Rutherford Sampson Scotland Stanly Stokes Surry

Swain Transylvania Tyrrell Union

Vance Wake Warren Washington Watauga Wayne Wilkes Wilson Yadkin Yancey Don't know

My program prefers not to answer this question.


Between [event-label], in which North Dakota

county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All North Dakota Counties Adams

Shape116 Barnes Benson Billings Bottineau Bowman Burke Burleigh Cass Cavalier Dickey Divide Dunn Eddy Emmons Foster

Golden Valley Grand Forks Grant

Griggs Hettinger Kidder

La Moure Logan McHenry McIntosh McKenzie McLean Mercer Morton Mountrail Nelson Oliver Pembina Pierce Ramsey Ransom Renville Richland Rolette Sargent Sheridan Sioux Slope Stark Steele Stutsman Towner Traill Walsh Ward Wells Williams

Don't know

My program prefers not to answer this question.













07/30/2023 10:02pm projectredcap.org


Between [event-label], in which Nebraska county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Nebraska Counties Adams

Antelope Arthur Banner Blaine Boone Box Butte Boyd Brown Buffalo Burt Butler Cass Cedar Chase Cherry Cheyenne Clay Colfax Cuming Custer Dakota Dawes Dawson Deuel Dixon Dodge Douglas Dundy Fillmore Franklin Frontier Furnas Gage Garden Garfield Gosper Grant Greeley Hall Hamilton Harlan Hayes Hitchcock Holt Hooker Howard Jefferson Johnson Kearney Keith Keya Paha Kimball Knox Lancaster Lincoln Logan Loup Madison

McPherson

Merrick Morrill Nance Nemaha Nuckolls Otoe Pawnee

Shape118 07/30/2023 10:02pm

Perkins

projectredcap.org

Shape119 Phelps Pierce Platte Polk

Red Willow Richardson Rock Saline Sarpy Saunders Scotts Bluff Seward Sheridan Sherman Sioux Stanton Thayer Thomas Thurston Valley

Washington Wayne Webster Wheeler York

Don't know

My program prefers not to answer this question.


Between [event-label], in which New Hampshire county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All New Hampshire Counties Belknap

Shape121 Carroll Cheshire Coos Grafton Hillsborough Merrimack Rockingham Strafford Sullivan Don't know

My program prefers not to answer this question.


Between [event-label], in which New Jersey

county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All New Jersey Counties Atlantic

Shape123 Bergen Burlington Camden Cape May Cumberland Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris Ocean Passaic Salem Somerset Sussex Union Warren Don't know

My program prefers not to answer this question.


Between [event-label], in which New Mexico

county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All New Mexico Counties Bernalillo

Shape125 Catron Chaves Cibola Colfax Curry De Baca

Dona Ana Eddy Grant Guadalupe Harding Hidalgo Lea Lincoln

Los Alamos Luna McKinley Mora

Otero Quay

Rio Arriba Roosevelt San Juan San Miguel Sandoval Santa Fe Sierra Socorro Taos Torrance Union Valencia Don't know

My program prefers not to answer this question.



Between [event-label], in which Nevada county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Nevada Counties Carson City Churchill

Shape127 Clark Douglas Elko Esmeralda Eureka Humboldt Lander Lincoln Lyon Mineral Nye Pershing Storey Washoe White Pine Don't know

My program prefers not to answer this question.


Shape129 Between [event-label], in which New York county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All New York Counties Albany

Allegany Bronx Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie

Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Kings Lewis Livingston Madison Monroe

Montgomery Nassau

New York Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Queens Rensselaer Richmond Rockland Saratoga Schenectady Schoharie Schuyler Seneca

St. Lawrence Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates

Don't know

My program prefers not to answer this question.


Between [event-label], in which Ohio county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Ohio Counties Adams

Allen Ashland Ashtabula Athens Auglaize Belmont Brown Butler Carroll Champaign Clark Clermont Clinton Columbiana Coshocton Crawford Cuyahoga Darke Defiance Delaware Erie Fairfield Fayette Franklin Fulton Gallia Geauga Greene Guernsey Hamilton Hancock Hardin Harrison Henry Highland Hocking Holmes Huron Jackson Jefferson Knox

Lake

Lawrence Licking Logan Lorain Lucas Madison Mahoning Marion Medina Meigs Mercer Miami Monroe

Montgomery Morgan Morrow Muskingum Noble Ottawa Paulding Perry Pickaway Pike

Portage

Shape131 07/30/2023 10:02pm

Preble

projectredcap.org

Shape132 Putnam Richland Ross Sandusky Scioto Seneca Shelby Stark Summit Trumbull Tuscarawas Union

Van Wert Vinton Warren Washington Wayne Williams Wood Wyandot Don't know

My program prefers not to answer this question.

