Montana Health Journal spring 2014

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Montana

Health Journal WINTER/SPRING 2014

T H E M AG A Z I N E O F C O M M U N IT Y W E L L N E S S

AIKIDO

Kalispell counselors use a martial art to nurtureπ peace in people

SOBER AGAIN

How a man found sobriety in a horseback program

LIQUID FOODS

Great juice recipes

FAST TO HEALTH A diary of a 7-day fast

Help for Hayden Horse therapy helps a little girl with rare illness a publication from

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Montana

Health Journal

X Health SPRING WELLNESS COMMUNITY WELLNESS EXPO

CONTENTS Volume 3, No. 1 winter/spring 2014

FEATURES LIQUID ENERGY Great juice recipes

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HOPE FOR HAYDEN 14 How horse therapy helps a young girl battle disability

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26 MARTIAL ARTS Kalispell counselors use Aikido to strengthen relationships 10

DEPARTMENTS BETTER SLEEP 6 University of Montana studies sleep problems in children TEACHING FARMING 8 Community college launches program on organic farming SOBER IN THE SADDLE 13 A recovering alcoholic finds help ... on horseback FASTING FOR HEALTH 18 How a 7-day juice fast helped one woman HEALTHY HOME Creating positive energy in your home

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GETTING MOVING 22 Montana program gets people up and moving GUIDE TO SENIOR LIVING 38 Reviews of senior living homes in Montana CHARITIY CARE Cost of charity care on rise in Montana

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Montana

Health Journal Montana Health Journal is published by NewWest Communications LLC, 52 Buffalo Hill Drive, Kalispell MT 59901 EDITOR David M. Reese

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E-mail: editor@montanaliving.com

WATCH FOR THE MONTANA HEALTH JOURNAL HEALTH EXPO THIS SPRING AT THE RED LION CONVENTION CENTER, KALISPELL

ADVERTISING MANAGER Therese Wood E-mail: adsales@montanaliving.com

ONLINE: montanaliving.com All contents © 2013-14 ON THE COVER: Kalispell Aikido instructors and counselors Mark Leitzel and Leigh Schickendantz stand along the shore of Flathead Lake near Bigfork. David Reese photo

EDITORIAL POLICY: The contents of Montana Health Journal are for informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Montana Health Journal does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned in this magazine or on its website. Relying on any information provided by Montana Health Journal is solely at your own risk. Always seek the advice of a physician or other qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you may have read in Montana Health Journal. If you think you may have a medical emergency, call your doctor or 911 immediately.

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CORRECTION: An advertisement in the last edition of Montana Health Journal contained incorrect information about McKiernan Chiropractic in Kalispell. The ad incorrectly stated that the business offered psychology services, when in fact the ad should have read “physiology” services. The Journal regrets the error, and makes every possible effort to ensure accuracy in our publication. — The Editor

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Health Matters

Tobacco-free teens

Rodeo athletes speak out against tobacco

News for a healthy Montana

TOBACCO

BETTER SLEEP

University of Montana studies nightmares, sleep troubles in children SLEEP MISSOULA – More than 5 million children in the United States experience trauma each year, which can contribute to a range of sleep difficulties. Researchers in the University of Montana Clinical Psychology Program are seeking children who struggle with nightmares and sleep disturbances after suffering trauma for a treatment study. e treatment is part of a research study to test the effectiveness of Exposure, Relaxation and Rescription erapy. ERRT is an effective treatment for adults who suffer with trauma-related nightmares, and researchers in UM’s Research on Implementation Science and Trauma in Youth Lab have modified the treatment to

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test with children. If the treatment is effective, ERRT-C will be a breakthrough brief nightmare treatment for children who have experienced trauma in their lives, according to UM researchers. e serious nature and long-lasting trauma symptoms in some children can carry into adulthood, but a successful treatment potentially could reduce posttraumatic stress, depression and anxiety. Participants must be 8 to 12 years old, have experienced a traumatic event, have a minimum of four nightmares in a month, have a parent or legal guardian also participate and be able to read and speak English. Treatment sessions will be held at UM and include an initial evaluation, treatment once per week for five weeks, a

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post-treatment evaluation and three- and six-month follow up appointments. Participants will be compensated up to $50. Call the lab at 406-243-6684 to see if your child is eligible.

Rodeo athletes Carson King of Dillon and Charley Yeager of Choteau were chosen to appear in Department of Public Health and Human Services Montana Tobacco Use Prevention Program public service announcements that aired statewide this year. Making sure our high school rodeos are tobacco-free is the first step to eliminating tobacco as part of the rodeo tradition, Director Richard Opper said. “If our teens aren’t surrounded by tobacco use at the high-school level, there less of a chance they will grow up thinking that tobacco addiction is normal.” e public service announcements were created by reACT Against Corporate Tobacco, Montana’s teen-led movement dedicated to helpng teens to fight back against tobacco. reACT has partnered

with the Montana High School Rodeo Association for the past six years to promote and sustain tobacco-free as a standard in the high school rodeo. Yeager has a personal reason for supporting tobaccofree rodeo. Having lost her grandfather to lung cancer, she knows the damage that tobacco does. “When I lost my granddad, it was pretty rough on the whole family,” she said. “He was just the main support. Everybody loved him so much. It’s just terrible that everyone has to go through all of this for something that could have been prevented. If he didn’t smoke, he’d probably still be here.” reACT is funded by the Department of Public Health and Human Services Montana Tobacco Use Prevention Program. For more information on reACT and the Tobacco Free High School Rodeo Series, visit www.reactmt.com.

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MONTANA FARMER

Teaching Farming Community college launches organic farming program

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40+ Years of EXCELLENCE in Customer Service

Waves of heat rose from the dark, sandy soil as Julian Cunningham picks raspberries and peas at his farm in Bigfork. Next to him his son, Kieran and daughter, Marika, and farm intern Al Kuhn drop their vegetables in plastic pails, unfazed by the heat of the day. Since 1997 Cunningham’s Swallow Crest

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Farm five miles north of Bigfork has fed local families who subscribe to the community-supported agriculture model of farming. Families pay Swallow Crest farm a monthly amount for vegetables, from peas and carrots to strawberries and raspberries. Cunningham also supplies food to the Bigfork Natural Foods Co-op. He has reduced his farm from five acres to one acre. “at’s a manageable size,” he said. “At five acres, things get exponentially larger.” He once had over 150 members of his subscriber-supported farm, but he’s taken that down to about 20 families now, as he’s preparing to enter a new phase of his farming career. Cunningham and Heather Estrada are starting Flathead Valley Community College’s new agriculture programs. Estrada received a USDA grant from the National Institute of Food and Agriculture to develop a program at Flathead Valley Community College. She coordinated a needs assessment, and using input from local agriculture-related businesses, she See FARMING on page 36 8 MONTANA HEALTH JOURNAL WINTER/SPRING 2014

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HOURS OF OPERATION Mon-Fri 8:00-5:30 Saturday 9:00-2:00 Julian Cunningham holds fresh raspberries at his Swallow Crest organic farm near Bigfork. David Reese photo

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쏬

JUICES AS FUN TO MAKE AS THEY ARE HEALTHY

Juice Drinks * recipes from Mountain Valley Foods, Kalispell. mountainvalleyfoods.com

Wheatarita 1 ounce wheat grass juice juice of one lime two apples (A special, lower-speed juicer is often used for the wheat grass.)

photos by David reese

Sunrise Over the Swans 1 Beet 1 orange 4 medium-sized carrots * 1/8 to 1/4 inch unpeeled ginger optional

liquid

energy 10

Favorite Sunrise Over the Swans, a juice recipe from Mountain Valley Foods in Kalispell. The recipe includes ginger, carrot, beet and orange. MONTANA HEALTH JOURNAL WINTER/SPRING 2014 | M O N TA N A L I V I N G . C O M 10 MONTANA HEALTH JOURNAL WINTER/SPRING 2014 | M O N TA N A L I V I N G . C O M

juice recipes from Montana health food stores

Wheatarita — a juice recipe from Mountain Valley Foods in Kalispell. The recipe includes wheat grass, lime and apples.

