Missoula Health Resource Guide by Missoulian

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2 0 1 1 - 2 0 1 2 Fi f t e e n t h A n n u a l

Health m i s s o u l a

c o u n t y

Resource Guide

sponsored by

The Missoula Area Chamber of Commerce Health Committee

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Health m i s s o u l a

c o u n t y

Resource Guide 2011-12

elcome to Missoula County’s 2011-2012 Fifteenth Annual Health Resource Guide, brought to you by the Missoula Chamber of Commerce Health and Human Services Committee and the Missoulian. Our mission is “To increase public awareness by providing an opportunity for communication and education regarding issues such as health, safety and the environment among Missoula’s business community, medical community and the general public.” We created this publication in order to provide you with a readily available medical services guide for use in your home or office to assist family, friends, co-workers or neighbors. The table of contents and index can quickly direct you to your area of interest or concern. Feel free to copy pages as needed if you are helping others with information. We do not intend this guide to be an exhaustive list of all of the health care providers in the county, but we are

hopeful that it will assist you in making wise and healthy choices when it comes to caring for yourself and your loved ones. Please send your written comments, suggestions and additions to the Chamber of Commerce Health Care Committee, Missoula Chamber of Commerce, 825 E. Front St., Missoula, MT 59802. Finally, we encourage you to join the Chamber and become an involved member in our community business. Other Health and Human Services Committee programs include: Annual Health Fair, January 7, 2012 at Southgate Mall Thank you, Health and Human Services Committee of the Chamber Carrie Schaff,

Chair for Health and Human Services Committee

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Table of Contents

Common Medical Definitions. . . . . . . . . . . . . . . . . . . . . . . 4 General Practice. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Alternative Medicine. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Chiropractic. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Exercise and General Health. . . . . . . . . . . . . . . . . . . . . . 11 Hospitals and Health Facilities. . . . . . . . . . . . . . . . . . . . . 14 Cancer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Rehabilitation Services and Resources . . . . . . . . . . . . . . 24 Preventive Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Dental Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 Vision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Nutrition and Emergency Services. . . . . . . . . . . . . . . . . . 38 Native American Services . . . . . . . . . . . . . . . . . . . . . . . . 42 Environmental Safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Veteran Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

Pregnancy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Childrenâ&#x20AC;&#x2122;s Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 Educational Resources . . . . . . . . . . . . . . . . . . . . . . . . . . 60 Seniors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62 Disability Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 Disease Specific Resources. . . . . . . . . . . . . . . . . . . . . . . 78 Reconstructive & Cosmetic Surgery. . . . . . . . . . . . . . . . 88 Dermatology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89 Dependency and Addictions . . . . . . . . . . . . . . . . . . . . . . 90 Domestic Violence Resources. . . . . . . . . . . . . . . . . . . . . 92 Mental Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94 Health Insurance and Other Financial Options. . . . . . . . . 98 End of Life. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104 Health and Wellness Directory. . . . . . . . . . . . . . . . . . . . 108 Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112

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Common Medical Definitions

ometimes it seems as if medical professionals speak an entirely different language from the rest of us. Just like other professions, the medical field has a jargon all its own. The language can be intimidating, but never be afraid to ask questions if you don’t understand what your provider says. It is your right as a patient to be informed and take an active part in your care. A responsible provider will not be irritated by your questions and should answer them willingly. Here are a few definitions that you might find helpful. Consult a medical dictionary for a complete list of terms. Alternative Medicine or Complementary Care - an area of patient care that is not necessarily dependent on the traditional western medicine model. BMP - Basic Metabolic Panel CBC - Complete Blood Count CMP - Comprehensive Metabolic Panel with electrolytes, kidney function tests and liver function tests Colposcopy - exam of vaginal and cervical tissues by using an instrument with a magnifying lens - used in selecting sites of abnormal epithelium for biopsy in patients with abnormal Pap smears. CT Scan - Computerized Tomography - a non-invasive special radiological technique designed to show detailed images of internal structures of the body.

Incontinence - the inability to control the function of one’s bladder or bowel. Internist - physician specializing in medical (non-surgical) care. Mammogram - a radiological exam of the breast. Recommended periodically (the frequency depends on your age and prior medical history) to detect breast cancer in its earliest stages. MRI - Magnetic Resonance Imaging - A radiological imaging technique especially helpful in viewing the soft tissues of the body such as the brain, the heart and the kidneys. Neurologist - specialist of the nervous system Obstetrician - a physician who treats women during pregnancy and delivers infants. Ophthalmologist - a physician who specializes in the treatment of eye disorders. Orthopedic Surgeon - specialist in performing surgical prevention and correction of musculoskeletal deformities. Pap Test/Smear - Papanicolaou test - A microscopic test of the cells from the cervix and the vagina in order to detect early any signs of cancer of the female organs. Pediatrician - a physician who specializes in the treatment of infants, children and teenagers

Dermatologist - medical practitioner who specializes in diagnosis and treatment of diseases of the skin, hair and nails

Physical Therapist - an individual who is legally responsible for planning, conducting, and evaluating a physical therapy program referred by a physician.

ECG or EKG - Electrocardiogram - a test that determines the electrical activity of the heart.

Physiatrist - health professional who specializes in physical medicine and rehabilitation.

EEG - Electroencephalogram - A test that determines the electrical activity of the brain. One test used in head injuries or seizure activity.

Podiatrist - health professional responsible for examination, diagnosis, prevention, treatment and care of conditions and functions of the human foot.

Endoscopy - inspection of body organs or cavities by use of a tube like device with an optical system

Primary Care - health care that is provided by a family or general practitioner

ENT - ear, nose and throat

Prostate Screening - may include a physical as well as laboratory exam in order to detect prostatic cancer in its earliest stages. Recommended periodically (the frequency depends on your age and prior medical history).

Family or General Practitioner - comprehensive medical practitioner with responsibility for health care that is not limited by patient’s age, sex, gender, particular organ, system or disease. Gastroenterologist - medical practitioner who specializes in the treatment of stomach and intestinal diseases. Gynecologist - a physician who specializes in the diseases and routine physical care of women’s reproductive systems.

PSA - Prostate Specific Antigen - measures an inflammatory response in the prostate which is indicative of prostatic growths and cancers Ultrasound - a special non-invasive test that utilizes radio waves to determine the structures of various soft tissue organs, such as the heart, the kidneys, and the uterus.

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General Practice PRIMARY CARE

Most often primary care is provided by a family practitioner, pediatrician, or internal medicine. There are also providers of health care other than physicians who render some primary care services. Such providers may include nurse practitioners (NP), physician assistants (PA) who collaborate with physicians. A personal primary care provider serves as the entry point for substantially all of the patient’s medical and health care needs - not limited by problem origin, organ system, or diagnosis. Primary care physicians are advocates for the patient in coordinating the use of the entire health care system to benefit the patient. They may refer patients to specialists as needed. Physicians may become board certified by completing training in a particular specialty area and passing an examination to demonstrate that he or she has the skills and experience to practice within that specialty. Board certified physicians must maintain their certification by passing periodic examinations. All providers, MD, NP, and PAs must take continuing medical education courses to remain skilled in their field.

NATUROPATHIC CARE

Naturopathic medicine is primary physician-based health care, which focuses on holistic and natural medicine. Naturopathic physicians (NDs) follow seven basic principles in the practice of medicine: allow nature to heal, do not harm, find the underlying cause of the disease, treat the whole person, encourage prevention, recognize wellness and function as a teacher. Naturopathic physicians attend four year post-graduate naturopathic medical schools, take national and state licensing exams, must complete yearly continuing education hours, and are licensed in Montana as primary care family physicians. Many insurance plans cover care provided by a naturopathic physician. Please reference your local yellow pages for a listing of naturopathic physicians.

MAXIMIZING YOUR VISIT TO A HEALTH PROVIDER

An appointment with a health care provider is an exchange of money or insurance for information on how to take care of your health. This information may include instruction on how to take medications, what symptoms or signs to report,

or a special diet to follow. Often there is a lot of information to take in, and keep in mind that you might not be in the best condition to remember everything that is said. Here are some helpful hints on how to maximize your visit: • • • • •

•

Be prepared with information, questions and other observations. Write them down before you go so you don’t forget them, and take notes during the appointment. Don’t be intimidated by your doctor. A good doctor is going to take the time to answer your questions. Bring along an observer. Two heads are often better than one, especially if you are not feeling well. Make sure that you are comfortable with, and understand, the provider’s advice. Good communication is an important part of quality health care. If you have any doubts about the provider’s advice, don’t be afraid to ask for a second or even a third opinion. Either ask your provider for the name of a consult or confer with friends and family. A quality professional will welcome a colleague’s viewpoint and advice. Ask for reading material or other patient education information. Additional resources help to reinforce and supplement the notes you took during your appointment and might make you feel more confident taking care of yourself at home.

General Services

Mountain Line 1221 Shakespeare Street..... p: 406-721-3333; f: 406-543-8387

Mountain Line is a public transit agency, providing service to Missoula, MT and The University of Montana. Mountain Line operates fixed-route and paratransit bus service in and around Missoula. Deborah Kimmet Massage Therapy & Movement Education 1048 Burlington, Ste. 108.............................................. 544-4704 Mountain Line Paratransit and Senior Van Service 1221 Shakespeare Street P: 406-721-2848; F: 406-543-8387

Mountain Line operates an ADA comparable paratransit service and a senior van service for eligible passengers. Use of these services is dependent upon meeting eligibility requirements. Senior van service is available anywhere in the district between 8:30 am and 4:30 pm on weekdays, and between 10:00 am to 4:00 pm on Saturdays. Paratransit services are available from 6:15 am to 8:00 pm on weekdays, and from 9:30 am to 6:00 pm on Saturdays

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Alternative Medicine ACUPUNCTURE

Acupuncture is one of the five branches of traditional Chinese medicine, incorporating 2,500 years of theoretical and practical knowledge. Acupuncturists see the body as a network of interconnected systems powered by and connected through energy called Qi. A common belief in Oriental medicine is that blockage of Qi causes pain. When there is no blockage, there is no pain. Acupuncture treatments commonly use tiny needles to placed along meridians (energy channels) and trigger points. The goal is to influence the Qi and bring the body back into balance. Acupuncture Clinic of Missoula Located at Health Options Clinic 3031 S. Russell .728-1600

Dallas Seaber, MAcOM, L.Ac. & Karen Hayberg, MAcOM, L.Ac. Two practitioners with a wealth of training and experience. Acupuncture, Chinese herbs, nutritional counseling and NAET (Allergy treatment). Wellness care and treatment for: pain of all types, allergies, stress, IBS, fatigue, injuries, depression, asthma, women’s health and more. Gentle, safe, effective. Children to adults. Free consultations. Monday, Tuesday, Thursday and Friday appointments.

AYURVEDA

Ayurveda is the ancient healing science of India, dating back several thousand years. Classical Indian thought relates that all of life is fundamentally spiritual and that the material world flows from this spiritual source. From this perspective, any illness that shows up in the physical body has an underlying cause, one that is rooted in the energetic, psychoemotional, and spiritual levels. Ayurvedic treatment focuses on the physical level, through the use of herbal remedies, massage, diet, and lifestyle modifications.

BIOACOUSTICS

BioAcoustics can most aptly be described as a cross between music therapy and biofeedback. The principles originate with the idea that the brain perceives and generates impulse patterns that can be measured as brain wave frequencies. These impulses are, in turn, delivered to the body by way of nerve pathways. The theory incorporates the assumption that these frequency impulses serve as directives that sustain structural integrity and emotional equilibrium. BioAcoustics seeks to influence the systems within the body that produce, interpret and use frequency.

BIOFEEDBACK

The basic goal of biofeedback is to provide individuals with increased information about what is going on inside their bodies, including their brains. The feedback makes learning about our bodies possible. In this fast-paced and stress-filled world, many people are unaware of the stress signals in their bodies. “Tuning” into the body’s signals is an important skill that can be improved with biofeedback training.

CHIROPRACTIC MEDICINE

The philosophy behind chiropractic medicine is that the spine and associated structures are central to wellness. Chiropractic doctors think about the body as a whole, emphasizing physiology and biomechanics. Chiropractic treatments are usually tolerated without pain or discomfort. Treatment may be applied by hands only, or your chiropractor

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may use a variety of instruments to help make the adjustment. Ideally, chiropractic treatments will help ease pain and improve muscle and joint function. Treatments are most often successful when the pain is mechanical.

CLINICAL HYPNOTHERAPY

Hypnotherapy is a unique form of therapy that provides access to subconscious activity through the use of hypnosis. Hypnosis is a natural state of awareness we all experience at least twice a day: before falling asleep at night and prior to full awakening in the morning. During private sessions, hypnotherapists consult with clients to determine the nature of the problem and utilize the hypnotic state to increase motivation, alter behavior patterns or gain access to other natural aspects of the subconscious mind. Clients are educated about hypnosis and taught self-hypnosis techniques that allow them to participate in creating relaxation and health.

COLON HYDROTHERAPY

Also called colonic irrigation, colon therapy or a colonic, is a safe and gentle way to hydrate and cleanse the colon. Warm filtered water is introduced into the colon, hydrating the tissues and any hardened materials that may be in the colon. The water helps to stimulate the body’s natural peristaltic action to release waste. The removal of this waste encourages better colon heath and functioning.

CRANIOSACRAL THERAPY

Developed by Dr. John Upledger, an osteopathic physician, craniosacral therapy uses light touch to detect and correct imbalances in the membranes of the central nervous system. In every body there are a number of imbalances present from the effects of injuries, accidents, illness and emotional trauma. Cranialsacral therapy uses the bones of the head (the cranium) and the sacrum at the lower end of the spine as “handles” to access the connective tissue lining of the brain and spinal cord.

ENERGY BALANCING

Energy Balancing is the science of stimulating and balancing the body’s life energy. For a person in a state of “dis-ease”, or imbalance, the flow of life energy has become obstructed. Energy Balancing releases blocked energy so healing can occur. It combines bodywork with personal guidance and support in the areas of nutrition, exercise, relationships, communication, and development of a positive attitude.

FELDENKRAIS

Using Awareness Through Movement (ATM) and Functional Integration (FI), trained Feldenkrais practitioners guide students in non-invasive ways to improve posture and breathing; reduce stress, fatigue, pain and tension; and develop more efficient, flexible movement. In ATM, movement explorations are guided by verbal direction and can take place in a classroom with others, or at home by listening to CDs or reading books. In FI, attentive movement is initiated by the teacher, following cues from the student’s nervous system response and body language. Comfortable street clothes are worn and the practitioner’s quality of supportive touch provides a sense of safety and ease, allowing the student to focus on the internal learning process. The lessons are beneficial for people of any age, from the physically fit to those with movement troubles, and teach

kinesthetic awareness and problem-solving skills through self-discovery. Physicist, judo master, and author Dr. Moshe Feldenkrais (1904-1984), who made breakthrough discoveries about the connection between movement and how we sense, think, learn and heal, said of humanity’s potential for change, “The only thing permanent about our behavior patterns is the belief that they are so.”

IRIDOLOGY

Iridology is a form of energy work in which the practitioner studies the iris of the eye to assess where the person might have energy blocks. It is used to assist clients in improving energy levels and overall well-being. After completing the assessment of the eye, the practitioner will advise the client to use diet, herbal teas/powders, tinctures, essential oils, flower essences, movement massage, medication or belief adjustments to assist the client in releasing their energy blocks.

MASSAGE

Massage Therapy is a profession that is widely respected within the healthcare field.  Massage Therapy is an umbrella term that encompasses over 150 different techniques.  Specialties include relaxation and wellness, chronic pain and injury recovery, infant, prenatal, geriatric, oncology, deep tissue, therapeutic and lymphatic techniques.  Although there are many types of massage, each offers a way to impact the body’s structural, neurological, mental, emotional and hormonal systems. Deborah Kimmet Massage Therapy & Movement Education 1048 Burlington, Ste. 108.............................................. 544-4704

MINDFULNESS MEDITATION

Mindfulness meditation grows out of spiritual traditions from several different religions. To practice mindfulness, you practice cultivating clear, moment-to-moment awareness. You also focus on your “being” as opposed to your “doing” existence. Mindfulness becomes an internal resource which develops the skills to deal with challenging life experiences. The habits and thought processes you learn have been found to promote a deeper sense of being in charge of troubling experiences such as anxiety, chronic pain or illness, and the day-to-day stresses of life.

REIKI

Reiki is a gentle, noninvasive healing method based on the ancient practice of the laying on of hands. It’s a gentle, noninvasive touch either directly on your body or up to two inches above your body. Reiki aims to restore the unimpeded flow of energy in your body. By opening the body to its own healing energies, Reiki can ease acute pain, lower tension, and calm breathing. Western Montana Integrative Healthcare Alliance www.healthymontana.com

Composed of a large group of healthcare providers committed to promoting an integrative approach to healthcare. The group meets once a month at St. Patrick Hospital and is open to healthcare professionals who share this vision. The group sponsors a large conference each February called Bridging the Gap. Information for patients is available on their website.

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chiropractor

he philosophy behind chiropractic medicine is that the spine and associated structures are central to wellness. Chiropractic doctors think about the body as a whole, emphasizing physiology and biomechanics. Chiropractic treatments are usually tolerated without pain or discomfort. Treatment may be applied by hands only, or your chiropractor may use a variety of instruments to help make the adjustment. Ideally, chiropractic treatments will help ease pain and improve muscle and joint function. Treatments are most often successful when the pain is mechanical.

Absolute Health Family Chiropractic 913 SW Higgins Ave.......................................................... 549-7171 Berard Family Chiropractic 289 Rodeo Drive Ste 3, Florence.................................. 273-4640 Butler Chiropractic 1802 Dearborn Ave Ste 10............................................. 728-5114 Clark Chiropractic 3031 S Russell................................................................. 721-8825 Cornerstone Chiropractic 715 Kensington Ave., Ste. 24A....................................... 541-9150 Gray Chiropractic Offices, P.C. 3031 S Russell St............................................................ 549-4067 Hickory Street Chiropractic Clinic 225 Hickory St.................................................................. 542-3327 Krieg Chiropractic Center Inc 1070 N Russell St............................................................ 541-8888 Matz Family Chiropractic Center 1519 S Reserve St............................................................ 552-4014 ProAdjuster Chiropractic Clinic 1526 Reserve St............................................................... 721-5780

Ramsay Back & Body Health 825 W Kent Ave................................................................. 721-9199 W Chiropractic Incorporated 2801 Great Northern Loop............................................ 549-9100 Wholistic Chiropractic 255 B W. Front St. Caras Park Entrance................... 728-7777

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Exercise & General Health

he American College of Sports Medicine currently recommends exercising three to five days a week. Exercise reduces your risk of heart disease, high blood pressure, osteoporosis, diabetes and obesity. A five to ten minute warm up period should precede aerobic activity. Exercise intensity should be maintained for 30-45 minutes, followed by a gradual decrease in intensity. The workout should be concluded with 5-10 minutes of stretching to cool down. Adequate hydration can help your performance and prevent the medical dangers associated with dehydration. The popular rule of thumb is to drink six to eight 8-ounce glasses of water a day. The easiest way to tell if you have had enough to drink is to monitor your urine. Clear-colored urine in significant amounts indicates adequate hydration. Darkcolored urine is concentrated with metabolic wastes, signaling dehydration.

HEALTH CLUBS, PERSONAL TRAINERS & SERVICES Many health clubs employ personal trainers who can help instruct you on exercise equipment, guide you on a personal fitness program, add variety to a stale routine, focus on training for a specific sport, and encourage you to reach your personal goals. Access Fitness, 1906 1/2 Brooks, Holiday Village 728-5515 Baldwin Fitness Training, 2825 Stockyard Rd, Unit F2 721-8100 Bodies by Bender, 113 W. Main St................................. 728-4395 Bullet Gym, 500 E. Spruce St......................................... 543-7800

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Marcus Daly rehabilitation services

One-On-One

licensed therapy

We offer Speech, Occupational and Physical therapies and have team members certified in orthopedics, pediatrics, hand therapy, manual therapy and neurodevelopmental treatment. Call to schedule an evaluation today!

OccupatiOnal therapy Jen Dunn, otr/l Bill Ownbey, otr/l, cht Holly Smith, otr/l physical therapy Duain Abbott, pt, phd Pete Dunn, dpt, otr/l, hpcs Desiree Dutton, mpt Mike Hattlestad, ms, pt, ocs Holly Jarvis, pt, pcs, ndt Jay Mitman, pt Tim Redfern, pt, mtc Scott Raveling, pt Jeff Simmerman, pt Travis Williams, dpt speech – language pathOlOgy Jennifer Joyner, ms, ccc/slp Amy Yockey, ms, ccc/slp

375.4570 • www.mdmh.org 1200 Westwood Drive • hamilton, Mt

REHABILITATION

S E RV I C E S

Quality Care Close to Home

Curves, 1204 West Kent Ave., ....................................... 543-9735 www.curvesmissoula.com Gold’s Gym, 2425 W Central Ave.................................. 549-9181 Iron Sport Fitness Club, 103 Tyler Way.................... 381-8444 JB’s Fitness & Pilates Studio, 900 Council Way....... 721-8882 LifeStyle Fitness, 3275 N. Reserve St......................... 541-3114 The New Well, 1831 S 3rd Street West...................... 829-8746 Peak Health & Wellness Center, 5000 Blue Mountain Rd 251-3344 Red Willow Learning Center 825 West Kent Street 721-0033 Stafford Fitness, 218 E. Front St............................... 549-2832 Wallwork’s Gym, Studio 11 Hammond Arcade......................... 101 S. Higgins Ave...................................................... 327-9989 YMCA, 3000 S. Russell St. .............................................. 721-9622 Fitness First ................................................................... 721-1090

Offers various classes on step, strength, circuit and yoga. As part of the YWCA Breast Cancer Wellness Program, cancer survivors may participate in any of the Fitness First classes free of charge. Living Light............................................................... ……543-7116 www.thecouragetoblossom.com, lifecoachjamie@gmail.com

Do you ever feel like you know what you need to do be at a healthy weight, and that isn’t enough to put it together. If you are ready to get out of your own way, and approach weight loss from the inside then the affordable Living Light Coaching might be right for you. Mall Walkers Southgate Mall, Community Room............................. 721-5140

Hours: Mon, Wed, Fri, 9:00 a.m. - 10:00 a.m. Meeting includes health and fitness discussion group, warm up, 30 minute walk and cool down. Sponsored by Southgate Mall, St. Patrick Hospital and Western Montana Clinic.

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Dip, the River City Roots Run/Walk, and the Turkey Day 8K. The club turns non-runners into runners and provides lots of encouragement and camaraderie to promote exercise and a healthy lifestyle. The Women’s Club 2105 Bow Street.............................................................. 728-4410 www.thewomensclub.com, twc@thewomensclub.com

M-H 5:30 a.m. - 10 p.m. Friday 5:30a - 9 P Sat. 8a - 7 p Sat. Simdau 9 a. - 6 p.6 p. Sunday The Women’s Club is a full service health and wellness facility dedicated to the health and well-being of women. Our facility boasts over 85 classes per week, pool, 2 strength training areas, a large cardio selection, Pilates, Yoga, manicures/pedicures, massage, facials and on-site physical therapy. We have experienced certified personal trainers and and atmosphere of support, encouragement and community. Yoga Program St. Patrick Hospital 500 W. Broadway ............................................................. 329-5895

Yoga is the union of body, mind, and spirit, and will help you deal with physical and emotional stress. Classes consist of Yoga postures, breath awareness and relaxation techniques. Yoga classes are taught by Jennifer Brooke, a nationallyregistered yoga teacher/therapist and a physical therapist at St. Pat’s. Call for times and schedule. Red Willow Learning Center 825 West Kent Street..................................................... 721-0033 Iron Sport Fitness Club 103 Tyler Way................................................................... 381-8444

Use it to pay the bills

Masters Swimming, YMCA............................................. 721-9622

Hours: Adult, coached swims: Mon & Wed 6:30 p.m. 7:30 p.m., Fri 6:00 p.m. - 7:30 p.m Designed for fitness swimmers, triathletes and competitive swimmers, the sessions are open to ages 19 and older, members or nonmembers. Register at the front desk. Partnership Health Center 323 W. Alder St................................................................. 258-4789

Provides affordable access to therapy services through a network of 50 local therapists. Targets people with limited income and/or no health insurance in Missoula County. Fees are slide-based on ability to pay. Run Wild Missoula PO Box 1573, Missoula, 59806........................................ 626-4055 www.runwildmissoula.org

Run Wild Missoula is a non-profit running club with the mission to support runners and walkers of all ages and abilities by organizing races, training programs and educational events. RWM’s signature event is the Missoula Marathon. Other races include the All Women’s Diva Day 5K, the Pengelly Double

Keep your medical bills in check, with a Health Savings account or a Montana Medical Savings account. You’ll get the peace of mind that comes from being prepared for an emergency, and the convenience of easy access to your funds. Find out more at any branch.

More than you expect

523-3300 / www.missoulafcu.org

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Hospitals & Health Facilities HOSPITALS Community Medical Center 2827 Fort Missoula Rd..................................................... 728-4100

Community Medical Center is a 151-bed facility with more than 300 physicians on its medical staff. It includes an acute medical surgical floor, pediatric and adult intensive care, surgical services including the da Vinci Si surgical robot, newborn services, an Level III Neonatal Intensive Care Unit, pediatrics, women’s services, Rehabilitation Institute of Montana, orthopedics, physical therapy, speech/language pathology, cardiology, CareFlight - air transport, Level III trauma center, diabetes and nutrition programs, pediatrics and adult hospital programs, diagnostic imaging, laboratory services, sleep medicine, respiratory services, Montana Breast Health Center, Montana Cancer Specialists at Community Medical Center, transport referral center and Community Physician Group, which employs more than 45 physicians with a variety of specialties. Visit www.communitymed.org for more information or become a friend on Facebook to stay informed about Community Medical Center events. Community Medical Center has been accredited by the Joint Commission on the Accreditation of Health Care Organizations since 1954. Community is the only hospital in Western Montana to be Joint Commission recognized for Advanced or Disease-Specific Certifications in all of the following: • Advanced Primary Stroke Center • Total Hip • Total Knee • Hip Fracture • Osteoporosis (thus far the country’s only facility to achieve this distinction)

Marcus Daly Memorial Hospital 1200 Westwood Dr., Hamilton…….406.363.2211

Marcus Daly Memorial Hospital (MDMH) is a not-forprofit, critical access medical facility. MDMH is committed to quality, accessible, personalized healthcare and makes patients’ satisfaction their highest priority. The hospital’s ongoing commitment to the delivery of quality care has resulted in national, regional and statewide recognition. Marcus Daly Home Health Service has received two national level awards; Marcus Daly Home Health Service ranks #1 for the state of Montana by the National Ranking for Home Health Agencies and was included in the HomeCare Elite group. Marcus Daly Memorial Hospital was also recently awarded the MountainPacific Quality Health’s Quality Achievement Award. Marcus Daly Memorial Hospital offers many general services and specializes in the specialties that are available. The inpatient & outpatient Surgery Center offers general, cosmetic, podiatry, obstetrics, ophthalmology, orthopedic, and urology surgeries, as well as other minimally invasive procedures. Radiology Services are state-of-the-art and include a 64-slice CT scan, high resolution MRI, digital mammography, ultrasound, bone densitometry, fluoroscopy and the PACS system. A comprehensive multi-disciplinary team of 17 certified therapists staff the new Rehabilitation Center that opened in 2009 with evidence-based rehabilitation equipment, aquatic therapy, featuring the only Hydroworx 2000 Therapy Pool in the state and the only pediatric rehabilitation program in western Montana. The Emergency Department is a expansive 20,000 sq ft. state-of-the-art facility designed with the patient in-mind, it is staffed by a Emergency Physicians and RNs, 24 hours a day. Other services include: cardiology/cardiac rehab services, dietitian services, a Hospice Center providing a beautiful residential setting for those needing end of life care, home care services, on-site laboratory and pharmacy, lactation services, medical social services, same day services, sleep services

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and observation services, as well as multiple medical clinics, including Convenient Care, an urgent care clinic. MDMH is committed to the health and well being of the community. Recently the hospital expended the medical staff with three new physicians and became a 100% tobacco free/ smoke free campus. Other wellness initiatives include an annual free cholesterol screening, health education classes throughout the year and online health information. St. Patrick Hospital 500 West Broadway.......................................................... 543-7271

St. Pat’s is a 237- bed hospital that includes general surgery, cardiology, cardiac surgery, neurosurgery, women’s care, bariatric (weight loss) surgery, cancer radiation and chemotherapy. St. Patrick Hospital was the first facility in Montana to have a daVinci robot, for surgeries with significantly less pain, blood loss and scaring and a much faster recovery time than with traditional surgical methods. The daVinci is used for minimally invasive urological, gynecological, and cardiac surgeries. Our imaging services include PET, CAT and MRI. St. Pat’s is affiliated with The University of Montana in cancer, heart disease and neuroscience research projects. Our Life Flight program offers rotor wing, fixed wing and ground transport for adult and pediatric medical and trauma patients. St. Pat’s is the only Level II Trauma hospital in the region, complemented by a newly redesigned Emergency Department. The hospital’s Inpatient Rehabilitation Program is accredited by the Commission on Accreditation of Rehabilitation Facilities. We provide mental health treatment for adults, geriatrics and adolescents. We are western Montana’s only accredited Chest Pain Center, and the only accredited nationally certified air ambulance service in the region. St. Pat’s also has the distinction of being the longest certified Advanced Primary Stroke Center in western Montana. St. Joseph Medical Center in Polson is an affiliate to St. Pat’s. Services at St. Joe’s include surgery, radiology, obstetrics, laboratory, physical therapy and visiting specialists. They also have an orthopedic clinic and two associated medical clinics; the Western Montana Medical Clinic in both Polson and Ronan. St. Patrick Hospital and St. Joseph Medical Center are part of Providence Health & Services, a not-for-profit health system committed to providing a comprehensive array of services to meet the needs of communities across five states, including Alaska, Washington, Montana, Oregon and California. Providence continues the legacy of the Sisters of Providence in the West spanning more than 150 years. Providence Health & Services includes 26 hospitals, more than 35 nonacute facilities, physician clinics, a health plan, a liberal arts university, a high school, approximately 45,000 employees and numerous other health, housing and educational services. St. Patrick Hospital is associated with the following clinics in Missoula: Garden City Medical Center, Grant Creek Family Practice, Montana Internal Medicine and Providence Psychiatry.

HEALTH CLINICS AND SERVICES

Big Sky Surgical Center 2833 Fort Missoula Rd....................542-6559 or 1-888-311-9163

Specializing in outpatient same-day surgery. Ear/nose & throat - Orthopedic - General Surgery- Plastic reconstruction - Neurosurgery - Gynecological- Urology - Other surgical specialties - Pain management- Podiatry - State licensed and

Medicare certified. Blue Mountain Clinic 610 N. California St.......................................................... 721-1646

Family practice clinic, providing a traditional & complementary care approach with emphasis on preventative care for the entire family. Diagnosis and treatment of illness and injury, health education and mental health counseling services, acupuncture, and Chinese herbology. Physical exams, adult & geriatric care, well women exams, well child care, vasectomy, prenatal care, menopause care, and breast & cervical screening education. All family planning services available. Same day appointments for acute illness and injury. Blue Mountain Clinic is a BC/BS preferred provider, primary care provider for New West Health, preferred provider for First Choice Network and accepts Medicaid and Medicare, Visa, Mastercard and Discover. The Learning Center (Medical Library) St. Patrick Hospital 500 West Broadway…..................................................... 329-5710 chi.saintpatrick.org; library@saintpatrick.org

Hours: Mon - Fri 8 a.m. - 4:30 p.m. Please call or check our website for extended evening hours. The The Learning Center is a full-service medical library. We are open to the public and staff is available to help you with your search. The library has both consumer health and professional level medical resources and unique special collections on death and grieving and humanities in medicine as well as links to quality-filtered on-line health resources. Computer workstations, comfortable seating areas and study tables are available for your use. The Archives provides access to the history of the Sisters of Providence and St. Patrick Hospital, founded in 1843. Schools of Nursing and Radiology class photos, a historical timeline, and building photographs are available for viewing on-line. Archive holdings also include historical documents, artifacts, photographs, and medical instruments. Go to ‘Our Heritage’ from our website or call to make an appointment. In addition, the library staff will assist you in completing, witnessing or notarizing your advance directive and will forward it to the End-of-Life Registry in Helena. Community Physician Group - Community Medical Center 2827 Fort Missoula Rd…................................................ 327-4170

Community Physician Group (CPG).is a dedicated group of well-trained, Board certified, health professionals who together provide comprehensive primary and specialty care for you and your family. Our 14 locations in and around Missoula provide coverage to promote your health and resolve health problems when they arise. We are part of Community Medical Center (CMC) and are therefore well-connected to hospital services as well as to other health professionals in the area. We urge you to choose our providers and clinics for your ongoing medical needs. In addition to being excellent professionals, we think you will find our people to be engaging and interesting community members in their own right. Welcome to our group! Community Physician Group - North Reserve 2230 N. Reserve St. Suite #402….................................... 721-0533

Walk-in clinic. No appointment necessary. Extended hours, please call for hours, open seven days a week. Physical Therapy available on location.

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CPR........................................................................................ 329-5613. www.montanacpr.org

St. Patrick Hospital, in collaboration with The International Heart Institute of Montana Foundation, offers American Heart Association certified CPR programs to the community. First Care Northgate in Northgate Plaza 2230 N. Reserve St............................................................. 721-0533

Hours: Open every day with extended hours. Care for minor illness or injury. No appointment necessary.

Providence Medical Group – Florence Family Medicine 5549 Old Highway 93 273-4923........................................ 273-4923

Hours: Mon - Fri 8 a.m. - 5 p.m. Services include family health care, psychology, laboratory and x-ray. Same day appointments available.

Providence Medical Group – Frenchtown Family Medicine 16862 Beckwith St............................................................ 626-5769

Hours: Mon - Fri, 8:30 a.m. - 5 p.m. Services include family health care, including lab services. Same day appointments available.

comfortable setting for our patients and offer on-site digital x-ray imaging, an open extremity MRI, and an outpatient surgery center. Hand and physical therapy are also conveniently located next door. Missoula Bone & Joint Surgery Center is located directly next to our physician offices and specialize in orthopedic and plastic surgery. Referrals and new patients welcome. Missoula Indian Center Fort Missoula Bldg. 33................................................... 829-9515

Offers comprehensive health and chemical dependency services for Native Americans.

The Montana Breast and Cervical Health Program Partnership Health Center, 323 W. Alder St............. 258-4167 www.phc.missoula.mt.us/phc/phcweb/page11

FREE breast and cervical health screening for women ages 30-64 who either have no health insurance or whose health insurance will not pay for these exams. Must meet income guidelines. Call to see if you qualify.

Montana Breast Health - Community Medical Center 2827 Fort Missoula Rd..................................................... 327-3941

Providers: Jeffrey Lindley, MD; Carla Davis, MD; Rob Stenger, MD; Jamie Granger, FNP; and Roger Castillo, PA-C. Family health care providers see patients from the age of birth to 100 years of age. Medicare, Medicaid, Blue Cross and other insurances accepted. The practice is affiliated with St. Patrick Hospital.

Diagnostic Mammography is offered by Community Medical Center at Montana Breast Health Center located off of the South Avenue entrance next to the CMC Emergency Department. Montana Breast Health was designed to provide total breast care services for our patients. Breast services include state -of-art Digital Mammography, Breast Ultrasound, Unltrasound Breast Biopsy and Stereotactic Breast Biopsy equipment, all in a calming and exclusive breast care environment. Call for more information today.

Lolo Family Practice 11350 US Hwy 93 S.............................................................. 273-0045

Providence Medical Group – Montana Internal Medicine 2819 Great Northern Loop, Ste. 200.............................. 543-1197

Providence Medical Group – Grant Creek Family Medicine3075 N. Reserve St. Ste. Q................................ 327-1850

Hours: Mon - Fri, 8:00 a.m. - 5:00 p.m. Walk-ins available Mon - Fri, 8:00 a.m. - 9:00 a.m. Services include family health care, including lab. Same day appointments available. Heartsaver First Aid with CPR and AED Marcus Daly Memorial Hospital 1200 Westwood Dr., Hamilton….............................406.375.4654

The 2009/10 Heartsaver First Aid and CPR class provides the general principles of first aid, medical emergencies and injury emergencies. This class also includes adult, child and infant CPR and AED skills information. Learn critical lifesaving information you can use for a victim of an illness or injury until EMS arrives. (American Heart Association Card, Valid for 2 years) $32.00. Course is offered once a month. Call for more information. Missoula Bone & Joint 2360 Mullan Rd.................................................................. 721-4436

Hours: Mon-Thurs 8:30 a.m.-5:30 p.m., Fri 8:30 am-5:00 pm. New! The Orthopedic Urgent Care Clinic open Mon-Fri 8:30 a.m.-5:00 p.m. for walk-in appointments. An on-call physician is always available after hours for emergencies. Missoula Bone & Joint has been serving Western Montana for over 50 years with comprehensive orthopedic care. Our board certified orthopedic surgeons offer specialized care in many areas including sports medicine, joint replacements, arthroscopies, hand, spine, foot & ankle, and general orthopedics. We provide a complete, convenient, and

Providers: Chet Wright, MD; Michael Hutchins, MD and Claire Francoeur, NP. Internal Medicine physicians see patients from 18 years and older. Medicare, Medicaid, Blue Cross and other insurances accepted. The practice is affiliated with St. Patrick Hospital. Montana Veterans Home PO Box 250, Columbia Falls, MT........... p: 892-3256, F: 892-0256 www.dphhs.mt.gov/sltc/services/vethome/MVHHP.shtml, junderdahl@mt.gov

The Montana Veterans Home is a part of the State of Montana’s Department of Public Health and Human Services. A 105-bed skilled nursing facility, with a 15-bed dementia special care unit and a 12-bed self-care residential living unit. Physical, occupational & speech therapy services. Medical appointment scheduling and transport. Resident choice meal plan offering 5 meal times per day to chose from. Medicare/ Medicaid accepted. Admission eligibility includes honorably discharged veterans and their spouses. Call for further information or to be mailed an admission application. Now Care Downtown, Broadway Building 500 W. Broadway, 6th floor........................................... 329-7500

Hours: Mon-Fri 8:30 a.m. - 7 p.m., Sat 9 a.m. - 2 p.m. Patients are taken until 30 minutes before closing. Physician staffed.

Health Resource Guide 2011-12 ~ 19

Community Physician Group. Healthcare that keeps up with you. You can depend on Community Physician Group to provide convenient care for all your healthcare needs. We offer comprehensive care at multiple locations in the Missoula area, including Stevensville. We accept Medicaid, Medicare, New West, and most major insurance providers. Now you can spend less time accessing your provider, and more time living your life. CPG North reserve WALK-IN 2230 N. Reserve St, Missoula, MT 59808 Phone: 406-721-0533 Fax: 406-728-4463

CPG mIssouLA vALLey PeDIAtrICs 2835 Ft. Missoula Rd, Suite 205, Missoula, MT 59804 Phone: 406-542-0391 Fax: 406-542-7754

CPG North reserve PrImAry CAre

CPG mIssouLA vALLey PeDIAtrICs

2230 N. Reserve St, Missoula, MT 59808 Phone: 406-327-3850 Fax: 406-327-3851

2835 Ft. Missoula Rd, Suite 201, Missoula, MT 59804 Phone: 406-542-0391 Fax: 406-327-4143

CPG south reserve 1211 S. Reserve St, Suite 101, Missoula, MT 59801

CPG mouNtAIN vIeW FAmILy meDICINe & obstetrICs

Phone: 406-327-4353 Fax: 549-0084

2835 Ft. Missoula Rd, Suite 101 , Missoula, MT 59804 Phone: 406-327-3920 Fax: 406-721-1051

CPG DIAbetes & eNDoCrINoLoGy AssoCIAtes 1211 S. Reserve St, Suite 202 , Missoula, MT 59801 Phone: 406-327-4791 Fax 327-4790

roCKy mouNtAIN NeoNAtoLoGy 2825 Ft. Missoula Rd, Suite 121, Missoula, MT 59804 Phone: 406-327-4234 Fax 406-327-4404

CPG DIAbetes & NutrItIoN CeNter 1211 S. Reserve St, Suite 202, Missoula, MT 59801

roCKy mouNtAIN PerINAtAL AssoCIAtes 2835 Ft. Missoula Rd, Suite 304, Missoula, MT 59804

Phone: 406-327-4325 Fax: 406-327-4728

Phone: 406-327-3924 Fax 406-327-3923

CPG CArDIoLoGy CPG GeNerAL AND vAsCuLAr surGery 2831 Ft. Missoula Rd, Suite 102, Missoula, MT59804

CommuNIty PeDIAtrIC hosPItALIsts / INteNsIvIsts 2827 Ft. Missoula Rd, 3rd Floor, Missoula, MT 59804

Phone: 406-327-3945 Fax: 406-327-4459

Phone: 406-327-4730 Fax: 406-327-4547

WeLLCAre 2835 Ft. Missoula Rd, Suite 203 Missoula, MT 59804 Phone: 406-327-4287 Fax: 406-327-4493

CPG steveNsvILLe 3800 Eastside Highway, Stevensville, MT 59870 Phone: 406-777-2775 Fax 406-777-2796

CPG PArKsIDe CommuNIty FAmILy CAre 2831 Ft. Missoula Rd, Suite 146, Missoula, MT 59804 Phone: 406-327-3880 Fax: 406-829-1865 CmC rehAbILItAtIoN PhysICIANs 2827 Ft. Missoula Road, Missoula, MT 59804 Phone: 406-327-4430 Fax: 406-327-4488

Community Medical Center is an independent, local, non-profit hospital.

For more information on physicians and services in your area call us at 327-4170 or visit www.communitymed.org

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Now Care Southgate Mall............................................. 721-0918

Hours: Mon-Fri 9 a.m. - 9 p.m., Sat 9 a.m. - 7 p.m., Sun 11 a.m. - 6 p.m. Patients accepted until one hour before closing. Physician staffed.

Parish Nurse and Health Ministries .......................... 728-3845

Parish Nurses are Registered Nurses working within faith communities to promote health and support people spiritually. Parish Nurses participate in specialized education, and believe the healing ministry of churches is an important aspect of health. We provide a link between churches and the health care system. Parish Nursing and Lay Health Ministry is ecumenical and available at many faith communities in Missoula. Partners In Homecare - Partners Solutions 2687 Palmer St, Ste B....................................................... 728-8848

Our infusion therapy program includes intravenous medications state-of-the-art equipment, professional IV nurses & clinical pharmacists. We can provide chemotherapy, antibiotic therapy and much more. We train clients to help themselves with pain & nausea management. Also, our trained reimbursement specialist help clients with insurance verification & other reimbursement issues. Partnership Health Center 323 W. Alder St............................................................ ….. 258-4789

323 W. Alder St.,258-4789 Hours: Mon-Fri. 8 am to 6:30 pm Partnership Health Center’s mission is to provide high quality, affordable health care to the medically under served residents of Missoula and surrounding rural areas through a partnership of community resources. We fulfill our mission by providing comprehensive medical care, dental care, pharmacy services, and a host of other special programs to everyone. We accept Medicaid, Medicare, SCHIP, private insurance, and patients without any form of health insurance. Services are offered on a sliding fee scale. Call for an appointment. Planned Parenthood of Montana 219 E. Main St...................................................................... 728-5490

For 80 years, Planned Parenthood has been a trusted name in reproductive health care. Planned Parenthood of Missoula’s (PPM) mission is to provide reproductive and sexual health care, education and advocacy for the people of Western Montana to help them improve the quality of their lives. Because PPM offers high-quality health care, it is a great choice for people of all backgrounds and incomes. Sliding Fee Scale, accepts Medicaid, private insurance, IHS (Indian Health). PRANA FAMILY PRACTICE PLLC 825 W. Kent.......................................................................... 240-0604

MINDY OPPER, FAMILY PRACTICE PHYSICIAN ASSISTANT AND AYURVEDIC WELLNESS CONSULTANT Providing full family practice services for women, children and men. Over 20 years of experience. Please contact me if you are interested in experiencing an individualized, personal approach to you and your family’s health care needs. A wellness and integrative approach to your care is emphasized. Ayurvedic consultations available for boosting and improving your vitality. Taking new patients, taking Medicaid insurance. Amazingly affordable, quality care. Give yourself a new perspective in your

health care.

