OPEN Permanent Disposal Box

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OPEN Permanent Disposal Box

The Overdose Prevention Engagement Network (OPEN) at the University of Michigan is pleased to offer a grant funding opportunity to support implementation of permanent medication disposal boxes. We aim to remove the risk of unused medications and substances from our community by establishing permanent disposal boxes in locations that are convenient for patients and community members.

Applicants will have the opportunity to select the disposal box that best meets their capacity and needs. Boxes, or kiosks, will be provided through American Rx Group and purchased for the awardee by OPEN. Awardees will be responsible for installation of the box, as well as providing metrics on the use and impact of the box through progress reporting.

Please contact OPEN-support@med.umich.edu with any questions.

Applicant Information

Organization Name

Organization Address

Name, title, email of project lead

Name, title, email of second project person

Project Proposal

Up to 100 word response per question

Why is it important to put a disposal box at this site? Please describe the need and potential impact of the disposal box at your site. Impact could include quantitative measures (ex: amount of medication collected) or qualitative feedback from the organization or community members.

If you successfully implement this permanent disposal box, what practice or culture changes do you anticipate will occur with your organization or community as a whole?

What challenges or barriers do you anticipate and how do you plan to overcome them?

How does your organization plan to continue to support the maintenance of the permanent disposal box after the grant term is complete?

Organization Context

What existing structures does your organization have in place to encourage medication/substance disposal, prevention, or harm reduction?

Describe any ongoing training opportunities your organization offers for medication/substance use prevention and/or stigma reduction.

Disposal Box Selection and Agreement

Please carefully review the brochure and information provided in the call for proposals.

Select the box that best fits the needs and capacity of your organization.

RXD-6G 6 gallons

RXD-20G 20 gallons

RXD-28G 28 gallons

RXD-38G 38 gallons

RXD-46G 46 gallons

Other:

Clear selection

Provide a brief explanation for why you chose this specific box.

Acknowledgements *

By checking this box, you acknowledge that you have reviewed the Code of Federal Regulations ensuring that your organization meets the requirements for hosting a permanent medication disposal box.

By checking this box, you acknowledge that you have reviewed the Destruction Services Agreement. Formal completion of this contract will be required if selected for an award.

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