Hickman County Opioid Settlement Board
HICKMAN
COUNTY
Work Plan for Opioid Funding Application
TENNESSEE
Organization: Hickman County Schools: Prevention Now!
Date: 12/03/2024
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 the
When will this part of the
Who is responsible for each project
What are the requested
result you are seeking to
help achieve the corresponding
to achieve?
objective be assessed? What
project begin and end?
activity?
grant funds for this
achieve?
objective?
data points will be
part of the project?
measured?
Preventing students from 1) Media campaigns
A reduction of students
Number of petitions filed for Immediately and end of
Coordinated School Health
$20,000.00
experimenting with
caught with drugs, vapes
drugs, vapes & alcohol will
year. Will restart at
drugs and alcohol.
and alcohol.
decrease year two.
beginning of year school
year 25-26.
2) Teach using purchased curriculum
Awareness of risks
Track number of petitions
associated with opioid use
initiated
and other illicit drug use.
3) Drug free advertising
4) Peer to peer education
Total Funds Requested
$20,000.00
HICKMAN COUNTY
TENNESSEE
Hickman County Opioid Committee
FY 2024-2025 Opioid Settlement Funding Quarterly Report
Agency Name: Hickman County Schools - Prevention Now
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: Media campaigns to prevent substance use and addiction.
Type of Campaign
Number of estimated youth reached
Ex: Posters in school
Ex: Social media post
ACTIVITY 2: Educational programs & curriculum to prevent substance use and addiction.
Number of Sessions
Number of
Pre and post session results
Curriculum/educational program
Held
students attended
(if applicable)
Number of existing petitions (citations?) for drug use:
Number of filed petitions (citations?) for drug use:
ACTIVITY 3: Peer to Peer Education - Student Athlete Ambassadors Program
Performance Indicator
Response
Number of higher grade students providing
peer support
Number of grade school children receiving
education by peer
Supplies purchased for program

## 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? |
| Preventing students from experimenting with drugs and alcohol. | 1) Media campaigns | A reduction of students caught with drugs, vapes and alcohol. | Number of petitions filed for drugs, vapes & alcohol will decrease year two. | Immediately and end of year. Will restart at beginning of year school year 25-26. | Coordinated School Health | $20,000.00 |
|  | 2) Teach using purchased curriculum 3) Drug free advertising 4) Peer to peer education | Awareness of risks associated with opioid use and other illicit drug use. | Track number of petitions initiated |  |  |  |

## Table 2

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

## Table 3

| ACTIVITY | 1: Media campaigns to prevent substance use and addiction. |
| --- | --- |
| Type of Campaign | Number of estimated youth reached |
| Ex: Posters in school |  |
| Ex: Social media post |  |

## Table 4

| ACTIVITY 2: Educational | programs & curriculum | to prevent substance | use and addiction. |
| --- | --- | --- | --- |
| Curriculum/educational program | Number of Sessions Held | Number of students attended | Pre and post session results (if applicable) |
|  |  |  |  |

## Table 5

| ACTIVITY 3: | Peer to Peer Education - Student Athlete Ambassadors Program |
| --- | --- |
| Performance Indicator | Response |
| Number of higher grade students providing peer support |  |
| Number of grade school children receiving education by peer |  |
| Supplies purchased for program |  |