Providence Medical Group – Psychiatry 900 North Orange St., Ste. 202....................................... 327-3362

Providence Psychiatry, affiliated with St. Patrick Hospital, offers premier outpatient psychiatric services to the Missoula area. We’re a team of highly qualified psychiatrists, each bringing a unique skill to the group. We proudly work with a variety of concerns including anxiety, bipolar disorder, depression, eating disorders, panic attacks and many other psychiatric issues. We see patients of all ages in our outpatient practice. Providence Medical Group - Broadway Internal Medicine 500 W Broadway, 4th Floor, Broadway Building...... 327-1900

Comprehensive care for adults.

Providence Medical Group - Montana Nephrology 500 W Broadway, 4th Floor, Broadway Building...... 327-1900

Kidney specialists, appointments by referral only.

Providence Medical Group – Lifespan Family Medicine 715 Main St STE A.............................................................. 777-5522

Services include family health care, psychology, laboratory and x-ray.

Providence Surgical Center 902 N. Orange St................................................................ 327-3300

Missoula’s first multi-specialty same-day surgery center specializing in pain management and orthopedic, podiatric, cosmetic, reconstructive ear/nose & throat, dental, gynecological, urological and general surgeries. State licensed and Medicare/Medicaid approved.

Rocky Mountain Ear, Nose & Throat Center, P.C. 700 W Kent Ave.......................................................541-EARS (3277) http://rockymountainentcenter.com

Our doctors specialize in head & neck surgery, otology, pediatric otolaryngology, microvascular reconstructive surgery, skull base surgery, and treatment and surgery of ear disease. We also provide allergy and hearing evaluations. We have an on-site allergy department for allergy testing and desensitization therapy and an on-site allergy department with certified audiologist for all your hearing needs. Rocky Mountain Eye Center, P.C. 700 W Kent Ave....................................................... 541-EYES (3937) http://rockymountaineye.com

Rocky Mountain Eye Center provides western Montana with an experienced staff of eye care specialists and has been providing the highest quality eye care for over 70 years. Our doctors specialize in ophthalmology, examination, treatment & surgery of the eye, cataract & intraocular lens surgery, refractive surgery, retinal & vitreous diseases and surgery, corneal & external diseases & glaucoma, pediatric ophthalmology. As local members of the community, our entire staff is committed to making each patient’s visit a positive experience with complete family eye care. Rocky Mountain Eye Surgery Center, Inc. 700 W Kent Ave................................................................... 541-3883

Specializing in same day outpatient eye surgery for cataracts, oculoplastics, retinal, glaucoma, corneal and refractive surgery. Comfortable, convenient and cost effective.

Health Resource Guide 2011-12 ~ 21

Rocky Mountain Lasik 700 West Kent Avenue ............................ P: 541-3937 F: 541-3810 www.rockymountaineye.com, jkeating@rmeec.com

Offering the best refractive surgery has to offer since 1996. 8 a.m. - 4 p.m. Dr. Nedrud has advanced cornea training and specializes in All-Laser Custom Lasik, Advanced Surface Ablation, and various Refractive Implant Lens surgeries at Rocky Mountain Eye Center. No need to travel far we are right here in Missoula! Call our coordinator for a free, no obligation screening appointment to see if refractive surgery is for you. Providence Medical Group- Seeley Swan 3050 Hwy 83 North, Seeley Lake…................................ 677-2277

Hours: Mon - Fri 8:30 a.m. - 5:30 p.m. Provider: Eric Edwards, FNP Services include family health care, including lab and x-ray.

Shodair Children’s Hospital - Genetics Outreach Clinics 2755 Colonial Drive, Helena.........444-7500 or 1-800-447-6614 www.shodair.org

Shodair is a non-profit specialty hospital serving children and families throughout Montana. Each month, members of its Genetics Department visit Missoula to conduct outreach clinics. Call for an appointment if you have a concern about a genetic condition in your family. Cancer risk assessments are also available. University of Montana Curry Health Center 634 Eddy Ave....................................................................... 243-2122

Services are available only to U of M students. Open 24 hours a day during autumn and spring semesters. Limited Summer and Winter session hours. No clinical services when school is not in session. Comprehensive primary health care specializing in college student health needs. Highly qualified health care providers including physicians, dentists, psychologists & other professionals. Medical, dental, counseling and psychological services, wellness, student assault resource center, substance abuse prevention, birth control, HIV testing, sports medicine. Fully equipped and certified lab, x-ray, pharmacy and inpatient/overnight care. Well Child Clinic with Partnership Health Center 323 W. Alder St................................................................... 258-4789

Available for kids ages 0-5 years at Partnership Health Center every 1st Tuesday morning. Helps evaluate a child’s physical and developmental progress.

Western Montana Medical Clinic - Ronan 311 Hwy 93 S., Ronan...............................................(406) 676-5680

Hours: Mon-Fri 8:00 a.m. - 5:00 p.m. Family health care, including family medicine, ob/gyn, and pediatrics. Providence Medical Group - Women’s Care Center 500 West Broadway.......................................................... 327-3057

Women’s Care Center is a unique clinic providing primary care to women of all ages. With a goal of holistic health, the clinicians and staff provide through, compassionate care in a comfortable and soothing atmosphere. Providers are Georgia Milan, MD; Marcia Hanks, APRN, WHNP; Jean Higgins-Peretto PA-C; and Mary Huddle, CNM. They each see women in the various phases and transitions of their lives, helping them to maximize their own health and wellness. Integrative approaches are offered, as well as allopathic approaches, as the clinic offers complementary care to women of all ages. Women’s Care Center also offers several innovative programs for bone health, bladder health, and breast health. Our breast health program is the only accredited program in Western Montana, and is staffed by Char Houska, Breast Care Coordinator. Our Celebrating Women events share inspiration and education to women and men in our community. Providence Medical Group Wound Care 500 West Broadway.........................329-5736 or 1-866-629-5736

The staff of Wound Care Services at Community Medical Center are qualified to assist patients by providing high-quality, cost-effective care in respect to acute and chronic wound management. Our staff includes wound trained physical therapists and a Wound Ostomy and Continence Nurse (WOCN) for treatment of both inpatients and outpatients. We also offer referrals to several different areas including Nutrition, Nursing, Occupational Therapy and more. Our expert clinicians can improve the outcome of wound care by applying research-based algorithms and protocols to identify and correct impediments to healing. Please call today for more information and to make an appointment. Convenient Care 1200 Westwood Drive, Suite H, Hamilton.................... 363-0597

Hours: Mon- Fri 11am-6pm; Sat. 10am-3pm Convenient Care provides accessible, high-quality and professional walk-in care to diagnose and treat minor illnesses and non-emergencies.

URGENT CARE FACILITIES IN MISSOULA

Western Montana Clinic 500 W. Broadway..............................721-5600 or 1-800-525-5688

Offers a full range of expert medical services provided by over 45 physicians and providers practicing in 17 different medical specialties. Our fully equipped, certified laboratory is available for diagnostic tests. Western Montana Clinic’s highly trained, friendly staff and physicians are readily accessible to provide quality care for its patients. Western Montana Medical Clinic - Polson 6 13th Ave E., Polson...............................................(406) 883-5680

Hours: Mon-Fri 8:00 a.m. - 5:00 p.m., Sat 8:30 a.m. - 11:30 a.m. Family health care, including ob/gyn and pediatric services.

NOW CARE DOWNTOWN Broadway Building • 6th Floor 500 W Broadway • Missoula 406.329.7500 Mon-Fri • 8 am - 6 pm SERVING YOUR COMMUNITY SINCE 1922

NOW CARE SOUTHGATE MALL 2901 Brooks • Missoula 406.721.0918 Mon-Fri • 9 am - 7:30 pm Saturday • 9 am - 6 pm Sunday • 11 am - 5 pm

WesternMontanaClinic.com

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lo o S e D e n t u r e S ? If you are having problems with a loose denture, and have been discouraged by high costs for implant supported dentures, we may have a better solution. To find out, please call for a no cost consultation about your particular denture problem.

Shelby Dental David R. Shelby DDS James W Davis DDS, Prosthodontist 628 S. Ave. W.

406.549.6323 shelbydental@shelbydental.net

Health Resource Guide 2011-12 ~ 23

cancer

ancer is the general term for the abnormal, malignant growth of cells in the body. The growth is purposeless, parasitic and flourishes at the expense of the human host. The cause of cancer is unknown, but it is not contagious. Cancer is considered curable if it is discovered early and if all cancer cells are removed by surgery or destroyed by radiation.

Carcinoma: Carcinoma refers to malignant tumors of the skin or mucus membrane. Sarcoma: Sarcoma refers to tumors of the connective tissue. The ABCDS of Melanoma: Asymmetry - one half doesn’t match the other half Color - The pigmentation is not uniform Border irregularity - the edges are ragged, notched or

blurred

Diameter - greater than six millimeters (about the size of a pencil eraser)

American Cancer Society 728-1004, M-F 8:30 a.m.-5 p.m. (Missoula Office) (800) ACS-2345, 24 hours a day, 7 days a week www.cancer.org

The nationwide, community-based, voluntary health organization dedicated to eliminating cancer as a major health problem by preventing cancer, saving lives and diminishing suffering from cancer through research, education, advocacy and service. Local programs in Western Montana available to cancer patients include free transportation to and from cancer treatment, information & educational resources, makeup, hair and skincare suggestions, free or discounted hotel accommodations and free loan closet with wigs, hats, scarves and other head coverings. Referral source for support groups and prescription assistance. Survivor celebrations and memorial events at annual Relay for Life regional events. Benefis Cancer Programs, Sletten Cancer Institute 1117 29th St. S, Great Falls, 59405 (406)731-8200 or 1-866-466-6822

Benefis Cancer Programs offers comprehensive cancer care services for inpatients, outpatients and their families. Services include radiation oncology, chemotherapy and infusion, inpatient care including stem cell harvesting and transplant, and supportive services such as genetic counseling, pastoral care, nutritional services, physical, occupational and speech therapy services, and other service resources including but not limited to the Image and Appearance Center, Learning Resource Library and a variety of support groups for patients and their families. Benefis Healthcare’s Cancer Program is accredited by the American College of Surgeon’s Commission on Cancer as a Community Hospital Comprehensive Cancer Program.

Cancer Treatment Center of St. Peter’s Hospital 2475 Broadway, Helena.................................................. 444-2381 www.stpetes.org

Access to comprehensive care, including a range of state– of–the–art oncology and radiation services and equipment; a multi–specialty team approach to coordinate the best treatment options; information about ongoing clinical trials and new treatment options; access to cancer–related information, education, and support; and a cancer registry. Members of The Montana Cancer Consortium, accredited by The Joint Commission and by The Commission on Cancer of the American College of Surgeons. Meets established national standards that ensure cancer patients receive the best possible care. Leukemia and Lymphoma Society, Idaho/Montana Chapter 2404 W. Bank Dr., Ste.103, Boise, ID......................(208)658-6662 Missoula Responds to Cancer Coalition.................. 258-3684 http://www.co.missoula.mt.us/healthpromo/CancerControl/

Cancer touches most of our lives. Many of us live with or work with or want to be involved with the cancer continuum Cancer prevention, screening, treatment, caregiving, survivors, end of life care, education, research &/or policy. The coalition is a place for us to coordinate our efforts and concerns, share information, and collaborate to spread the word about our rich and varied local resources and services. The MT Cancer Control Program hosts the Coalition with quarterly meetings, special educational events, newsletters, a web calendar and resource guide, and more. Montana Cancer Specialist at Community Medical Center 2827 Fort Missoula Rd..........................................327-3911 www.communitymed.org

Community Medical Center is committed to bringing the best medical providers, services and facilities together in order to provide western Montana best-in-class healthcare in one centralized location. Our partnership with Montana Cancer Specialists is a testament to this promise. Please call for more information or visit our website. Montana Breast Health at Community Medical Center 2827 Fort Missoula Rd................................................... 327-3941 www.communitymed.org

Montana Breast Health (MBH) is a comprehensive, multidisciplinary breast care center, providing western Montana’s most complete range of clinical and support services, from state-of-the-art screening and diagnositcs to personalized treatment and counseling in a centralized, convenient location. Call 327-3941 for more information or visit our website.

The Montana Cancer Center 500 W. Broadway, Missoula Medical Oncology: 728-2539 Radiation Oncology: 329-5655

The Montana Cancer Center is a collaboration between

24 ~ Health Resource Guide 2011-12

medical oncology and radiation oncology specialists, and St. Patrick Hospital. This collaboration helps us to manage the cancer patient’s complex medical care and to support the patients and their families during the cancer treatment experience. Our mission is to support persistent improvement in cancer care, through a patient-oriented, physician-lead, information-rich system. We provide patients with access to a wide range of professionals: dieticians, physical therapists, oncology-certified registered nurses, nurse specialists, social workers and chaplains. Montana Cancer Screening Program Partnership Health Center ......323 W. Alder St. 258-4162 or (888) 803-9343

Providing high quality, affordable health care to the uninsured, and underinsured residents of Missoula County and surrounding rural areas. St. Patrick Hospital Breast Center Providence, St. Patrick Hospital 500 W. Broadway.............................................................. 329-5656

St. Patrick Hospital Breast Center is the only program in Western Montana accredited by the National Accreditation Program for Breast Centers. We offer comprehensive breast services and breast cancer treatment in one location. Our services include screening and diagnostic mammograms, breast ultrasound, ultrasound and sterotactic biopsy, MRI, CT, and PET-CT. Our Certified Breast Health Navigator, Char Houska, is also a Certified Breast Care Nurse. Our radiologists, surgeons, medical and radiation oncologists are all board certified. We offer physical therapy, lymphedema management, nutritional services, social services, survivorship programs, and a bi-weekly breast cancer support group.

CANCER PATIENT RESOURCES Camps

Camp Goodtimes American Cancer Society, 920 N. Washington, Ste. 200, Spokane, WA & Ross Point Camp in Past Falls, ID (800) 537-7710, ext. 302 kari.allen@cancer.org

ACS donors support this camp to all participants free of charge. Annual camps are for children on active cancer therapy along with their sibling or friend. By providing a medically supervised summer camp, children are able to enjoy activities and outdoor experiences any child would find at a popular youth camp. Camp Mak-A-Dream 65 miles east of Missoula at Gold Creek P.O. Box 1450, Missoula................................................... 549-5987 http://www.campdream.org

Our cost-free programs are designed for children, teens and young adults affected by cancer. Campers will find that it’s much more than just a week of fun in Montana. At Camp, the difficulties of a life affected by cancer are left behind, replaced by unexpected delights: comfort, friendship, security, achievement, serenity—to name just a few. Camps are available for all ages. As if all this weren’t reason enough, Camp programs are offered free of cost, thanks to independent donors and other sources of funding.

Local Resources

American Cancer Society (ACS) Programs..........(800) ACS-2345 www.cancer.org.

Call for more information about these programs available in all Montana communities: Cancer Resource Center – at Montana Cancer Specialist at Community Medical Center Gift Closet, Montana Cancer Center - 500 West Broadway, 728-2539 Wigs - hats and scarves are made available to cancer patients and their caregivers free of charge. Health Insurance Assistance Service – MT cancer patients can call the ACS 24-hour toll-free number to speak with a health insurance specialist to ask about coverage and insurance programs specific to the state. 1-800-ACS-2345. Look Good Feel Better - Trained cosmetologists offer free group sessions to teach female cancer patients beauty techniques to help enhance their appearance and self-image during chemotherapy and radiation treatments. National Cancer Information Hotline – (800) ACS-2345 24/7! Patient Lodging Program in local motels for patients and families traveling to Missoula for treatments. Reach to Recovery - Trained breast cancer survivor volunteers visit with newly diagnosed breast cancer patients (and other types of cancer) to provide support and local resources. Road to Recovery - volunteers provide ground transportation for cancer patients to their treatments and home again free of charge. “TLC” Catalog by American Cancer Society, 1-800-850-9445 Items include breast prosthesis, hairpieces, wigs and head coverings. Items cost less than retail. Call for a free copy. Cancer educational materials – free materials and speakers can be arranged through the MT Cancer Control program. Contact Diana at the Missoula City-County Health Department, (406) 258-3684 or dreetzstacey@co.missoula.mt.us St. Patrick House 501 W. Alder St., Missoula (406) 541-2828

A hospitality house for people from out of town who are in Missoula for medical reasons. By medical referral only. Tough Enough to Wear Pink of Montana 900 North Orange St., Ste 106 www.toughpinkmontana.org

Tough Enough to Wear Pink (TETWP) of Montana is a 501(c)3 non-profit Montana corporation dedicated to providing funding for breast cancer awareness, education, screening, support and further diagnosis for Montana women and men. We hold fundraising and awareness events and provide assistance across the Treasure State. One of our primary goals is to ensure that money raised in a community stays in that community - neighbors helping neighbors. Whether you are in need of assistance, want to participate in one of our signature events, or are interested in helping raise funds for Tough Enough to Wear Pink of Montana in your community learn more at www.toughpinkmontana.org.

Support Groups

Bereavement Support Group at Marcus Daly Hospice 1200 Westwood Dr, Hamilton.................................................375-4752.

Meets every Tuesday from 2-3 p.m. in the Living Center Living Room. No fee (donations accepted). Breast Cancer Wellness Group Community Medical Center 2827 Fort Missoula Rd.....................................................(406) 327-4517

This group meets the second Wednesday of every month from

Health Resource Guide 2011-12 ~ 25

noon to 1:30PM at Montana Breast Health on the CMC campus. Sessions are free and open to anyone who has had or is in treatment for breast cance. For more information call Michelle Weaver Knowles, Breast Health Navigator at 327-4517 or Deb RIvey at 327-3912. Caregiver Support Group at Missoula Aging Services 337 Stephens.......................................................................(406) 728-7682 http://www.missoulaagingservices.org/caregiver.html.

Monthly caregiver support group meeting held third Tuesday of each month from 4pm-5pm. Call or email senior@ missoulaagingservices.org to be added to the Missoula Aging Service’s support group mailing list. Website has more caregiver resources.

Caregiver Support Group at Riverside Health Care Center 1301 E. Broadway.........................................................................721-0680

Monthly support group on the 4th Saturday at 10 a.m. for those who have loved ones living in a skilled nursing setting. General Cancer Support Group, Montana Cancer Center 500 West Broadway....................................................................396-6294

The general support group is open to all patients and caregivers in any phase of their cancer. It meets on the second Thursday of each month from 12:30 to 1:30 p.m. at the Montana Cancer Center. Please contact Katy Simon for more information at the above number or email katysimon@katysimon.com. Men’s Bereavement Breakfast at Marcus Daly Hospice 1200 Westwood Dr, Hamilton..................................................375-4752

Meets twice per month on 2nd and 4th Friday mornings at 9 a.m. in the Dining Room in Hamilton. $3 meal donation. Call Cathy Palmer at for more information and reservations.

Men’s C ancer Support Group at St. Patrick Hospital 500 W. Broadway..........................................................................214-9694

Free and open to men in all phases of testing, treatment and follow-up for cancer. Group meets the last Thursday of the month from 12:15-1:45 p.m. Men thrive in a supportive, all-male environment and express surprise and satisfaction at how helpful and enjoyable this can be. The Group is facilitated by Greg Shanks, a mental health counselor with expertise working with men’s groups and serving people dealing with serious illness, specifically cancer. Please call or email gshanks@mtneuro.com for more information. Sisters in Survival Breast Cancer Support Group Providence, St. Patrick Hospital............................................329-5656

This breast cancer support group meets the first and third Tuesday of every month from 12 to 1 p.m. at St. Francis Xavier Parish Center, 420 W. Pine Street. For more information call Char Houska, RN, at the above number, or email her at chouska@ saintpatrick.org.

Therapeutic Activities

Breast Cancer Survivors Water Fitness Community Medical Center 2827 Fort Missoula Rd.......................................................... 327-4634

Fit to Fight at the Peak Health & Wellness Center 1311 E. Broadway, Missoula www.fittofightmt.org

Empowering cancer patients and survivors to improve their quality of life through an eight-week, physical-therapist supervised, cost-free program of fitness and health. To sign up, call Alpine Physical Therapy at (406) 251-2323. Living Art of Montana uses the arts and nature to support healing Living Art Studio 725 W. Alder, #17(Warehouse Mall).................................. 549-5329 www.livingartofmontana.org

The following workshops are offered free of charge (donations appreciated): Cancer, Courage & Creativity ~ An 8-week closed (not dropin) sequential workshop offered in the fall and the spring for people who have or have had cancer. CCC integrates writing, art, movement, and mask- making as tools for self exploration. No art experience necessary! Living Art has offered these workshops since 1993. This workshop offers a circle of support for expression and connection. Creative Connections for Cancer Survivors ~ This once a month drop-in, 1½ half hour workshop is an opportunity for cancer survivors to express themselves through the arts and to find connections to self, to other’s who have or have had cancer and to the natural world. It is offered the third Wednesday of each month year round from 12 – 1:30pm. Creativity for Life ~ A drop-in expressive arts and naturebased 2-hour workshops (10:30am – 12:30pm) to support healing for people facing illness and loss. They take place three Saturdays each month, year round. Additional Workshops ~ A variety of workshops scheduled throughout the year depending upon resources. Check website for details.

Web Resources

American Cancer Society (ACS) - www.cancer.org Cancer Survivors Network-http://csn.cancer.org

Go to this website to learn about different types of cancer, get help in finding treatment, explore the latest cancer prevention tips, research programs and cures; or to get involved (donate online, find local events by zip, or volunteer). Susan G. Komen - http://ww5.komen.org/

This website is all about breast cancer—from advocacy groups and careers to research grants and treatments—and don’t forget to check the shopping tab for the latest “purchase with purpose” items. National Cancer Institute (NCI) - http://www.cancer.gov/

Learn about different types of cancer, participate in a clinical trial, find treatment options (including alternative medicine), look at the latest statistics, browse NCI publications, check out recent news releases, or get your questions answered immediately at the live chatline or 800 #.

This program is designed specifically for women who have felt the impact of cancer in their lives. A small, supportive environment uses warm-water therapy for stretching and aerobic exercise to improve a sense of well-being. Call for class time and availability today.

National Comprehensive Cancer Network (NCCN) - www.nccn.com

Breast Rehabilitation and Lymphedema Treatment Community Medical Center 2827 Fort Missoula Rd.......................................................... 327-4050

Patient Advocate Foundation (PAF) http://www.patientadvocate.org/

Therapists with specialized training can provide the breast cancer patient with an individualized program to restore painfree movement, maximize upper extremity function, and manage edema when necessary.

NCCN is a not-for-profit alliance of 21 of the world’s leading cancer centers, dedicated to improve the quality, effectiveness, and efficiency of cancer practices, so patients can live better lives. NCCN.org is the website for health care professionals.

The PAF provides mediation and arbitration services, helping patients with chronic, debilitating and life-threatening illnesses to remove healthcare obstacles such as medical debt, insurance access, and job retention.

26 ~ Health Resource Guide 2011-12

Rehabilitation Services & Resources

ehabilitation health services include a wide range of health care professionals who assist in the restoration of an individual’s physical and mental abilities to normal or near normal status after a disabling disease or injury, recovery from an addiction or illness or cardiac insult. Many facilities and agencies in Missoula offer services to meet your rehabilitation needs. These services may include, but are not limited to physical therapy, speech therapy, occupational therapy, cardiac rehabilitation and prosthetic and orthotic resources. Community Bridges Program 2685 Palmer St., Ste. D..................................................... 327-4592

Post-acute, outpatient therapy, comprehensive evaluations, day treatment and residential transitional living program for adults with brain injury. Services include physical, occupational and speech therapy, behavior therapy, psychological services and counseling, life-skills training, therapeutic recreation services, and vocational readiness training. Community Rehabilitation Center 2827 Fort Missoula Rd..................................................... 728-4100

Rehabilitation physicians and 140 therapists, nurses, and other patient care staff provide a full range of medical rehabilitation services on an inpatient, outpatient, day treatment, or clinic basis for children and adults. Services include physical and occupational therapy, speech-language pathology, pool therapy, audiology, psychological services, nursing, recreation therapy, case management for the physically disabled, and vocational services. Special programs help persons with stroke, brain injury, spinal cord injury, arthritis, major multiple trauma, and other disabling conditions.

Community WORCcenter 2685 Palmer St., Ste. D..................................................... 327-4345

The WORCcenter is dedicated to helping individuals with injuries or disabilities get back to work. Primary services are vocational evaluation, employment services including placement, supported employment and extended employment, and community supports. Partners In Home Care - Partners Home Health 2687 Palmer St., Ste. B., .................................................. 728-8848

Our team of nurses, social workers, nurses aids & rehab professionals including (physical speech & occupational therapists) help with the transition from hospital or nursing homes back to the primary residence. Our staff works closely with each client & physician to develop a plan to meet a wide variety of health care needs. Marcus Daly Rehabilitation Services 1200 Westwood Dr., Hamilton…….........................406.375.4570

Five occupational therapists, ten physical therapists, two speech – language pathologists providing multi-disciplinary rehabilitation services on both an inpatient and outpatient basis for children and adults. We have therapists certified in orthopedics, NDT, pediatrics, hand therapy and manual therapy. Our new 12,500 square foot facility offers a walking track, state-of-the-art equipment, Hydroworx 2000 pool, pediatric and adult gyms and breathtaking views of the Bitterroot Mountains. Call for more information. MonTECH, University of Montana 700 SW Higgins Avenue, Suite 250......... p: 243-5751 f: 243-4730 montech@ruralinstitute.umt.edu

MonTECH, Montana’s comprehensive Assistive Technology (AT) resource center offers Montanans statewide a full array

Health Resource Guide 2011-12 ~ 27

of AT support. As a program of the UM Rural Institute: Center for Excellence in Disability Education, Research and Service, MonTECH provides an equipment demonstration center, equipment loans, financial loans, training, evaluations, tours and in-services to all Montanans in need of AT as well as professionals serving them. MonTECH provides free, confidential information about AT devices & services. Our qualified staff will offer customers current accurate information regarding AT-related issues by accessing AT resources, manufacturers & service providers. Community medical center Rehabilitation Institute of MT 2827 Fort Missoula Rd...........................327-4634 (inpatient) or ................................................ 327-4050 (outpatient) or 327-4226

have been clinically demonstrated to minimize the impact of foot drop in some patients, and to proved both functional and therapeutic benefit for some individuals with neurological disorders affecting the function of arm and hand. These products use electrical stimulation to help people regain mobility an independence to improve quality of life and productivity.

CARDIAC REHABILITATION

For those recovering from various forms of heart disease, cardiac rehabilitation offers medical evaluation, supervised exercise, lifestyle education, and psychological support. Community Medical Center Cardiac Rehabilitation Services 2827 Fort Missoula Rd................................... 728-4100 ext. 7560

Full range of medical rehabilitation services on an inpatient, outpatient, day treatment or clinic basis for adults and children. Services include physical and occupational therapy, speech-language pathology, pool therapy, nursing, recreation therapy, cardiac & pulmonary rehabilitation, case management for the physically disabled, and vocational services. Special programs help persons with stroke, brain injury, spinal cord injury, arthritis, major multiple trauma, and other disabling conditions.

Cardiac Rehabilitation • Individual Fitness Plans • Convenient Scheduling, (406) 728-4100, ext. 7560 • Team approach, including exercise physiology, nutrition, physical therapy, occupational therapy, pharmacy and psychology

Providence Medical Group – Occupational Health 601 W Spruce STE C .......................................................... 329-5746

St. Patrick Rehabilitation Center is an acute inpatient rehabilitation facility credentialed by CARF (Commission on

Providers: Dana Headapohl, MD and Fred Westereng, PA-C Services include DOT physicals, drug screens and preplacement exams.

St. Patrick Rehabilitation Center 4th Floor- Providence Center 902 N. Orange St................................................................ 327-3260

Rehabilitation Services St. Patrick Hospital 500 W. Broadway............................................................... 329-5895

Provides cardiac rehab, occupational therapy, physical therapy and speech therapy. Offers a comprehensive approach to treatment. We strive to promote client independence and responsibility in their rehabilitation process. We place a strong emphasis on functional rehabilitation, functional outcomes, and home program development. We have recently added two new programs: Back Care Boot Camp - a comprehensive treatment plan for your spinal patients; and Pelvic Solutions - for all pelvic floor dysfunction, including incontinence or pelvic pain.

Excellent Results For: Chronic Pain/Fatigue • Fibromyalgia • Headaches/Migraines •

Dizziness Numbness • Pain in legs & arms • •

“Good Health Naturally”

St. Patrick Hospital Rehabilitation Center Providence Center 902 N. Orange St, 4th Floor…........................................ 327-3260

St. Patrick Rehabilitation Center is an acute inpatient rehabilitation facility credentialed by CARF (Commission on Accreditation of Rehabilitation Facilities). It combines clinical expertise of physical, speech, occupational therapies along with social services and 34 hour nursing aimed at helping patients recover from physical and mental changes to return to their home and families at their highest functional ability. St. Patrick Rehabilitation Center offers therapies using Bioness© products. Based on functional electrical stimulation (FES), these products

Shawn M. Berard, D.C.

“Because We Care” 289 Rodeo Dr, Suite 3, Florence 273-4640 www.approach2health.com

28 ~ Health Resource Guide 2011-12

Accreditation of Rehabilitation Facilities). It combines clinical expertise of physical, occupational and speech therapies with social services and 24 hour nursing aimed at helping patients recover from physical and mental changes as a result of injury or illness to return them to home and community at their highest level of independence. St. Patrick Rehabilitation Center offers therapies using Bioness® products which are based on functional electrical stimulation (FES). They have been clinically demonstrated to minimize the impact of foot drop in some patients and to provide both functional and therapeutic benefit for some individuals with neurological disorders affecting the function of arm and hand. With the help of these products and other training modalities, St. Patrick Rehabilitation Center helps people regain mobility and independence to improve quality of life and productivity.

version of the Philips Medical Systems CardioMD III. Data on our new camera is processed and viewed on a JetStream ™ workstation that offers Philips Medical Systems state-of-the art cardiac software capabilities. Nuclear cardiology is performed by registered technologists with 43 years of combined experience and special training, including advanced certification in nuclear cardiology and Advanced Cardiac Life Support (ACLS). Echocardiography (Echo) Laboratory services are accredited by the Intersocietal Commission for the Accreditation of Echocardiography Laboratories (ICAEL) and staffed by cardiac sonographers, including our lead sonographer, who has been registered in adult echo and vascular work since 1988 and in abdominal ultrasound since 1992.

The Montana Heart Center at Community Medical Center 2827 Fort Missoula Rd....................327-4646 or 1-866-327-4646

An occupational therapist is a licensed professional who assists disabled individuals in reaching their maximum level of independent functioning. The therapist works on building skills that include self-care (eating, dressing, grooming, bathing, transfer training, homemaking, adaptive equipment and splints), physical (balance, muscle strength, coordination and sensation, perceptual and cognitive retraining), and community living skills (money management, modifications for home accessibility, leisure time management).

Community Medical Center’s cardiology program at The Montana Heart Center provides all aspects of cardiac care to patients throughout Western Montana and Idaho. Our staff is committed to this program, originally established in 1999, to give patients immediate access to our services. Among the services provided on CMC’s campus: Nuclear Cardiology services offer myocardial perfusion imaging with a gamma camera dedicated solely to cardiac imaging. Our new camera has been recently installed and represents the latest

OCCUPATIONAL THERAPY

Community Medical Center - Occupational Therapy 2827 Fort Missoula Rd.............................................................327-4050

We offer a variety of treatment options for Occupational Therapy. Please call today to schedule an appointment or get more informaiton. New Directions Skaggs Bldg., Rm 135, UM........................................................243-6120

Dawn Christian, P.T. Rehabilitation of repetitive use, orthopedic & recreational injuries.

Specializing in Treatment of Shoulder, Elbow, Wrist & Hand Injuries All insurance & Medicare accepted.

316 W. Spruce Missoula, MT 59802

Phone: 406.541.9500 Fax: 406.541.9501

dawn@bigskypt.com

A University of Montana program that offers wellness and fitness programs for persons with physical limitations and disabilities. Holds workshops on wellness, pain management, nutrition and therapeutic exercise. New Directions staff includes a physical therapist, occupational therapist, clinical psychologists and a registered dietitian. Many of the services are reimbursable through Medicare, Medicaid or private insurance, with monthly gym fees based on a sliding fee scale.

PAIN MANAGEMENT

Whether your chronic pain is a result of an injury, illness or undetermined cause, there are ways to manage your condition. Advanced Pain Centers of Montana 2835 Fort Missoula Rd., Ste. 204........................................... 541-PAIN

Advanced Pain Centers is a comprehensive multidisciplinary pain management clinic dedicated to providing the most effective and comprehensive pain management in Western Montana. We have the only fellowship-trained pain management specialists in the Missoula Valley. Our goal is to improve your quality of life and overall activity level. We control your pain so it doesn’t control you.

Health Resource Guide 2011-12 ~ 29

Providence Medical Group - Montana Spine and Pain Center 500 West Broadway..................................................................327-1670 1103 Westwood Dr , Hamilton...............................................363-4209

The Montana Spine and Pain Center, a part of Providence Medical Group, provides consultation, evaluation and treatment for patients with acute, subacute and chronic musculoskeletal injuries and conditions. Our mission is to provide efficient and effective evaluation and treatment services for patients suffering from acute or subacute spine injuries and conditions and comprehensive evaluation and treatment for patients suffering from complex chronic pain conditions affecting the musculoskeletal system. Our team is uniquely comprised of specialists who have completed pain medicine fellowships psychiatry certification and neurobehavioral medicine. With this complement of multi-speciality providers - The Montana Spine and Pain Center is the only facility in the Western Montana Region offering you a full array of services for your spine and pain management issue.

PHYSICAL THERAPY

Physical therapists are professional health care providers licensed by the state of Montana. They are respected members of the health care team and work with other providers such as physicians, nurses, psychologists, podiatrists, dentists, occupational therapists, speech pathologists and audiologists. A physical therapist can provide care that allows individuals to improve their ability to work, play sports, recreate, and go about their daily activities when pain, injury, disease, or surgery impacts their lives. Whether an individual has had a stroke, motor vehicle accident, sport or work injury, birth defect or other medical condition, physical therapists can provide their expertise to prevent injury and loss of function and improve health, performance and quality of life. Physical therapists educate patients and clients regarding the body and movement dysfunctions and help individuals gain a better understanding of how to care for and prevent further problems. The benefits of rehabilitation and physical therapy services are well documented. Services are covered in nearly all federal, state and private insurance plans. Community Medical Center Physical Therapy - Outpatient 2827 Fort Missoula Rd.............................................................327-4050 3000 S. Russell in the YMCA......................................721-YMCA(9622) 2230 N. Reserve...........................................................................327-3831

Community Medical Center offers Outpatient Therapies in three convenient locations in Missoula (see above). Please call us today for your therapy needs and weâ&#x20AC;&#x2122;d be happy to schedule your appointment. Big Sky Physical Therapy 316 W Spruce....................................................p: 541-9500; f: 541-9501

Comprehensive, individualized rehabilitation services for recreational and orthopedic injuries. Specializing in treatment of shoulder, elbow, wrist, and hand injuries. Also, offering comprehensive care following breast cancer surgery and/or treatment.

30 ~ Health Resource Guide 2011-12

Cordial Physical Therapy

A family-owned therapy practice. Tim has been a private practice physical therapist in Missoula for 20-plus years. Joining Tim in his practice are his daughter and his son. Cordial Physical Therapy is designed to help individuals regain their health. In addition to physical therapy, we also offer chiropractic and massage therapy. • Physical Therapy: Tim Cordial, P.T. Tim is a graduate of the University of Montana, School of Physical Therapy. • Massage Therapy: Brittnea Cordial, L.M.T. Brittnea is a licensed massage therapist who graduated from MountainHeart School of Bodywork and Transformation Therapy in Crested Butte, Colorado. • Chiropractic: Clint Cordial, D.C. Clint is a graduate of Palmer College of Chiropractic in Davenport, Iowa.

PROSTHETICS AND ORTHOTICS RESOURCES

Prosthetics is custom designing, fabricating, and fitting patients with artificial limbs (prosthesis). Prosthetics begins in the postoperative stage and continues through to the fitting of a permanent prosthesis. Orthotics is custom designing, fabricating and fitting patients with braces to either straighten or maintain alignment in all aspects of upper and lower extremities and spinal management. These bracing systems are called orthosis, and are used both long and short term. Certification is only awarded to orthotic and prosthetic practitioners who have successfully demonstrated their capabilities by passing three independent examinations, which are designed to evaluate overall knowledge and clinical competencies. A certified practitioner should provide patients with the highest quality of orthotic and prosthetic service. Hanger Prosthetics and Orthotics 1505 S. Russell St. .................................721-9244 or 1-800-477-9074

A certified supplier that makes orthotics and prosthetics. Has Pediatric Specialists on staff. Accepts Medicare and Medicaid.

Missoula Orthotics and Prosthetics Lab, Inc. 120 South Ave. W.....................................1-800-255-2334 or 549-0921

A certified medical equipment supplier that makes orthotics and prosthetics. Bills insurance and accepts assignment from Medicare, Medicaid, and private party insurers. Western Montana Orthotics & Prosthetics, PC 1300 S. Reserve St., Ste. G..............................549-9667; Fax 721-9667 www.WMOandP.com

Missoula’s only university & residency trained clinical specialists. We provide design, fabrication, and fitting of all Prosthetic & Orthotic devices. Medicare, Medicaid, VA & private insurance accepted.

SPEECH THERAPY

Speech-language pathologists are professionals concerned with the evaluation, treatment, prevention and research in human communication and its disorders. They treat speech and language disorders and work with individuals of all ages. They diagnose

and evaluate speech problems, such as fluency (e.g., stuttering), articulation, voice disorders, or language problems, such as dysphasia (e.g., swallowing difficulties). They design and carry out comprehensive treatment plans. Although speech and language professionals work closely with teachers, physicians, psychologists, social workers and rehabilitation counselors, and other members of an interdisciplinary team, they are autonomous and do not work under direct medical supervision. Community Medical Center - Speech Therapy 2827 Fort Missoula Rd.............................................................327-4050

Community Medical Center offers Outpatient therapy to patients of all ages. Please call today for information on scheduling an evaluation and appointment.

THERAPEUTIC RIDING

Therapeutic riding has been used to improve the lives of people with disabilities since the early 1950s. Individuals suffering from almost any cognitive, physical or emotional disability can benefit from therapeutic riding, driving, vaulting, competition or other purposeful, safe and supervised interaction with horses. The horse facilitates the motion of the human stride, giving students improved joint mobility, better balance and coordination. Without conscious effort, riders are treated to a proven therapy that is both fun and rewarding while gaining confidence and setting new goals. Bitterroot Therapeutic Riding 599 Popham Lane, Corvallis............................................880-2877 or Program Director Linda Olson 961-2999

Under the guidance of North American Riding for the Handicapped, Bitterroot Therapeutic Riding has, for eleven years, been providing therapeutic riding, and during the summer months, hippotherapy for our community. Youth-at-risk, the elderly, those with behavioral disorders, learning disabilities and cognitive delays benefit from equine therapy. It has been shown to address the challenges of multiple sclerosis, cerebral palsy, spina bifida, and autism to name a few. Without conscious effort, riders are treated to this proven form of therapy that is both fun and rewarding. Certified instructors focus on rider-specific goals and promoting social skills. Year-round instruction is offered in a safe environment with the help of caring volunteers and gentle horses. Scholarships available.

Health Resource Guide 2011-12 ~ 31

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32 ~ Health Resource Guide 2011-12

Preventive Care

taying healthy involves more than going to the doctor when you are sick. Many health problems can be prevented. This section contains ideas for maintaining good health and for finding problems before they become serious. We suggest that you use this information to guide you in talking to your health care provider. Weight: If you eat more calories than you burn, the extra

calories are stored as fat. Too much stored fat results in being overweight. By eating a responsible diet and exercising regularly, try to stay close to your ideal body weight. Diet: The American Heart Association encourages most Americans to decrease their intake of foods high in cholesterol and fat and to increase consumption of whole grains, fruits and vegetables. Positive changes in your diet may help to decrease heart disease and some types of cancer. Smoking: Don’t start smoking, or consider stopping if you do. Smoking causes many types of cancer, heart disease, emphysema, and chronic bronchitis. Alcohol: Alcohol acts as a depressant, which can impair thinking and normal body responses. Alcohol-related liver disease, heart disease, cancer and pancreatitis are commonly associated with alcohol use. Seek help if your alcohol use is a concern to you, your family, or your friends. Exercise: Regular aerobic exercise (walking, running, biking, swimming, etc.) can help prevent heart disease, lower blood pressure and cholesterol, and decrease stress. Exercising 30-60 minutes three to five times every week is recommended. Consult your doctor before beginning an exercise program if you are over 40 or have cardiac, respiratory or orthopedic disease. Health Promotion, Missoula City/County Health Dept

Varied community programs to support healthy lifestyle choices, including vehicle occupant protection (258-3880), child safety seat inspection clinics (258-3880), tobacco use prevention (258-3685), increasing physical activity (2583889), cancer programs (258-3684) and suicide prevention (258-3881). If you become ill with influenza-like symptoms this flu season you should stay home and avoid contact with other people except to seek medical care. For more information visit www.cdc.gov/h1n1flu or www.flu.gov or call 800-CDC-INFO

IMMUNIZATIONS CDC Hotline....................................................... 1-800-232-2522 #2

For information on immunization, HIV, STDs, health outbreaks and autism.

Missoula City/County Health Department Immunization Clinic 301 W. Alder St…................................................ 258-4745

Hours: Mon, Tues, Thurs, Fri 9:00 a.m. - 11:30 a.m. & 1:00 p.m. - 4:30 p.m.; Wed 10 a.m.-11:30 a.m. & 1:00 p.m. - 4:30 p.m Provides childhood immunizations. The minimal administration fee is charged on an income-based sliding scale and can be waived if payment is a concern. Partnership Health Center 323 W. Alder St............................................................... ..258-4789

Hours: Immunizations are offered Mon-Fri 8:30 a.m.-6:30 p.m. Partnership Health Center offers immunizations for school children and adults, as well as seasonal flu shots. Call to make an appointment. Cost may be discounted based on family size and income.

EYECARE

Any change in vision or in the eye’s physical appearance can indicate potential eye problems. Prevent Blindness America suggests seeing an eye doctor for a complete eye exam if you experience difficulty focusing, trouble adjusting to different amounts of light, change in the color of the iris, recurrent pain in or around the eyes, double vision, irritated eyelids, dark spot at the center of your vision, distorted or wavy lines and edges, excessive tearing, itching or burning dry eyes, or seeing spots. Even if you don’t have any symptoms, regular eye exams are recommended. Rocky Mountain Optical & Contact Lens Center 700 W. kent.................................................................406-541-3918 http://rockymountaineye.com

Our A.B.O. certified opticians and contact lens specialists provide the highest quality service for all your eyewear needs. We provide prescription sunglasses, sport glasses, repairs, a large inventory of lenses and solutions, accessories, and specialty lenses. We provide an on-site finishing lab and over 900 frames on display. We will replace any broken frame part or broken lens at no charge to you within one year of original purchase.

Health Resource Guide 2011-12 ~ 33

Dr. Sandy Sheppard, DO 700 South Avenue West, Ste G............................... 549-4851 http://www.sandysheppard.com/

Monday-Friday 8:30 - 12:30 and 1:30-5:30 Optometrist providing comprehensive eye exams for children and adults. Complete vision services including glasses, contacts, pre and post care for Lasik or cataract surgery, as well as state-of-art glaucoma detection.

