PE BANNER AMENDMENT 1.PDF

Maricopa County — Formal (2024-08-21)

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CONTRACT NO:  C-86-24-007-X-00 / PH RFP 230190                                     AMENDMENT NO:         1        
 
 
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AMENDMENT TO 
CONTRACT  
Between 
MARICOPA COUNTY  
by and through 
DEPARTMENT OF PUBLIC HEALTH 
and 
Banner Health Foundation 
 
I. 
The above-named contract is hereby amended as specified below: 
 
A. Section 1.0 CONTRACT TERM shall be updated to reflect a new expiration date of August 
31, 2025.  
 
B. An additional $486,370 shall be added for the additional year as outlined in Exhibit A, Year 2 
Budget & Budget Narrative, beginning on page 2 of this amendment. The revised not to 
exceed (NTE) amount shall be updated to $686,044.80.  
 
C. Exhibit B, Scope of work, shall be replaced with the Revised Scope of Work, Year 2 Project 
Narrative, and Year 2 Project Timeline beginning on page 6 of this amendment.   
  
II. 
All other terms and conditions of the original contract shall remain in full force and effect. 
 
IN WITNESS WHEREOF, the parties agree to the changes indicated herein: 
 
      
FOR AND ON BEHALF OF                            
MARICOPA COUNTY 
 
FOR AND ON BEHALF OF 
BANNER HEALTH FOUNDATION    
                              
 
By:  
 
 
By: 
 
Chairman, Board of Supervisors 
 
 
 
Banner Health Foundation     
 
 
Date 
 
 
Date 
ATTEST 
 
 
 
 
Clerk of the Board 
 
 
 
 
 
Date 
 
 
 
APPROVED AS TO FORM 
 
 
 
 
 
Attorney for Maricopa County 
 
 
 
 
 
Date 
 
 
 
July 18, 2024

CONTRACT NO:  C-86-24-007-X-00 / PH RFP 230190                                     AMENDMENT NO:         1        
 
 
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EXHIBIT A 
YEAR 2 BUDGET & BUDGET NARRATIVE   
 
   
  
YEAR TWO BUDGET SHEET  
Total  
  
Personnel   
  
  
Salaries   
  
  
Director, Outpatient Services 
$28,000 
  
IOP Chemical Dependency Counselor 1 
$80,000 
  
IOP Chemical Dependency Counselor 2 
$40,000 
Managing Director 
$13,942 
Medical Director 
$38,064 
Assoc. Medical Director 
$38,064 
Clinical Educator 
$24,886 
Clinical Informatics 
$16,931 
Poison Center Specialist 1 
$15,435 
Poison Center Specialist 2 
$15,435 
Poison Center Specialist 3 
$15,435 
 
Total Salaries   
 $326,192 
Fringe Benefits (ERE Rate: 17.7%) 
 $57,736 
  
Personnel Subtotal  
$383,928 
  
Operating   
  
  
Travel   
 $2,470 
 
Outreach   
 $46,500 
Staff Education and Training   
 $1,500 
  
Supplies/Materials   
 $6,000 
Equipment   
 $1,756 
Operating Subtotal   
 $58,226 
  
