Racial Equity Impact Analysis (REIA)

The Racial Equity Impact Analysis helps the City consider racial equity outcomes when shaping policies, practices, programs and budgets.

Minnesota Department of Human Services grant for opioid response - REIA

Section 1: Background
Public Safety No
Housing No
Economic Development No
Public Services No
Environmental Justice No
Built Environment & Transportation No
Public Health Yes
Arts & Culture No
Workforce No
Spending No
Data No
Community Engagement Yes
Distibution of Naloxone and education its administration
Noya Woodrich, Deputy Commmisioner
Section 2: Data
Groups targeted through this project will be the Native American, African American and Somali populations in Minneapolis. In 2018, the crude mortality rate from opioid poisoning among American Indians was more than 6 times higher than their white counterparts; and the African American community had a rate 2 times higher that their white counterparts. Generally, everyone in the City of
Minneapolis will benefit from the work. Direct impact will be local with some impacts being felt at a more regional level.  
The Opioid Epidemic is disproportionately impacting the City of Minneapolis. In 2018, there were 343 opioid-related overdose deaths in Minnesota; 17.4% of those (60 deaths) were in Minneapolis, which represents only 7.6% of the state population. The cost to respond and react to this epidemic impacts the entire City enterprise as well as many of our community and governmental partners.

Death as a result of opioid overdose for Natives is 80.7 per 100,000 and 20.2 per 100,000 for the African American Community. Though data is not finalized for 2020 we know that overdoses generally and overdose deaths specifically increased in 2020. This is an increase after having a 1 year decrease in overdose death in 2018. Most deaths continue to involve a synthetic additive. A decreasing number of overdoses and deaths is attributed to straight heroin. Emergency rooms saw substantial increases in the
number of overdoses between 2018 and 2019 – most of these visits being attributed to those under age 34 and those that identify as male.

We see this becoming an increasingly larger problem among our youth. In particular, our 8th and 9th graders are seeing steady increases in use of prescription drugs without a prescription. This is especially true in our Somali community, who continues to report significant concern for their youth.
Insufficient data on the Somali/East African community and the impacts of the opiod epidemic in that community.  This data is simply not collected in this way.  We continue to urge those that collect data to pull the Somali or African born communities out of the African American category.
Section 3: Community Engagement
Inform Yes
Consult Yes
Involve Yes
Collaborate Yes
Empower No
Worked with the Somali community to implement a survey with the youth.  The survey was to assess the extent of the issue and the stigma that youth and others experience as it relates to opioid use/addiction.

Worked with organizations in North Minneapolis to implement a survey, mostly with the African American Community.  The purpose of this survey was to assess the extent and impact of the opioid epidemic in north Minneapolis.

Partnerships established with community partners Metro Youth Diversion, Southside Harm Reduction Services, Native American Community Clinic and Hue-Man will allow us to track and respond to any unintended consequences.
Section 4: Analysis
The money that we receive through this grant is entirely redistributed to community.  Three of the four sub-contractors are organizations of color serving specifically the Somali, American Indian and African American communities.  These organizations, bet suited to servie their communities will help to have positive impact on the disparities these communities experience and therby our goal of achieving racial equity.
Section 5: Evaluation
There are 2 measurements that the sub-contractors report to us and we report to the funder (MN_DHS).  Those are number of doses of naloxone distributed and number of training done with number of people in attendance. 
By way of the partnerships we have established with the sub-contracting organizations we will ensure that information about the progress will be communicated with impacted communities. We will rely on the organizations knowledge of their community to inform what and how it is communicated.