HEARING LOSS

Gradual hearing loss is a common condition brought on by aging. Heredity and frequent exposure to loud noises can also lead to loss of hearing. If you find that the speech of others seems muffled, have trouble understanding words when background noise is going on, find yourself asking others to speak up, or turning up the radio or TV volume, you may be suffering from hearing loss. Hearing evaluations are offered by doctors specializing in hearing disorders, audiologists, and licensed hearing aid specialists.

or the rectum. According to the Amercian Cancer Society, not counting skin cancers, colorectal cancer is the third most common cancer found in men and women in this country. Overall, the lifetime risk of developing colorectal cancer is about 1 in 20. In most cases, colorectal cancers develop slowly over many years. Most of these cancers start as a polyp - a growth of tissue that starts in the lining and grows into the center of the colon or rectum. This tissue may or may not be cancer. A type of polyp known as an adenoma can become cancer. Removing a polyp early may keep it from becoming cancer. Men and women at average risk should begin screening tests at age 50. Talk to your doctor about your own health and your family history to choose the best screening plan for you and to determine how often to repeat the screens. There are two kinds of tests used to screen for polyps and colorectal cancer: •

EARLY DETECTION FOR CANCER COLORECTAL CANCER SCREENING

Colorectal cancer is cancer that starts in either the colon

Tests that can find both colorectal polyps and cancer: flexible sigmoidoscopy (views lower half of the colon; done every 5 years), colonoscopy (views entire colon; done every 10 years), double contrast barium enema (lower GI series x-ray; done every 5 years), virtual colonoscopy (CT scan; done every 5 years). If the last two find polyps, a colonoscopy will be needed to remove

When Do Children and Teens Need Vaccinations? Age

HepB Hepatitis B

DTaP/Tdap Diphtheria, tetanus, pertussis

Hib Haemophilus influenzae type b

Polio

PCV

MMR

Varicella

HepA

HPV

MCV4

Pneumococcal conjugate

Rotavirus

Measles, mumps, rubella

Chickenpox

Hepatitis A

Human papillomavirus

Meningococcal conjugate

(12–15 mos)

(2 doses given 6 mos apart at age 12–23 mos)

Catch-up5

Influenza

Birth 2 months 4 months

(1–2 mos) 1

12 months 15 months

6 months 4 (6–18 mos)

(15–18 mos)

(12–15 mos)

(6–18 mos)

(12–15 mos)

18 months 5

Catch-up

19–23 months

Catch-up5 (to 5 years)

Catch-up

Catch-up5 (to 5 years)

3 (given each fall or winter to children ages 6 mos–18 yrs)

4–6 years 7–10 years 11–12 years 13–18 years

Catch-up5

Tdap

Catch-up5 Catch-up5

Catch-up5 (Tdap/Td)

1. Your infant may not need a dose of HepB at age 4 months depending on the type of vaccine that your healthcare provider uses. 2. Your infant may not need a dose of Hib vaccine or RV vaccine at age 6 months depending on the type of vaccine that your healthcare provider uses. 3. One dose is recommended for most people. Children younger than age 9 years who are receiving influenza vaccine for the first time, or who received only 1 dose in the previous season (if it was their first vaccination season), should receive 2 doses spaced at least 4 weeks apart this season. 4. This dose of DTaP may be given as early as age 12 months if it has been 6 months since the previous dose.

Catch-up5

Catch-up5 Catch-up5,6

Catch-up5,7

5. If your child’s vaccinations are delayed or missed entirely, they should be given as soon as possible. 6. All girls and women age 11 through 26 years should be vaccinated with 3 doses of HPV vaccine, given over a 6-month period. Boys and men age 11 through 26 years may also be vaccinated with one of the HPV vaccines (Gardasil) to reduce their likelihood of getting genital warts. The vaccine may be given to children as young as age 9 years. 7. If you have a teenager who is enrolling in college and planning to live in a dormitory and who hasn’t previously been vaccinated against meningococcal disease, they should be vaccinated now. Please note: Some children may need additional vaccines. Talk to your healthcare provider.

Technical content reviewed by the Centers for Disease Control and Prevention, January 2010.

www.immunize.org/catg.d/p4050.pdf • Item #P4050 (1/10)

Immunization Action Coalition • 1573 Selby Avenue, Suite 234 • Saint Paul, MN 55104 • (651) 647-9009 • www.vaccineinformation.org • www.immunize.org

34 ~ Health Resource Guide 2011-12

them. If polyps are found, your doctor may recommend getting more frequent screens. •

Tests that mainly find colorectal cancer look for small amounts of hidden (occult) blood in the stool. FOBT (fecal occult blood test), FIT (fecal immunochemical test), iFOBT (immunochemical fecal occult blood test). These tests are not as good at finding polyps, but are less expensive and can be done at home. May need to be repeated every year. If a problem is found, a colonoscopy will probably be the next step.

HPV (HUMAN PAPILLOMAVIRUS) VACCINE

Genital human papillomavirus is the most common sexually transmitted virus in the United States. There are approximately 40 types of genital HPV. Most HPV infections don’t cause any symptoms, and go away on their own. But HPV can cause cervical cancer in women, genital warts, and warts in the upper respiratory tract. HPV vaccine is an inactivated (not live) vaccine which protects against four major types of HPV, including two types that cause about 70% of cervical cancer and two types that cause about 90% of genital warts. The vaccine is routinely recommended for girls 11-12 years of age, but can be given as early as 9. It is important for girls to to get vaccinated before their first sexual contact. For these girls, the vaccine can prevent almost 100% of disease caused by the four types of HPV targeted by the vaccine. The vaccine is also recommended for girls and women 13-18 years of age who did not receive it when they were younger. Older women should discuss the vaccine with their doctor. Recently, the recommendation for vaccine has been expanded also for boys between 9 and 26. The vaccine is given as a 3-dose series. The HPV vaccine does not appear to cause any serious side effects. Anyone who has ever had a life-threatening allergic reaction to yeast, to any other component of HPV vaccine or to a previous dose of HPV vaccine should not get the vaccine. Tell your doctor if the person getting the vaccine has any severe allergies. Pregnant women should not get the vaccine. The vaccine appears to be safe for both the mother and unborn baby, but it is still being studied. Any woman who learns that she was pregnant when she got the HPV vaccine is encouraged to call the HPV vaccine in pregnancy registry at 800-986-8999.

MAMMOGRAMS & BREAST EXAMINATIONS

The American Cancer Society estimates that the chance of a woman having invasive breast cancer some time during her life is a little less than 1 in 8. Women have the best chance of recovery if their breast cancer is found in its earliest stages. 90% of all breast cancer can be detected early using the triad of breast health: breast self-examination (BSE), an annual clinical breast examination by a health care provider, and mammography. As a woman you hold the key to early detection with personal and professional breast examinations. A breast self-

examination is a simple process that will take only a few minutes each month. A good place to examine your breasts is in the shower or bath or when lying on a firm mattress. The best time to do the exam is 7-10 days after the start of the menstrual cycle. Women who are no longer menstruating should choose a day that has significance. For example, if your birthday or anniversary were June 2, you would do your breast exam the 2nd day of each month. When doing a self-exam you should look for:

• • • • •

Nipple discharge Appearance of a single, firm breast lump Any dimpling, skin changes, redness and or thickening of an area of the breast Pain in the breast or armpit Nipple changes - either inward or opposite direction when it was previously normal

A mammogram is a low dose x-ray of the breast. A typical mammogram consists of two or more views of each breast, which are taken to determine the possibility of irregularities within the breast. They can reveal areas too small or too deep to feel which may or may not require further investigation. Each breast is compressed between two plates in order to get the best detail and image. The better the compression the clearer and more accurate the image. Although this compression may be uncomfortable, it should not be painful and will last only a few seconds. When should I have a mammogram?

Guidelines for mammography as recommended by the National Cancer Institute and the American Cancer Society are: • Baseline mammogram by age 40 • A yearly mammogram for women over the age of 40, or as recommended by your health care provider Advanced Imaging at Community Medical Center 2803 South Ave. W............................................................ 327-3950

Full-field digital mammography with computer-aided detection for screening mammograms. 16-slice CT and 1.5 GE MRI with Excite Technology Available. Breast Self Exam Clinic Marcus Daly Memorial Hospital, Hamilton (406) 375-4632

Kathy Miller provides free sessions for groups of 10-12 women. She can bring her clinic to any private group or business in the Hamilton area. Call to arrange. Broadway Imaging Center St. Patrick Hospital & Health Sciences Center 500 West Broadway........................................................ 329-5757

Broadway Imaging Center offers full service digital screening and diagnostic mammography with computer-aided detection, breast ultrasound, ultrasound and stereotactic biopsy, MRI, CT and PET-CT. Women over age 40 are recommended to have a screening mammography each year.

Health Resource Guide 2011-12 ~ 35

Vaccinations for Adults You’re NEVER too old to get immunized!

Getting immunized is a lifelong, life-protecting job. Don’t leave your healthcare provider’s office without making sure you’ve had all the vaccinations you need. Age

▲

Vaccine

Influenza

19–49 years You need a dose yearly if you have a chronic health problem,* are a healthcare worker, have close contact with certain individuals,* or you simply want to avoid getting influenza or spreading it to others.

50–64 years

65 years & older

You need a dose every fall (or winter).

You need 1 dose at age 65 (or older) if you’ve never been vaccinated. You may also need a 2nd dose.*

Pneumococcal

You need 1–2 doses if you smoke cigarettes or if you have certain chronic medical conditions.*

Tetanus, diphtheria, pertussis (Td, Tdap)

If you haven’t had at least 3 tetanus-and-diphtheria-containing shots sometime in your life, you need to get them now. Start with dose #1, followed by dose #2 in 1 month, and dose #3 in 6 months. All adults need Td booster doses every 10 years. If you’re younger than age 65 years and haven’t had pertussis-containing vaccine as an adult, one of the doses that you receive should have pertussis (whooping cough) vaccine in it—known as Tdap. Be sure to consult your healthcare provider if you have a deep or dirty wound.

Hepatitis B (HepB)

You need this vaccine if you have a specific risk factor for hepatitis B virus infection* or you simply wish to be protected from this disease. The vaccine is given as a 3-dose series (dose #1 now, followed by dose #2 in 1 month, and dose #3, usually given 5 months after dose #2).

Hepatitis A (HepA)

You need this vaccine if you have a specific risk factor for hepatitis A virus infection* or you simply wish to be protected from this disease. The vaccine is usually given as 2 doses, 6–18 months apart.

Human papillomavirus (HPV)

You need this vaccine if you are a woman who is age 26 years or younger. The vaccine is given in 3 doses over 6 months.

Measles, mumps, rubella (MMR)

You need at least 1 dose of MMR if you were born in 1957 or later. You may also need a 2nd dose.*

Varicella (Chickenpox)

If you’ve never had chickenpox or you were vaccinated but only received 1 dose, talk to your healthcare provider about whether you need this vaccine.

Meningococcal

If you are a young adult going to college and plan to live in a dormitory, you need to get vaccinated against meningococcal disease. People with certain medical conditions should also receive this vaccine.*

Zoster (shingles)

If you are age 60 years or older, you should get this vaccine now.

* Consult your healthcare provider to determine your level of risk for infection and your need for this vaccine. Do you travel outside the United States? If so, you may need additional vaccines. The Centers for Disease Control and Prevention (CDC) provides information to assist travelers and their healthcare providers in deciding the vaccines, medications, and other measures necessary to prevent illness and injury during international travel. Visit CDC’s website at www.cdc.gov/travel or call (800) CDC-INFO ([800] 2324636. You may also consult a travel clinic or your healthcare provider.

36 ~ Health Resource Guide 2011-12

The Montana Breast and Cervical Health Program Partnership Health Center 323 W. Alder St......................................................................... 258-4167 www.phc.missoula.mt.us/phc/phcweb/page11

FauxPink offers group parties to educate women of all ages on the importance of prevention and early detection. The women also make a breast print on canvas and artists turn them into pieces of art. These can be purchased and the money raised is donated into programs in the community. A fun and touching time for sharing in any stage of life or a healing event before surgery such as a mastectomy. The Montana Cancer Screening Program Partnership Health Center 323 W. Alder St................................................................(406) 258-4162 www.co.missoula.mt.us/phc/breastcervicalhealth.htm

The MCSP at PHC offers low-cost or free breast, cervical, and colorectal cancer screening for uninsured or underinsured men and women who meet income and age guidelines. For more information, or to see if you qualify, contact program coordinator Zoe O’Neill. St. Patrick Hospital Breast Center St. Patrick Hospital 500 West Broadway.................................................... 329-5656 St. Patrick Hospital Breast Center offers comprehensive breast services and breast cancer treatment in one location. Our services include full screening and diagnostic mammogram, breast ultrasound, ultrasound and stereotactic biopsy, MRI, CT and PET-CT. We have an RN who is a Certified Breast Health Navigator and a Certified Breast Care Nurse. Our physicians are board certified radiologists, board certified surgeons, board certified medical oncologists, and board certified radiation oncologists. We have physical therapy and lymphedema management, nutritional services, and social services. We offer a bi-weekly breast cancer support group.

Marcus Daly Radiology Services 1200 Westwood Drive, Hamilton...............................(406) 375-4426

The women’s center inside Marcus Daly Radiology Services offers full service digital mammography and same day results for convenience and peace of mind.

PAP SMEAR TESTING

The Pap test is a simple procedure in which cells are taken from a woman’s cervix and vagina and examined under a microscope. The Pap test can pick up changes in cells before they turn cancerous. Annual Pap smears and pelvic examinations have made cervical cancer much less common than it once was. The American Cancer Society recommends pap smears about 3 years after a women becomes sexually active, but no later than 21

years old. Screening should be done every year with the regular Pap test or every 2 years using the newer liquid-based Pap test. Doctors may recommend less frequent tests for older women who have had 3 normal Pap test results in a row or those who have had a total hysterectomy.

PROSTATE CANCER TESTING

With the exception of skin cancer, prostate cancer is the most common type of cancer in men in the United States. If you are concerned about prostate cancer, or if you are 50 or older, talk with your doctor. Learn about the possible benefits and risks of testing, and then decide if testing is the right choice for you. If you are African American or have this cancer in your family, talk to your doctor starting at age 45. If you are having blood in your urine, pain or difficulty passing urine, or trouble having an erection, see your doctor now. These could be symptoms of prostate cancer. They could also be cause by other conditions or diseases, too. The only way to know for sure is to see a doctor. Information from the American Cancer Association.

TESTICULAR EXAMINATIONS

Cancer of the testes, the male reproductive glands, is most often found in young men. This type of cancer can be treated and very often cured. An undescended testicle, family history, HIV infection, and being a young, white male are risk factors. Most of the time, a lump or swelling on the testicle is the first sign. Talk to your doctor EGThrg05 PM Page 1 about your risk9/20/05 factors and 4:55 any unusual symptoms.

▼

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549-6163 www.eastgatedrug.com

Health Resource Guide 2011-12 ~ 37

Dental Services COMMON DENTAL TERMS

Dental Hygienist - a trained professional who cleans teeth and offers instruction on the general care of teeth. Dentist - an authorized practitioner of medicine dealing with the care of teeth and associated structures of the oral cavity. Concerned with prevention, diagnosis, and treatment of diseases of the teeth and gums. Denturist - a practitioner concerned with the study and provision of full and partial dentures as well as their maintenance and repair. Endodontist - a dental practitioner concerned with the diagnosis, treatment, and prevention of diseases of the dental pulp and its surrounding tissues. Orthodontist - a dentist who is an expert in dealing with prevention and correction of abnormally positioned or aligned teeth. Periodontist - dental practitioner concerned with the study and treatment dealing with diseases of the tissues surrounding the teeth (gums).

PEDIATRIC DENTAL CARE

When Should A Child Begin Visiting the Dentist?

Primary teeth serve a number of functions and it is important these teeth be kept until they are lost naturally. They help guide the proper eruption and positioning of the permanent teeth. By age three, most children have all twenty of their primary teeth. This is a good time to begin regular dental visits unless there are signs of decay or problems earlier. Note that infant tooth decay can arise from prolonged breast or bottle feeding, usually at nighttime. Weaning around the first birthday is recommended.

1. Do not put your baby to bed with a bottle or bring them to bed and breast-feed. 2. Do not let your baby walk around with a bottle during the day; tooth damage can result. 3. Use a pacifier instead of a bottle if your infant seems to require more sucking time. 4. Wean your baby to a cup by the age of one year. 5. Brush your baby’s teeth as soon as a tooth appears. Use a soft brush with no toothpaste for an infant. 6. Missoula does not add fluoride to the water supply. You should get a prescription from a dentist or physician for fluoride supplement vitamins. They should continue fluoride supplements until the age of 12. 7. Begin dental visits by the age of 3, or sooner if you see any problems.

Family Dental Group Southgate Mall....................................................... 541-2886

Once enrollment is proven, clients are referred to Flathead Service Unit in St. Ignatius. Transportation provided. Pediatric Dentistry of the Rockies 3817 Stephens Avenue.................................... 406-549-2395 www.MissoulaKidsDentist.com • Dr. Joseph B. Hylton, DDS • Specialized care for infants, children & teens. • New patients welcome • Parents welcome in operatory • Choice of silver or white fillings • Air abrasion fillings available (no anesthesia) • Nitrous oxide • Mild sedation in office • Hospital care if needed • Preventative & interceptive orthodontics emphasized

ADULT DENTAL CARE

1. Schedule regular routine exams with your dentist. 2. Clean your teeth daily. 3. Use dental floss daily. 4. Eat a balanced diet for good general health.

If you knock out a tooth, put it in a jar of milk and take it to your dentist immediately! Missoula Indian Center Fort Missoula, Bldg. #33............................................... 829-9515

Once enrollment is proven, clients are referred to Flathead Service Unit in St. Ignatius. Transportation provided. Partnership Health Center Dental Clinic 323 W. Alder St................................................................. 258-4185

Hours: Mon-Fri 8:00 a.m. - 6:00 p.m. Full service clinic offering exams, cleanings, sealants, fluoride therapy, extractions, dentures and prosthetic surgery, restorative fillings, stainless steel and cast crowns for children and adults. Maintains a number of appointments for emergency care to treat pain and suffering. UM Dental Services........................................................ 243-5445

University of Montana Students ONLY once health fee is paid. Provides urgent and emergency dental care and preventive oral health services.

38 ~ Health Resource Guide 2011-12

vision & hearing Family Vision Care 2106 Oxford St......................................................... 549-2541 www.missoulafamilyvisioncare.com

Montana Family Vision Care 2829 Great Northern Loop #100........................... 542-6382 www.montanafamilyvisioncare.com

Fort Missoula Hearing Center 2831 Fort Missoula Road #300.... P: 542-5200; f:542-1951 FMHC@msn.com

Rocky Mountain ENT- Audiology 700 West Kent.................................................................. 541-3277

Open: 8:30 a.m. to 5:00 p.m. Monday through Friday Fort Missoula Hearing Center is a full-service audiology clinic offering attentive personalized care by audiologist, Ruth Fugleberg, MCSD, CCC-A. We offer comprehensive hearing testing and hearing aid services for all ages. Located at Community Medical Center in Physican Center 2. Hearing Aid Institute 705 S. Reserve St. #B..................... 543-5025 or 1-800-331-6009

Oldest & largest hearing aid company in Montana for 62 years.

FORT MISSOULA

Rocky Mountain Hearing & Balance Center provides a setting in which your hearing needs can be assessed comfortably, accurately and efficiently. Our services include evaluation, hearing aid selection, fitting and followup. We repair all makes and models of hearing aids and offer an extensive selection of batteries and supplies. We perform a variety of tests including ENG and OAE. We also perform cochlear implant mapping. Diagnostic services for balance disorders are available with a physician’s referral. Our Audiologists are available five days a week to answer your questions about hearing loss and balance disorders. We strive to maintain honest, respectful relationships with all of our patients in a relaxing, stress-free setting. To learn more, please give us a call. Rocky Mountain Eye Center 700 West Kent.......................................................... 541-3937 www.rockymountaineye.com/contact.html

Hearing Center

Dr. Sandy Sheppard, DO 700 South Avenue West, Ste G............................... 549-4851 www.sandysheppard.com

• Hearing tests for all ages • Attentive, personalized care • Complete hearing aid service

Uptown Optical 111 N. Higgins Ave., Ste 107.................................... 327-9988 www.uptownoptical.com

Ruth Fugleberg, MCSD, CCC-A Audiologist

2831 Fort Missoula Road, Suite 300 At Community Medical Center Physician Center #2 542-5200 • 1-800-458-6661

Vibrant Hearing 601 S. Orange St., Missoula, MT 59801. 406-552-0099. www.vibranthearing.com

Using state-of-the-art equipment, our Audigy Certified professionals carefully evaluate your listening needs and your lifestyle to create a hearing solution as unique as you are. And all within your budget. Because we are an independently (and locally!) owned company, we have the advantage of choosing hearing instruments from all of the top manufacturers in the nation in order to meet the needs of each of our clients.

If you are over the age of 50 you may have hearing loss or it may be just earwax.

HEARING EVALUATIONS FINANCING AVAILABLE Exclusive with Hearing Aid Institute

Electronic Hearing Instruments

• Standard & Premium Hearing Aids

Health Resource Guide 2011-12 ~ 39

Hearing Aid Institute is the Capital in the Hearing Aid Industry in Montana. QUALITY SERVICE KNOWLEDGE AFFORDABLE Prices Everyday!

• American Made • Hand Selected • Hand Tested • Latest Technology in Hearing Instruments (wireless for TV or Radio). 72511th 1st Ave N, Great Falls, MT 705Mall S Reserve #B,Ave Missoula, MT • MT 406-203-4244 Capital Hill 1600 #130 Helena, • Local: 204-4380 1-800-NEWHEAR (1-800-639-4327) 1-800-NEWHEAR (1-800-639-4327)• www.hearingaidinstitute.com 1-800-NEWHEAR (1-800-639-4327) •• www.hearingaidinstitute.com www.hearingaidinstitute.com HEARING AID INSTITUTE WAS ESTABLISHED IN 1944 AND IS THE OLDEST AND LARGEST HEARING AID COMPANY IN MONTANA

MT-0000252201

40 ~ Health Resource Guide 2011-12

Nutrition and Emergency Services

utrition services are available to meet the needs of people of all ages and varying health conditions. Proper nutrition is critical for promoting good health, and for preventing and managing disease. If your doctor recommends nutrition counseling, or if you or a family member feel you need to improve your dietary habits, there is help available. Registered dietitians and nutrition educators provide counseling on healthy eating for all ages, special nutrition needs for people with diet restrictions due to illness, and weight management. Food assistance programs are available for people who cannot afford to buy food.

2-1-1/First Call for Help............................................. Dial 2-1-1

meet your lifestyle. Individual sessions and group settings. Insurance and medicare/medicaid accepted. Meals on Wheels, Missoula Aging Services 337 Stephens Ave.............................728-7682 or 1-800-551-3191 www.missoulaagingservices.org

Volunteers for Missoula Aging Services deliver hot, nutritious meals weekdays for homebound seniors and adults with disabilities. Special diets and weekend meals are also available. A voluntary contribution toward meals is suggested based on income levels. Services are also available in the Seeley Lake, Potomac, Frenchtown, Clinton and Condon areas.

Hours: Calls are taken weekdays 10 a.m. - 5 p.m. Free, confidential telephone information and referral links anyone in need to human services designed to meet those needs in Missoula, Mineral and Ravalli Counties.

Missoula Health Department www.co.missoula.mt.us/healthpromo

Child Care Resources 127 E. Main St., Ste. 314.............. â&#x20AC;Ś728-6446 or 1-800-728-6446

Medical nutrition therapy for diabetes (type 1 and 2), eating disorders, celiac disease, heart disease and sports nutrition by a registered dietitian. Insurance billed or self pay.

Comprehensive child care support services to families and providers in Missoula, Ravalli and Mineral Counties. Services include: the USDA Child and Adult Care Food Program, which reimburses registered providers for meals served to children in daycare; on-site nurse consultant services; referrals to childcare; childcare subsidies assistance; Early Childhood Development Program; and Resource Lending Library. SNAP (Supplemental Nutrition Assistance Program) 2677 Palmer St., Suite. 100.............................................. 329-1200 www.dphhs.mt.gov/hcsd/snap/index.shtml

SNAP benfits supplement your food budget. Income eligibility is based on 130-185% of Poverty Level. Resources such as bank accounts and vehicles may be considered to determine eligibility.

Head Start 1001 Worden Ave............................................................... 728-5460

Children receive meals and snacks, educational, health, and family services. Classrooms are in Missoula and Deer Lodge. Home-based programs serve Thompson Falls, Plains, Superior, Seeley, Deer Lodge and Missoula. Income eligibility is at or below 100% poverty. Live Well Missoula Nutrition Coaching and Private Yoga Instruction O: 406-543-8134; Cell: 978-257-3879

Learn to make healthful and meaningful food choices that support your wellness goals with registered dietitian Heather Lucas, MS, RD. Specializing in weight loss, chronic illness, sports nutrition, menu planning, and behavior changes that

Western Montana Clinic 500 W. Broadway............................................................... 721-5600

SCHOOL BREAKFAST

Missoula County Schools............................. 728-2400 ext. 3051

(Elementary, Middle and High School students)

Missoula County Rural Schools Seeley Lake (406)677-2265, Sunset (406)244-5542 Swan Valley (406)754-2320 serves milk.

Breakfasts are available in some Missoula schools at free, reduced and full price.

SCHOOL LUNCH

Missoula County Schools.............................................. 728-2400 Missoula County Rural Schools.Seeley Lake (406)677-2265 Potomac (406)244-5581, Sunset (406)244-5542 Swan Valley (406)754-2320 serves milk.

Some Missoula County Schools offer lunches at free, reduced or full price. Free and reduced lunch qualifications are the same as free and reduced breakfast.

EMERGENCY FOOD & CLOTHING

These locally funded agencies offer immediate service to those in crisis situations. Expedited Food Stamps Missoula County Office of Public Assistance 2677 Palmer St., Ste. 100................................................. 329-1200

If no income or low income, you may be eligible for immediate appointment and stamps will be delivered in 5 working days.

Health Resource Guide 2011-12 ~ 41

Goodwill Industries 2300 Brooks St................................................................... 549-6969

Household items and clothing for purchase only. Employment and training for disabled. Agencies may request assistance for families in severe need. Poverello Center 535 Ryman St...................................................................... 728-1809

Household items and clothing for purchase only. Employment and training for disabled. Agencies may request assistance for families in severe need. Missoula Food Bank 219 S. 3rd St. W.................................................................. 549-0543

Hours: Noon meals provided Mon-Sat 11:30 a.m. - 1:45 p.m. and Sun 2:00 p.m. - 3:00 p.m.; Evening meals provided 7 days a week 5:30 p.m. - 6:30 p.m.; Food boxes and referrals for those in crisis are provided according to need and availability Mon-Fri 12:00 p.m. - 2:00 p.m. and by emergency request; Clothing for those in crisis is also provided according to need and availability Mon and Thurs 12:00 p.m.-2:00 p.m. and by emergency request; Free clinic through Partnership Health Mon-Fri 12:00 p.m. - 3:00 p.m. Night and day shelter in men’s and women’s dorms - adults only. No income verification required for any program.

Poverello Center 535 Ryman St...................................................................... 728-1809

Provides emergency clothing, household items and food to people in need. Also provides homeless assistance by meeting basic emergency needs for food, clothing, shelter, rental assistance, transportation, prescriptions, laundry facilities and toiletries. Inquire at the office to find out what kind of assistance is available.

42 ~ Health Resource Guide 2011-12

Senior Information Line and Resource Center Missoula Aging Services 337 Stephens Ave….......................................................... 728-7682 www.missoulaagingservices.org

Hours: Mon-Fri 8:00 a.m. - 5 p.m. Provides assistance to seniors, families of seniors or caregivers needing resource information. The Senior Information Line provides resource information and consultations on all aspects of senior needs. From transportation to Medicare insurance counseling, the trained staff can assist in finding answers.

NUTRITION EDUCATION & GARDENING PROGRAMS AND SERVICES Gardening services is a local growing effort designed to increase self-reliance and promote locally grown fresh produce. Clark Fork River Farmer’s Market Riverside Parking lot by the Clark Fork River and Caras Park ..................................................396-2954 or 542-0539

Saturdays from 8 a.m.-1p.m., May through the 4th week in October Offers locally raised beef, bison, and pork, as well as organic dairy products, locally made baked goods, sausages, and locally grown fruits and vegetables. Bedding plants, fresh-cut flowers, coffee, locally made spreads and sauces, and salsa. Hot breakfast and lunch items and wool goods are also available. Market accepts EBT cards, WIC couchers, and Senior Nutrition Program vouchers. Address: Riverside Parking Lot, just east of Caras Park in downtown Missoula, MT Diabetes and Nutrition Center - Community Medical Center 2827 Fort Missoula Rd..................................................... 327-4325

Outpatient nutrition counseling for special health care needs and to help all ages make healthy lifestyle choices. Hourly fee for service. Medicaid covers this service for children under 21. Diabetes Management Program - Community Medical Center 2827 Fort Missoula Rd…................................................ 327-4325

Program to assist people with diabetes to make lifestyle changes to manage their disease. A nurse educator and nutritionist assist individuals to actively manage their diabetes. Expanded Food and Nutrition Education Program (EFNEP) 2825 Santa Fe Ct................................................................ 258-4208

Free program for limited resource families with children under age 19 or pregnant women. Learn how to stretch your food dollars, choose foods that keep your family healthy and plan nutritious meals. Youth programs are available for schoolaged children. The Farmer’s Market North end of Higgins Ave............................................... 777-2636

Hours: Saturday morning 8:30 a.m. - 12:00 p.m. (MidMay through Mid-October) and Tuesday evenings from 5:45 p.m. - 7:15 p.m. (July & August) A market for growers to sell locally grown produce. Coupons for produce are available to eligible individuals and families through Missoula Aging Services (728-7682). Garden City Harvest.......................................................523-FOOD. www.gardencityharvest.org

Community Garden plots at seven gardens located in

neighborhoods throughout Missoula. For a $40 fee, you have a 15\’ x 15\’ plot, water, tools, compost and gardening advice. Applications are due in February. You can Volunteer for Veggies at one of our four neighborhood farms. Help us with farm labor and receive vegetables in return. Missoula Urban Demonstration Project (MUD) 629 Phillips St.................................................................... 721-7513

Provides resources and education for sustainable living. MUD offers workshops on self-reliant living skills, organic gardening and use of appropriate technologies that conserve natural resources. MUD offers a 16-week class for cognitively and physically disabled adults. MUD also offers a MUD coffee grounds recycling program and directs the North Missoula Tool Library. Western Montana Clinic Nutrition 515 W. Front St................................................................... 721-5600

Individual nutrition counseling by a registered dietitian for medical conditions or wellness. Specializing in pediatrics, diabetes, and heart disease. Children on Medicaid are seen at no charge.

WIC - Women, Infant and Children Nutrition Program 301 W. Alder St............................. p: 258-4740 or 1-800-823-4740 f: 406-258-4906; www.missoulapublichealth.org

Hours: Mon-Fri 8:00 a.m. - 5:00 p.m., noon & evening appointments available Nutrition education referrals and healthy foods for pregnant, breastfeeding, or postpartum women, and infants & children under 5 at the Missoula Health Department, South Reserve Area, Frenchtown, Lolo, Clinton, Philipsburg, Drummond, Seeley Lake and Community Center at the UM. Income eligibility is 185% of poverty.

WEIGHT MANAGEMENT

Contact the organizations below for help in managing a healthy weight and for supplemental medical management of serious eating disorders. Providence medical group - Bariatric services St. Patrick Hospital, 500 W. Broadway........................ 329-5866 www.saintpatrick.org

There is a misconception that the body weight of obese adults is determined by their unhealthy food habits & conscious and unconscious desires. However, the cause of morbid obesity remains unknown. While there is no cure for this disease, there is help. “Morbid” obesity is when a person is at least 100 pounds overweight, or has a Body Mass Index of 40 or more. Morbid obesity is a major health concern, affecting over 4 million people in the U.S. And morbidly obese people usually have other health problems, too, such as heart disease, Type II diabetes, sleep apnea, high blood pressure, gastroesophageal reflux, incontinence, arthritis, infertility and some cancers. Morbid obesity is a serious disease. Living Big, Weigh Less Program: A Partnership for Success............................................ 543-7116

A fun and affordable way to learn health habits that last. This is an inside-out approach to weight loss that assists you in breaking through your roadblocks to success.

Health Resource Guide 2011-12 ~ 43

Nutrition Center - Community Medical Center, 2827 Fort Missoula Rd..................................................... 327-4325

Learn to control diabetes, reduce the risk of complications and improve overall health. Individual counseling for nutrition, special diets and weight management are also provided. Physician referral is required. Call 327-4325 for information. Overeaters Anonymous

Meetings held at the following times and places:

Mondays, 5:30 p.m.—St. Patrick Hospital, Conference room D, contact Rhonda at.............................................. 777-0486 Wednesdays, 10 a.m. - St. Stephen’s Church, 203 Main St., Stevensville, contact Jacquie at................(406)777-7160 Wednesdays, 12 noon - UM University Center Lounge, Room 222, contact Kristen at.......................................... 251-2069 Thursdays, 5:30 p.m. - St. Paul’s Church, 202 Brooks St., contact Patricia at................................................. 543-5509 Fridays, 12 noon - 1 p.m. - St. Patrick Hospital, Conference Room C, contact Maxine at............. 721-7354 Saturdays, 10 a.m. - First Presbyterian Church, 1220 W. Main St., Hamilton, contact Janette at.............. 363-6059 Student Health Services Eating Disorders Support Program............................................................. 243-4711

Provides education, support, counseling, and psychological services to U of M students. TOPS

Take Off Pounds Sensibly No. 428 meets 10 am Tuesday, First Methodist Church, 300 E. Main St., lower level. Fees are

$3 a month with a $27 annual fee. Call 549-3706. Other Tops meetings in the area include: No. 177, Missoula, 6:30 p.m. Prince of Peace Lutheran Church, 2512 Sunset Ln........................ 543-1435 No. 200, Seeley Lake, Thursday, 5:30 p.m. Mission Bible Church.............................................. 677-2526 No. 343, Stevensville, Thursday, 9:30 a.m. Baptist Community Church................................... 273-5403 No. 546, Hamilton, Wednesday, 5:45 p.m. 82 Silverberry St...................................................... 363-2668 No. 549, Frenchtown, Monday, 6 p.m. Frenchtown Community Church.......................... 626-2549 No. 525, Charlo, Wednesday, 9:30 a.m. D’Aste Catholic Chuch............................................ 644-2323 No. 417. Ronan, Thursday, 9:15 a.m. St. Paul Lutheran Church...................................... 676-4510 No. 202, Plains, Friday, 11:15 a.m. Church of God........................................................... 826-3564 No. 551, Plains, Thursday, 5:45 p.m. First Security Bank................................................. 826-0284 No. 544, Hot Springs, Wednesday, 5:45 p.m. Hot Springs Fitness................................................. 741-2659 No. 541, Thompson Falls, 11 a.m. Community Congregational Church................... 827-4620 Weight Watchers................................................... 1-800-651-6000 www.weightwatchers.com

Group meetings and educational information to assist you in losing weight.

NUTRITION PROGRAMS AND INCOME REQUIREMENTS

These federally funded programs provide food and other services to eligible individuals and families.

Poverty level Number of people in family Annual Income Assistance you may qualify for poverty level 1 $10,830 WIC, SNAP-Food Stamps, 2 $14,570 EFNEP, Head Start, 3 $18,310 Early Head Start, 4 $22,050 Free School Meals 5 $25,790 _______________________________________________________________________________________________ 125% 1 $13,538 WIC, SNAP-Food Stamps, of poverty level 2 $18,213 EFNEP 3 $22,888 Free School Meals 4 $27,563 5 $32,238 _______________________________________________________________________________________________ 150% 1 $16,245 WIC, SNAP-Food Stamps, of poverty level 2 $21,855 EFNEP, 3 $27,465 Free School Meals 4 $33,075 5 $38,685 _______________________________________________________________________________________________ 185% 1 $20,036 WIC, SNAP-Food Stamps, of poverty level 2 $26,955 EFNEP, 3 $33,874 Reduced School Meals 4 $40,793 5 $47,712

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Native American Services CSKT Tribal Health and Human Services PO Box 880, 35401 Mission Drive St. Ignatius............................ p: 745-3525; F: 745-4093; www.CSKT.org

CSKT health care offers direct & contract services at no charge to eligible beneficiaries. Residency & membership in/descendency from a federally recognized Indian tribe determine the level of benefits. THHS provides an array of direct health care services, including medical primary care, x-ray, dental, pharmacy, mental health & addiction treatment, home care, nutrition, optical, PT, & diabetes management. CSKT operate clinics in Arlee, St. Ignatius, Ronan, Polson and Elmo. The clinics in Arlee, St. Ignatius and Polson are fulltime, others are operated on a part-time basis. Indian Alcohol & Drug Service 830 W. Central Ave.......................................................... 721-2700

Services open to both Native Americans and non-Natives include: state-certified alcohol and drug counselors; inpatient and outpatient treatment; and Minor in Possession classes. Missoula Indian Center 830 W. Central Ave.......................................................... 829-9515 http://missoulaindiancenter.org

Hours: Mon-Fri 8:00 a.m. - 5:00 p.m. The purpose of the Missoula Indian Center (MIC) is to

promote and foster the health, education and general welfare of urban American Indians residing in and around Missoula. MIC provides an information and support system to the American Indian community by networking with local health and human services agencies. MIC helps American Indians bridge the gap between leaving the reservation and coping with urban life by functioning as the primary communication center for client service information. MIC provides the following services to Native American clients: referrals to health care and social services providers, limited financial assistance, immunization referrals, diabetes education classes, tobacco prevention and free over the counter medications. The following services are open to all nationalities: Free HIV testing, chemical dependency counseling, individual & family one-on-one counseling, and an intensive chemical dependency outpatient program.

Health Resource Guide 2011-12 ~ 45

Environmental Safety Air Quality Hotline......................................................... 258-3600

Provides the community a resource to report issues that may contribute to poor air quality in the Missoula Valley. Updated November through February and during air pollution events. Consumer Services and Air Quality.......................... 258-4755

Administers programs such as food service licensing and inspections, food borne illness investigation, public water supply inspection, septic permits, garbage complaints, outdoor air testing, air pollution source permitting, stove permits, radon information and environmental regulatory enforcement. Hotel/Motel inspection. Trailer court inspections. Environmental Health Division Missoula City/County Health Department 301 W. Alder St................................................................. 258-4755

Promotes public health and safety through the protection of resources such as air and ground water and by insuring safe food supplies, public drinking water and sanitation. It is important to note that half of the homes in Missoula County exceed the Federal guidelines for radon gas and many private drinking water wells were found to be contaminated with unwanted bacteria. Test kits are available for radon and drinking water for a minimal fee. Call or come in for further information. Other services from our department are a junk vehicle program, dog licensing, radon test kits, bacteriological water test kits. Home Maintenance and Safety Program Missoula Aging Services 337 Stephens Ave............................................................. 728-7682 www.missoulaagingservices.org

Missoula Aging Servicesâ&#x20AC;&#x2122; Home Maintenance and Safety Program can assist eligible individuals 60 years and older. This program provides skilled volunteer assistance to conduct home safety inspections; minor home repair; referral services and occasional yard assistance with no labor costs to the recipient. RD Water Lab 3700 S. Russell St., Ste. 120 #1..................................... 721-8179

EPA and State Certified water testing laboratory. Residential, commercial and industrial bacteriological testing. Privately owned and operated since 1999.

Dayspring 4635 Trumpeter Way......................721-8179 or 1-800-555-3803

Residential, commercial and remodel construction services using advanced technology to provide disaster restoration, cleaning, reconstruction. Offers remediation services for mold, water and flood damage, fire/smoke/soot damage, as well as environmental cleanup. Smoking Vehicle Hotline............................................... 258-4744 Water Quality District................................................. 258-4890

Addresses issues such as aquifer protection, household hazardous waste collection and underground storage tanks.

Fort Harrison Medical Facility for Veterans Helena................................................................................ 442-6410 www.montana.va.gov

The Fort Harrison Facility is a 45 bed general medical and surgical facility, which offers a broad range of acute, chronic, specialized inpatient and outpatient services. Patient care services are provided to both male and female veterans, in the areas of medicine, surgery, psychiatry, and ambulatory care. Missoula VA Primary Care Center 2687 Palmer St., Ste. A & C............................................. 829-5400

Hours: Mon, Wed, Thurs, Fri 8 a.m. - 4:30 p.m., Tues 9 a.m - 5 p.m. except holidays. As a division of the Department of Veteran Affairs, the center provides primary health care, physical therapy, substance abuse, PTSD counseling, opthamology, endoscopy and mental health services for veterans. Missoula Workforce Center (Job Service) 539 S. 3rd St. W................................................................. 728-7060 www.employmissoula.com

Hours: Mon - Fri 7:30 a.m. - 5:00 p.m., except public holidays. Public employment service providing job placement, job-training programs, veteran representatives, employment counseling, and proficiency testing for keyboarding, spelling, math, and 10-key. Listings include private sector jobs and announcements for state, university, county, city, and other government-related job vacancies. Provides public Resource Center with access to the Internet, word processing, resume programs, and career exploration. Veteransâ&#x20AC;&#x2122; representatives will assist with job placement, counseling and referrals to job training, veteran services and other services.

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Veteran Services Montana Veteran Affairs Division Western Montana State Veterans Cemetery 1911 Tower St.................................................................. 542-2501

State-funded Veterans Advocacy Organization. Will assist with filing claims with the Federal Veterans Administration system. Advocacy for veterans and their dependents.

Montana Veterans Home Columbia Falls...................................... P: 892-3256; F: 892-0256

www.dphhs.mt.gov/sltc/services/vethome/MVHHP.shtml junderdahl@mt.gov The Montana Veterans Home is a part of the State of Montanaâ&#x20AC;&#x2122;s Department of Public Health and Human Services.

A 105-bed skilled nursing facility, with a 15-bed dementia special care unit and a 12-bed self-care residential living unit. Physical, occupational & speach therapy services. Medical appointment scheduling and transport. Resident choice meal plan offering 5 meal times per day to chose from. Medicare/ Medicaid accepted. Admission eligibility includes honorably discharged veterans and their spouses. Call for further information or to be mailed an admission application. VA Vocational Rehabilitation Palmer Professional Park, 2681 Palmer Ste. N 721-0628 or 721-3510

Hours: Mon - Thurs 8:00 a.m. - 5 p.m., Fri 8 a.m. - 4 p.m. Assists disabled vets in finding jobs and independent living services. Valor House 2820 Great Northern Loop............................................ 549-4113

Valor House is jointly funded by Missoula Housing Authority and U.S. Dept. of Veterans Affairs. It offers a transitional housing program for homeless veterans with a two-year maximum stay, and is staffed 24 hours/day, 7 days/ week. There are 17 one-bedroom apartments with full kitchens and baths, two communal TV/lounging areas, a library, a game room, and a large community dining room for group dining and cooking/housekeeping classes. Residents pay 30% of adjusted gross income for rent and are eligible for a tenantbased Section 8 housing voucher after one year of residence and successful completion of their transitional housing program plan. Vetsâ&#x20AC;&#x2122; Center 500 N. Higgins Ave........................... 721-4918 or 721-4919 Hours: Mon-Fri 8:00 a.m. - 4:30 p.m. or by appointment. Closed Federal holidays. Provides counseling for veterans and their families. Primarily re-adjustment and bereavement counseling.

