Health Resource Guide by Missoulian

You have a direct line to great healthcare. St. Patrick Hospital and Health Sciences Center is Western Montanaâ&#x20AC;&#x2122;s medical leader. Founded by the Sisters of Providence in 1873, St. Patrick Hospital has a history of innovative procedures and compassionate care. Our JCAHO-accredited facility is a Thomson Reuters Top 100 Heart Hospital and includes an accredited cancer program and board-certified Emergency Department physicians. Whether you need specialty care or a simple check-up, compassionate service and superior care are a phone call away.

Patient Information/Operator

543-7271

Addiction Recovery Services Adult and Adolescent Programs

327-3015

Broadway Imaging

327-1714

Broadway Pharmacy

327-1650

Cuddles and Care Get Well Child Services

327-3050

Diabetes Care Services

329-5781

Emergency Department

329-5635

First STEP Resource Center

329-5776

Foundation

329-5640

Human Resources/Employment

329-5625

International Heart Institute of Montana

329-5615

Toll-free: 877-444-5615 Life Flight For emergencies dial 911

Guided by Mission.

Inspired by life.

Montana Cancer Center Medical Oncology Radiation Oncology

728-2539 329-5655

Montana Neuroscience Institute Foundation 329-5733 Montana Spine & Pain Treatment Center

327-1670

Sleep Center

329-5650

St. Patrick House

541-2828

Weight-loss Surgery

329-5866

Wellness Center Cardiac Rehabilitation, Occupational Therapy, Physical Therapy, Speech Therapy

329-5895

Womenâ&#x20AC;&#x2122;s Care

327-3057

Wound Care

329-5736

TDD Hearing Impaired

329-5854

500 W. Broadway

632_67_SPH_Health Resources Guide_m1.indd 1

329-2666

www.saintpatrick.org

10/1/08 2:25:19 PM

Health Resource Guide 2008-09 ~

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.”

~ Health Resource Guide 2008-09

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 has developed into a profession that is widely respected within the healthcare field. Massage, as an umbrella term, encompasses Swedish, theraputic, infant, prenatal, geriatric, deep tissue, relaxation 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.

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-today 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.

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. Florence Family Practice 5549 Old Hwy 93...................................................273-4923 Hours: Mon-Fri 8:00 a.m. - 5:30 p.m; Walk-ins Mon-Fri 4:00 p.m. - 5:30 p.m. Family health care, psychology including lab & x-ray.

Missoula Indian Center Fort Missoula Building 33......................................829-9515 Offers comprehensive health and chemical dependency services for Native Americans. 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. 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.

Frenchtown Family Practice 16862 Beckwith St.................................................626-5769 Hours: Mon-Thurs 8:30 a.m. - 5:00 p.m., Fri 10:00 a.m. – 5:00 p.m. Family health care, including lab services. Same day appointments available.

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.

Grant Creek Family Practice 3075 N. Reserve St Suite Q...................................327-1850 Providers: Jeffery Lindley, MD, Carla Davis, MD and Jamie Granger F-NP Family healthcare providers see patients from the age of birth - 100 years of age. Medicare, New West, Blue Cross, Health Infonet and Interwest accepted.

Partners Solutions , St. Patrick Hospital and Health Sciences Center, 2687 Palmer St, Suite B............................728-8848 A local pharmacy that provides a broad range of infusion services to persons in our infusion suite or in the comforts of their home. Licensed to provide services throughout Montana and Idaho.

Lolo Family Practice, 11350 US Hwy 93 S............273-0045 Hours: Mon-Fri 8:00 a.m. - 5:00 p.m; Walk-ins Mon-Fri 8:00 a.m. - 9:00 a.m. Family health care, including lab. Same day appointments available.

Partnership Health Center, 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 underserved residents of Missoula and surrounding rural areas through a partnership of community resources. We fulfill our mision 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.

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 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 14 ~ Health Resource Guide 2008-09

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).

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) Specializing in pediatric otolaryngology, head & neck surgery, skull base surgery, maxillofacial, neurotology, cosmetic and reconstructive surgery as well as allergy evaluation. Rocky Mountain Eye Center, P.C. 700 W Kent Ave.........................................541-EYES (3937) Comprehensive routine eyecare for all ages. Specializing in pediatric ophthalmology, treatment of diseases of the retina and vitreous, cornea, eternal eye, glaucoma, cataracts and LASIK refractive surgery. 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. Seeley-Swan Medical Center, 3050 Hwy 83 N Seeley Lake, MT........................................... (406)677-2277 Hours: Clinic open Mon.-Fri 8:30 a.m. - 5:30 p.m. Family health care, including lab & x-ray. St. Patrick Hospital, Center for Health Information (Medical Library), 500 W. Broadway....................................329-5710 www.saintpatrick.org/chi Hours: Summer: Mon-Fri 8:00 a.m. - 4:30 p.m. Winter: Mon, Thurs 8:00 a.m. – 7:00 p.m., Fri 8:00 a.m. 4:30 p.m. The Center for Health Information is a full-service medical library. We are open to the public and staff are available to assist you with your search. The library has both technical medical information in most topics and formats for professionals, students, patients and their families. Special book collections on death, dying and grieving and medical humanities and ethics as well as health audio-visuals are available to check out. Computer workstations, comfortable seating areas and study tables are available for your use and the Center provides ready access to quality-filtered health reasource sites. In addition, the laibrary staff will assist you in completing, witnessing or notarizing your advance directive and will forward it to the End-of-Life-Registry in Helena. 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 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, MT............................. (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. 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. Women’s Care Center 500 W. Broadway, Level 3.....................................327-3057 A practice of Saint Patrick Hospital and Health Sciences Center. The Women’s Care Center is a unique private practice serving women of all ages. It is staffed by both Certified Nurse Midwives and Advanced Practice Registerd Nurses. We are happy to offer clinical expertise in a comfortable and soothing atmosphere. Out Medical Director is Dr. Anne Murphy. Wound Care Center 500 W. Broadway, Level 1..... 329-5736 or 1-866-629-5736 A physician-staffed outpatient clinic for the treatment of difficult-to-heal wounds. These wounds often don’t heal because of underlying conditions, such as diabetes, circulatory diseases including varicose veins or nerve injuries with sensory loss, and others. If an open skin area is not improved in four weeks or healed in eight weeks, a team approach such as ours is recommended. Referral by physician or self-referral.

Health Resource Guide 2008-09 ~ 15

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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. See also Disability Services

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. Please refer to your local yellow pages for a list of speech therapists in your area.

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, MT.................. (406)880-2877 or Program Director Linda Olson.................. (406)961-2999 Under the guidance of North American Riding for the Handicapped, Bitterroot Therapeutic Riding has, for four 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.

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Health Resource Guide 2008-09 ~ 19

EARLY DETECTION FOR CANCER COLORECTAL CANCER SCREENING

Missoula City-County Health Department..............258-3684

HPV (HUMAN PAPILLOMAVIRUS) VACCINE

Genital human papillomavirus is the most common sexually transmitted virus in the United States. There are approximately 40 types of 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. HPV is routinely recommended for girls 11-12 years of age. 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 13-26 years of age who did not receive it when they were younger. The vaccine is given as a 3-dose series:

1st Dose: Now 2nd Dose: 2 months after Dose 1 3rd Dose: 6 months after Dose 1 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. HPV vaccine does not appear to cause any serious side effects.

MAMMOGRAMS & BREAST EXAMINATIONS

A National Cancer Institute report estimates that approximately 1 in 8 women will develop breast cancer over their lifetime. 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: The keys to early detection are breast self-examination (BSE), an annual breast examination by a health care provider, and mammography.

