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Ql. When did your jurisdiction j oin the ORS program? •
Select
2024 ORS Annual Evaluation Survey Public Health Partner
Thank you for participating in this brief survey about your participation in the
Overdose Response Strategy (ORS) program. With this annual survey, we are
seekin~ to understand the components of partnership, networks and mutually
reinforcing activities that lead to shared, effective efforts to reduce drug
overdoses and save lives. The results will be used to measure the progression
and impacts of this unique partnership. We're asking that you respond to the
questions based on how the ORS program operated in 2024.
The survey will take approximately 30 m inutes to complete, and your responses
are completely anonymous. The data collected from this survey will be
summarized and no individual person will be identifiable from the summarized
results. If you have questions or need help with the survey, please contact
[email protected]. We truly value your experience and
feedback!
Fom1 Approve
0MB No: 0920-xxxx
Exp. Date: xx-xx-xxxx
The public reporting burden of this collection of information is estimated to
average 30 m inutes per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. An agency may not
conduct or sponsor, and a person is not required to respond to a collection of
information unless it displays a currently valid 0MB control number. Send
comments regarding this burden estimate or any other aspect of this collection
of information, including suggestions for reducing this burden to- CDC/ATSDR
Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia
30333 ATTN: PRA (0920-XXXX)
Q2. Have you been in your role with the ORS for 6 or more months? •
Select
"Backbone· Support from the ORS Program
The ORS was creat ed to help local communities reduce drug overdoses and save lives by
sharing timely data, pertinent int elligence and evidence-based and innovative strategies. For
the folfowing questions, select the option that best describes to what extent you agree with
the statement for the ORS program as it operated in 2024.
Q3. The ORS program builds a common understanding of the problem that needs to be
addressed. •
0
0
0
0
0
I don't know
Strongly disagree
Disagree
Agree
Strongly agree
Q4. The ORS program builds and maintains motivation among key stakeholders to
achieve the program's goals. •
0
0
0
0
0
I don't know
Strongly disagree
Disagree
Agree
Strongly agree
QS. The ORS program provides support toward identified goals and opportunities, and
identifies challenges and gaps. •
0
0
0
0
0
I don't know
Strongly disagree
Disagree
Agree
Strongly agree
Q6. The ORS program understands how local context influences implementation of ORS
goals. •
0
0
0
0
0
I don't know
Strongly disagree
Disagree
Agree
Strongly agree
Q7. The ORS program is committed to and actively involved in achieving our
state/jurisdiction goals. •
0
I don't know
V ~,rongly 01sagree
0
0
0
Disagree
Agree
Strongly agree
QS. As a result of t he involvement wit h the ORS program, public healt h and public safety
collaboration and communication in my state/jurisdiction is stronger. •
0
0
0
0
0
I don't know
Strongly disagree
Disagree
Agree
Strongly agree
Q9. As a result of t he involvement wit h the ORS program, our state/j urisdictional efforts
can better address overdoses.
0
0
0
0
0
*
I don't know
Strongly disagree
Disagree
Agree
Strongly agree
Partner Relationships/ Attributes
Ql 0. My organization has clear approaches/goals for our contributions to the ORS
program. •
0
0
0
0
0
I don't know
Strongly disagree
Disagree
Agree
Strongly agree
Ql 1. My organization understands the work of other ORS partners in my
state/jurisdiction and how they support the common goals of the ORS program. •
0
0
0
0
0
I don't know
Strongly disagree
Disagree
Agree
Strongly agree
For t he following questions, select the option that best describes t o what extent you agree
wit h the statement for the HIDTA that you are partnered with as it operated in 2024.
Ql 2. My public safety partner works collaboratively to identify and implement
strategies. •
0
0
0
I don't know
Strongly disagree
Disagree
r ) ,.,.. .....,...
0
Strongly agree
Ql 3. My public safety partner takes part in activities to build trust and connection
across sectors. •
0
0
0
0
0
I don't know
Strongly disagree
Disagree
Agree
Strongly agree
Ql4. My public safety partner engages in frank, open and respectful discussion
specifically about each other's needs and/or priorities as it relates to the ORS. •
0
0
0
0
0
I don't know
Strongly disagree
Disagree
Agree
Strongly agree
Ql 5. My public safety partner is committed to and actively involved in achieving our
state/jurisdictional ORS program goals. •
0
0
0
0
0
I don't know
Strongly disagree
Disagree
Agree
Strongly agree
Ql 6. Indicate the best frt for the current level of involvement with your ORS public safety
partner from your perspective. •
0
0
0
0
Networking
Cooperation
Coordination
Full Collaboration
Ql7. Identify your desired level of involvement with this partner. •
0
0
0
0
Networking
Cooperation
Coordination
Full Collaboration
Ql 8. If you are not at our desired level of collaboration, what characteristics would need to
change to reach it? •
Ql 9. Our involvement with this public safety partner has improved my organization's
approach to addressing overdoses. •
0
I don't know
0
0
0
0
Strongly disagree
Disagree
Agree
Strongly agree
Local Implementation of the ORS Partnership Model
For the following questions, select the option that best describes to what extent you agree
with the statement for your organization and your ORS state/jurisdiction partners as it
operated in 2024.
