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Rural Opioid Prevention Education and Support (ROPES) Project Evaluation

The ROPES ProjectThe Rural Opioid Prevention Education and Support (ROPES) Project is a federal opioid grant awarded to City-County Health District in Valley City, North Dakota. The Center for Rural Health (CRH) is a partner and is engaged in program evaluation.

The purpose of the ROPES Project is to address and prevent opioid misuse in a seven-county area of North Dakota involving the public health units in the following eight counties:

  • Barnes (applicant site)
  • Dickey
  • Foster
  • LaMoure
  • Logan
  • McIntosh
  • Stutsman
  • Wells

Building Capacity

The ROPES Project works to build rural capacity (particularly within public health) and community education on peer support, housing support, medication-assisted treatment, use and distribution of Narcan, needle exchange, mental health first aide training, and development of a Federally Qualified Health Center site in Valley City.


The CRH evaluation is a formative evaluation where evaluation is associated with program implementation. Both process and outcome metrics are used. A focus is on decision-making.