MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH.PDF

Created: 02/08/2018 • Last updated: 03/09/2018
General information
Organization Maricopa County Department of Public Health
Contact First name Katherine
Contact Last name Mason
Contact e-mail katherinemason@mail.maricopa.gov
Contact phone number 602-372-0674
Address
Street 4041 N Central Avenue, Suite 1400
City Phoenix
State AZ
ZIP Code 85012
From what tribe is the Gila River Indian Community
organization requesting the
grant?
Total grant amount request 230,000
1 / 2

The Gila River Indian Community offers multi-year awards. If your organization is
requesting a multi-year grant for this project or program from the Gila River Indian
Community, enter the amount to be requested each year.
Amount
Year 1 (Gila River Indian
140,000
Community Grants Only)
Year 2 (Gila River Indian
75,000
Community Grants Only)
Year 3 (Gila River Indian
15,000
Community Grants Only)
Year 4 (Gila River Indian
Community Grants Only)
Year 5 (Gila River Indian
Community Grants Only)
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Gila River Indian Community Grant Application
Grant Cycle 2018
Cover Sheet
Municipality Information
1. Date of Application: 2/27/2018 (NOTE: Click or use up/down arrow keys to move among
fields)
2. Name of City, Town or County: Maricopa County
3. Mayor (City or Town) or Board of Supervisor’s Chairman (County): Steve Chucri
4. Mailing Address: 301 W. Jefferson Ave, Suite 960
5. City: Phoenix State: Arizona Zip Code: 85003
6. Acknowledgement of Submission by Authorized Municipality Representative:
Typed Name/Title: Zachary Wolfe, Finance Department Signature:
Applicant Information
7. Department/Organization Name: Maricopa County Department of Public Health
8. Is this a 501c non-profit Organization? No Yes If yes, attach IRS Determination Letter
9. Application Contact Person: Katherine Mason Title: Grants/Contracts Administrator
10. Phone Number: 602-372-0674
11. Mailing Address: 4041 N. Central Avenue, Suite 1400
12. City: Phoenix State: Arizona Zip Code: 85012
13. Email Address: katherinemason@mail.maricopa.gov Website Address: wearepublichealth.org
Project Information
14. Project Name: Arizona Athlete E-Learning Course to Prevent Prescription Opioid Misuse and Abuse
15. Purpose of Grant: To develop an interactive, e-learning course to prevent prescription opioid misuse
and abuse among high school athletes in Arizona.
16. Priority Funding Area Healthcare
17. Annual amount requested $140,000 in Year 1; $75,000 in Year 2; $15,000 in Year 3
18. Number of years that funding is 3
requested
19. Total amount requested (annual $230,000
amount x number of years)
20. Has your organization received past Yes. 2012, Mobile STD Services, $150,000
funding from GRIC? If yes, list each year 2017, Smoothie Bikes, $5,233.44
and amount
21. Geographic area served Arizona
For Office Use Only:
Data Entry Receipt Evaluation
Outcome A Approval Recommended/Amount $ A Denial

Gila River Indian Community Grant Application
Grant Cycle 2018
Narrative
Please structure your proposal to provide the following information in the order indicated. Provide the narrative
in paragraph form in the text field provided. Please be thorough but strive for brevity.
1. Briefly describe the organization’s history, mission and goals.
The Maricopa County Department of Public Health (MCDPH) was established in 1930. Its mission is to protect
and promote the health and well-being of Maricopa County residents and visitors. MCDPH is the third largest
local public health jurisdiction in the United States with more than 4.5 million residents.
2. If the applying organization is non-municipal or a non-profit 501c, please describe your relationship with
Arizona municipalities including past and present support, whether through partnerships, collaborations,
in-kind contributions, grants, tax-based funding or other. Describe the supporting municipality’s role in
this project. If the applying organization is a municipality governmental sub-division please enter the
text “Not applicable.”
“Not applicable”
3. Describe the proposed project and planned goals and activities.
The Maricopa County Department of Public Health (MCDPH) is seeking funding to develop and launch an
interactive, e-learning course aimed at educating high school athletes on how to prevent the misuse and abuse
of prescription opioid medication(s).
Available online to high school athletes throughout Arizona, this course will provide education about
prescription opioid medications and ways that high school athletes can avoid misuse and abuse in a format
that is relevant to this age group. The online component is vital as it will increase opportunities for high school
athletes to receive education in both urban and rural settings. Many courses aimed at high school students
require an in-person facilitator which often can be a barrier to accessing information due to limited resources to
provide in-person facilitation. By offering an interactive, e-learning course, barriers to accessing this
information will be reduced as students will be able to access it wherever they have computer access and an
internet connection .
An interactive, e-learning course also will allow for information to be communicated via platforms that are
frequently utilized by high school athletes to access information. High school students use multiple forms of
technology daily. Utilizing technology to deliver information about preventing prescription opioid misuse and
abuse allows for reaching high school athletes in a language that they understand. In addition, an e-learning
course offers the opportunity to track the number of students who have taken the course as well as the level of
comprehension of the material. It also allows for students to ask questions and for the incorporation of
additional information into the course.
To maximize student engagement and retention of information, this course will be designed in consultation with
experts in the field of adolescent e-learning. The Arizona Interscholastic Association (AIA), a partner in this
project and the governing body for high school sports in Arizona, has already agreed to assist in developing

