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IMPACT Rural Opioid Collaborative

The IMPACT Rural Opioid Collaborative (ROC) is a group of community leaders in Navarro County and Ennis, Texas, who are concerned about the opioid epidemic and its impact on the health and economic wellbeing of their citizens. This group was established, with funding from the U.S. Health Services & Resources Administration, to develop a comprehensive plan to prevent opioid use disorders and opioid overdoses in rural communities.

When it comes to reported overdoses, Texas ranks better than the national average, according to the CDC, although, data sources may not be entirely accurate. Texas reported a fraction of the national overdose rate—2,989 drug overdose deaths or 10.5 per 100,000 people—and Texas’ population of 28.7 million in 2018, is second only to California. ROC’s assessment, based on data collection and interviews with local health and law enforcement officials, is that opioid use and overdoses are grossly underreported.

Feedback from the targeted community points to an overall stigma surrounding OUD which results in the described underreporting and is also compounded by a dearth of treatment options or services for those affected by OUD.

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More About IMPACT Rural Opioid Collaborative

If you'd like to become involved with IMPACT ROC or would simply like more information about ways we're addressing and impacting opioid misuse and overdoses in Navarro County and Ennis, Texas, complete the form below. You may also email

Remember this: Opioid misuse, opioid use disorder and overdoses are all 100% preventable!

Founding partners of IMPACT ROC are Drug Prevention Resources (DPR), VOICE, Hope Clinic and Love, Cassidy.

We are also supported and strengthened by: HRSA Office of Regional Operations Region 6; HHS Region VI Director Fred Schuster; HHS Region VI Opioid Workgroup; Texoma High Intensity Drug Trafficking Area (HIDTA); HHSC Texas Targeted Opioid Response (TTOR); HHSC Rx Prevention Committee; North Texas Behavioral Health Authority (NTBHA); VOICE, Inc.; Love, Cassidy; Hope Clinic; Homeward Bound Treatment Center (Christi Long and Linda Dabney, recovery coaches); Texas Rep. Cody Harris (District 8); Corsicana Mayor Don Denbow; Will Dixon, Navarro County District Attorney; Will Thompson, former Navarro County interim criminal district attorney;  Ennis ISD; Corsicana Chamber of Commerce; Corsicana Rotary;  Navarro College; IMPACT Navarro College; P&S Pharmacy; Child Advocacy Center/CASA; Navarro County Health Department; Navarro Regional Hospital; The Corsicana Daily Sun; Dr. John Updegrove, MD; Dr. Madeleine Byrne, psychologist; Janet Cowan, resident and former SUD counselor for Lakes Regional in Corsicana; Adelaide Castillo, local business owner and member of the recovery community. Rose Clark, Ennis ISD School Resource Officer and mother who lost her daughter to an overdose in 2017.

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