Item Description:
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Amd 2 to Agmt A2312011 with DHS for Opioid Response Services for the HCH Program, allowing for adjustments to budget line items and attachment name, no change to term or amt
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Resolution:
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BE IT RESOLVED, that amendment 2 to Agreement A2312011 with the Minnesota Department of Human Services (DHS) for Opioid Response Services for the Health Care for the Homeless (HCH) program, allowing for adjustments to budget line items within the agreement funding periods and attachment name, with no changes to the term or amount be approved; that the Chair of the Board be authorized to sign the amendment on behalf of the county; and that the Controller be authorized to accept and disburse funds as directed; and
BE IT FURTHER RESOLVED, that sponsorship and acceptance of grant funding for this program by the Hennepin County Board of Commissioners does not imply a continued funding commitment by Hennepin County for this program if grant funds become no longer available; and
BE IT FURTHER RESOLVED, that acceptance of this award in no way reflects acceptance of terms or conditions that are legally unenforceable against Hennepin County.
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Background:
Through resolution 23-0449 and 25-0070 the Board accepted $2,845,934 receivable from DHS for the HCH program. This funding was for the provision of Medications for Opioid Use Disorder (MOUD) services to all persons experiencing homelessness and opioid addiction with specific outreach and retention services for American Indians experiencing homelessness and opioid addiction. Through resolution 23-0449 the Board approved the addition of 4 full time equivalent (FTE) positions. Through resolution 25-0070 the Board approved extending the agreement end date through September 29, 2027.
Grant funding makes it possible for HCH staff to continue to work within the mobile outreach program’s on-demand treatment system, meaning patients can receive services at multiple walk-in clinics without an appointment or be seen at a shelter, on the street, and other locations that works best for everyone. The HCH MOUD program has a robust low-barrier approach locating and working with people who do not have identification, addresses, or housing. The HCH MOUD program uses a harm reduction model of care and ensures people living with Opioid Use Disorder have harm reduction supplies ensuring safe use and overdose prevention.
State Opioid Response (SOR) SFY26 Funds for Health Care for the Homeless:
-Support one Nurse Practitioner, one Registered Nurse and one Community-Based Nursing Supervisor, totaling 2.70 FTEs.
Workplan goals are the following:
-Reduce the unmet medication for opioid disorder (MOUD) needs of those experiencing homelessness and opioid use disorder (OUD).
-Address the mental health, substance use disorder (SUD) needs of those experiencing homelessness and opioid addiction.
-Improve the overall health of the homeless community with OUD and comorbidities.
-Reduce opioid overdose deaths for those experiencing homelessness and opioid addiction.
-Monitor data trends, engage in equity-focused quality improvement.
Accomplishments in SFY25:
-Served primarily Native American patients out of Kola Drop-in Clinic, as well as on Street Outreach.
-Approximately 64% of patients seen on Street Outreach identify as American Indian or Alaska Native, 25% identify as African American, and 57% identify as female.
-Many patients are also impacted by drug related infectious diseases in which HCH provides care for in combination with their substance use specific medications that they receive from our providers.
-Distributed over 8,900 doses of naloxone (both nasal and intramuscular).
-HCH partners with the Mobile Health Initiative, Native American Community Clinic, and -Southside Harm Reduction to provide harm reduction education, resources and clinical/MOUD support to clients experiencing unsheltered homelessness, primarily in the East Philips and West Philips neighborhoods.
-HCH regularly provides harm reduction resources and services as partner sites, Avivo Villages, Bimosedda, and Peace House.
-Provided a refreshed Narcan training to HCH outreach staff, including ordering ambu bags for our outreach team to ensure that rescue breathing is part of our overdose response.
-Due to the changes in the drug supply and an increase of sedatives in the drug supply, HCH modified their naloxone training and conversations to include respiration support. The sedatives do not respond to naloxone and so supportive rescue breathing is really important.
-There were 224 unduplicated individuals who received treatment services for opioid use disorder (OUD).
-Served 587 unique patients in the MOUD program, totaling 1,364 visits.
-Distributed over 82,000 syringes.
This request supports disparity elimination in the health domain by targeting lifesaving medication and education to American Indian residents and families who are disproportionately affected by the opioid epidemic and opioid use disorder and experiencing homelessness.
APEX Coding:
Fund: 20
Department ID: 532099
Project ID: 1008484
Revenue Account: 42067
recommendation
Recommendation from County Administrator: Recommend Approval