Page 52


Between [event-label], in which Oklahoma county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Oklahoma Counties Adair

Alfalfa Atoka Beaver Beckham Blaine Bryan Caddo Canadian Carter Cherokee Choctaw Cimarron Cleveland Coal Comanche Cotton Craig Creek Custer Delaware Dewey Ellis Garfield Garvin Grady Grant Greer Harmon Harper Haskell Hughes Jackson Jefferson Johnston Kay Kingfisher Kiowa Latimer Le Flore Lincoln Logan Love Major Marshall Mayes McClain McCurtain McIntosh Murray Muskogee Noble Nowata Okfuskee Oklahoma Okmulgee Osage Ottawa Pawnee Payne Pittsburg Pontotoc

Pottawatomie

Pushmataha Roger Mills Rogers Seminole

Shape134 07/30/2023 10:02pm

Sequoyah

projectredcap.org

Shape135 Stephens Texas Tillman Tulsa Wagoner Washington Washita Woods Woodward Don't know

My program prefers not to answer this question.


Between [event-label], in which Oregon county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Oregon Counties Baker

Shape137 Benton Clackamas Clatsop Columbia Coos Crook Curry Deschutes Douglas Gilliam Grant Harney Hood River Jackson Jefferson Josephine Klamath Lake

Lane Lincoln Linn Malheur Marion Morrow Multnomah Polk Sherman Tillamook Umatilla Union Wallowa Wasco Washington Wheeler Yamhill Don't know

My program prefers not to answer this question.

Page 54


Between [event-label], in which Pennsylvania

county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Pennsylvania Counties Adams

Allegheny Armstrong Beaver Bedford Berks Blair Bradford Bucks Butler Cambria Cameron Carbon Centre Chester Clarion Clearfield Clinton Columbia Crawford

Cumberland Dauphin Delaware Elk

Erie Fayette Forest Franklin Fulton Greene Huntingdon Indiana Jefferson Juniata

Lackawanna Lancaster Lawrence Lebanon Lehigh Luzerne Lycoming McKean Mercer Mifflin Monroe Montgomery Montour Northampton

Northumberland Perry Philadelphia Pike

Potter Schuylkill Snyder Somerset Sullivan Susquehanna Tioga

Union Venango Warren Washington Wayne Westmoreland Wyoming

York

Shape139 07/30/2023 10:02pm

Don't know

projectredcap.org

Shape140 My program prefers not to answer this question.

Page 56


Between [event-label], in which Puerto Rico

county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Puerto Rico Counties Adjuntas

Aguada Aguadilla Aguas Buenas Aibonito Anasco Arecibo Arroyo Barceloneta Barranquitas Bayamo'n Cabo Rojo Caguas Camuy Canovanas Carolina Catano

Cayey Ceiba Cidra Coamo Comerio Corozal Culebra Dorado Fajardo Florida Guanica Guayama Guayanilla Guaynabo Gurabo Hatillo

Hormigueros Humacao Isabela Jayuya

Juana Diaz Juncos Lajas Lares

Las Marias Las Piedras Loiza Luquillo Manati Maricao Mayaguez Moca Morovis Naguabo Naranjito Orocovis Patillas Penuelas Ponce Quebradillas Rincon

Rio Grande Sabana Grande Salinas

San German San Juan San Lorenzo

San Sebastian Santa Isabel Toa Alta

Shape142 07/30/2023 10:02pm

Toa Baja

projectredcap.org

Shape143 Trujillo Alto Utuado Vega Alta Vega Baja Vieques Villalba Yabucoa Yauco Don't know

My program prefers not to answer this question.


Between [event-label], in which Rhode Island

county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Rhode Island Counties Bristol

Shape145 Kent Newport Providence Washington Don't know

My program prefers not to answer this question.


Between [event-label], in which South Carolina county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All South Carolina Counties Abbeville

Shape147 Aiken Allendale Anderson Bamberg Barnwell Beaufort Berkeley Calhoun Charleston Cherokee Chester Chesterfield Clarendon Colleton Darlington Dillon Dorchester Edgefield Fairfield Florence Georgetown Greenville Greenwood Hampton Horry Jasper Kershaw Lancaster Laurens

Lee

Lexington Marion Marlboro McCormick Newberry Oconee Orangeburg Pickens Richland Saluda Spartanburg Sumter Union Williamsburg York

Don't know

My program prefers not to answer this question.



















07/30/2023 10:02pm projectredcap.org


Shape149 Between [event-label], in which South Dakota

county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).


























































07/30/2023 10:02pm

All South Dakota Counties Aurora

Beadle Bennett Bon Homme Brookings Brown

Brule Buffalo Butte Campbell Charles Mix Clark

Clay Codington Corson Custer Davison Day Deuel Dewey Douglas Edmunds Fall River Faulk Grant Gregory Haakon Hamlin Hand Hanson Harding Hughes

Hutchinson Hyde Jackson Jerauld Jones Kingsbury Lake Lawrence Lincoln Lyman Marshall McCook McPherson Meade Mellette Miner Minnehaha Moody Pennington Perkins Potter Roberts Sanborn Shannon Spink Stanley Sully

Todd

Tripp Turner Union Walworth Yankton Ziebach Don't know

My program prefperrosjecntoretdtcoapa.onrsgwer this question.


