Native American Community Clinic

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

NATIVE AMERICAN COMMUNITY CLINIC'S HEPATITIS C, HIV AND SYPHILIS SYNDEMIC PROJECT - NATIVE AMERICAN COMMUNITY CLINIC HIV, HCV, SYPHILIS SYNDEMIC PROJECT ABSTRACT SUMMARY AT NACC, WE WITNESS FIRSTHAND THE INTERSECTING EPIDEMICS OF HIV, HEPATITIS C, AND SYPHILIS WHICH ARE DISPROPORTIONATELY IMPACTING OUR AI/AN RELATIVES. TO ADDRESS THIS SYNDEMIC, OUR PROJECT WILL FOCUS ON THREE MAIN GOALS: EXPANDING STAFFING AND CARE COORDINATION, IMPROVING CLINICAL OPERATIONS AND WORKFLOW, AND STRENGTHENING COMMUNITY ENGAGEMENT AND OUTREACH. WE WILL BUILD UPON OUR CURRENT WORK BY CREATING A DEDICATED SYNDEMIC TEAM TO ENHANCE DOCUMENTATION AND FOLLOW-UP PROTOCOLS, WHILE PROVIDING COMPREHENSIVE WRAPAROUND SUPPORTS. ADDITIONALLY, WE WILL EXPAND HCV AND RAPID SYPHILIS SCREENING AND FORTIFY PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS TO DELIVER TARGETED AND EFFECTIVE HEALTHCARE SERVICES TO THE URBAN AI/AN COMMUNITY.

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.

NACC TRIBAL HEALTH MEDICATION ASSISTED RECOVERY SERVICES (MARS) PROGRAM

TOGETHER THE NATIVE AMERICAN COMMUNITY CLINIC (NACC) AND RED LAKE NATION PROPOSE TO EXPAND OUR MEDICATION ASSISTED TREATMENT (MAT) DOSING PROGRAM, WIIDOOKODAADIWIN CLINIC ?HELP EACH OTHER?. - THE NATIVE AMERICAN COMMUNITY CLINIC (NACC) AND RED LAKE NATION FORMED A PARTNERSHIP IN 2016, TO LAUNCH A MEDICATION ASSISTED TREATMENT (MAT) DIRECT PRESCRIBE PROGRAM. IN 2018, THE PROGRAM WAS EXPANDED TO INCLUDE A CULTURALLY RESPONSIVE MAT DOSING PROGRAM, WIIDOOKODAADIWIN CLINIC ?WE HELP EACH OTHER? (NAMED BY AN ELDER). THIS EXPANSION WAS FUNDED BY A 3-YEAR GRANT FROM SUBSTANCE ABUSE MENTAL HEALTH SERVICE ADMINISTRATION (SAMHSA) MAT PRESCRIPTION DRUG AND OPIOID ADDICTION (MAT-PDOA). ONE OF OUR GREATEST ACCOMPLISHMENTS HAS BEEN TO SECURE OUR ELDER IN RESIDENCE (THE SECOND AT NACC) WHO PROVIDES GUIDANCE ON ALL ASPECTS OF PROGRAMMING, ATTENDS MULTIPLE TEAM-BASED CONSULTATIONS, AND ALSO PROVIDES DIRECT CARE TO CLIENTS AND THEIR FAMILIES. SHE PROVIDES SPIRITUAL CARE, MIND-BODY MEDICINE, AND ALSO HOLISTIC CARE. THE PROGRAM HAS BEEN A GREAT SUCCESS. BETWEEN THE GOVERNMENT PERFORMANCE AND RESULTS ACT (GPRA) INTAKE AND THE 6-MONTH FOLLOW UP, MAT CLIENTS EXPERIENCED A DECREASE IN DRUG USE, INCREASE IN DRUG ABSTINENCE, INCREASE IN HOUSING STABILITY, DECREASE IN EMERGENCY ROOM VISITS, AND IMPROVEMENTS IN SOME MENTAL HEALTH AND WELL-BEING INDICATORS. HOWEVER, THERE IS MORE WORK TO BE DONE; THE PROJECT GOALS ARE 1) CLOSE THE GAP ON THE OUD DISPARITIES EXPERIENCED BY AIS IN MINNESOTA INCLUDING PREVALENCE OF OUD, OVERDOSES, AND DEATHS AND TO 2) IMPROVE TRIBES, COMMUNITIES, AND FAMILY?S ATTITUDES, BELIEFS, AND BEHAVIORS RELATED TO MAT AS A SUCCESSFUL TREATMENT OPTION FOR OUD. WE ARE APPLYING FOR INDIAN HEALTH SERVICE MAT FUNDING TO ENHANCE AND EXPAND THE PROGRAM IN THREE KEY AREAS; THE PROJECT OBJECTIVES: 1) INCREASE PUBLIC AWARENESS AND EDUCATION ON OPIOID PREVENTION, TREATMENT, AND RECOVERY PRACTICES; 2) DEVELOPING A COMPREHENSIVE SUPPORT SYSTEM AND TEAM TO STRENGTHEN AND EMPOWER AI/AN FAMILIES IN ADDRESSING THE OPIOID CRISIS; AND 3) INCREASE ACCESS TO MAT AND RELATED SERVICES.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