DIRECT COSTS (Personnel + Operating) 
 $442,154 
 
INDIRECT COSTS (10%) 
 $44,216 
  
TOTAL BUDGET (Direct + Indirect)   
 $486,370

CONTRACT NO:  C-86-24-007-X-00 / PH RFP 230190                                     AMENDMENT NO:         1        
 
 
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Year 2 Budget Narrative 
Program Personnel: $383,928 
BANNER HEALTH INTENTSIVE OUTPATIENT PROGRAM - $148,000 
Director of Outpatient Services (Jerimya Fox) — Mr. Jerimya Fox will provide project leadership 
and oversight, dedicate 20% of his time to the project, and be responsible for hiring and 
supervising the IOP Chemical Dependency Counselors. $140,000 @ 20% FTE 
IOP Chemical Dependency Counselor 1 (Jennifer Keiser) — Ms. Keiser will be responsible for 
creating and facilitating the Adolescent Chemical Dependency (CD) Intensive Outpatient Program 
as well as creating and facilitating the educational training for health care teams in urgent, 
emergency, and acute settings on the full continuum of behavioral health services available 
through Banner Behavioral Health along with how to refer children and adolescents. In devoting 
100% of her time to this project, Ms. Keiser will also be responsible for exploring how to more 
systematically develop a behavioral health screening and referral protocol within the health 
system and integrate the educational materials on the behavioral health services available and 
referral processes into required provider training. $80,000 @ 100% FTE 
IOP Chemical Dependency Counselor 2 — Supporting Ms. Keiser will be an additional IOP Chemical 
Dependency Counselor, an existing provider, who will allocate 50% of their time to the program. 
$80,000 @ 50% FTE 
BANNER POISION OPIOID & NALOXONE TRAINING PROGRAM - $178,192 
Managing Director (Maureen Roland, RN) — Gather data, develop, and implement action plans, 
evaluate the effectiveness of the projects, and analyzing impact on targeted populations. 
$139,415 @ 10% FTE 
Medical Director (Daniel Brooks, MD) — Assist providers with Medications for Opioid Use Disorder 
(MOUD) training, Substance Use Disorder (SUD), and stigma reduction education. $190,320 @ 
20% FTE 
Associate Medical Director (Meghan Spyres, MD) — Assist providers with Medications for Opioid 
Use Disorder (MOUD) training, Substance Use Disorder (SUD), and stigma reduction education. 
$190,320 @ 20% FTE 
Clinical Educator (Bryan Kuhn, PharmD) — Assist providers with Medications for Opioid Use 
Disorder (MOUD) training, Substance Use Disorder (SUD), and stigma reduction education. 
$124,432 @ 20% FTE 
Clinical Informatics (Kim Schmid, RN) — gather data, develop, and implement action plans, 
evaluate the effectiveness of the projects, and analyzing impact on targeted populations. 
$112,871 @ 15% FTE 
Poison Center Specialist 1 (Deborah Raling-Young, RN, PharmD) — Assist with telehealth including 
warm hand offs to resources, provider to provider MOUD education, and patient medical and 
pharmacological history review. $77,174 @ 20% FTE

CONTRACT NO:  C-86-24-007-X-00 / PH RFP 230190                                     AMENDMENT NO:         1        
 
 
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Poison Center Specialist 2 (Margaret Weber, RN) — Assist with telehealth including warm hand 
offs to resources, provider to provider MOUD education, and patient medical and 
pharmacological history review. $77,174 @ 20% FTE 
Poison Center Specialist 3 (Perter Peil, RN) — Assist with telehealth including warm hand offs to 
resources, provider to provider MOUD education, and patient medical and pharmacological 
history review. $77,174 @ 20% FTE 
Employee-related expenses are calculated at 17.7%. 
Travel: $2,470 
BANNER HEALTH INTENTSIVE OUTPATIENT PROGRAM - $1,800  
Project travel will entail mileage for Counselors who will be providing educational outreach to 
Banner urgent care centers, pediatric-prepared emergency rooms, and inpatient pediatric medical 
centers throughout Maricopa County. Travel is estimated at 2,687 miles. 
BANNER POISION OPIOID & NALOXONE TRAINING PROGRAM - $670 
Travel costs will be minimal for projects within the Phoenix Metro Areas and should not exceed 
1,000 miles.  
Mileage is calculated at the State of Arizona General Accounting Office personal vehicle mileage 
reimbursement rate of 62.5¢ per mile for an estimated 3,687 miles. 
Education and Outreach: $46,500 
BANNER HEALTH INTENTSIVE OUTPATIENT PROGRAM - $44,500 
Accounts for the costs associated with the development, design, and printing of educational and 
outreach materials the Behavioral Health Case Manager will use in his/her educational outreach 
to Banner’s 39 urgent care centers, 7 pediatric-prepared emergency rooms, and 2 inpatient 
pediatric medical centers reaching approximately 1,781 health care team members ($2,500). The 
budget also includes $25,000 to support paid media promoting the program. 
BANNER POISION OPIOID & NALOXONE TRAINING PROGRAM - $2,000 
For participation in community events, most of which a registration fee is required. Typical fees 
can range anywhere from $75-$500/per event. 
Training: $1,500 
BANNER HEALTH INTENTSIVE OUTPATIENT PROGRAM - $1,500 
For initial and ongoing training and certifications for project personnel including project 
leadership and the proposed Behavioral Health Case Manager. Training will be sought through 
the Arizona Trauma Institute, the American Society of Addiction, Medicine, SMART Recovery, and 
other related organizations. 
BANNER POISION OPIOID & NALOXONE TRAINING PROGRAM - $0