Between [event-label], in which Tennessee

county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Tennessee Counties Anderson

Bedford Benton Bledsoe Blount Bradley Campbell Cannon Carroll Carter Cheatham Chester Claiborne Clay Cocke Coffee Crockett

Cumberland Davidson Decatur DeKalb Dickson Dyer Fayette Fentress Franklin Gibson Giles Grainger Greene Grundy Hamblen Hamilton Hancock Hardeman Hardin Hawkins Haywood Henderson Henry Hickman Houston Humphreys Jackson Jefferson Johnson Knox

Lake

Lauderdale Lawrence Lewis Lincoln Loudon Macon Madison Marion Marshall Maury McMinn McNairy Meigs Monroe Montgomery Moore Morgan Obion Overton

Shape151 07/30/2023 10:02pm

Perry

projectredcap.org

Shape152 Pickett Polk Putnam Rhea Roane Robertson Rutherford Scott Sequatchie Sevier Shelby Smith Stewart Sullivan Sumner Tipton Trousdale Unicoi Union

Van Buren Warren Washington Wayne Weakley White Williamson Wilson Don't know

My program prefers not to answer this question.

Page 62


Between [event-label], in which Texas county(/-ies) did your harm reduction program provide IN-PERSON

and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Texas Counties Anderson Andrews

Angelina Aransas Archer Armstrong Atascosa Austin Bailey Bandera Bastrop Baylor Bee

Bell Bexar Blanco Borden Bosque Bowie Brazoria Brazos Brewster Briscoe Brooks Brown Burleson Burnet Caldwell Calhoun Callahan Cameron Camp Carson Cass Castro

Chambers Cherokee Childress Clay Cochran Coke Coleman Collin

Collingsworth Colorado Comal Comanche Concho Cooke Coryell

Cottle Crane Crockett Crosby Culberson Dallam Dallas Dawson De Witt Deaf Smith Delta Denton Dickens Dimmit Donley Duval Eastland

Shape154 07/30/2023 10:02pm

Ector

projectredcap.org

Shape155 El Paso Ellis Erath Falls Fannin Fayette Fisher Floyd Foard Fort Bend Franklin

Freestone Frio Gaines Galveston Garza Gillespie Glasscock Goliad Gonzales Gray Grayson Gregg Grimes Guadalupe Hale

Hall Hamilton Hansford Hardeman Hardin Harris Harrison Hartley Haskell Hays Hemphill Henderson Hidalgo Hill Hockley Hood Hopkins Houston Howard Hudspeth Hunt Hutchinson Irion

Jack Jackson Jasper Jeff Davis Jefferson Jim Hogg Jim Wells Johnson Jones Karnes Kaufman Kendall Kenedy Kent Kerr Kimble King Kinney Kleberg Knox

Shape156 Lamb Lampasas Lavaca Lee

Leon Liberty Limestone Lipscomb Live Oak Llano Loving Lubbock Lynn Madison Marion Martin Mason Matagorda Maverick McCulloch McLennan McMullen Medina Menard Midland Milam Mills Mitchell Montague

Montgomery

Moore Morris Motley

Nacogdoches Navarro Newton Nolan Nueces Ochiltree Oldham Orange

Palo Pinto Panola Parker Parmer Pecos Polk Potter Presidio Rains Randall Reagan Real

Red River Reeves Refugio Roberts Robertson Rockwall Runnels Rusk Sabine

San Augustine San Jacinto San Patricio San Saba Schleicher Scurry Shackelford

Shape157 Smith Somervell Starr Stephens Sterling Stonewall Sutton Swisher Tarrant Taylor Terrell Terry

Throckmorton Titus

Tom Green Travis Trinity Tyler Upshur Upton Uvalde

Val Verde Van Zandt Victoria Walker Waller Ward Washington Webb Wharton Wheeler Wichita Wilbarger Willacy Williamson Wilson Winkler Wise

Wood Yoakum Young Zapata Zavala Don't know

My program prefers not to answer this question.


Between [event-label], in which Utah county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Utah Counties Beaver

Shape159 Box Elder Cache Carbon Daggett Davis Duchesne Emery Garfield Grand Iron

Juab Kane Millard Morgan Piute Rich

Salt Lake San Juan Sanpete Sevier Summit Tooele Uintah Utah Wasatch Washington Wayne Weber Don't know

My program prefers not to answer this question.




































07/30/2023 10:02pm projectredcap.org


Between [event-label], in which Virginia county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Virginia Counties Accomack Albemarle Alexandria Alleghany

Amelia Amherst Appomattox Arlington Augusta Bath Bedford Bedford Bland Botetourt Bristol Brunswick Buchanan Buckingham Buena Vista Campbell Caroline Carroll Charles City Charlotte

Charlottesville Chesapeake Chesterfield Clarke

Clifton Forge Colonial Heights Covington

Craig Culpeper Cumberland Danville Dickenson Dinwiddie Emporia Essex Fairfax Fairfax

Falls Church Fauquier Floyd Fluvanna Franklin Franklin Frederick

Fredericksburg Galax

Giles Gloucester Goochland Grayson Greene Greensville Halifax Hampton Hanover Harrisonburg Henrico Henry Highland Hopewell Isle of Wight James City