Health Resource Guide 2011-12 ~ 47

Pregnancy BIRTH CONTROL

Birth control is a device, substance or method that prevents pregnancy. Using a birth control method can significantly reduce the risk of unwanted pregnancy. There are many forms of birth control, including abstinence, condoms, birth control pills, and hormone shots. It is important that you find a method that suits your body and your lifestyle. Abstinence (the abstaining from vaginal, oral or anal intercourse) is the only 100% effective way to prevent pregnancy and STDs, including HIV/AIDS.

Planned Parenthood 219 E. Main St.................................................................... 728-5490

Pregnancy tests are priced on a sliding scale.

University of Montana Curry Health Center 634 Eddy St........................................................................ 243-2122

Cost varies. Service is only available to U of M students.

UNPLANNED PREGNANCY

There are counselors available to help you make a decision if you are faced with an unplanned pregnancy.

Blue Mountain Clinic 610 California St............................................................. 721-1646

Planned Parenthood 219 E. Main St.................................................................... 728-5490

Catholic Social Services of Montana 420 W. Pine St. Betsy Robel at 728-5429 or 1-800-BABYDUE (1-800-222-9383) 24 hours a day www.cssmt.org; betsymsl@montana.com

University of Montana Curry Health Center 634 Eddy St........................................................................ 243-4330

Services are available only to UM Students.

PREGNANCY TESTING

There are several ways to determine whether you are pregnant, and you should find out as early as possible. Urine or blood tests administered by a doctor are the most accurate. You can also purchase a home pregnancy test at a grocery or drug store, but there is a chance the results may be inaccurate. Blue Mountain Clinic 610 N. California St......................................................... 721-1646

Pregnancy tests are $7.00

First Way Pregnancy Support Center 1515 Fairview Ave., Ste. 250........................................... 549-0406

Pregnancy tests, counseling and support for those continuing their pregnancies are free.

Missoula City/County Health DepartmentOutpatient Clinic 301 W. Alder St................................................................. 258-4745

Hours: Pregnancy test are administered Mon, Tues, Thurs & Fri starting at 8:30 a.m. Pregnancy tests cost $20.00. Refrigerate the sample if it is collected early.

A non-profit, licensed agency in Montana established in 1953. CSSM offers free, confidential counseling for those experiencing an unplanned pregnancy. We provide help with pregnancy decision-making and pre/post natal counseling for birth parents and their families. CSSM offers open adoption services for birth parents and their families, so that children grow up knowing who they are and understanding the love and care that surrounds their adoption. Open adoption with CSSM means that you can build a lasting, loving relationship with the adoptive family, staying in contact with your child, if you choose. People need not be Catholic to use the agency services. Please call if you are pregnant or considering making an adoption plan for your child. CSSM also serves families in Montana interested in adopting infants through an open adoption program. We also provide quality pre/post adoptive services for those adopting trans-racially, through private adoption, or internationally. First Way Pregnancy..................................................... 549-0406

Offers practical help for women facing an unplanned pregnancy. Free pregnancy tests and counseling, information on all options, support groups. No appointment necessary. Lutheran Social Services 515 Fairview, Ste. 230...................................................... 549-0147

Offers pregnancy decision-making and counseling to birth parents and their families who are experiencing an unplanned

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pregnancy. Through this service a birth parent may decide that adoption is the best plan for the baby. Planned Parenthood 219 E. Main St.................................................................... 728-5490

Provides reproductive health care, education and advocacy to the people of Western Montana to improve their individual and family lives.

TEENAGE PREGNANCY

If you are a teenager and you are pregnant, you are NOT alone. There are people and services in the Missoula community that can help you. If you have been having sex, you could be pregnant--even if you are very young, even if you’ve had sex only once, even if you have been using some method of birth control. If you think you might be pregnant, it is important to get a pregnancy test to make certain. See the section on pregnancy testing above and ask someone to help you. 1st Way Pregnancy Support Center 1515 Fairview Ave., Ste 250….......549-0406 or 1-800-332-0406

Futures 2525 Palmer, Ste 1........................................................... 543-3550

Helps young parents build a secure future for themselves and their children by providing case management, education counseling, job readiness training, parenting education, housing, counseling and leadership development. Our services are free to young parents, and transportation assistance and childcare is provided for Futures activities. Provides specialized services for young fathers. Missoula City-County Health Department 301 W. Alder St................................................................. 258-4745 www.co.missoula.mt.us/healthservices/

Provides information about free or low-cost health insurance options for children and pregnant women. Mountain Home Montana 2606 South Ave. W............................................................ 541-4663 www.mountainhomemt.org

Mountain Home is a 6-bedroom facility located on one acre in Missoula. It provides a safe, loving home where teen mothers can discover their strengths & their children can experience the joys of childhood. Participants can stay for up to 2 years. Each Resident plans her own personal development program and sets goals with an on-site social worker. Continuing Education is a priority. If high school has not been completed, re-enrollment, adult education or working toward a GED is required. Mountain Home is for voluntary participants willing to follow program guidelines. 24-hour supervision is provided & the following issues are addressed: parenting, decision-making, problem solving, communication skills, relationships, health issues, nutrition & cooking, time & money management, employment skills, housekeeping, chemical dependency issues, housing, and transportation.

Public Health Home Visiting Missoula City County Health Department 301 W. Alder St................................................................. 258-4298 www.co.missoula.mt.us/healthservices/

This program focuses on the special needs of clients and their families, providing guidance and education that supports the teen in reaching a healthy pregnancy outcome and developing parenting skills. The program staff works closely with other teen support services. Either home or office visits are available.

ADOPTION

Whether you are a woman facing an unplanned pregnancy or a couple wanting to provide a child with a home, adoption may be a consideration. Catholic Social Services for Montana, 420 W. Pine St. Betsy Robel at................................................................. 728-5429 or 1-800-BABYDUE (1-800-222-9383) 24 hours a day www.cssmt.com; betsymsl@montana.com

CSSM is a non-profit, licensed agency in Montana established in 1953. CSSM offers free, confidential counseling for those experiencing an unplanned pregnancy. We provide help with pregnancy decision-making and pre/ post natal counseling for birth parents and their families. CSSM offers open adoption services for birth parents and their families, so that children grow up knowing who they are and understanding the love and care that surrounds their adoption. Open adoption with CSSM means that you can build a lasting, loving relationship with the adoptive family, staying in contact with your child, if you choose. People need not be Catholic to use the agency services. Please call if you are pregnant or considering making an adoption plan for your child. CSSM also serves families in Montana interested in adopting infants through an open adoption program. We also provide quality pre/post adoptive services for those adopting trans-racially, through private adoption, or internationally. 1st Way Pregnancy Support Center 1515 Fairview Ave., Ste. 250…......549-0406 or 1-800-332-0406 Lutheran Social Services (LSS) 1515 Fairview Ave., Ste. 230........................................... 549-0147

Lutheran Social Services offers domestic infant adoption services to couples in Montana. LSS also provides home study services and post-placement visits for those adopting internationally. Search and reunion services are available for birth parents and adoptees.

ABORTION

Abortion is the ending of a pregnancy. There are two general abortion types available to women in the U.S.: surgical and nonsurgical or “medical abortions”. The majority of abortions are surgical and occur within the first three months of pregnancy. Blue Mountain Clinic 610 California St....................................................721-1646 Planned Parenthood 219 E. Main St.......................728-5490 or 1-800-230-PLAN

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INFERTILITY

Infertility is a disease of the reproductive system that impairs the body’s ability to conceive children. The American Society of Reproduction Medicine reports that one-third of infertility cases can be attributed to male factors, another one-third to female factors, with the last third being a mixture of problems between the partners, or an unexplainable problem. Most infertility cases are treated with conventional therapies, which may include prescription drugs or surgery. RESOLVE 1310 Broadway, Sommerville, MA 02144.................(617) 623-1156 www.resolve.org

This is the national headquarters for RESOLVE, a group devoted to educating and helping couples with infertility problems. Call or write to the Massachusetts address in order to obtain referrals to fertility specialists. RESOLVE also provides information about infertility and infertility treatments.

PRENATAL CARE

The term “prenatal” describes the time when the fetus develops inside the woman’s body prior to birth. Prenatal care is the medical care of a pregnant woman and her baby throughout her pregnancy, and may include nutrition, exercise, and any pre-existing or newly arising health problems. A woman usually receives prenatal care from the doctor or midwife who will help her deliver her baby. Community Medical Center 2827 Fort Missoula Rd.......................................................... 327-4009 www.communitymed.org

Community Medical Center offers a variety of prenatal care for expecting parents. Ranging from excercise classes, birthing basics and more. More babies are born at Community Medical Center than any other hospital in Montana. We are excited to have the opportunity to prepare you and your family for the arrival of your newest family member. Call today to or visit our website to learn more about MOMercise, Birthing Basics, Breastfeeding Class and Postpartum & Newborn Care Class. Transport - Community Medical Center offers Maternal/Neonatal Emergency Transport to Western Montana and Idaho. Medical staff-supported air and/ or ground transport for high-risk mothers and newborns. Call 1-800-584-7500. Healthy Mothers, Healthy Babies..........................1-800-421-6667

Hours: Phones are answered Mon-Fri 8:00 a.m. - 5:00 p.m. Sends packets of pregnancy/prenatal information and a baby calendar to expectant mothers. They also provide additional packets with information on health and safety issues to parents with children under age 18, as well as information on health insurance options for children.

March of Dimes 643 Grand Ave., Ste. B - Billings........................ …1-800-597-7116

The March of Dimes’ mission is to improve the health of all babies by preventing birth defects and infant deaths. It focuses on healthy mothers and healthy babies. Educational materials are available for free. The chapter is also a referral center for parents. March of Dimes does not give direct financial aid to patients.

Missoula City-County Health Department 301 W. Alder...................................................................... 258-4298 www.co.missoula.mt.us/healthservices/

This program encourages early enrollment in comprehensive services for all pregnant women and serves women who encounter any barrier to care, or have a need for support or information. Program staff includes nurses, dieticians and social workers that provide health care, prenatal education and assistance in arranging referrals to medical and social services. Helps income-eligible pregnant mothers apply for Medicaid so that they have health insurance coverage throughout their pregnancy and for the baby’s first year. Free prenatal class series! Missoula Early Head Start 2121 39th St........................................................ 251-9410 ext.313

Provides services to families with children 0 to 3 years and to pregnant women whose children will be in the program. Designed for families whose incomes are at or below the federal poverty level. Early Head Start provides comprehensive services focusing on child development and parent-child interaction. Health services include assistance in accessing health insurance, medical and dental providers. Program also includes a Registered Dietician on staff for nutrition services, health screenings, health & safety education and intensive prenatal services. MOMercise, Community Medical Center, 2827 Fort Missoula Rd................................................... 327-4427

Keep fit and have fun in our low-stress water aerobics class for pregnant women and new mothers. The exercise improves flexibility and strength, and helps minimize excessive weight gain. A physician’s prescription for pool exercise is required. Class times vary and are held at Community Medical Center. Call or visit our website for more information. Prenatal/Infant Care Class, the Nurturing Program at the Parenting Place Box 3805..................................................................728-KIDS (5437)

For parents and children pre-natal through 18 months. Topics include Stress Management and Handling Troublesome Feelings, Touch and Talk, Safety/Baby Proofing, Nurturing Routines: Diapering, Bathing, Bedtime. Free Children’s Program offered with the class. Rocky Mountain Neonatology Center at Community Medical Center 2825 Fort Missoula Rd., Ste. 130.................................. 327-4234

The region’s most trusted resource for neonatal care.

Women’s Club Health & Fitness Center 2105 Bow St....................................................................... 728-4410 www.thewomensclub.com

Pre or post natal classes offered at the club; you can choose yoga, Pilates or pool exercise. Check on the web or call for fees and scheduled activities.

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CHILDBIRTH PRACTITIONERS

Childbirth Practitioners help deliver babies. There are three general types of childbirth practitioners: obstetrician/ gynecologists, family practitioners and midwives. Since different practitioners have different approaches to the issues surrounding childbirth (routine ultrasound, drugs during delivery and surgical intervention), find a practitioner who makes you feel comfortable. The childbirth practitioner you choose will also provide you with the prenatal care you need to have a healthy baby.

OBSTETRICIAN/GYNECOLOGISTS

An obstetrician/gynecologist (sometimes called an “ob-gyn”) is a licensed doctor who is a specialist in the care and treatment of the female reproductive system and childbirth. An ob-gyn’s post-college training includes four years of medical school followed by a 3-7 year long program, called a residency, which specializes in women’s reproductive health care and childbirth. Ob-gyns deliver four out of every five babies in the United States, making them the most popular choice in childbirth practitioners. Thomas Baumgartner, MD............................................ 542-2116 Beverly Braak, MD.......................................................... 327-9390 Timothy Burke, MD.......................................................... 721-9999 Brenda DeGrazio, CNM.................................................... 728-8170 Nancy Everett, CNM........................................................ 721-5600 Mark Garnaas, MD.......................................................... 721-5600 Janice Givler, MD............................................................ 721-5600 Gary Harvey, MD.............................................................. 728-4292

Offering Primary Care

Valerie Knudsen, MD....................................................... 327-4395 Jennifer Mayo, MD.......................................................... 721-5600 Criag McCoy, MD.............................................................. 728-8170 Jesse Pitt, MD................................................................... 721-1640 Kristin Rauch, MD........................................................... 728-4920 James Summers, MD....................................................... 542-2116 Marshall White, MD....................................................... 363-4602

FAMILY PRACTITIONERS

Many women rely on their family doctor for prenatal and obstetrical care. A family practitioner is a doctor who is regularly consulted by a family or person in time of medical need and does not limit her or his practice by gender, age, organ system or disease type. A board-certified family practitioner has completed medical school and a three-year training period after medical school. This training period includes a minimum of three months of obstetrical and gynecological training. Some women prefer to see their family doctor because they have established a good patient/ doctor relationship or because they like the continuity of care. However, not all family practitioners have obstetrical experience, so it is important to talk with your family doctor if you would like her or him to help you during your pregnancy. Community Physician Group 2827 Fort Missoula Rd................................................... 327-4170

Community Physician Group (CPG) is a dedicated group of well trained board certified health professionals who together provide comprehensive primary and specialty care for you and your family. 14 convenient locations and more than 45 providers.

MIDWIVES

Midwives monitor the natural birth process and aid a woman during her pregnancy, the delivery and after the baby is born. There are two types of midwives:

Offering Primary Certified Care Nurse Midwife: A certified nurse midwife is a woman who has obtained her degree as a registered nurse,

PMS completed at least one year of obstetrics training in an Offering Headaches approved graduate midwifery program, passed the national certification examination given by the American College of Primary Care Urinary Tract Infections

Nurse-Midwives, and is licensed by the State of Montana. Blood Pressure Screening Nurse midwives typically work in a hospital. If you would like PMS Cholesterol Screening more information about nurse midwives, check the yellow Headaches Sports Physicals pages under “Midwives.” Urinary Tract Infections Mild Depression Blood Pressure Screening Direct-Entry Midwife (or Lay Midwife): A direct-entry Cholesterol Screening midwife is a birth practitioner who is licensed by the State Sports Physicals of Montana and is board-certified by the Alternative Health Someone you know Care Board of Montana. This type of midwife usually works Mild Depression is glad we’re here.

PMS • Headaches • Urinary Tract Infections Someone you Pressure know • Blood Screening • Cholesterol is glad we’re here. • Screening • Sports Physicals • Mild Depression

with women who have decided to have a home birth. If you would like more information about direct entry midwives in Missoula, check the yellow pages under “Midwives.”

PREGNANCY AND BIRTH RESOURCES First Way Pregnancy Support Center 1515 Fairview Ave., Ste. 250........................................... 549-0406

Offers diapers, baby clothes, maternity clothes free

Health Resource Guide 2011-12 ~ 51

pregnancy test, complimentary ultrasound Lifesteps support program and parenting support. Missoula Birth Network www.missoulabirth.com

The members of Missoula Birth Network, a Missoula nonprofit organization, believe that the birth of a baby is a major transforming event in the life of a woman and a family; the birth experience itself and the care the family receives plays a powerful role in the family’s mental health. Health care decisions should be based on research evidence for the optimal health of mother and baby, and families should have the opportunity to explore all options that are available in order to make choices that are uniquely best for them. Unfortunately, we believe that some maternity health care decisions are driven by profit motives, convenience, or fear of lawsuits, sometimes to the detriment of the family. Missoula Birth Network is a consumer group committed to helping families educate themselves about their birthing options, side effects of medications and interventions, and rights and responsibilities during birth. Check out our schedule of events listed at www.missoulabirth.com and the new books donated to Missoula Public Library. Missoula Pregnancy and Birth Resource www.missoulabirth.com

The Missoula Pregnancy and Birth Resource features information about natural child birth and home birth in Missoula, including: access to a network of local midwives and doulas, birth stories, monthly articles, local resources, and pregnancy-related web links.

preparing for labor, the stages of labor and delivery. Practice breathing and relaxation exercises that help you through labor. Pain-relief options, medical interventions and a tour of our Obstetrics Department are also covered, as well as information on feeding and bringing your baby home. Class is offered two times per year, in July & October. Call for more information. Community Medical Center-Education Department 2827 Fort Missoula Rd..........................................327-4009 Community Medical Center offers a variety of classes for expectant mothers/families. Birthing Basics, Breastfeeding, Postpartum & Newborn Care Class along with MOMercise.

about preparing for labor and the stages of labor delivery, and practice breathing and relaxation exercises that help you through labor. Pain-relief options, medical interventions and a tour of the Obstetrics Departmen are also covered. In addition, information on feeding and welcoming baby into your home is presented. Dates and time vary. Call 327-4009 or visit www.communitymed.org

CHILDBIRTH CLASSES

Childbirth classes teach women about pregnancy and prepare expectant mothers (and fathers and other family members) for the birth of their babies. These classes cover everything from choosing whether to give birth at home or in a hospital to breathing techniques during labor. The classes can be a good way to meet other expectant mothers and can help women form their own support network of new moms. Expectant mothers are encouraged to bring a partner, but it’s not required. If you would like to learn more about childbirth classes in the Missoula area, contact Community Medical Center or look in the yellow pages of your phone book.

Lamaze Method: The Lamaze Method teaches women what to expect during labor, and how labor changes as the baby moves toward birth. The method guides women through exercises that they will use during labor, including different types of breathing for the various stages of labor. The method also explains what will happen at the hospital and the purpose and tasks of the medical staff.

Blue Mountain Clinic 610 California St............................................................. 721-1646 Childbirth Classes Marcus Daly Memorial Hospital 1200 Westwood Dr., Hamilton….................................. 375-4654

Are you getting ready to welcome a new life? Learn about

Birthing Basics - get ready for your baby in this class for first-time or long-time-between expectant parents. Learn

Breastfeeding Class - Learn breast feeding basics, what to expect the first few weeks and special tips for success. Concerns about returning to work are also addressed. Please call 327-4009 or visit our website at www.communitymed.org Postpartum & Newborn Care Class - Postpartum is an extremely important time for a new family. do you feel overjoyed and challenged at the same time? Our class is designed to make sure you feel confident and capable in the first six weeks of your baby’s life. Join us before your baby is born to learn these strategies: bathing, diapering, hunger cues, comfort techniques, coping strategies, sleeping for you and baby, sign & symptoms of postpartum depression, changes in your relationship and all those visitors who will want to meet the new addition to the family. Call 327-4009 for more information, class size is limited. MOMercise - Water Aerobics. Keep fit and have fun in our low-stress water aerobics class for pregnant women and new mothers. The exercise improves flexibility and strength, and help minimize excessive weight gain. A physician’s prescription for pool exercise is required. Class times vary, call 327-4634 for fees, schedule and availability.

FINANCIAL RESOURCES

For information about agencies that can help you financially during your pregnancy, contact the following groups: Community Medical Center MASH................................................................................. ..327-4317

Medicaid eligible program for expecting family.

Expanded Food and Nutrition Education Program 126 W. Spruce St............................................................... 258-4200

This free program is for limited resource families and pregnant women. Assistants do home visits and help individuals stretch their food budgets, choose foods that are healthy and plan nutritious meals.

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Missoula City/County Health Department (MC/CHD) Public Health Nursing Program 301 W. Alder St................................................................. 258-4750 www.co.missoula.mt.us/healthservices/

Assistance provided daily on a drop-in basis to complete applications for Medicaid for pregnant women.

Missoula Early Head Start 2121 39th St....................................................... 251-9410 ext. 313

Provides services to families with children 0 to 3 years and to pregnant women whose children will be in the program. Designed for families whose incomes are at or below the federal poverty level. Early Head Start provides comprehensive services focusing on child development and parent-child interaction. Health services include assistance in accessing health insurance, medical and dental providers. Program also includes a Registered Dietician on staff for nutrition services, health screenings, health & safety education and intensive prenatal services. Montanaâ&#x20AC;&#x2122;s Child Project.................................1-800-421-MOMS

A community service program for Mothers To Be and for those who care about them. The Montanaâ&#x20AC;&#x2122;s Child Project asks pregnant women to obtain early and ongoing prenatal care. This care should start in the first three months of pregnancy. Call the number above to obtain information about prenatal care, funding for women in need and access to the health care system. Office of Public Assistance 2677 Palmer St., Ste. 100................................................ 329-1200

Administers Medicaid, SNAP (food stamps) and financial programs for low-income parents and their families. Provides temporary assistance for needy families. OPA offers a wide range of assistance programs to help men, women and children. Assistance with applications is available. Women, Infants and Children (WIC) 301 W. Alder St................................258-4740 or 1-800-823-4740

Provides food assistance and nutrition education to lowincome pregnant and nursing women and children up to the age of five.

BREASTFEEDING RESOURCES Community Medical Center 2827 Fort Missoula Rd................................................... 327-4219 www.communitymed.org

Offers inpatient and outpatient breastfeeding consultation services, including assistance over the phone and information about breastfeeding at childbirth classes. La Leche League Call Melissa at 249-8019 or Erin at 549-1779 or 544-3746

Hours: 2nd and 4th Tues. of each month at 11:30 a.m. downstairs at the Missoula Public Library, 301 E. Main St. For expectant and breast-feeding mothers; fathers and siblings welcome. Lending library, 24-hour help line, and information on nutrition, parenting, medical and legal resources. Free.

WIC Lactation Specialist 301 W. Alder St................................258-4740 or 1-800-823-4740

WIC offers breastfeeding information and support, office visits, phone consultations, classes and referrals for low-income women. Nursing Nook 2404 39th St...................................................................... 721-5440 www.nursingnook.net

One Stop Breast feeding Shop and Support Center located within the NEW Birth Center and next to The Lotus Project. Walk In Hours M-W-F 12-5:30pm; Other times available by appointment. Provides breast feeding consultations and classes. Rents and sells Medela Breastpumps as well as replacement parts for Medela Breastpumps. Free Bra fittings, free special orders, and free use of infant scale. Other services and products include nursing bras of ALL sizes, nursing covers, herbs to increase milk supply, specialty feeding devices, Adiri natural nursing bottles, nursing pillows for twins and more. CPR and First Aid Courses are offered monthly at the Nursing Nook. Classes for expectant parents, new parents, grandparents as well as child care providers and health care providers.

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children’s services

ediatricians specialize in the treatment of infants, children and teenagers. Their training equips them to handle all of a child’s health care needs, including growth and development, detecting and treating illness, nutrition, immunizations, injuries and physical fitness. The American Academy of Pediatrics urges you to call your pediatrician immediately if your child has any of the following symptoms: bleeding that won’t stop; poisoning; seizures; difficulty breathing; high fever; head injury with loss of consciousness, vomiting or poor skin color; blood in the urine; bloody diarrhea or diarrhea that won’t go away; sudden lack of energy or loss of mobility.

HEALTH CARE SERVICES Community Medical Center Pediatrics Department 2827 Fort Missoula Rd................................................... 728-4100 www.communitymed.org

Through effective partnerships with patients, families, communities, affiliated institutions, private organization, & public agencies, we provide the children and adolescents of western Montana with the best in accessible, comprehensive & family-centered care from day one. Working in collaboration with Seattle Children’s Hospital we focus on quality care for your children. Visit our website for more information at www.communitymed.org Child Development Center T-214, Fort Missoula.....................549-6413 or 1-800-914-4779 Fax 542-0143 • www.childdevcenter.org

The Child Development Center (CDC) is a private, nonprofit agency providing services throughout the 7 counties of Western Montana to families with children who are either “at risk” for a developmental delay or have a diagnosed

developmental disability. CDC’s services are provided by trained professionals and CDC also has a consulting Medical Director. CDC services are voluntary and at “no cost” to families. The services provided include: developmental evaluation of children primarily birth thru five; home-based intervention for children birth to 22 with an emphasis on parent education; expanded support services to include a Medicaid Waiver for children birth to 22 with intensive needs; expanded 3 years of intensive support services including a Medicaid Waiver for children under the age of 5 with a diagnosis of an autism spectrum disorder; limited respite care program and a respite house for scheduled care. Health insurance that includes an Autism Benefit can also be used to pay for evaluation and intervention services for children diagnosed with autism spectrum disorder who are between the ages of 0 and 19. Heads Up Program, Community Medical Center 2827 Fort Missoula Rd................................................... 327-4634

Injury prevention for ages 5th grade through high school. A head and spinal cord injury prevention program offering presentations to school classes, clubs and community organizations. Please call for information to have Heads Up visit your school.

Immunization Program, Missoula City-County Health Department 301 W. Alder St................................................................ 258-4745

Hours: Mon, Tues, Thurs, Fri 9:00 a.m. - 4:30 p.m.; Wed 10 a.m.- 4:30 p.m. Provides childhood immunizations. The minimal administration fee is charged on an income-based sliding scale and can be waived if payment is a concern.

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Missoula City/County Health Department 301 W. Alder St................................................................. 258-4750 www.co.missoula.mt.us/healthservices/

Home visits and telephone consultations are conducted by a staff of community health nurses, dieticians and social workers, upon request or through referral, for health and parenting information or issues. The primary focus is support for new parents and families of children with special health care needs. Visits can include sharing information on a variety of topics: for example, newborn infant care, breastfeeding, child development milestones and behaviors or community health and social resources. There may also be time to provide emotional support and encouragement to a concerned parent. Partners in Home Care - Partners’ Solutions 2687 Palmer St., Ste. B.................................................... 728-8848

Intravenous specialists serving Western Montana. Medications, equipment, support; specialists in adult and pediatric treatments; clinical pharmacists and registered nurse services. Partners in Home Care - Partners’ Solutions 2687 Palmer St., Ste. B.................................................... 728-8848

Provides ambulatory aids for children, breast pumps for breastfeeding, apnea monitors and oxygen.

Partnership Health Center Well Child Care Partnership Panda Program 323 W. Alder St................................................................. 258-4789

Hours: Mon-Fri. 8:00 a.m. - 6:30 p.m. The pediatric well child program strives to build a relationship between parents and our providers. Parents who are successful at addressing their children’s health care needs receive age-appropriate gifts geared to aid in parenting. The program focuses on three principles:

1. planning for your child’s care; 2. preparing for tomorrow in order to keep your child as healthy as possible 3. prioritizing needs for your child’s healthcare

Pediatric Rehabilitation Services Community Medical Center 2827 Fort Missoula Rd., Bldg. 4 .................................. 327-4050

Full range of rehabilitation services for children, including physical and occupational therapy, and speech-language pathology. Special programs for injury, illness and other disabling conditions. Pediatric Specialty Clinics 2618 South Ave. W...........................327-4279 or 1-888-506-9366

The Pediatric Specialty Clinics offered at Community Medical Center can save a patient and family the time and high cost that comes with traveling out of state. CMC continues to offer multidisciplinary pediatric specialty services at our Pediatric Specialty Clinic, through partnerships with local & contacted providers, Seattle Children’s Hospital, and the Montana Department of public Health & Human Services Children with Special Health Services Program. Our

specialty clinics work with your primary care physician to make a definitive diagnosis and/or to enhance your child’s treatment plan. Clinics are offered in the following areas: cleft/ craniofacial, cystic fibrosis, endocrine, genetics, metabolic, muscular dystrophy, nephrology, neurology, orthopedics, pulmonary, hemophilia, surgery, urology, gastroenterology, epilepsy, developmental follow-up and rheumatology. Referrals can be made for spasticity/tone management and spina bifida. A clinic to follow NICU graduates who have been identified as having an increased risk of developmental delay is also available. PRANA FAMILY PRACTICE PLLC 825 W. Kent........................................................................ 240-0604

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A history of caring. Commitment to the future. • Residential and acute psychiatric care for children • Clinical and laboratory medical genetic services for people of all ages. Outreach clinics available locally each month. Caring for Montanans since 1896 (406) 444-7500 1-800-447-6614 2755 Colonial Drive Helena, MT 59601

www.shodair.org

Health Resource Guide 2011-12 ~ 55

MarcusDaly Rehabilitation Center and Services 1200 Westwood Drive, Hamilton...................................375.4570

Marcus Daly Rehabilitation Services provides comprehensive inpatient and outpatient pediatric rehabilitation services for children and young adults ages from 0 - 21. Our pediatric speech, occupational and physical therapists specialize in working with children and utilize treatment tools that have been developed specifically for pediatric patients. If your child needs one or all of our services, they will work one-on-one with an experienced, licensed therapist in a fully-equipped, state-of-the-art, colorful pediatric center designed to meet the needs of our younger patients. Shodair Hospital 2755 Colonial Drive, Helena......... 444-7500 or (800) 447-6614 www.shodairhospital.org

A non-profit specialty children’s hospital serving children and families throughout Montana. Shodair is Montana’s only Children’s Miracle Network hospital. Shodair’s Medical Genetics Program offers comprehensive services to individuals with genetic conditions or concerns about their risk of transmitting or developing a genetic disorder. Shriners Hospitals............................................. 1-800-237-5055 www.shrinershq.org

Shriners Hospitals for Children is a network of 22 pediatric hospitals in the US, Canada, and Mexico that provide specialized care for orthopedic conditions, burns, spinal cord injuries and cleft lip and palate. All services are provided at no charge. Eligibility for care is not based on financial need or relationship to a Shriner. The closest hospital for Missoulians is the Spokane facility, 911 W. 5th Ave, Spokane, WA 99204, (509) 455-7844. Women, Infants and Children (WIC) Missoula City-County Health Department 301 W. Alder St................................258-4740 or 1-800-823-4740

Provides food assistance and nutrition education to lowincome pregnant and nursing women and children up to the age of five. Grandparents, foster parents and fathers also are welcome to apply.

HEALTH INSURANCE Blue Care.............................................. 1-800-447-7828 ext. 8965

Provides limited coverage for uninsured adults and children who meet income & eligibility guidelines. Children’s Health Insurance Plan (CHIP) 1-877-543-7669 or 329-1200 www.chip.mt.gov

Healthy Montana Kids Plan......... (877) KIDSNOW or 329-1323 www.hmk.mt.gov

The Healthy Montana Kids Plan offers free or low-cost health care coverage for children and teens up to age 19. The plan covers office visits and well-child checkups, emergency care, physicals, immunizations, dental visits, vision and hearing

exams, hospital care, prescription drugs, clinic services and more. The plan also covers pre-existing medical conditions. There are small co-payments for some families and no family pays more than $215 per year. There are no monthly premiums. Eligibility is based on family size and income. Families must submit proof of income when applying. Families can request and application or apply online at www. hmk.mt.gov, or pick up an application from local providers, health departments, health care facilities, clinics, schools, job service centers or Head Start programs. Approximate income guidelines are: Family Size (Includes Adults)

Approximate Family Income

2 $36,425 3 $45,775 4 $55,125 5 $64,475 6 $73,825 Children’s Special Health Services, Cogswell Bldg, 1400 Broadway, A116, Helena.......1-800-762-9891 or 444-3622

Assists eligible families with medical costs that arise from treating children with special health care needs including, but not limited to: heart conditions, cleft lip, seizures, asthma, diabetes, and concerns with child’s development. Can be in addition to other insurance (except Medicaid and CHIP). Sponsors specialty clinics across the state. MCHA: Montana Comprehensive Health Association Blue Cross Blue Shield..................... 1-800-447-7828 ext. 8537 www.mthealth.com

Makes comprehensive health insurance benefits available to high-risk individuals. Includes but is not limited to: autism, cerebral palsy, diabetes, Down’s Syndrome. Also covers people who have been rejected by 2 insurers within the last 6 months. Missoula City-County Health Department Public Health Nursing Program 301 W. Alder St................................................................ 258-4298 www.co.missoula.mt.us/healthservices/

Assistance provided daily on a drop-in basis to complete applications for Medicaid, CHIP and insurance for children with special healthcare needs.

Montana Youth Care Blue Cross Blue Shield .................... 1-800-447-7828 ext. 8965

A private health insurance plan that provides children ages 3 months to 18 with comprehensive coverage. Northwestern Scholastic Insurers P.O. Box 256, Helena......................................................... 458-5902

A private low-cost health insurance plan that provides children in school with supplemental accidental bodily injury coverage. Provides coverage for families with or without insurance. If a family already has insurance, any charges applied to their deductible or co-payment will be considered for coverage.

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FAMILY RESOURCES AND SUPPORT A.W.A.R.E. 2300 Regent St., Ste. 103................................................ 543-2202

Aware provides tailored community services for Montana children with disabilities. Our programs are designed to offer specialized community-based services for people with challenging mental, emotional and physical needs to ensure that these individuals achieve maximum independence, productivity and integration into the community.

Baby Sign Language Class Marcus Daly Rehabilitation Services 1200 Westwood Dr., Hamilton…….............................. 375-4570

If you have a child aged 6 months - 3 years, learn to reduce your communication frustrations, jump start your baby’s language development, strengthen your parent-infant bond, enhance your child’s self-esteem and stimulate your baby’s intellectual development. Attend our Baby Sign Language class taught by a licensed speech-language pathologist. Six week sessions offered twice per year. Call 375-4570 for more information. Big Brothers Big Sisters 1520 S. Russell St............................................................. 721-2380 www.bbbsmissoula.org

Hours: Mon –Fri 8:00 a.m. - 5:00 p.m. Matches children 6-14 with a Big Brother, Big Sister, or Big Couple. Offers mentoring program serving elementary and middle school children. Buckle Up Montana 400 North Park Ave. Helena, MT. 59601....................1-800-421-MOMS

Educate and promote passenger vehicle safety for Montana by use of carseats and seatbelts. Please call for more information. Buckle Up Montana 400 North Park Ave. Helena, MT. 59601..................................................1-800-421-MOMS

Educate and promote passenger vehicle safety for Montana by use of carseats and seatbelts. Please call for more information. Camp Mak-A-Dream Gold Creek, east of Missoula....................................... 549-5987 Foundation Office: P.O. Box 1450, Missoula, 59806 www.campdream.org

Camp Mak-A-Dream offers cost-free positive outdoor experiences for children and young adults with cancer and families of cancer patients at a camp in the Gold Creek area.

The Children’s Museum - A Part of Families First 225 W. Front St...............................................541-7529 (541-PLAY) www.learnplayimagine.org

Hours: Tues-Sat 10:00 a.m. - 5:00 p.m., Sun noon-5:00 p.m., Closed Mon. A place for children & their grownups to learn about the

world together in a fun, interactive space. New downtown location is conveniently located near the Carousel and Dragon’s Hollow. Offerings include: Tech Effect, Dino Dig, Native Know, Transformation Station, Busy Babies and other rotating educational exhibits; Dr. Seuss Story Time on Saturdays; Birthday parties; The Play Store; and much, much more! Admission is $4.25/person, children under age 1 are FREE. Memberships are available - call for details! More information available online. Community Circles P.O. Box 3056, Missoula, 59806....................................... 549-1121

Crimes & community disruptions are symptoms of the breakdown of relationships. Honoring the ancient wisdom & practice of “Talking Circles”, Community Circles provides a safe space for those who have been harmed (victims), those who have caused harm (offenders), & neighbors who are at odds with one another, to engage in dialogue & resolve differences. Working with the youth in our community is one of our priorities. Community Circles is staffed by trained volunteers, & provides its services free of charge. Inquiries are welcome. Institute for Educational Research and Service (IERS) Library….......................................................................... 243-5344 www.iersum.org

Hours: Mon-Fri 8:30 a.m.-4:30 p.m. The IERS Library is a resource for families to learn about topics related to special education such as kindergarten transition, inclusion, prevention and reduction of challenging behaviors, positive behavioral supports, early literacy and language skills, social communication skills, school safety, collaboration with families and professionals, individualized education programs, and specific disabilities. The Library is operated by IERS and CO-TEACH Preschool Program employees. Employment and Training Programs for Low Income Youths ages 14-21, Human Resource Council 1801 S. Higgins Ave.......................................................... 728-3710

This program helps provide employment and training to low-income youth. The program assists participants to move toward career goals directed at getting and keeping unsubsidized employment. The program also offers work experience and internships. Free Youth Career Center.

Families First 815 E. Front St., Ste. 3......... 721-7690 (parenting classes) or 541-7529 (children’s museum) www.familiesfirstmontana.org

Families First is a nonprofit organization committed to the wellbeing of families of all backgrounds and life circumstances. We provide parent support through parenting programs and learning through play at the Children’s Museum, Missoula. Parenting Programs is committed to strengthening families through consultations, workshops, presentations, divorce/separation support, continuing education events for professionals, a lending library and support groups. The Children’s Museum hosts fun interactive educational exhibits

Health Resource Guide 2011-12 ~ 57

and programs geared toward kids ages newborn to 8 and their grownups. The Museum is a great venue for group visits and birthday parties. Family Resource Centers, WORD, 2525 Palmer St., Ste #1................................................... 543-3550

Family Resource Centers are located in many Missoula schools and in other schools throughout Western Montana. They are a welcoming, friendly place for parents to get helpful information and find ways to connect with other parents, the school, and the community. Family Resource Centers provide fun activities, lending libraries, community services, and learning opportunities for parents. Many also offer playgroups for young children. Call your school to connect with your Family Resource Center, or call WORD to find the phone number of the Center closest to you. Futures 2525 Palmer St., Ste. #1.................................................. 543-3550

Helps young parents build a secure future for themselves and their children by providing case management, education counseling, job readiness training, parenting education, housing, counseling and leadership development. Our services are free to young parents, and transportation assistance and childcare is provided for Futures activities. Provides specialized services for young fathers, including the legal aspects of fatherhood, such as paternity, child support, visitation, and custody. Head Start Corner of Worden & Philips St................................... 728-5460

Head Start is a free preschool program for low-income children whose families meet the income guidelines. Children with special needs are welcome. Full- and part-day classes are available. One nutritious meal & snack are provided free every day. Bus service is provided for families living within the transportation area. Home Start is a program of Head Start that provides a preschool experience for children and their families in their homes. Healthy Start Council Missoula Forum for Children & Youth 435 Ryman St................................................... 728-3000 ext. 1022 www.missoulaforum.org

Hours: Mon-Fri 8:00 a.m. - 5 p.m. Services for children ages 3-18 with disabilities who are enrolled in some outlying schools in Missoula, Mineral, Lake, and Sanders Counties. Missoula City/County Health Department 301 W. Alder St................................................................. 258-4298

www.co.missoula.mt.us/healthservices/ Home Visiting Program (with nurses, dieticians, and social workers). Provides home and office visits and telephone consultations for health and parenting information or issues. The primary focus is support for new parents and families of children with special health care needs. Visits can include sharing information on a variety of topics, such as newborn infant care, breastfeeding, child development milestones and behaviors, or community health and social resources. If time permits, emotional support and encouragement for concerned parents can also be provided. Mothers can also receive support and information to help them successfully breastfeed their babies by calling nurses who are certified lactation consultants on the Breastfeeding Hotline at 207-HELP. Parents who cannot afford to provide their baby with a safe sleep environment can fill out an application to receive a free Play â&#x20AC;&#x2DC;nâ&#x20AC;&#x2122; Pak crib. Eligible parents can also get car seats for their infants at free or reduced cost. Missoula Early Head Start 2121 39th St...............................P:251-9410 ext. 323; F: 251-9403 . laurab@ravalliheadstart.org

Provides services to pregnant women and children 0 to 3 years old. Designed for families whose incomes are at or below the federal poverty level. Early Head Start provides comprehensive services focusing on child development and parent-child interaction. Health services include assistance in accessing health insurance and medical / dental providers, health screenings, and health education. Program also includes a Registered Dietician on staff for nutrition services and intensive prenatal services. Missoula Indian Center Fort Missoula Bldg. 33.................................................. 829-9515 www.missoulaindiancenter.org

Healthy Start is a coalition of organizations and people concerned about families with young children. Through its School Readiness Team, Healthy Start provides information at community events about child development, parenting, early literacy, and health issues.

For Native Americans, MIC offers referrals to health care & social service providers, limited financial assistance, diabetes education, tobacco prevention & free over-the-counter drugs. The Alcohol Substance Abuse Prevention program can help Native families with sport shoes or other items that support positive youth activities. Minor in Possession classes are offered to Natives & non-Natives.

Medicaid Transportation.................................. 1-800-292-7114

Mountain Line Comparable Paratransit Services. 721-2848

Transportation to medical appointments billed to Medicaid when no other transportation is available. Local provider is usually Medicab. Missoula Area Education Cooperative 2825 Stockyard Rd, Ste. I2............................................. 532-4861

Curb to curb transportation for qualified disabled individuals.

Parent Aide Program, The Parenting Place 1644 S. 8th St. W....................................................728-KIDS (5437)

The Parent Aide Program works to strengthen & support

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families in the community thru informal home visitation & seeks to build empowering, supportive relationships with families. Professionals provide case management to families in need, including referrals to community resources, role modeling of positive parenting and communication skills, goal setting, mentoring in basic life skills and emotional support. The Parent Aide Program seeks to address the multiple barriers facing many families, assisting them in discovering strengths, developing skills, and connecting with resources. The ultimate goal of this program is to help families provide a safe & nurturing environment for their children. PLUK - Parents Let’s Unite for Kids ............................................................ 255-0540 or (877) 219-9986 www.pluk.org

A non-profit organization that works with Montana parents of children with disabilities. Provides workshops to provide parents with knowledge of the law and how to advocate for the child. Also provides individual and family assistance, support, information and referrals. Has a special needs lending library, various publications and assistive technology. P.R.O.S. (Police Reaching Out to Students) and School Resource Officers (SROs) Missoula Police Department

Resource officers in Missoula’s middle & high schools. PROS & SROS act as resources to parents, students, teachers & the general public with concerns about the safety & wellbeing of students. The goal is to provide a safe learning environment for all. PROS provide information in the middle schools on drug awareness, safety, self-esteem and selfawareness. SROS provide information in high school classes such as criminology, government and Prep for Life. They also act as a link between students and law enforcement. Call your school for contact information. Ronald McDonald House Charities of Montana 3003 Fort Missoula Rd., 541-7646

Hours: Office hours are Mon-Fri 9:00 a.m. - 4:30 p.m. House is staffed 24 hours/day. Provides housing for families of children from out of town seeking medical care in Missoula; can provide numbers for Ronald McDonald Houses in other cities. BY MEDICAL REFERRAL ONLY MarcusDaly Rehabilitation Center and Services 1200 Westwood Drive, Hamilton………………………...375.4570

Marcus Daly Rehabilitation Services provides comprehensive inpatient and outpatient pediatric rehabilitation services for children and young adults ages from 0 - 21. Our pediatric speech, occupational and physical therapists specialize in working with children and utilize treatment tools that have been developed specifically for pediatric patients. If your child needs one or all of our services, they will work one-on-one with an experienced, licensed therapist in a fully-equipped, state-of-the-art, colorful pediatric center designed to meet the needs of our younger patients. Safe Kids, Safe Communities - Community Medical Center

2827 Fort Missoula Rd............... 327-4065 or 1-800-421-MOMS

Provides information on safety issues for parents and children, focusing on injury prevention. A Safety Fair is held on the Community Medical Center campus each Fall with all coalition members. Please call or visit www.communitymed.org for more information. St. Patrick House 501 Alder St...................................................................... 541-2828 www.stpatsfoundation.org

St. Patrick House is “a place like home” for patients and family members of all ages from out of town who are in Missoula for medical reasons. We have 15 clean, safe, rooms as well as a family style kitchen where guests can cook meals. The coffee pot is always on and cookies are always in the jar. Medical verification required. Please call for more information. Tamarack Grief Resource Center.......................406-541-8472 wwwTamarackGriefResourceCenter.org tamarackgrc@live.com

Tamarack provides grief support and education in the Missoula and Flathead valleys. Year-round camps are offered at Georgetown and Flathead Lakes to help children and families cope with the loss of a family member. Three-hour minicamps are also offered at area parks. The camps combine an adventure and experiential component with a safe, supportive group setting. Participants are asked to pay a small registration fee but services are provided regardless of ability to pay. Transitional Housing Program-Ada’s Place YWCA, 1130 W. Broadway................................................ 543-6691

An 18-month independent living program for motivated, homeless, single women with children who want to achieve self-sufficiency.

