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Dallas County-Limiting Overdose through Collaborative Actions

Award Number: NH28CE003562
ORGANIZATION: NATIONAL CENTER FOR INJURY PREVENTION AND CONTROL
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 09/01/2023
PERIOD OF PERFORMANCE END DATE: 08/31/2028

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Dallas County-Limiting Overdose through Collaborative Actions - The opioid epidemic is a pressing public health issue in the United States, and Dallas, Texas, is not immune to its impact. Dallas County has witnessed a sharp rise in opioid-related overdose fatalities, which makes it a crucial location for the U.S. Centers for Disease Control and Prevention's (CDC) Opioid Data to Action (OD2A) program. The Texas Department of State Health Services (DSHS) reported an alarming 87.5% increase in fentanyl-related overdose deaths from 2019 to 2020. While Dallas County has followed the national trend in reducing opioid prescriptions, the rate of overdose deaths involving fentanyl has continued to rise, leading to a concatenate rise in synthetic opioid overdoses. A complicating factor is that Dallas County does not currently have a clinical or environmental opioid surveillance system. Providing these services would benefit the diverse population in Dallas, helping to improve health equity and address traditionally underserved communities. Dallas County Health and Human Services (DCHHS) is applying for Components A and C funding to create and expand our substance use disorder prevention efforts throughout the jurisdiction with a special focus on priority zip codes identified in the 2022 CHNA. Under Component A, DCHHS will focus on five (5) strategies outlined throughout this application: (1) a 24/7 Overdose Prevention Hotline and a media campaign advertising the hotline; (2) Opioid Response Team (ORT) expansion by funding three additional ORT teams comprised of one Paramedic and one Peer Support Specialist, enabling the program to operate seven days a week and in the 30 surrounding cities outside the City of Dallas; (3) placement of three (3) peer navigators, two (2) Licensed Chemical Dependency Counselors, one (1) Addiction Medicine Physician, and one (1) part-time Linkage to Care Coordinator in Parkland Hospital Emergency Department (Dallas County public hospital); (4) trainings on best practices for using Electronic Health Record systems for pain care treatment and management to other hospitals and clinics within Dallas County; and (5) develop a fentanyl testing and surveillance program in the DCHHS Public Health Laboratory using samples collected from area hospitals and the Dallas County Criminal Justice Division. Dallas County will leverage the help of community partners to execute the proposed activities. Preventative measures that DCHHS will be focusing on will include linkage to and retention in care, harm reduction efforts, stigma reduction efforts, and clinician and health systems best practices. Under Component C, DCHHS proposes a comprehensive and targeted approach to enhance linkage to care (LTC) surveillance in Dallas County, focusing on three key areas: (1) developing a trained public health workforce to collect and analyze data on nonfatal drug overdoses and other entry points for LTC; (2) establishing overdose prevention and linkage to care programs that align with the identified entry points for LTC surveillance; and (3) addressing social and structural barriers to care for substance use disorder.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $0 )
2026	2025	DALLAS COUNTY TEXAS	500 ELM STREET	DALLAS	TX	75202	DALLAS	USA	Injury Prevention and Control Research and State and Community Based Programs	01	3	12/12/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $2,225,000 )
2025	2025	DALLAS COUNTY TEXAS	2377 North Stemmons Freeway	Dallas	TX	75207	DALLAS	USA	Injury Prevention and Control Research and State and Community Based Programs	00	3	8/28/2025	NON-COMPETING CONTINUATION	$2,225,000
2025	2024	DALLAS COUNTY TEXAS	500 ELM STREET	DALLAS	TX	75202	DALLAS	USA	Injury Prevention and Control Research and State and Community Based Programs	02	2	5/19/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	DALLAS COUNTY TEXAS	500 ELM STREET	DALLAS	TX	75202	DALLAS	USA	Injury Prevention and Control Research and State and Community Based Programs	01	2	4/25/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $2,225,000

Issue Date FY: 2024 ( Subtotal = $2,225,000 )
2024	2024	DALLAS COUNTY TEXAS	500 ELM STREET	DALLAS	TX	75202	DALLAS	USA	Injury Prevention and Control Research and State and Community Based Programs	00	2	6/27/2024	NON-COMPETING CONTINUATION	$2,225,000
2024	2023	DALLAS COUNTY TEXAS	500 ELM STREET	DALLAS	TX	75202	DALLAS	USA	Injury Prevention and Control Research and State and Community Based Programs	02	1	5/24/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	DALLAS COUNTY TEXAS	500 ELM STREET	DALLAS	TX	75202	DALLAS	USA	Injury Prevention and Control Research and State and Community Based Programs	01	1	1/9/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $2,225,000

Issue Date FY: 2023 ( Subtotal = $2,225,000 )
2023	2023	DALLAS COUNTY TEXAS	500 ELM STREET	DALLAS	TX	75202	DALLAS	USA	Injury Prevention and Control Research and State and Community Based Programs	00	1	8/23/2023	NEW	$2,225,000
														Subtotal = $2,225,000

Grand Total All Awards = $6,675,000

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Dallas County-Limiting Overdose through Collaborative Actions

Award Number: NH28CE003562

ORGANIZATION: NATIONAL CENTER FOR INJURY PREVENTION AND CONTROL

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 09/01/2023

PERIOD OF PERFORMANCE END DATE: 08/31/2028

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