Review of Four CARA Programs and Preparing for Future Evaluations (2023) / Chapter Skim
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Pages 94-103
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From page 94... ...
Finally, there were reports that many health professionals and facilities had already received training on opioid issues and were not receptive to additional training. Resource Issues Multiple grantees reported resource issues.
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The OD Treatment Access grantees provided training regarding overdose and naloxone use for health professionals and members of the community [O1b and c]
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However, barriers to implementation of the training and distribution of opioid reversal interventions were identified including difficulty engaging community partners, data collection challenges, staffing shortages, sustainability, and the impact of the COVID-19 epidemic.
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Training of the Comprehensive Addiction and Recovery Act (CARA) authorizes the U.S.
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The report is reprinted in its entirety in Appendix B, and the limitations are discussed in greater depth there. The NORC report combined findings from FR-CARA grantees with those from the Improving Access to Overdose Treatment (OD Treatment Access)
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FINDINGS: GRANTEE AND PARTNER ACTIVITIES FR-CARA grantee reports included many accomplishments and challenges, but no single issue was mentioned uniformly across grantees, which is perhaps unsurprising given the diversity of grantees. Most FR-CARA grantee reports included general statements on results and completion of activities, but details about accomplishments and challenges were rarely included in the reports.
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From page 100... ...
Some grantees reported using pre- and post-survey results regarding training about stigma and overdose training, and using pre- and post-survey results and focus groups to understand overdose reversals and improve training. One grantee noted that 13 participants filled out the class evaluation, and all participants (100%)
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One grantee highlighted the need of training for surveillance of nonfatal overdoses and, thus, to be able to track data over time and achieve sustainability. FR-CARA grantees highlighted that partnerships were a key component in planning and implementation of the projects.
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Data FR-CARA grantees encountered several challenges related to data, which emerged in many stages of the program, from initial needs assessments to outcomes assessments and evaluations. FR-CARA grantees identified the existence of data gaps when conducting their needs assessment.
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FR-CARA grantees identified several types of delays related to COVID-19. These delays included difficulties with completing budgeting and contracting, challenges with the staffing of project directors and coordinators, inability to rapidly execute memorandums of understanding, difficulties scheduling task force meetings, and scheduling challenges related to virtual meetings.
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