One of the most important health habits you can begin and follow throughout your life is monthly breast self-examination (BSE). Since most women discover their own breast lumps, self-examination is considered the first line of defense against breast cancer. 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 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. Health Resource Guide 2008-09 ~ 23

The Breast Center at Community Medical Center 2827 Fort Missoula Rd.......... 327-4010 or 1-800-862-2067 Staffed by physicians, registered nurses, certified mammography technologists, physical and occupational therapists, dietitians, and social workers who are able to provide comprehensive breast health services. Services include: diagnostic mammography, diagnostic studies of breast disease with ultrasound, stereotactic core biopsy, fine needle aspiration, and MRI of the breast; education and resource information for women, families and groups; breast cancer rehabilitation, lymphedema management, and water exercises; nutrition counseling and social services. The Montana Breast and Cervical Health Program Partnership Health Center, 323 W. Alder St...........258-4167 www.phc.missoula.mt.us/phc/phcweb/page11 Services include: yearly mammograms & clinical breast exams, regular pap tests & pelvic exams, diagnostic services for abnormal tests, and referral to cancer treatment program if necessary. Low-cost or free for qualified women over 50 who are underinsured or have no health insurance and meet income guidelines. Other women may be eligible.

PAP SMEAR TESTING

The Pap test is a simple procedure in which cells are taken from a womanâ&#x20AC;&#x2122;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 examina-

tions have made cervical cancer much less common than it once was. The American Cancer Society recommends annual pap smears for all women who are sexually active or over 18 years old.

PROSTATE CANCER TESTING

With the exception of skin cancer, prostate cancer is the most common type of cancer in men in the United States. The American Urological Association recommends a DRE (digital rectal exam) and a screening blood test PSA (prostate specific antigen) annually after the age of 50. Men with a family history of prostate cancer should be tested beginning at age 40.

TESTICULAR EXAMINATIONS

Cancer of the testes, the male reproductive glands, is one of the most common cancers in men 15 to 34 years of age. It accounts for 3 percent of all cancer deaths in this group. If discovered in the early stages, testicular cancer can be treated promptly and effectively. Itâ&#x20AC;&#x2122;s important for you to take time to learn the basic facts about this type of cancer, its symptoms, treatment, and what you can do to get the help you need when it counts. Every male between 18 and 40 should learn testicular self-exam techniques and do a monthly exam.

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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. Missoula Food Bank, 219 S. 3rd St. W..................549-0543 Hours: Mon-Fri 10:00 a.m. – 1:00 p.m., Mon & Tues 5:00 p.m. – 7:00 p.m. A three-day food supply for those who are unable to afford food. Some form of identification is required. No income verification is required. Poverello Center - 535 Ryman St..........................728-1809 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. 30 ~ Health Resource Guide 2008-09

Salvation Army Social Services 339 W. Broadway...................................................549-0710 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. 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 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.

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 Hours: Saturdays 8:00 a.m. – 1:00 p.m. (Mid-May through mid-October) Offers locally raised beef, lamb, bison, pork and poultry as well as organic dairy products, locally made baked goods and sausages and locally grown fruits and vegetables. Bedding plants, fresh flowers, coffee, hot lunch items and wool goods are also available in the market. Vendors accept farmer’s market coupons offered to senior citizens through Missoula Aging Services. Free parking. 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 school-aged 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 The community garden network has 5 community garden sites where we teach people to grow their own vegetables on a plot costing $25 for the summer. Call for garden locations. Volunteer for Veggies – for every 4 hours of volunteer time given at any community garden an individual earns ½ share of a local organic produce from the garden. Volunteer for Veggies opportunities are also available at the GCH/EVST PEAS farms.

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...................... 258-4740 or 1-800-823-4740 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. Bariatric Surgery Program 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 2008-09 ~ 31

Outpatient Nutrition Center, Community Medical Center, 2827 Fort Missoula Rd..........................................327-4325 Outpatient nutrition counseling for special health care needs or weight management. Helps all ages make healthy lifestyle changes. 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.

Psychotherapy For Mood and Behavior Disorders for Adults, Children, Couples, & Families Cognitive Behavior Therapy has been shown in over 300 studies to be effective treatment of many mental health disorders including depression, panic, anxiety disorders, post-traumatic stress disorder, substance abuse, and problems in living and relationships. CBT is also an effective supplemental treatment for chronic medical conditions, including insomnia, pain, gastrointestinal disorders, headache, and hypertension.

Julie Hergenrather PhD, Director

Delia Campfield PhD, Psychology Resident

Alison Cobb PhD

Rashel Jeffrey LCSW, Psychotherapist

Please call 327-3350 for an appointment. A Division of Montana Neurobehavioral Specialists

32 ~ Health Resource Guide 2008-09

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 Lane...............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.

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. If you want more information or need a pregnancy test, contact your family physician or one of the following groups: Blue Mountain Clinic 610 N. California St...............................................721-1646 Pregnancy tests are $7.00 First Way Pregnancy Support Center 127 E. Main St. #203............................................549-0406 Pregnancy tests, counseling and support for those continuing their pregnancies are free. Intermountain Planned Parenthood 219 E. Main St.......................................................728-5490 Pregnancy tests are priced on a sliding scale. Missoula City/County Health Department-Outpatient Clinic 301 W. Alder St......................................................523-4750 Hours: Pregnancy test are administered Mon, Tues, Thurs & Fri 8:00 a.m. – 9:00 a.m. Pregnancy tests cost $20.00. Refrigerate the sample if it is collected early.

services. Please call if you are pregnant or considering placing 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. Intermountain Planned Parenthood 219 E. Main St.......................................................728-5490 Provides reproductive health care, education and advocacy to the people of Western Montana improve their individual and family lives. Lutheran Social Services (Counseling is non-denominational) 725 W. Alder St. #2..............................................549-0147 Offers pregnancy decision-making, counseling, adoption services, and some limited counseling for individuals, couples, and families. Young Families Program, Missoula County High School, 901 South Ave. W..................................728-2400 ext. 7050 A service offered to any girl aged 14-19 who is pregnant or who has recently had a baby. This program offers an opportunity for students to meet their educational, social and emotional needs in a positive alternative setting.

University of Montana Student Health Service 634 Eddy St...........................................................243-2122 Cost varies. Service is only available to U of M students who have paid their student health fee.

UNPLANNED PREGNANCY

There are counselors available to help you make a decision if you are faced with an unplanned pregnancy. If you would like information about options counseling, contact your family physician or call: Blue Mountain Clinic 610 California St....................................................721-1646 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 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

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Health Resource Guide 2008-09 ~ 37

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 127 E. Main St., Room 203.... 549-0406 or 1-800-332-0406 Futures, 127 N. Higgins.........................................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......................................................523-4750 Provides information about free or low-cost health insurance options for children.

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38 ~ Health Resource Guide 2008-09

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. Neighborhood Nurse Program Missoula City County Health Department, 301 W. Alder St......................................................523-4750 The neighborhood nurse 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 the high school Young Families Program and other teen support services. Young Families Program 901 South Ave. W..................................728-2400 ext. 7050 This program helps pregnant girls and teenage mothers finish high school. Along with the required high school curriculum, students will also take “Young Families” classes in parenting. The Young Families Program also helps to link students with resources in the community such as housing and health care. This program also offers on-site nursery care to teenage mothers as they complete school. This program is open to students from Missoula County.

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. If you are interested in learning more about adoption, contact the following groups: Catholic Social Services for Montana...........420 W. Pine St. Betsy Robel at 728-5429 or toll-free 1-800-BABYDUE (1-800-222-9383) 24 hours a day 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 adop-

Missoula City-County Health Department 301 W. Alder..........................................................258-4298 Provides a series of 4 prenatal classes on Thursday nights 6-7:30 p.m. Also 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. 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..........................................327-4257 Water aerobics for pregnant women and new mothers to improve flexibility and strength, increase endurance, and minimize weight gain. Call for class schedules and fees. 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. Prenatal Yoga St. Patrick Hospital Wellness Center.....................329-5895 Yoga provides many benefits throughout the childbearing years. They include: awareness of posture; improved muscular balance, flexibility and strength; increase in energy by focusing on breathing; decrease in back pain, tiredness, anxiety, headaches, and other common complaints; and quieting of the mind. Rocky Mountain Neonatology Center at Community Medical Center 2825 Fort Missoula Rd., Ste. 130..........................327-4234 Rocky Mountain Women’s Health 2835 Fort Missoula Rd., Bldg. 3, Ste. 304.............549-0978 Maternal-fetal medicine for high-risk obstetrics. Women’s Club Health & Fitness Center 2105 Bow St..........................................................728-4410 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. 40 ~ Health Resource Guide 2008-09

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. If you would like more information, check the yellow pages under “Physicians-Obstetrics” or contact the following group: Missoula City/County Health Department (MC/CHD) Public Health Nursing Program 301 W. Alder St. ...................................................523-4750 The neighborhood nurse program encourages early enrollment in comprehensive services for all pregnant women and serves women who encounter any barrier to care, a need for support or information. Program staff includes nurses and social workers that provide health care, prenatal education and assistance in arranging referrals to medical and social services.