Q20. The state/jurisdictional ORS Action Plan captures the shared priorities for the ORS
team in my jurisdiction. •
0
0
0
0
0
I don't know
Strongly disagree
Disagree
Agree
Strongly agree
Q21 . My organization provides the necessary support for the PHA and 010 to achieve
the goals in the ORS Action Plan. •
0
0
0
0
0
I don't know
Strongly disagree
Disagree
Agree
Strongly agree
Q22. Our public safety partner provides the necessary support for the PHA and 010 to
achieve the goals in the ORS Action Plan. •
0
0
0
0
0
I don't know
Strongly disagree
Disagree
Agree
Strongly agree
Q23. Together, the ORS partners in my state/jurisdiction regularly share data, insights
and trends we are seeing related to drug overdose in our communities. •
0
0
0
0
0
I don't know
Strongly disagree
Disagree
Agree
Strongly agree
Please provide specific examples in your state/jurisdiction from 2024.
024. Tooether. the ORS oartners in mv stateliurisdiction inform and helo loc:al
comm;,-n"iti;;-de~~~p -,~al ;~iirti~~;to ~~d~~;~;;~~;es and·~;~-,;~;;, ; - - ·
0
0
0
0
0
I don't know
Strongly disagree
Disagree
Agree
Strongly agree
Q25. Together, the ORS partners in my state/ jurisdiction implement evidence-based
response efforts that can directly reduce overdose deaths. •
0
0
0
0
0
I don't know
Strongly disagree
Disagree
Agree
Strongly agree
Q26. Together, the ORS partners in my state/j urisdiction design and use promising
strategies at the intersection of public health and public safety. •
0
0
0
0
0
I don't know
Strongly disagree
Disagree
Agree
Strongly agree
Q27. Together, the ORS partners in my state/ jurisdiction implement evidence-informed
prevention stralegies that can reduce substance use and overdose. •
0
0
0
0
0
I don't know
Strongly disagree
Disagree
Agree
Strongly agree
Q28. What communities experience a greater burden of overdose in your j urisdiction, and
how has your ORS partnership worked to reduce these disparaties? •
Q29. How has your ORS partnership addressed social, structural, and systemic factors
that impact substance use and overdose? •
Q30. The ORS partners in my state/jurisdiction are doing a good job leveraging the
strengths and assets of public health to reduce fatal and non-fatal overdoses. •
0
0
0
0
0
I don't know
Strongly disagree
Disagree
Agree
Strongly agree
Optional: Please elaborate on your selection.
Q31. The ORS partners in my state/j urisdiction are doing a good job leveraging the
strengths and assets of public safety to reduce fatal and non-fatal overdoses. •
0
0
0
0
0
I don't know
Strongly disagree
Disagree
Agree
Strongly agree
Optional: Please elaborate on your selection.
Q32. My organization is making improved decisions about policies or programs and the
use of resources to reduce fatal and non-fatal overdoses because of the ORS program. •
0
I don't know
0
0
0
0
Strongly disagree
Disagree
Agree
Strongly agree
Please describe specific decisions made about policies and programs or use of resources.
Optional: Please elaborate on your selection.
Impact of Partnership
Q33. Looking back at 2024, what do you think was the most significant change in
collaboration across public health and public safety in your jurisdiction? •
Q34. What have been the most challenging aspects of this collaboration? •
l..l.,j:>, vvnaL suggesuons or 1aeas ao you nave 1or improving conaoorduon oeLween puonc
health and public safety partners? •
Q36. In what ways have overdose and related trends changed in the last year, if at all, as a
result of public health-public safety partnership in your j urisdiction? •
Q37. What about the ORS program has been the most impactful on your organization's
ability lo contribute lo lhe reduction of fatal and non -fatal overdoses? "
Q38. Please describe a success story related to your collaboration with the ORS program
in 2024.
Information you highlight may be featured anonymously in program communications.
Q39. What is your vision for the future of the ORS program?
Q40. Is there any other feedback you would like to share?
0
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