Grass Study A study by Carmel Medical Center examines the impact of wheatgrass juice and lifestyle recommendations (diet, physical activity and breathing exercises) on the well being, fatigue and hematological parameters of chemotherapy-naive patients. Researchers hypothesize that wheatgrass juice and lifestyle recommendations can improve patient’s well-being during chemotherapy. Source: National Institutes of Health

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eating well

PERSONAL JOURNAL

Protein Drinks Protein drinks offer a blend of juice with a protein source, such as hemp-based Nutiva or Spirutein Hurricane Vanilla. Protein is one of the body's main building blocks for muscle, bone, skin, and other tissues. Protein shakes come in many combinations of protein, carbohydrates, and fats. They can range from 100% protein to mostly carbohydrates with a little added protein and fat.

Sober in the Saddle A recovering alcoholic finds life again — on horseback

BY JACK RYAN

Protein drink from Mountain Valley Foods, Kalispell

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Missoula • 728-8848 Polson • 883-8412

I am a newly arrived and very proud Montana transplant. I hail from New York City and come from an Irish Catholic family of pretty big drinkers. I myself have been a drinker my whole life but after having two beautiful young boys, I started wondering if they were getting the best out of their dad. So at the urging of my wife and after some much needed meditation, I made a life-changing decision to go to an alcohol rehabilitation center for 28 days for a mental health check. After some detailed research, I enrolled at the Rocky Mountain Treatment Center in Great Falls, Montana, which would soon be celebrating its 30th anniversary. I figured if they have been in business for 30 years, they must have their program pretty dialed in. As you might imagine, I arrived there on my first day nervous and filled with anxiety. I was picked up at the airport by Jessica Hofer, a junior counselor at the center. She surprised me by announcing that she helped run the equine program which I would participate in once a week and would be an integral part of my rehabilitation therapy. Despite my anxiety, I was curious, frightened and intrigued all at the same time. Within minutes we pulled up to the back door of the large ominous building that would become my home for the next 28 days – and that’s where my story of the horses begins. Montana is one of three states where the average adult drinks more than 40 gallons of beer per year, second See SOBER on page 32

Dave Reese photo

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Hayden Sherman rides a horse in Human Therapy on Horseback in Kalispell.

Help for

HAYDEN Horse therapy helps a young girl from Bigfork

BY DAVID REESE MONTANA HEALTH JOURNAL

Hayden Sherman is just finishing her lunch when mom comes into the room Hayden’s bright blue eyes shine at the sound of her mother’s voice as Hayden is lifted from her high chair. It’s not known, though, if Hayden can see her mom. Hayden was born with multiple disabilities, from vision, to walking and speech. Hayden is unable to dress herself, or use the bathroom without assistance. Hayden has what is called global delay syndrome, and there are no known cures for her collective set of disabilities. But horses are an effective therapy. Every Monday afternoon, Scarlett and Hayden leave Bigfork after school and

I

t’s midday and a stream of students pours in and out of Scarlett Sherman’s library office at Bigfork High School. One student asks to use a laptop. Another needs a pencil. But the next visitor is very special. It’s Sherman’s daughter, Mia, being carried in the arms of a friend. Around lunchtime it’s common for Scarlett to visit her daughters, who are in daycare at Bigfork Elementary School, just across the parking lot from the high school. In the bustle of midday lunchtime, two daycare workers are busy cleaning up food scattered by the tots. 14 MONTANA HEALTH JOURNAL WINTER/SPRING 2014

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make the 45-minute drive to a horse arena in West Valley. ere, Hayden is placed on a horse, and with the help of Bob and Timmy Burmood is led around the arena. e gentle rocking of the horse seems to stimulate Hayden’s body, helping her to relax and sleep better at night, Scarlett said. Scarlett believes in the help that horse therapy is giving Hayden. At 18 months old, Hayden was being bottle fed and was not able to sit up on her own. After the first day of horse therapy Hayden accepted a spoonful of food and sat up on her own. “At that point I knew there was something to this,” Scarlett said. “ere’s something about the gait of the horse that stimulates her system. I think it just helps

her get sensory input.” Hayden’s current horseback therapy involves using a weighted blanket draped over her, and taking 10 to 12 laps around the indoor arena. Sherman is married to Justin Sherman. Both have learned how to help raise a child that had no specific diagnosis of her disabilities.“When we had Hayden it was obvious something was wrong,” Scarlett said. Some comfort might have been found in a diagnosis, which might have given the family a goal to work toward. After a couple of years, Scarlett let go of finding a cure or diagnosis for Hayden and just focused on providing the best care that she and Justin could. “We spent years searching for that label ... that reason,” Scarlett said. Hayden is not on any medications, nor does she suffer seizures. Accepting Hayden’s disability — and the help of others — was a process for the family, Scarlett said. “I’ve learned to trust people and know they have Hayden’s best interests at heart.” It’s helped Scarlett to be around other parents whose children have disabilities. “It’s nice to have someone to talk about your child with,” she said. e journey for Scarlett and Justin was one they didn’t expect to have. “We’re in this together,” she said. “It’s amazing how people, our friends and family, have been so supportive. e relationships you build are so important to me. We couldn’t do this ourselves. We rely on so many people for help.” Sometimes it’s hard, Scarlett said, for her to be around other families who have able-bodied children, and to hear them talk of setbacks that would be a major victory for her own daughter. “We’re more appreciative of Hayden, the little successes she has, because we see how hard she has to work,” Scarlett said. “We feel fortunate to have that viewpoint. But I’m still adjusting every day. I still am.” Scarlett said they don’t know how much vision little Hayden actually has. Hayden works once a week with a therapist from the Montana School for the Deaf and Blind. Hayden can see her “sippy cup a mile away,” but she has trouble recognizing new objects, Scarlett said. When Hayden was eight months old Scarlett dived into researching alternative therapies. e first step was meeting with the child development center in Kalispell, which helped lay out the path for Hayden’s therapy and care. Kalispell physical therapist Leslie Hayden is one of the Sherman family’s trusted allies in Hayden’s care. When Scarlett learned of the physical therapist’s last name, she felt it was fate that she’d be her daughter’s physical therapist. “I couldn’t live without Leslie,” Scarlett said. “I go to therapy sometimes just to be around these people. ey make you feel so good, and they have such nice things to say about Hayden.” Scarlett said the journey has been an unexpected detour that has brought the family closer. “It’s like going to Holland when you’re expecting to go to Italy,” she said. “Holland is beautiful, and it has tulips. But you may have to re-pack your bags.”