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. If you would like more information, contact your family physician or check in the yellow pages under “Physicians.”

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:

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 Community Medical Center-Education Department 2827 Fort Missoula Rd..........................................327-4009 Offers “Birthing Basics” classes for first-time mothers and refresher courses for women who are repeat moms. The class covers delivery options, labor, breathing techniques and welcoming the new baby into your life. The center also offers Momercise Water Aerobics classes. The fee for the Birthing Basics class is $65 per couple.

FINANCIAL RESOURCES

For information about agencies that can help you financially during your pregnancy, contact the following groups: Expanded Food and Nutrition Education Program 126 W. Spruce St...................................................829-4200 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. First Way Pregnancy Support Center 127 E. Main St. #203............................................549-0406 Offers diapers, baby clothes and maternity clothes.

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. Montana’s Child Project...........................1-800-421-MOMS A community service program for Mothers To Be and for those who care about them. The Montana’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, food stamps and financial programs for low-income parents and their families. Provides temporary assistance for needy families. The 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...................... 523-4740 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

Garden City Harvest..............................................523-FOOD A project that distributes locally grown produce to people in need. GCH will teach you how to grow your own vegetables, or, for every four hours you volunteer in the gardens you will receive a share of vegetables.

Community Medical Center 2827 Fort Missoula Rd..........................................327-4219 Offers inpatient and outpatient breastfeeding consultation services, including assistance over the phone and information about breastfeeding at childbirth classes.

Missoula City/County Health Department (MC/CHD) Public Health Nursing Program 301 W. Alder St......................................................258-4750 The Neighborhood Nurse Program encourages early enrollment in comprehensive services for all pregnant women and serves women who encounter any barrier to care, or who are in need of support or information. Program staff includes nurses and social workers that provide health care, prenatal education and assistance in arranging referrals to medical and social services. Assistance can also include help with paperwork for the Medicaid process.

La Leche League............................contact Erin at 549-1779 Hours: 2nd Tues. of each month at 10:30 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.

42 ~ Health Resource Guide 2008-09

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.

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. ........................................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; 1-888-506-9366 Provides access to care by pediatric specialists or to multidiscipline, team-based assessments that may not be available from your primary care physician. 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, pulmonary, hemophilia, nephrology 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. Shodair Hospital, 2755 Colonial Drive Helena, MT 59601........(406)444-7500 or 1-800-447-6614 www.shodairhospital.org A non-profit specialty children’s hospital serving children and families throughout Montana. The Shodair’s Medical Genetics Program offers comprehensive services to individuals with genetic conditions or concerns about their risk to transmit or develop 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 orthopaedic 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. If you know of a child Shriners Hospitals might be able to help, please call the toll-free patient referral line above. 44 ~ Health Resource Guide 2008-09

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. See also the Immunizations section.

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 CHIP is a free or low-cost health insurance plan that provides coverage to eligible Montana children until age 19. Financial eligibility is based on a family’s adjusted gross income. Your family doesn’t need to be low income to qualify for low-cost or no-cost children’s health insurance. There are no monthly premiums or enrollment fees and no limitations on pre-existing conditions. There are no asset or resource tests. Parents are in charge of the health care their children receive, and are partners with the state and federal governments in providing health insurance coverage for their children. Some parents share in the cost of their children’s health by making co-payment for each service used. Applications are available in all Montana communities, at county health departments, health care facilities, WIC offices, Head Start facilities, Indian Health Services, and many more community locations. Applications are available by mail by calling 1-877543-7669 (toll-free) and can be mailed back when completed. Application forms can also be accessed online. Children’s Special Health Services, Diane Bldg, 1218 E. 6th Ave.,Helena, MT 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.

Medicaid, Office of Public Assistance, 2677 Palmer St., Ste. 100.....................................329-1200 or Helpline ................................................ 1-800-362-8312 Provides medical coverage to children based on family income. Takes into consideration family’s assets and resources. Family is not eligible for coverage if countable resources and assets exceed $3,000 (excluding 1 house and 1 car). Applications are submitted to the Office of Public Assistance but can be done through the mail. 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, MT 59624........................................ (406)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.

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. We act as a lifeline for the human spirit. 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. Camp-Mak-A-Dream , Gold Creek, east of Missoula (Foundation Office: P.O. Box 1450, Missoula, MT 59806) 549-5987 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. Child Development Center, T-214 Fort Missoula Fax 542-0143......................... 549-6413 or 1-800-914-4779 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 devel-

opmental disability. CDC’s services are provided by trained professionals who hold degrees in child development, special education, social work, pediatric therapy, or a related field. 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; limited respite care program; and a respite house for scheduled care. The Children’s Museum, Missoula – 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.

A history of caring. Commitment to the future. • Residential and acute psychiatric care for children • Clinical and laboratory medical genetic services Caring for Montanans since 1896 406-444-7500 1-800-447-6614 2755 Colonial Drive Helena, MT 59601 Health Resource Guide 2008-09 ~ 45

Community Circles P.O. Box 3056, Missoula, MT 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. Division of Educational Research and Service (DERS) Library............. 243-5344 www.dersum.org Hours: Mon-Fri 8:30 a.m.-4:30 p.m. The DERS 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 DERS 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. 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. 46 ~ Health Resource Guide 2008-09

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 www.missoulaforum.org......................... 728-3000 ext.1022 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, such as early dental care. Medicaid Transportation............................. 1-800-292-7114 Transportation to medical appointments billed to Medicaid when no other transportation is available. Local provider is usually Medicab. Missoula Area Education Cooperative 438 W. Spruce St...................................................258-4861 Hours: Mon-Fri 8:00 a.m. – 5 p.m. Services for children ages 3-18 with disabilities who are enrolled in smaller, outlying schools in Missoula County. Missoula City/County Health Department 301 W. Alder St......................................................258-4298 Home Visiting Program (with nurses, dieticians, and social workers). Provides home visits an 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 ‘n’ Pak crib. Eligible parents can also get car seats for their infants at free or reduced cost. 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. Missoula Indian Center Fort Missoula Bldg. 33...........................................829-9515 www.missoulaindiancenter.org Provides comprehensive health referral services to Native Americans. Offers diabetes and nutrition classes as well as diabetes supplies for Native Americans. The Alcohol Substance Abuse Prevention (ASAP) program can provide funding for Native families to support activities that keep children substance free, such as sport shoes or clothing or band instruments. Minor in Possession classes are also offered to both Natives and non-Natives. Mountain Line Comparable Paratransit Services..721-2848 Curb to curb transportation for qualified disabled individuals. Parent Aide Program, The Parenting Place, 1644 S. 8th St. West.................................. 728-KIDS (5437) The Parent Aide Program works to strengthen & support 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, www.pluk.org 1-877-219-9986 (Missoula) or 1-800-222-PLUK (Billings) 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 & well-being 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 self-awareness. 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 seeking medical care in Missoula; can provide numbers for Ronald McDonald Houses in other cities. $25 donation per night if possible. Safe Kids, Safe Communities 258-3880 or 1-800-421-MOMS Provides information on safety issues for parents and children. Focuses on injury prevention. Tamarack Grief Resource Center...........................240-0909 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., P.O. Box 7616, Missoula, 59807............................721-2704 Hours: Mon-Fri 9:00 a.m. to 12:00 p.m. and 1:00 p.m. – 5:00 p.m. Provides four types of care for children and youth: shelter care, group care, foster care and adoption. Administers seven youth homes for children in crisis. Provides family support, youth runaway services, and therapeutic foster care adoption program. Serves western Montana, including the Helena area.

PARENTING CLASSES Families First 815 E. Front St., Ste. 3..........................................721-7690 www.familiesfirstmt.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 and programs geared toward kids ages newborn to 8 and their grownups. The Museum is a great venue for group visits and birthday parties. Health Resource Guide 2008-09 ~ 47

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 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................................ 258-3896 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.

