Middle HIA

The High Impact Program in the Middle Region is a partnership between Metro Public Health and the Mid Cumberland Regional Office. The Middle HIA Region is composed of Davidson, Rutherford, Montgomery, Cheatham, Wilson, and Dickson County. Together, they have implemented to following projects:

Overdose Monitoring and Response Plan:

Davidson County and Mid Cumberland Regional Office have developed Overdose Monitoring and Response Plans for their HIA, so that stakeholders can respond quickly and appropriately during overdose spikes in the community.

High Impact Area Multidisciplinary Stakeholder Meeting:

Davidson County and Mid Cumberland Regional Office have established a quarterly stakeholder meeting that brings together individuals from all Middle HIA Counties. The purpose of this meeting is to review relevant data, update on progress in HIA programs, address any programmatic barriers, and identify additional stakeholders.

Linkage to Care – Nashville Fire/EMS and Mental Health Cooperative:

Metro Public Health has partnered with Nashville Fire/EMS and Mental Health Cooperative to establish a post-overdose follow-up program. Through follow-up calls, Nashville Fire/EMS facilitates a warm hand-off to Mental Health Cooperative where recovery can begin.

Community Outreach and Overdose Prevention HIA:

Mid Cumberland HIA Coordinators target communities with increased overdose burden according to data and attend community events and meetings where they interact with the public, provide education on overdose prevention and share information on community resources.  

Linkage to Care in the Mid-Cumberland Region:

A full-time harm eduction navigator is located at the Wilson County Health Department to provide education, brief intervention, case management, and referrals for people who use drugs. The navigator focuses its efforts on persons at high risk for drug overdose both in the health department and in the community.


Ashley Clinard
Regional Substance Misuse Response Coordinator
Mid-Cumberland Regional Office

Megan Dickson, MPH
Epidemiologist I, Division of Epidemiology
Metro Public Health Department

Anidolee Melville-Chester, Ph.D., M.Ed, MPA, LMFT
Division Director, Behavioral Health and Wellness
Metro Public Health Department