King and Queen

Shape161 07/30/2023 10:02pm

King George

projectredcap.org

Shape162 King William Lancaster Lee Lexington Loudoun Louisa Lunenburg Lynchburg Madison Manassas

Manassas Park Martinsville Mathews Mecklenburg Middlesex Montgomery Nelson

New Kent Newport News Norfolk Northampton Northumberland Norton Nottoway Orange

Page Patrick Petersburg Pittsylvania Poquoson Portsmouth Powhatan

Prince Edward Prince George Prince William Pulaski Radford Rappahannock Richmond Richmond Roanoke Roanoke Rockbridge Rockingham Russell

Salem Scott

Shenandoah Smyth

South Boston Southampton Spotsylvania Stafford Staunton Suffolk

Surry Sussex Tazewell

Virginia Beach Warren Washington Waynesboro Westmoreland Williamsburg Winchester Wise

Wythe York

Don't know

My program prefers not to answer this question.


Between [event-label], in which US Virgin Islands county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All US Virgin Islands Counties Angaur

Shape164 Hatoboheit Kayangel Koror Ngarchelong Ngardmau Ngatpang Ngchesar Peleliu Sonsorol

St. John

St. Thomas Don't know

My program prefers not to answer this question.


Between [event-label], in which Vermont county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Vermont Counties Addison

Shape166 Bennington Caledonia Chittenden Essex Franklin Grand Isle Lamoille Orange Orleans Rutland Washington Windham Windsor Don't know

My program prefers not to answer this question.


Between [event-label], in which Washington

county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Washington Counties Adams

Shape168 Asotin Benton Chelan Clallam Clark Columbia Cowlitz Douglas Ferry Franklin Garfield Grant

Grays Harbor Island Jefferson King

Kitsap Kittitas Klickitat Lewis Lincoln Mason Okanogan Pacific

Pend Oreille Pierce

San Juan Skagit Skamania Snohomish Spokane Stevens Thurston Wahkiakum Walla Walla Whatcom Whitman Yakima Don't know

My program prefers not to answer this question.


Between [event-label], in which Wisconsin

county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Wisconsin Counties Adams

Ashland Barron Bayfield Brown Buffalo Burnett Calumet Chippewa Clark Columbia Crawford Dane Dodge Door Douglas Dunn

Eau Claire Florence Fond du Lac Forest Grant Green Green Lake Iowa

Iron Jackson Jefferson Juneau Kenosha Kewaunee La Crosse Lafayette Langlade Lincoln Manitowoc Marathon Marinette Marquette Menominee Milwaukee Monroe Oconto Oneida Outagamie Ozaukee Pepin Pierce

Polk Portage Price Racine Richland Rock Rusk Sauk Sawyer Shawano

Sheboygan St. Croix Taylor Trempealeau Vernon

Vilas Walworth Washburn Washington

Shape170 07/30/2023 10:02pm

Waukesha

projectredcap.org

Shape171 Waupaca Waushara Winnebago Wood Don't know

My program prefers not to answer this question.


Between [event-label], in which West Virginia

county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All West Virginia Counties Barbour

Shape173 Berkeley Boone Braxton Brooke Cabell Calhoun Clay Doddridge Fayette Gilmer Grant Greenbrier Hampshire Hancock Hardy Harrison Jackson Jefferson Kanawha Lewis Lincoln Logan Marion Marshall Mason McDowell Mercer Mineral Mingo Monongalia Monroe Morgan Nicholas Ohio Pendleton Pleasants Pocahontas Preston Putnam Raleigh Randolph Ritchie Roane Summers Taylor Tucker Tyler Upshur Wayne Webster Wetzel Wirt

Wood

Wyoming Don't know

My program prefers not to answer this question.


Between [event-label], in which Wyoming county(/-ies) did your harm reduction program provide IN-PERSON and/or ON-SITE services (including vending machines)? (Please select all that apply).

All Wyoming Counties Albany

Shape175 Big Horn Campbell Carbon Converse Crook Fremont Goshen Hot Springs Johnson Laramie Lincoln Natrona Niobrara Park

Platte Sheridan Sublette Sweetwater Teton

Uinta Washakie Weston Don't know

My program prefers not to answer this question.


Shape177 As of [quarterly reporting period], what was your harm reduction One-for-one exchange (1:1)

program's syringe provision model? One-for-one (1:1) plus (i.e., one-for-one "rounding up")

Shape178 One-for-one exchange (1:1) with starter packs One-for-one (1:1) plus (i.e., "rounding up") with starter packs

Shape179 Need-based

Other (please describe:) Don't know

My program prefers not to answer this question.


As of [quarterly reporting period], how many syringes does your Number of syringes: program provide in a starter pack? Don't know

Shape181 My program prefers not to answer this question.


Between [event-label], how many paid full-time Number of full-time employees: employees did your syringe services program have Don't know

Shape183 My program prefers not to answer this question.


Between [event-label], how many paid part-time Number of part-time employees: employees did your syringe services program have? Don't know

Shape185 My program prefers not to answer this question.


Between [event-label], how many hours per week did Number of hours: {ssp_qty_hrs_no} your syringe services program offer services? Please Don't know

Shape187 enter the number of hours only. My program prefers not to answer this question.