Scarlett Sherman, right, and her daughter Hayden at the day care at Bigfork Elementary School. PHOTOS BY DAVID REESE

How to Help Insurance does not cover the cost of the Human erapy on Horseback. But because of the local Human erapy on Horseback fund-raising, the cost is made affordable for the Sherman family. e “Making Miracles Happen” fund-raiser dinner and auction at Flathead Valley Community College helps pay for therapy. For information go to www.hthflathead.org. M O N TA N A L I V I N G . C O M

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Restoring Hormone Balance

HEALTH MATTERS

Hospice of Missoula

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A better way to dispose of unwanted prescription medicines

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e Flathead County Justice Center in Kalispell installed a drop box with 24-hour access in the main lobby more than a year ago. is box has seen steady and regular use by county residents. Medicines may be left in their original containers or mixed in plastic bags. ese drop-off sites cannot accept liquids or needles. Local pharmacies and the county landfill offer drop-off collection containers for used needles. Liquids may be mixed with kitty litter or coffee grounds and placed in your trash. “e safe disposal of waste pharmaceutical products has become an issue of growing concern to local law enforcement agencies working to prevent drug abuse and to agencies working to protect water quality in the Flathead and across the state,” said Mayre Flowers, director of the WasteNot Project. e WasteNot Project helped to secure

person approach to end-of-life-experiences. Our team focuses on what is important to you, your family and your loved ones by incorporating skilled professionals to design quality around Hospice care of Missoula believesyour in providing excellent, specialized care medical, social, with a whole-person approach to end-of-life-experiences. emotional and spiritual Our team focuses on what is important toneeds. you, your family, and your loved ones by incorporating skilled professionals to design quality care around your medical, social, emotional, and spiritual needs.

grants from the Montana Department of Justice’s Operation Medicine Cabinet Project for the new containers. Medications should never be flushed or poured down a drain. Endocrine disrupter compounds, pharmaceuticals and personal care products were detected in 13 of 14 shallow groundwater wells in the Flathead River Drainage sampled in fall 2010 by the Flathead Lake Biological Station. “Based upon studies here and elsewhere in the state and the country, we are very concerned about the possibility of contamination and the potential impacts to public health,” said Caryn Miske, executive director of the Flathead Basin Commission. “It is imperative that we properly dispose of pharmaceutical and personal care products to protect both surface water and groundwater sources from contamination.”

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PERSONAL JOURNAL

Fasting for health How a seven-day juice fast helped one person to better health BY THERESE WOOD

Y

ou may think “If I want to get healthy I’ll go to the spa, soak in mineral water, eat delicious food, have massages and sleep.â€? at is one approach, and I am a firm believer in the benefits of rest and relaxation, but fasting for health is another approach. Deciding to do a juice fast can be a very personal, conscious choice to make a lasting change. It is lasting because it will forever change your perspective and relationship to what sustains our bodies: food. It is choosing to do something diďŹƒcult, uncomfortable, and sometimes even grueling to achieve a higher goal – personal well being. If you have never fasted then committing to seven days of consuming only juice may seem daunting. A guided juice fast increases the commitment. Plus a fee is paid, food is ordered for the juicing, and people are working to prepare the program on your behalf. Once you’ve thrown in your chips, you’re in the game. I chose the juice fast program at the Wellness Education Center in Kalispell. e Center’s director, Jeanette Cheney, holds about 10 juice fasts each year. When she began the program eight years ago she had small groups of seven to 10 people, and used a space rented in a basement level below a yoga room. Now, the Wellness Center regularly hosts juice fasts of 20 or more in a building Cheney purchased to create e Wellness Education Center; an integrative health center with a naturopath, two massage therapists, a nutritionist, colonics, thermography, and Cheney as a health educator. As the week of the fast approaches a myriad of emotions can come up that seem somewhat reminiscent of preparing to have your first child; concern, anxiety, self doubt, fear, and intense need to learn everything you can about the process and what to expect. e book Juice Fasting by Steve Meyerowitz, included in our pre-fast materials, was a big help. It covers everything from the pre-fast diet, to the eects of shorter fasts (1-3 days) and what to expect on a longer fast (seven to 14 days). It explains how, in the second or third day, you may go through a “cleansing eventâ€?; flu-like symptoms that occur when your body is burning up stored resources (like fat cells) that release stored toxins into the system where they are then flushed out. e fast orientations are always on a Friday night, so that the first days of the fast can be over a weekend. Typically, the first two days of the fast are the most diďŹƒcult as your body goes through a period of transitions and adaptation. On a Friday evening the fasting group gathers at the center to meet one another, meet Jeanette, hear about the program, and share a “last supperâ€? of fresh vegetable soup. Jeanette is a 18 MONTANA HEALTH JOURNAL WINTER/SPRING 2014

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diďŹƒcult, which is why it was good to start on a weekend. We meet at noon each day for the two hour class time and group discussion of how things are going. We learn right away that we cannot be shy about talking about our “waste cyclesâ€? and soon this becomes normal conversation. e core focus of the fast is the cleansing of the upper and lower intestines (the lower being the colon). A sign in the classroom reads “e road to health is paved with good intestines.â€? e more we learn about how our bodies work, what our organs go through to process out waste and toxins while absorbing nutrients, and what is really in the foods we have been ingesting, the easier it is to feel good about just taking a break from the whole business of eating altogether. e 12 ounces of daily fresh-pressed juice and wheat grass we are allowed really do curb our hunger pains and seem all the more like manna from heaven. By mid-Sunday I was fully into the cleansing event described in the book. It was helpful to be expecting it, but no less grueling. I was achy, had a headache, and downright not well. I drank water and tea, bathed in Epsom salts, and waited it out. To my surprise, by the time I was going to bed the symptoms were passing. On the third morning the routine had settled in both physically and psychologically and I awoke without hunger pains and had good energy throughout the

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Jeanette Cheney holds about 10 juice fasts each year at the Wellness Education Center in Kalispell.

cancer survivor who, after hearing she had only months to live, went searching for alternative ways to heal herself. rough drastic lifestyle and nutrition changes as well as a number of alternative health therapies, she regained her health. She is tall with a commanding presence and has an exquisite balance of focus, drive and warmth. Each day starts with a regime of herbal tea, iodine drops, probiotic pills, green “magma� in a few ounces of juice, digestive enzymes and liver tincture, taken over several hours. e real challenge of the mornings, though, is doing the enemas. is is something explained in the orientation, but can only really be learned by experience. As odd and uncomfortable as this is, it does get easier and eventually takes on a ceremonious quality as it is best performed with the door locked in a quiet, low lit space where yu can fully relax in privacy. e first two days of the fast did prove to be the most

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Cheney leads a session in a seven-day juice fast.