CONTRACT NO:  C-86-24-007-X-00 / PH RFP 230190                                     AMENDMENT NO:         1        
 
 
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Supplies/Materials: $6,000 
BANNER HEALTH INTENTSIVE OUTPATIENT PROGRAM - $1,000 
Include $250 for sensory bottles, art supplies, activity supplies, and snacks for the adolescents 
and families served in the Adolescent Chemical Dependency Intensive Outpatient Program. This 
will also include $750 specialized curricula and materials for the Adolescent Chemical 
Dependency Intensive Outpatient Program including but not limited to curricula and materials 
from SMART Recovery – Young Adult Outreach Program and other entities. 
BANNER POISION OPIOID & NALOXONE TRAINING PROGRAM - $5,000 
To create/purchase handouts for first responders including substance use disorder (SUD), 
stigma reduction, and naloxone tips. In addition, handouts with health literacy focus for the public 
(non-healthcare providers) regarding SUD and naloxone use will be created and dispensed.  
Equipment: $1,756 
BANNER HEALTH INTENTSIVE OUTPATIENT PROGRAM - $1,756 
Includes new employee information technology packages for the IOP Chemical Dependency Counselor. 
Information technology packages (Laptop: $850, Monitor, $270, Keyboard/mouse: $22, Webcam: $50, 
Headset: $120, Ethernet $4, Equipment allowance $350, Wifi Stipend, $90). 
BANNER POISION OPIOID & NALOXONE TRAINING PROGRAM - $0 
Indirect Costs: $44,216 
Requesting 10% of project expenses as indirect costs. Indirect are those expenses related to the 
administration and performance of the project that are not easily itemized for consideration. Expenses 
such as building maintenance and janitorial, building insurance, water and sewer, electricity, phone 
expense, including cell phone expense, accounting and human resource personnel, and security 
expenses.

CONTRACT NO:  C-86-24-007-X-00 / PH RFP 230190                                     AMENDMENT NO:         1        
 
 
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Exhibit B 
REVISED SCOPE OF WORK, YEAR 2 PROJECT NARRATIVE, YEAR 2 PROJECT TIMELINE 
 
REVISED SCOPE OF WORK 
 
Contractor shall: 
 
3.1 
Continue to operate Banner Health Adolescent Intensive Outpatient Program. 
Components of the program shall include, but are not limited to: 
3.1.1 
Youth prevention education and peer support 
3.1.2 
Parent prevention and active parenting education 
3.1.3 
Navigation services (i.e. linkage to care, warm hand-off referrals) 
3.1.4 
Provider training on SUD screening and treatment referrals 
3.2 
Continue and expand Banner Poison Opioid & Naloxone Training Program. Components 
of the program shall include, but are not limited to: 
3.2.1 
Training for healthcare providers on SUD, stigma reduction, naloxone distribution, 
and treatment referrals. 
3.2.2 
Training for first responders on SUD, stigma reduction, and naloxone distribution. 
3.2.3 
Training for correctional facility staff on SUD, stigma reduction, and naloxone 
distribution. 
3.2.4 
Training for the community on SUD and naloxone administration. 
3.3 
Submit any training or educational materials to MCDPH for review and approval prior to 
implementation/dissemination. Any material with the Maricopa County brand is also 
subject to review and approval prior to use.  
3.4 
Evaluation 
3.4.1 
Collaborate with MCDPH on an evaluation plan that includes metrics for how 
success will be measured and opportunities for improvement. 
3.4.2 
Complete quarterly and annual reports using tools (ex. templates, Envisio 
software) provided by MCDPH. Reports will include components such as: 
 
Narrative description of project activities achieved during the 
specified timeframe 
 
Accomplishments (“success stories”) and challenges 
 
Staffing changes 
 
Current budget and description of over or underspending 
 
Evaluation metrics 
3.4.3 
Complete any additional reporting requirements that may be requested.

