Coalition Description Form - Blue Cross Blue Shield of Michigan

Taking Action on Opioid and Prescription Drug Abuse in Michigan
Coalition Description Form
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Name of community coalition
Communities covered (list cities, counties, etc.)
Name of lead organization for the coalition
In which year did the coalition first form?
In which year did the coalition first identify and begin addressing the prescription drug and opioid abuse problem?
How often does the general coalition meet about prescription drug and opioid abuse?
Check one:
Weekly
Monthly
Quarterly
Other (specify):
How often do the committees of the coalition meet about prescription drug and opioid abuse?
Check one:
Weekly
Monthly
Quarterly
Are meeting minutes available, if requested?
Yes
Other (specify):
No
What are the major goals of the coalition for prescription drug and opioid abuse?
Has the coalition developed a strategic plan for addressing prescription drug and opioid abuse?
Yes
No
Is this document available to share, if requested?
Yes
No
Describe the structure of the coalition, i.e., steering committees, action teams, etc.
Is there sufficient budget to sustain coalition leadership activities, including in-kind support from the lead organization or others, and
sufficient project management and administrative time to ensure the coalition launches projects and stays on task?
Yes
No
List organization membership (include separate sheet if necessary):
a. Medical, Mental Health and Substance Abuse Treatment Providers
b. Public Health Organizations
c. Public Safety Organizations
d. Other community organizations
Blue Cross Blue Shield of Michigan is a nonprofit corporation and independent licensee of the Blue Cross and Blue Shield Association.
WF 16622 MAY 17