The Wellness Education Center in Kalispell. M O N TA N A L I V I N G . C O M

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HOME FRONT WOMEN’S HEALTH

A healthy home

pregnancy

Creating positive energy in your domestic surroundings BY MARGRIT MATTER

unapproachable. White will bring out your innocence. Green lets a healing energy flow through you. We can use color in our environment in the same way, to create whatever mood we want to spend more time in. Our home should always be considered the cornerstone of our health. It should embrace you, bring a smile to your face, and most of all promote your well being. Choosing the right color for a room is very important. It can be relaxing, upbeat, sexy, vibrant, calming or healing. As we personally change, our needs change and your home should reflect that. Our life runs in cycles of seven years. So take notice. It might be time to redecorate and paint that yellow room a vibrant turquoise, move the sofa to the other wall, tear out the wall and create more open space that can include everybody in the cooking and meal preparation. Sometimes, though, just a little time away in a new environment can give us the boost or

Energy is all around us. Our health depends on receiving the right kind of energy such as food, space, color, and intimacy to keep us balanced. e Chinese have practiced the ancient art of Feng Shui for centuries. It is how the energy enters and passes through your home. Furniture placement is important as well as open space. e combined elements of air, water and light compliment each other and flow freely. Spiritual energy travels north and south, sexual energy east to west. So you might want to move that bed to catch the right energy. Color is also a crucial to our mood. We decide daily what colors to wear. If we feel spiritual we reach for something in purple or blue. A cheery pink will encourage people to ask for information or help. Red and orange give us energy. Black is a lack of color and can make you mysterious or

awareness

Women at increased risk of stroke during pregnancy MONTANA HEALTH JOURNAL

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cleansing we need. Spend time in nature, go to the ocean, take a hike in the mountains, visit a spa, treat yourself to a pampering getaway weekend, listen to good music, or catch a play. Let that energy flow through you and let your vibrations be re-aligned to enhance your well being. — Margrit Matter explores design and color at the Swan River Inn in Bigfork, Mont.

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ani Clarine-Rhodes, age 29, never thought she was at risk for a stroke, but one day earlier this year changed her life. On February 26, she gave birth to her son, Grayson, by Csection. Ten days later, she experienced a sudden, extremely severe headache, and a change of sensation on her left side. She was LifeFlighted to Salt Lake City and spent the next week and a half in the critical care unit. “Most people don’t think about stroke at a young age,” Clarine-Rhodes, of Great Falls, said. “You need to watch for symptoms days out after giving birth.” According to Department of Public Health and Human Services (DPHHS) officials, cardiovascular disease—heart attack and stroke—is the leading cause of death among women in Montana and the U.S. In fact, recent reports show that strokes kill twice as many women as breast cancer every year. “Women just need to be more stroke aware,” said Crystelle Fogle of the DPHHS Cardiovascular Health Program. Fogle said in a recent survey, 40 percent of women were not at all or only somewhat concerned about a stroke in their lifetime. e lifetime risk of stroke is 1 in 5 for women, which is influenced by the longer life expectancy of women. “Women also underestimate their personal risk for stroke,” Fogle stressed. A study of 800 women published in the journal Stroke found that women did not identify their health condition as a risk for stroke, even when they were at high personal risk. Controlling high blood pressure and not smoking are important steps to reduce risk of stroke. Other preventable stroke risk factors include high cholesterol, atherosclerosis (hardening of the arteries), diabetes, excessive alcohol intake, and obesity. Some risk factors for stroke apply only to women, primarily taking birth control pills or hormone replacement therapy, pregnancy, childbirth and menopause. Stroke risk is multiplied by a factor of 2.5 during and after pregnancy. Most pregnancy-related strokes occur during birth or in the next six weeks. Some conditions like preeclampsia or eclampsia during pregnancy can increase stroke risk. Diabetes and valve-related heart disease are also risk factors associated with pregnancy-related stroke. Some risk factors for stroke appear to affect women more than men, such as smoking and migraine headaches. Migraines are vascular headaches that cause blood vessels to See STROKE on page 34

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Participants in the Walk With Ease walking program typically meet two to three times per week. The program promotes education about walking safely and comfortably, arthritis self-management, and successful physical activity for people with arthritis.

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walking program typically meet two to three times per week. e program promotes education about walking safely and comfortably, arthritis selfmanagement, and successful physical activity for people with arthritis. Under the direction of a certified instructor, classes begin with a pre-walk discussion, covering a specified topic related to exercise and arthritis, followed by a 10 to 40 minute walk that includes a warm-up and cool-down. According to Heather Beck of the state's Arthritis Program, anyone is eligible to participate. Beck adds that classes run year round and many of the sites have

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he Montana Department of Public Health and Human Services, in collaboration with the Arthritis Foundation, offers a walking program in numerous Montana locations to help people with arthritis. “Walking has many benefits,” said Montana health and human services director Richard Opper. “It has been shown to improve arthritis pain, fatigue, physical function, strength, balance, and quality-oflife. Walking is also easy on the joints and is the preferred physical activity for adults with arthritis.” Participants in the Walk With Ease 22 MONTANA HEALTH JOURNAL WINTER/SPRING 2014

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indoor space available for walking during winter months. “Some sites charge a fee, but some do not,” Beck said. “However, scholarships are available for those unable to pay at sites where a fee is required.” Walk With Ease has been offered in Montana for a number of years and continues to make an impact. “is program has been proven to reduce arthritis symptoms and improve function,” Beck said. Helena participant Ray Larson said the program has definitely been helpful. “ese exercises have helped me stretch the pain Continued on Page 35

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Tips for life after the loss of a loved one

COMMUNITY HEALTH

Feeding Montana Summit addresses hunger in Montana

e sound of silence was the most haunting for elma Zirkelbach on her first night home after her husband’s death. “I’d lost my husband, but I hadn’t lost his voice, I told myself,â€? says Zirkelbach, who had spent so many nights the previous year at hospitals with her husband Ralph, who died not long after being diagnosed with leukemia. “I picked up the phone and there was no dial tone. If the phone was dead, Ralph’s voice would be gone forever.â€? rough her panicked daze, after having sunk to the floor with her spirits, she realized the phone jack was unplugged. She plugged it in and heard his voice one more time through the answering machine. It would be the first thing she fixed around the house without Ralph’s help in decades. “ere were many moments like that in the year after his death. One of the things I had to learn was to find help from many people, whereas for most of my adult life I had the help of many in one man,â€? says Zirkelbach, author of “Stumbling rough the Dark,â€? a memoir about an interfaith couple facing one of life’s greatest spiritual challenges. Loving couples wince at the thought of losing their spouse and may even deny the idea despite a terminal medical diagnosis, but accepting the possibility helps in preparing for the years that follow, says Zirkelbach. She oers the following tips for doing that: • Consider the best way for all loved ones to say good-bye: Ralph’s family comes from an evangelical Christian background, whereas elma is Jewish. Memorial services are designed for the surviving family and friends, and Zirkelbach held a service at her synagogue, which was filled with friends and colleagues. “Make sure you do all you can to best say goodbye in your own way, which may include your religion or some other ritual,â€? she says. • Take stock of the necessary services you’ll need to replace: In many ways, Ralph was an old-fashioned Midwesterner who was a handyman around the house, moved heavy boxes, dispensed with unwanted critters like cockroaches, and acted as a one-man security system. • No matter how independent you are, accept the fact that you may need emotional support: Soon after her husband’s death, Zirkelbach joined a support group for widows and widowers and found solace in the company of others who had loved and lost. At one point, the group leader connected with members by saying they were blessed to have loved someone enough to mourn them. “His statement turned grief on its head,â€? she says. • Nurture your spiritual life: “I have become ‘more Jewish’ during my widowhood,â€? she says. “When I was a child, Judaism was part of the background of my life, like the Muzak you hear in elevators but don’t really listen to.â€? Now, however, religion has moved to the forefront of her life, and she adds she is thankful for the strength her faith has given her.