CONTRACT NO:  C-86-24-007-X-00 / PH RFP 230190                                     AMENDMENT NO:         1        
 
 
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3.5 
Participate in, at minimum, one monthly meeting with MCDPH. 
3.6 
Submit invoices and supporting documentation for work completed during the month by 
the 15th of the following month. 
3.7 
Maintain client confidentiality in alignment with applicable state and federal laws that 
protect client confidentiality of medical, behavioral health, and drug treatment 
information. 
3.8 
Provide documentation that any staff working with minors has secured and maintained 
an Arizona Department of Public Safety Level 1 Clearance Card and completed a 
background check. 
3.9 
Allowable expenses: 
Direct, operational, and indirect costs associated with the provision of activities and services as 
detailed and accepted in the Scope of Work, Budget, and/or Budget Narrative. Indirect expenses 
may not exceed ten percent (10%). 
MCDPH shall: 
3.10 
Provide technical assistance in developing an evaluation plan and support for ongoing 
evaluation. 
3.11 
Ongoing review of the establishment and implementation of activities and measures for 
accomplishing the goals of this agreement. 
3.12 
Participating, as appropriate, in conference calls and meetings that are conducted during 
the project period. 
3.13 
Review training and education materials prior to implementation/dissemination.  
3.14 
Review and approve the use of any materials or items with the Maricopa County 
branding.  
 
YEAR 2 PROJECT NARRATIVE 
BANNER HEALTH INTENTSIVE OUTPATIENT PROGRAM 
2.1.1 Prevent substance/opioid use onset, misuse, and use disorder in youth. 
ACTIVITIES/DELIVERABLES 
Adolescent Intensive Outpatient Program 
Banner Health’s intensive outpatient programs (IOPs) for adolescents are a crucial element of our 
behavioral health services. Prior to our MCPH grant, Banner Health had three IOPs in Maricopa 
County (Scottsdale, Chander, and Glendale). The MCPH grant funded the creation of a fourth IOP 
at Banner Del E Webb Medical Center (Sun City); this fourth IOP is specific to Adolescent 
Chemical Dependency. The other three IOPs also address substance use but are not dedicated 
exclusively to it. 
 
The MCPH grant also funded the hiring of an IOP Chemical Dependency Counselor who 
specializes in addition and working with adolescents and their caregivers. This counselor co-

CONTRACT NO:  C-86-24-007-X-00 / PH RFP 230190                                     AMENDMENT NO:         1        
 
 
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facilitates the Adolescent Chemical Dependency IOP with other counselors on staff. While our 
response to funding category 2.1.2 provides a more in-depth description of the IOP’s 
programming, we have also included the work of the IOP in this funding category as it relates to 
youth prevention education. Specifically, we focus on how to maintain sobriety, including 
providing abstinence education and prevention education related to substance use and abuse, as 
well as how to recognize the signs of substance use disorder (SUD). 
 
While the IOP meets three times per week, once each week, parents/caregivers are included 
provided education and support by our counselors through 1:1 discussions and outreach. The 
caregivers receive both prevention education and active parenting education. They then join the 
adolescent group for joint programming. In addition, during the intake process, parents are 
educated on prevention strategies as part of the care plan. 
 
The principles of trauma-informed care and cultural humility are woven into the educational 
sessions and accompanying materials. The IOP Chemical Dependency Counselor has also 
developed, and will continue to develop, educational materials to share with participants and their 
families to support their journey. 
ACTIVITIES 
 
Activity 
 
Activity Type 
Projected # of 
individuals to be served 
during year 2 
 
 
 
Adolescent Intensive 
Outpatient Program 
Youth Prevention 
Education 
 
 
Parent Prevention 
Education 
 
Active Parenting 
Education 
208 (4 youth across an 
8 week program with 6.5 
sessions annually)  
 
260 (Represents 1:1 
visitations for inpatient 
admissions)  
 
208 (4 parents across 
an 8 week program x 6.5 
sessions annually)  
 