Note: If your program offers services in multiple locations or modes, please provide the sum of all service hours (e.g., 2 brick-and-mortar locations open 20 hours a week each [20x2] + 10 hours of mobile outreach per week= 50)"


In the last quarter, how many hours per week did your

syringe services program offer services? Please enter the number of hours only.

Note: If your program offers services in multiple locations or modes, please provide the sum of all service hours (e.g., 2 brick-and-mortar locations open 20 hours a week each [20x2] + 10 hours of mobile outreach per week= 50)"


Between [event_label], did you ever need to limit Yes, cap quantity:

Shape190 ("cap") the number of syringes each participant could Yes, but I don't know the cap quantity.

receive because of inventory? (Note: If your program Yes, but my program prefers not to disclose the always has a limit to the number of syringes a cap quantity.

Shape191 participant can receive, regardless of inventory, No

please select "No.") Don't know

My program prefers not to answer this question.


When did the cap begin? (Note: Please enter date in Cap start date: MM-DD-YYY format.) Don't know

Shape193 My program prefers not to answer this question.


When did the cap end? (Note: Please enter date in Cap end date:

Shape195 MM-DD-YYY format.) The cap is still in place.

Don't know

My program prefers not to answer this question.


How many encounters did your syringe services program Number of encounters: have between [event-label]? (Note: For the purposes of Don't know

Shape197 this survey,"encounter" refers to one participant My program prefers not to answer this question. visit to your harm reduction program or, for

mail-based services, one mailing.)


Between [event-label], how many unique participants Number of participants: visited your syringe services program? Don't know

Shape199 My program prefers not to answer this question.


Between [event-label], how many new unique Number of new participants:

Shape201 participants visited your syringe services program? Don't know

My program prefers not to answer this question.


Shape202


Which of the following service categories changed (i.e., your program began or ended services in this area) between [event-label]? (Please select all that apply.)

Hepatitis C Testing Services Offered Hepatitis C Treatment Services offered

Shape204 Hepatitis A and/or B Vaccination Services Offered Hepatitis B Testing Services offered

Wound Care Services Offered HIV Testing Services Offered HIV Treatment Services Offered

Pre-exposure Prophylaxis (PrEP) Services Offered Drug Checking Services Offered

Naloxone Services Offered

Medications for Opioid Use Disorder (MOUD) Services Offered

Shape205 Non-medication Treatment for Substance Use Disorder Offered

Shape206 None of the above Don't know

My program prefers not to answer this question.


Between [event-label], which of the following hepatitis C (HCV) testing services were offered at your harm reduction program, whether by you or a partner organization? (Please select all that apply.)

HCV Rapid Testing

Shape208 HCV Laboratory-based RNA Testing Referrals to HCV Testing Navigation to HCV Testing

None of the above Don't know

My program prefers not to answer this question.


Why is HCV rapid testing no longer available at your program? (Please select all that apply.)

Staff shortage

Shape210 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.



Why is HCV laboratory-based RNA testing no longer available at your program? (Please select all that apply.)

Staff shortage

Shape212 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why are HCV testing referrals no longer available at your program? (Please select all that apply.)

Staff shortage

Shape214 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why is HCV testing navigation no longer available at your program? (Please select all that apply.)

Staff shortage

Shape216 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Shape218 How many hepatitis C (HCV) rapid tests did your Number of HCV rapid tests: program provide between [event-label]? Don't know

My program prefers not to answer this question.


Shape220 How many hepatitis C (HCV) laboratory-based RNA tests Number of HCV Laboratory-based RNA tests: did your program provide between [event-label]? Don't know

My program prefers not to answer this question.


How many hepatitis C (HCV) testing referrals did your Number of HCV testing referrals: program provide between [event-label]? Don't know

Shape222 My program prefers not to answer this question.


How many encounters involved hepatitis C (HCV) testing Number of HCV testing navigation encounters: navigation from your program between [event-label]? Don't know

Shape224 My program prefers not to answer this question.


How many participants received hepatitis C (HCV) Number of participants receiving HCV testing testing navigation from your program between navigation:

Shape226 [event-label]? Don't know

My program prefers not to answer this question.


Between [event-label], which of the following hepatitis C (HCV) treatment services were offered at your harm reduction program, whether by you or a partner organization? (Please select all that

apply.)

Referrals to HCV Treatment Navigation to HCV Treatment Provision of HCV Treatment in-person

Shape228 Provision of HCV Treatment via telehealth None of the above

Don't know

My program prefers not to answer this question.


Why are HCV treatment referrals no longer available at your program? (Please select all that apply.)

Staff shortage

Shape230 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.



Why is HCV treatment navigation no longer available at your program? (Please select all that apply.)

Staff shortage

Shape232 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why is in-person HCV treatment no longer available at your program? (Please select all that apply.)

Staff shortage

Shape234 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why is HCV treatment via telehealth no longer available at your program? (Please select all that apply.)

Staff shortage

Shape236 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Shape238 How many hepatitis C treatment referrals did your Number of referrals: program provide between [event-label]? Don't know

My program prefers not to answer this question. My program does not collect this data.