48 ~ Health Resource Guide 2008-09

Child Care Resources 127 E. Main St....................728-6446 www.childcareresources.org Child Care Resources provides services in Missoula, Ravalli & Mineral counties to support families & child care providers. Services for families include a child care referral service to help parents find a licensed & registered provider to care for their child. They also provide parents with information on what to look for & which questions to ask when selecting an appropriate child care setting. Child Care Resources administers the Best Beginnings Scholarship fund to assist eligible families in paying for child care. Services for child care providers include the Early Childhood Development program, onsite nurse consultant services and a Resource Lending Library. Child Care Resources also administers the USDA Child & Adult Care Food program which reimburses registered providers for nutritious meals served to children in child care. Child’s Play, The Parenting Place 1644 S. 8th St. W...................................... 728-KIDS (5437) 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. Children’s Museum, Families First 815 E. Front St., Ste. 3................................ 541-PLAY(7529 Place for kids ages 0-8 years (with adult) to learn to play & imagine. Hand-on exhibits and programs. CO-TEACH Preschool Program...............................243-5344 www.coteach.com 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, 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. Flagship Program 1325 Wyoming St..................................................532-9827 www.flagshipprogram.org Flagship is a community-based program of Turning Point that is a school/community partnership. Flagship provides skill-building activities to Missoula youth during non-school hours (usually after school). Flagship programs are currently available in four high schools, three middle schools, and three

elementary schools in the Missoula County Public Schools district. Flagship activities are free; the only requirement generally is that the participating student attend the school that hosts the activity. Students can get involved in a variety of activities or events that focus on the arts, sports, academic subjects, community service projects, or other topics. Activities are held either at the school or at a site in the community. Transportation is provided as often as possible. 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. St. Patrick Hospital and Health Sciences Center Cuddles & Care, Providence Center 902 N. Orange St...................................................327-3050 Daycare for mildly ill children from infancy through 12 years of age.

CHILD GUIDANCE AND MENTAL HEALTH SERVICES Adolescent Partial Hospitalization Program St. Patrick Hospital................................................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. . ...............................................721-2860 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 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, MT.................. (406)444-7500 or ............................................................... 1-800-447-6614 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 1515 E. Broadway..................................................728-2662 Provides outpatient mental health services to children, youth and their families on a sliding fee scale. Also provides familybased mental health services to families referred by Child and Family Services and Youth Court. H.O.P.E. abc (Helping Other Parents of Emotionally and behaviorally challenged children) P.O. Box 4744 Missoula, MT 59806.....................Contact Pam at 880-3522 A support and advocacy organization for parents of children with challenging behavior. There is no charge for this parent-led peer support group. Childcare is available at no cost, although reservations are needed for childcare. Referrals to other resources are also available. Intermountain Children’s Home and Service 500 S. Lamborn, Helena, MT, 59601........(406)442-7920 or 1-800-200-9112 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. Partnership for Children 550 N. California St...............................................721-2704 Provides intensive community-based treatment in two group homes for children ages 4-12. Partnership Health Center 323 W. Alder St......................................................258-4165 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. Recovery Inc..........................................................825-3063 www.recovery-inc.org Hours: Meets Saturday 1:00 p.m. - 2:30 p.m. at the Missoula Public Library, 301 East Main St. Other meeting times available, as well as telephone meetings. Call for information. Improve mental health and reduce suffering. Learn skills and acquire tools to help cope with difficult emotions and nervous symptoms. Health Resource Guide 2008-09 ~ 49

CHILD PROTECTIVE SERVICES CASA (Court Appointed Special Advocate) 127 E. Main, Ste. 217............................................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. The Parenting Place (CFRC) 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 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. We act as a lifeline for the human spirit. 50 ~ Health Resource Guide 2008-09

Intermountain Children’s Home and Services 500 S. Lamborn, Helena, MT, 59601 (406)442-7920 or 1-800-200-9112 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. Watson Children’s Shelter, shelter@montana.com 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. Youth Homes 550 N. California St...............................................721-2704 Hours: Mon-Fri 9:00 a.m. to 12:00 p.m. and 1:00 p.m. – 5:00 p.m. Provides four types of care for children and youth: shelter care, group care, foster care and adoption. Administers seven youth homes for children in crisis. Provides family support, youth runaway services, and therapeutic foster care adoption program. Serves western Montana, including the Helena area.

Home Maintenance and Safety Program Missoula Aging Services, 337 Stephens Ave........728-7682 www.missoulaagingservices.org Missoula Aging Services’ 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. 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. Missoula Aging Services/Area XI Agency on Aging 337 Stephens Ave.................. 728-7682 or 1-800-551-3191 www.missoulaagingservices.org Missoula Aging Services links seniors, 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 Line (728-7682) and the Senior Resource Center offer information on Medicare/Medicaid issues, family caregiver needs, long term care (assisted living and nursing homes) housing, transportation, ombudsmen and much more. Volunteer opportunities include RSVP (the Retired Senior Volunteer Program), Foster Grandparents and Senior Companions. Missoula Housing Authority 1235 34th St., Fax 549-6406 549-4113; TTY 880-253-4091 Hours: Mon-Thurs 8:30 a.m. – 5:00 p.m.; Fri appt. & phone only Lists and provides low-rent housing available to seniors and disabled.

Partners In Home Care 2687 Palmer #B....................................................728-8848 Provides a full range of in-home services including Hospice, home infusion, Case Management services & medical equipment in Missoula, Mineral, and Ravalli counties. Home Health in Missoula & Mineral county only. 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, families or caregivers needing resource information. The Senior Help 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.

A SAfe & CAring Home for PeoPle WitH memory loSS • Comforts & design of a family home.

Missoula Senior Center 705 S. Higgins Ave................................................543-7154 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. A New Song Resource Center for Grief, Loss and Life Transitions……Contact Pat Kendall at 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.

• Well trained & compassionate caregivers. • Respite & day program. • Personalized daily activities such as gardening, art, worship, reminiscing, singing, baking, exercise, & pet therapy. • Culture of gentle and loving care.

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406-549-9660 2815 Palmer, Missoula Health Resource Guide 2008-09 ~ 53

Senior Resource Center & Computer Room, Missoula Aging Services, 337 Stephens Ave..................................728-7682 www.missoulaagingservices.org Houses books, videos, brochures, informational pamphlets and more to assist older adults, their families, friends and caregivers. The family caregiver section of the center is specific to helping families and caregivers find answers to their needs. MAS has a video viewing station and a computer instruction room for accessing Internet information and learning to use computer software. Senior Wheels USA Program . ................... 1-800-246-6010 Provides electric wheelchairs to senior citizens and the permanently disabled at no cost if they qualify. Leon Johnson, Director.

SENIOR EDUCATION, EMPLOYMENT AND TRAINING Experience Works www.experienceworks.org......543-2300; (800) 450-5627 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.

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Foster Grandparents and Senior Companions Missoula Aging Services, 337 Stephens Ave. www.missoulaagingservices.org...........................728-7682 These programs of Missoula Aging Services offer a tax-free stipend to age and income eligible people who volunteer with children and older adults. Senior Computer Instruction, Missoula Aging Services, 337 Stephens Ave.................. 728-7682 or 1-800-551-3191 www.missoulaagingservices.org Missoula Aging Services is offering free basic computer instruction to individuals 60 and older. Instruction includes basic understanding of a personal computer, keyboarding, operating a mouse to accessing the Internet and creating an Email account. Instruction is free but there is limited enrollment.

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. www.missoulaagingservices.org...........................728-7682 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 Seeley Lake, Potomac, Frenchtown, Clinton and Condon areas. Senior Diner Club or Senior Congregate Meals Missoula Aging Services, 337 Stephens Ave........728-7682 www.missoulaagingservices.org........... or 1-800-551-3191 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. Health Clubs - refer to page 10 for a list of area Health Clubs. 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.

SHIP (State Health Insurance Assistance Program) Missoula Aging Services, 337 Stephens Ave. . ....................728-7682 www.missoulaagingservices.com Will answer questions about Medicare, including the Prescription Drug Program and other health insurance needs.

