Colorado Overdose Data To Action Abstract
The Colorado Department of Public Health and Environment (CDPHE) will collect, analyze, and disseminate high quality, comprehensive, and timely data on overdose morbidity and mortality, use those data to inform prevention efforts across Colorado, and expand prevention. The purpose is to prevent both fatal and non-fatal overdose events in Colorado by enhancing current surveillance efforts and implementing data-driven, evidence-based prevention and interventions. CDPHE proposes to implement activities in all ten CDC strategies.
To enhance surveillance of the overdose crisis in Colorado, CDPHE will conduct three surveillance activities:
Strategy 1. Share real-time, case-level syndromic surveillance data with CDC using NSSP ESSENCE every two weeks, defined as Tier 1, and use the timely data to detect and respond to overdose outbreaks.
Strategy 2. Implement the CDC SUDORS system (Tier 2) to collect and disseminate comprehensive drugs, risk factors and other circumstances of fatal overdoses from medical examiner/coroner and law enforcement reports.
Strategy 3. Linking risk and protective factors for multiple outcomes with overdose data to inform local prevention efforts and linking PDMP to birth certificate data to inform prevention among pregnant women and new mothers.
To expand comprehensive statewide prevention and address Colorado’s overdose crisis, CDPHE will implement or fund activities in the seven CDC prevention strategies:
Strategy 4. Actively monitor the PDMP and expand integration and interstate sharing.
Strategy 5. Release a request for applications (RFA) to fund local communities that will further align local and local prevention, and CDPHE will share local, actionable data.
Strategy 6. Release an RFA to fund syringe service programs in Colorado to improve the linkage to care.
Strategy 7. Fund a provider training program using two evidence based models.
Strategy 8. Enhance collaborative action with law enforcement by incorporating arrest and seizure data into existing data dashboards and strengthening partnerships with the Rocky Mountain High Intensity Drug Trafficking Area and public safety partners.
Strategy 9. Empower individuals to make safer choices by supporting a social marketing campaign focuses on promoting positive health behaviors among youth to reduce future substance use.
Strategy 10. Expand the capacity of local communities to work across jurisdictions to prevent adverse childhood experiences by leveraging Colorado’s Essentials for Childhood project (funded by CDC) that Communities That Care (state funded) to address upstream risk and protective factors that would reduce overdoses and other outcomes of concern.
CDPHE also plans to serve as a Peer-to-Peer Network Coordinator for grantees implementing a shared risk and protective factor approach to primary prevention of adverse childhood experiences and overdose.