BUILDING INFRASTRUCTURE AND WORKFORCE DEVELOPMENT FOR AMERICAN INDIAN YOUTH AND COMMUNITY

ENHANCING COMMUNITY RESPONSES TO THE OPIOID CRISIS: SERVING OUR YOUNGEST CRIME VICTIMS

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - TITLE: ENHANCING MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES AT NATIVE AMERICAN COMMUNITY CLINIC THE PROPOSED PROJECT AIMS TO UTILIZE BEHAVIORAL HEALTH SERVICES EXPANSION (BHSE) FUNDS TO BOLSTER MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) SERVICES AT THE NATIVE AMERICAN COMMUNITY CLINIC (NACC). NACC IS LOCATED ALONG THE AMERICAN INDIAN CULTURAL CORRIDOR IN MINNEAPOLIS AND WAS ESTABLISHED IN 2003 AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC). NACC SERVES AS A CORNERSTONE FOR PROMOTING HOLISTIC HEALTH AND WELLNESS AMONG AMERICAN INDIAN/ALASKA NATIVE (AI/AN) FAMILIES AND RECOGNIZES THE INTERCONNECTEDNESS OF MIND, BODY, AND SPIRIT BY OFFERING A COMPREHENSIVE RANGE OF SERVICES, INCLUDING MEDICAL, BEHAVIORAL HEALTH, DENTAL, HARM REDUCTION OUTREACH, AND SUBSTANCE USE TREATMENT. IT IS CRITICALLY IMPORTANT TO ADDRESS MENTAL HEALTH AND SUD ISSUES WITHIN INDIGENOUS COMMUNITIES IN ORDER TO ACHIEVE BETTER HEALTH OUTCOMES. UNFORTUNATELY, BARRIERS SUCH AS STIGMA, HISTORICAL TRAUMA, AND LIMITED ACCESS TO CULTURALLY RESPONSIVE CARE PERSIST. THE PROPOSED PROJECT SEEKS TO ADDRESS THESE CHALLENGES BY EXPANDING AND ENHANCING SERVICES TAILORED TO THE UNIQUE NEEDS OF AI/AN INDIVIDUALS AND FAMILIES. KEY COMPONENTS OF THE PROJECT INCLUDE: INTEGRATED CRISIS INTERVENTION AND SPIRITUAL CARE: INTEGRATING CRISIS INTERVENTION SERVICES AND SPIRITUAL CARE WITHIN NACC'S FRAMEWORK ACKNOWLEDGES THE PROFOUND IMPACT OF CULTURAL AND SPIRITUAL PRACTICES ON HEALING. BY INCORPORATING TRADITIONAL HEALING METHODS ALONGSIDE EVIDENCE-BASED CRISIS INTERVENTION TECHNIQUES, THE PROJECT AIMS TO PROVIDE A COMPREHENSIVE APPROACH TO ADDRESSING THE DIVERSE NEEDS OF PATIENTS. THIS HOLISTIC MODEL RECOGNIZES THAT CRISES OFTEN STEM FROM MULTIFACETED SOURCES AND REQUIRE CULTURALLY SENSITIVE RESPONSES TO PROMOTE HEALING AND RESILIENCE. STAFF AUGMENTATION AND TRAINING: THE ADDITION