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Crown Medical Support Services, a culturally 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 counseling programs designed to help those with a substance use disorder, among other behavioral health services.

Broadway Family Medicine, a University of Minnesota Department of Family Medicine and Community Health training clinic located in North Minneapolis, offers an integrated medication-assisted treatment (MAT) and addiction medicine training program.

Hennepin County provides medication-assisted treatment and transition services for 480 justice-involved individuals with opioid use disorder. Hennepin County provides services at three sites serving justice-involved populations: the Adult Detention Center in Minneapolis, the Adult Corrections Facility in Plymouth, and the Behavioral Health Care Center. The program also supports opioid-specific transitional services linking people exiting services at these sites to ongoing MAT and additional community-based treatment, rehabilitative services, and wraparound supports.

Hennepin Healthcare operates an 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. The ECHO hub focuses on diagnosis and office-based treatment and care for specific populations, 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), provides a multidisciplinary Native American Extension for Community Health Outcomes (ECHO) hub, which support health care and other service providers with tele-training and mentoring. Together, Hennepin Healthcare and the Native American Community Clinic addresses prevention and treatment of opioid use, disorders, pain management, and/or mental health conditions among American Indians in Minnesota.

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

Leech Lake Band of Ojibwe focuses 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 emphasize culture through a partnership with the BaMeNim Anishinaabeg program, an entity 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 enhances 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 is also be provided.

The Northwest Indian Community Development Center offers services for justice involved and pregnant and parenting community members in Beltrami County. The center uses community-based services that focus on both prevention and reunification for American Indian families. The center provides 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 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 focuses on improving systems and services through interdisciplinary collaboration and reducing barriers. The project creates an Integrated Opioid Response Council that works to increase partnerships across disciplines and streamline access to services, while a multidisciplinary team works 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 offers a multi-disciplinary, holistic approach to address the harmful use of opioids, 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 provides 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 works 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 connects providers and clinicians while strengthening care for women statewide. Wayside serves 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 provides recovery group meetings in schools and at central locations, as well as supports student recovery with Certified Peer Recovery Specialist Services.

Mesabi Range College offers training on comprehensive opioid assessments for those seeking to work in underserved areas. The college trains people in rural areas in substance use disorder counseling, targeting social workers along with others who work with underrepresented communities and/or those who are low-income. The training helps prepare individuals for successful licensure to care for individuals with opioid and substance use disorder.

Integrations Wellness and Recovery Center addresses the shortage of licensed alcohol and drug counselors (LADCs) in rural Minnesota. The center offers 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.

To better equip behavioral health providers in recognizing and responding to the cultural needs of the Southeast Asian community, the Amherst H. Wilder Foundation is creating 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 Indigenous Peoples Task Force provides 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) increases access to medication-assisted treatment (MAT) for patients diagnosed with opioid use disorder (OUD) as well as to help improve systems of care for patients diagnosed with co-occurring disorders. This project is designed to create a culturally responsive MAT program to support women at risk for OUD; create a medical dimension of care and improve client care coordination for the Red Lake Family Healing to Wellness Court (Mino-misko-miikanaakedaa); and 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 distributes naloxone kits and provides training throughout the Minnesota. In addition, the network expands naloxone distribution through strategic partnerships targeting 30 counties and embeds 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 of Narcan nasal spray, helps prevent young people experiencing or at risk of homelessness from dying of an opioid overdose.

The Mille Lacs Band of Ojibwe provides an integrated community response to opioids, including 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 provides navigation and access to medication-assisted treatment through street and community outreach, offering needs and substance use disorder assessments, referrals to medication-assisted treatment programs and services, and naloxone training and distribution.