Jurisdiction Level Vulnerability Assessment Toolkit

Composite Index Scores

The first main approach was the Composite Index Score (CIS) that uses methods similar to those developed for the Social Vulnerability Index (SVI) by the Geospatial Research, Analysis, and Services Program (GRASP). The SVI assesses the vulnerability of communities to disasters, such as earthquakes, hurricanes, and floods by ranking each census tract on fifteen factors and grouping them into four related themes. Each census tract receives a separate ranking for each of the four themes, as well as an overall ranking. The mechanics behind the CIS are similar. For this assessment, however, indicators relate to vulnerability, opioid overdose and/or to non-sterile IDU and are selected by subject matters experts. The rankings from the CIS then represent an indirect method of assessing risk for counties. An illustrative example is provided using a subset of the indicators identified in the National Vulnerability Assessment [1]: opioid prescriptions, drug arrests, drug overdose deaths, and per capita income. Similar to the SVI, if multiple variables on the same topic area are included, consider separate ranks for each topic or weighting the overall rank to account for the number of variables by topic area.

Missouri Vulnerability Assessment Project

Information provided by Becca Mickels, Chief, Bureau of Reportable Disease Informatics Missouri Department of Health and Senior Services

Missouri’s Opioid 2019 JVA project focused on the development and communication of an approach similar to the Social Vulnerability Index (SVI) by aggregating multiple factors related to opioid-related disease risk, and relating this risk across a geography including 114 counties (115 when including St. Louis). The primary intent of Missouri’s selected approach was to manage time and to offer simplicity in communication with the public. Overall, the results were a success and the methodology they employed seemed to be more transparent and easier to share.