How many encounters involved hepatitis C treatment Number of encounters: navigation from your program between [event-label]? Don't know

Shape240 My program prefers not to answer this question. My program does not collect this data.


How many participants received hepatitis C treatment Number of participants: navigation from your program between [event-label]? Don't know

Shape242 My program prefers not to answer this question. My program does not collect this data.


How many encounters involved hepatitis C treatment in-person between [event-label]?

Number of encounters: Don't know

Shape244 My program prefers not to answer this question. My program does not collect this data.


Shape246 How many participants did your program provide with Number of participants: hepatitis C treatment in-person between [event-label]? Don't know

My program prefers not to answer this question. My program does not collect this data.


How many participants did your program provide with Number of participants: hepatitis C treatment via telehealth between Don't know

Shape248 [event-label]? My program prefers not to answer this question.

My program does not collect this data.


How many encounters involved hepatitis C treatment via Number of encounters: telehealth between [event-label]? Don't know

Shape250 My program prefers not to answer this question. My program does not collect this data.


How many participants attained sustained hepatitis C Number of participants: clearance between [event-label]? Don't know

Shape252 My program prefers not to answer this question. My program does not collect this data.


Between [event-label] , which of the following hepatitis A and hepatitis B vaccination services were

offered at your harm reduction program, whether by you or a partner organization?

Hepatitis A Vaccination

Shape254 Referrals to Hepatitis A Vaccination Navigation to Hepatitis A Vaccination Hepatitis B Vaccination

Referrals to Hepatitis B Vaccination Navigation to Hepatitis B Vaccination Don't know

My program prefers not to answer this question.



Why is hepatitis A vaccination no longer available at your program? (Please select all that apply.)

Staff shortage

Shape256 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why are referrals to hepatitis A vaccination no longer available at your program? (Please select all that apply.)

Staff shortage

Shape258 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why is hepatitis A navigation no longer available at your program? (Please select all that apply.)

Staff shortage

Shape260 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why is hepatitis B vaccination no longer available at your program? (Please select all that apply.)

Staff shortage

Shape262 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why are hepatitis B referrals no longer available at your program? (Please select all that apply.)

Staff shortage

Shape264 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why is hepatitis B vaccination navigation no longer available at your program? (Please select all that apply.)

Staff shortage

Shape266 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.



Shape268 How many hepatitis A vaccinations did your program Number of vaccinations: provide between [event-label]? Don't know

My program prefers not to answer this question. My program does not collect this data.


How many hepatitis A vaccination referrals did your Number of referrals: program provide between [event-label]? Don't know

Shape270 My program prefers not to answer this question. My program does not collect this data.


How many participants received hepatitis A vaccination Number of participants: navigation from your program between [event-label]? Don't know

Shape272 My program prefers not to answer this question. My program does not collect this data.


How many encounters involved hepatitis A vaccination Number of encounters: navigation from your program between [event-label]? Don't know

Shape274 My program prefers not to answer this question. My program does not collect this data.


Shape276 How many hepatitis B vaccinations did your program Number of encounters: provide between [event-label]? Don't know

My program prefers not to answer this question. My program does not collect this data.


How many hepatitis B vaccination referrals did your Number of encounters: program provide between [event-label]? Don't know

Shape278 My program prefers not to answer this question. My program does not collect this data.


How many participants received hepatitis B vaccination Number of encounters: navigation from your program between [event-label]? Don't know

Shape280 My program prefers not to answer this question. My program does not collect this data.


How many encounters involved hepatitis B vaccination Number of encounters: navigation from your program between [event-label]? Don't know

Shape282 My program prefers not to answer this question. My program does not collect this data.


Between [event-label] , which of the following hepatitis B testing services were offered at your harm reduction program, whether by you or a partner organization?

Hepatitis B Testing

Shape284 Referrals to Hepatitis B Testing Navigation to Hepatitis B Testing Don't know

My program prefers not to answer this question.


Why is hepatitis B testing no longer available at your program? (Please select all that apply.)

Staff shortage

Shape286 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why are referrals to hepatitis B testing no longer available at your program? (Please select all that apply.)

Staff shortage

Shape288 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why is hepatitis B testing navigation no longer available at your program? (Please select all that apply.)

Staff shortage

Shape290 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Shape292 How many hepatitis B tests did your program provide Number of tests: between [event-label]? Don't know

My program prefers not to answer this question. My program does not collect this data.


How many hepatitis B testing referrals did your Number of referrals:

Shape294 program provide between [event-label]? Don't know

My program prefers not to answer this question. My program does not collect this data.


Shape296 How many encounters involved hepatitis B testing Number of encounters: navigation from your program between [event-label]? Don't know

My program prefers not to answer this question. My program does not collect this data.


How many participants received hepatitis B testing Number of participants: navigation from your program between [event-label]? Don't know

Shape298 My program prefers not to answer this question. My program does not collect this data.


Between [event-label] , which of the following HIV testing services were offered at your harm reduction program, whether by you or a partner

organization? (Please select all that apply.)

HIV Rapid Testing

Shape300 HIV Laboratory-based Testing Referrals to HIV Testing Navigation to HIV Testing Don't know

My program prefers not to answer this question.