It is 6:30 a.m. and parents in many Montana homes are waking up their kids, while, preparing a simple breakfast of cereal, milk and fruit for them before they leave for school. Now imagine a home where Mom had to leave for work at 6:00 a.m., and Dad came home from work at 11:30 the night before and is trying to rest. e children need to wake themselves up, get dressed, and eat before leaving for school if there’s food and enough time. Dinner the night before may have been pasta and sauce with a small glass of milk. at will not hold them until it is time for school lunch the next day, unless the school has a breakfast program. is scenario is all too familiar for thousands of Montana families, including single parent families, trying to earn a living while having enough time and money to ensure that kids are properly fed. is situation plays out year round but becomes particularly challenging on weekends, school holidays or during summer when school is out because children are home, parents are working and there is little food at home. It is equally challenging for children coming home from day care to find there is no food for supper. e Montana Partnership to End Childhood Hunger is holding a statewide summit at Montana State University in Bozeman on September 23 and 24 to bring this issue to light and to demonstrate pathways to end child hunger. e summit will showcase best practices towards ending childhood hunger, create opportunities to meet others from their community, and provide resources to initiate public and private community action. Lori Silverbush, co-director of the film. “A Place at the Tableâ€? will be the keynote speaker and lead a discussion of the varied aspects of child hunger in the Nation. In Montana, more than 1 in 5 children – nearly 48,000 struggle with hunger and food insecurity. Food insecurity means limited or inconsistent access to healthy and nutritious food for growing children. Hungry children come from hungry families. Income is the single largest factor in determining if a family will have enough healthy food. Studies by the Montana Food Bank Network have shown repeatedly that families feel compelled to first use their limited dollars on rent, utilities, child care, medical costs, transportation, and other fixed expenses, with little money left for food. e impact of food insecurity in children is serious and unacceptable. Lack of good nutrition eects their growth and development from infancy on, reduces immunity, increases sick days in school, increases risk of repeated grades and lowers chances of graduation. Food insecurity aects health by increasing the risk of children developing chronic diseases and obesity. Hungry children also show

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PERSONAL HEALTH

aikido Kalispell counselors use an ancient martial art to teach people the power of cooperation

Mark Leitzel, MA LCPC, and Leigh Schickendantz, MA LCPC, are founders and owners of Two Rivers Consulting and Two Rivers Aikido / Kalispell Zen Center. Mark and Leigh demonstrate Aikido at Flathead Lake, summer 2013. David Reese photo

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BY DAVID REESE MONTANA HEALTH JOURNAL

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A banner at Kalispell Zen Center outlines the values they follow.

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e bowed silently before entering the room. Stepping onto the mat of the Aikido studio, you could sense the outside world slipping away from Aikido teacher Mark Leitzel. Others followed, and soon the room had about a dozen students kneeling on the mat in front of Leitzel and Leigh Schickendantz. For the next hour Schickendantz and Leitzel led the students, in pairs, through a series of different Aikido moves, or “wazas.” To the uninitiated this would have looked like a traditional martial arts studio. But to the students and to the teachers, something much deeper and complex was going on: while the students were learning how to fight and engage with each other, they were also learning the subtle and complex skills of engaging in the world around them in a peaceful, harmonious way. is is the way of Aikido. And for Schickendantz and Leitzel it’s a way to incorporate a martial art into their counseling practice. Schickendantz and Leitzel own Two Rivers Counseling in Kalispell. In a two-story brick building in downtown Kalispell, their counseling office occupies an office on the second floor, while the Aikido dojo, or studio, is on the street level. Large windows face the street in downtown Kalispell, and cars and people move past the studio likely not aware of what’s going on inside. Here it’s a calm, peaceful and centering place. Aikido requires two people to engage with each other, using “wazas” or techniques. at’s why the martial art is so perfect for teaching people how to engage with honor and dignity in personal relationships. It’s helpful for families, adults, couples or even adolescents, who may be searching for their place in society. Two Rivers has developed a model using Aikido and personal counseling, for harmonious conflict resolution. “Aikido is a living metaphor of skills of war and learning to be in harmony with each other. e seat of honor is in ourselves, in our dignity,” Schickendantz said. Conflict always starts with ourselves, not with others, she said. For youths who are searching for their place in the external world, and perhaps themselves, Aikido helps them learn to find where conflict starts — and how it manifests in the external world, she said. e process works. “We’re humbled and privileged to see youth recognize their own dignity,” she said. e large, sparse dojo provides a calming atmosphere of a training hall furnished in traditional Japanese Zen minimalism. All participants bow before and after entering the dojo mat. is is one Eastern ritual that shows youths the process of dignity in themselves … and in relating to others. It takes two to tangle in Aikido, or in any conflict. at’s why Two Rivers has found the martial art to be such a perfect model for learning where conflict arises in ourselves. Participants work in pairs, even if one person is struggling on their “waza,” the prescribed set of Aikido movements, done in pairs. ere is no fighting or violent contact, just a slow, rhythmic movement of bodies. Sometimes people do end up on the mat after a gentle throw, but there is no reaction, only a gentle bow to the successful aggressor. “Standing in your own dignity and helping others find

Students practice Aikido at the Kalispell Zen Center dojo in Kalispell.

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theirs, even when they’re trying to hurt you” is what conflict resolution through Aikido is all about, Schickendantz said. Two Rivers has worked with youth for many years; people who have come to them after finding trouble in society or in school. Leitzel and Schickendantz prefer to see these youth as “at promise” rather than “at risk.” Aikido sessions for youth at Two Rivers involve an hour of talking before they get on the mat. Sometimes the youths’ teachers come with them and work out them. “is is in the truest sense, no child left behind,” Leitzel said. “And this is meeting a need that needs to be met now, more than ever.” Some clients will spend 90 minutes a week for eight weeks engaged in an emotional literacy module based on the Two Rivers’ counseling model of harmonious conflict resolution: e Embodiment of Peace. For “at promise” youth, their work on the mat involves moving step by step through the Aikido/counseling model. e work creates opportunities for these students to refine their social skills and explore more empowered ways of being. Each evening of the family six-month program offers a new lesson and challenge to these youth and their parents “to move differently through the world, explore opportunities to be different within themselves, and to see the world in a different way,” Schickendantz said. ere is a process of self discovery through Aikido. is is something we should always be striving for as humans, Leitzel said. “It’s a living art. We should be expanding and going beyond what has been taught before,” he said. Aikido is a wonderful tool for finding out what holds people back from honest relationships with themselves and others. “ere’s often a deep sense of separation people walk around with,” Schickendantz said. No matter how successful a student or a client is on the Aikido mat, the real test is among society. Two Rivers teaches “head up, heart up.” “e most real, difficult work is out there,” Leitzel said, nodding to the busy street outside the dojo. For a couple working on their relationship, Aikido can reveal core issues. Schickendantz remembered how one person walked off the mat, frustrated at their own performance in the Aikido waza. “You just can’t hide on the mat,” she said. “And we can learn to hide in so many ways.” •

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Leigh Schickendantz, center, watches two students practice Aikido at the Kalispell Zen Center. Mark Leitzel, left, watches works with a student at the Kalispell Zen Center.