OF FULL-TIME EQUIVALENTS (FTES) FOR CURRENT PROVIDERS REPRESENTS A STRATEGIC INVESTMENT IN THE C APACITY OF NACC'S WORKFORCE TO MEET THE GROWING DEMAND FOR MENTAL HEALTH AND SUD SERVICES. THESE NEW POSITIONS WILL NOT ONLY EXPAND THE CLINIC'S CAPACITY BUT WILL ALSO FOCUS ON EQUIPPING STAFF WITH THE NECESSARY SKILLS AND KNOWLEDGE TO ADDRESS TRAUMA AND CULTURAL CONSIDERATIONS EFFECTIVELY. TRAINING INITIATIVES WILL ENCOMPASS TRAUMA-FOCUSED MODALITIES, CULTURAL COMPETENCY, AND APPROACHES ROOTED IN INDIGENOUS HEALING TRADITIONS, ENSURING THAT PROVIDERS CAN DELIVER CULTURALLY INFORMED CARE THAT RESONATES WITH THE COMMUNITY'S VALUES AND EXPERIENCES. TELEHEALTH EXPANSION: LEVERAGING TELEHEALTH TECHNOLOGIES PRESENTS AN OPPORTUNITY TO OVERCOME GEOGRAPHICAL BARRIERS AND REACH INDIVIDUALS WHO MAY OTHERWISE FACE CHALLENGES ACCESSING CARE. BY EXPANDING TELEHEALTH SERVICES, NACC AIMS TO INCREASE THE ACCESSIBILITY AND AVAILABILITY OF MENTAL HEALTH AND SUD SERVICES, PARTICULARLY IN REMOTE OR UNDERSERVED AREAS. THIS INITIATIVE ALIGNS WITH THE CLINIC'S COMMITMENT TO MEETING PATIENTS WHERE THEY ARE AND ENSURING THAT EVERYONE HAS EQUITABLE ACCESS TO HIGH-QUALITY CARE, REGARDLESS OF THEIR LOCATION. COMMUNITY OUTREACH AND PARTNERSHIP EXPANSION: STRENGTHENING PARTNERSHIPS WITH ORGANIZATIONS LIKE THE RED LAKE BAND OF CHIPPEWA INDIANS DEMONSTRATES NACC'S COMMITMENT TO COLLABORATIVE APPROACHES TO ADDRESSING MENTAL HEALTH AND SUD ISSUES WITHIN INDIGENOUS COMMUNITIES. BY WORKING CLOSELY WITH COMMUNITY PARTNERS, NACC CAN EXTEND ITS REACH, LEVERAGE RESOURCES, AND COORDINATE EFFORTS TO PROVIDE COMPREHENSIVE SUPPORT TO INDIVIDUALS AND FAMILIES IN NEED. A NEW COLLABORATION WITH CENTER SCHOOL WILL FURTHER ENHANCE OUTREACH EFFORTS, ENSURING THAT MENTAL HEALTH TRAININGS AND SUD SERVICES ARE ACCESSIBLE TO VULNERABLE POPULATIONS, INCLUDING STUDENTS AND THEIR FAMILIES. FOCUS ON VULNERABLE POPULATIONS: TAILORING SERVICES TO MEET THE UNIQUE NEEDS OF VULNERABLE POPULATIONS, SUCH AS ADOLESCENTS, UNDERSCORES NACC'S COMMITMENT TO EQUITY AND INCLUSIVITY. BY OFFERING SPE CIALIZED INTERVENTIONS LIKE EQUINE THERAPY AND TRADITION

