Mino Bimaadiziwin Wellness Clinic Expansion - Behavioral and Chemical Health - The Mino Bimaadiziwin Wellness Clinic Project seeks to address the overdose crisis for Native Americans
(NAs) living in Minneapolis/St. Paul urban areas (including all surrounding suburban areas) by further
developing our culturally responsive continuum of services, including prevention, harm reduction,
treatment, and recovery support services for stimulant misuse, opioid use disorder (OUD), and
co-occurring substance use disorder through the development and expansion of behavioral health
integration, expanding community education & awareness of prevention activities. NAs in MN have the
highest rate of death due to drug poisoning (compared to Whites); and experience overdose deaths at
seven times that of White counterparts (MHD, 2019). NAs also experience disparities in mental health
disorders, and lack access to and drop out of mental health treatment at high rates. Native American
Community CLinic and Red Lake Nation’s Medication Assisted Treatment (MAT) programs, established in
2016, prescribes FDA-approved oral Suboxone for the treatment of OUD. In order to enhance the
continuum of care and help to better stabilize clients, we will add housing case management, mental
health assessment and case management, and a cultural coordinator to embed cultural activities into
expanded programming and ensure cultural responsibility through ongoing training. To address the goal
of, “Increase and enhance the culturally responsive prevention, harm reduction, and recovery services to
NA community members to reduce overdose deaths in the Minneapolis/St Paul area”, four objectives
have been identified: Objective 1. Within the first 6 months, launch new recovery services facilitated by
Case Managers and/or Cultural Coordinator. Objective 2. In year 1, provide mental health support to
individuals impacted by SUD. Objective 3. Collaborate with Native American Community Clinic to
increase access to harm reduction services onsite. Objective 4. Integrate cultural programming and
enhance culturally responsive care throughout the spectrum of services. Key activities include but are
not limited to: Create recovery support community, expand telehealth access, increased mental health
support, provide overdose prevention education and Narcan supplies, coordinate cultural competency
training, and document and share culturally responsive promising practices. We will serve 50 people in
year one and 55 in year two for a total 105 unique individuals.