Mark Leitzel, MA LCPC, and Leigh Schickendantz, MA LCPC, are founders and owners of Two Rivers Consulting and Two Rivers Aikido/Kalispell Zen Center. You can see more on their programs by visiting tworiversconsulting.org and tworiversaikido.org or e-mail, source@tworiversconsulting.org

Mark Leitze and Leigh Schickendantz are founders and owners of Two Rivers Consulting and Two Rivers Aikido / Kalispell Zen Center. DAVID REESE PHOTO

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Mark Leitzel warms up at the Kalispell Zen Center.

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Equine/from page 13

grocery and convenience stores to sell beer as well. According to Dow Jones Marketwatch, in 2010, just over 20% of adults in Montana were binge drinkers (defined as 5 or more drinks for a man, 4 for a woman, during one occasion). e

only to North Dakota with 42.2 gallons and Delaware with 43 gallons. Montana has very few restrictions on the sale of beer, allowing Sunday sales and permitting

state ranked 9th in the country. When Great Falls Tribune reporter Eric Newhouse was writing his Pulitzer Prize winning series on alcoholism in 2000, he reeled off an amazing statistic: Montana spends more money dealing with the effects of drug and alcohol (rehabilitation programs, detoxification centers, therapy, etc.) than it does on educating its University students. Enter Ric Bellwood. During my second week at Rocky Mountain, I was taken by counselor Jessie to meet a quiet and understated man who has been training horses for over 30 years. Ric has a soft demeanor, piercing blue eyes and a gait that lets you know how long he has been working in and around the corral. Ric applies a natural and disciplined approach to horse training, where humans and horses develop a bond over a relatively short period of time. To watch the animal respond to my slight but intentional shifts in actions and attitude was both powerful and humbling. By the end of my second session, I found myself becoming a more patient individual. ere was an immediate shift in how I started dealing with people after my work at the ranch. e feeling was immediate and lasting. More importantly, I realized how severe my aggression was when I was drinking. And it helped me stop. is was remarkable. e Natural Horsemanship Movement is relatively new and not without its critics. Some consider much of the movement simply the application of humane methods of classical horsemanship that have been practiced for centuries. Another common concern is that Natural Horsemanship proponents promise near-miraculous results that can mislead people to believe that they can accomplish miracles with their horses with little effort, education, or experience. Bellwood was raised in Santa Barbara, California and moved to Fort Shaw, Montana, in 1970. Ric now has over 35 years of experience training and showing horses, 20 years of teaching riders, and currently is the director of the Equine erapy Program at e Rocky Mountain Treatment Center.

commands but when it came to one of the basic rituals of trust training with the horse — dropping the whip and walking away from the horse so it will follow – the horse wouldn’t budge. is happened again and again with Lauren visibly frustrated, but giggling through the motions. After letting Lauren wrestle awhile, Ric stepped in. He suggested she make a heartier attempt to connect with the horse and wrap her arms around its neck – as if she were asking for forgiveness. Confused and a little bit embarrassed, she complied, standing in the dirt with her arms around the neck of this large sweaty animal. Lauren and others from Rocky Mountain have reported back to me about the amazing changes in their lives since their treatment at the center. For addicts – it’s always a journey. Yet, as I learned during my time at the Rocky Mountain Treatment Center, one big step may be as simple as having a horse help you get in touch with your emotions – and being out of touch with them is probably what makes the addict abuse their substance in the first place. I know more than a few of us who are better off for Ric’s efforts.

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knew Lauren for about seven days when she began the equine therapy program with Ric. It wasn’t until two weeks after I had left the program that I heard from Lauren and she shared with me her incredible experience with Ric and the horses. Lauren’s horse would follow her 32 MONTANA HEALTH JOURNAL WINTER/SPRING 2014

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Stroke awareness important during pregnancy

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Stroke/from page 21

spasm, which may disrupt blood flow to the brain and cause a clot to form. ClarineRhodes suered from migraines that increased during her pregnancy, but she never considered her debilitating headaches a cue for stroke. Clarine-Rhodes may not have had all of the prominent red flags for stroke, but the signs are apparent in the lingering eects. She has a loss of sensation in all of her left side, from head to toe. In August, while still working on recovery, she suered another stroke, and with this one, the vision in her left eye changed and became blurry. “e nerve to my left eye has been damaged,â€? she said. “What my brain perceives is not correct. When I’m tired or stressed, I get double vision. ere’s also aphasia; I swap words, and have trouble with short-term memory.â€? Her experience has left Clarine-Rhodes

determined to be an advocate for stroke awareness, especially among women and younger adults. e need is there. Recent research has shown that, compared to men with stroke, women may be slower to recognize stroke symptoms and seek medical care. is results in a 30 percent less chance of receiving clot-dissolving medication. Immediate treatment is critical for stroke. e stroke warning signs are: ¡ Sudden weakness of the face, arm or leg usually aecting one side of the body ¡ Sudden loss of balance or coordination ¡ Sudden confusion, trouble speaking or understanding ¡ Sudden vision problems or severe headache with no known cause For information on women and stroke, visit healthywomen.org or call 1-888-4STROKE (1-888-478-7653).

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Montana program gets people moving Continued from Page 22 away, and to get better balance,â€? he said. A report from the Centers for Disease Control and Prevention shows that over 50 percent of adults with arthritis in all states walk less than 90 minutes per week. Among Montana adults with arthritis, over 65 percent walked less than 90 minutes per week. î€‚e good news is that almost 1 in 4 adults with arthritis in Montana met national physical activity recommendations by walking 150 or more minutes per week. For adults with arthritis, physical activity is an essential self-management strategy proven to reduce pain and increase function. e 2008 Physical Activity Guidelines for Americans recommend all adults, including those with arthritis, participate in 150 minutes per week or more of at least moderate intensity physical activity. is can be achieved by walking 30 minutes per day at least five days per week. Walking is a low impact, acceptable, and eective way to achieve the proven benefits of physical activity. â€œFor those who can’t walk for 30 minutes at a time there are alternatives,â€? Beck said. “It is important for people with arthritis to know that you don’t have to do all 30 minutes at once.â€? Walking classes are available in Big Timber, Billings, Bozeman, Butte, Columbus, Dillon, Florence, Fort Belknap, Hamilton, Havre, Helena, Kalispell, Lewistown, Libby, Livingston, Missoula and Polson. Several cities have classes available at more than one location. To find more information on Montana’s Arthritis Program go to www.dphhs.mt.gov/arthritis.