Gila River Indian Community Grant Application
Grant Cycle 2018
this course and distributing it throughout its statewide network of high school athletes. In addition, the AIA’s
experience in creating the Barrow Brainbook- a web-based learning tool developed specifically for high school
athletes that provides information to student athletes on how to prevent, recognize, and respond to
concussions- will help to enhance the quality of this e-learning course for high school athletes to prevent
prescription opioid misuse and abuse. The Barrow Brainbook is the most comprehensive concussion education
effort in Arizona and has provided concussion education to more than 350,000 high school athletes. Lessons
learned from developing The Barrow Brainbook will help to inform the development of the proposed e-learning
course on preventing prescription opioid misuse and abuse among high school athletes.
Topics to be covered in this course will include:
• Explanation of prescription opioids such as OxyContin, Vicodin, and Percocet;
• Appropriate use of prescription opioid medications;
• Proper storage and disposal of prescription opioid medications;
• Signs and symptoms of prescription opioid misuse;
• Alternatives to prescription opioids for pain management;
• How to develop a return to play plan;
• Questions to ask medical professionals about pain medication if a high school athlete gets injured; and
• Ways to get help if a high school athlete is misusing prescription opioid medication.
It is anticipated that this proposed e-learning course will allow for educational material to be customized by
sport(s) as students who participate in football or wrestling, for example, are more likely to experience certain
injuries while those who participate in other sports such as track and field may be more likely to experience
other injuries. Allowing for customization by sport can make the material presented more relatable to students
which, in turn, can help to increase engagement and retention of information.
Other proposed features of the interactive, e-learning course will include:
• Utilization of a variety of forms of multimedia including audio, images, animations, video and interactive
content;
• Use of story-driven, sports-related scenarios as well as gaming elements;
• Online challenges and competitions designed to keep high school students interested in the topic;
• Knowledge checks and quizzes to test student knowledge and determine information that needs to be
reviewed;
• Video testimonials of athletes who have been affected by the prescription opioid epidemic;
• Interviews with medical professionals, coaches and former high school athletes to provide different
perspectives on the importance of this topic and how they see prescription opioid misuse and abuse
affecting high school athletes; and
• Comprehensive pre- and post-assessments to test user knowledge and allow for the analysis of course
data.
In Year 1, the English language version of this e-learning course will be developed for use on computers and
mobile devices. In Year 2, the Spanish language version of this course will be developed and launched.
4. Describe how the proposed project satisfies one or more of the priority funding areas identified by the
Gila River Indian Community.

Gila River Indian Community Grant Application
Grant Cycle 2018
The proposed project satisfies the priority funding areas of Education and Healthcare as the e-learning course
will provide education to high school athletes on preventing prescription opioid medication misuse and abuse.
This project also satisfies the priority funding area of public safety as preventing prescription opioid medication
misuse and abuse promotes public and individual safety.
5. Identify the needs/problems to be addressed, target population and number of people to be served by
the project.
According to the Arizona Department of Health Services, in 2016, more than two Arizonans died each day
due to opioid-related causes, and opioid death rates start to rise in the late teens and peak at age 45-54.
High school athletes are at risk for prescription opioid misuse and abuse for several reasons:
• Increased access to prescription opioid medications: High school athletes have increased access to
prescription opioid medications such as OxyContin, Vicodin and Percocet because of sports-related
injuries. These injuries can lead to prescriptions for these types of opioid pain medication which, in turn,
can lead to misuse and abuse.
• Pressure to get back into the game and play through the pain: Research conducted by MCDPH found
that many high school athletes who get injured feel intense pressure to get back into the game. This
pressure can be from a variety of sources including themselves, parents and coaches. Returning to
play a sport before an injury has healed can lead to prolonged pain and to misuse and abuse of
prescription opioid medications.
Despite high school athletes being at risk for prescription opioid misuse and abuse, there are very few
resources available locally or nationally to address this issue. As a result, developing an e-learning course is
an important initiative to address this issue with high school athletes before it becomes a problem. The target
population for this course is all high school athletes in Arizona.
6. Define the project as a new or continuing program.
This project is the next step in a collaborative partnership that was developed to address the issue of
preventing high school athlete misuse and abuse of prescription opioid medication. In 2016, MCDPH
recognized that high school athletes are at risk for prescription opioid misuse and abuse. To maximize reach
and expertise to address this issue, MCDPH partnered with the Arizona Interscholastic Association (AIA), the
governing body for high school sports in Arizona. Additional organizations have since joined the partnership–
now called the Arizona Athlete Opioid Initiative- including the Tempe Union High School District, the Regional
Opioid Action Committee, and the Arizona Department of Health Services. Materials for parents and coaches
as well as an opioid protocol for use with high school athletes have been developed and are being piloted and
evaluated in Tempe high schools. However, materials designed specifically for high school athletes on the
issue of preventing prescription opioid misuse and abuse have not yet been created.
The e-learning course to prevent prescription opioid misuse and abuse that is being proposed in this grant
application is a new project that MCDPH is hoping to receive funding for that would advance the efforts of this
collaborative partnership (the Arizona Athlete Opioid Initiative). Being able to design and launch this course for
high school athletes would advance the efforts of this partnership and would enable us to reach the audience
that we are hoping to reach.