TARGET POPULATION & SERVICE AREA 
The target population being served by the Adolescent Chemical Dependency Intensive Outpatient 
Program is young people between the ages of 13 to 17 and their families and/or caregivers. The 
primary target populations for increasing connections to care/warm hand-offs are our providers 
(i.e., physicians, physician’s assistants, nurse practitioners, nurses, social workers, case workers 
etc.). The secondary target population for connections to care focus on children, adolescents, 
and families who present for care in urgent, emergency, and acute settings. The geographic 
scope will be the same as Year One. However, our goal is to being laying the groundwork in the

CONTRACT NO:  C-86-24-007-X-00 / PH RFP 230190                                     AMENDMENT NO:         1        
 
 
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fourth quarter of Year Two for program expansion the following year for similar programming 
specific to the East Valley. 
OUTCOMES 
 
Youth have increased knowledge of the risks involved with substance. 
 
Youth have increased resilience and strong protective factors against substance use or 
developing substance use disorder. 
 
Parents and caregivers have increased knowledge of the risks involved with substance use. 
 
Parents and caregivers have increased knowledge and skills in building family norms that are 
protective against youth substance use and developing a SUD. 
 
2.1.2 Support youth in treatment and recovery, including support for 
caregivers/families 
ACTIVITIES/DELIVERABLES 
Adolescent Intensive Outpatient Program 
The Adolescent Chemical Dependency IOP launched its programming January 2024, which 
means it will have been fully operational for nine months during the first grant period. With a 
MCPH grant renewal, we will be able to operate this program for a full 12 months and continue to 
expand the number of youth served as more providers and parents become aware of the program 
through trainings and marketing. Like other Banner Health IOPs, it offers structured group therapy 
in a less restrictive setting than an inpatient program, allowing adolescents to maintain their daily 
routines (i.e., school, extracurricular activities), while receiving appropriate care. The IOP, which 
was modeled after Banner Health’s Chemical Dependency IOP for adults, runs three days per 
week (Monday, Wednesday, and Thursday) for three hours a day and caters youth ages 13-17. 
 
An important element of the program is peer support, interacting with other youth in the program 
who are facing similar challenges. The IOP promotes a healthier outlook while supporting youth 
as they navigate life’s challenges, teaching adolescents’ skills and techniques to regain control 
and restore their well-being. Specifically, the peer group-based therapy model uses evidenced-
based techniques (i.e., motivational interviewing, cognitive behavioral therapy, emotive behavior 
therapy), as well as community peer support group curriculum. We use the Matrix Model for 
Teens and Young Adults as our IOP alcohol and drug treatment curriculum. The original Matrix 
Model for adults, which this curriculum is adapted from, is a comprehensive, evidence-based, and 
individualized program with more than 30 years of research and development behind it. The 
target populations for this model we are adolescents (13-17 years old) and young adults (18-25 
years old) who have mild, moderate, or severe SUDs. 
 
As Banner Health continues to market the program (both to healthcare providers and the general 
public), we anticipate the number individuals served by the Chemical Dependency IOP will 
continue to grow.

CONTRACT NO:  C-86-24-007-X-00 / PH RFP 230190                                     AMENDMENT NO:         1        
 
 
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ACTIVITIES 
 
Activity 
 
Activity Type 
Projected # of 
individuals to be served 
during year 2 
 
Intensive Outpatient 
Program 
Youth Intensive 
Outpatient Program 
 
Youth Peer Support 
208 
 
 
208 
 
TARGET POPULATION & SERVICE AREA 
The target population being served by the Adolescent Chemical Dependency Intensive Outpatient 
Program is young people between the ages of 13 to 17 and their families and/or caregivers. The 
primary target populations for increasing connections to care/warm hand-offs are our providers 
(i.e., physicians, physician’s assistants, nurse practitioners, nurses, social workers, case workers 
etc.). The secondary target population for connections to care focus on children, adolescents, 
and families who present for care in urgent, emergency, and acute settings. The geographic 
scope will be the same as Year One. However, our goal is to being laying the groundwork in the 
fourth quarter of Year Two for program expansion the following year for similar programming 
specific to the East Valley. 
OUTCOMES 
 
Increase the availability and enrollment in treatment programs for youth with SUD. 
 