LONG-TERM CARE PLANNING AND CONCERNS

Certified Local Ombudsman Program Missoula Aging Services, 337 Stephens Ave........728-7682 www.missoulaagingservices.org............or 1-800-551-3191 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. Montana End-of-Life Registry 2225 11th Ave., P.O. Box 201410, Helena, MT 59620-1410 ......................................(866) 675-3314 or (406) 444-0660 www.endoflife.mt.gov; 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 Seniors Office of Legal and Ombudsman Services . .............................. 1-800-332-2272 Ask for the office on aging for legal and/or senior care concerns. Montana Veterans Home 56 ~ Health Resource Guide 2008-09

Columbia Falls, MT . ................................... (406)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 15 special care units for dementia care, and 14 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-ofstate applicants will also be considered. Partners In Home Care, 2687 Palmer St. #B........728-8848 Provides a full range of in-home services including Medicare Home Health, Hospice, home infusion, Case Management services, personal care, medical equipment and home making services in Missoula, Mineral, and Ravalli counties. Sponsored by Community Medical Center and St. Patrick Hospital. Senior Information Line and Resource Center Missoula Aging Services, 337 Stephens Ave........728-7682 www.missoulaagingservices.org............or 1-800-551-3191 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. The information and assistance specialists on the Senior Information Line can assist you with Long-Term Care Planning and all the concerns that come with making decisions for your future. From information on wills to Advance Directives to helping understand Long-Term Care Insurance, the information and assistance specialists will assist you at no cost. An attorney referral service is also available.

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 home- and 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 $90,000.00 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. See also the Heath Insurance section.

St. Patrick Hospital and Health Sciences Center Senior Service Program, 500 W. Broadway..........329-5740 Senior membership program available to those 65 and older. Provides financial counseling to help explain and work through medical bills, annual flu immunizations and periodic health screening and seminars. Free prescription drug card.

RESPITE CARE

Respite care offers short-term care for the elderly and/or disabled in order to give their at-home caregivers a period of relief. This service may be provided in patient’s home or in a separate facility. 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...................396-7909 Bitterroot Valley Living Center, 57 Main St., Stevensville, MT,.................................... (406)777-5411 Case Management Connections, 800 Kensington Ave. #208.................................541-6577 Consumer Choice Home Care, 1921 Oxford St... 549-2397 Edgewood Vista, 2815 Palmer St.......................549-9660 Evergreen of Missoula, 3018 Rattlesnake Dr.....549-0988 Hillside Manor, 4720 23rd Ave...........................251-5100 Home Care Services, 1048 Burlington Ave........543-1184 Home Health of Montana, 1903 S Russell St.....541-1800 Home Instead, www.homeinstead.com...............523-9909 Hunter’s Glen, 3620 American Way...................542-7009 Loving Lisa’s Homecare, Florence, MT..... (406)880-8889 Missoula Aging Services Respite Program........728-7682 Nightingale Nursing Service, 1903 S. Russell St.......... 541-1700 or 1-800-357-4799 Partners In Home Care, 2687 Palmer St. #B.....728-8848 Riverside Health Care, 1301 E. Broadway..........721-0680 Stella White, RN PLLC, 156 Kensington Ave., Ste. 208........................240-5972 Village Health Care Center, 2651 South Ave. W 728-9162 Warm Sunsets, 19655 Old Hwy 93 S.................273-2200

HOME HEALTH SERVICES

Home health care enables many seniors to continue living independently and safely in their homes. Heartland Caregivers, Inc. & Companions to the Elderly 5500 Grant Creek Rd.....................542-0241; Fax 549-7304 Open Mon-Thurs 9:00 a.m. – 4:00 p.m. & By appt. www.estatestaffing.com 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 1048 Burlington Ave..............................................543-1184 Assistance with bathing, dressing, and personal needs. Meal preparation and feeding, medication reminders, transportation and respite care. 58 ~ Health Resource Guide 2008-09

Home Health of Montana, 1903 S. Russell St.......541-1800 1900 N. First St., Hamilton, M...................... (406)375-0122 www.homehealthofmontana.com Home Health of Montana provides the region’s top, awardwinning professional home care services, including Nursing, IV Therapy, Physical/Occupation/Speech therapies and care management. We provide complimentary nursing consultations for patients and/or families who are unsure of what might be needed or available at home. Home Health of Montana is the only independent, Medicare-Certified home health agency in Missoula. The Kensington Agency 809 S. First St., Hamilton, MT...................... (406)375-0137 Caring for the Elderly in the Bitterroot Valley. Certified nursing assistants, personal care attendant/companion and livein home care for 24-hour shifts. Caregivers provide you with a wide range of services from housekeeping, cooking, laundry to personal care. We are also available for respite care. Private pay and insurance accepted. Nightingale Nursing Services 1903 S. Russell St................. 541-1700 or 1-800-357-4799 Offers skilled nursing services, personal care attendants, home monitoring system, respite service, chore services, companionship, physical therapy, assist with hospice and other services. Partners In Home Care, 2687 Palmer St. #B........728-8848 Provides a wide spectrum of in-home services, including Nursing, IV Therapy, Physical/Occupation/Speech therapies and care management. Also, provide complimentary nursing consultations for patients and/or families. Home Health of Montana is the only independent, Medicare-Certified home health agency in Missoula & Ravalli Counties. Case management & Hospice in Mineral, Missoula & Ravalli.

TRANSPORTATION

AARP Drivers Safety Program...............................543-7184 Produced by the American Association of Retired Persons and conducted at various sites throughout the country, this is a program designed to assist people over the age of 50 develop safe driving skills and defensive driving techniques. Classes in Missoula are held at St. Patrick Hospital and Health Sciences Center. Community Needs Van...........................................542-2121 Hours: Mon-Fri, 8:30 a.m.-4:30 p.m. Operated by the Missoula Ravalli Transportation Management Assoc., this service offers van transportation for seniors and disabled adults. Call at least 24 hours in advance to schedule.

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DISABILITY SUPPORT GROUPS AND RESOURCES

Alliance for Disability and Students of the University of Montana (ADSUM) University Center, Room 205.................................243-2636 www.umt.edu/asum/adsum 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, MT...........................880-2877 A member of the North American Riding for the Handicapped Association, Bitterroot Therapeutic Riding is dedicated to sharing the benefits and joy of therapeutic riding with adults and children of all ages. Certified instructors work closely with the medical community, schools, parents, case workers and national organizations encouraging rider specific goals, fostering independence and promoting integration into the mainstream and workplace. 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, Missoula, MT 59806-2905 Week-long camp each summer at Camp Paxson on Seeley Lake for developmentally disabled and physically disabled young adults and adults. Child Development Center T-214 Fort Missoula Rd......... 549-6413 or 1-800-914-4779 Fax (406)-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. Childrenâ&#x20AC;&#x2122;s Special Health Services DPHHS, P.O. Box 202951 Helena, MT 59620........(406) 444-3622 or 1-800-762-9891 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. 62 ~ Health Resource Guide 2008-09

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. 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. 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. â&#x20AC;&#x201C; 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, MT...................(406)449-2344 or 1-800-245-4743. 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 . ............................... 1-800-942-7323 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 634 Eddy Ave......................... 243-5676 or 1-800-732-0323 montech@ruralinstitute.umt.edu Information and referral service to help Montanans with disabilities locate and acquire assistive equipment.

EDUCATION AND TRAINING PROGRAMS

Child Development Center, T-214 Fort Missoula Rd. Fax 542-0143......................... 549-6413 or 1-800-914-4779 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 WORCcenter 607 S.W. Higgins Ave............................................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. 64 ~ Health Resource Guide 2008-09

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, MT 59620-1800............................ 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 M.D.) 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. Partners Hospice & Palliative Care Services 2687 Palmer St., Ste. B.........................................728-8848 We are a non-profit organization that has been providing hospice care to the Missoula community and western Montana since 1987. We provide educational programs on hospice care, end-of-life issues and training in hospice volunteering and bereavement. 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....................................................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 www.dersom.org....................................................243-6303 Hours: CO-TEACH Preschool operates two programs Mon-Thurs, 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 Mon-Fri 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. Easter Seals Growing Place 2683 Palmer St., Ste. A.........................................728-1243 Preschool childcare for children from 6 weeks of age through kindergarten with all abilities. March of Dimes.......................................... 1-888-663-4637 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, MT 59101-6003... (406) 255-0540 2230 N. Reserve St., Ste. 402, Missoula........................ 728-1822 or 1-800-222-7585 plukinfo@pluk.org www.pluk.org Shodair Hospital...........(406) 444-7500 or 1-800-447-6614 See also Children’s Services; Rehabilitation Services

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, MT.............................363-1944 Social Security General Information and Services..................800-772-1213 Retirement, survivors and Disability benefits; also SSI or Supplemental Security Income.

