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
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
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.)
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)
Service
area (i.e., the tribal nations, states/territories,
and/or counties
to which
you offer services)
Syringe
provision model
(e.g., 1:1,
need-based, etc.)
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.)
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)
Backpack/outreach
or foot/pedestrian-based Pop-up sites (tables, tent, etc.)
Delivery to regular locations (e.g., established route)
Delivery
to participant requested locations (e.g., home delivery)
Mail-based
distribution Vending machine
Other (please describe) Don't know
My program prefers not to answer this question.
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.
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
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
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
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).
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.
In-person/on-site
service area (including vending machines) in TRIBAL NATIONS changed.
In-person/on-site
service area (including vending machines) in STATES/TERRITORIES
changed.
In-person/on-site
service area (including vending machines) in COUNTIES changed.
Don't
know
My program prefers not to answer this question.
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
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.
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
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
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
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
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
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
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
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.
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
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
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
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
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
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
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
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
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.
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
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
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
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
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.
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
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
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
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
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
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
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
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
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
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.
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
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
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.
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
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
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
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
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
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.
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
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
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
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
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
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
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
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.
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
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
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
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
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
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.
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
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
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
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
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
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
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
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.
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")
One-for-one
exchange (1:1) with starter packs One-for-one
(1:1) plus
(i.e., "rounding
up") with
starter packs
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
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
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
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
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:
("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.
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
My
program prefers
not to
answer this
question.
When did the cap end? (Note: Please enter date in Cap end date:
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
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
My
program prefers
not to
answer this
question.
Between [event-label], how many new unique Number of new participants:
participants
visited your
syringe services
program? Don't
know
My program prefers not to answer this question.
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
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
Non-medication
Treatment for
Substance Use
Disorder Offered
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
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
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
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
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
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.
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.
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
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
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:
[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
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
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
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
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
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.
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
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
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
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 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
[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
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
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
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
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
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
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
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
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
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.
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
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
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
My
program prefers
not to
answer this
question. My program does not collect this data.
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
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
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
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
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
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
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
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.
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:
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 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
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
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
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
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
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
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.
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
My
program prefers
not to
answer this
question. My program does not collect this data.
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
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
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
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
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
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
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
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.
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.
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
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
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
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
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
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
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
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
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.
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
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
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
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
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
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
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
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
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
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
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.
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
[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
Non-test
strip drug-checking on-site (e.g., mass spectrometry)
Non-test
strip drug-checking off-site (e.g., mail-in drug-checking)
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
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
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
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
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
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.
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
[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
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
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
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
Provision
of Medications for Opioid Use Disorder
via telehealth
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
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
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
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
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
Navigation
to Non-Medication
Substance Use
Disorder Treatment
Provision
of
Non-Medication
Substance
Use
Disorder Treatment
in-person
Provision
of
Non-Medication
Substance
Use
Disorder Treatment
via telehealth
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
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
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
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
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.
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
My
program prefers
not to
answer this
question.
Please briefly describe the support you need (e.g., Description:
"writing
an outreach
worker job
description;" Don't
know
"developing encounter forms," etc.): My program prefers not to answer this question.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Drab, Ryan (CDC/DDID/NCHHSTP/DVH) |
File Modified | 0000-00-00 |
File Created | 2024-07-21 |