Increase the number of youth with a SUD who can maintain recovery. 
2.1.4 Support connections to care and warm hand-off services 
ACTIVITIES/DELIVERABLES 
Case Manager-provided Resources & Referrals 
Year One of the Maricopa County Public Health’s grant funded our IOP Chemical Dependency 
Counselor whose work is specific to adolescent chemical dependency. In December 2023, 
Jennifer Keiser joined the Banner Health team in this role. Since then, Ms. Keiser has spent a 
majority of her time ensuring that adolescent patients have access to necessary behavioral 
health services. She helps with our navigation services and provider training in the following 
ways: 
 
Liaison Between Teams: Ms. Keiser serves as the bridge between the behavioral health team and 
Banner Health’s Maricopa County-based urgent care centers (39), pediatric-prepared emergency 
rooms (7), and inpatient pediatric medical centers (2). She educates providers on the full range of 
pediatric behavioral health services available within Banner Health, as well as on how to screen 
for substance use disorder. The emphasis of these sessions has been on training 
providers/department leaders and insurance providers.

CONTRACT NO:  C-86-24-007-X-00 / PH RFP 230190                                     AMENDMENT NO:         1        
 
 
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Education & Referrals: Ms. Keiser, in conjunction with the Director of Behavioral Health Outpatient 
Services (Mr. Jerimya Fox), also educates providers on how to refer pediatric patients for 
behavioral health services, including explaining the different levels of care available and how to 
determine the appropriate level of care for each patient. 
 
Information Resource: Ms. Keiser acts as a resource for providers, answering questions they have 
related to pediatric behavioral health services – particularly related to making referrals. 
 
Direct Patient & Family Interactions: Ms. Keiser meets directly with families as needed to explain 
the available levels of care with Banner Health’s behavioral health program to ensure they 
understand the options and are empowered to make informed decisions about their child’s care. 
 
Warm Hand Off: By facilitating direct communication between providers, patients, and families, 
Ms. Keiser helps to ensure that adolescent patients and their families have a warm hand off, 
seamlessly transition to the appropriate level of care while providing continuity of care. 
 
Behavioral Health Training for Providers 
A second year of Maricopa County of Public Health funding will support the work of the two IOP 
Chemical Dependency Counselors (1.0 FTE and 0.5 FTE) for a full 12 months – enabling the 
behavioral health team to provide an expansion in its trainings to healthcare providers and 
administrators. Additionally, the case manager will continue providing the direct patient and 
family support as the families navigate behavioral health services for their loved ones. 
 
ACTIVITIES 
 
Activity 
 
Activity Type 
Projected # of 
individuals to be served 
during year 2 
Case Manager-provided 
resources & referrals 
Navigation Services 
260 Hospital case 
managers and family 
members (Average 5 per 
week)  
 
104 
Behavioral Health 
Training for Providers 
Training on SUD 
Screening and Referral 
360 (Outreach includes 
provider offices, Banner 
Urgent Care, Insurance 
divisions and inpatient

CONTRACT NO:  C-86-24-007-X-00 / PH RFP 230190                                     AMENDMENT NO:         1        
 
 
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department leaders, 
Average 30 per month)  
 
TARGET POPULATION & SERVICE AREA 
The target population being served by the Adolescent Chemical Dependency Intensive Outpatient 
Program is young people between the ages of 13 to 17 and their families and/or caregivers. The 
primary target populations for increasing connections to care/warm hand-offs are our providers 
(i.e., physicians, physician’s assistants, nurse practitioners, nurses, social workers, case workers 
etc.). The secondary target population for connections to care focus on children, adolescents, 
and families who present for care in urgent, emergency, and acute settings. The geographic 
scope will be the same as Year One. However, our goal is to being laying the groundwork in the 
fourth quarter of Year Two for program expansion the following year for similar programming 
specific to the East Valley. 
 
OUTCOMES 
 
Increased enrollment in recovery programs to support individuals with SUD. 
 
Increased knowledge on how to screen for SUD, make referrals as appropriate, and what services 
are available. 
 
