SOR Grant Services

CHI St. Gabriel's Family Medical Center launched Minnesota's first opioid Extension for Community Health Outcomes (ECHO) hub in 2018. ECHO hubs offer training on evidence-based assessment and management of patients with opioid use disorders. ECHO hubs have proven to be effective in spreading knowledge between rural clinics.

Crown Medical Support Services will expand its medication-assisted treatment and counseling of opioid addicted individuals as well as prevention of addiction in vulnerable minority communities. Crown Medical, a cultural specific nonprofit community clinic in the inner city of Minneapolis, works to bridge the gap in healthcare disparities, particularly for individuals who are minorities and uninsured. The clinic offers office-based buprenorphine treatment and substance misuse counseling programs among other behavioral health services.

Broadway Family Medicine is a University of Minnesota Department of Family Medicine and Community Health training clinic located in a socioeconomically depressed predominantly African American population area of North Minneapolis. Broadway Family Medicine will continue its STR work of offering an integrated medication-assisted treatment (MAT) and addiction medicine training program. In doing so, they will expand the number of providers with competence, experience, confidence and access to supervision in providing MAT and preventing opioid use disorder.

Hennepin County will to provide medication-assisted treatment and transition services for 480 justice-involved individuals with opioid use disorder. Hennepin County will establish MAT capacity at three sites serving justice-involved populations: the Adult Detention Center (pretrial facility) in Minneapolis, the Adult Corrections Facility (post­sentencing facility) In Plymouth, and the Behavioral Health Care Center (pre-arrest diversion site). The grant will also support opioid-specific transitional services linking people exiting services at these sites to ongoing MAT and additional community-based treatment, rehabilitative services, and wraparound supports.

The SOR grant will allow Hennepin Healthcare to continue its Extension for Community Health Outcomes (ECHO) hub, a series of learning collaboratives focused on evidence-based assessment and management of patients with opioid use disorder. Hennepin Healthcare’s ECHO hub will focus on diagnosis and office-based treatment and care for specific subpopulations, including pregnant and postpartum women, individuals involved in the criminal justice system, and cultural minorities.

Hennepin Healthcare in partnership with the Native American Community Clinic (NACC) will create a multidisciplinary Native American Extension for Community Health Outcomes (ECHO) hub. ECHO hubs support health care and other service providers with tele-training and mentoring. Together, Hennepin Healthcare and the Native American Community Clinic will address prevention and treatment of opioid use, disorders, pain management, and/or mental health conditions among the American Indians in Minnesota. The team will include a physician, a licensed alcohol drug counselor, behavioral specialist, peer recovery specialist, and a tribal elder/traditional healer with other health care providers as needed.

Hennepin Healthcare System will help Hennepin County residents to access treatment medications and services while they remain involved in the criminal justice system. The Hennepin Healthcare Addiction Medicine Program will collaborate with the judge, administrator, community corrections staff and public defenders to increase the likelihood that the individual will start and remain in treatment as they complete their court obligations.

Leech Lake Band of Ojibwe will focus on the needs of pregnant women, justice involved populations, and families affected by or suffering from opioid use disorder. Using a multidisciplinary team approach, treatment plans will emphasize culture through a partnership with the BaMeNim Anishinaabeg program, a program under Leech Lake Tribal Courts that aims to prevent crime and delinquency through the promotion of healing of mind, body and spirit with a strong cultural component in program design.

The Mille Lacs Band of Ojibwe will enhance treatment by expanding navigation and access to medication-assisted treatment for Mille Lacs Band members who are pregnant, women with children, or are re­entering the community from a secure facility. Naloxone training will also be provided.

The Northwest Indian Community Development Center will offer services for justice involved and pregnant and parenting community members in Beltrami County. The center will use community-based services that focus on both prevention and reunification for American Indian families. The center will provide on-site specialist who will provide parenting supports, education, life skills and self-management of the recovery process after inpatient treatment and during Medication-Assisted Treatment outpatient services.

Mother's Sacred Gifts Program focuses on the treatment, prevention and recovery for pregnant women who are dependent on opiates during pregnancy and early parenting. The Mother's Sacred Gifts Program offers high quality pre-natal and post-natal medical and behavioral health care, collaboration with child welfare agencies to prevent out of home placements, case management including a peer recovery specialist, assistance with transportation and housing, and linkages with other services within Red Lake reservation.

The Rice County Integrated Opioid Response Project will focus on improving systems and services through interdisciplinary collaboration and reducing barriers. The project will create an Integrated Opioid Response Council that will work to increase partnerships across disciplines and streamline access to services, while a multidisciplinary team will work with opiate users to connect them to whatever services are needed in order to move to recovery.

The St. Louis County Public Health and Human Services (SLC PHHS) Department will offer a multi-disciplinary, holistic approach to address the problem of opioid abuse, overdose, and death within the four treatment courts in northeastern Minnesota. This project will provide opioid stabilization services and clinical case management services to participants who identify as having or are at risk for an opioid use disorder.

Sanford Health in Bemidji will establish recovery services for pregnant women in collaboration with the Bemidji Women's Clinic, Bemidji Medication Assisted Therapy Clinic, and community partners. Recovery Services for Pregnant Women will work to reduce unmet opiate treatment needs for pregnant women, increase community awareness about opiate risk during pregnancy, and provide supportive services to pregnant women and mothers in recovery to prevent relapse.

Wayside Recovery Center is a women’s behavioral health ECHO Hub that for has the past two years connected providers and clinicians while strengthening care for women statewide. Wayside will now serve as a “super” ECHO Hub by supporting and partnering with the American Indian Family Center, Minnesota Indian Women's Resource Center, Minnesota Recovery Connection, and Ecumen, focusing on American Indian pregnant, postpartum and parenting mothers, aging adults/seniors with opioid use disorder and peer recovery and care coordination services.

Located in Mankato, WEcovery is a Recovery Community Organization (RCO) dedicated to helping individuals maintain long-term recovery. WEcovery will provide recovery group meetings in schools and at central locations, as well as provide students with an opportunity to work with a Certified Peer Recovery Specialist Services to support their recovery.

Life House, Northeastern Minnesota's largest provider of supportive housing and services to homeless youth, and SOAR Career Solutions, a career and re-entry services agency, have joined forces in Opportunity Youth of Duluth (OYOD), a Career Pathways Collaborative model aimed at young people age 16-24 who are disconnected from school and work. OYOD will enable youth to obtain in-demand living-wage occupations, provide supported transitional employment paired with stabilization and mental health supports, and supply individualized career coaching and facilitates apprenticeships and specialized job skills training.

Mesabi Range College will offer training on comprehensive opioid assessments for those seeking to work in underserved areas. The college will train individuals in rural areas in addictions counseling, targeting county social workers along with other individuals who work with those from underrepresented communities and/or are low-income. The training will prepare individuals for successful licensure to care for individuals with opioid and substance use disorder.

Integrations Wellness and Recovery Center will address the shortage of licensed alcohol and drug councilors (LADCs) in rural Minnesota. The center will offer an internship program focused on training in co-occurring mental health and substance use disorder treatment, opioid comprehensive assessments, and evidenced based standards of practice. In 2016 McLeod, Meeker and Sibley counties each had five or less LADCs, which limit the number of individuals with opioid use disorder who can be served, delaying access to needed vital recovery focused supports and services.

To better equip behavioral health providers in recognizing and responding to the cultural needs of the Southeast Asian community, The Amherst H. Wilder Foundation will create a series of trainings and a treatment curriculum. The curriculum will be developed in-house by a multilingual, multicultural team of mental health and substance use providers, with strong consumer input from outpatient treatment clients. The content will include videos of bilingual, bicultural providers introducing important topics or difficult activities; a facilitator's manual explaining not only steps but also cultural context; and client-facing worksheets and activities translated into common Southeast Asian languages such as Hmong and Karen.

The Naloxone training and distribution service within Hennepin County Public Health's Red Door Clinic will provide targeted opioid overdose prevention and recovery services to isolated and vulnerable communities in the Twin Cities metropolitan area. The Red Door has been providing Naloxone training and distribution as well as syringe exchange since 2015 in response to the rapidly increasing rate of opioid deaths within Hennepin County.

The Indigenous Peoples Task Force will provide basic naloxone education, training and distribution to Native American-based organizations, service providers, community members, and to people who inject drugs.