Why is HIV rapid testing no longer available at your program? (Please select all that apply.)

Staff shortage

Shape302 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why is HIV laboratory-based RNA testing no longer available at your program? (Please select all that apply.)

Staff shortage

Shape304 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.



Why are referrals to HIV testing no longer available at your program? (Please select all that apply.)

Staff shortage

Shape306 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why is HIV testing navigation no longer available at your program? (Please select all that apply.)

Staff shortage

Shape308 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Shape310 How many HIV rapid tests did your program provide Number of HIV rapid tests: between [event-label]? Don't know

My program prefers not to answer this question. My program does not collect this data.


How many HIV laboratory-based RNA tests did your Number of HIV RNA tests: program provide between [event-label]? Don't know

Shape312 My program prefers not to answer this question. My program does not collect this data.


Shape314 How many HIV testing referrals did your program Number of referrals: provide between [event-label]? Don't know

My program prefers not to answer this question. My program does not collect this data.


How many participants received HIV testing navigation Number of participants: from your program between [event-label]? Don't know

Shape316 My program prefers not to answer this question. My program does not collect this data.


How many encounters involved HIV testing navigation Number of encounters: from your program between [event-label]? Don't know

Shape318 My program prefers not to answer this question. My program does not collect this data.


Between [event-label] , which of the following PrEP services were offered at your harm reduction program, whether by you or a partner organization? (Please select all that apply.)

Referrals to PrEP services Navigation to PrEP services Provision of PrEP in-person Provision of PrEP via telehealth Don't know

Shape320 My program prefers not to answer this question.


Why are referrals to PrEP services no longer available at your program? (Please select all that apply.)

Staff shortage

Shape322 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why is navigation to PrEP services no longer available at your program? (Please select all that apply.)

Staff shortage

Shape324 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why is provision of PrEP in-person no longer available at your program? (Please select all that apply.)

Staff shortage

Shape326 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.



Why is provision of PrEP via telehealth no longer available at your program? (Please select all that apply.)

Staff shortage

Shape328 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Shape330 How many referrals to PrEP services did your program Number of referrals: provide between [event-label]? Don't know

My program prefers not to answer this question. My program does not collect this data.


Shape332 How many participants received PrEP services Number of participants: navigation from your program between [event-label]? Don't know

My program prefers not to answer this question. My program does not collect this data.


How many encounters involved PrEP services navigation Number of encounters: from your program between [event-label]? Don't know

Shape334 My program prefers not to answer this question. My program does not collect this data.


How many PrEP prescriptions did your program provide Number of in-person prescriptions: in-person between [event-label]? Don't know

Shape336 My program prefers not to answer this question. My program does not collect this data.


How many PrEP prescriptions did your program provide Number of telehealth prescriptions: between [event-label] via telehealth? Don't know

Shape338 My program prefers not to answer this question. My program does not collect this data.


Between [event-label] , which of the following HIV treatment services were offered at your harm reduction program, whether by you or a partner

organization? (Please select all that apply.)

Referrals to HIV Treatment Navigation to HIV Treatment Provision of HIV Treatment in-person

Shape340 Provision of HIV Treatment via telehealth Don't know

My program prefers not to answer this question.


Why are referrals to HIV treatment no longer available at your program? (Please select all that apply.)

Staff shortage

Shape342 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why is navigation to HIV treatment no longer available at your program? (Please select all that apply.)

Staff shortage

Shape344 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why is in-person HIV treatment no longer available at your program? (Please select all that apply.)

Staff shortage

Shape346 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why is HIV treatment via telehealth no longer available at your program? (Please select all that apply.)

Staff shortage

Shape348 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Shape350 How many referrals to HIV treatment did your program Number of encounters: provide between [event-label]? Don't know

My program prefers not to answer this question. My program does not collect this data.


How many participants received HIV treatment Number of participants: navigation from your program between [event-label]? Don't know

Shape352 My program prefers not to answer this question. My program does not collect this data.


How many encounters involved HIV treatment navigation Number of encounters: from your program between [event-label]? Don't know

Shape354 My program prefers not to answer this question. My program does not collect this data.


How many participants did your program provide with Number of participants: HIV treatment in-person between [event-label]? Don't know

Shape356 My program prefers not to answer this question. My program does not collect this data.


How many encounters involved HIV treatment in-person Number of encounters: between [event-label]? Don't know

Shape358 My program prefers not to answer this question. My program does not collect this data.


How many participants did your program provide with Number of participants: HIV treatment via telehealth between [event-label]? Don't know

Shape360 My program prefers not to answer this question. My program does not collect this data.


How many encounters involved HIV treatment via Number of encounters: telehealth between [event-label]? Don't know

Shape362 My program prefers not to answer this question. My program does not collect this data.


Between [event-label] , which of the following wound care services were offered at your harm reduction program, whether by you or a partner

organization? (Please select all that apply.)

Wound care (in-person) Wound care supplies

Shape364 Referrals or navigation to wound care services None of the above

Don't know

My program prefers not to answer this question.


Why is wound care no longer available at your program? (Please select all that apply.)