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College launches organic farming program FARMING from page 8 said, “We determined there was a lot of interest and demand” for an agriculture program at FVCC. e primary goal of the agriculture program, she said, is to increase the agriculture economy in the Flathead Valley and Montana. Students in the two-year program may transfer their credits to Montana State University in Bozeman and complete a four-year degree in Agriculture Business, Plant science or Sustainable Food and Bioenergy systems. Students in the FVCC program, which starts this fall, will have an opportunity to work on the campus farm, as well as do class work geared to a full range of agriculture education. Estrada has set up internship programs at a variety of Flathead Valley agriculturerelated businesses, from nurseries to dairies. “We’ve tried to cover the gamut,” Estrada said. Cunningham and Estrada have been busy establishing curriculum and building a five-acre farm between the Stillwater River and the FVCC campus. Starting from scratch on soil that is fairly poor, they are building up the soil. It’s a perfect time for students to learn how the full range of organic farming. “e FVCC farm soil has some “good strong characteristics,” Cunningham said. “I think it will produce well.” It’s not like the soil at his Swallow Crest farm, though, “Which has one of the best soil types in the world,” he said. Having a farm on campus is key to the program. “It’s an experiential education for students,” Estrada said. “Campus farms increase student engagement.” Food grown at the FVCC agriculture program will be used in the college’s culinary arts program, in the campus kitchens, and is also for sale during the

summer through the college’s Farm Fresh wagon that sits on campus on Wednesdays from 11:30 a.m. to 1 p.m. Cunningham now will be looking for someone else to take over his wellgroomed soil at his farm, which sets on a small knoll at the base of the Swan Mountains. He looks to people like Al Kuhn, who came to Bigfork from Sacramento, to be an intern and learn the intricacies of organic farming. Kuhn arrived here in May and will stay in a farmhouse at Swallow Crest Farm through the harvest season. “is is a job getting me ready for my own farm operation,” Kuhn said. His family ranches in Sacramento, and Kuhn will establish his own farm when he returns this fall. Kuhn learned the basics of farming in classes at San Diego City College, but he’s learned more at Cunningham’s farm north of Bigfork, where tomatoes grow six feet tall in hoop houses that stretch the length of one acre. Brightly colored Swiss chard glowed in the afternoon sun, while a Holstein cow grazed next to the barn. Kuhn, 26, reached down into the soil and plucked a huge carrot, displaying it with pride. He helped grow it. Kuhn said this internship allowed him to see a wide range of farming techniques. “e beauty of a farm this size is its diversity,” he said. “Some of my friends work only on irrigation or picking. It’s very common for some interns to weed their summers away.” Kuhn was enthusiastic as he worked in the summer heat this summer, smiling as he picked along a row of peas. He said he may never gain financial wealth as a smallscale farmer. “But it depends on how you view wealth,” he said. “Wealth can be having a bountiful crop of food on your table.” On the web: fvcc.edu

How a juice fast helped one woman’s health FAST from page 19 day. en the day of the liver flush came. is is done by drinking two ounces of olive oil with grapefruit juice before going to bed, and can only be done after preparing with several days of fasting. As the liver processes the large amount of oil, pea sized beads of built up cholesterol are released and flushed out. We were warned that this might make us feel sick. After drinking the concoction I waited awhile to see how I’d feel, and then feeling fine I smiled that I’d come through with flying colors and went to bed. By 5 a.m., I woke up with such a rush of nausea that I thought I wouldn’t make it to the bathroom. I breathed hard waiting for the inevitable, and then it passed without incident. After going through the cleansing event, the idea that these foods should not have pesticides sprayed on them also has new importance for me. Every little cell in the plants that had to be processed and used in my body is now that much more important. So now, I start every morning with a fresh blended shake of almond milk, green magma, a scoop of whole food fiber, digestive enzymes, fresh fruit and leaves of kale or spinach. As a bonus this has helped curb stomach acid that often kept me awake, so sleep is better too. roughout the day I am aware of choosing the whole foods, and raw foods as often as possible. Beyond this, my sense of appreciation for little things, even the act of chewing, has forever been tuned up a notch. I feel just a little more human, in the best way possible.

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Montana

Health Journal

GUIDE TO SENIOR LIVING Live the Wel-Life As we celebrate our senior years, our bodies resist a bit and tasks that might have been routine become more challenging. Assisted living level of care may be the right fit for many seniors, in fact a large number of our retired tenants thrive in the environment that assisted living offers. What are some of the benefits of our Wel-Life care? Independence: With the help of our professional care team, the reliance upon family members and friends to help with daily routine tasks are minimized and handled by our professionally trained personal service care team. Safety: This feature includes having personal service attendants available if assistance is needed; as well as reminders regarding medication times and administration. Safety is of high priority at Wel-life. Each room is equipped with a call system to notify our care team if any assistance is needed. Companionship: Having people around to share, love and laugh with is an important priority. We offer a number of social gatherings for all of our community members to keep each person as socially active as possible. Activities: A big part of assisted living is the activities. Activities are not only intended to keep community members active, they also serve as a way for tenants to participate as they choose. Our ac-

tivities are not only fun but they are also a way for our tenants to get to know one another and become familiar and comfortable with our community. Peace of mind for you and your family. At WEL-Life at Kalispell, we have someone on duty every hour of the day. We also have a Registered Nurse on-call for any emergency situations. Come Live the WEL-Life!

WEL-Life Kalispell 156 Three Mile Dr, Kalispell ¡ (406) 756-8688 wlkalispell.com

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Whitefish Care and Rehab Center Whitefish Care and Rehabilitation Center, owned by Genesis HealthCare, is tucked into a beautiful corner of the resort community of Whitefish in the Rocky Mountains of Northwest Montana. The facility offers skilled nursing and rehabilitation therapy to adults of all ages who need short- or long-term care. In addition to a range of post-hospital care, rehabilitation and specialty medical services, we strive to meet the social needs of our longer-term residents through recreational programs that include field trips with transportation to local businesses and special events. A fenced in yard with walking paths permits patients and residents to take in the scenic views of the area, and a sheltered patio provides patients and residents and their guests with a place to relax.

Recently remodeled, Whitefish Care and Rehabilitation Center now offers Rehab Recovery Suites, designed to help patients return home as quickly and safely as possible after a hospital stay. Whether recovering from orthopedic surgery, cardiac or pulmonary issues, patients benefit from the services they need for a successful discharge to home. Our director of admissions works with the patient, their family and physicians to ensure a smooth transition from the hospital. While our concierge welcomes each patient and serves as a liaison between the patient, family and staff during their stay. Stop in for a tour and see for yourself how Whitefish Care and Rehabilitation Center can help with your posthospital rehabilitation needs or visit us online at www.genesishcc.com/whitefish.

At Prestige Assisted Living at Kalispell we know how im ones are to you! Our dedicated trained sta are re lifee to the fulles lif fullest!

