Overdose prevention activities led by local public health departments, 2019–2023

Table 1 Description of the Implementing Overdose Prevention Programs at the Local Level (IOPSLL) required and optional strategies and number of sites by cohort

Cohort (years)	Number of sites	Average IOPSLL funds awarded per year	IOPSLL Strategies in RFA
Cohort 1 (Dec 2019-Jul 2021)	4	$749,887.33	Establishing Linkages to Care Provider and Health Systems Support Partnerships with Public Safety and First Responders Empowering Individuals to Make Safer Choices Prevention Innovation Projects
Cohort 2 (Dec 2020-Jul 2022)	8	$283,975.57	Establishing Linkages to Care Provider and Health Systems Support Partnerships with Public Safety and First Responders Empowering Individuals to Make Safer Choices Enhanced Surveillance and Data Sharing Prevention Innovation Projects
Cohort 3 (Dec 2021-Jul 2023)	14	$295,724.09	Establishing Linkages to Care Provider and Health Systems Support Partnerships with Public Safety and First Responders Communications Campaigns^a Harm Reduction Activities^a Enhanced Surveillance and Data Sharing Innovation Prevention Projects
Cohort 4 (Nov 2022-Jan 2024)	21	$190,357.20	Establishing Linkages to Care Provider and Health Systems Support Partnerships with Public Safety and First Responders Communications Campaigns Harm Reduction Activities Surveillance and Data Sharing [REQUIRED]^b Stigma Reduction ^c Health Equity [REQUIRED]^d

^a The Empowering Individuals strategy was changed and split into two key components for Cohort 3: Communications Campaigns and Harm Reduction Activities
^b Surveillance and Data Sharing became a required strategy for all sites for Cohort 4. To be eligible for funding, sites were required to propose activities to create or enhance the collection of timely fatal and/or non-fatal overdose data and/or EMS data and include efforts to identify populations and communities disproportionately affected by substance use and overdose. Applicants with existing surveillance infrastructure were required to propose activities to improve data linkage and/or data reporting and dissemination, how data would be used inform their prevention efforts, including addressing health disparities, social inequities, and other social determinants of health
^c Stigma Reduction was added as a standalone strategy for Cohort 4
^d Health Equity was not a standalone strategy for Cohort 4, but it was required that funded jurisdiction embed health equity components into all of their overdose prevention activities funded under the grant

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