Youth Homes 550 N. California St......................................................... 721-2704

Hours: Mon-Fri 9 a.m. to 12:00 p.m. and 1 p.m.- 5 p.m. Provides five types of care for children and youth: shelter care, group care, foster care, adoption and family support services. Administers seven youth homes for children in crisis. Provides youth runaway services and therapeutic foster care adoption program. Serves western Montana, including the Helena area.

PARENTING CLASSES The Parenting Place 1644 S. 8th St. W..................................................... 728-KIDS(5437)

A non-profit agency that provides parent education & support thru classes, the home visiting Parent Aide Program & the Child’s Play program. The Parenting classes are 8-week programs. They are:

Nurturing Program: Prenatal to 3 Years Old: Learn what to expect as new parents & how your role as parents evolves as your child becomes a toddler. Receive information on

Health Resource Guide 2011-12 ~ 59

Children’s Brain Development, Developmental Stages, Appropriate Expectations, Getting Needs Met Problem Solving, Decision Making, Discipline & Praise, Family Values & Rules.

Effective Parenting Class: Focuses on parenting children age preschool to preteen. Offers helpful information on development, misbehavior, family rules, choices & consequences and communication. Free Children’s Programs for children ages 0-12 accompany all classes.

Parenting Solo for Moms, Center for Integrative Care 336 W. Spruce St............................................................... 721-2860

Let’s face it - gals benefit from support from other gals. This group is for almighty Moms facing tough circumstances and transitioning identities. Parents are in the unique position of being the primary support for their children amidst their own trying circumstances. Let yourself be supported.

CHILD CARE AND EDUCATION Boys and Girls Club 617 S. Higgins Ave............................................................ 542-3116

The Boys and Girls Club is a non-profit organization committed to providing a positive and dynamic environment for local kids to learn new skills and socialize. The Boys and

Girls Club offers affordable after-school programs and summer camps to children in kindergarten through fifth grade. They also offer the Smart Moves program, a nationally accredited Boys and Girls Club program that raises kids’ self esteem so they have the confidence to say “no” to drugs and alcohol. After school, the Club offers “Power Hour” with tutors that help kids with homework. Child Care Health Program Missoula City County Health Department 301 W. Alder St..........................................258-4948 or 728-6446

In coordination with Child Care Resources, health education and consultation is provided to childcare providers and parents with children in child care. The nurse consultant conducts classes, visits child care settings and assists families in accessing health care resources. Telephone consultation on health issues is available as well. Child Care Resources.................................................... 728-6446 www.childcareresources.org

Child Care Resources provides services to support children, families and child care providers in Missoula, Mineral and Ravalli counties. Services for families include the state-funded Best Beginnings Child Care Scholarship Program which helps qualifying working families pay for the cost of quality child care. Family Services also offers a free child care referral program for parents seeking child care. Using a database of over 200 local licensed providers, they offer parents profiles of child care providers who best meet their family’s needs. They also provide parents with information and tips on finding and choosing quality child care. Child Care Resources’ Provider Services serves early childhood professionals in their region through programs including the Early Childhood Development program, on-site health nurse consultation services, and a provider resource lending library. Child Care Resources also administers the USDA Child and Adult Care Food Program which partially reimburses registered child care providers for the cost of nutritious meals served to the children in their care. Child’s Play, The Parenting Place 1644 S. 8th St. W....................................................728-KIDS (5437)

Busy Working Moms like Family Dental Group because . . . We have appointments available evenings & Saturdays! We have very convenient financing options. We offer full service dentistry for your entire family.

Hours: Mon & Wed 5:30 p.m. - 8:30 p.m. When mom and/or dad just need a break, this is just the place to take the kids. The Parenting Place offers two FREE children’s programs on Mondays & Wednesdays. Bring your children & leave them in a safe & nurturing environment so you can have some time to nurture yourself. Dinner is provided on both evenings. Child’s Play is open to all children under the age of twelve. Parents must call to reserve a place for their child(ren) on the morning of the program. Space is limited; first come, first serve. Prior to using the service, parents must make an appointment to come into the Parenting Place for a short interview and to provide emergency contact information. CO-TEACH Preschool Program..................................... 243-5344 www.coteach.com

We’re here when you need us.

www.MTSmiles.com • 406-541-2886 Conveniently located in Southgate Mall.

The CO-TEACH Preschool is an inclusive program for children ages 3-5 with diverse abilities. The mission of the program is to offer all children a stimulating, playful, first school experience and to provide them with the skills they need to achieve - now, when they transition to kindergarten,

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and the years to follow. CO-TEACH operates on the belief that all children and families have individual strengths and needs and deserve to be treated with respect and dignity in a safe school environment. The Flagship Program 1325 Wyoming St.............................................................. 532-9825 www.flagshipprogram.org

Flagship is a community-based program of Turning Point/ Western Montana Addiction Services that is a schoolcommunity partnership. Flagship provides skill-building activities to youth during non-school hours. Five high schools, 3 middle schools, and 3 elementary schools in the Missoula County Public Schools district participate. Activities are free and transportation is provided when possible. Head Start Corner of Worden & Philips St.................................... 728-5460

CHILD GUIDANCE AND MENTAL HEALTH SERVICES Access to Therapy, Partnership Health Center 323 W. Alder St......................................................................... 258-4789

Hours: Mon - Fri 9:00 a.m. - 5:00 p.m. The Access to Therapy program is designed to provide short-term goal-oriented therapy to Partnership Health Center patients to help them with a wide array of problems that affect their emotional and physical well-being. Access to Therapy is a community-driven program that provides short-term therapy to Partnership Health Center patients through a partnership with local providers in private practice, Master and PhD level interns, and MSW post-graduates. Adolescent Partial Hospitalization Program St. Patrick Hospital Intakes: 327-3011 or General: 327-3182

Partial hospitalization is a day treatment program for 12 - 18 year olds. Admission is based on psychiatric diagnoses and/or behavioral issues at home, school or in the community. Center for Integrative Care 336 W. Spruce St...................................................................... 239-6546

Counseling, parent consultations, and play therapy for children designed to support kids facing transitions, anxiety, depressive symptoms, trauma, sleep disturbance, attachment challenges, grief, loss and bereavement.

Child and Family Service Network Western MT Mental Health Center 1305 Wyoming St..................................................................... 532-9770

Provides children’s case management, school-based services, outpatient therapy, family-based services, and medication/ psychiatric services.

Child Psychiatric Services/Shodair Hospital 2755 Colonial Drive, Helena............... 444-7500 or (800) 447-6614 www.shodairhospital.org

Shodair Hospital is a non-profit specialty children’s hospital serving children and families throughout Montana. Shodair’s Child and Adolescent Psychiatric program affords treatment to emotionally disturbed children through the age of 18. Staffed by an interdisciplinary team of psychiatrists, psychologists, therapists, nurses and other mental health staff, this program provides the most advanced psychiatric care available for emotionally ill, abused and neglected children in the state. Friends to Youth 2801 S. Russell, Suite 32 Missoula, MT 59802 728-2662 fax: 406-728-2879 www.friendstoyouth.org; fty@friendstoyouth.org

M-F 8:00am-5:00pm evenings by appointment FTY is a local non-profit who has been helping Western Montana youth and families since 1976. We offer outpatient mental health counseling to youth up to the age of 21 and/or their families regardless of ability to pay. We also offer an in-home based service for families referred by Child and Family Services and Drug/Youth Court. We accept all insurance, as well as offer a sliding scale fee. Intermountain Children’s Home and Service 500 S. Lamborn, Helena........................ 442-7920 or (800) 200-9112 www.intermountain.org.

A nationally recognized Montana non-profit specializing in nurturing, therapeutic environments for children under severe emotional distress. We integrate relationship-based treatment & sound clinical discipline to assure a permanent family for every child. Intermountain has served the needs of children & families since 1909. Youth Homes 550 N. California St................................................................ 721-2704

Hours: Mon-Fri 9:00 a.m. - 12:00 p.m. and 1:00 p.m. - 5:00 p.m. Provides five types of care for children and youth: shelter care, group care, foster care, adoption, and wilderness therapy. Provides family support, youth runaway services, and therapeutic foster care adoption. Has seven youth homes for children in crisis. Partnership for Children provides intensive community-based treatment in 2 group homes for children ages 4-12. Serves western Montana, including the Helena area.

Health Resource Guide 2011-12 ~ 61

CHILD PROTECTIVE SERVICES CASA (Court Appointed Special Advocate) 100 Ryman................................................................................. 542-1208

A nonprofit organization providing advocacy through use of trained community volunteers, for children who are involved in cases of alleged abuse or neglect in Missoula courts. Trainings for volunteers are held in fall and spring - call for more information. Child and Family Services Division Department of Public Health and Human Services 2677 Palmer St., Ste. 300....................................................... 523-4100

Directs investigations into the abuse and exploitation of children; provides adoption services for special needs children and licensure and training for foster care and adoptive homes; provides registration for daycare family and group homes and licensure for day centers; directs investigations and accountability for compliance with laws governing daycares, foster care and adoptive homes. Children’s Support Group, YWCA 1130 W. Broadway............................................................ 543-6691

Hours: Tuesdays 6:30-8:00 p.m. Circle of Peace, for children of all ages who have experienced or witnessed family violence or abuse. Offered free in conjunction with women’s groups. Held on Tuesdays. Families can share a free meal at 5:30 p.m.; support groups are held 6:30 - 8 p.m. The Parenting Place (Child and Family Resource Center) 1644 S. 8th St. W....................................................728-KIDS (4357)

A non-profit agency that provides parent education and support through classes and the home visiting Parent Aide Program. Free children’s programs for kids age 0-12 accompany all classes. The Child’s Play program provides free occasional child care to families in the community. Watson Children’s Shelter 2901 Fort Missoula Rd................................................... 549-0058 www.watsonchildrensshelter.org; www.oneisntenough.com

A non-profit organization that provides 24 hour emergency shelter for children, infant to 14, who are victims of abuse, neglect, abandonment or family crisis.

RESIDENTIAL CARE A.W.A.R.E. 2300 Regent St., Ste. 103................................................ 543-2202

Intermountain Children’s Home and Services 500 S. Lamborn, Helena.................. 442-7920 or (800) 200-9112 www.intermountain.org

A nationally recognized Montana non-profit specializing in nurturing, therapeutic environments for children under severe emotional distress. We integrate relationship-based treatment & sound clinical discipline to assure a permanent family for every child. Intermountain has served the needs of children & families since 1909. Mountain Home Montana 2606 South Ave. W............................................................ 541-4663 www.mountainhomemt.org

Mountain Home is a 6-bedroom facility located on one acre in Missoula. It provides a safe, loving home where teen mothers can discover their strengths & their children can experience the joys of childhood. Participants can stay for up to 2 years. Each resident plans her own personal development program and sets goals with an on-site social worker. Continuing Education is a priority. If high school has not been completed, re-enrollment, adult education or working toward a GED is required. Mountain Home is for voluntary participants willing to follow program guidelines. 24-hour supervision is provided & the following issues are addressed: parenting, decision-making, problem solving, communication skills, relationships, health issues, nutrition & cooking, time & money management, employment skills, housekeeping, chemical dependency issues, housing, and transportation. Shodair Hospital Child Psychiatric Services 2755 Colonial Dr., Helena............ 444-7500 or (800) 447-6614 www.shodairhospital.org

Shodair’s Child and Adolescent Psychiatric program treats emotionally disturbed children through the age of 18. It offers acute and residential psychiatric care under one roof. Watson Children’s Shelter 2901 Fort Missoula Rd................................................... 549-0058 www.watsonchildrensshelter.org; www.oneisntenough.com; shelter@montana.com

A non-profit organization that provides 24 hour emergency shelter for children, infant to 14, who are victims of abuse, neglect, abandonment or family crisis. Youth Homes 550 N. California St......................................................... 721-2704

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Educational Resources Adult Basic Education Dickinson Lifelong Learning Center 310 S. Curtis St................................................................. 542-4015

Hours: Mon-Thurs 8:00 a.m. - 3:30 p.m. The Missoula Adult Basic Education Program offers a variety of classes with small group and individualized instruction. Courses offered include basic skills in math, reading and writing, GED preparation, English as a Second Language, and Life-long learning courses to prepare for job search, employment, and post secondary education.

Co-Teach Preschool Program..................................... 243-6303 (Division of Educational Research and Service (DERS) Library, 243-5344)

The Co-Teach Preschool is an inclusive program for children ages 3 through 5 with and without disabilities and their families. The mission of the Co-Teach Preschool Program is to offer all children the best possible first school experience and to provide them with opportunities and readiness skills that will enable them to succeed now, when they transition to kindergarten, and during the years that follow. The Co-Teach Family Center is designed to give all family members a place to relax, visit, read, and play. The Co-Teach Preschool Program and the DERS Library are resources for families to learn more about topics related to special education such as: kindergarten transition; inclusion; preventing and reducing challenging behavior; positive behavioral supports; early literacy and language skills; social communication skills; school safety; collaboration with families and professionals; individualized education programs; and specific disabilities. The library is operated by the division of Educational Research and Service and Co-Teach employees. It is open Mon-Fri 8:30 a.m. to 4:30 p.m.

Employment and Training Programs for Low Income Youths ages 14-21, Human Resource Council, 1801 S. Higgins Ave.......................................................... 728-3710

Even Start Family Literacy Program........................ 523-4033

A complete program for parents and pre-school children designed to improve literacy. Families can attend at Dickinson school or at home. The program offers GED prep, job-training skills, parenting classes, computer classes, and opportunities to improve reading, writing and math skills. A full day pre-school program is offered at Dickinson School. The preschool offers a safe and secure environment, which provides social interaction with other children and learning centers to explore. (Limited enrollment)

Health Resource Guide 2011-12 ~ 63

The Children’s Museum - A Part of Families First 225 W. Front St.............................................541-7529 (541-PLAY) www.familiesfirstmontana.org; info@familiesfirstmontana.org

Hours: Tues-Sat 10:00 a.m. - 5:00 p.m., Sun noon-5:00 p.m., Closed Mon. A place for children & their grownups to learn about the world together in a fun, interactive space. Located in downtown Missoula conveniently located near the Carousel and Dragon’s Hollow. Hands on exhibits include: Go Grow Grocery, Dino Dig, Water Works Wonders, & the Body Bubble Machine to name a few. Kiddos and their grown ups can also enjoy Dr. Seuss and Amelia Bedelia Story Time on Saturdays, Toddler Play group, Birthday Parties, the Play Store, and much, much more! Admission is $4.25/person, children under age 1 are FREE. Memberships are available - call for details! More information available online. The Learning Center (Medical Library) St. Patrick Hospital & Health Sciences Center 500 W Broadway ...............................p: 329-5711 OR f: 329-5688 http://chi.saintpatrick.org; library@saintpatrick.org

M-F 8:00 - 4:30 pm. Please call or check our website for extended evening hours. The Learning Center houses a full-service medical library. We are open to the public and staff is available to help you with your search. The library has both consumer health and professional level medical resources and unique special collections on death, dying and grieving as well as ethics and humanities in medicine. Computer workstations provide links to quality-filtered on-line health resources and comfortable seating areas and study tables are available for your use. The hospital Archives and Our Heritage website provides access to the history and timelines of the Sisters of Providence, St. Patrick Hospital, and the Schools of Nursing and Radiology class photos. In addition, the library staff will assist you in completing, witnessing or notarizing your advance directive and will forward it to the End-of-Life Registry in Helena. Garden City Harvest, 103 Hickory Street.................................523-FOOD or 523-3663 www.gardencityharvest.org

Community Garden plots at seven gardens located in neighborhoods throughout Missoula. For a $40 fee, you have a 15’x 15’ plot, water, tools, compost and gardening advice. Applications are due in February. You can Volunteer for Veggies at one of our four neighborhood farms. Help us with farm labor and receive vegetables in return. Call 523-3663 for more info or check www.gardencityharvest.org. Missoula Urban Demonstration Project (MUD) 629 Phillips St .......................................P: 721-7513, F: 721-7513 www.mudproject.org

MUD exists to provide a replicable model of urban sustainable living through education, demonstration and celebration in the Missoula community. MUD achieves this mission by providing the following resources and education

for Missoulians interested in sustainable living: Backyard Sustainability Workshop Series, Demonstration Site, Tool Library, Truck Share. School Resource Officers (SROs) Missoula Police Department

SROs act as resources to parents, students, teachers and the general public with concerns about the safety and well-being of students. The goal is to provide a safe learning environment for all. SROs provide information in high school classes such as criminology, government, and Prep for Life. They also act as a link between students and law enforcement. Call your Missoula high school for contact information. Buy Eat Live Better (EFNEP & SnapEd) 2825 Santa Fe Court.................................258-4207 or 258-4208 www.missoulaeduplace.org

The Expanded Food & Nutrition Education Program offers a free series of cooking and nutrition classes for limited resource families with children under age 19 or pregnant women. SnapEd offers classes to adults on food stamps. Both programs help participants learn to stretch their food dollars, choose healthy foods and plan nutritious meals and snacks. Youth programs available for school-age children.

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Seniors

ur senior citizens are one of our most valuable resources. They offer us their wisdom and experience so that we can make wise decisions in our own lives. Adults over the age of 60 make up the fastest growing segment of our society. Many organizations in the community are designed to offer services to this special population.

GLOSSARY OF SENIOR TERMS

Activities of Daily Living (ADLS) - Basics of an individualâ&#x20AC;&#x2122;s daily routine. If a person cannot perform these without assistance, the person should not live alone. ADLâ&#x20AC;&#x2122;s include bathing, dressing, grooming, eating, walking/mobility, transferring, toileting and continence care.

Adult Protective Services (APS) - Responsible for investigating abuse, neglect and exploitation of vulnerable older adults in private home settings.

Advance Directives - A written document giving or withholding consent for medical or other professional care in the event that a person becomes unable to provide that direction.

Dementia - A clinical term used to describe a group of brain disorders disrupting and impairing cognitive functions such as thinking, memory, judgment, personality, mood and social functioning.

Discharge Planner - The professional staff member of a hospital or nursing home who develops a plan for the future care of a patient prior to discharge.

Do Not Resuscitate (DNR) - A written directive stating that in the case of death the patient/client requests no attempts of resuscitation.

Durable Medical Equipment (DME) - Equipment such as hospital beds, wheelchairs, walkers, commodes and raised toilet seats to be used at home.

Durable Power of Attorney - A power of attorney remaining valid and enforceable despite the incompetence or incapacity of the principal.

Emergency Response System - An electronic device designed to let a person summon help in an emergency. The device transmits a signal over the telephone to an emergency monitoring center.

Assisted Living Facility (ALF) - Residential facility for those who need assistance with their activities of daily living within a supervised environment that helps the person remain as independent as possible. These facilities do not typically include any level of nursing care.

Care/Case Management - Assessing, arranging and overseeing an individualâ&#x20AC;&#x2122;s medical, functional social and financial needs. Professional case managers are typically social workers or nurses.

Certified Nursing Assistant (CNA) - A person who has successfully completed a state training program or course with a focus on activities of daily living. Community Based Services - Services designed to help older adults remain independent and in their own home. These services may include senior centers, delivered meals or congregate meal sites, home health care, adult day care, companionship and homemaker services. Conservator - A court-appointed individual or company authorized to manage the financial affairs of a minor or older adult who can no longer manage his or her own property and financial matters.

Home Health Agency (HHA) - A public or private organization with a staff of skilled nurses, homemakers, homehealth aides and therapists providing nursing, rehabilitation and homemaking services to homebound patients recovering from major medical treatment or chronic or temporarily debilitating conditions.

Home Health Care - Service performed in the home for an older adult by someone who has special medical training.

Homemaking/Home Care Services - A trained person providing household cleaning, cooking, grocery shop-ping, laundry, and transportation for an older adult.

Hospice - Care for the terminally ill with a life expectancy of 6 months or less. Care can be provided at home, in a nursing home, hospital or hospice facility. It is designed to support both the patient and the family. Hospice care emphasizes pain control, symptom management and emotional support rather than life-sustaining equipment.

Health Resource Guide 2011-12 ~ 65

Incontinence - The loss of voluntary control over bladder or bowel functions.

Independent Living Facility (ILF) - A housing complex providing support services including meals in a central dining area, weekly housekeeping, social activities and transportation.

Licensed Practical Nurse (LPN) - A person currently licensed to practice nursing. Generally works under a registered nurse.

Living Will - A legal expression of an individualâ&#x20AC;&#x2122;s wishes about future medical treatment at a time when they become incompetent or cannot communicate due to illness.

Long Term Care (LTC) - A general term describing a range of medical nursing, custodial, social and community services designed to help people with chronic health problems or forms of dementia.

responsibilities. Respite care may be provided in or out of the home.

Reverse Mortgage - A mortgage in which a homeowner, usually an elderly or retired person, borrows money in the form of annual payments which are charged against the equity of the home.

Skilled Nursing Facility (SNF) - A licensed facility providing 24-hour medical services by registered nurses, licensed practical nurses and nurse aides for seriously ill or severely disturbed people who do not require hospitalization.

Spend Down - A requirement that an individual use up most of his or her income and assets to meet the United States Medicaid eligibility requirements.

Spousal Impoverishment - United States regulations allowing the division of some income and assets for a spouse of nursing home resident whose stay is covered by Medicaid.

Long Term Care Insurance (LTCI) - Insurance policies issued by private companies to defray the costs of long term care in nursing facilities, assisted living facilities, home care services and community based services.

SENIOR RESOURCES & INFORMATION

Medicaid - A United States health insurance program financed by the federal and state governments and administered by the states for eligible low-income people regardless of age. Needy older people can have their Medicare deductibles and co-payments paid by Medicaid. Medicaid may also pay for nursing home and assisted living care if the individualâ&#x20AC;&#x2122;s income and assets are within certain limits.

AARP is a nonprofit membership organization for people age 50 and over. AARP is dedicated to enhancing quality of life for all as we age. We lead positive social change and deliver value to members through information, advocacy and service. Benefits include the website, the AARP Magazine and the monthly Bulletin.

Medicap Insurance - Also known as supplemental insurance. United States private health insurance policies intended to cover medical costs not fully covered by Medicare.

Medicare - A United States health insurance program for people 65 and older and some disabled individuals. Part A covers hospital costs and nursing facility care. Part B covers physician services, therapies and home health care. Patients must pay deductibles and co-payments and make up any expenses not covered by Medicare or a Medicare Supplement/ Medicap insurance policy.

Nursing Home (NH) - A licensed nursing facility providing a full range of care, medical services and rehabilitation to those recovering from hospitalization or suffering from chronic illness, dementia or other factors making it impossible for them to live at home.

Registered Nurse (RN) - A person who has met all educational requirements from an approved program of professional nursing education and has successfully passed the NCLEX examination leading to current state licensure to practice professional nursing.

Registry - An agency that acts as a broker matching a person with a care provider.

Respite Care - A service providing temporary care for an older adult. The purpose of the care is to allow the primary caregiver some short-term relief from their day-to-day

AARP 30 W. 14th St #301, Helena..... P: (866) 295-7278 or F:441-2225 www.aarp.org\mt; mtaarp@aarp.org

Area XI Agency on Aging/Missoula Aging Services 337 Stephens Ave............................. 728-7682 or (800) 551-3191 www.missoulaagingservices.org, senior@missoulaagingservices.org

Missoula Aging Services links seniors, people with disabilities, their families and caregivers with community based services and resources. MAS operates the Senior Nutrition Program, which includes Meals On Wheels, Congregate Dining and Senior Diner Club. The Senior Help Line (7287682) and Resource Center offer information on Medicare/ Medicaid issues, family caregiver needs, long term care counseling, housing, transportation, ombudsmen and much more. Volunteer opportunities include RSVP (the Retired Senior Volunteer Program), Foster Grandparents, Senior Companions and the Senior Medicare Patrol Program.

66 ~ Health Resource Guide 2011-12

Care Solutions, Missoula Aging Services 337 Stephens Ave............................................................. 728-7682

Care Solutions is a client-directed case management service aimed at assisting individuals and their caregivers in creating a living situation that is safe and promotes choice and independence. Foot Care Services, St. Patrick Hospital 500 W. Broadway.............................................................. 327-1733

Pamper your tired, aching, sore feetâ&#x20AC;Śyou deserve it! On the first and third Monday of every month, specially trained nurses soak your feet, trim and file your nails, and finish with a lotion massage. Appointments last approximately 30 minutes. The first visit is $26; following visits are $20. People with diabetes are welcome. Pre-registration is required. Gift certificates are available. Home Maintenance and Safety Program Missoula Aging Services 337 Stephens Ave............................................................. 728-7682 www.missoulaagingservices.org

Missoula Aging Servicesâ&#x20AC;&#x2122; Home Maintenance and Safety Program can assist eligible individuals 60 years and older. This program provides skilled volunteer assistance to conduct home safety inspections; minor home repair; referral services and occasional yard assistance with no labor costs to the recipient. Imagine Missoula............................................................ 546-4697 www.ImagineMissoula.org

We provide volunteer help for those without friends and family around to help them. We do odd jobs - rake a yard, shovel snow, fix a doorknob, all the things that you would ask a friend or neighbor to do. The hands and feet of Imagine Missoula do the work, but the heart and soul of Imagine Missoula takes the time to listen, build relationships, and really give folks connection to community. Mall Walkers Southgate Mall Community Room.............................. 721-5140

Hours: Mon, Wed, Fri 9:00 a.m. - 10:00 a.m. Mallwalkers is a free supervised walking program sponsored by Southgate Mall, St. Patrick Hospital, and Western Montana Clinic. Whether you are veteran walker or a beginner, Mallwalkers provides a great way to exercise at your own pace in a safe, climate-controlled environment. Meeting includes health and fitness discussion group, warm up, 30 minute walk and cool down.

Missoula Housing Authority 1235 34th St............................................................. P:549-4113 or F: 549-6406 or TTY 880-253-4091 www.missoulahousing.org; info@missoulahousing.org

Hours: Mon-Thurs 8 a.m. - 5 p.m./Friday by appointment & phone only. Public Housing provides affordable rental housing to low-income seniors and people with disabilities. Through the Housing Choice Vouchers program, forms a partnership with tenants and landlords to provide housing opportunities and assistance throughout the City of Missoula. Missoula Aging Services Resource Center 337 Stephens Ave............................................................. 728-7682 www.missoulaagingservices.org

Houses books, videos, brochures, informational pamphlets and more to assist older adults, people with disabilities, their families, friends and caregivers. The family caregiver section of the center is specific to helping families and caregivers find answers to their needs. Missoula Senior Center 705 S. Higgins Ave............................................................ 543-7154 www.missoulaseniorcenter.org

Hours: Mon-Fri 8:00 a.m. - 4:00 p.m. As a popular gathering place for older citizens, this site offers a wide array of social and recreational activities. Lunch is served from 11:30 a.m. - 12:30 p.m. Mon-Fri at a nominal cost. Membership is available to people 50 years of age and older, but all activities are open to the public regardless of membership. Partners In Home Care 2687 Palmer St., Ste. B, 728-8848 www.partnersinhomecare.org

Provides a full range of in-home services including, Hospice, Infusion Therapy, Home Health, Home & Community Based Services, and Home Medical Equipment. Missoulaâ&#x20AC;&#x2122;s only non-profit nationally accredited home health care agency, co-founded by Community Medical Center and Providence St Patrick Hospital. All employees are fully insured and comprehensive background investigations are conducted. Clinicians available 24 hours a day, 365 days a year. RSVP: Volunteer Services, Missoula Aging Services 337 Stephens Ave............................................................. 728-7682 www.missoulaagingservices.org

A program of Missoula Aging Services that matches the skills, talents and life experience of adults 55 plus with nonprofit and public agencies. These volunteers help solve critical needs in Missoula and enhance the quality of life in our community. Senior Help Line, Missoula Aging Services 337 Stephens Ave............................728-7682 or 1-800-551-3191 www.missoulaagingservices.org

Provides assistance to older adults, people with disabilities, families or caregivers needing resource information. The Senior Help Line provides resource information and consultations covering all aspects of need. From transportation to Medicare insurance counseling, the trained staff can assist in finding answers.

Health Resource Guide 2011-12 ~ 67

SENIOR EDUCATION, EMPLOYMENT AND TRAINING Experience Works 3700 S. Russell St., Ste 121…543-2300 or (800) 450-5627 www.experienceworks.org

Experience Works is a nationwide nonprofit organization that provides training and employment services to people over 55 years of age that are on limited income. Experience Works develops training opportunities through nonprofit and government agencies in the community and pays the participants while they are receiving the training. We assist each of the participants with job search and job placement strategies in the field of their choice. Foster Grandparents and Senior Companions Missoula Aging Services 337 Stephens Ave.................................................................... 728-7682 www.missoulaagingservices.org

Programs of Missoula Aging Services that offers a tax-free stipend to age and income eligible people who volunteer with children (Foster Grandparents) and older adults (Senior Companions).

SENIOR NUTRITION

Nutrition is a very important part of healthy aging. Missoula Aging Services sponsors nutrition programs for people over 60 who are homebound or mobile. Meals On Wheels, Missoula Aging Services 337 Stephens Ave................................... 728-7682 or (800) 551-3191 www.missoulaagingservices.org

Volunteers for Missoula Aging Services deliver hot, nutritious meals weekdays for homebound seniors and adults with disabilities. Special diets and weekend meals are also available. Services are also available in Seeley Lake, Potomac, Frenchtown, Clinton and Condon areas. Senior Diner Club or Senior Congregate Meals Missoula Aging Services 337 Stephens Ave................................... 728-7682 or (800) 551-3191 www.missoulaagingservices.org

Available for seniors 60 and older, who fall within certain income guidelines and live in Missoula County. Coupons, each good for one full meal, can be used at participating restaurants and cafeterias. Participants are asked to contribute according to income and ability to pay. Sites are also serving meals in Lolo, Condon, and Seeley Lake.

SENIOR EXERCISE PROGRAMS

Exercise is crucial to people of any age. Regular physical activity can improve strength, balance, and flexibility, thereby lessening the likelihood of falls and decreasing injury recovery periods. Several senior specific programs are available in the community

Missoula Academy of T’ai Chi Ch’uan.......................... 728-0918

These slow, relaxed exercises are low impact, easy to learn and have immediate beneficial effects on the practitioner, especially seniors. Continued practice improves balance, alertness, flexibility, dexterity, weight control, mental attitude and overall health. New Directions UM Skaggs Bldg. #113...................................................... 243-4016 www.health.umt.edu/newdirections/

New Directions is a wellness program designed for persons with physical limitations or disabilities. The healthier we are, the more we are able to do. The staff at New Directions helps participants develop the tools to participate in life as fully as possible. This includes physical Therapy, a physical fitness center, nutrition services and educational workshops. Osteoporosis Exercise Class—“Healthy Backs and Bones” St. Patrick Hospital Physical Therapy Department 500 West Broadway.......................................................... 329-5895

Healthy Backs and Bones is a class designed to help prevent osteoporosis or keep it from proceeding further by learning about how to take care of your bones and learn exercises to strengthen them. Community Medical Centers - Senior Health Class offered at the Missoula Family YMCA 3000 S. Russell...................................................... 721-YMCA(9622)

This class incorporates functional exercise to decrease one’s fall risk. Functional exercise refers to a level of strength, cardiovascular efficiency, joint flexibility and balance that enables one to carry out their activities of daily living effectively and independently. Offered Mondays & Wednesdays at 2 3PM. Fee is $3 per session or FREE for YMCA members. Your physician approval is encouraged. Call for more information.

FINANCIAL RESOURCES

Nothing can be more burdensome to an elderly person or their family than to worry about the cost of living. Many resources are available in the community to assist seniors and their loved ones to plan for financial security in their old age. Please refer to the Financial Section of this guide for more information and referral resources. Missoula Social Security Office

Growing with

your needs to serve you better.

Call (406)728-7682

Mall Walkers Southgate Mall Community Room............................... 721-5140

Hours: Mon-Wed-Fri 9:00 a.m. - 10:00 a.m. Meeting includes health and fitness discussion group, warm up, 30 minute walk and cool down. Sponsored by WMC, SPH and Southgate Mall.

www.MissoulaAgingServices.org

68 ~ Health Resource Guide 2011-12

3701 American Way................................................(866) 931-9029 mt.fo.missoula@ssa.gov ; www.socialsecurity.gov

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Missoula Aging Services 337 Stephens Ave............................728-7682 or 1-800-551-3191 www.missoulaagingservices.org; senior@missoulaagingservices.org

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Retirement, survivors and disability benefits information.

•

Understand Medicare summary notices including Medicare Prescription Drug Plans Protect themselves against healthcare waste, fraud and abuse. Be an informed consumer Keep a record of medical appointments and tests, and check bill to confirm all services listed were received.

Missoula Aging Services links seniors, people with disabilities, their families and caregivers with resources and programs that provide financial assistance or other forms of support.

Montana SMP is funded by the Administration on Aging and run by Missoula Aging Services. If you have concerns about your Medicare or other health care statements, call 728-7682 or 1-800-551-3191. Montana SMP is a free and confidential program.

Medicaid and Medicare are government-funded programs that are available to seniors and the disabled. Please refer to the financial section of this guide for more information.

Partners In Home Care Home & Community Based Services 2687 Palmer St., Ste. B.................................................... 728-8848

MEDICAID AND MEDICARE

MASH Community Medical Center 2827 Fort Missoula Rd................................................... 327-4317

Medicaid eligible program for patients and family.

Montana SMP Missoula Aging Services 337 Stephens Ave............................. 728-7682 or (800) 551-3191 www.missoulaagingservices.org

Montana SMP (Senior Medicare Patrol) is a statewide program to help reduce Medicare and Medicaid waste, fraud and abuse. Montana SMP empowers seniors to:

We offer a full range of home health services that are brought to your home by a dedicated team of professionals who will strive to maximize your health & independence

SHIP (State Health Insurance Assistance Program) Missoula Aging Services 337 Stephens Ave............................................................. 728-7682 www.missoulaagingservices.com

Will answer questions about Medicare and Medicaid, including the Medicare Prescription Drug Program and other health insurance needs.

Health Resource Guide 2011-12 ~ 69

70 ~ Health Resource Guide 2011-12

LONG-TERM CARE PLANNING AND CONCERNS

Certified Local Ombudsman Program Missoula Aging Services 337 Stephens Ave, 728-7682 or 1-800-551-3191 www.missoulaagingservices.org

The Ombudsman Program at Missoula Aging Services is part of a national network of advocacy, education, empowerment and vigilance for residents of assisted living facilities and Nursing Homes. Ombudsmen provide information on and support for residents and their rights. They identify, investigate and resolve complaints. They also work closely with regulatory bodies as well as advocacy and rights organizations to guarantee the respect, health, safety, rights and empowerment of residents. Home Instead Senior Care, 523-9909 www.homeinstead.com

America’s trusted resource for non-medical care ranging from 1-hour drop-ins, 3-hour visits, overnights or 24 hour care. Personal care, homemaking, incidental transportation, meal preparation and medication reminders. Free consultation to discuss options for care. Missoula Aging Services Information Line and Resource Center Missoula Aging Services 337 Stephens Ave, 728-7682 or 1-800-551-3191 www.missoulaagingservices.org; senior@missoulaagingservices.org

Mon. - Fri., 8 a.m. - 5 p.m. Provides assistance to seniors, families of seniors or caregivers needing resource information. The Senior Information Line provides resource information and consultations on all aspects of senior needs. From transportation to Medicare insurance counseling, the trained staff can assist in finding answers. Montana End-of-Life Registry Office of Consumer Protection, 2225 11th Ave P.O. Box 201410, Helena..........(866) 675-3314 or (406) 444-0660 www.app.mt.gov/registry ; endofliferegistry@mt.gov

Montana’s End-of-Life-Registry stores advance health care directives in a secure computer database and makes these documents available to health care providers and registrants. The Registry provides this service free of charge. The registry • Securely stores directives relating to life-sustaining

• •

treatment Is accessible online Provides immediate access to authorized health care providers

The Registry does not provide legal advice or legal services. Consumers should consult with their doctor, attorney or agencies that specialize in end-of-life care choice about any questions they have related to advance health care directives, living wills, health care (medical) powers of attorney and other personalized directives. Montana Atr DPHHS Senior and Long Term Care ...................................................................................(800) 332-2272

Ask for the office on aging for legal and/or senior care concerns.

Montana Veterans Home Columbia Falls................................................................ 892-3256

Montana Veteran’s Home is part of the Senior and Long Term Care Division in the Department of Health and Human Services of the State of Montana. We are a 105 bed, skilled nursing facility, and offer a 15 bed special care unit for dementia care, and 12 bed self-care units for honorably discharged veterans. Accept Medicare and Medicaid. Veterans can call and will be sent an application. Open to all veterans and their spouses. Preference is given to Montana residents, but out-of-state applicants will also be considered.

LONG-TERM CARE INSURANCE

Long-term care insurance helps cover the cost of medical needs if you are unable to take care of yourself due to a prolonged illness or disability. There are several basic types of long-term care insurance: coverage for nursing homes only; coverage limited to home and community-based care; and comprehensive policies that cover nursing homes and homeand community-based care. Recent national studies conducted by the Health Insurance Association of America indicate that the actual risk for needing long-term care services (either in our homes, in the community, or in a nursing home) at some point in our lives is greater than 50%. The cost of care is staggering: according to the “Montana Consumer’s Guide to Long Term Care” the state average for private stay in a nursing home in June 1999 was $100 per day. A year in a nursing home is expected to cost $90,000 by the year 2015. Whether or not you choose to purchase long-term care insurance may depend on your age, your health, and your personal finances. For more information, contact the Montana Insurance Department at 1-800-332-6148.

Housing/Residential ALZHEIMER’S CARE

Housing for those impaired by Alzheimer’s disease or other forms of dementia. Edgewood Vista 2815 Palmer St................................................................. 549-9660 Hillside Health Care 4718 23rd Ave.............................................251-5100 or 251-5912 Rosetta Assisted Living 2810 Great Northern Loop............................................ 728-5822

Health Resource Guide 2011-12 ~ 71

The Springs at Missoula 3710 American Way......................................................... 273-0101 Village Health Care Center 2651 South Ave. West...................................................... 728-9162

ASSISTED LIVING

Housing for those in need of assistance such as dispensing of medication, bathing, dressing.

At Home Assisted Living 1300 Speedway................................................................. 549-8127 Bee Hive Homes 2406 River Rd.................................................................... 543-0345 Bitterroot Valley Living Center 63 Main St, Stevensville................ 777-5411 or (800) 410-5411 Country Home Estates 1704 S. Reserve................................................................ 542-1889 Edgewood Vista 2815 Palmer St................................................................. 549-9660 Flor-Haven Assisted Living Facility 433 S. 3rd St..................................................................... 542-2598 Grandma’s House 2327 39th St...................................................................... 251-7101 Hillside Place 4718 23rd Ave............................................. 251-5100 or 251-5912 Hunter’s Glen 3620 American Way......................................................... 542-7009 Lighthouse Assisted Living 3214 Washburn................................................................ 926-1162 Missoula Assisted Living 3018 Rattlesnake Dr...................................................... 549-0988 Pleasant View 4322 W. Central Ave........................................................ 728-8675 Rosetta Assisted Living 2810 Great Northern Loop............................................ 728-5822 The Springs at Missoula 3710 American Way......................................................... 273-0101 The Village Senior Residence 2815 Old Fort Road......................................................... 549-1300 Warm Sunsets 19655 Old Hwy 93 S., Florence...................................... 273-2200

INDEPENDENT LIVING

For seniors who are able to manage on their own.

Grizzly Peak 3600 American Way......................................................... 721-2292 Lynwood Community 951 Ronald Ave................................................................ 728-7333 The Springs at Missoula 3710 American Way......................................................... 273-0101 The Village Senior Residence 2815 Old Fort Road........................................................... 549-130

INDEPENDENT LIVING-INCOME BASED

Section 8 rental subsidy programs or tax credit help low and moderate-income and independent seniors obtain apartments. Some apartments are handicapped accessible. Burlington Square Apartments 2450 Burlington Ave....................................................... 327-6659 Camelot Apartments 520 W Spruce.................................................................... 542-1765 Clark Fork Riverside 301 W. Front St................................................................. 721-2439 Glengarra Place

3900 Galway Ave.............................................................. 541-9245 Missoula Manor 909 W. Central Ave.......................................................... 728-3210 River Ridge Apartments 2840 Santa Fe Ct............................................................... 543-7500 Russell Square Apartments 1235 34th St...................................................................... 540-4113 Silver Crest Apartment Community 1550 S. 2nd St.................................................................... 541-0464 Valor House (For homeless senior/disabled veterans) 2820 Great Northern Loop............................................ 728-1809 Vantage Villa 1319 E. Broadway............................................................. 549-4113

LICENSED NURSING HOMES

Licensed nursing homes are annually surveyed by the state for compliance to standards of care. Bitterroot Valley Living Center 63 Main St., Stevensville .............. 777-5411 or (800) 410-5411 Hillside Health Care Center 4720 23rd Ave................................................................... 251-5100 Missoula Health and Rehabilitation Center 3018 Rattlesnake Dr...................................................... 549-0988 Riverside Health Care Center 1301 E. Broadway............................................................. 721-0680 Valley View Estates 225 N. 8th Street, Hamilton.......................................... 363-1144 Village Health Care Center 2651 South Ave................................................................. 728-9162

RESPITE CARE

Respite care offers short-term care for older adults and people with disabilities to give their at-home caregivers a period of relief. This service may be provided in-home or in a facility. See also In-Home Home Care section.

At Home Assisted Living 1300 Speedway Ave.......................................................... 549-8127 Bee Hive Homes 2406 River Rd.................................................................... 543-0345 Big Sky Home Care P. O. Box 16540..................................................................... 96-7909 Bitterroot Valley Living Center 57 Main St., Stevensville............................................... 777-5411 Case Management Caregiving Inc. 800 Kensington #208....................................................... 541-6577 Consumer Choice Home Care 1921 Oxford St................................................................. 549-2397 Edgewood Vista 2815 Palmer St................................................................. 549-9660 Grandma’s House 2327 39th St...................................................................... 251-7101 Hillside Healthcare 4720 23rd Ave................................................................... 251-1500 Home Care Services 1048 Burlington Ave....................................................... 543-1184 Home Health of Montana 1903 Russell St............................................................... 541-1800 Home Instead Senior Care 410 Expressway, Ste D.................................................... 523-9909 Hunter’s Glen 3620 American Way......................................................... 542-7009 Loving Lisa’s Homecare Florence........................................................................... 728-7682

72 ~ Health Resource Guide 2011-12

Missoula Health and Rehabilitation Center 3018 Rattlesnake Dr...................................................... 549-0988 Nightingale Nursing Service 1903 Russell St............................................................... 541-1700 Riverside Health Care 1301 E. Broadway............................................................. 721-0680 Rosetta Assisted Living 2810 Great Northern Loop............................................ 728-5822 Stella White, RN PLLC 156 Kensington Ave., Ste 208........................................ 240-5972 Village Health Care Center 2651 South Ave. West...................................................... 728-9162 Warm Sunsets 19655 Old Hwy 93 S.......................................................... 273-2200

IN-HOME CARE â&#x20AC;˘ HOME CARE

management services can be used to navigate the health care system to make sure you or your loved ones are receiving the right services and to give a local liaison with the doctors and other services that might be received. Consumer Direct Personal Care 1903 S. Russell................................. 541-8700 or (866) 438-8591 www.ConsumerDirectOnline.net.

