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Monroe County

County Background

On this page you will find county specific statistics, demographic characteristics, health outcomes, an interactive healthcare facility locator map, and opioid crisis information. Select the arrows at the bottom of each graph to view more county information. Scroll further down to view a summary of Monroe county’s response plan, activities in progress, completed projects, and a list of local stakeholders involved in the development and implementation of the response plan to address overdose events.

Program Overview

The Monroe County Health Department used grant funding from the Indiana State Department of Health Trauma and Injury Prevention Division for the following two projects:

  1. Monroe County Overdose Outbreak Response Plan

Monroe County Health Department is working with emergency management, first responders, mental health providers, local government, hospital and mental health providers to create an overdose outbreak response plan in order to be prepared if overdose cases surge.Having a plan in place will enable us to better support each other and maintain services for our community.

  1. Monroe County Pathways

The Monroe County Health Department helped develop a pilot of the Monroe County Pathways program.Monroe County Pathways is a new substance use treatment navigation program that works with individuals seeking substance use treatment in Monroe and surrounding counties to find the treatment facility and plan that best fits the individual.

Program Objectives & Goals

Goals:  Reduction in overdose deaths

Population of Interest- People at risk for death from drug-related overdoses

Long term objectives

Overdose Outbreak Response Plan completed


Monroe County Pathways Treatment Navigator Program

Long Term Outcome Indicators

Overdose deaths reduced due to coordinated response and resources


Increase in people getting treatment due to decreased barriers

Short Term Objectives

Regular Meetings scheduled with partners for plan development from Feb-May


Trainings/certification/license obtained by March 31st.

Website operational

Short Term Outcome Indicators

Plan ready for exercise by June 1, 2018.


Navigator office open, services provided in person, by phone/text/web.


Research, trainings, meetings with partners, ISDH toolkit


Meetings with partners, stakeholders, potential funders, website design, research, promotion


Create tabletop attendee list, schedule meetings, ESSENCE training, develop evaluation survey for tabletop exercise


Meet with website design partner, develop material, information for website, program planning team meetings, attend trainings, set up office, develop funding campaign, develop promotion/social media plan; develop client satisfaction survey for in-person and on-line (have link on website).

Process Indicators

Meeting minutes from meetings with partners, funders, stakeholders; notes and plans; project timeline


Numbers of uninsured residents, number of people reporting needing assistance in accessing treatment,

Website design, trainings, navigator insurance training/license classes and exam; office set up and ready for clients.


MCHD staff, ISDH staff, ESSENCE training, Public Health partners, community responders, ISDH toolkit


Staff, website design partner, insurance navigation class, community partners, treatment organizations, further funding, volunteers (later), program promotion/advertising


The team has met three times with one more meeting planned before a tabletop exercise to test our completed plan. Objectives of the meetings include determining local needs, who is providing services and how we can improve communication and collaboration to better support the community if an overdose outbreak occurs.

Pathways – how it works:

Clients who are seeking treatment can contact Monroe County Pathways by phone, text or social media to set up a phone or in-person meeting. Clients can also visit Monroe County Pathways at and leave a message requesting an initial meeting.

During the first meeting, the Navigator does an initial assessment to determine what type of treatment the client is seeking as well as what are the client’s needs.  Sample questions include”

“What type of substance are you using?”

“What type of treatment are you interested in?”

“Do you have insurance and if so, what type of plan do you have”. (Different plans offer different types of coverage)

The navigator then looks for available treatment options that best match the client’s needs and encourages the client to call right then. If no treatment option is available at that time, the navigator creates a safety plan with the client to help keep them safe until they are able to get into treatment.

Monroe County Pathways also provides community outreach and education.  In addition to the grant, the program is supported by Monroe County Government and the Monroe County United Way.  The City of Bloomington assisted with the building of the website.

Overdose Response Plan

Plan still in progress


Overdose Outbreak Response Plan meeting attendees (First three meetings)   Other people have participated by email.




Penny Caudill

Monroe County Health Department


Kathy Hewett

Monroe County Health Department

Lead Health Ed./Accreditation Coordinator

Jason Moore

Bloomington Fire Department

Fire Chief

Mike Diekhoff

Bloomington Police Department

Police Chief

Jayme Washel

Bloomington Fire Department

Deputy Fire Chief

Joe Qualters

Bloomington Police Department

Deputy Police Chief

Many Grella


Program Manager

Allison Moore

Monroe County Emergency Management


Brandon Drake

Monroe County Pathways


Arielle Hacker

Monroe County Pathways


Scott Oldham

Monroe County Police Department


Lillian Henegar

Bloomington Township


Tom Miller

City of Bloomington

Innovation Director

Melanie Vehslage

Monroe County Health Department

Harm Reduction Educator

Miringu Kinne

City of Bloomington


Susie Hertz

Monroe County Emergency Management

Deputy Director

Jaime Neibel

IU Health Bloomington Hospital


Monroe County Pathways Stakeholders

Brandon Drake

Monroe County Pathways

Director, founder

Amanda Barge

Monroe County Government


Efrat Feferman

United Way

Director, funder

Tom Miller

City of Bloomington

Innovation Director

Mirangu Kinne

City Of Bloomington

Intern, website developer

Penny Caudill

Monroe County Health Department

Administrator, funder

Kathy Hewett

Monroe County Health Department

Grant Coordinator