BANNER POISION OPIOID & NALOXONE TRAINING PROGRAM 
2.1.3 Prevent overdose deaths and other harms (harm reduction) 
ACTIVITIES/DELIVERABLES 
 
Expand Opioid and Naloxone Training for Healthcare Providers  
 
For Healthcare Providers: BPDIC will expand and increase healthcare provider education on SUD 
by adding additional physician support to provide trainings, which will include stigma reduction 
objectives and naloxone distribution when appropriate. Our goal is to train at least 200 healthcare 
providers with a 90% completion rate of pre/post education surveys. 
 
For First Responders: BPDIC will continue to build on relationships with fire departments with the 
goal continuing quarterly education series with a focus on stigma reduction. Goal of 500 
individuals trained.  
 
For The Public: BPDIC will increase efforts with community education and training on SUD and 
naloxone administration. Five staff members listed in this contract have joined the Arizona 
Department of Education’s task force for creating education for schools regarding opioids 
(including fentanyl) use and overdose, as well as naloxone training and distribution. The

CONTRACT NO:  C-86-24-007-X-00 / PH RFP 230190                                     AMENDMENT NO:         1        
 
 
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workgroups will be meeting twice monthly to create new education and policy for opioid and 
naloxone training in Arizona schools.  
 
ACTIVITIES 
 
Activity 
 
Activity Type 
Projected # of 
individuals to be served 
during year 2 
 
 
 
Expand Opioid and 
Naloxone Training  
Train Providers 
 
 
External Professional 
Development 
 
Opioid & Naloxone 
Training 
200 
 
 
500 
 
 
1000+ 
 
TARGET POPULATION & SERVICE AREA 
Target Populations include those at highest risk for adverse outcomes including but not limited 
to: Recently incarcerated and released persons with substance use disorder, Pregnant and 
lactating women with substance use disorder, and persons who have recently overdosed or been 
seen in a healthcare facility for an overdose. Healthcare providers and emergency response 
agencies will be targeted to provide education on SUD with a focus on stigma reduction and 
occupational safety. 
OUTCOMES 
 
Increase the number of Providers able to provide evidence-based treatment for SUD in youth and 
adults. 
 
Reduce stigma regarding Naloxone uses and increased knowledge of how to use Naloxone for a 
suspected overdose. 
 
2.1.4 Support connections to care and warm hand-off services 
ACTIVITIES/DELIVERABLES 
MOUD Training and Referral Support in Medically Underserved Areas  
 
BPDIC will enhance collaboration with community partners at the organizational level to make 
client/patient referrals for services and assure coordinated care. Additional RN Specialist FTE 
support added to increase efforts in this area.

CONTRACT NO:  C-86-24-007-X-00 / PH RFP 230190                                     AMENDMENT NO:         1        
 
 
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Maricopa County Jail and Prison Opioid, Substance Use Disorder, and Naloxone Training 
 
BPDIC will increase efforts to connect with Department of Corrections and assist with Re-entry 
Programs including training and distribution of naloxone and medication lockboxes to inmates 
preparing for release, as well as enhancing the linkage to care.  
 
ACTIVITIES 
 
Activity 
 
Activity Type 
Projected # of 
individuals to be served 
during year 2 
MOUD Training and 
Referral Support in 
Medically Underserved 
Areas 
Training on SUD 
Screening & Warm Hand 
Offs 
150 
Maricopa County Jail 
and Prison Opioid, 
Substance Use Disorder, 
and Naloxone Training 
 
Training on SUD 
Screening & Warm Hand 
Offs, Distribute Harm 
Reduction Supplies 
150  
 
TARGET POPULATION & SERVICE AREA 
Healthcare providers, emergency response agencies, and public safety officers will be targeted to 
provide education on SUD with a focus on stigma reduction and occupational safety. 
 
OUTCOMES 
 
Increased knowledge on how to screen for SUD and, referrals are appropriate, and what services 
are available and Increased enrollment in recovery programs/linkage to care to support 
individuals with SUD. 
 
Increased enrollment in recovery programs/linkage to care to support individuals with SUD.

CONTRACT NO:  C-86-24-007-X-00 / PH RFP 230190                                     AMENDMENT NO:         1        
 
 
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