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Effectively Addressing the Opioid Crisis in Indian Country ECHO June 23, 2022

Cardea Services

Questions about this evaluation? Email info@cardeaservices.org.

We hope you found this educational offering both interesting and informative. Your anonymous responses will be used to plan future educational activities.

Note: If you want a certificate of completion or continuing education credit, you must complete this evaluation. When you submit your survey, you will be given a code word that you will need in order to move forward.

1. Please enter your unique identifying number using your birth month (mm), last two numbers of your cell phone number (##), and the first letter of your middle name (x). This number will be used to link your survey responses to future surveys you take while keeping your responses anonymous.

Example: 0989S
Birth Month: September (09)
Phone Number: 012-345-6789
Middle Name: Smith

2. Please choose your professional title: *This question is required.

3. How satisfied are you with this learning activity?

Very satisfied	Satisfied	Unsatisfied	Very unsatisfied
Very satisfied	Satisfied	Unsatisfied	Very unsatisfied

4.  As a result of this learning activity, how has your knowledge on this topic changed? *This question is required.

Improved a lot	Improved a little	Stayed the same	Got worse
Improved a lot	Improved a little	Stayed the same	Got worse

5. As a result of this learning activity, *This question is required.

Space Cell	Very likely	Likely	Unlikely	Very unlikely
I have increased knowledge on how to effectively integrate evidence based substance use disorder treatment with holistic, culturally appropriate care	I have increased knowledge on how to effectively integrate evidence based substance use disorder treatment with holistic, culturally appropriate care: Very likely	I have increased knowledge on how to effectively integrate evidence based substance use disorder treatment with holistic, culturally appropriate care: Likely	I have increased knowledge on how to effectively integrate evidence based substance use disorder treatment with holistic, culturally appropriate care: Unlikely	I have increased knowledge on how to effectively integrate evidence based substance use disorder treatment with holistic, culturally appropriate care: Very unlikely
I will plan to include peer support specialists at my clinic/site	I will plan to include peer support specialists at my clinic/site : Very likely	I will plan to include peer support specialists at my clinic/site : Likely	I will plan to include peer support specialists at my clinic/site : Unlikely	I will plan to include peer support specialists at my clinic/site : Very unlikely
I will plan to include Harm Reduction services/SSP at my clinic/site	I will plan to include Harm Reduction services/SSP at my clinic/site: Very likely	I will plan to include Harm Reduction services/SSP at my clinic/site: Likely	I will plan to include Harm Reduction services/SSP at my clinic/site: Unlikely	I will plan to include Harm Reduction services/SSP at my clinic/site: Very unlikely
I will provide trauma informed care to my patients	I will provide trauma informed care to my patients: Very likely	I will provide trauma informed care to my patients: Likely	I will provide trauma informed care to my patients: Unlikely	I will provide trauma informed care to my patients: Very unlikely

As a result of this learning activity, *This question is required.

Space Cell	Very likely	Likely	Unlikely	Very unlikely
I will prescribe pharmacotherapy for opioid use disorders	I will prescribe pharmacotherapy for opioid use disorders: Very likely	I will prescribe pharmacotherapy for opioid use disorders: Likely	I will prescribe pharmacotherapy for opioid use disorders: Unlikely	I will prescribe pharmacotherapy for opioid use disorders: Very unlikely

6. I plan to make one change in practice based on what I learned in this activity. *This question is required.

Very likely	Likely	Unlikely	Very unlikely
Very likely	Likely	Unlikely	Very unlikely

Please describe any changes you plan to make in the work that you do. *This question is required.

Why are you unlikely to make a change? *This question is required.

Please enter an 'other' value for this selection.

7. How comfortable do you feel distributing Naloxone products (e.g. Narcan®) to patients?

Very uncomfortable	Somewhat uncomfortable	Somewhat comfortable	Very comfortable
Very uncomfortable	Somewhat uncomfortable	Somewhat comfortable	Very comfortable

Why do you feel uncomfortable distributing Naloxone products(e.g. Narcan®) to patients?

8. How comfortable do you feel administering Naloxone products (e.g. Narcan®) to patients?

Very uncomfortable	Somewhat uncomfortable	Somewhat comfortable	Very comfortable
Very uncomfortable	Somewhat uncomfortable	Somewhat comfortable	Very comfortable

Why do you feel uncomfortable administering Naloxone products(e.g. Narcan®) to patients?

How comfortable do you feel prescribing Naloxone products (e.g. Narcan®) to patients?

Very uncomfortable	Somewhat uncomfortable	Somewhat comfortable	Very comfortable
Very uncomfortable	Somewhat uncomfortable	Somewhat comfortable	Very comfortable

Why do you feel uncomfortable prescribing Naloxone products(e.g. Narcan®) to patients?

9. Which medications are administered as part of MAT services at your site?

Methadone (e.g. Methadose®, Dolophine®)
Dual buprenorphine/naloxone products (e.g. Suboxone®, Zubsolv® )
Single buprenorphine products (e.g. Buprenex®, Sublocade®)
Naltrexone products (e.g. Vivitrol®)
Naloxone products (e.g. Narcan®)
None
Other - Write In (Required) Please enter an 'other' value for this selection.