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Health Resource Guide 2008-09 ~ 65

Alzheimer’s Association, Montana Chapter 3010 11th Ave. N., Billings, MT................... (406) 252-3053 or 24 Hour Helpline.................................... 1-800-272-3900 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 Contact Eunice Nelson at . ................ 251-4608 in Missoula or Ray Prillwitz at ...............(406)549-2524 in Seeley Lake snicholson@blackfoot.net For families and friends who have someone with Alzheimer’s or other dementias. Meets the fourth Monday of the month in Conference Room B at St. Pat’s Hospital. 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 a joint, often accompanied by pain, swelling, stiffness, and structural changes. Aquatic Movement Therapy for Arthritis Community Medical Center 2827 Fort Missoula Rd..........................................327-4427 Warm-water pool exercise at Community Rehabilitation Center helps relieve the pain and stiffness of arthritis, enhances movement and flexibility, and improves general strength. Call for fee and class schedule. Arthritis Foundation.................................... 1-800-283-7800 Arthritis Foundation Rocky Mountain Chapter/Montana Branch, 15 N. 26th St., Ste. 207 Billings, MT 59101........1-888-245-0231 or (406)245-0231 Education and support for people with arthritis and related diseases. Free informational brochures. Annual Camp Limber Limbs available for children with juvenile rheumatoid arthritis. The Women’s Club Fitness Center 2105 Bow St..........................................................728-4410 Offers programs specific for women with arthritis and other debilitating joint or bone disease. Check on the web or call for fees and scheduled activities.

ASTHMA

Asthma is a chronic respiratory disease that often arises from allergies. Labored breathing, chest constriction, and coughing accompany the disease. American Lung Association and “Camp Huff and Puff” 825 Helena Ave., Helena, MT 59601..........(406)-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. The Montana Spine & Pain Center at St. Patrick Hospital and Health Sciences Center, 500 W. Broadway.....327-1670 The Montana Spine Center serves the needs of back & neck patients throughout western Montana. When you become a patient of Montana Spine Center, you become a patient of a family of specialists who are experts on the evaluation and treatment of back and neck conditions. We work closely with you and your health care provider to evaluate your specific problem and find the best treatment options for you. No referral is necessary.

CANCER

Cancer 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) Health Resource Guide 2008-09 ~ 67

CAREGIVERS/HOUSING/TRANSPORTATION FOR CANCER PATIENTS AND THEIR FAMILIES:

American Cancer Society Road to Recovery.......................................1-800-ACS-2345 Volunteers provide ground transportation for cancer patients to their treatments and home again free of charge.

SUPPORT HOUSING

Discounts at Red Lion and Mountain Valley Inn Contact St. Patrick Hospital at 543-7271. St. Patrick House, 501 W. Alder St........................541-2828 Hospitality House for people from out of town that are in Missoula for medical reasons. By medical referral only. See also the Disability Services section.

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.............................. 1-800-USA-5-UCP

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 Household/Energy Resource Specialist

728-3710 • 1801 S. Higgins, Missoula 363-6101 • 316 North Third, Hamilton 822-4251 • County Courthouse, Superior

70 ~ Health Resource Guide 2008-09

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 www.cfids.org............................................... (704)365-2343

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. Catastrophic Loss and Depression Support Group singer@montana.com...........................................721-3351 4-session commitment, $50 charge, 4-person minimum 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. Recovery Inc...................................................866-221-0302 www.recovery-inc.org Hours: Meets every Fri 1:30 p.m. - 3:00 p.m. in the board room just inside the front door of the Missoula Public Library, 301 E. Main St. Improve mental health and reduce suffering. Learn skills and acquire tools to help cope with difficult emotions and nervous symptoms. Senior Help Line, Missoula Aging Services....... 728-7682 or 1-800-551-3191 Hours: Mon-Fri 8:00 a.m. - 5:00 p.m. See also the Mental Health section.

DIABETES

There are several types of diabetes. Type 1 diabetes usually develops during childhood and is an autoimmune disease that is characterized by the inability of the pancreas to create enough insulin. The most common form of diabetes is type 2, which usually develops in adults and is not an autoimmune disease. Pregnant women may develop gestational diabetes if their hormones increase the body’s resistance to insulin. Gestational diabetes typically goes away after the pregnancy. Diabetes Care Services St. Patrick Hospital Health Sciences Center 500 W. Broadway...................................................329-5781 Our staff of Diabetes Educators works with you & your physician to develop an individualized program to meet your specific self-management needs. The American Diabetes Association has recognized our program for its high-quality education. Group classes include such topics as: types of diabetes; meal planning basics; high & low blood sugar levels; glucose monitoring; exercise; medications; foot care; complications of diabetes & how to avoid them; and setting goals. Individual assessments, lectures, discussions, literature and videos, along with the long term support and follow up by our professional staff, come together to create an environment where you can learn how to stay in control of your diabetes and maintain a positive, healthy lifestyle. Diabetes Management Program, Community Medical Center 2835 Fort Missoula Rd..........................................327-4325 Community Medical Center’s Diabetes Management Program offers individual and group sessions designed to help you manage your diabetes and enjoy a healthy lifestyle. Sessions are led by a nurse and dietitian certified in diabetes education. Physician referral required. Call for more information. Free Diabetes Screening St. Patrick Hospital and Health Sciences Center...329-5781 Call to schedule an appointment at 8 a.m. the next day. Overnight fast required. Juvenile Diabetes Research Foundation PO Box 2805, Missoula, 59806........ 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. Missoula Indian Center Fort Missoula, Bldg. 33..........................................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. Public Health Nursing Program 1400 Broadway...................444-4542 or call WIC 258-4740 Gestational Diabetes Counseling for low-income pregnant women provided to patients of the MCC Health Department Prenatal Case Management Program. No charge. Self-management Education Classes....................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.

INFORMATION AND REFERRAL LINE LINKING YOU TO SOCIAL SERVICES

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

Food? Health? Hearing? Housing? Day Care? Support Groups? Or????? DIAL 2-1-1 or CALL 549-5555

A Service of the Human Resource Council Health Resource Guide 2008-09 ~ 71

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. Epilepsy Foundation.................................... 1-800-332-1000 www.epilepsyfoundation.org

HEART DISEASE/CHOLESTEROL

Heart disease is the number one killer of men and women in the United States. High blood cholesterol is one of the major risk factors for heart disease. When too much cholesterol is in the blood, it can build up in the arteries. Blood flow to the heart may be slowed down or blocked. If the blood supply to the heart is completely cut off, a heart attack will result. Everyone over the age of 20 should have their cholesterol checked at least once every five years. A “lipoprotein profile” is a blood test that measures the types of cholesterol in your blood. “Bad” blood cholesterol is called low-density lipoprotein or LDL cholesterol, and this is the kind that clogs arteries. “Good” blood cholesterol is high-density lipoprotein or HDL cholesterol, and it actually protects against clogging arteries. Maintaining a normal blood pressure helps to prevent heart disease and stroke. Blood pressure should be checked at least once a year and more often if you take blood pressure medication. American Heart Association 700 South Ave. W, Ste. D....... 829-3377 or 1-800-242-8721 www.americanheart.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 are concerned with employee wellness and rising health care costs. Community Medical Center Cholesterol Testing 2827 Fort Missoula Rd..........................................327-4077 Hours: Mon-Fri, 5:30 p.m. - 6:00 p.m., Sat 7:30 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. To participate, go to the hospital’s front reception desk. 72 ~ Health Resource Guide 2008-09

International Heart Institute of Montana 500 W. Broadway.......................329-5615 or 877-444-5615 www.ihimontana.org Involves physicians & 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 & improved ways to treat heart disease. We’re developing new cardiovascular treatments & working toward the prevention of cardiovascular disease. We understand that families & loved ones have unique needs & concerns & are an important part of the healing process. Our specialists, nurses and staff are committed to keeping patients & their families informed throughout the process. We make sure your questions are answered & 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 1-866-327-4646 Testing services include echocardiography, stress echocardiography, Adenosine Cardiolyte nuclear scans, electrocardiograms, Holter and event monitoring and others. Diagnostic angiograms, angioplasties, stent placement, and PFO closures are performed in the cardiac catheterization lab. A congestive heart failure program includes patient teaching by cardiologists, nurses, dietitians, and pharmacists, and there is a support group for patients and their families. Cardiac rehabilitation services are available for inpatients and outpatients.

