Item Description:
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Amd 5 to Agmt A2110766 with DHS for naloxone training and naloxone kit distribution services, 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 5 to Agreement A2110766 with the Minnesota Department of Human Services (DHS) for naloxone training and naloxone kit distribution services through the Public Health Clinic (PHC), 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 resolutions 21-0282, 23-0010, and 25-0071 the Board accepted $3,765,072 receivable from DHS for the Public Health Clinic (PHC) to assist in providing targeted training and distribution of naloxone in accordance with the Substance Abuse and Mental Health Service Administration to prevent opioid overdose and reduce harms associated with opioid use. These funds have also provided for the launch of a low barrier Medication for Opioid Use Disorder (MOUD) program in the PHC by providing funding for several key staff positions. Through resolutions 22-0354 and 23-0447 the Board approved adjustments to budget line items within the agreement funding periods and attachment names, with no changes to the term or funding amount. Resolution 23-0447 also added 4 full time equivalent (FTE) positions. Through resolutions 23-0010 and 25-0071 the Board approved extending the agreement end date through September 29, 2024 and June 30, 2027, respectively.
State Opioid Response (SOR) SFY26 Funds for the Public Health Clinic:
• Support three Nurse Practitioners, two Registered Nurses and one Community-Based Nursing Supervisor, totaling 3.93 FTEs.
Workplan goals are the following:
• Naloxone program has adequate, appropriate supplies to prevent opioid overdose and reduce harms associated with opioid use.
• Hennepin County residents with OUD will have adequate access to naloxone, education, and resources.
• Reduce opioid overdose deaths for Hennepin County residents with OUD.
• Naloxone program coordinator & RDC providers possess up-to-date and culturally informed naloxone and overdose prevention training.
• Increase access to naloxone and other relevant services, and MOUD for communities in need in the metro area.
• Provide care for people with OUD, including buprenorphine treatment.
• Persons with OUD have access to accessible and affordable MOUD (buprenorphine).
• Streamline connections to mental health and behavioral health services.
• Monitor Data trends actively to assess for barriers and gaps to care for MOUD.
• Engage in focused quality improvement.
Accomplishments in SFY25:
• There were 131 initial patient visits with 138 patients completing 642 follow-up visits related to MOUD.
• Distributed over 6,700 doses of naloxone (both nasal and intramuscular).
• Patients self-reported reversing 1,481 overdoses with Hennepin County administered kits.
• Distributed fentanyl and xylazine test strips during 1,377encounters and 865 distinct clients.
• Trained 199 individuals in key community sectors (e.g., family members, peers, military, criminal justice, community groups, and coalitions) on recognizing an opioid overdose and appropriate use of opioid overdose reversal medications.
• There were 304 unduplicated individuals who received treatment services for opioid use disorder (OUD).
• Served 441 unique patients in the MOUD program, totaling 1,481 visits.
• Distributed 110,000 syringes and safely discarded 30,000 syringes.
This request supports disparity elimination in the health domain by prioritizing lifesaving medication and education to American Indian residents and families who are disproportionately affected by the opioid epidemic and opioid use disorder.
APEX Information:
Fund: 20
Department ID: 531099
Project ID: 1007045
Revenue Account: 42067
recommendation
Recommendation from County Administrator: Recommend Approval