Self-directed in-home care. You are in charge: recruit, hire and manage your caregiver. Stay at home, maintain your independence and control.

Express Employment Professionals 3709 Brooks.................................................................St. 542-0323 www.expresspros.com

At Home Care...........................................................(406) 241-9222

Locally owned and operated company with national resources that has been staffing in-home caregivers since 1993. Express provides personal care attendants, homemakers, grounds keeping or socialization companions and is a state approved Medicaid provider also accepting private pay. You customize your care plan.

Case Management Caregiving and In Home Assistance 2704 Brooks Ste C............................. 541-6577 or 866-830-2224 www.cmcaregiving.com

Heartland Caregivers, Inc. & companions to the Elderly 5500 Grant Creek Rd.........................P: 542-0241 or F: 549-7304 www.estatestaffing.com

(non-medical in-home care)

AAA Residential Services of MT........ (406) 721-3000 ext 2011

Provides in-home assistance, case management and bill paying services. Creates customized care giving teams for day and/or nighttime care. Family member can stay in the comfort of their home and receive top-quality care from caregivers who become like family. Specialize in one-on-one relationships with our clients and care that is around the clock. Case

Hours: Mon-Thurs 9 a.m. - 4 p.m. and by appointment. Live in or live-out home care for children and the elderly or anyone who needs help to stay in their home.

Home Care Services 1018 Burlington Ave, Suite 105.................................... 543-1184

Assistance with bathing, dressing and personal needs. Meal preparation and feeding. Medication reminders, housekeeping, transportation, respite care. Home Instead Senior Care 400 Expressway, Ste. C.................... P: 523-9909 or F: 523-9949 www.homeinstead.com

Contact Kathy Noble, Client Care Coordinator. Assists older adults with everyday non-medical tasks that allow independence no matter where you call home. From a few hours a day up to 24 hours/seven days a week including weekends and holidays. Meal preparation, medication reminders, laundry, light housekeeping, personal care, shopping, errands, escort to appointments, assistance with hospice care, Alzheimer/dementia care, respite care.

Loving Lisaâ&#x20AC;&#x2122;s Home Care/Hair....................................... 880-8889 Only The Best Care, LLP...........................239-3364 or 531-6144 Progressive Personal Care 1921 Oxford, St.................................. 251-9333 or 866-772-4621 www.progressivepersonalcare.com; kreynolds@bresnan.net

Contact Kelly Reynolds. Provide Medicaid personal care service throughout the State of Montana.

Summit Independent Living 700 SW Higgins #101.............................. P: 728-1630; F: 329-1312 www.summitilc.or

Surgical advances bring change in 3 way Health Resource Guide 2011-12 ~ 73

COMPANION SERVICES/ERRANDS/ HOMEMAKING (non-personal care)

Missoula Caregivers(406)............................................. 370-9087 Mom & Son Tough Cleaning and Tender Care.......... 251-8765 On The Go Errand Service............................................. 207-2150 Random Task Engineer.................................................. 240-5132 Services For Seniors................................... 549-4878 /549-9858 Senior to Senior............................................................. 543-0531

SKILLED HOME HEALTH CARE

(physician-ordered Medicare and/or Medicaid certified) Home Health of Montana 1903 S. Russell................................................................. 541-1800 www.homehealthofmontana.com

Memorial Hospital, provides skilled care, under the direction of your doctor, by health care professionals, such as nurses and therapists. Our services are ranked #1 in the state and in the top 3% nationally; they include skilled nursing care, physical, occupational, and speech therapists, as well as medical social work and home health aides. We have been serving the Bitterroot Valley since 1987 and are certified for Medicare and Medicaid and licensed by the State of Montana. We accept Medicare, Medicaid, Health Insurance and Private Pay. Nightingale Nursing & Caregiving 1903 S. Russell St........................................................... 541-1700 www.homehealthnursing.com

Offers skilled nursing services, personal care attendants, home monitoring system, on-call nurse, respite service, chore services, in-home counseling, physical therapy, assistance with hospice and other services.

Northwest Homecare

913 SW Higgins, Ste.204.................................................. Surgical advances 549-8059 Surgical advances www.northwesthomecare.com Provides a wide spectrum of in-home services including Surgical advances Provides nursing, PCA services for children, nursing, IV therapy, physical/occupational/speech therapiesbring change inor CNA 3 ways. bring change in 3skilled ways. seniors or disabled clients in the comfort of their own home. and care management. Also provides complimentary 3 ways. Medicaid, privatein insurance and private pay. nursing consultations for patientsbring and/or families. The change only

independent Medicare-Certified home health agency in Missoula and Ravalli counties.

Marcus Daly Home Care Services 1200 Westwood Drive, Hamilton.................................. 363-6503 www.mdmh.org

Marcus Daly Home Care Services, a service of Marcus Daly

Surgery Surgery Center Center Center Surgery

Partners In Home Care 2687 Palmer St., Ste. B.................................................... 728-8848 www.partnersinhomecare.org

Provides a full range of in-home services including, Hospice, Infusion Therapy, Home Health, Home & Community Based Services, and Home Medical Equipment. Missoulaâ&#x20AC;&#x2122;s only

Vein Center

Vein Hernia Vein Surgery Center Center CenterVein Center Center

Hernia Center Hernia Center

Her Cen

Formerly Formerly Community SurgicalCommunity Associates.Surgical Associates. Formerly Community Surgical Associates. in vein surgery in Montana. Pioneers in vein surgery Pioneers in Montana. the first vein care center in Montana, Board Certified Surgeons, Establishing the first vein care center inEstablishing Montana, Board Certified Surgeons, Pioneers in vein surgery in Montana. Tim Richards, MD,of FACS, and Dr. Dan Hoheim, MD, MAFC, of Rocky Mountain Dr. Tim Richards, MD, FACS, and Dr. DanDr. Hoheim, MD, MAFC, Rocky Mountain Establishing the first vein care center in Montana, Board Certified Surgeons, Solutionsavailable. (RMSS) offers thethe verylatest best treatment available. Utilizing the latest Surgical Solutions (RMSS) offers the verySurgical best treatment Utilizing Dr. Tim Richards, MD, FACS, and Dr. Dan Hoheim, MD, MAFC, of Rocky Mountain lasertreats and radiofrequency technology, RMSS treats unsightly varicose veins, spider laser and radiofrequency technology, RMSS unsightly varicose veins, spider Surgical Solutions (RMSS) offers the very best treatment available. Utilizing the latest and arise; painful bulging Should the need arise; RMSS also has a hernia veins, and painful bulging veins. Shouldveins, the need RMSS also veins. has a hernia laser and radiofrequency technology, RMSS treats unsightly varicose veins, spider center and general surgery practice. center and general surgery practice. veins, and painful bulging veins. Should the need arise; RMSS also has a hernia Patients aregeneral partners. center and surgeryPatients practice. are partners. Rocky Mountain Surgical Solutionscare (RMSS) Rocky Mountain Surgical Solutions (RMSS) believes in highly personalized withbelieves in highly personalized care with Patients are partners. individual treatment plan specifically an individual treatment plan specificallyan suited to your unique lifestyle demands.suited to your unique lifestyle demands. Rocky Mountain Surgical Solutions (RMSS) believes in highly personalized care with Their dedicated are enthused about their recently remodeled office, designed Their dedicated staff are enthused about their recently staff remodeled office, designed an individual treatment plan specifically suited to your unique lifestyle demands. with the patients comfort in mind. with the patients comfort in mind. Their dedicated staff are enthused about their recently remodeled office, designed about RMSS services. Learn about RMSS Learn services. with more the patients comfort in mindmore . Visit our updated web site, www.rockymountainsurgicalsolutions.com. Many of Visit our updated web site, www.rockymountainsurgicalsolutions.com. Many of Learn more about RMSS services. our treatments are covered by insurance. our treatments are covered by insurance. Visit our updated web site, www.rockymountainsurgicalsolutions.com. Many of our treatments are covered by insurance.

Formerly Community Surgical Associates 2831 #2, Ft. Missoula 2831 Ft. Missoula Road, Physicians Center Suite 104Road, Physicians Center #2, Suite 104

74 ~ Health Resource Guide 2011-12

non-profit nationally accredited home health care agency, co-founded by Community Medical Center and Providence St Patrick Hospital. All employees are fully insured and comprehensive background investigations are conducted. Clinicians available 24 hours a day, 365 days a year. (Care for the terminally ill)

HOSPICE

Hospice of Missoula 800 Kensington Ave. #204................P: 543-4408 or F: 543-4118; www.hospiceofmissoula.com

A charitable hospice providing physical, emotional and spiritual care at end of life. Patients are cared for by a team of physicians, nurses, home aides, chaplain, music thanatologist and social workers. Hospice care serves the entire family, not just the patient and continues after death with bereavement support. Partners In Home Care Partners Hospice 2687 Palmer St, Ste. B...................... 728-8848 or (888)729-8848 www.partnersinhomecare.org

Hospice is not a place; it is a type of care that focuses on comfort rather than cure. Provides patient-centered care for patients with a life expectancy of six months or less. It also provides support to the patients loved ones. For over 25 years, our caregivers and volunteers have provided the highest level of physical, spiritual, and emotional care to patients and their families. Available 24 hours a day.

MEDICAL EQUIPMENT & SUPPLIES Community Home Oxygen 2111 South Ave. W, 728-4315 Harrington Surgical Supply 1208 W. Kent Ave, 721-8468 harringtonsurgical@blackfoot.net.

Locally owned durable medical equipment supplier who prides themselves in customer service. Services include wheelchair, hospital bed and walker rentals, oxygen rental, ostomy supplies, surgical wound dressings, power equipment sales and service, rehab supplies, insurance billing and certified A.T.S. on staff. Lincare 715 Kensington Ave, Ste. 25A........................................ 543-1832 www.lincare.com; Contact: Courtney Imhoff MonTECH, UM Curry Health Center 634 Eddy Ave................................. F: 243-2426 or (877) 243-5511 F: 243-4730; montech@ruralinstitute.umt.edu

MonTECH, Montanaâ&#x20AC;&#x2122;s comprehensive Assistive Technology (AT) resource center on the UM campus offers Montanans statewide a full array of AT support. As a program of the UM Rural Institute: Center for Excellence in Disability Education, Research and Service, MonTECH provides an equipment demonstration center, equipment loans, financial loans, training, evaluations, tours and in-services to all Montanans in need of AT as well as professionals serving them.

Partners In Home Care Partners Medical Equipment 2687 Palmer St., Ste. B.................................................... 728-8848

A full line home medical equipment provider specializing in respiratory services. Our services include oxygen therapy, CPAP, oximetry, ambulation equipment, bed and bath equipment, infant apnea monitors, bililights, aids to daily living and more. Certified Respiratory Therapist on staff to provide in-home clinical support 24 hours a day every day of the week. Provides ambulatory aids for children, breast pumps for breastfeeding, apnea monitors and oxygen. Harrington Surgical Supply 1208 W. Kent Ave.............................................................. 721-8468 harringtonsurgical@blackfoot.net.

Health Resource Guide 2011-12 ~ 75

Disability Services BLINDNESS/VISUAL IMPAIRMENT Blind and Low Vision Services 2675 Palmer St., Ste. A.................................................... 329-5400

DISABILITY SUPPORT GROUPS AND RESOURCES

Various services for visually impaired; independent living skills for home and office; training on adaptive computer equipment and retraining for employment; homemaker training; purchase of low-vision aids; counseling for newly blind people; orientation and mobility coaching for cane travel, shopping techniques. May assist with appropriate eye treatments if medically/financially eligible.

Aging and Disability Resource Center (ADRC) Missoula Aging Services 337 Stephens Ave............................. 728-7682 or (800) 551-3191 www.missoulaagingservices.org

A closed-circuit radio service that reads newspapers to people who are blind or physically print-impaired. Free receiving equipment available.

Alliance for Disability and Students of the University of Montana (ADSUM) University Center, Rm 205............................................ 243-2636 www.umt.edu/asum/adsum

Montana Radio Reading Service 337 Stephens Ave., P.O. Box 4126..............................721-1998 or Statewide 24 hours 1-800-942-7323

Montana School for the Deaf and Blind 3911 Central Ave., Great Falls...771-6000 or 1-800-882-6732

Montana School for the Deaf and Blind is funded by the State Legislature and governed by the Board of Education. The school serves visually and hearing-impaired children from birth through age 21. MSDB is located in Great Falls, but students are welcome from across the state. Educational outreach also is conducted in cities throughout Montana. Montana Talking Book Library 1515 E. 6th Ave., Box 201800, Helena...................(800) 332-3400

Provides cassette recordings and records of books and some magazines, and a subscription service for people who are blind, have low vision, are physically handicapped or have a reading disability from organic dysfunction (must be certified by an MD) If you qualify, services are free. Northwest Lions Eye Bank........................................... 449-6103 www.nleb.org

Hours: Mon-Fri, 8:00 a.m. - 5:00 p.m. Collects eye tissue for corneal transplant and research. Information regarding organ and tissue donation available.

Provides assistance to people with disabilities or caregivers needing resource information. The Information Line has resource information and consultations covering all aspects of needs. The information and assistance specialists can assist with long-term care planning and all the concerns that come with making decisions for the future, at no cost.

ADSUM advocates for the rights of the students with disabilities. Board meetings held once a week; anyone is welcome to come to learn more about ADSUM and its efforts. Students can be paired with fellow students with disabilities. Bitterroot Therapeutic Riding 599 Popham Lane, Corvallis......................................... 880-6599 www.bitterrootriding.org

We accept medicare through home & community based services. Riders of all ages and varying abilities accepted with parental or medical approval. Brain Injury Association of Montana..................541-6442 or 1-800-241-6442 www.biamt.org; biam@biamt.org

Free statewide support groups and resource facilitation service. Camp Challenge Box 2905

Week-long camp each summer at Camp Paxson on Seeley Lake for developmentally disabled and physically disabled young adults and adults.

76 ~ Health Resource Guide 2011-12

Child Development Center T-214 Fort Missoula Rd............. P: 549-6413 or (800) 914-4779 F: 542-0143

A private non-profit organization providing services to families with children with developmental disabilities or who are at risk for developmental delay. CDC has provided early intervention services in Western Montana for 27 years, and offers 3 Certified Behavior Specialists, 25 Family Education and Support Specialists, leading-edge home-based teaching strategies, functional assessments, person-centered planning, program development and implementation, assistance with transitions into school and adult services, child education, parent education, resource and support coordination, respite services, and evaluation and diagnosis. Children’s Special Health Services DPHHS, P.O. Box 202951, Helena.................................444-3622 or (800) 762-9891

CSHS assists families by paying medical costs and finding resources for children with special health care needs. Participants must qualify both financially and by special condition.

Harrington Surgical Supply 1208 W. Kent St................................................................. 721-8468

Rent, sell and service home health care products. Qualified rehab fitters for adaptive seating systems and wheelchairs. A United Way Agency

INFORMATION AND REFERRAL LINE LINKING YOU TO SOCIAL SERVICES

Do you have a question about... • • • • • • •

Food? Health? Heating? Housing? Day Care? Support Groups? Or?????

DIAL 2-1-1

or call 549-5555 A service of the Human Resource Council

Missoula Developmental Service Corporation 1005 Marshall St............................................................ 728-5484

A private, non-profit organization providing nationally accredited rehabilitative services for adults with developmental disabilities and intensive needs. MDSC provides residential, vocational, employment, medical, personal, social and community services. Services are based on needs, desires, and abilities of individuals to live, work, recreate and be healthy. Missoula Social Security Office 700 S.W. Higgins Ave., Ste. 5........................................... 542-1580

Hours: Mon-Fri 9:00 a.m. - 4:00 p.m.

Social Security General Information and Services...................(800) 772-1213

Retirement, survivors and disability benefits; also SSI or Supplemental Security Income.

Missoula Workforce Center Job Service, 539 S. 3rd St., W........................................ 728-7060 www.employmissoula.com

Hours: Mon, Wed, Thur, Fri 7:30 a.m.-5:00 p.m.; Tues 9:00 a.m. - 5:00 p.m. Public employment service providing job placement, jobtraining programs, veteran representatives, employment counseling, and ProveIt internet-based program that accesses over 800 efficiency tests. Listings include private sector jobs and announcements for state, university, county, city, and other government-related job vacancies. Provides public Resource Center with access to the Internet, word processing, resume programs, and career exploration. Disabilities Coordinator assists individuals with disabilities in seeking employment, accessing and utilizing resources described above, and making appropriate referrals to other community services. The building is fully accessible and MAGIC software is installed on a public resource computer along with an over-sized monitor. A close working relationship is maintained with Vocational Rehabilitation Services staff. Montana Advocacy Program - Client Assistance Program 400 N. Park St., 2nd Floor, P.O. Box 1681, Helena 449-2344 or (800) 245-4743.

During rehabilitation, if you encounter a problem, you should first discuss it with your counselor. If you need further assistance, you can ask for help from the Client Assistance Program (CAP). Montana Radio Reading Service 337 Stephens Ave. 721-1998 or Statewide 24-hour...........................(800) 942-7323

A closed-circuit radio service that reads newspapers to people who are blind or unable to read. Free receiving equipment available to the visual or physical print impaired.

MonTech Program : The University of Montana Rural Institute 700 SW Higgins Avenue, Suite 250... P: 243-5751 fax: 243-4730 montech@ruralinstitute.umt.edu

Health Resource Guide 2011-12 ~ 77

MonTECH, Montanaâ&#x20AC;&#x2122;s comprehensive Assistive Technology (AT) resource center offers Montanans statewide a full array of AT support. As a program of the UM Rural Institute: Center for Excellence in Disability Education, Research and Service, MonTECH provides an equipment demonstration center, equipment loans, financial loans, training, evaluations, tours and in-services to all Montanans in need of AT as well as professionals serving them. MonTECH provides free, confidential information about AT devices & services. Our qualified staff will offer customers current accurate information regarding AT-related issues by accessing AT resources, manufacturers & service providers.

Karosel Service Dogs is a group of dog trainers dedicated to raising and training dogs to live with and assist individuals with disabilities and mobility impairments. These skills include: opening and closing doors, turning lights on and off, opening handicapped access doors, retrieving dropped items as well as items in cabinets, answering telephones, and any other support skill a dog is reasonably able to perform for a person.

Norco Medical 2850 Stockyard Rd.......................................................... 549-2321

Summit Independent Living Center 700 S.W. Higgins Ave., Ste. 101.................. 728-1630 (voice/TTD) www.summitilc.org

Western Montanaâ&#x20AC;&#x2122;s most exprienced independant home medical equipment supplier. Our services inclued oxygen, home ventilators, CPAP, hospital beds, power wheelchairs, power scooters, and aids to daily living. Certified Respiratory Therapists on staff. Only Western Montana Provider with certified Assitive Technology Professionals on staff to meet your wheelchair and powered mobility needs. 24/7 service. Opportunity Resources Inc. 2821 S. Russell St............................................................ 721-2930

Provides a variety of programs designed to support individuals with disabilities in enhancing their quality of life. Services include health care coordination for adults with developmental disabilities, vocational assessment and job development, independent living support and adult day care services for adults who have suffered severe head trauma. Services for individuals are coordinated through referrals from Developmental Disabilities Division and Vocational Rehabilitation. Partners In Home Care Partners Medical Equipment 2687 Palmer St., Ste. B.................................................... 728-8848

A full line home medical equipment provider specializing in respiratory services. Our services include oxygen therapy, CPAP, oximetry, ambulation equipment, bed and bath equipment, infant apnea monitors, bililights, aids to daily living and more. Certified Respiratory Therapist on staff to provide in-home clinical support 24 hours a day every day of the week. Provides ambulatory aids for children, breast pumps for breastfeeding, apnea monitors and oxygen. Senior Wheels USA Program...............................(800) 246-6010 www.seniorwheelsusa.com

The Senior Wheels USA Program provides electric wheelchairs to senior citizens and the permanently disabled at no cost if program guidelines are met. If unable to meet guidelines it may be possible to find a donation through our donation program. Service Dogs, Specialized Adaptive Equipment Karosel Service Dogs Barbara 626-5280 or LeAnne Beers 549-2827

Social Security General Information and Services...................(800) 772-1213

Retirement, survivors and disability benefits; also SSI or Supplemental Security Income.

An advocacy and resource center for people with disabilities. Consumer services include: individual advocacy, skills training, peer advocacy, ADA/Vocational services, and personal assistance services. Community services include: systems advocacy, consultation services and community education. Vocational Rehabilitation 2675 Palmer St., Ste. A.................................................... 329-5400

If you want to work, but have a physical or mental disability that prevents you from getting or keeping a job, VR services can help

HOUSING AND TRANSPORTATION RESOURCES Americans with Disabilities Act (ADA) Summit Independent Living Center Inc. 700 S.W. Higgins Ave., Ste. 101....................................... 728-1630 www.summitilc.org

Group training and individual consultations for people with disabilities; businesses and employers; government agencies, commercial facilities; transportation operators; and individuals. Architectural accessibility surveys, seminars, referral to local resources for architectural or operational modifications and tax-incentive information. Missoula Developmental Service Corporation 1005 Marshall St............................................................ 728-5484

A private, non-profit organization providing nationally accredited habilitative services for adults with developmental disabilities and intensive needs. MDSC provides residential, vocational, employment, medical, personal, social and community services. Services are based on needs, desires, and abilities of individuals to live, work, recreate, and be healthy. Missoula Housing Authority 1235 34th St.,.................................................................... 549-4113

Low- and moderate-income housing that serves handicapped, disabled, seniors and families. Some of the apartments are wheelchair accessible. Orientation meetings Tuesdays at 5:15 and Wednesdays at noon.

78 ~ Health Resource Guide 2011-12

Mountain Line Paratransit 1221 Shakespeare St....................................................... 721-2848

Paratransit transportation for disabled and elderly people who have mobility restrictions that prevent them from using fixed-route services.

EDUCATION AND TRAINING PROGRAMS

Child Development Center T-214 Fort Missoula Rd.............P: 549-6413 or 1-800-914-4779 F: 542-0143

A private non-profit organization providing services to families with children with developmental disabilities or who are at risk for developmental delay. CDC has provided early intervention services in Western Montana for 27 years, and offers 3 Certified Behavior Specialists, 25 Family Education and Support Specialists, leading-edge home-based teaching strategies, functional assessments, person-centered planning, program development and implementation, assistance with transitions into school and adult services, child education, parent education, resource and support coordination, respite services, and evaluation and diagnosis. Community Medical Center Community WORCcenter 2685 Palmer St., Ste. D........................................................... 327-4345

The WORCcenter is dedicated to helping individuals with

injuries or disabilities get back to work. Primary services are vocational evaluation; employment services including placement, supported employment and extended employment; and community supports. Developmental Disabilities Services 2675 Palmer St., Ste. B........................................................... 329-5415 Missoula Area Education Cooperative 438 W. Spruce St...................................................................... 258-4861

Services for children ages 3-18 with disabilities who are enrolled in county schools. Serves: Alberton, Superior, Arlee, Charlo, St. Ignatius, Dixon, Bonner, Clinton, DeSmet, Lolo, Potomac, Seeley Lake, Sunset, Swan Valley, and Woodman. Missoula Developmental Service Corporation 1005 Marshall St.................................................................... 728-5484

A private, non-profit organization providing nationally accredited habilitative services for adults with developmental disabilities and intensive needs. MDSC provides residential, vocational, employment, medical, personal, social and community services. Services are based on needs, desires, and abilities of individuals to live, work, recreate, and are healthy. Montana Talking Book Library 1515 E. 6th Ave., Box 201800, Helena.......................1-800-332-3400

Provides cassette recordings and records of books and some magazines, and a subscription service for people who are blind, have low vision, are physically handicapped or have a reading disability from organic dysfunction (must be certified by an MD) If you qualify, services are free. Montana Vocational Rehabilitation 2675 Palmer St., Ste. A........................................................... 329-5400

Provides evaluation services, counseling and guidance, job training and placement, and artificial aids for people with emotional, mental or physical disabilities.

Research and Training Center on Disability and Rural Communities 52 North Corbin Hall, UM Campus.................................... 243-5467

Contact Diana Spas. Funded through a national grant, the center helps rural people with disabilities achieve greater independence. Materials on self-employment, rural transportation and health promotion. Hours are Mon-Fri 8 a.m. to 5 p.m. University of Montana Affiliated Rural Institute on Disabilities 52 North Corbin Hall, UM Campus.................................... 243-5467 or 1-800-732-0323 or contact Jean Paskert 243-4135

A center of excellence for developmental disabilities education, research, and services. Provides demonstrations of services, training, technical assistance as well as information to support programs and services for people with developmental disabilities. The institute also offers parent-child interaction groups. University of Montana College of Technology Disability Services

Health Resource Guide 2011-12 ~ 79

909 South Ave. W................................................................ 243-7811 or contact Dan Burke, 243-4424

Most areas of study and classrooms accessible to people with physical impairments. Offers typing programs for the blind or physically impaired.

CHILDREN’S SERVICES AND RESOURCES

CO-TEACH Preschool Program Division of Educational Research and Service (DERS) Library and Family Center Basement of McGill Hall, UM............................................. 243-6303 www.dersom.org

Hours: CO-TEACH Preschool operates two programs MonThurs, morning (8:30 a.m. - 11:30 a.m.) and afternoon (12:00 p.m. - 3:00 p.m.). The family center and the DERS library are open MonFri 8:30 a.m.-4:30 p.m. The CO-TEACH Preschool is an inclusive program for children ages three through five with diverse abilities and their families. The mission of the CO-TEACH Preschool Program is to offer all children a stimulating, playful first school experience and to provide them with the readiness skills they need to achieve - now, when they transition to kindergarten, and during the years that follow. Moreover, CO-TEACH operates on the belief that all children and families have individual strengths and needs and deserve to be treated with respect and dignity in a safe school environment. CO-TEACH and DERS serve students, educators, families, and community members by providing information and technical assistance regarding topics related to early childhood special education such as: kindergarten transition; inclusion; preventing and reducing challenging behavior; positive behavioral supports; early literacy and language skills; social communication skills; school safety; technology integration; collaboration with families and professionals; individualized education programs; and specific disabilities.

FINANCIAL RESOURCES

Children’s Special Health Services 1-800-762-9891 or (406)444-3622

Assists eligible families with medical costs that arise from treating children with special health care needs including, but not limited to: heart conditions, cleft lip, seizures, asthma, diabetes, and concerns with child’s development. Can be in addition to other insurance (except Medicaid) Missoula Social Security Office 700 S.W. Higgins Ave., Ste. 5, 542-1580

Hours: Mon-Fri 9:00 a.m. - 5:00 p.m.

Office of Public Assistance Missoula County 2677 Palmer St., Ste. 100................................................ 329-1200 Ravalli County 310 N. 3rd St., Hamilton................................................. 363-1944 Social Security

General Information and Services 800-772-1213 Retirement, survivors and Disability benefits; also SSI or Supplemental Security Income.

A SAfe & CAring Home for PeoPle WitH memory loSS

Easter Seals Growing Place 2683 Palmer St., Ste. A........................................................... 728-1243

• Comforts & design of a family home.

Preschool childcare for children from 6 weeks of age through kindergarten with all abilities.

• Well trained & compassionate caregivers. • Respite & day program.

March of Dimes..............................................................(888) 663-4637

• Personalized daily activities such as gardening, art, worship, reminiscing, singing, baking, exercise, & pet therapy.

Missoula Area Education Cooperative 438 W. Spruce St..................................................................... 258-4861

Services for children ages 3-18 with disabilities who are enrolled in county schools. Serves: Alberton, Superior, Arlee, Charlo, St. Ignatius, Dixon, Bonner, Clinton, DeSmet, Lolo, Potomac, Seeley Lake, Sunset, Swan Valley, Woodman, and Missoula. Serves member school districts. Call to see if your school is a member. Parents Let’s Unite for Kids (PLUK) 516 N 32nd St., Billings..........................................(406)255-0540 2230 N. Reserve St., Ste. 402, Missoula..................728-1822 or 1-800-222-7585 www.pluk.org; plukinfo@pluk.org Shodair Hospital............................444-7500 or 1-800-447-6614

• Culture of gentle and loving care.

www.edgewoodvista.com

406-549-9660

2815 Palmer, Missoula

80 ~ Health Resource Guide 2011-12

Disease Specific Resources AIDS/HIV

AIDS (acquired immunodeficiency syndrome) is caused by HIV (human immunodeficiency virus). HIV is most commonly spread through IV drug use and by sexual intercourse with an infected partner. It can also be spread through contact with infected blood, and women can transmit the virus to their babies during pregnancy or birth. By killing or damaging cells in the body’s immune system, HIV progressively destroys the body’s ability to fight infections. The term AIDS applies to the most advanced stages of HIV infection. AIDS/HIV Hotline National....................................(800) 232-4636

Hours: Open 24 hours a day, 7 days a week Referrals, answers to questions and free written materials.

AIDS and HIV Anonymous Counseling, Testing Missoula County Health Dept........................................ 58-4745

Counseling & HIV testing by appointment on Wednesdays only. National AIDS/HIV Resources Website Links: see www.cdc.gov/hiv/links.htm

Infectious Diseases, Missoula County Health Department 301 W. Alder St............................................ (406) 258-3896

Infectious, or communicable, diseases are those that are easily transmitted from one person to another. The Health Dept. Infectious Disease division can answers questions about sexually transmitted infections (STD or STI) and communicable diseases including HIV. Counseling and testing are available for HIV/AIDS, hepatitis, and TB, but not for STD’s. Communicable Diseases, Missoula County Health Department 301 W. Alder St................................................................. 258-3896

Communicable Diseases answers questions about sexually transmitted illness and communicable diseases including HIV. Counseling and testing available. Missoula AIDS Council 500 N. Higgins Ave., Ste. 100........................................... 543-4770 mac@centric.net

Provides HIV prevention information and risk-reduction supplies. Offers HIV education, including at-risk youth program, HIV positive speakers bureau, and community presentations. Rapid testing is available free of charge; results are treated anonymously and confidentially. Only a 20-80 minute wait for results! Support for HIV-positive individuals includes referrals, housing assistance, and support groups.

Health Resource Guide 2011-12 ~ 81

Partnership Health Center 323 W. Alder St................................................................. 258-4789

Assistance with medical, dental and pharmacy needs for the uninsured and underinsured. Also offers mental health services and educational resources. Yellowstone AIDS Project 2906 1st Ave. N, Ste. 200, Billings................................ 245-2029 www.yapmt.org

Provides direct services to people with HIV and AIDS, including prevention education and outreach, HIV counseling and testing. Also provides prevention education for people affected by HIV/AIDS or at risk.

ALZHEIMER’S AND OTHER DEMENTIAS Alzheimer’s is a type of dementia that causes problems with memory, thinking and behavior. Symptoms usually develop slowly and get worse over time, becoming severe enough to interfere with daily tasks. Alzheimer’s is the most common form of dementia, a general term for memory loss and other intellectual abilities serious enough to interfere with daily life. Alzheimer’s disease accounts for 50 to 80 percent of dementia cases. Alzheimer’s is not a normal part of aging, although the greatest known risk factor is increasing age, and the majority of people with Alzheimer’s are 65 and older. But Alzheimer’s is not just a disease of old age. Up to 5 percent of people with the disease have early-onset Alzheimer’s (also known as younger-onset), which often appears when someone is in their 40s or 50s. Alzheimer’s has no current cure, but treatments for symptoms are available and research continues. Although current Alzheimer’s treatments cannot stop Alzheimer’s from progressing, they can temporarily slow the worsening of dementia symptoms and improve quality of life for those with Alzheimer’s and their caregivers. Today, there is a worldwide effort under way to find better ways to treat the disease, delay its onset, and prevent it from developing. Alzheimer’s Association http://www.alz.org/alzheimers_disease_what_is_ alzheimers.asp#basics Alzheimer’s Association, Montana Chapter 3010 11th Ave. N., Billings........................................252-3053 or 24 Hour Helpline (800) 272-3900 www.alz-mt.org

Safe Return Program for Montana - information available from this office along with educational materials about Alzheimer’s Disease.

Alzheimer’s Support Group at St. Patrick Hospital Contact John and Gale English 500 W. Broadway.............................................................. 273-2429

Alzheimer’s & Related Disorder support group meets the 4th Monday of each month at 6:30 p.m. in St. Patrick’s Hospital conference room, level one-room B.

Caregiver Support Group Missoula Aging Services, 337 Stephens Ave............. 728-7682

Do you give care to a friend or family member? It may range from occasional errand-running and other supportive care to 24-hour live-in support. Support group meets every third Tuesday of the month from 4 - 5 p.m. at Missoula Aging Services. Respite care is available--please call in advance to arrange. Senior Information Line and Resource Center Missoula Aging Services 337 Stephens Ave............................728-7682 or 1-800-551-3191 www.missoulaagingservices.org

Provides assistance to seniors, families of seniors or caregivers needing resource information. The Senior Information Line has over 600 resources listed in the database covering all aspects of senior needs. From transportation to Medicare insurance counseling, the trained staff can assist in finding answers.

ARTHRITIS

Arthritis is inflammation of one or more joints, often accompanied by pain, swelling, stiffness, and structural changes. There are over 100 different types of arthritis. – U.S. National Library of Medicine, A.D.A.M. Medical Encyclopedia Aquatic Movement Therapy for Arthritis Community Medical Center 2827 Fort Missoula Rd................................................... 327-4634

Our therapeutic pool offers the ideal environment for patients with arthritis to maximize their exercise program. The warm water environment provides comfort, support and freedom of movement. Call for more information and available class times.

Arthritis Foundation Rocky Mountain Chapter/Montana Branch PO Box 8113....................................... 461-9368 or (800) 475-6447 www.arthritis.org/chapters/montana or cstrike@arthritis.org

The foundations provides educational forums, self-help classes, exercise classes (aquatic and land), free educational brochures, advocacy, doctor referrals, juvenile camp for kids with arthritis, Arthritis Today Magazine, pain management classes, professional education and volunteer opportunities. Anyone with arthritis or related disease is eligible. $25 membership fee- includes national & local newsletters. Other services are free of charge The Women’s Club Fitness Center 2105 Bow St....................................................................... 728-4410 www.thewomensclub.com

Aquatic class specially designed to improve joint flexibility, relieve pain and stiffness from arthritis for women with arthritis and other debilitating joint or bone disease. Check on the web, Facebook or call for fees and scheduled activities.

82 ~ Health Resource Guide 2011-12

ASTHMA

Asthma is a disorder that causes the airways of the lungs to swell and narrow, leading to wheezing, shortness of breath, chest tightness, and coughing. –U.S. National Library of Medicine, A.D.A.M. Medical Encyclopedia American Lung Association and “Camp Huff and Puff” 825 Helena Ave., Helena............................................442-6556 or call the Lung Association of the Northern Rockies at 1-800-LUNG-USA

Information about lung disease & promoting lung health. A summer camp “Camp Huff and Puff ” for children with asthma and other respiratory difficulties.

BACK, NECK, AND SPINE

According to the Mayo Clinic, back pain ranks second only to headaches as the most frequent pain location. Back pain can occur anywhere along the spine and for no apparent reason. rovidence Medical Group - Montana Spine and Pain Center 500 West Broadway..................................................................327-1670 1103 Westwood Dr , Hamilton...............................................363-4209

Our mission is to provide efficient and effective evaluation and treatment services for patients suffering from acute or subacute spine injuries and conditions and comprehensive evaluation and treatment for patients suffering from complex chronic pain conditions affecting the musculoskeletal system. Our team is uniquely comprised of specialists who have completed pain medicine fellowships psychiatry certification and neurobehavioral medicine. With this complement of multi-speciality providers - The Montana Spine and Pain Center is the only facility in the Western Montana Region offering you a full array of services for your spine and pain management issue.

CANCER see section on page 21 CEREBRAL PALSY

Cerebral palsy is a general term referring to the abnormal motor control caused by damage to a child’s brain in early development. Damage resulting in cerebral palsy can occur during fetal development, during the birth process or during the first few months of an infant’s life. United Cerebral Palsy......................................(800) USA-5-UCP

CHRONIC FATIGUE

CFIDS (chronic fatigue and immune dysfunction syndrome) is also known as CFS (chronic fatigue syndrome), CEBV (chronic Epstein-Barr virus), M.E. (myalgic encephalomyelitis), “yuppie flu” and many other names. It is a complex illness characterized by incapacitating fatigue (experienced as exhaustion and extremely poor stamina), neurological problems and a constellation of symptoms that can resemble other disorders including: mononucleosis, multiple sclerosis, fibromyalgia, AIDS-related complex (ARC), Lyme disease, post-polio syndrome and autoimmune diseases such as lupus. These symptoms tend to wax and wane but are often severely debilitating and may last for many months or years. All segments of the population (including children) are at risk, but women under the age of 45 seem to be the most susceptible. CFIDS Association of Americas Inc. P.O. Box 220398, Charlotte, NC 28222-0398…(704)365-2343 www.cfids.org

DEPRESSION

According to the National Institute of Mental Health, a depressive disorder is an illness that involves the body, mood, and thoughts. It affects the way a person eats and sleeps, the way one feels about oneself, and the way one thinks about things. A depressive disorder is not the same as a passing blue mood. It is not a sign of personal weakness or a condition that can be willed or wished away. People with a depressive illness cannot merely “pull themselves together” and get better. Without treatment, symptoms can last for weeks, months, or years. Appropriate treatment, however, can help most people who suffer from depression.

Health Resource Guide 2011-12 ~ 83

A self-test to screen for depression is available on the Missoula Health Promotion web site: www.co.missoula.mt.us/healthpromo/SuicidePrevention/index.htm

Partnership Health Center 323 W. Alder St................................................................. 258-4789 www.co.missoula.mt.us/phc

In conjunction with the University of Montana, provides access to therapy services through a network of 50 local therapists. Cost may be discounted based on family size and income. The National Suicide Prevention Lifeline........(800) 273-TALK

Twenty-four-hour suicide response for the entire country. National Alliance on Mental Illness, Missoula Affiliate. P.O. Box 5413.............................. 543-3055, 552-5494 or 721-1621 nami.missoula@yahoo.com

Support, advocacy and education for all affected by serious mental illness. Daytime and evening support groups, educational classes, forums and presentations available for recovering adults, family members, friends and providers. Recovery Inc..................................... 825-3063 OR 866-221-0302 www.lowselfhelpsystems.org or Charlottesweb@blackfoot.net

Improve mental health and reduce suffering. Learn skills and acquire tools to help cope with difficult emotions and nervous symptoms. Group meets at Missoula Public Library in small meeting room near the parking lot on Saturday at 1:00 pm or Western Montana Mental Health Center Day Treatment in the large meeting room on Wednesday at 12:30 pm. New attendees please call Charlotte. Senior Help Line, Missoula Aging Services.........…728-7682 or 1-800-551-3191

www.missoulaagingservices.org Hours: Mon-Fri 8:00 a.m. - 5:00 p.m.

DIABETES

There are several types of diabetes. Type 1 diabetes usually develops during childhood and is an autoimmune disease characterized by the inability of the pancreas to create enough insulin. Type 2 diabetes is not an autoimmune disease but is a result of obesity and poor eating choices. It usually develops in overweight adults, but may also occur in overweight children. Gestational diabetes develops in some pregnant women if their hormones increase the body’s resistance to insulin. Gestational diabetes typically goes away after the pregnancy. Be Your Best – Diabetes Prevention Program Missoula City-County Health Dept. 301 W. Alder...................................................................... 258-4935 http://www.co.missoula.mt.us/healthservices/BYBest/index.html

A lifestyle balance program carefully designed to help reduce

Breast cancer

awareness

84 ~ Health Resource Guide 2011-12

the risk of developing chronic diseases. Based on research studies regarding the best ways to help people make life-long changes that support healthy eating, an active lifestyle, and weight loss and management. Group and individual support are provided by a registered dietitian and group exercise specialist. Diabetes Care Services St. Patrick Hospital 500 West Broadway........................................................ 329-5781

Our all starred staff of Certified Diabetes Educators will assist you in meeting not only your Diabetes Health goals, but Diabetes Prevention health goals as well. The American Association of Diabetes Educators has recognized our program for the high quality Diabetes Self Management Education we provide. This education is offered in a variety of settings including monthly group classes which cover a variety of topics including, but not limited to, healthy eating, monitoring of blood sugars, medications used in diabetes management, exercise recommendations, prevention of the long term complications of diabetes and most importantly becoming motivated to take care of you disease! Individual sessions are also offered for those who need or request individualized instruction. We also offer support group meetings free of charge the first Thursday of every month. We have many diabetes prevention classes to choose from as well as individual sessions. Take the first step in controlling your health by calling our office today! Diabetes & Nutrition Center Community Medical Center 1211 S. Reserve St. Suite 202......................................... 327-4325

Missoula Indian Center 830 West Central............................................................ 829-9515

On-site blood sugar testing with glucose monitor, quarterly offers of immunizations, fasting blood sugar, lipid profile and thyroid panel. Partnership Health Center 323 W. Alder St................................................................ 258-4789

As a participant in the National Diabetes Collaborative, Partnership Health Center practitioners are armed with the best and latest information in diabetes management. Costs may be discounted depending on family size and income. Self-Management Education Classes Diabetes Care Services St. Patrick Hospital 500 West Broadway....................................................... 329-5781

People with diabetes and their loved ones learn how to manage the disease on their own. Physician referral only. Call for more information. Sweet’n Low Aquatic Exercise for Adults with Diabetes Community Medical Center 2827 Fort Missoula Rd................................................... 327-4427

This warm-water therapy pool class helps adults with diabetes increase endurance, improve flexibility, strength, increase circulation, and improve control of diabetes. Call for fee and class schedule. Physician referral only.

EPILEPSY

According to the National Institute of Neurological Disorders and Stroke, epilepsy is a brain disorder in which clusters of nerve cells, or neurons, in the brain sometimes signal abnormally. In epilepsy, the normal pattern of neuronal activity becomes disturbed, causing strange sensations, emotions, and behavior or sometimes convulsions, muscle spasms, and loss of consciousness.

Gestational Diabetes Missoula City-County Health Dept 301 W. Alder...................................................................... 258-4750

Epilepsy Foundation..............................................(800) 332-1000 http://epilepsyfoundation.ning.com/group/speakupmontana - for Montana information

Provides information and support for pregnancy-related diabetes. juvenile Diabetes Research Foundation PO Box 2805................................................ 251-4972 or 549-0556

Driven by the needs of people with diabetes, the mission of the Juvenile Diabetes Research Foundation (JDRF) is to find a cure for diabetes and it’s complications through the support of research. We work to accomplish this by finding and funding the best and most relevant research to help achieve a cure for this devastating disease. The Western Montana Branch of JDRF holds annual fundraisers such as the Walk to Cure Diabetes. We offer a “Bag of Hope” to newly diagnosed children.

HEART DISEASE/CHOLESTEROL

Coronary heart disease (CHD) is a narrowing of the small blood vessels that supply blood and oxygen to the heart. CHD is also called coronary artery disease. Coronary heart disease (CHD) is the leading cause of death in the United States for men and women. Coronary heart disease is caused by the buildup of plaque in the arteries to your heart. This may also be called hardening of the arteries.Fatty material and other substances form a plaque build-up on the walls of your coronary arteries. The coronary arteries bring blood and oxygen to your heart. This buildup causes the arteries to get narrow. As a result, blood flow to the heart can slow down or stop.