Gila River Indian Community Grant Application
Grant Cycle 2018
7. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible.
Year 1 timeline:
November 2018: Release RFP for instructional design contractor who can assist in developing the e-learning
course.
December 2018: Award contract and begin work on development of English language e-learning course.
June 2019: English language e-learning course beta developed and launched for testing on computers and
mobile devices.
September 2019: Final English language e-learning course completed and launched through the Arizona
Interscholastic Association’s network of high school athletes.
Year 2 timeline:
November 2019: Begin development of Spanish language version of the e-learning course.
March 2020: Spanish language e-learning course beta developed and launched for testing on computers and
mobile devices.
August 2020: Final Spanish language e-learning course completed and launched through the Arizona
Interscholastic Association’s network of high school athletes.
Year 3 timeline:
November 2020 through October 2021: Site maintenance needs addressed throughout the year.
Timeline is flexible.
8. Identify other organizations, partners or funders participating in the project and their roles.
The Arizona Interscholastic Association (AIA) - The AIA, the governing body for high school sports in
Arizona, is a partner in this effort and will distribute the e-learning course to its network of high
school athletes. The AIA will also provide guidance on development of this e-learning course based
on its experience with high school athletes and its experience in developing the Barrow Brainbook -
a web-based learning tool developed specifically for high school athletes that provides information to
student athletes on how to prevent, recognize, and respond to concussions. The Barrow Brainbook
is the most comprehensive concussion education effort in Arizona and has provided concussion
education to more than 350,000 high school athletes throughout the state. Lessons learned by the
AIA in developing this course will help to inform the development of the proposed e-learning course
on preventing prescription opioid misuse and abuse among high school athletes.

Gila River Indian Community Grant Application
Grant Cycle 2018
9. Would you be able to implement the proposed plan if your organization received partial funding for this
project?
Yes. However, the project scope would be affected as less interactive features would be able to be included in
the e-learning course. Partial funding also could affect offering the course in multiple languages.
10. Describe your plan for project financial sustainability beyond the grant period. If this is a
program/project previously funded by the Gila River Indian Community describe efforts made towards
the previously described sustainability plan.
Because this project is being designed as an interactive e-learning course, the majority of the costs will be
incurred during the first two (2) years when the English and Spanish language versions have been
completed. The projected ongoing costs of this project after Year 2 will be maintenance and hosting of the
course which we anticipate can be covered by other MCDPH funding sources after Year 3.
11. Describe your plan to document progress and results.
Our plans to document progress and results will be conducted in several ways. We plan to test the e-learning
course with potential users as we develop it and incorporate feedback based on these user experiences. We
will also track the number of high school athletes who complete the course as well as their level of
comprehension of the materials via pre- and post-tests and quizzes given throughout the course.
12. Indicate any application to and/or awards made by a tribe other than the Gila River Indian Community
for state shared revenues for this and any other project for the past five (5) years. If this information is
included in a separate attachment, please indicate that here.
Year 2012, Tohono O’ODham Nation Grant, Parent Ambassadors, $50,000, (awarded)
Year 2014, Tohono O’ODham Nation Grant, Parent Ambassadors, $50,000, (not awarded)