Rural AIDS Action Network (RAAN) will increase access to medication-assisted treatment (MAT) for patients diagnosed with opioid use disorder (OUD) as well as to begin to improve systems of care for patients diagnosed with co-occurring disorders. This project will 1) Create a culturally responsive MAT program to support women at risk for OUD. 2) Create a medical dimension of care and improve client care coordination for the Red Lake Family Healing to Wellness Court (Mino-misko-miikanaakedaa). 3) Improve coordination of post-overdose treatment, increase access to withdrawal support, and increase availability of MAT for difficult to reach populations.

Steve Rummler HOPE Network will continue its work distributing naloxone kits and providing training throughout the state of Minnesota. In addition, the network will expand naloxone distribution through strategic partnerships targeting 30 counties and embed naloxone pick-up points and community overdose prevention trainers across the state.

A program of Lutheran Social Service of Minnesota's Metro Homeless Youth Services, StreetWorks Collaborative works with youth experiencing homelessness and/or at risk of homelessness, ages 13 to 24 in the Twin Cities metropolitan area. The project, through youth-specific training and distribution Narcan nasal spray, aims to prevent young people experiencing or at risk of homelessness from dying of an opioid overdose.

Avivo will provide outreach to individuals struggling with opioid use through mobile assessments and immediate, direct connections to the chemical and mental health services. A care coordination team will help individuals access benefits and services, such as food assistance, employment or expunging a criminal record. Avivo will also leverage strong relationships with community partners, the Native American Community Clinic, and Minnesota's Red Lake Band of Chippewa Indians (Red Lake Nation) to ensure client needs are met quickly.

The Mille Lacs Band of Ojibwe will pursue an integrated community response to opioids. This effort includes enhancing treatment for opioid use disorder for Mille Lacs Band members who are reentering the community from a secure facility, for pregnant women, and for women with children.

Valhalla Place will expand navigation and access to medication-assisted treatment through street and community outreach. Valhalla Place will offer needs and substance use disorder assessments, referrals to medication-assisted treatment programs and services, and naloxone training and distribution.

Minnesota Indian Women's Resource Center will open a native-specific drop-in center to support urban Native women and Two Spirit/Native LGBTQ relatives. The center will be grounded in indigenous healing philosophies to help those struggling with the combined challenges of substance/opioid use disorder, mental health/trauma conditions, homelessness and/or commercial exploitation/sex trafficking. The drop-in center will provide respite in a welcoming and safe environment; immediate-needs services such as a safe sleeping area, shower and basic hygiene supplies; connection to harm reduction services, assessment, medical and mental health care; and the full range of treatment options, including Medication-Assisted Treatment.

NorthPoint Health and Wellness Center will offer an innovative project called Healing Opioid Addiction through Whole Person Support (HOAWPS). HOAWPS will serve residents of North Minneapolis struggling with opioid addiction with a focus on African American men, who are overserved by the criminal justice system and underserved by the human services system. HOAWPS will engage a treatment coordinator to conduct outreach, help clients stabilize prior to entering treatment, continue to access needed services during treatment, and achieve personally identified goals related to their health and well-being. The treatment coordinator will provide culturally responsive, whole-person care including access to housing, food, employment, legal and other services as needed to help clients achieve and maintain stability and sobriety.

The Northwest Indian Community Development Center in Bemidji offers an Anishinaabe Care Coordination model to deliver and enhance opioid use disorder prevention, treatment and recovery supports through an integrated community response. The center will advance a tribally-driven approach to optimal chronic pain management grounded in culturally relevant practices, provide access high quality prenatal care and family support and reunification, and increase access to healing-centered environments for those returning home from incarceration or court ordered inpatient treatment, with special prioritization for prenatal/postnatal care.

The PHS Indian Hospital, also known as the Red Lake Hospital, will work within the Red Lake Helping Hands Collaborative to expand access to medication-assisted treatment (MAT) services, reduce assessment wait times, facilitate MAT induction for pregnant women, expand access to withdrawal management services, and improve care coordination for clients with opioid use disorder. The Red Lake Helping Hands Collaborative includes the Chemical Health Program, Red Lake Courts, and Family and Children's Services