Health Resource Guide 2011-12 ~ 85

Many things increase your risk for heart disease. Diabetes is a strong risk factor for heart disease. High blood pressure increases your risks of heart disease and heart failure. Extra cholesterol in your blood builds up inside the walls of your heart’s arteries (blood vessels). Smokers have a much higher risk of heart disease. Chronic kidney disease can increase your risk. People with narrowed arteries in another part of the body (examples are stroke and poor blood flow to the legs) are more likely to have heart disease. In addition substance abuse (such as cocaine), being overweight, not getting enough exercise, and feeling depressed or having excess stress are other risk factors. –U.S. National Library of Medicine, A.D.A.M. Medical Encyclopedia

American Heart Association 700 South Ave. W, Ste. D…............. 829-3377 or (800) 242-8721 www. heart.org, www.missoulaheartwalk.org, www.missoulagoredluncheon.org

The American Heart Association’s mission is to fight cardiovascular disease and stroke, the #1 and #3 killers in the state. The AHA has the Heart Walk each September and the Go Red for Women luncheon in February. AHA has Jump Rope for Heart in local schools. A turnkey corporate wellness walking program, START! is available for any businesses that

Hepatitis Type How it spreads Hepatitis A

Is there a vaccine?

Through feces

Yes

How you can get it

 

Eating food or drinking water that has been contaminated with human excrement Anal/oral sex

Hepatitis Type How it spreads Hepatitis B

Is there a vaccine?

Through infected blood or body fluids

Yes

How you can get it

  

Sexual contact with an infected person Shooting drugs or sharing needles or "works" (cotton, spoons, syringes, etc.) During birth, an infected mother can pass the virus to her baby

Hepatitis Type How it spreads Hepatitis C

How you can get it

  

Is there a vaccine?

Through infected blood or body fluids

Shooting drugs or sharing needles or "works" (cotton, spoons, syringes, etc.) Received a blood transfusion before July 1992 or solid organ transplant before July 1992 Body piercing/tattooing with contaminated needles

are concerned with employee wellness and rising health care costs. Community Medical Center Cholesterol Testing 2827 Fort Missoula Rd................................................... 327-4077

Hours: Mon-Fri, 6:30a.m. - 6:00 p.m, Sat 8:30 a.m. - 2 p.m. Community Medical Center offers a walk-in lipid panel at a cost of $20. A physician’s order is not needed and no appointment is necessary. A 10-hour fast (water permitted) is required.

The International Heart Institute of Montana St. Patrick Hospital 500 West Broadway........................ 329-5615 or (877) 444-5615

The IHI involves physicians and scientists from St. Pat’s and The University of Montana. It brings together an internationally recognized team of cardiologists, heart surgeons and researchers to perform the most advanced cardiac procedures and to search for new and improved ways to treat heart disease. We’re developing new cardiovascular treatments and working toward the prevention of heart disease. We understand that families and loved ones have unique needs and concerns and are an important part of the healing process. We make sure your questions are answered and your family’s needs are met. We also stay in close communication with your personal physician for your follow-up care. The Montana Heart Center at Community Medical Center 2827 Fort Missoula Rd................. ..327-4646 or (866) 327-4646

HEPATITIS A, B AND C

Hepatitis A is a liver disease caused by the hepatitis A virus (HAV). Hepatitis B is a serious disease caused by the hepatitis B virus (HBV) that attacks the liver cells. Hepatitis C is a disease of the liver that is caused by the hepatitis C virus (HCV). Hepatitis B and C can cause liver damage, lifelong chronic infection, cirrhosis (or scarring) of the liver, liver failure, liver cancer or sometimes death. Many people may have hepatitis but have no symptoms. If you think you may have hepatitis, it is important to get tested by a health care professional. Missoula County Health Department 301 W. Alder St................................................................. 258-4745 www.co.missoula.mt.us/health

Hepatitis B and C anonymous counseling and testing by appointment only.

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Partnership Health Center 323 W. Alder St… ........................................................... 258-4789

Provides primary medical care to persons with Hepatitis B and Hepatitis C.

KIDNEY DISEASE

Healthy kidneys clean the blood by filtering out extra water and wastes. They also make hormones that keep your bones strong and blood healthy. When the kidneys stop working the body holds fluid, blood pressure rises, and harmful wastes build up in the body. When this happens, treatment to replace the work of the failed kidneys is needed. High blood pressure and diabetes are the two most common causes of kidney disease. American Kidney Fund 6110 Executive Blvd., Ste. 1010, Rockville, MD (800) 638-8299 www.kidneyfund.org

St. Patrick Hospital Dialysis Center 615 W. Alder St................................................................. 327-1750

Hours: The outpatient dialysis unit is open Mon-Sat St. Patrick Hospital Dialysis Center offers both hemodialysis and peritoneal dialysis treatments for people with kidney failure. Patients with kidney failure and their families are provided with ongoing education and support by our professional Renal Team. The Renal Team is comprised of board-certified nephrologists, registered nurses, licensed practical nurses, dialysis technicians, registered dietitians, medical social worker, chaplain and financial counselor.

MULTIPLE SCLEROSIS

Multiple sclerosis is a disorder of the brain and spinal cord caused by progressive damage to the outer coverings of nerve cells. It is often associated with people who live in less sunny climates, such as northern latitudes. There is probably a genetic component as well. Symptoms may be mild, such as numbness in the limbs, or severe, such as paralysis or loss of vision. The progress, severity, and specific symptoms of MS in any one person cannot yet be predicted. Missoula Multiple Sclerosis Support Group Contact Nancy at 721-3826 or Becky at 721-9877

Hours: Monthly meetings on the 2nd Sat of the month, 10:00 a.m. - 12:00 p.m. at Community Medical Center’s rehab conference room, 2827 Fort Missoula Rd. Self-help group for individuals with MS, their families and caregivers. Guest speakers offer education at meetings. Please call to receive a monthly newsletter. Sep-May summer break.

Multiple Sclerosis Association of America, Northwestern Region, 600 Central Plaza, Ste. 13 Great Falls............................................. 1-800-565-6722 ext. 131 www.msassociation.org

Information and education for people living with MS. Offers a quarterly newsletter, equipment distribution program, and social events for those with MS and their families. Coordinates with support groups, provides aquatics, and offers assistance with MRI funding. National MS Society....................................……1-800-344-4867 ww.nationalmssociety.org Greater Northwest Chapter (serving MT, AK, WA) 206-284-4254 www.nationalmssociety.org/chapters/WAS/index.aspx

MUSCULAR DYSTROPHY

According to the National Institute of Neurological Disorders and Strokes, muscular dystrophy refers to a group of genetic diseases characterized by progressive weakness and degeneration of the skeletal or voluntary muscles which control movement. Although some forms first become apparent in infancy or childhood, others may not appear until middle age or later. Muscular Dystrophy Association of Montana 2070 Overland Ave., Billings….................................... 655-9000

Provides evaluation, treatment, therapy, family counseling, and adaptive equipment services for clients affected with neuromuscular disease. Offers a week-long summer camp for children with MD.

OSTEOPOROSIS

Osteoporosis is a common bone disease that can affect both men and women as they grow older. People lose bone strength as they age, making the bones weaker and prone to fracture. Osteoporosis is symptomless and may not be diagnosed until after a bone has been broken. A person suffering from osteoporosis can suffer broken bones even after a minor fall. Osteoporosis is 100% preventable and if diagnosed early, responds well to treatment. Your health care provider may be able to set you up with a bone density scan. Missoula City-County Health Department Wellness Program - Osteoporosis Prevention, Screening and Referral Services 301 W. Alder...................................................................... 258-4837

Services include risk assessment, heel scans using an FDAapproved Peripheral Testing device, explanation of testing results, brief nutrition counseling related to bone health and referrals to health care providers for bone density follow-up.

Health Resource Guide 2011-12 ~ 87

Osteoporosis Resource Center at Community Medical Center 2827 Fort Missoula Rd................................................... 327-4133 osteoeducation@communitymed.org

OUTPATIENT AND HEALTH CARE AT HOME Case Management Caregivers Home Health of Montana Home Instead Hospice of Missoula Marcus Daly Hospice Missoula City/County Health Department Nightingale Nursing Northwest Caregivers Partners In Home Care Partnership Health Center

POLIO

Poliomyelitis is an infectious viral disease occurring mainly in children. In its acute form it attacks the central nervous system and produces paralysis, muscular atrophy, and often deformity. Post-Polio Clinic Community Medical Center 2827 Fort Missoula Rd................................................... 327-4050

Multidisciplinary team provides assessment to individuals experiencing symptoms of late effects of polio.

SEXUALLY TRANSMITTED INFECTIONS

Sexually transmitted infections (predominantly of Chlamydia) are epidemic and many people do not know that they have it. Men often have no symptoms. Symptoms in women can be mild but if left untreated may lead to infertility. If you are notified that you have been exposed to a sexually transmitted infection, it is important to see your healthcare provider and take all medications prescribed. American Social Health Association................(919) 361-8400 http://www.ashastd.org/ Genital Human Papillomavirus (HPV)................(800) 232-4636

Contact the Centers for Disease Control and Prevention for more information about the virus and the vaccine. Also see the HPV Vaccine section under “Preventative Care” in this Health Resource Guide. Herpes Hotline.......................................................(919) 361-8488 http://www.cdc.gov/std/herpes/stdfact-herpes.htm

A Center for Disease Control and Prevention web sit for general herpes information.

Infectious Diseases Missoula City-County Health Department 301 W. Alder St................................................................ 258-3896

Communicable Diseases answers questions about communicable diseases including HIV and STIs (sexually transmitted illnesses). Sexually Transmitted Infection Hotline........(800) 227-8922 www.ashastd.org

SLEEP DISORDERS

How you feel and perform during the day is related to how much sleep you get the night before. If sleepiness interferes with your daily activities, more sleep each night will improve the quality of your waking hours. Yet many adults report experiencing a sleeping problem one or more nights a week. Missoula Sleep Medicine 910 Brooks St., Ste. 201.................................................. 829-8053

A variety of sleep disorders can have a significant negative impact on health and work, and can lead to increased accidents in the workplace and on the highways. Common sleep disorders include sleep apnea, insomnia, narcolepsy, restless legs syndrome and periodic limb movement disorder. They not only rob a person of a good night’s sleep, but can also contribute to serious medical problems including heart failure, high blood pressure and stroke. Many motor vehicle accidents are the result of drivers falling asleep behind the wheel. Missoula Sleep Medicine is accredited by the American Academy of Sleep Medicine, and our Medical Director, Dr. Michael Silverglat, is certified by the American Board of Sleep Medicine. Services available include formal diagnostic testing for adults and children, with CPAP and BiPAP therapy if needed, performed by registered technologists. Consultation, treatment recommendations and follow-up care are all available through Dr. Silverglat The Sleep Center St. Patrick Hospital 500 West Broadway........................................................ 329-5650

An occasional bad night’s sleep is no cause for concern, but a continued sleep problem, such as snoring, restless legs, excessive daytime sleepiness and insomnia, can affect your health and the quality of your waking hours. At St. Pat’s Sleep Center, we offer complete in-laboratory testing of Registered Polysomnography Technicians. We offer CPAP support for patients on CPAP. The St. Patrick Hospital Sleep Center is accredited by the American Academy of Sleep Medicine. Drs. Rolf Holle and Stephen Johnson are recognized by the American Board of Sleep Medicine and are Co-Directors of the Sleep Center.

STROKE

A stroke occurs when either the blood supply to the brain is interrupted or when a blood vessel in the brain bursts. The symptoms of a stroke include: sudden numbness or weakness,

88 ~ Health Resource Guide 2011-12

especially on one side of the body; sudden confusion or difficulty understanding speech; sudden trouble in seeing with one or both eyes; sudden trouble walking; dizziness; or loss of balance or coordination. Stroke/Head Injury Support Group First Presbyterian Church, 1220 W. Main St., Hamilton Contact Delores at 363-1850

Meets second Monday of each month at 7:00 p.m. Must call before attending meeting. Stroke Support Group Community Medical Center 2827 Fort Missoula Rd. Contact Marilyn at 542-8371 or Linda at 327-4133

Hours: Meets 4th Wednesday of each month at 7:00 p.m. on the Community Medical Center Campus. Monthly meeting for individuals surviving a stroke, their families and caregivers St. Patrick Hospital Advanced Primary Stroke Center 500 West Broadway........................................................ 329-2685

St. Patrick Hospital’s award-winning Advanced Primary Stroke Center treats stroke patients with a multidisciplinary team of stroke experts who provide 24-hour rapid response and secondary stroke prevention. Stroke care starts in the Emergency Department and continues through inpatient

Missoula Sleep Medicine

LLC

Nationally Accredited Michael Silverglat, M.D. Director - Board Certified

Rick Wall David Peterson

Registered Polysomnographic Technologists

• Sleep Apnea & Snoring • Excessive Sleepiness • Narcolepsy • Insomnia • Pediatrics

406-829-8053 910 Brooks Street, Missoula

hospitalization and rehabilitation. A leading edge radiology facility ensures the highest standard of care and the most accurate diagnostic techniques, therapeutic developments and interventional options to stop a stroke in progress and minimize the potential damage. The advanced Primary Stroke Center’s comprehensive care extends beyond hospitalization, and specialists provide stroke prevention, stroke survivor support, and extended rehabilitation. St. Patrick Stroke Support Group St. Patrick Hospital........................................................ 327-3260

Meets the second Thursday of every month, from 1:30 p.m.-3:30 p.m. It is free and open to the community. Open to stroke survivors, family members and caregivers.

HOME HEALTH CARE

Patients who recover in the privacy of their own home often have shorter recovery times and spend less money (compared to hospitals or nursing homes). The goal of home health care is to regain independence, and become as self-sufficient as possible. Medicare and many private insurances cover medically necessary home health-care services. Services are ordered by a physician and care plans are developed to guide recovery from illness or injury. Types of care include: 1) Part-time or intermittent Skilled Nursing care by RN’s or LPN’s 2) Home Health Aids or CNAs to assist with bathing, wound care and basic self-care. 3) Custom professional help may be covered as well, such as Physical Therapy (relieving pain, restoring movement and regaining strength), Speech-Language Therapy (help with speech and swallow disorders), Occupational Therapist (home safety and adaptations for daily activities), and Medical Social Worker (access to resources and psychosocial needs). Case Management Connections 800 Kensington, Ste. 208..................... 541-6577; (866) 830-2244 www.cmconnections.com Home Health of Montana 1903 S. Russell................................................................. 541-1800 www.homehealthofmontana.com É400 Expressway C.......................................................... 523-9909 www.homeinstead.com Nightingale Nursing 1903 S. Russell...................................... 541-1700; (800) 357-4799 www.homehealthnuring.com Northwest Home Care, Inc. 913 Higgins, Ste. 204........................................................ 549-8059 www.northwesthomecare.com Partners In Home Care 2687 Palmer St., Ste. B.................... 728-8848 or (888) 729-8848

Health Resource Guide 2011-12 ~ 89

www.partnersinhomecare.org

Home Health, Infusion Center, Hospice, Medical Equipment, Home and Community Based Services

HOSPICE

for older family members at home. The resource library provides information for caregivers on such topics as personal care, self-care strategies, diagnosis-specific information and resource information available locally and nationally.

Hospice embraces patients and their families when faced with terminal illnesses. We take a team approach that focuses on patient comfort rather than curative interventions. Comfort measures include pain and symptom management, emotional and spiritual counseling and assistance in navigating end-of-life challenges. Our team of physicians, nurses, social workers, volunteers, home aids and support staff work together to make an individualized care plan that addresses the priorities guided by the patient and their family.

SUPPORT HOUSING

Aspen Hospice 107 Bell Crossing West, Stevensville....................... 642-3010 www.aspenhospice.com

The Ronald McDonald House, Missoula is a program of Ronald McDonald House Charities of Montana. The Missoula House specifically works with Neo-Natal patients and their families.

Hospice of Missoula 800 Kensington, Ste. 204................................................ 543-4408 www.hospiceofmissoula.com

St. Patrick House 501 W. Alder St................................................................. 541-2828

St. Patrick House is a hospitality house for people from out of town who are in Missoula for medical reasons. By medical referral only. Ronald McDonald House Located drectly behind Community Medical Center http://www.rmhmissoula.org

Marcus Daly Hospice 1200 Westwood Dr., Hamilton...................................... 363-2211 www.mdmh.org/getpage.php?name=hospice Partners Hospice 2687 Palmer St. Ste. B..................... 728-8848 or (888) 729-8848 www.partnersinhomecare.org/index.aspx/services/hospice

OTHER DISEASES AND RESEARCH HELP

MISSOULA’S PREMIER HEALTHCARE CLINIC MAIN FACILITY Broadway Building 500 W Broadway Missoula

St. Patrick Hospital - the learning center 500 W Broadway.............................................................. 329-5710 chi.saintpatrick.org; library@saintpatrick.org

Hours: Monday - Friday 8 a.m. - 4:30 p.m. Please call or check our website for extended evening hours. The Center for Health is a full-service medical library that is open to the public. A variety of resources are available for self-service or staff-assisted searching; library holdings include consumer health information, medical and nursing textbooks and journals, and special collections on death and grieving, and medical humanities. Computer workstations, comfortable seating areas and study tables are available for your use and the Center provides quick links to quality health resource sites. Family Caregiver Program & Resource Library Missoula Aging Services 337 Stephens Ave........................................................... ..728-7682 www.missoulaagingservices.org

The family caregiver program and resource library provides information and consultations for people caring, informally,

406.721.5600

COMMUNITY MED CTR Physician Center 3 2835 Ft Missoula Rd Missoula

406.721.5600

SERVING YOUR COMMUNITY SINCE 1922

LOLO FAMILY PRACTICE 11350 Highway 93 S Lolo

406.273.0045

55 MEDICAL PROVIDERS • 18 SPECIALTIES

lab & x-ray available on site

406.721.5600 • 800.525.5688 WesternMontanaClinic.com

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reconstructive & cosmetic surgery

econstructive surgery is performed to reconstruct areas of the body that are abnormal due to congenital defects, illness or trauma. Patients undergo reconstructive surgery to improve bodily function or to restore a normal appearance. Cosmetic surgery is elective; patients choose to reshape normal body features in order to enhance their appearance and selfesteem.

To make sure that your surgeon is qualified to perform your surgery, ask potential surgeons the following questions:

1) Are you certified by the American Board of Plastic Surgery? Surgeons who are certified have at least 5 years of surgical training and a minimum of 2 years of plastic surgery training.

2) How long have you been performing this procedure? How many of these procedures have you performed? Are you using the latest techniques and participated in any specialized training for this procedure? Generally speaking, the more experience a physician has, the better the outcome.

Skin Care Center â&#x20AC;˘ Offering non-invasive skin treatments since 1998 â&#x20AC;˘ Most experienced laser staff in Western MT Fraxel Laser facial rejuvenation, loose neck skin, acne scarring

Laser Hair Removal Diolite Laser facial veins & redness

Medical Microdermabrasion no aluminum crystals

Glycolic Acid Peels Botox & Restylane General Dermatology Epicuren Skin Treatments & Products

Combining the science of skin with aesthetics & beauty.

Robert Korenberg, M.D. Board Certified Dermatologist

Frank McCann, PA-C Dermatology Physician Assistant

Cherokee Rova, PA-C Dermatology Physician Assistant

Sandy Acord Laser Technician

543-8512 1821 South Ave, Ste. 402, Missoula

Questions to ask your surgeon about the surgery itself: 1) Am I a good candidate for this procedure? 2) What will be expected of me to get the best results? 3) What are the risks? 4) How long is the recovery period? Will I need assistance during my recovery? Will I need to take time off from work? Aesthetic Plastic Surgery Center 9-5 Monday-Thursday, Friday 9-noon 900 N. Orange St., Suite 106 ...............................P: 542-7300, f: 542-0003 www.aplasticsurgerycenter.com; info@aplasticsurgerycenter.com

Dr. Harlan is Board certified by the American Board of Plastic Surgery and is a member of the American Society of Plastic Surgeons as well as the American Society for Aesthetic Plastic Surgery. Dr. Harlan has been providing cosmetic and reconstructive surgery in Missoula since 1995. Other services provided include laser skin rejuvenation, laser hair reduction, laser tattoo removal, Botox, Juvederm, Obagi, NIA24, Laroche-Posay and Skinceuticals. Cosmetic Surgical Arts Centre 805 South Reserve ST...............................................................549-6600 or toll free 888.258.face (3223) csacmt.com; info@csacmt.com

The Cosmetic Surgical Arts Centre is a AAAHC certified, state of the art, full service medical facility. We are capable of performing standard in-house procedures as well as advanced procedures that more commonly require hospitals. We offer procedures ranging from tooth extractions to dental implants and corrective jaw surgery, as well as modern facial cosmetic surgery such as face and eyelid lifts, cosmetic procedures for nose and ears and facial laser therapies. Montana Center for Facial Plastic Surgery 2975 Stockyard Road..................................................................... 541-7546 www.montanaface.com

Health Resource Guide 2011-12 ~ 91

dermatology

ermatology is a specialty medical field that diagnoses and treats diseases of the skin, hair and nails. These conditions may include but are not limited to skin cancer, melanomas, moles, acne, dry skin, and inflammation and irritation of the skin. Skin rashes of all types, hair loss and scars fall under the expertise of dermatologists. Additionally, these specialists receive extensive training in skin surgery and surgical and non-surgical removal of skin growths. Dermatologists are knowledgeable in cosmetic skin procedures such as collagen injections, Botox injections, peels, microdermabrasion, laser treatments and intense pulsed

light treatments. Dermatologists understand how the skin reacts to laser technologies, facial treatments and products applied to the skin. Dermatologists are the only medical professionals that have extensive training in the skin, skin treatments, and skin diseases. After four years of medical school training, dermatologists dedicate an extra 3 or 4 years to their specialty training. Board certification by the American Board of Dermatology demonstrates a unique capability of dealing with all aspects of skin care, skin illness and skin health, as well as skin maintenance.

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Dependency & Addictions, Including Drug & Alcohol Abuse Al-Anon Adult Children of Alcoholics..................... 721-5818

A 12-step program for adult children from addictive family systems. Al-Anon Information Line............................................. 721-5818

A 12-step program for family and friends of alcoholics.

Alateen First Christian Church, 2701 Russell St................. ..721-5818

A support group for teens and pre-teens living in a situation that involves alcoholism. Share concerns about living with and relating to an alcoholic. Alcohol Abuse 24 Hour Hotline........................ 1-800-299-6317

Can make referrals to local treatment programs and support groups.

Alcoholics Anonymous................................................. 543-0011

A variety of meeting times and locations are scheduled each week. The fellowship is offered to anyone attempting recovery from alcoholism. Support is given by persons who have alcohol problems. Center for Integrative Care 336 W. Spruce St............................................................... 721-2860

The Center provides counseling and consultation for individuals and families affected by alcohol or drug use.

Community Care, Inc. 330 E. Main St.................................................................... 549-2890

Community Care, Inc. is committed to the prevention of and intervention into alcohol/drug related problems and other behavioral difficulties experienced by youth and their families

Health Resource Guide 2011-12 ~ 93

by providing and coordinating education, awareness, and support activities in our community.

for adults and adolescents suffering from all types of addictions, including eating disorders.

Debtors Anonymous...................Contact Rhonda at 777-0486

Rocky Mountain Treatment Center Great Falls, MT..................................................... 1-800-521-6572

Meetings: Mondays at 7 p.m. in St. Paulâ&#x20AC;&#x2122;s Lutheran Church, 202 Brooks St., 2nd floor library. For those having problems with money and debt. Drug Abuse............................24 Hour Helpline 1-800-888-9383

Can make referrals to local treatment programs and support groups. Gamblers Anonymous, Providence Center 902 N. Orange St., Level One, Room B

Meetings: Sundays at 6:00 p.m. & Thursdays at 5:00 p.m. Peer support group for individuals who have a gambling problem.

Provides chemical dependency and eating disorder treatment.

Self Over Substances Program Curry Health Center, UM.............................................. 243-4711

Provides educational and counseling services for students about substance abuse, prevention and related services, and for people whose lives are affected by substance abusers. Share House 1335 Wyoming St.............................................................. 532-9830

Housing during addiction recovery.

Gambling Group, Addiction Treatment Program St. Patrick Hospital Providence Center 902 N. Orange................................................................... 327-3043

Turning Point Addiction Services 1325 Wyoming St.............................................................. 532-9800

Minor in Possession Classes St. Patrick Hospital Providence Center 902 N. Orange St.............................................................. 327-3015

SMOKING CESSATION & PREVENTION PROGRAMS

Meetings: Wednesdays 5:30 - 7:30 p.m. Group for people who struggle with problem gambling. Cost is $5 each session.

Classes for 18 - 20 year-olds who have received an MIP ticket (first and multiple offences). These classes fulfill court requirements for MIP of alcohol citations. Missoula Indian Center Building #33, Fort Missoula 829-9515 or 24-Hour Crisis Line 721-2700

The Chemical Dependency Program is designed to provide services for individuals who have problems associated with chemical abuse or chemical dependency. Offers standard, intensive, family, and adolescent counseling for individuals and groups, prevention services, chemical dependency evaluations and assessments, and information and referral services. Montana Chemical Dependency Center 2500 Continental Dr., Butte, 59701.....................(406)496-5412

Variable length of stay inpatient services for chemical dependency. State funded services for all Montana adult residents.

Narcotics Anonymous........................................ 1-800-990-6262 www.namt.com

A 12-step program for people recovering from drug addiction. Can provide local meeting times and places.

Rimrock Foundation............................................ 1-800-227-3953

Offers referrals, consultations, assessments and treatments

Outpatient counseling for people who are chemically dependent, or abusing drugs and/or alcohol. Individual and group services; separate tracks for men, women and adolescents; outreach; outpatient programs. Services provided on a sliding fee basis.

Montana Tobacco Quit Line 1-866-485-QUIT (1-866-485-7848)

Free counseling for everyone and free nicotine replacement therapy for those who qualify. Quit for Life St. Patrick Hospital 500 W. Broadway.............................................................. 329-2905

Meetings: A 5-class program offered in January, February, April, September, and October. The first class is the first Wednesday of each month. Successive classes are the next Mon, Wed, Fri and Mon. During the first class the instructor prepares participants to quit the following Monday. One of the first objectives of the class is to give participants the tools they need to stay away from any form of tobacco. The success rate of the program is 80% for participants who attend all 5 classes. Registration is $35, which includes a one-week supply of nicotine patches or gum. Tobacco Free Missoula County Missoula City County Health Department 301 W. Alder St................................................................. 258-3685

A network of agencies and individuals committed to improving our community through tobacco use prevention.

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Domestic Violence Resources

omestic violence occurs across religious, ethnic, racial, educational and economic lines. Most often, it involves a man abusing his female partner in an attempt to establish control. Domestic violence is not limited to physical beatings. It includes threats, sexual abuse, verbal abuse, intimidation, isolation and exploitation. Attacks usually begin with verbal abuse and progress to physical abuse.

Adult Protective Services 2681 Palmer St., Ste. K.................................................... 329-1315

APS is the state agency responsible for investigating suspected abuse, neglect and exploitation of elderly and adult disabled persons. Adult Survivors of Child Sexual Abuse or Domestic Violence 542-1944 or 24 hours 1-800-483-7858

For adult women who have experienced childhood sexual abuse, adult sexual assault, domestic violence, or child abuse. Children’s Support Group, YWCA................................. 543-6691

Meetings: Tuesdays 6:30 p.m. - 8:00 p.m. Circle of Peace, for all ages who have experienced or witnessed family violence or abuse. Offered free in conjunction with women’s groups. Crime Victim Advocate Program 301 W. Alder St. For civil advocacy: 258-4630 For criminal advocacy: 258-3674

Provides advocacy to victims of violent personal crime in Missoula. Offers crisis counseling, referrals and advocacy for victims of domestic violence, sexual assault and stalking. A feature of the civil legal advocacy component of the CVA program is the Pro Bono Attorney Program, which involves

local attorneys who regularly represent order of protection petitioners in court for their order of protection hearings.

Domestic Violence Support Group for Women in Crisis or Transition, YWCA…......................................................... 543-6691

Meetings: Tuesdays 6:30 p.m. - 8:00 p.m. No fee. Registration is at 6:00.

First Step Resource Center 900 N. Orange, Ste. 107................................................... 329-5776

First Step is a nonprofit collaboration of professionals dedicated to a coordinated approach in child abuse and adult sexual assault investigations. First Step brings together professionals from criminal justice, Child Protective Services, victim advocacy agencies, medical and mental health professionals, and law enforcement (in the cases of children and reporting adults only). Along with coordinating the response, the First Step clinic directly provides medical care, forensic interviewing, advocacy services, mental health services and referrals for adults with a recent history of sexual assault and for children with a history of abuse. Medical Advocacy.......................................................... 542-1944

For survivors of domestic and sexual violence who are dealing with medical appointments, hospitals, etc. YWCA Pathways advocates are available to accompany survivors during any stage of these processes to help and support them. Missoula Family Violence Council 523-4614 or Contact Shantelle at 531-6550

Promotes interagency coordination and communication. Promotes effective prevention, intervention and treatment and an improved response to family violence. Montana Legal Services Association 304 N. Higgins Ave............................................................ 543-8343

Health Resource Guide 2011-12 ~ 95

Provides legal services to low-income people who need help with problems concerning utilities, health, divorces involving spouse abuse and supplemental security income recipients, etc. SAFE (Supporters of Abuse Free Environment)... …363-4600

Meetings: Thursdays 6:30p.m. - 8:00 p.m. Support group for people experiencing emotional or physical abuse. Free childcare, but please call in advance. Senior Help Line/Elder Abuse...................................... 728-7682 or Help line for state of Montana 1-800-551-3191

Hours: Mon-Fri 8:00 a.m. - 5:00 p.m.

Sexual Assault Support Group, YWCA........................ 543-6691

Meetings: Tuesdays 6:30 p.m. - 8:00 p.m. Registration is at 6:15. Sexual Assault Support Group, YWCA........................ 543-6691

10 two-hour sessions per week for those who have experienced rape or sexual assault and are ready to begin or continue your healing process in a safe place. Sexual Assault Walk-In, YWCA 1130 W. Broadway

Hours: Mon-Fri, 12:00 p.m. - 4:00 p.m. For women and children, families and friends looking for support, information, and referrals on the issues of domestic and sexual violence. Therapy Group for Adult Women of Child Sexual Abuse YWCA................................................................................... 543-6691

Sixteen-week sessions offered three to four times a year or as needed. Groups are free of charge and facilitated by a local professional therapist. Transitional Housing Program, YWCA....................... 543-6691

An 18-month independent living program for motivated, homeless, single women with children who want to achieve self-sufficiency.

The YWCA 1130 W. Broadway............................................................ 543-6691

The YWCA runs a shelter for women and their children who are victims of domestic violence. The YWCA can provide some clothing and food to women who are staying in the shelter and help these women to connect with other resources within the Missoula community. YWCA Pathways 1130 W. Broadway 24-hour crisis line 542-1944 or 1-800-483-7858

Hours: Mon-Fri, 12:00 p.m. - 4:00 p.m. Counseling, 24-hour crisis help, confidential shelter for battered women and their children, rape advocates, services for children survivors of domestic violence, temporary safe refuge for survivors of sexual assault, and a variety of support groups.

CHILD ABUSE AND NEGLECT

CASA (Court Appointed Special Advocates) P.O. Box 7433, Missoula, 59807....................................... 542-1208

A nonprofit organization providing advocacy through use of trained community volunteers, for children who are neglected, abused and involved in the juvenile court system. Child & Family Resource Council 1644 S. 8th St. W............................................................... 728-5437

Offers parenting classes, parent support groups, and volunteer parent aid programs. Matches volunteers with families who need support. Child’s play two nights per week offers parents a few hours of respite. Child and Family Services Division, Department of Public Health and Human Services 610 Woody St..................................................................... 523-4100

Directs investigations into the abuse and exploitation of children; provides adoption services for special needs children; licenser and training for foster care and adoptive homes; provides registration for day care family and group homes; licenser for day centers; directs investigations and accountability for compliance with laws governing day cares, foster care and adoptive homes. To report neglect or abuse, call 1-866-820-5437. First Step Resource Center 900 N. Orange, Ste. 107................................................... 329-5776

First Step is a nonprofit collaboration of professionals dedicated to a coordinated approach in child abuse and adult sexual assault investigations. First Step brings together professionals from criminal justice, Child Protective Services, victim advocacy agencies, medical and mental health professionals, and law enforcement (in the cases of children and reporting adults only). Along with coordinating the response, the First Step clinic directly provides medical care, forensic interviewing, advocacy services, mental health services and referrals for adults with a recent history of sexual assault and for children with a history of abuse. Montana Council for Families 127 E. Main St................................................................... 728-9449 Watson Children’s Shelter 2901 Fort Missoula Rd. ................................................. 549-0058 shelter@montana.com

A non-profit organization that provides 24 hour emergency shelter for children, infant to age 14, who are victims of abuse, neglect, abandonment or family crisis. The YWCA 1130 W. Broadway............................................................ 543-6691

The YWCA runs a shelter for women and their children who are victims of domestic violence.

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Mental Health

ental health services are widely available to persons experiencing short-term emotional turmoil and for people with long-standing problems such as depression. Western Montana has a large number of private practitioners (psychiatrists, psychologists, licensed social workers, licensed professional counselors and certified chemical dependency counselors) as well as organized group practices and clinics that offer mental health services. Please reference the local yellow pages for private practitioners

2-1-1/First Call for Help............................................ Dial 2-1-1

A telephone information and referral service that provides a well designed, constantly updated, comprehensive, computerized database to link persons in need with the community organizations, public agencies and self-help groups designed to address human needs in Missoula and Ravalli Counties. It is not a crisis line or an emergency service like 911. This line does not provide direct services or money to assist callers. It is a generic line; anyone can call and access. Adolescent Partial Hospitalization Program (APHP) Intakes 327-3011 or General 327-3182

The Adolescent Partial Hospitalization Program is an outpatient service for 12-18 year olds having behavioral or emotional difficulties. We provide assessment, crisis stabilization and treatment for individuals with a psychiatric diagnosis, emotional difficulties or maladaptive behaviors. Treatment includes a psychiatric evaluation by a Child and Adolescent Psychiatrist; medication management; individual, group and family therapy; occupational therapy; nursing management; and academics.

National Alliance on Mental Illness - NAMI of Missoula Providence Center Conference Rm 109, lower level, 902 N. Orange St....................................................721-1621 or 543-3055

This organization holds weekly meetings which provide support and information for family members of people with mental illness and also recovering adults.

NAMI - Family to Family Education Program............ 543-3055

• • • • • • •

For families/friends of individuals who have serious mental illness. Identification of schizophrenia or mood disorders. 4 basic mental illnesses and their symptoms Basic brain biology. Problem-solving, coping skills, self-care, choices, advocacy. Medication review. Classes vary in time and location, please call for details.

A.W.A.R.E. 118 E. Seventh St., Anaconda........................................ 563-8117

Aware reaches out to adults and families affected by serious disabling mental illness, connecting them with the community agencies and resources to ensure that all the needed services are in place such as assessments, case planning and coordination, assistance in daily living, referrals, and advocacy. Every effort is made to help clients live successfully as full and productive members of the community. AWARE’s Therapeutic Family Care is a family centered program designed to keep kids who have been identified as “high-risk” with their families. Our staff will provide up to 20 hours per week of direct in-home services. During those 20 hours, and depending on the needs of your family, the focus will be on parenting skills, family dynamics, and improved functioning

Health Resource Guide 2011-12 ~ 97

in other targeted areas such as coping skills, social skills, and other areas related to self-care and independent living. Center for Integrative Care: Psychotherapy, Counseling, Consultation, Education 336 W. Spruce St............................................................... 721-2860

Counseling, parent consultation, and play therapy for children designed to support kids facing transitions, anxiety, depressive symptoms, trauma, sleep disturbance, attachment challenges, grief, loss and bereavement.

Disability Rights Montana 1022 Chestnut Street, Helena.................................449-2344 or toll-free at (800) 245-4743 www.disabilityrightsmt.org

Disability Rights Montana is the federally-mandated civil rights protection and advocacy system for Montana. Congress recognizes that people with disabilities need advocacy and legal representation. Disability Rights Montana has the legal authority to serve most any person with a disability when the issue they need assistance with is directly related to their disability. We represent children and adults with a wide range of disabilities, including, but not limited to those with cognitive, mental, sensory and physical disabilities. Mental Disabilities Board of Visitors 1412 ½ 8th Street, Helena....................................(800) 332-2272 www.boardofvisitors.mt.gov

The Board conducts reviews of Montana’s public mental health programs and the Montana Developmental Center and assists individuals receiving services from these programs. The Mental Disabilities Board of Visitors helps people who believe their treatment rights have been violated and is available to help people who receive services from mental health facilities or from the Montana Developmental Center.

Mental Health America of Montana 205 Haggerty Lane STE 170, Bozeman ...................587-7774 or 1-877-927-6642 www.montanamentalhealth.org

Mental Health America of Montana is a statewide education and advocacy organization. In partnership with other professionals and organizations, the Association sponsors free public screenings for a variety of mental illnesses. MHA of MT hosts major statewide education conferences each year for mental health professionals, educators, consumers, and the general public. Check our events page for upcoming opportunities. Mental Health Center Information and appointments.................................. 728-6870

Provides primarily outpatient services in 13 counties throughout Western Montana. Local services are located in each county. Services available include:

24-hour emergency services: phone response, face-to-face assessment, and crisis residential.......................... 532-9830 Case Management: Stepping Stones for adults..... 532-9700 Children’s network for youth and f amilies......... 532-9770

Day Treatment: For adults - River House; Children’s day treatment through local schools; outpatient therapies for adults, adolescents and families Mental Health Ombudsman.................................(888) 444-9669 http://mhombudsman.mt.gov

The Ombudsman is appointed by the Governor to represent the interests of Montanans with regard to the need for public mental health services; to advocate for individuals who are being served; and to assist those who are seeking services for themselves or others including individuals who are in transition from public to private services. The Office of the Mental Health Ombudsman can assist by: • providing information and assistance to individuals who are seeking access to the public mental health system • assisting individuals who are receiving mental health services as they transition between services • looking into issues and concerns raised about access to mental health care and adequacy of care provided • maintaining regular communication with consumers, their families and advocacy groups • Reporting to the office of the Governor and the Montana Legislature about system issues that affect consumers and their families

Psychiatric and Medical Management services

98 ~ Health Resource Guide 2011-12

Alcohol and Drug Services: Emergency: 1315 Wyoming, 532-9710 Business Office: Fort Missoula, 728-6870 Child & Family Service Network: 1305 Wyoming, 532-9770 Adult Mental Health: 1335 Wyoming, 532-9700 River House: 1315 Wyoming, 532-9700 Share House: 1335 Wyoming, 532-9830 (Housing during addiction recovery) Stepping Stones, 1315 Wyoming 532-9700 (Adult Mental Health) Turning Point, 1345 Wyoming, 532-9800 MHSP: Mental Health Services Plan.......................... 532-9700

Provides coverage for eligible adults diagnosed with severe and disabling mental who need medication.

Montana Chemical Dependency Center 2500 Continental Drive, Butt...................................... 496-5400 http://mcdc.mt.gov

MCDC is the only in-patient chemical dependency treatment center administered by the State. It serves individuals 18 or older who have been diagnosed as having an addiction to drugs or alcohol or who suffer from both addiction and mental disorders. It provides detoxification and a full range of medically monitored treatments. Patients are screened and referred for this level of care

by licensed addiction counselors from state-approved, community-based out-patient and in-patient providers, private practitioners, and Indian reservation programs. Montana Mental Health Nursing Care Center 800 Casino Creek Drive, Lewistown............................ 538-7451

The M ontana Mental Health Nursing Care Center is a licensed 191-bed long term care facility established for persons who have a mental disorder, require a level of care not available in the community, but who cannot benefit from the intense psychiatric treatment available at Montana State Hospital. Neurobehavioral Medicine Department St. Patrick Hospital Providence Center, 902 N. Orange

Acute Psychiatric Inpatient Unit, Intakes 327-3011 St. Patrick Hospital offers acute inpatient treatment for individuals with a primary psychiatric diagnosis. There are 30 inpatient beds: 6 adolescent, 6 intensive care and 18 general care beds. Adults, seniors and adolescents receive treatment under the direction of a Psychiatrist & by Clinical Social Workers, Nurses, Occupational Therapists, Pharmacists, Dieticians and other healthcare professionals. Partnership Health Center 323 W. Alder St................................................................. 258-4789

Provides affordable access to therapy services through a network of 50 local therapists. Targeting people with limited income and/or no health insurance in Missoula County. Fees are slide-based on ability to pay. Recovery Inc..............................................825-3063 or 542-7372 www.recovery-inc.org

Classes offered to improve mental health and reduce suffering. Learn skills and acquire tools to help cope with difficult emotions and nervous symptoms. Two locations: Missoula Public Library - 301 East Main Street

Small meeting room near parking lot Saturday, 1:00 p.m.

Western Montana Mental Health Center Day Treatment 1315 Wyoming Street RI Discovery meeting condensed format. Large meeting Rm.

Wednesday, 12:30 PM. New Attendees Call Charlotte charlottesweb@blackfoot.net; 825-3063

River House 1315 Wyoming St.............................................................. 532-9700

A facility providing treatment for people with mental illness. Specific purposes include to: to assist recently hospitalized persons with reintegration into the community; to help clients and families develop skills to cope with mental illness; to optimize health and to maintain individuals in the community setting.

Health Resource Guide 2011-12 ~ 99

Suicide Hotline.......................................................(800) 273-8255

Provides a free consultation with a trained crisis worker when dealing with a person contemplating suicide.

Montana State Hospital Warm Springs.................................................................. 693-7000

Provides inpatient psychiatric treatment for adults with serious mental illness. Services include evaluation and assessment; medication management; individual and group therapy; psycho-educational programs; rehabilitation and vocational services; chemical dependency treatment; and peer support. The hospital serves people admitted from communities across the state. Admission occurs through procedures established in state law and only when the individual’s needs exceed the capacity of community mental health services to provide treatment and care. Services at the hospital are coordinated with community mental health providers and with families to the greatest extent possible.

Veteran Readjustment Counseling Service 500 N Higgins.................................... (800) 626-8686 or 721-4918

The Veterans Center provides counseling and support for veterans and their families. They are dedicated to providing counseling, outreach and referral services to veterans to facilitate post-war readjustment to civilian life. They are mandated to serve all war zone veterans. Services offered are: individual, marital and couple/family counseling, advocacy, outreach and referral, act as liaison between veteran and Veteran’s Affairs Division. Western Montana Mental Health Services - Adult Services 1315 Wyoming St.........................................................532-9700 or after-hours emergency (888) 820-0083

A non-profit community mental health center that serves adults 18 years plus diagnosed with serious mental illnesses schizophrenia, bi-polar disorder, etc. Offers: • Assessment & Referral-determining financial and clinical eligibility for coverage under MH Service Plan • Outpatient Therapy-psychotherapy to persons over 18 • Medical Services-comprehensive medical management of psychiatric illness • Case Management-work with clients in community and assist clients in developing service plans, advocating, accessing resources and also provides Rep Payee Services • PACT team- intensive case management, smaller case management with higher needs. • Genesis House-6 bed women’s therapeutic mental health group home • Rehab Services-day treatment providing group and rehab activities • Stephens House-short-term residential crisis stabilization facility for clients • Licensed by the State of Montana as a Community Mental Health Center

Winds of Change Mental Health Center 2811 Latimer St....................................................................... 721-2038 www.windsofchangemontana.com

The Counseling Center provides services that include case management, peer support, Community Based Psychiatric and Rehabilitation Services (CBPRS), psycho-educational groups and a recovery mall. Recovery Coaches provide referrals, advocacy & linkage to resources, treatment planning, monitoring and follow-up of mental health issues. CBPRS teaches skills and assists with every day needs such as grocery shopping, budgeting, symptom management, coping strategies, assistance in attending appointments, health and exercise, socialization skills, and recreational skills in either group or individual settings. Peer Support where trained peers uses their experience to assist members in reaching their potential through support and education. Psycho-Educational Groups focus on skill building and social interaction to combat isolation. The Recovery Mall is a center that is open for clients to drop in and participate in a class or a social experience. Check out our web site for more information or drop in to the mall and check it out. Additionally, Adult Group Home Living is available- J’s Place is staffed 24 hours per day, featuring 12 private rooms. La Casa is staffed 24 hours per day, and features 8 private rooms. Both homes work with a recovery environment. Clients needing transitional living agree to participate in the Recovery Model. Youth Homes...................................................................(406) 721-2704 www.youthhomes.com

Provides a refuge for kids that have nowhere else to go. We first stop the harm and help them feel safe. Then we give them a dependable routine with competent caretakers and build healthy relationships. We design relational developmental treatment and provide on-going support services, which will achieve permanency for children with serious emotional disturbances. We have developed a replicable model for treatment of attachmentdisordered and traumatized children. InnerRoads, our Wilderness Therapy Program, provides quality, affordable wilderness therapy to at-risk teens and their families. This six week intervention program offers therapeutic wilderness and community programming with long term aftercare support for teens ages 14-17. Please read this section carefully to see which resources you can contact to help you with your particular need.