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 Hours: Mon :2:00 p.m. – 4:00 p.m., Wed 10:00 a.m. – 12:00 p.m.; Thurs 2:00 p.m. – 3:00 p.m. Hepatitis B and C anonymous counseling and testing by appointment only. Partnership Health Center, 323 W. Alder St. ........258-4789 Provides primary medical care to persons with Hepatitis B and Hepatitis C.

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

Is there a vaccine?

Through infected blood or body fluids

How you can get it

  

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

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 20852................................. 1-800-638-8299 www.kidneyfund.org St. Patrick Hospital and Health Sciences Center 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. 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, MT 59401.... 1-800-565-6722 ext. 131 www.msassociation.org Information and education for people living with MS. Offers a monthly newsletter, home assessment/modifications for safety and accessibility, equipment distribution program, and social events for those with MS and their families. Coordinates with support groups, provides aquatics and therapeutic horseback riding, and offers assistance with MRI funding. National MS Society..... …….1-800-344-4867 or 252-5927 www.nationalmssociety.org Multiple Sclerosis is a chronic, often disabling disease of the central nervous system. 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, but research and treatments are giving hope to those affected by the disease. National MS Society provides equipment loan, respite care, advocacy, and programs. Women’s Club, 2105 Bow St.................................728-4410 twc@thewomensclub.com Supported and recognized by the National MS Society, this class is a session-based yoga class specifically designed for women with MS. Call for fees and scheduled activities.

Information Education Exercise Assistance

N N N N

For people who live with MS in Montana. 1629 Avenue D, Ste 2-C Billings, MT 59102 800-344-4867 • 406-252-5927 www.nationalmssociety.org

Health Resource Guide 2008-09 ~ 73

PEAK PPERFORMANCE T HYSICAL

Sports

Medicine

Certified

Foot

ASTYM

Athletic Training

Orthopedic Video

HERAPY

Rehab

Pilates

Running Analysis

OrthoticsManual Therapy

Women's Health & Breast Cancer PT

2360 Mullan Road

542-0808 2360 Mullan Road d Missoula Jill A Olson, PT, Owner

SEXUALLY TRANSMITTED INFECTIONS

Sexually transmitted diseases are epidemic and many people do not know that they have them. 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, or have been exposed to a sexually transmitted infection, see your healthcare provider and take all medications prescribed. Communicable Diseases, Missoula County Health Department, 301 W. Alder St......................................................258-3896 Communicable Diseases answers questions about communicable diseases including HIV and STIs (sexually transmitted illnesses). Genital Human Papillomavirus (HPV)......... 1-800-232-4636 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............................................ 1-919-361-8488 Sexually Transmitted Infection Hotline....... 1-800-227-8922 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. Services available at Missoula Sleep Medicine: consultation, formal diagnostic testing facility with CPAP & BiPAP therapy capability, treatment recommendations and patient follow-up. Sleep Apnea Support Group..................................329-5650 Sleep support center/support group for patients, spouses and other family members who would like education and information about CPAP (continuous positive airway pressure) treatment for sleep disordered breathing. Meets 4 times a year, free of charge. Call for date, time, and place.

St. Patrick Hospital and Health Sciences Center Sleep Center 500 W. 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 under the supervision of Registered Polysomnography Technicians. We also offer a CPAP support group for patients on CPAP and their families. The St. Patrick Hospital and Health Sciences Center Sleep Center is accredited by the American Academy of Sleep Medicine.

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, 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, MT Contact Frank at 821-3891 or Delores at 363-1850 Meets second Monday of each month at 7:00 p.m. Must call before attending meeting.

Missoula Sleep Medicine

LLC

Nationally Accredited Michael Silverglat, M.D. Director - Board Certified

Alexis Wagner, A.P.R.N. Rick Wall David Peterson

Registered Polysomnographic Technologists

• Sleep Apnea & Snoring • Excessive Sleepiness • Narcolepsy • Insomnia • Pediatrics

406-829-8053 910 Brooks Street, Missoula

Health Resource Guide 2008-09 ~ 75

Stroke Support Group Community Medical Center, 2827 Fort Missoula Rd. Contact..................Marilyn at 542-8371 or Sue at 327-4062 Hours: Meets 4th Wednesday of each month at 7:00 p.m. Monthly meeting for individuals surviving a stroke, their families and caregivers.

OTHER DISEASES AND RESEARCH HELP

Center for Behavioral Medicine, St. Patrick Hospital, 500 W. Broadway...................................................329-5843 Behavioral medicine is a method of helping people learn to cope with a variety of health problems, from sleep disorders to chronic pain to cancer. Our programs combine information on nutrition, exercise, stress management and relaxation techniques. By developing a positive interaction between the body and mind, patients learn to cope with illness, surgery or stress. Patients lead healthier lives and learn skills to manage stress, foster healing or prevent illness. The National Institutes of Health reports that common diseases can be prevented, contained or even postponed through the positive changes in lifestyle promoted by behavioral medicine.

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, 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. Medical Library, St. Patrick Hospital, Center for Health Information, 500 W. Broadway..............................329-5710 www.saintpatrick.org/chi Hours: Mon-Fri 8:00 a.m.-4:30 p.m. Please call of check the library’s website for extended hours. The Medical Library is open to the public for self-service, in addition, a full array of information services are available to physicians, patients, employees, students and corporate customers. You may request that library staff perform a thorough search of the medical literature for articles on a particular topic. Searches may be requested via phone, fax, email, or in person. Library holdings include medical and nursing textbooks and journals; consumer information; as well as book and journal full-text databases. The Library’s archives provide access to the history of the Sisters of Providence and St. Patrick Hospital, founded in 1843. Archive holdings include documents, artifacts, photographs, and medical instruments. Go to “Our Heritage” at www.saintpatrick.org or call to make an appointment. The Medical Library is a depository for advance directives to be deposited in the Choices Bank.

When You Feel Good, You Look Good At Southgate Mall, we value your health. That’s why we developed our Mallwalkers program with Western Montana Clinic and St. Patrick Hospital — for men and women just like you.

Why Mallwalkers? 1. It’s safer than walking on the street. No cars or animals to avoid. 2. Fitness experts help with warm-up and cool-down exercises. 3. Your climate is controlled. No more walking in rain, snow, extreme heat or cold. 4. Mallwalker coordinators are on site during the walks, plus Now Care is nearby for any emergency. 5. There’s a frequent walkers’ program with shopping incentives. 6. After your walk, eat, shop or stay and mingle with your friends! For more info on Mallwalkers visit Guest Services Center Monday - Saturday 10 - 9 • Sunday 11 - 6 shopsouthgate.com • 2901 Brooks • Missoula 76 ~ Health Resource Guide 2008-09

SOUTHGATE MALL

Happy Walking.

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

Sandy Acord Laser Technician

541-CARE 1821 South Ave, Ste. 402, Missoula

Debtors Anonymous.................Contact Rhonda at 777-0486 Meetings: Mondays at 7 p.m. in St. Paul’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. Gambling Group, Addiction Treatment Program Saint Patrick’s Hospital and Health Sciences Center Providence Center, 902 N. Orange St...................................................327-3043 Meetings: Wednesdays 5:30-7:30 p.m. Group for people who struggle with problem gambling. Cost is $5 each session. Minor in Possession Groups, Addiction Treatment Program Saint Patrick’s Hospital and Health Sciences Center, Providence Center, 902 N. Orange St....................327-3185 Groups for adolescents who have received an MIP ticket. Cost is $100 for single offenders, $120 for multiple offenders. Consists of intake and exit sessions with four classes; parents/guardians are required to attend the first and last sessions. Chemical dependency evaluation is done with multiple offenders. 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, MT 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.

