Detroit Community Overdose Response Initiative (DCORI) Evaluation

A line drawing of the Detroit, MI skyline

Project Details


The objective of this evaluation study is to assess the implementation of, and outcomes related to the Detroit Community Overdose Response Initiative (DCORI). The initiative strategy is divided into three main objectives.

The first objective is to provide 4,000 key community members with training and resources over the 4-year project to serve as first responders who can administer naloxone for the emergency treatment and reversal of an opioid overdose. The second objective is to establish 150 naloxone access points across the City of Detroit. DHD will accomplish this, in part, by increasing the number of pharmacies registered under the Naloxone Standing Order from MDHHS. The U-M evaluation team will consult and assist DHD partners with the development of an interactive naloxone access point map to host on the DHD website. The third objective is to establish processes and protocols for referral to opioid use disorder treatment and recovery communities, including establishing an opiate emergency directory.

To this end, DHD will develop and publish a resource guide of local recovery service organizations. A key component of naloxone training is to equip community first responders with the knowledge and resources to refer individuals with an opioid use disorder to treatment and wraparound services. DHD, in collaboration with Wayne State University’s Center for Urban Studies, will establish and disseminate protocols for warm handoffs, including trauma-informed guidelines, between community first responders, clinicians, and treatment/wraparound service partners.

The objective of the referral protocol is to improve public safety, the relationship between the community and law enforcement, and leverage a public health response rather than a punitive approach to substance use disorder intervention. In complement to the three strategic objectives, DHD will launch a public education campaign regarding opioid overdose prevention, trauma-informed approaches to behavioral health, and ancillary resources available to the public. The U-M evaluation team will monitor all activities related to these objectives, draft annual reports to submit to SAMHSA, and develop visual data briefs detailing program progress.