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For more infor information please call 406-756-1818, for a visit, we’d love to see you! 1SFTUJHF 4FOJPS -JWJOH --$ PXOT BOE PQFSBUFT JOEFQFOE OBUJPOBMMZ SFDPHOJ[FE &YQSFTTJPOT™ .FNPSZ $BSF DPNN

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Montana

Health Journal

GUIDE TO SENIOR LIVING

Diabetes talk

Foster Care at Quality of Life If you have an aging loved one who needs daily help, but you don’t want them to go into a nursing home, adult foster care is a quality alternative. Adult foster care homes provide a home-style environment with a small group of seniors and around the clock care. Laura Schlieper, administrator of Quality of Life Adult Foster Care in Kalispell, is a licensed nurse and has worked with the elderly for 30 years. “I find it so rewarding to care for these precious aging individuals,” she says. Quality of Life Home can also fulfill special needs for those suffering from Alzheimer’s, as well as third party assistance on site from physical therapists, comfort care (to eliminate doctor office visits), and hospice. Quality of Life can also accept Medicare and insurance. Adult foster homes are residential homes that provide their residents with a trained caregiver who cooks their daily meals and accommodates special diets, assists with bathing, medications, and other individual needs. Residents truly feel a sense of home and personal connection in this setting and are provided with transporta-

DIABETES CARE

Classes help educate public about risks

tion to doctor’s appointments and outings. Family members can come and go for visits as they wish, secure in the knowledge that their loved one is getting the attention and care they need. An adult aoster care home can provide more individualized care and costs almost half as much as most nursing homes. It is worth a visit to Quality of Life Home to see if this is the senior care difference you are looking for. Quality of Life Adult Foster Care 409 Parkway Dr., Kalispell, MT. 59901 (406) 756-2273

Could diabetes be on your radar? e Diabetes Care and Prevention Center at Kalispell Regional Medical Center is offering a class to help you ward off the damage this disease can do to your health. e class, Lifestyle Balance, is designed for people who want to prevent diabetes and/or heart disease. Participants must be 18 or older, referred by a physician and overweight. Dietitians and nurses who are certified diabetes educators, exercise physiologists and coaches will focus on weight loss, increased physical activity, improved nutrition and defining pre-diabetes and the risks of diabetes. Height, weight, blood pressure, blood glucose and cholesterol will be measured at the outset, after 20 weeks and at completion of the class. Enrollment is $150, with $50 refunded at the end of the program. Participants will receive a Summit membership for the length of the class, as long as they are actively Call the Diabetes Care and Prevention Center at 751-5454 to learn more.

Prestige Assisted Living MINUTES AWAY from Glacier National Park, Whitefish Mountain Ski Resort, Flathead Lake and snow-capped mountain peaks, Prestige Assisted Living Center in Kalispell is surrounded by the awesome beauty of nature. Conveniently located in a residential area just off Meridian and Highway 2 West, our community at Kalispell is close to grocery and other shopping, banking, medical and dental clinics, and the Kalispell Regional Medical Center. This pet-friendly community offers a choice of 44 studio, one- and two-bedroom apartments featuring a kitchenette with full-size refrigerator and microwave oven, barrier-free showers, individually controlled heat, and a 24-hour emergency call system. All of the firstfloor apartments feature private patios. Apartments with mountain views are also available. Prestige Assisted Living at Kalispell also offers a beauty salon, spa room, fitness gymnasium, private dining room, an activity room with a large screen television for viewing all your favorite shows and a central courtyard. Prestige Assisted Living 125 Glenwood Drive, Kalispell, Montana 59901 406.756.1818 Fax: 406.756.0583 www.prestigecare.com 40 MONTANA HEALTH JOURNAL WINTER/SPRING 2014

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Stay Warm and Cozy at Timber Creek Village 375 meadow lake blvd. columbia falls, mt 59912 406-892-3400 M O N TA N A L I V I N G . C O M

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From Page 27 multiple social and behavioral problems that in turn impact their academic success. is reduces their potential for future education or learning a trade, becoming part of the state’s workforce, and achieving economic independence as adults. ere are those who claim that poor families should pull themselves up from their bootstraps and solve their own problems. To do that, a family needs boots to begin with. is includes a living wage that can meet the growing cost of food, housing and transportation, as well as affordable health care. Parents are the first and most important providers for food for their children, but are struggling to make ends meet. Child hunger affects not just the family, but the community and state. Children are the future workers in the state, and the ability to acquire proper knowledge and skills in the early years can have lasting benefits for our economic progress in the future. Good nutrition is a key building block in a child’s life to maximize assurance of their future. Business leaders have a critical role in assuring the vitality of our future workers. e good news is that there is tremendous work being done in the state to end child hunger. is will be showcased at the “Build a Stronger Montana: End Childhood Hunger Summit”. We encourage employers, faith groups, service organizations, health professionals, non-profit groups and others to attend this conference and learn about opportunities to resolve this problem in their own communities. For more information or to register for the Summit, go to https://tofu.msu.montana.edu/cs/childhunger2013

Missoula, Montana

Beginning to Advanced Curriculum Certificate Programs Available gp@herbsmt.com • 406.274.2009 GreenPathHerbSchool.com 42 MONTANA HEALTH JOURNAL WINTER/SPRING 2014

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HEALTHCARE INDUSTRY

Charity

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Cost of charity care on the rise

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BY LAWRENCE L. WHITE, JR., MHA, FACHE | ANNA IVERSON BUCKNER, MA, MPH

Charity care applications have increased substantially. In the three years from 2008 to 2010, the number of applications for charity care received by the study hospitals increased dramatically, from 27,200 in 2008; to 41,600 in 2009; and to 46,800 in 2010. is is likely related to increased need and awareness, since the economic downturn associated with the Great Recession coincided with efforts by Montana hospitals to improve access to their charity policies and application forms online. Over this same period, the overall approval rate for charity applications declined from 93% in 2008 to 90% in 2010. e first Montana Hospitals Report found that in fiscal year 2006, the 10 large hospitals provided $33.56 million in charity care. In this fifth report, for fiscal year 2010, the amount of charity care those hospitals provided had reached $61.41 million. When adjusted for inflation (based on the overall CPI), that represents an increase from $33.56 million to $56.78 million – a 70% increase over the five-year span of the reports (shown in Graph 3 on page 14). In 2010, Montana’s nonprofit hospitals reported almost $195 million in community benefits in return for total tax

exemptions valued at $58 million. As the report notes, the composition of the community benefits provided continues to change from year to year for various reasons. is report notes that significantly, for the first time, the costs of subsidized services exceeded charity care for the large hospitals. In FY 2010, the large hospitals reported 33% more in subsidized services costs than in the previous year; small hospitals had a 52% increase. Much of this increase in subsidized services can be attributed to certain hospitals claiming the costs of their physician clinics. St. Peter’s Hospital in Helena claimed $5.06 million, Bozeman Deaconess $5.69 million and Community Medical Center in Missoula $4.26 million for their hospital-owned medical practices located within their metropolitan areas. is relatively recent development reflects changes in the way healthcare services are provided for many Montanans. As the report notes, this trend in claiming hospital-owned physician clinics as a community benefit – and its implications for the extent to which Montana’s nonprofit hospitals are fulfilling their charitable purposes – is “appropriately a matter of concern and attention, Gov. Steve Bullock said.

At th tthe hee Sw h Swan an R an River iver IInn nn n we know kno kn now that th th haat at your ur eenvironment en n nvvir ironm nm meeen nt is is a ppart ar off yyo ar your ur ov ur overall era er ral rall all ll wellness wel ell llln neesss ne

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dolack.com

Paintings, Prints Fine Art Posters Visit the new Monte Dolack Gallery website at www.dolack.com to view original paintings, limited edition prints, posters and more. You’ll also find information about upcoming exhibitions and new work of both Monte Dolack and Mary Beth Percival. When in Missoula visit our gallery which is celebrating it's 20th anniversary on Front Street in historic downtown Missoula.

139 West Front Missoula • Montana 8 0 0 . 8 2 5 . 761 3

Monte Dolack, Placid Lake Sunset “Dog is My Co-pilot” ©2012 Monte Dolack, Saint Mary Meadow ©2010

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