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - CO-DEVELOPERS WELLINGTON DEVELOPMENT AND NATIVE AMERICAN COMMUNITY CLINIC (NACC) BUILDING A NEW STATE-OF-THE-ART, CULTURALLY RESPONSIVE CLINIC PLUS AFFORDABLE HOUSING. THIS PROJECT WILL CREATE A CULTURALLY BASED, BEAUTIFUL AND INSPIRING PHYSICAL STRUCTURE THAT WILL REFLECT POSITIVELY ON THE COMMUNITY AND REVITALIZE THE SITE. THIS MIXED-USE PROJECT WILL FEATURE TRANSIT-ORIENTED DESIGN PRINCIPALS, INCREASE DENSITY AT THE SITE, AND CREATE OPPORTUNITIES AND PROVIDE SERVICES FOR OUR NATIVE AMERICAN RELATIVES, COMMUNITY MEMBERS, AND NEIGHBORHOOD RESIDENTS. NACC IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND 501(C)(3) CLINIC OPENED IN 2003 TO ADDRESS THE HEALTH DISPARITIES EXPERIENCED BY TWIN CITIES NATIVE AMERICANS. THEY CURRENTLY SERVE OVER 5,000 PATIENTS ANNUALLY. NACC OFFERS A FULL RANGE OF CULTURALLY CENTERED HEALTHCARE SERVICES INCLUDING MEDICAL, BEHAVIORAL HEALTH, DENTAL, AND SUBSTANCE ABUSE PROGRAMS, REGARDLESS OF ABILITY TO PAY. THIS PROJECT INCLUDES AN EXPANDED CLINIC COMBINED WITH AFFORDABLE HOUSING. NACC’S EXISTING 20,000 SQUARE FEET OF SPACE IS SPREAD BETWEEN FOUR LOCATIONS. THE NEW 25,000 SQUARE FOOT CLINIC WILL INTEGRATE NACC’S PHYSICAL, MENTAL, AND BEHAVIORAL HEALTH SERVICES AND ADMINISTRATIVE SPACE UNDER ONE ROOF IN RESPONSE TO THE INCREASED DEMAND FOR SERVICES. THE SITE IS SITUATED AT THE FURTHEST WESTERN BLOCK OF THE AMERICAN INDIAN CULTURAL CORRIDOR, ON FRANKLIN AVENUE IN SOUTH MINNEAPOLIS. AN ESTIMATED 26,000 NATIVE AMERICANS LIVE IN THE METRO AREA; OF THOSE, APPROXIMATELY 20,655 ARE LOCATED IN THE CLINIC’S SERVICE AREA. THE FIRST FLOOR OF THE NEW DEVELOPMENT WILL BE DEDICATED TO NACC'S CLINIC WITH EIGHTEEN MEDICAL EXAM ROOMS, EIGHT DENTAL EXAM ROOMS, OFFICE/PATIENT AREAS, AND DEDICATED SPACE FOR MENTAL AND BEHAVIORAL HEALTH. THIS EXPANDED CLINIC WILL ALLOW NACC TO SERVE AN ADDITIONAL 2,000 PATIENTS EACH YEAR. AFFORDABLE HOUSING IS A CRITICAL COMPONENT OF OUR VISION. CHRONIC HOMELESSNESS PLAGUES THE NATIVE AMERICAN COMMUN ITY, WHICH DIRECTLY LEADS TO POOR HEALTH OUTCOMES AND IMPACTS NACC’S ABILITY TO OFFER EFFECTIVE CARE. POSITIONED ABOVE THE CLINIC, FLOORS TWO THROUGH SIX WILL HOST 98 AFFORDABLE EFFICIENCY, ONE-, TWO-, THREE- AND FOUR-BEDROOM RENTAL UNITS AFFORDABLE TO INDIVIDUALS AND FAMILIES AT OR BELOW 30%, 50%, AND 60% OF THE AREA MEDIAN INCOME. FIVE EFFICIENCIES WILL BE SET ASIDE AS SUPPORTIVE HOUSING FOR INDIVIDUALS EXPERIENCING HOMELESSNESS. ELEVEN UNITS (FIVE TWO-BEDROOM AND SIX THREE-BEDROOM) WILL BE SET ASIDE FOR PERSONS WITH DISABILITIES; WE HAVE REQUESTED MN HOUSING SECTION 811 RENTAL ASSISTANCE FOR THESE UNITS. AN ADDITIONAL 14 UNITS (NINE THREE-BEDROOM AND FIVE FOUR-BEDROOM) ARE FOR HOUSEHOLDS EARNING 30% OR LESS OF THE AREA MEDIAN INCOME; WE WILL SECURE PROJECT-BASED SECTION 8 RENTAL ASSISTANCE FOR THESE UNITS. IN ADDITION TO SERVING AN ADDITIONAL PATIENTS EACH YEAR AND ADDRESSING THE CHRONIC HOMELESSNESS THAT IS LINKED TO NEGATIVE HEALTH OUTCOMES WITHIN THE NATIVE COMMUNITY, THIS PROJECT WILL: - EXPAND CHEMICAL HEALTH AND INFECTIOUS DISEASE SERVICES; - CREATE AN INTEGRATED PEDIATRIC CARE CLINIC AND BROADEN SCHOOL-BASED PROGRAMS; - OFFER HOUSING SUPPORT SERVICES FOR UNSHELTERED; - IMPLEMENT TELEHEALTH TO SUPPORT PATIENTS BOTH LOCALLY AND ON RESERVATIONS; - EXPAND LABORATORY AND DIAGNOSTIC SERVICES;

FY 2023 BRIDGE ACCESS PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM