Overdose Fatality Review (OFR) Mentor Site Application

Overdose Fatality Review (OFR) Mentor Site Application

OFR Mentor Site Selection

OFR mentor sites will serve as hosts for communities interested in planning and implementing an OFR. BJA anticipates that each mentor site will be asked to host approximately six to ten peer communities (typically teams of two persons). Visits will include opportunities for observation and peer-to-peer exchanges between the host and visitor communities. The 2024 mentor program will be on going from January 1, 2024 through December 31st, 2024.

The selected mentor sites should be prepared to work with BJA’s training and technical assistance provider (IIR) to host initial meet and greet call, provide opportunities to observe an OFR in action, host debrief calls with mentee, attend mentee OFR teams with IIR and provide feedback, attend quarterly check in IIR meetings, provide one-to-one feedback to IIR on a regular basis and provide ongoing support as needed.

Should you have questions about the application process or issues with submission, please submit your questions here.

Contact Information

First Name*

Last Name*

Job Title*

Agency/Organization*

Work Address*

City*

State*

ZIP*

County*

Cell Phone*

Phone

Email*

Name of Applicant Site*

Name of Applicant Program*

Geographical Information

Provide additional information on your "other" jurisdiction type.

Provide a brief description of your community and the nature of the local overdose epidemic.

OFR Information

Are you an OFR-PHAST team?*

Yes

Unsure

Have you been a mentor site previously through BJA?*

Yes

Unsure

Do you host OFR sites outside of matches the BJA mentor program?*

Yes

Unsure

Add a brief paragraph describing your OFR scope and structure.

Provide additional information on your "other" lead agency.

Describe your executive committee or governing committee.

If there is no formal committee or structure in place, identify the person to whom the OFR team reports recommendations and describe how those recommendations are tracked throughout implementation.

Describe your OFR leadership team or staffing.

Is your OFR team currently conducting next-of-kin interviews?*

Yes

Unsure

Describe your next-of-kin interview process.

What year did your OFR begin?

What is the frequency of your OFR meetings?

Monthly

Every other month

Quarterly

No set schedule

What is your 2023 case selection criteria and process?

None-do all drug overdoses

Theme

Specific population or type substances

Random sample

What are some areas of success for the OFR team team (facilitation, case selection, NOK, recommendation implementation, OFR structure, team capacity etc.)?*

Describe how selection criteria were determined for theme, specific population, or random sample.

Does your state have statue language that supports and/or guides the OFR process and confidentiality?

Yes

Does your program have memoranda of understanding, data and information sharing agreements, or other legal or program documents?

Yes

Have you produced any reports or presentations about the outcomes of your OFR?

Yes

Describe two challenges your OFR experienced and the steps taken to overcome them.

Provide an example of a recommendation that the team moved forward. Describe how the recommendation resulting from your OFR process was identified, implemented, and monitored.

Are you currently meeting virtually?

Yes

Are you currently meeting in-person?

Yes

Are you currently hosting a hybrid meeting (both in-person and virtually)?

Yes

What dates and times are you meeting in May, June, and July for a site visit for IIR.

Data

Describe how your OFR gathers, collects, manages, and accesses data related to cases. Include any software or programs you use or whether you partner with an academic institution on any aspects of the case review data management.

Does your OFR team use the OFR Data System?

Yes

Unsure

Describe your case review workflow--from obtaining the case list and selecting cases to sharing with team members and conducting the case review.

Mentor Site Activities

What characteristics of your program are you most proud of?

Describe a practice or activity identified in your OFR process that has been effective in addressing unique overdose trends in your community.

What would you most like to share with other communities to help them plan, implement, or enhance their OFRs?

Provide a short description of when you hosted visitors to observe your OFR or when you provided technical assistance to other sites.