Rocky Mountain Treatment Center Great Falls, MT........................................... 1-800-521-6572 Provides chemical dependency and eating disorder treatment. Self Over Substances Program, University of Montana in the Curry Health Center.....................................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 Turning Point Addiction Services 1325 Wyoming St..................................................532-9800 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.

SMOKING CESSATION & PREVENTION PROGRAMS

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 and Health Sciences Center 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 Dept., 301 W. Alder St...........................................258-3685 A network of agencies and individuals committed to improving our community through tobacco use prevention.

Rimrock Foundation.................................... 1-800-227-3953 Offers referrals, consultations, assessments and treatments for adults and adolescents suffering from all types of addictions, including eating disorders. Health Resource Guide 2008-09 ~ 81

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 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, Help line for state of Montana ............ 1-800-551-3191 or 728-7682 in Missoula 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 (closed) 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, MT 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 2 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 1-866-8205437. 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.

Health Resource Guide 2008-09 ~ 83

We’re here to help you with whatever is on your mind. There’s lots going on in that head of yours. Some of the activity is biological, some is chemical, and some is psychological. Most of the time, everything works together to make you, well, you.

When something goes wrong with that delicate balance, you may need our help. You may suffer from chronic headaches. You may be really angry or anxious and not understand why. You may not be sleeping. You may forget things too often, or you may do something compulsively. In short, you may be ill and not know what to do about it. Because of the wide range of clinical skills among the doctors in our office, we can diagnose and treat most problems associated with the brain and human behavior. All under one roof. Quick, professional and compassionate help for whatever's on your mind. Neurology Neurology

Steve Johnson, MD Steve Johnson, MD John Schaeffer, DO John Schaeffer, DO MD, PhD Anthony Williamson, Anthony Williamson, MD, PhD Thomas Swanson, MD

Neuropsychology Paul Bach, PhD

Neuropsychology Rob Velin, PhD Paul Bach, PhD Rob Velin, PhD

Psychology Psychology Julie Hergenrather, PhD Northwest Center Alison Cobb, PhD for Cognitive Rashel Jeffrey, LCSW Behavior Therapy Affiliates Julie Hergenrather, PhD Kary Aytes, Alison Cobb,MD PhD Rick Felix, MD LCSW Rashel Jeffrey, Delia Campfield, PhD

Suicide Crisis Hotline…1-800-273-8255 Administered by the National Suicide Prevention Lifeline.

Mary White, LCPC

Suicide Prevention Network, Missoula City-County Health Department..258-3881 Area professionals and individuals working to lower the suicide rate in Missoula County through training, educational materials, and special projects. Google Missoula Suicide Prevention. Western Montana Mental Health Center 230 Brooklyn Ave., Superior, MT 59872...................................... (406)822-4093 We offer out-patient, adult and children case management, medication management and chemical dependency services.

Associates

Psychotherapy Neuropsychology Neurology

406-327-3350 www.montanaminds.com 900 North Orange Street Missoula, Montana 86 ~ Health Resource Guide 2008-09

Recovery Inc..................................... 825-3063 or 542-7372 www.recovery-inc.org Meetings: Fridays 1:30-3:00 in the boardroom of the Missoula Public Library, 301 E. Main St. Improve mental health and reduce suffering. Learn skills and acquire tools to help cope with difficult emotions and nervous symptoms. 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. Social Security Administration, 700 S.W. Higgins, Ste. #5 National line............................................... 1-800-772-1213 National TTY............................................... 1-800-325-0778 Hours: Mon-Fri, 7:00 a.m. – 7:00 p.m. Local line 542-1580 Hours: Mon-Fri, 9:00 a.m. – 4:00 p.m. Fax 542-9944 TTY 542-5229. Stepping Stones 1315 Wyoming St..................................................532-9700 Case management services for adults with severe and persistent mental illness. Helps consumers with accessing community agencies and services, obtaining medical treatment and medication, improving and developing daily living skills, finding housing, and developing educational, vocation, and leisuretime activity plans. Applicants are prioritized by clinical and financial need.

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 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.

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. 88 ~ Health Resource Guide 2008-09

St. Patrick Hospital and Health Sciences Center Senior Service Program 500 W. Broadway...................................................329-2905 Waiver of Medicare deductible available to low-income seniors. Financial counseling available to help explain and work through medical bills and insurance policies/payments. Also offers free workshops, health screenings and free prescription discount cards. 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 “tax-wise” 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

Live Smart. Live Healthy.

www.bcbsmt.com A n I n d e p e n d e n t L I c e n s e e o f t h e B Lu e c r o s s A n d B Lu e s h I e L d A s s o c I At I o n, A n A s s o c I At I o n o f I n d e p e n d e n t B Lu e c r o s s A n d B Lu e s h I e L d p L A n s.

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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* Effective February 1, 2008 Family Size Family Annual Income (including adults) (approximately) 2 $24,500 3 $30,800 4 $37,100 5 $43,400 6 $49,700 7 $56,000 8 $62,300 Some employment-related and child care deductions apply. Income guidelines may increase in 2009. *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) ................................................... 1-800-447-7828 ext. 8537 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 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. 90 ~ Health Resource Guide 2008-09

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.

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 longterm 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 $100.00 per day. The expectation is that this cost will rise to $60,000.00 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 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.

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BE WEll.

Health Resource Guide 2008-09 ~ 91

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 long-term 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 “age-rated”: 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 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: 92 ~ Health Resource Guide 2008-09

 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 long-term 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 longterm 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

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. 209.................................543-4408 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 worker. Hospice care serves the patients and their family; bereavement support is also provided. Music-Thanatology Clinicians, LLC........................728-9690 A palliative care service providing care for individuals at the end of life through the delivery of prescriptive music, with harp and voice. Call for information or to make patient referrals. The Palliative Care Service...................................728-8643 Fax 728-4709 www.dyingwell.org Consultation and counseling for people with incurable, painful or life limiting conditions. Partners Hospice and Palliative Care Services 2687 Palmer St., Ste. B.........................................728-8848 We are a non-profit, 501 C3 organization that has been providing hospice care to the Missoula community and western Montana since 1987. We provide comprehensive, active health care by specially trained professionals in pain/symptom management, spiritual support, counseling, personal care, volunteer, and bereavement services. Our mission is to enhance the quality of life’s end. We provide education and support allowing the family or caregivers to actively participate in caring for the patient. We also help loved ones and caregivers cope with the loss after death. We offer complimentary Hospice & Palliative Care consultations 7 days a week. 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.

BEREAVEMENT AND LOSS SUPPORT GROUPS Bereavement Support Services Partners Hospice, 2687 Palmer St., Ste. B 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.

Grief Resources, Center for Integrative Care, 336 W. Spruce St...................................................721-2860 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....................................................................543-6635 www.anewsong.org/hope.html A group for the mutual support of those who have lost someone to suicide. Loss and Depression Support Group Contact Z’eva Singer at.........................................721-3351 An on-going weekly support group is forming in Missoula for people having difficulty with depression, grief, or loss. The group will also address any challenging life transition. New sessions form every 6-8 weeks. Fee required. A New Song—A Resource Center for Grief, Loss and Life Transitions, 821 S. Orange St..........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. Seasons Bereavement Programs 815 Front St., Ste. 3..............................................721-7690 As a regional resource center for grief support and grief education, SEASONS incorporates innovative approaches towards bereavement; combining on-site consultations and resources with off-site nature-based programs. Bereavement camps, family retreats, teen backpacking trips, support groups and individual counseling provide compassionate, stabilizing support for kids and parents following the death of a family member.

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Starting at Only

$22.00/mo* *Extended Payment Plan O.A.C.

1720 Brooks, Missoula, MT 59801 721-8800 OR 1 (800) 585-3723

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