Staff shortage

Shape366 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why are wound care supplies no longer available at your program? (Please select all that apply.)

Staff shortage

Shape368 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why are referrals or navigation to wound care services no longer available at your program? (Please select

all that apply.)

Staff shortage

Shape370 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Shape372 How many encounters involved providing wound care Number of encounters: services between [event-label] at your program? Don't know

My program prefers not to answer this question. My program does not collect this data.


How many encounters involved navigation or referrals Number of encounters: to wound care services from your program between Don't know

Shape374 [event-label]? My program prefers not to answer this question.

My program does not collect this data.


Between [event-label], which of the following drug checking services were offered at your harm reduction program, whether by you or a partner

organization? (Please select all that apply.)

Fentanyl Test Strips Xylazine Test Strips Benzodiazepine Test Strips

Shape376 Non-test strip drug-checking on-site (e.g., mass spectrometry)

Shape377 Non-test strip drug-checking off-site (e.g., mail-in drug-checking)

Shape378 None of the above Don't know

My program prefers not to answer this question.


Why are fentanyl test strips no longer available at your program? (Please select all that apply.)

Staff shortage

Shape380 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why are xylazine test strips no longer available at your program? (Please select all that apply.)

Staff shortage

Shape382 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why are benzodiazepine test strips no longer available at your program? (Please select all that apply.)

Staff shortage

Shape384 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.



Why is non-test strip drug-checking on-site (e.g., mass spectrometry) no longer available at your program? (Please select all that apply.)

Staff shortage

Shape386 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why is non-test strip drug-checking off-site (e.g., mail-in drug-checking) no longer available at your program? (Please select all that apply.)

Staff shortage

Shape388 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Shape390 How many encounters involved on-site, non-test-strip Number of encounters: drug checking services at your program between Don't know

[event-label]? My program prefers not to answer this question.

My program does not collect this data.


How many encounters involved off-site, non-test-strip Number of encounters: drug checking services at your program between Don't know

Shape392 [event-label]? My program prefers not to answer this question.

My program does not collect this data.


Between [event-label] , which of the following naloxone access options were offered at your harm reduction program, whether by you or a partner organization?

Naloxone Access Referrals Naloxone Doses

Shape394 None of the above Don't know

My program prefers not to answer this question.



Why are naloxone access referrals no longer available at your program? (Please select all that apply.)

Staff shortage

Shape396 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why are naloxone doses no longer available at your program? (Please select all that apply.)

Staff shortage

Shape398 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.



Between [event-label], which of the following Medications for Opioid Use Disorder (MOUD) services were offered at your harm reduction program, whether by you or a partner organization?

Referrals for Medications for Opioid Use Disorder Navigation to Medications for Opioid Use Disorder Provision of Medications for Opioid Use Disorder in-person

Shape400 Shape401 Provision of Medications for Opioid Use Disorder via telehealth

Shape402 None of the above Don't know

My program prefers not to answer this question.


Why are MOUD referrals no longer available at your program? (Please select all that apply.)

Staff shortage

Shape404 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why is navigation to MOUD no longer available at your program? (Please select all that apply.)

Staff shortage

Shape406 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why is in-person MOUD provision no longer available at your program? (Please select all that apply.)

Staff shortage

Shape408 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why is MOUD via telehealth no longer available at your program? (Please select all that apply.)

Staff shortage

Shape410 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Between [event-label], which of the following

non-medication substance use disorder treatment services were offered at your harm reduction program, whether by you or a partner organization?

Referrals for Non-Medication Substance Use Disorder Treatment

Shape412 Shape413 Navigation to Non-Medication Substance Use Disorder Treatment

Shape414 Provision of Non-Medication Substance Use Disorder Treatment in-person

Shape415 Provision of Non-Medication Substance Use Disorder Treatment via telehealth

Shape416 None of the above Don't know

My program prefers not to answer this question.


Why are referrals to non-medication substance use disorder treatment no longer available at your program? (Please select all that apply.)

Staff shortage

Shape418 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why is navigation to non-medication substance use disorder treatment no longer available at your program? (Please select all that apply.)

Staff shortage

Shape420 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why is in-person non-medication substance use disorder treatment no longer available at your program? (Please select all that apply.)

Staff shortage

Shape422 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.


Why is non-medication substance use disorder treatment via telehealth no longer available at your program? (Please select all that apply.)

Staff shortage

Shape424 Equipment /supplies shortage Dedicated funding ended or decreased Partnership with service provider ended Other (please describe):

Don't know

My program prefers not to answer this question.



Shape425

Shape426 Does your harm reduction program currently have any Yes technical assistance needs that you'd like our support No

with? Don't know

My program prefers not to answer this question.


What is the best e-mail address to contact you with a E-mail address: response to this TA request? Don't know

Shape428 My program prefers not to answer this question.


Please briefly describe the support you need (e.g., Description:

Shape430 "writing an outreach worker job description;" Don't know

"developing encounter forms," etc.): My program prefers not to answer this question.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorDrab, Ryan (CDC/DDID/NCHHSTP/DVH)
File Modified0000-00-00
File Created2024-07-21

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