Hickman County Opioid Settlement Board
HICKMAN
Work Plan for Opioid Funding Application
COUNTY
Organization: Hickman County Schools Behavioral Health Department: Hope and Healing Project
Date: August 27, 2024
Objective
Activities
Outcomes
Measures of Success
Timeframe
Accountability
Funds Requested
What is the measurable What activities will be completed that What outcome do you hope How will the success of
When will this part of
Who is responsible
What are the requested
result you are seeking to
help achieve the corresponding
to achieve?
the objective be
the project begin and
for each project
grant funds for this
achieve?
objective?
assessed? What data
end?
activity?
part of the project?
points will be measured?
Develop and Implement
Utilize screening tools to measure
Enhaced data on opiod use
High accuracy in
Immediately; pricing is
Olivia Felts
$30,000.00
Data Measurement &
opioid use trends, screen for misuse
trends, early detections of
identifying at-risk youth
for 12 months. Fee
Screening Tools
and evaluate the impact of family
misuse, increase accuracy in
and their mental health
represents start-up
substance use on yoluth mental
identifying at-risk youth and
needs
costs; will change
health. Analyze data to identify
mental health needs.
annually.
patterns and informa targeted
Increase effective
interventions
intervention
Recovery Support,
Oversight & implementation of
Comprehensive program
Meeting each objective
Immediately
Olivia Felts
$7,540.00
Treatment, Education &
program
implementation
and maintaining positive
Training
outcomes as measured by
data and screening tool
Recovery Support,
Implementation of program
Facilitating program needs,
Measured by data and
Immediately
Raven Hickok
$7,540.00
Treatment, Education &
providing school-based &
screening tool
Training
community-based, evidence-
based interventions
Recovery Support,
Implementation of intervention
Providing school-based
Measured by data and
Upon hire
To be hired
$49,920.00
Treatment, Education &
evidence-based intervention
screening tool
Training
To facilitate the Bernard Furnish the safe spaces
Youth displaced due to
To have a functioning
As soon as possible
Olivia Felts
$5,000.00
Center in providing a
opioid misuse & addiction
and utilized space
safe space for displaced
have a safe space while in
youth
DCS custody
Total Funds Requested
HICKMAN COUNTY
TENNESSEE
Hickman County Opioid Committee
FY 2024-2025 Opioid Settlement Funding Quarterly Report
Agency Name: Hickman County Schools - Behavioral Health
Name of Reporting Individual:
Date Report Submitted:
Organizations should provide quarterly progress reports to mayor@hickmancountytn.gov and crystal.fitzgerald@hickmancountytn.gov.Al
sections of this document must be completed in full to meet the reporting requirements. Please include a quarterly expense report when
submitting this document. Reports will be due 14 days after each project quarter:
1st Quarter due April 14th, 2025
2ⁿᵈ Quarter due July 14th, 2025
3rd Quarter due October 14th, 2025
4th Quarter due January 14th, 2026
Report Period:
1st Quarter (January - March)
2ⁿᵈ Quarter (April - June)
3rd Quarter (July - September)
4th Quarter (October - December)
Quarterly Summary:
Type to provide responses to each of the following inquiries. Only provide information for the corresponding quarter.
1. Staff working on the project:
2. Community partners involved with the project:
3. Challenges and barriers experienced within the associated timeframe:
4. Successes experienced within the associated timeframe:
5. Anticipated next steps:
6. Strategies addressed from the Remediation List (found here). Please list the strategy, section number, and how your activities address the
corresponding strategies.
7. Number of people served with settlement funding (please indicate whether these are Hickman County residents or not):
Quarterly Performance Measures:
Type in text boxes to complete the table for each approved activity. Please add rows as necessary and only provide information for the
corresponding quarter.
ACTIVITY 1: Hiring of the LADAC
Performance Indicator
Response
Proposed hire date
Date of hire
Date of orientation
Activity Narrative (if needed, provide a brief description of the activity metrics):
ACTIVITY 2: Utilize screening tools to measure opioid use trends, screen for misuse and evaluate the impact of family substance use
on youth mental health. Analyze data to identify patterns and inform targeted interventions and programs.
Screening
Screening Tool Used/Developed
Number of people screened
Trend(s) Identified
Interventions & Programs
Intervention or Program Type
Number of people served
Rate of Attendance/Participation
Activity Narrative (please provide a brief description of the activity metrics):
[Please attach or include a link for the developed/used screening tools or materials.]
ACTIVITY 3: Supporting the Bernard Center in providing a safe space for youth displaced by OUD/SUD by providing furnishings.
Type of Furnishing Provided
Cost of Furnishing
Activity Narrative (please provide a brief description of the activity metrics):

## Table 1

| Objective | Activities | Outcomes | Measures of Success | Timeframe | Accountability | Funds Requested |
| --- | --- | --- | --- | --- | --- | --- |
| What is the measurable result you are seeking to achieve? | What activities will be completed that help achieve the corresponding objective? | What outcome do you hope to achieve? | How will the success of the objective be assessed? What data points will be measured? | When will this part of the project begin and end? | Who is responsible for each project activity? | What are the requested grant funds for this part of the project? |
| Develop and Implement Data Measurement & Screening Tools | Utilize screening tools to measure opioid use trends, screen for misuse and evaluate the impact of family substance use on yoluth mental health. Analyze data to identify patterns and informa targeted interventions | Enhaced data on opiod use trends, early detections of misuse, increase accuracy in identifying at-risk youth and mental health needs. Increase effective intervention | High accuracy in identifying at-risk youth and their mental health needs | Immediately; pricing is for 12 months. Fee represents start-up costs; will change annually. | Olivia Felts | $30,000.00 |
| Recovery Support, Treatment, Education & Training | Oversight & implementation of program | Comprehensive program implementation | Meeting each objective and maintaining positive outcomes as measured by data and screening tool | Immediately | Olivia Felts | $7,540.00 |
| Recovery Support, Treatment, Education & Training | Implementation of program | Facilitating program needs, providing school-based & community-based, evidence- based interventions | Measured by data and screening tool | Immediately | Raven Hickok | $7,540.00 |
| Recovery Support, Treatment, Education & Training | Implementation of intervention | Providing school-based evidence-based intervention | Measured by data and screening tool | Upon hire | To be hired | $49,920.00 |
| To facilitate the Bernard Center in providing a safe space for displaced youth | Furnish the safe spaces | Youth displaced due to opioid misuse & addiction have a safe space while in DCS custody | To have a functioning and utilized space | As soon as possible | Olivia Felts | $5,000.00 |

## Table 2

| Report Period: | 1st Quarter (January - March) | 2ⁿᵈ Quarter (April - June) |
| --- | --- | --- |
|  | 3rd Quarter (July - September) | 4th Quarter (October - December) |

## Table 3

|  | ACTIVITY 1: Hiring of the LADAC |
| --- | --- |
| Performance Indicator | Response |
| Proposed hire date |  |
| Date of hire |  |
| Date of orientation |  |

## Table 4

|  |  |  |
| --- | --- | --- |
|  | Screening |  |
| Screening Tool Used/Developed | Number of people screened | Trend(s) Identified |
|  |  |  |
|  |  |  |

## Table 5

|  | Interventions & Programs |  |
| --- | --- | --- |
| Intervention or Program Type | Number of people served | Rate of Attendance/Participation |
|  |  |  |
|  |  |  |

## Table 6

| ACTIVITY 3: Supporting the Bernard Center in providing a safe space for youth | displaced by OUD/SUD by providing furnishings. |
| --- | --- |
| Type of Furnishing Provided | Cost of Furnishing |
|  |  |
|  |  |