Gila River Indian Community Grant Application
Grant Cycle 2018
Project Budget
Budget Period: Years 1 through 3 November 2018 – October 2021
For each budget item listed here please provide a narrative description on the following Project Budget Detail
page.
Proposed Budget Expense Amount Amount In Kind Total Budget
(list each budget item) requested from requested or contributions
GRIC secured from
other funders
1. Contract with instructional $115,000 $0 $0 $115,000
design company to create online,
e-learning course that includes
pre- and post-tests (Year 1)
2. Staff at MCDPH to develop $25,000 $0 $0 $25,000
content and manage project (Year
1)
3. Contract for developing a $50,000 $0 $0 $50,000
Spanish language version of e-
learning course (Year 2)
4. MCDPH Project Manager (Year $10,000 $0 $0 $10,000
2)
5. Site hosting and online course $15,000 $0 $0 $15,000
maintenance (Year 2)
6. Site hosting and online course $15,000 $0 $0 $15,000
maintenance (Year 3)
7. Click here to enter text. $0 $0 $0 $0
8. Click here to enter text. $0 $0 $0 $0
9. Click here to enter text. $0 $0 $0 $0
10. Click here to enter text. $0 $0 $0 $0
11. Click here to enter text. $0 $0 $0 $0
12. Click here to enter text. $0 $0 $0 $0
13. Click here to enter text. $0 $0 $0 $0
14. Click here to enter text. $0 $0 $0 $0
15. Click here to enter text. $0 $0 $0 $0
16. Click here to enter text. $0 $0 $0 $0
17. Click here to enter text. $0 $0 $0 $0
Total Budget $230,000 $0 $0 $230,000

Gila River Indian Community Grant Application
Grant Cycle 2018
Project Budget Detail
Please provide a narrative description for each of the project budget items listed on the previous page. Include
the dollar figure and how it was derived.
1. Year 1: Total $140,000.00
$115,000: Contract with an instructional design company to create an online, e-learning course that includes
pre- and post-tests. To ensure a high quality product, MCDPH will hire a contractor with expertise in
instructional design to create the e-learning course to prevent opioid misuse and abuse among high school
athletes. Hosting costs for the portion of Year 1 that the course is live are included in this cost.
$25,000: Staff at MCDPH will develop content and manage the project. This will include managing the
instructional design contractor as well as developing certain areas of content that will be featured in this
course.
2. Year 2: Total $75,000.00
$50,000: Contract for developing a Spanish language version of e-learning course. Developing a Spanish
language version of this e-leaning course will require a contract with an outside instructional design company.
$10,000: MCDPH project manager. Developing the Spanish language version of this e-learning course will
require project management from MCDPH staff. This will include managing the instructional design contractor
as well as developing culturally appropriate content that will be featured in this version.
$15,000: Site hosting and online course maintenance. Funds will be used to support hosting the online course
and to ensure that any technical changes or site maintenance issues will be addressed promptly.
3. Year 3: Total $15,000.00
$15,000: Site hosting and online course maintenance. Funds will be used to support hosting the online course
and to ensure that any technical changes or site maintenance issues will be addressed promptly.
4. Click here to enter text.
5. Click here to enter text.
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Gila River Indian Community Grant Application
Grant Cycle 2018
11. Click here to enter text.
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Other explanation: Click here to enter text.

BARROW Concussion and
Brain Injury Center
222 W. Thomas Road Suite 304
Phoenix, Arizona 85018
Phone: 602-406-HEAD (4323)
Fax: 602-406-3810
February 23, 2018
Cheryl Pablo
Program Administrator
Gila River Office of Special Funding
P.O. Box 2172
Sacaton, AZ 85147
Dear Ms. Pablo:
Please accept this letter for support for the Maricopa County Department of Public Health proposal in
response to the Gila River Indian Community Grant request for proposals. The Arizona Interscholastic
Association is the governing body for all high school sports in the state of Arizona. As chair of the Sport
Medical Advisory Committee for the AIA, we are tasked with the health and safety of all of Arizona’s
youth athletes; including concussion, heat illness, sudden cardiac death, and opiate use.
In 2011, in partnership with the Arizona Cardinals, and the Arizona Interscholastic Association, we
created Barrow Brainbook, the first concussion education program dedicated to high school athletes. To
date, over 350,000 Arizona high school athletes have completed the educational tool. It has since been
used in other states around the nation. We hope to replicate the success of Barrow Brainbook with the
creation of opiate education directed at youth athletes.
This partnership benefits all of Arizona’s youth by providing:
• Explanation of prescription opioids such as OxyContin, Vicodin, and Percocet;
• Appropriate use of prescription opioid medications;
• Proper storage and disposal of prescription opioid medications;
• Signs and symptoms of prescription opioid misuse;
• Alternatives to prescription opioids for pain management;
• How to develop a return to play plan;
• Questions to ask medical professionals about pain medication if a high school athlete gets injured;
and
• Ways to get help if a high school athlete is misusing prescription opioid medication.
Sincerely,
Javier
Cárdenas, MD
Director, Barrow Concussion & Brain Injury Center
St. Joseph’s Hospital and Medical Center
222 W. Thomas Rd. Suite 304
Phoenix, AZ 85013
A Member of Dignity Health