100 ~ Health Resource Guide 2011-12

Health Insurance and Other Financial Options

he financial options and resources for health care come in a variety of forms. Much of this guide identifies for profit and non-profit organizations and resources that provide health care for financially compromised individuals and families. Being insured is the best defense against the medical emergencies and illnesses that might otherwise ruin your financial security. Please read this section carefully to see which resources you can contact to help you with your particular need.

If you have no medical insurance:

First, work with your primary health care provider. Ask for their help and recommendations. Hopefully, they will work out a financial arrangement acceptable to you. Inquire if they can direct you through “the system” so that your basic health care needs are met. Check your eligibility for the government programs listed in this section, such as Social Security, Medicare and Medicaid. • Medicare is a national health insurance program for people age 65 and older, some people under age 65 with disabilities, and people with End-Stage Renal Disease. For more information about the program, contact the Centers for Medicare and Medicaid Services at 1-800-633-4227. • Medicaid is a medical assistance program for eligible low-income individuals. For more information, contact the Department of Public Health and Human Services of Montana at 1-800-332-2272. Children’s Special Health Services 1-800-762-9891 or (406)444-3622

Assists eligible families with medical costs that arise from treating children with special health care needs including, but not limited to: heart conditions, cleft lip, seizures, asthma, diabetes, and concerns with child’s development. Also sponsors specialty clinics throughout the state. Please call for info. Can be in addition to other insurance. Medicaid Home and Community Services Department of Public Health and Human Services 2681 Palmer St., Ste. K.............................. 329-1312 or 329-1310

Serves residents of Mineral, Missoula, Sanders and Ravalli counties through case-management teams. Goal is to serve Medicaid clients in cost-effective home settings as an alternative to nursing-home placement. Services might include

adult day services, environmental modifications, medical-alert monitors, nursing services, nutritional needs, personal care attendants and homemaker services, respite care, respiratory therapy and transportation, and possibly other services. MHSP Mental Health Services Plan 1315 Wyoming St.........................................................532-9700 or (After hours emergency line) 532-9710

Provides coverage for eligible adults diagnosed with severe and disabling mental illness who need medication. Must be in addition to other insurance (except Medicaid) 1-800-730-3903 Medicare Supplement Insurance - Since Medicare does not cover all doctor and hospital costs you should consider getting a medigap policy from a private insurer. Medigap policies, like Medicare, offer a window of opportunity for enrollment. Sign up for Medigap coverage within six months of the time you enroll for Medicare Part B coverage. Realize too that Medicare and Medigap supplements do not cover custodial and longterm care. Only skilled nursing care is covered for limited amounts of time. In fact, Medicare only pays for about 5% of all nursing home costs. See the action entitled Long Term Care insurance for more information. Missoula County Office of Public Assistance 2677 Palmer St., Ste. 100................................................ 329-1200

Hours: Mon-Thurs, 7:30 a.m. - 5:30 p.m., Fri 7:30 a.m.5:00 p.m. Provides Medicaid services for elderly, blind, disabled people for various hospital inpatient costs, outpatient services and waiver services such as physician, dentist, eye care and home services. Coverage also extended to certain infants, lowincome pregnant women and families. MT SMP (formerly known as AIMS) Missoula Aging Services 337 Stephens Ave. Contact Renee Libre at 728-7682 or 1-800-551-3191

SMP is a statewide project to help reduce Medicare and Medicaid waste, fraud and abuse. SMP teaches seniors to: • Understand Medicare summary notices • Protect themselves against health care waste, fraud and abuse • Be an informed consumer • Keep a record of medical appointments and tests, and check bill to confirm all services listed were received

high and dry?

Health Resource Guide 2011-12 ~ 101

Don’t worry, Sterling is here for you. We have a variety of Medicare plans to meet your needs.

Did your

Medicare leave you Call Sterling todayplan to register!

Join us for a FREE seminar to find out about your 2011 plan choices.

stranded?

Toll-Free: 1-866-279-4385 TTY: 711

Did your Medicare Don’t worry, Sterling is here for you. We Wednesdays, November 3, 10, 17 & 24 have a plan leave of you variety MedicareNovember plans to meet Thursdays, 4, 11 &your 18 needs.

stranded?

am Call us today to make a9:00 personal appointment to find Quality Inn out about your 2012 plan choices Don’t worry, Sterling is here for you. 3803 Brooks Street, Missoula, MT will be served! TTY: Toll-Free:Refreshments 1.866.279.4385 We have a variety of Medicare plans to meet your needs.

Call us today to make a personal appointment to find out about your 2011 plan choices.

711

Toll-Free: 1-866-279-4385 TTY: 711

www.sterlinghealth.com www.sterlinghealth.com

Sterling Life Insurance Company is a Medicare Advantage Organization with a Medicare contract and a Medicare-approved Part D sponsor. Individuals must have both Part A and Part B to enroll. You must continue to pay your Medicare premium. A licensed, authorized representative will be present with information and applications. For accommodation of persons with special needs at sales meetings call: 1-866-279-4385 TTY 711.

Y0060_H3410_15011 File and Use 10012010

102 ~ Health Resource Guide 2011-12

SMP is a collaboration between Missoula Aging Services and Area Agencies on Aging and the Cascade County Chapter for the Prevention of Elder Abuse. If you have any concerns about your Medicare statement, call us. SMP is a free and confidential program. Senior and Long Term Care Services 2677 Palmer St., Ste. 240................................................ 329-1309

Serves residents of Mineral, Missoula, Ravalli and Sanders counties through Medicaid funded in home care programs. These programs include home health, home dialysis attendant, home and community based services and personal assistance (both agency based and self-directed personal assistance) If you would like additional information about any of these programs feel free to call. TANF (Temporary Assistance to Needy Families Program) 2677 Palmer St., Ste. 100................................................ 329-1200

A time-limited cash assistance program designed to provide families with monthly cash grants and opportunities leading to self-support. A family’s TANF eligibility is limited to sixty (60) months in the adult’s lifetime. Participants must complete a Family Investment Agreement, a document listing activities, time frames, and mutual obligations of the State and the participant regarding the course of action to empower his/ her family to become self-supporting. Participants of the above programs may be eligible for Medicaid and Food Stamps.

INSURANCE

Individual and Family Medical Insurance:

Medical insurance has the reputation of being very expensive, especially for comprehensive coverage with a low deductible. However, there are many different levels of coverage available. The size of your deductible (the amount you must pay before your insurance kicks in) greatly affects your level of coverage. This affects your cost, or premium, for insurance. Whether or not you choose dental, vision and prescriptions will also affect your premium. Policies are also available for short-term coverage if you are caught between jobs or if you are in the process of securing major medical coverage. Many people cannot afford coverage, yet many more who can, choose to go without! You may be surprised at the low cost of a large deductible, no-frills, major medical policy. While not ideal, it could save you from financial ruin. If you are self-employed or an employer, research medical insurance for your business! As an employer you have options for medical coverage. Legislation and tax laws have improved your rights to both acquire and afford medical coverage for yourself, your family and your employees. Seek out a reputable provider to guide you through the process of acquiring “taxwise” medical coverage.

Blue Care.............................................. 1-800-447-7828 ext. 8295 www.bluecrossmontana.com

Provides limited coverage for uninsured adults and children.

Caring Program for Children.........1-800-447-7828, ext. 3612

Pays for minimal primary and preventive health care services for uninsured children Children’s Health Insurance Program (CHIP)....523-4750 or 1-877-KIDS NOW

This is a free or low-cost health insurance plan that provides coverage for uninsured children through age 18. Financial eligibility is based on family’s gross income and household size. Doesn’t count family’s assets or resources: savings, IRA’s, extra vehicles, etc. Income Guidelines for CHIP* Family Size

(including adults)

Family Annual Income

(approximately)

2 $25,498 3 $32,043 4 $38,588 5 $45,133 6 $51,678 7 $58,223 8 $64,768

Some employment-related and child care deductions apply. Income guidelines may increase in 2012. *If a child qualifies for Medicaid, health insurance will be provided by Medicaid. Insure Montana

Insuring Montanans one small business at a time. Bringing legislators from both sides of the aisle together with the business community, this landmark healthcare legislation was a joint initiative of Governor Brian Schweitzer and State Auditor John Morrison. Funded by a $1 per pack cigarette tax passed by voters as a ballot initiative in the fall of 2004, the program MCHA: Montana Comprehensive Health Association

(administered by Blue Cross/Blue Shield)

PO Box 4309, Helena..............................(800) 447-7828 ext. 2128 www.mthealth.org

Makes comprehensive health insurance benefits available to high-risk individuals. Includes but is not limited to: coronary artery disease, leukemia, AIDS, malignant tumor, lupus. Also covers people who have been rejected by 2 insurers within the last 6 months. MCHA Portability Plan - is available to individuals losing group or cobra coverage. Also having 18 months of prior creditable coverage. Medicaid 2677 Palmer St., Ste. 100................................................ 329-1200

Provides medical coverage to children, based on family’s income. Takes into consideration family’s assets and resources. Family is not eligible for coverage if countable resources and assets exceed $3000 (excluding 1 house and 1 car). Apply: Office of Public Assistance 523-4950

Health Resource Guide 2011-12 ~ 103

Medicare/Social Security Administration 700 S.W. Higgins Ave., Ste. 5........................................... 542-1580

Medicare is a federal health insurance program for individuals 65 and over or those with disabilities or permanent kidney failure. Montana Youthcare, Blue Cross Blue Shield ................. 1-800-447-7828 ext. 896 #5

A private health insurance plan that provides a child with comprehensive coverage at affordable prices.

Northwestern Scholastic Insurers..................(406)458-5902

A private health insurance plan that provides a child who is in school with supplemental accidental bodily injury coverage. Provides coverage for families with or without insurance. If a family already has insurance, Northwestern will pay a percent of the family’s copay and/or the deductible owed to the other insurance company. New West Health Services 130 Neill Avenue, Helena

New West offers employers and individuals a full-line of managed care and indemnity benefit plans, so they can choose the plan that works for them.

INSURANCE FRAUD

Insurance fraud continues to be a problem across our country. You have the option to call the state auditors office in Helena at 1-800-332-6148 to verify a company or individual with which you are working. DO NOT HESITATE TO CALL WHENEVER IN DOUBT. Senior Information Line, Missoula Aging Services, 337 Stephens Ave............................................................. 728-7682 www.missoulaagingservices.org

The Information and Assistance specialists at Missoula Aging Services are trained to assist seniors in defining and addressing all types of fraud including insurance fraud. If you have questions about a company or are concerned that you are being scammed, please don’t hesitate to call. We can verify an individuals licensing and business history and if necessary work as an advocate for you.

ANOTHER OPTION FOR SMALL EMPLOYERS:

If you are a small employer without the time or resources to manage your company medical coverage, retirement plans or workman’s compensation, there are businesses that provide these services to multiple businesses to gain the economy only a larger organization can have. Avitus Group, 550 S. 24th St. W, Ste. 201, Billings, MT 59102; Mailing Address: P.O. Box 81590, Billings, MT 59108; 1-800-454-2446.

LONG TERM CARE INSURANCE

Why is it important for you and your family to learn about

long-term care issues and to consider the suitability of longterm care insurance? Because the chances of needing long-term care are high, and the costs to you and your family could be substantial. Statistically, chances are greater than 50% that we will require extended care at home or in a nursing home, according to the Health Insurance Association of America. Women tend to outlive men and are more likely to need long-term care services; the American Health Care Association indicates that women comprise 75% of the nursing home population for those over age 65. In Montana, the state Office on Aging indicates nursing home care currently costs $100 per day. The expectation is that this cost will rise to $60,000 by the year 2015. The potential cost of long-term care has become an important financial planning issue because these expenses have the potential to rapidly drain a family’s resources. Intelligently preparing for the potential cost of long-term care is clearly a personal responsibility. Many people have the misconception that Medicare will cover their nursing home bills, but Medicare only covers skilled care, and 95% of the persons in nursing homes are receiving custodial care. To qualify, an individual must meet the following requirements: • A hospital stay of 3 consecutive days - not including day of discharge - must precede entry into a skilled nursing facility. The nursing home admission must occur within 30 days of hospital discharge and be for the same condition that was treated in the hospital. • A physician must certify, on a daily basis, that the care needed is skilled nursing or skilled rehabilitation services. • The skilled nursing facility must be certified by Medicare. If a person meets these requirements, Medicare will pay:

• • •

The first 20 days; up to 100% of the Medicare approved amount. The next 80 days; approved expenses, with a contribution from the recipient of the daily coinsurance amount. In 1999, this amount is $96.00 per day. Starting on the 101st day Medicare pays nothing and the patient is responsible for all charges.

Medicare also pays for some home health care costs If eligibility requirements are met:

•

• •

The patient must be under a physician’s care and the doctor must certify the need for home health care. The need must include intermittent skilled nursing care, physical therapy, speech therapy, or occupational therapy. Full time care is not covered and neither is homemaker services primarily needed to assist in meeting personal care or housekeeping needs. The patient must be homebound, having a medical condition that restricts ability to leave the house without assistance. The home health care agency providing the services

104 ~ Health Resource Guide 2011-12

must be certified by Medicare. In summary, the reason Medicare ultimately covers such a small percentage of the costs of long-term care is because the level of care needed is overwhelmingly custodial (“ personal assistance”) and Medicare covers care with a skilled element, to the extent that it covers long-term care at all. In nursing homes, approximately 95% of the care rendered is custodial. The mission of MEDICAID, a joint federal-state assistance program, is to help those who could not otherwise afford long-term care. It is one of the largest sources of funding for long-term care and pays for 61% of all nursing home bills in Montana. Many persons begin paying for nursing care out of their own pockets and turn to Medicaid when their assets have been depleted. A person qualifying for and receiving Medicaid assistance may find that their options are limited as to where they receive care. In addition, states are required to pursue recovery of the cost of care after the death of the recipient: In Montana this is accomplished through the Medicaid Lien and Estate Recovery Law. Generally, reliance on Medicaid is only done as a last resort by those individuals who have few assets to protect. Once a person understands the basic issues surrounding longterm care (the significant chances of someday requiring care; the potential financial drain; and who pays for these costs), it becomes clear that long-term care insurance may be a suitable option to offset the risk of a financial and emotional calamity. In fact, asset protection is secondary in many people’s minds. According to a Health Insurance Association of America survey,

the most frequently cited reason for purchasing LTC insurance: to maintain independence and choice - and to avoid depending on others for care. “Peace of mind” is one of the basic reasons to buy long-term care insurance. Is long-term care insurance appropriate for you or your parents? It depends on your age, your health and medical history, as well as your income and assets. Policies are “agerated”: the earlier you purchase a policy, the lower the premiums. (Age 50 is not too early to be considering coverage). Persons with serious health problems will not be able to qualify for coverage - another good reason for purchasing a policy sooner rather than later. You should not buy long-term care insurance if you cannot afford the premiums. If your assets are limited, then you would likely qualify for Medicaid if you need long-term care; spending your limited resources on insurance premiums may not be in your best interest. Other important considerations include your family health history, your marital status, the family support that would be available to you if you needed care, and the importance - to you - of maintaining independence and having a choice as to where you receive care. (Most persons would prefer to remain in their own homes as long as practical). A qualified long-term care insurance agent will be able to determine if insurance is suitable and available for your personal situation and will suggest a strategy to reduce your emotional and financial risks. Comprehensive long-term care policies cover both nursing home and home health care in the same plan. Most policies also cover care provided in assisted living facilities, which provide

Health Resource Guide 2011-12 ~ 105

assistance with activities of daily living, such as dressing, eating, and bathing. Community based care, such as adult day care, is also usually covered. “Nursing home only” policies are available and are less expensive. They are worth considering for persons whose living situations make it unlikely they would remain at home if they should require care. Other key elements of a long-term care policy:

•

• •

Daily benefit: the maximum dollar amount a policy will pay: some pay the full daily benefit regardless of the charges you incur (“indemnity”), other policies pay only actual charges up to the covered amount (“reimbursement”). Benefit period: the length of time for which benefits are payable Elimination period: the number of days at the start of a claim for which no benefits are payable (also known as the “waiting period or the deductible”); typical options include 0, 30, 90 and 180 days.

Other optional benefits, or riders, that are available include:

•

Inflation protection: this optional policy feature increases the daily benefit each year to help keep pace with the increasing cost of long-term care; this is an important consideration for anyone younger than mid-70’s • Non-forfeiture benefit: an optional benefit that allows the insured to receive some type of benefit from the coverage if the policy is surrendered. Some final advice... Long-term care insurance provides an excellent alternative to personally financing the cost of long-term care, but it is a complex product with numerous substantial and subtle variations from company to company. Don’t buy this product in an educational vacuum. Work with an insurance agent who is knowledgeable about longterm care issues and familiar with a variety of long-term care insurance plans. The agent should take the time to learn about your personal situation, answer your questions, and should adequately explain the plan and features he or she is proposing. Know what you are buying - and why you are buying it. Review several different long-term care insurance policies. And perhaps most importantly: involve your family in a discussion of long-term care issues and a decision to buy or not buy long-term care insurance - while you are healthy. They will almost certainly be impacted should the need for long-term care arise.

REVERSE MORTGAGES

Reverse mortgages are designed for homeowners age 62 and older and living in their homes as their primary residences. The reverse mortgage is a new tool for retirement planning. It is a way to turn your home into a source of cash. Before reverse mortgages, there were two ways to get cash out of your home: by selling it and moving, or by getting a home equity loan and making the required monthly payments. Now there is a way to turn the equity in your home into cash without making loan

payments, and you continue to live there. This is why the term “reverse mortgage” is used. It is a type of mortgage that works exactly the opposite of the traditional mortgage we used when we bought our homes. Instead of paying the lender, the lender pays the homeowner, who retains ownership to the property, continues to live there, and makes no monthly repayments. The reverse mortgage is a loan with a rising balance and must be repaid when the homeowner leaves the house, either by selling it and moving, or by passing away. The money from a reverse mortgage is not taxable and does not affect Social Security and Medicare. The list is unlimited: travel bills, remodeling, redecorating, hobbies, medical and health care expenses, property taxes, emergency funds, college tuition for grandchildren, car purchase or repair, and the list goes on and on and on..... The amount of money available for a reverse mortgage varies for everyone. No two homeowners are alike. Information can tailored to your specific circumstances. There are three reverse mortgage programs for Montanas: the Federal Housing Administration Insured Reverse Mortgage (HECM), the Fannie Mae Homekeeper, and the State of Montana’s Reverse Annuity Mortgage (RAM). For free information and referral, call Justin Schedel, Montana Board of Housing - 1-800-761-6264. Montana Board of Housing’s Reverse Annuity Mortgage Education Tool Program, Missoula Aging Services 337 Stephens Ave.............................728-7682 or 1-800-551-3191 www.missoulaagingservices.com

The Information and Assistance Staff at Missoula Aging Services is certified by the Montana Board of Housing to provide counseling on the MBH Reverse Annuity Mortgage. RAM counselors can meet with you to explain and define how a reverse annuity mortgage works and how it might benefit you. This is not a sales pitch, but an educational tool for people interested in the program.

ESTATE PLANNING

If you don’t plan the division of your estate, the government will do it for you. You may also suffer unnecessary estate taxes. Trusts, wills, charitable gifts, tax-exempt gifts and insurance trusts are all means for controlling your estate. By using effective estate planning techniques you can direct your estate to the people or organizations you would like to benefit. Find out how to protect your estate. Consult the yellow pages for a complete listing of financial planners, attorneys, accountants and insurance agents.

106 ~ Health Resource Guide 2011-12

End of Life

he end of life is an experience all human beings share. We may experience it quickly with little manner, the end of life is an inevitable event that affects not only the individual, but also their loved ones and other members of the community. Hospice Services are one way that people with life-limiting illnesses and their significant others can acquire support during the final stages of their life. Support Services are available in hospitals, for in-home services, long-term care and assisted living settings. Those who are grieving from the loss of a loved one also need support and relief. The organizations listed below may help you locate support.

END OF LIFE CARE AND SUPPORT Center for Attitudinal Healing and the Arts Dan Comstock, Director............................................... 728-6501 www.cahamt.org

Peer support using the principles of attitudinal healing. The idea is to learn tools to find peace while going through the

healing process. Open support groups as well as grief support. Support groups are free. Workshops also available. End-of-Life Registry (formerly Choices Bank) P.O. Box 201410, Helena.................... P: 675-3314 or444-0660 or F: 444-9680 www.endoflife.mt.gov; endofliferegistry@mt.gov St. Patrick Hospital - The Learning Center 500 W. Broadway, 329-5710

The End-of-Life-Registry is in the Dept of Justice, Office of Consumer Protection and Victim Services. The Choices Bank was originally created by the Lifeâ&#x20AC;&#x2122;s End Institute and sponsored by St. Patrick Hospital and Heath Sciences Center. Missoula legislators proposed a bill in 2005 to create and maintain a secure, online registry accessible to health care providers and families throughout the state. As with Choices Bank, using the Montana End-of-Life Registry is free of charge. To view your advance directive in the Registry, you use the same name and access code that is on

Health Resource Guide 2011-12 ~ 107

your existing Choices Bank wallet card. You do not need a new card. The updated My Choices Advance Directive form is still available for your use, either from the registry’s website or from the Center at St. Pat’s. For information and assistance in completing your advance directive you are invited to go to the The Learning Center (Medical Library) at St Patrick Hospital, located on the first level of the Broadway Building. The library staff will witness and notarize your advance directive and forward it to the Endof-Life-Registry in Helena. The Registry is staffed 24 hours a day, seven days a week, so help is always available should you or your family have question in an emergency. Hospice Link 1-800-331-1620

Hours: 9:00 a.m.-4:30 p.m. eastern time. Providing information for hospice services in other areas of the country. Hospice of Missoula 800 Kensington St., Ste., 204........ P: 543-4408 or f: 543-4418 www.hospiceofmissoula.com; hospiceofmissoula@bresnan.net

Hospice of Missoula is committed to providing the very best in end-of-life care. Our sole focus is on hospice care, and the superiority of our care demonstrates this distinction. Our team of hospice professionals provides not only expert pain and symptom management, but also emotional and spiritual support, which extends to bereavement care for families after a patient has died. Marcus Daly Hospice Center and Services 1200 Westwood Drive, Hamilton.................................. 363-6503

Our work is an affirmation of life as we provide compassionate support and help our patients, families and friends to live and cope in the most positive manner at the end of life’s journey. We are licensed and certified for Medicare and Medicaid; and many insurance plans cover Hospice care. Hospice services are available at our beautiful Hospice Center or wherever the patient resides. Those services include a comprehensive team approach, medication related to terminal illness, medical equipment and supplies, 24 hour access to care, support and assistance with coordinating and managing care and bereavement support following death. Partners In Home Care Partners Hospice 2687 Palmer St., Ste. B.................................................... 728-8848

Hospice is not a place; it is a type if care that focuses on comfort rather than cure. Provides patient-centered care for patients with a life expectancy of six months or less. It also provides support to the patients loved ones. For over 25 years, our caregivers and volunteers have provided the highest level of physical, spiritual, and emotional care to patients and their families. Available 24 hours a day. Storykeepers Contact Susie Risho at....................... 549-0752

Trains family members, health care workers and others to

gather a person’s life story at the end of life. Provides services to record life stories. Strings of Peace Music - Thanatology Services.... 546-4127

A palliative service for individuals at the end of life which provides care through the delivery of live prescriptive music, using harp and voice. Patients and families can benefit from one or a series of music vigils during the process of an approaching death, as well as when death becomes imminent. Call for more information or to make patient referrals. Fee charged for services.

BEREAVEMENT & LOSS SUPPORT GROUPS Partners In Home Care Partners Hospice 2687 Palmer St., Ste. B.................................................... 728-8848 www.partnersinhomecare.org

Contact Gretchen Strohmaier, Bereavement Coordinator at 327-3624 Bereavement support groups for those grieving the death of a friend or loved one are offered multiple times throughout the year. These eight- week groups are free and open to the public. They include education about grief and give participants an opportunity to share their own experiences. Individual bereavement counseling, education and referral are also available. Call for specific times and dates. Tamarack Grief Resource Center 336 W. Spruce St............................................................... 721-2860 www.tamarackgriefresourcecenter.org

Housed in the Center for Integrative Care, Grief Resources provides stabilizing and compassionate assistance for children, teens, adults and families amidst bereavement, loss and life transitions. Individual and group counseling, caregiver support, parent support and education, grief camps, and professional workshops available. Healing Hearts for Moms Contact Judy at 549-8482 or Phyllis at 549-4333

This is a caring support group for mothers who have had children die. We meet each month and help each other through the hardest thing a mother ever has to deal with - the death of their child. We cry together, encourage each other, and give a lot of support. Our purpose is to help each other deal with grief and then to move on and make life meaningful again. H.O.P.E. 1621 South Ave W............................................................. 543-2890 www.anewsong.org/hope.html

A group for the mutual support of those who have lost someone to suicide.

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A New Song A Resource Center for Grief, Loss and Life Transitions 1621 South Ave. W............................................................ 543-2890 www.anewsong.org

A New Song offers materials relating to death, bereavement, depression, suicide, divorce and separation, elder care and chronic illness. Materials are available for people of all ages. Books, brochures, videos, audiotapes, and CDs are available from the lending library at no charge. Grief Support Group...................................................... 363-6503

Every Tuesday from 2pm-3:30pm

MarcusDaly Hospice Center, Living Room 1200 Westwood Drive, Hamilton

Marcus Daly Hospice offers an opportunity where you can find help and healing for the hurt of losing a loved one. Share grieving experiences and grow from them. This weekly group is for anyone dealing with the loss of a loved one. Licensed counselors and trained volunteers address issues of grief and loss while building a network of support for attendees. All are welcome. Call for more information. 1200 Westwood Dr.Hamilton, MT 59840 Men’s Bereavement Breakfast……………………………………………363-6303

Every 2nd Friday of each month at 9 a.m.

Human Resource Council Partnering in Community Action in Missoula, Mineral and Ravalli Counties since 1965 We Can Help You With... Fuel Bill Assistance Information and Referral Incapacity Assessment Services Youth Employment and Training Programs Energy Conservation Housing Development Rental Assistance Housing Rehabilitation Loans First Time Homebuyer Loans Contact Us...

728-3710 • 1801 S. Higgins, Missoula 363-6101 • 316 North Third, Hamilton 822-4251 • County Courthouse, Superior

Marcus Daly Hospice Center 1200 Westwood Dr.Hamilton

Marcus Daly Hospice sponsors a monthly Men’s Bereavement Support Breakfast. The group is a special opportunity for men coping with the death of a spouse or loved one to gather and share their journey of healing. Informal discussions are led by a trained Bereavement Facilitator and address such issues dealing with grief, practical suggestions for coping as a single parent, and forming new relationships. Donation of $3.00 is appreciated. Call for more information.

FUNERAL ASSISTANCE Cremation Burial Society of the Rockies Corner of Reserve & Spurgin...................................... 543-5595 MISSOULA AREA FUNERAL HOMES Garden City Funeral Home 1705 W. Broadway............................................................ 543-4190 Livingston Malletta Geraghty 224 W. Spruce St............................................................... 543-3137 Sunset Memorial Funeral Home 7405 Mullan Rd................................................................ 549-2857

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Acupuncture Clinic of Missoula Dallas Seaber, MAcOM, LAc A practitioner with a wealth of training and experience. Acupuncture, Chinese herbs, nutritional counseling and NAET. Wellness care and treatment for: • Pain of all types • Allergies, stress, IBS, fatigue, injuries, depression, asthma, women’s health and more. Gentle, effective, safe. Children to adults. Free consultations.

Health Options Clinic 3031 S. Russell • 728-1600

acupuncture herbal medicine

o n t a n a

c u p u n c t u r e

s s o c i a t e s

Montana Acupuncture Associates Douglas K. Womack, L.AC. Diplomate Oriental Medicine Nationally Certified Herbologist Master of Medical Qi Gong

Specializing in difficult cases. 901 S.W. Higgins, Suite 2 • 541-2399 www.montana-acupuncture.com

Pearls of Life Memory Care Pearls of Life Memory Care is a signature program designed to provide an environment that meets the varied needs of a person with memory loss. Secure areas, life enrichment, and health services are all part of the program. Call for a personal hour: HiLLside HeaLtH Care

251-5100

tHe ViLLage HeaLtH Care Center

728-9162

VaLLey View estates

363-1144

State-of-the-art care for Alzheimer’s victims in a uniquely designed, safe home-like setting. Small uncomplicated living areas with private rooms, each with a bathroom, 24-hr nursing services, assistance with grooming, bathing and medication. Secured courtyard with walking paths, individualized care and activities. Offering respite and adult day care. State licensed and approved. For more information or a private tour

2815 Palmer • 549-9660

Health Resource Guide 2011-12 ~ 111

We’re here when you need us. Conveniently located in the Southgate Mall. Appointments available evenings and Saturdays! Full Service Dentistry.

www.MTSmiles.com Southgate Mall • 541-2886

NOW CARE DOWNTOWN, BROADWAY BUILDING 500 W. BROADWAY, 6Th FLOOR 329-7500 Hours: Mon - Fri 8:30am - 7pm, Sat 9am - 2pm Patients are taken until 30 minutes before closing. Physician staffed.

NOW CARE sOUThGATE mALL 721-0918

Hours: Mon-Fri 9am - 9pm, Sat 9am - 7pm, Sun 11am - 6pm Patients accepted until 1 hour before closing. Physician staffed.

Hospice of Missoula is committed to providing the very best in end-oflife care. We are the only Missoula organization focused solely on hospice care. We are a family-centered hospice, helping to support the needs of both patient and family through social services, spiritual care, and medical symptom management. Our team-approach ensures the best-possible physical comfort for the patient. Music-thanatology and bereavement services are also available. Please call for more information or to schedule a consultation. Hospice care is covered by Medicare and most private insurances. Hospice of Missoula is also a chartiable hospice. We find it a privilege to be of service at this important time in life.

800 Kensington, Suite 204 • 543-4408

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We are committed to providing our patients with the highest quality, family-friendly care available, in a timely manner. With 14 conveniently located clinics and same-day appointments, Community Physician Group is ready to care for you and your family everyday of the year. Medicare, Medicaid and most insurances accepted. For more information please visit www.communitymed.org or call 327-4170.

communitymed.org

Health Resource Guide 2011-12 ~ 113

Valley View Estates

A skilled nursing facility in Hamilton providing 24 hour care, full rehabilitation services and a light care wing for those with minor health issues. The only limited memory program with a secured unit offered in the Bitterroot Valley. Complete with Pearls of Life Signature Memory Care Program.

225 N 8th â&#x20AC;˘ Hamilton â&#x20AC;˘ 363-1144

Missoula Sleep Medicine is accredited

by the American Academy of Sleep Medicine, and our Medical Director, Dr. Michael Silverglat, is certified by the American Board of Sleep Medicine. Services available include formal diagnostic testing for adults and children, with CPAP and BiPAP therapy if needed, performed by registered technologists. Consultation, treatment recommendations and follow-up care are all available through Dr. Silverglat.

910 Brooks, Ste 201 406-829-8053

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Index Abortion. . . . . . . . . . . . . . . . . . . . . . . . . 46 Acupuncture . . . . . . . . . . . . . . . . . . . . . . 7 Addictions… . . . . . . . . . . . . . . . . . . . . . 90 Adoption . . . . . . . . . . . . . . . . . . . . . . . . 46 AIDS/HIV. . . . . . . . . . . . . . . . . . . . . . . . .78 Alcohol Abuse. . . . . . . . . . . . . . . . . . . . .90 Alternative Medicine . . . . . . . . . . . . . . . . . 7 Alzheimer’s Disease. . . . . . . . . . . . . . . . 78 Arthritis . . . . . . . . . . . . . . . . . . . . . . . . . 79 Assisted Living. . . . . . . . . . . . . . . . . . . . 69 Asthma. . . . . . . . . . . . . . . . . . . . . . . . . . 80 Ayurveda . . . . . . . . . . . . . . . . . . . . . . . . . 7 Back Pain. . . . . . . . . . . . . . . . . . . . . . . . 80 Bereavement. . . . . . . . . . . . . . . . . . . . . 105 Bioacoustics. . . . . . . . . . . . . . . . . . . . . . . 7 Biofeedback . . . . . . . . . . . . . . . . . . . . . . . 7 Birth Control. . . . . . . . . . . . . . . . . . . . . . 45 Blindness . . . . . . . . . . . . . . . . . . . . . . . . 73 Breast Examinations. . . . . . . . . . . . . . . . 32 Breastfeeding Resources. . . . . . . . . . . . . 50 Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Cardiac Rehabilitation. . . . . . . . . . . . . . . 25 Cerebral Palsy. . . . . . . . . . . . . . . . . . . . . 92 Child Abuse . . . . . . . . . . . . . . . . . . . . . . 93 Childbirth Classes . . . . . . . . . . . . . . . . . 49 Childbirth Practitioners . . . . . . . . . . . . . . 48 Childcare . . . . . . . . . . . . . . . . . . . . . . . . 52 Children’s Services. . . . . . . . . . . . . . . . . 57 Education. . . . . . . . . . . . . . . . . . . . 57 Guidance . . . . . . . . . . . . . . . . . . . . 58 Health Insurance. . . . . . . . . . . . . . . 51 Mental Health Services . . . . . . . . . 52 Protective Services. . . . . . . . . . . . . 58 Residential Care . . . . . . . . . . . . . . . 53 Chiropractic Medicine. . . . . . . . . . . . . . . 10 Chronic Fatigue. . . . . . . . . . . . . . . . . . . . 80 Clinical Hypnotherapy. . . . . . . . . . . . . . . . 7 Clothing . . . . . . . . . . . . . . . . . . . . . . . . . 31 Colon Hydrotherapy . . . . . . . . . . . . . . . . . 7 Colorectal Cancer…... . . . . . . . . . . . . . . 25 Cosmetic Surgery…. . . . . . . . . . . . . . . . 83 Craniosacral Therapy . . . . . . . . . . . . . . . . 7 Definitions . . . . . . . . . . . . . . . . . . 4, 35, 62 Dental Services . . . . . . . . . . . . . . . . . . . 35 Depression . . . . . . . . . . . . . . . . . . . . . . 80 Dermatology . . . . . . . . . . . . . . . . . . . . . 87 Diabetes . . . . . . . . . . . . . . . . . . . . . . . . 81 Disability Services. . . . . . . . . . . . . . . . . . 73 For Children . . . . . . . . . . . . . . . . . . 73 Education . . . . . . . . . . . . . . . . . . . 74 Financial Resources . . . . . . . . . . . . 74

Housing . . . . . . . . . . . . . . . . . . . . . 75 Support Groups . . . . . . . . . . . . . . . 75 Transportation . . . . . . . . . . . . . . . . 75 Domestic Violence . . . . . . . . . . . . . . . . . 92 Drug Abuse . . . . . . . . . . . . . . . . . . . . . . 91 Education . . . . . . . . . . . . . . . . . . . . . . . 60 Emergency Services . . . . . . . . . . . . . . . 57 End of Life . . . . . . . . . . . . . . . . . . . . . . 104 Energy Balancing . . . . . . . . . . . . . . . . . . . 8 Environmental Safety . . . . . . . . . . . . . . . 45 Epilepsy . . . . . . . . . . . . . . . . . . . . . . . . . 82 Estate Planning . . . . . . . . . . . . . . . . . . 103 Exercise . . . . . . . . . . . . . . . . . . . . . . . . . 11 Eyecare . . . . . . . . . . . . . . . . . . . . . . . . . 30 Family Practitioners . . . . . . . . . . . . . . . . 48 Feldenkrais. . . . . . . . . . . . . . . . . . . . . . . . 8 Flu…… . . . . . . . . . . . . . . . . . . . . . . . . . 48 Food . . . . . . . . . . . . . . . . . . . . . . . . . . . .41 Funeral Homes . . . . . . . . . . . . . . . . . . . 106 General Practice . . . . . . . . . . . . . . . . . . . . 6 Health Clinics . . . . . . . . . . . . . . . . . . . . . 15 Health Clubs. . . . . . . . . . . . . . . . . . . . . . 11 Health Insurance . . . . . . . . . . . . . . . . . . 53 Fraud . . . . . . . . . . . . . . . . . . . . . . . 96 Hearing Loss . . . . . . . . . . . . . . . . . . . . . 36 Heart Disease . . . . . . . . . . . . . . . . . . . . 82 Hepatitis. . . . . . . . . . . . . . . . . . . . . . . . . 83 Home Health Services . . . . . . . . . . . . . . 86 Hospitals . . . . . . . . . . . . . . . . . . . . . . . . 14 Hospice… . . . . . . . . . . . . . . . . . . . . 72, 87 HPV . . . . . . . . . . . . . . . . . . . . . . . . . . . .83 Immunizations . . . . . . . . . . . . . . . . . . . . 31 Infertility . . . . . . . . . . . . . . . . . . . . . . . . 47 Insurance see Health Insurance Iridology . . . . . . . . . . . . . . . . . . . . . . . . . 8 Kidney Disease . . . . . . . . . . . . . . . . . . . 84 Long Term Care Insurance . . . . . . . 68, 101 Long-Term Care Planning . . . . . . . . . . . . 68 Mammograms . . . . . . . . . . . . . . . . . . . . 32 Massage . . . . . . . . . . . . . . . . . . . . . . . . . 8 Medicaid . . . . . . . . . . . . . . . . . . . . . . . . 66 Medical Equipment…. . . . . . . . . . . . . . . 72 Medicare . . . . . . . . . . . . . . . . . . . . . . . . 66 Meditation. . . . . . . . . . . . . . . . . . . . . . . . . 8 Mental Health . . . . . . . . . . . . . . . . . . . . . 94 Midwives . . . . . . . . . . . . . . . . . . . . . . . . 48 Multiple Sclerosis . . . . . . . . . . . . . . . . . 84 Muscular Dystrophy . . . . . . . . . . . . . . . . 84 Native American Services . . . . . . . . . . . 42 Naturopathic Care . . . . . . . . . . . . . . . . . . 6 Nursing Homes . . . . . . . . . . . . . . . . . . . 40

Nutrition . . . . . . . . . . . . . . . . . . . . . . . . . 40 Education . . . . . . . . . . . . . . . . . . . 39 Income Requirements . . . . . . . . . . 38 School Breakfast. . . . . . . . . . . . . . . 38 School Lunch. . . . . . . . . . . . . . . . . 38 Obstetrician/Gynecologists . . . . . . . . . . . 48 Occupational Therapy. . . . . . . . . . . . . . . 26 Orthotics . . . . . . . . . . . . . . . . . . . . . . . . 22 Osteoporosis . . . . . . . . . . . . . . . . . . . . . 84 Pain Management. . . . . . . . . . . . . . . . . . 26 Pap Smear Testing . . . . . . . . . . . . . . . . . 34 Parenting Classes. . . . . . . . . . . . . . . . . . 56 Physical Therapy . . . . . . . . . . . . . . . . . . 27 Polio . . . . . . . . . . . . . . . . . . . . . . . . . . . .85 Pregnancy . . . . . . . . . . . . . . . . . . . . . . . 39 Financial Resources . . . . . . . . . . . . 46 Resources . . . . . . . . . . . . . . . . . . . 45 Teenage Pregnancy. . . . . . . . . . . . . 46 Testing . . . . . . . . . . . . . . . . . . . . . . 45 Unplanned Pregnancy . . . . . . . . . . 85 Prenatal Care . . . . . . . . . . . . . . . . . . . . . 47 Preventive Care . . . . . . . . . . . . . . . . . . . 30 Primary Care . . . . . . . . . . . . . . . . . . . . . . 6 Prostate Cancer Testing . . . . . . . . . . . . . 34 Prosthetics . . . . . . . . . . . . . . . . . . . . . . 28 Rehabilitation . . . . . . . . . . . . . . . . . . . . . 24 Reiki . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 Respite Care . . . . . . . . . . . . . . . . . . . . . 69 Reverse Mortgages. . . . . . . . . . . . . . . . 103 Seniors . . . . . . . . . . . . . . . . . . . . . . . . . 65 Exercise . . . . . . . . . . . . . . . . . . . . . 65 Education . . . . . . . . . . . . . . . . . . . 65 Employment . . . . . . . . . . . . . . . . . 65 Financial Resources . . . . . . . . . . . . 64 Housing… . . . . . . . . . . . . . . . . . . . 65 Nutrition . . . . . . . . . . . . . . . . . . . . . 65 Safety . . . . . . . . . . . . . . . . . . . . . . 65 Transportation . . . . . . . . . . . . . . . . 65 Sexually Transmitted Infections . . . . . . . 85 Sleep Disorders . . . . . . . . . . . . . . . . . . . 85 Smoking . . . . . . . . . . . . . . . . . . . . . . . . 91 Speech Therapy . . . . . . . . . . . . . . . . . . . 28 Stroke. . . . . . . . . . . . . . . . . . . . . . . . . . . 85 Suicide Prevention… . . . . . . . . . . . . . . . 93 Testicular Examinations . . . . . . . . . . . . . 24 Therapeutic Riding . . . . . . . . . . . . . . . . . 28 Vaccinations. . . . . . . . . . . . . . . . . . . . . . 25 Veteran Services . . . . . . . . . . . . . . . . . . 44 Weight Management . . . . . . . . . . . . . . . 40

Health Resource Guide 2011-12 ~ 115

St. Joseph Medical Center has been delivering high-quality medical care in the Flathead and Mission Valley’s since 1916, offering a full range of services. St. Joseph Medical Center has exactly what Western Montanans need, right here

– close to home in Polson. Physicians and Specialists Near You Patient Information/Operator Polson – 406-883-5680 Ronan – 406-676-5680 24 hour ER . . . . . . . . . . . . . . . . . . . . Walk in Clinic. . . . . . . . . . . . . . . . . . . Clinic - Ronan . . . . . . . . . . . . . . . . . . OB/Gyn . . . . . . . . . . . . . . . . . . . . . . . OB/Gyn - Ronan. . . . . . . . . . . . . . . . . Family Practice . . . . . . . . . . . . . . . . . . Family Practice Ronan . . . . . . . . . . . . Pediatrics . . . . . . . . . . . . . . . . . . . . . . Ortho - Polson . . . . . . . . . . . . . . . . . . Ortho - Ronan . . . . . . . . . . . . . . . . . . Cardio . . . . . . . . . . . . . . . . . . . . . . . . Oncology/Chemo. . . . . . . . . . . . . . . . General Surg . . . . . . . . . . . . . . . . . . . Physical Therapy. . . . . . . . . . . . . . . . . Lab . . . . . . . . . . . . . . . . . . . . . . . . . . Radiology. . . . . . . . . . . . . . . . . . . . . . Social Services . . . . . . . . . . . . . . . . . .

883-8423 883-5680 676-5680 883-5680 676-5680 883-5680 676-5680 883-5680 883-8548 676-5680 883-8456 883-8915 883-8471 883-8453 883-8428 883-8402 883-8417

Six 13th Avenue East, Polson 406-883-5680 saintjoes.org

Our Core Values: Respect, Compassion, Justice, Excellence, Stewardship

Six 13th Avenue East, Polson • 406-883-5377 • saintjoes.o

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