The fields marked with the * are required.
Question 1: Do first responder agencies (e.g., law enforcement, fire department, emergency medical services) in your community have one or more diversion or referral programs for individuals with substance use disorders? *
Yes: If yes, answer all questions on this application.
No: If no, skip to question 9.
Question 2: Please identify the lead agency/agencies for your community’s first responder diversion or referral program. Select all that apply
Question 3: Which best describes the types of encounters between your program’s first responders and people with problematic substance use? Select all that apply.
Question 4: Is your first responder diversion or referral program based on a specific model(s)? Select all that apply
Question 7: What types of agencies/providers are partners in your first responder diversion or referral program? Select all that apply.
Question 9: Which of the following best describes your community? Select one. *
Question 10: What type of first responder model are you interested in learning about? Select all that apply.
