90 Day Dash Interest Form
Thanks so much for your time and interest in our work! If at any time you have questions, feel free to reach out to mary@hoperisinglc.org or visit our website, www.hoperisinglc.org
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What is your name? *
What are your preferred pronouns? *
Are you 18 or older? (If not, no worries! We just may need to get parental/guardian permission)
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What is your phone number?
What is your email address?
Are you a community member or part of an agency? If you are with an agency, which one?
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Would you prefer to be texted, called, or emailed?
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Which group or groups are you interested in joining? *
Dash Group #1 led by Sarah Weber
CHIP Goal: Increase the number of individuals accessing substance use disorder services
Summary of 90 Day Dash Goal: We collectively decided to create a photovoice campaign centered on people who use or have used substances, who have been impacted by substance use disorder or overdose, and who are in recovery from substance use disorder. This campaign will tell their stories with the aim of both reducing community stigma toward substance use disorder and casting a light on the barriers to recovery that people in Lake County have experienced, helping us focus our efforts to mitigate those barriers. At the same time, SafeRx Lake County will create a website for people seeking recovery and treatment resources, which we can connect photovoice participants to. Finally, a long-term goal we identified was supporting the creation of a peer support center focused on recovery.

Dash Group #2 led by Justin Gaddy
CHIP Goal: Reduce stigma and build trust to create a culture of safety for accessing mental health services
Summary of 90 Day Dash Goal: Work to ensure that at least 30 organizations implement self care practices internally.

Dash Group #3 led by Katie Ray
CHIP Goal:Encourage collaboration to promote coordination and integration among healthcare service providers
Summary of 90 Day Dash Goal: Utilize the 24/7 Help app to ensure that there is one location for all resources and providers for community members. This app can serve as a one stop resource guide.

Dash Group #4 led by April Strait
CHIP Goal: Reduce stigma and build trust to create a culture of safety for accessing mental health services
Summary of 90 Day Dash Goal: Bolster and create walking opportunities for people to come together in a safe environment to simply create community, connection and establish relationships/trust with people who care.
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