ATHENS COUNTY SHERIFF'S OFFICE OVERDOSE RESPONSE TEAM OUTCOMES

ATHENS COUNTY SHERIFF'S OFFICE

OVERDOSE RESPONSE TEAM

OUTCOMES

Fiscal Year*

FY 2023

FY 2024

FY 2025

FY 2026

FY 2027

Reporting Period*

Mid-Year (Jul 1-Dec 31)

Year-End (Jul 1-Jun 30)

Number of Individual Referred to Opiate Response Team*

Number of Contacts Made with Individuals Referred to Opiate Response Team*

Number of Referrals to Recovery Support Services*

Number of Referrals Connected to Treatment Services*

Number of Narcan/Naloxone Distributed*

Are You On Target to Meet Projections?*

Yes

Not on Target? Please Explain*

Did you track any additional outcomes?*

Yes

Additional Outcome Description*

Describe additional outcome measurement

Additional Outcome Number*

List number of individuals meeting additional outcome as described above

Narratives

Program Achievements*

Briefly describe achievements for reporting period

Program Challenges*

Briefly describe program challenges for reporting period

Program Improvements*

Briefly describe any program improvements made during the reporting period

Significant Differences Last Year to this Year*

Were there any significant differences between last year and this year? If so, please describe

Additional Noteworthy Remarks

Optional field to share additional info such as a story demonstrating how people have benefited from program

File Upload

Optional: Use file upload to attach and include any supporting documents

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Agency Contact

Agency Representative Providing Data*

List name of staff member providing data on this form

Email Address for Person Providing Data*

List email address of staff member providing data on this form

Phone Number for Person Providing Data*

List phone number for staff member providing data on this form

Phone

Year End Reporting Only

Briefly Describe What Additional Results Might Be Achieved If Extra Resources Were Available

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