Healthy Mothers, Healthy Babies - the Montana Coalition 2017

Montana Children’s Health Data Partnership Project

The project sought to identify shared data measures of early childhood health to create a Montana Data Dashboard that can be used by various organizations, including local Early Childhood Coalitions, to work collectively to improve early childhood health outcomes. Additionally, as part of the shared data measures, this project focused on identifying HOPE (health outcomes from positive experiences) measures as well as resiliency factors that contribute to childhood health. Through a collaborative, process with 19 organizations 13 early childhood coalitions participating, 11 shared data measures were identified to be used to create the dashboard. A strategic plan for promoting and implementing the 11 shared data measures was also developed. At the conclusion of this project, Healthy Mothers Healthy Babies has received commitment to promoting and using the 11 shared data measures from Zero to Five (sponsored by Headwaters Health Foundation) and is partnering with the Department of Public Health and Human Services to identify ways to integrate the 11 shared measures in DPHHS’s early childhood work.

Grant Amount

$50,000

Term

12 month

2017

Lewis and Clark County 2017

Creating a Comprehensive Community Justice and Mental Health System with Risk Reduction Services

Lewis and Clark County created the Criminal Justice Services Department to reduce community risks with justice-involved individuals. This department will coordinate among local partners who interface with the justice system. As part of this project, the county also implemented a universal health screening system for people booked in the detention center. The county is committed to sustaining the new department, and they invested $100,000 over the next three years to ensure the implementation of a criminal justice data warehouse. Once they establish the data warehouse, the county anticipates having the appropriate systems in place to track recidivism and outcomes among the justice-involved population.

Grant Amount

$97,350

Term

24 month

2017

Livingston HealthCare Foundation 2017

Rapid Response Behavioral Health Crises Management

This grant will enable Livingston HealthCare to develop a comprehensive primary-care-based behavioral health care system across its inpatient and outpatient services; and foster community-wide integration through partnerships with Community Health Partners, Western Montana Community Mental Health Center, and local law enforcement. The project seeks to improve the continuity of care and patient outcomes through facilitating a coordinated transition for people in behavioral health crisis from emergency departments or inpatient services to stable, outpatient care. To accomplish this, the project will add a licensed clinical social worker to serve the emergency department and inpatient units. Desired outcomes include yearly improvement in behavioral health care quality indices, declining suicide rate, declining rate of substance abuse in Park County and surrounding rural communities, and reduced rate of incarceration for behavioral health issues.

Grant Amount

$75,000

Term

12 month

2017

Logan Health 2017

Integrated Behavioral Healthcare for High Risk Pregnant Women in Western and North Central Montana

This project implemented the Meadowlark model of care for pregnant women at Logan Health. Meadowlark care integrates behavioral health screening and treatment into routine obstetric care. The project serves at-risk mothers in Flathead County, the Flathead and Blackfoot Reservations, and surrounding areas. After receiving training and consultation from the National Council for Behavioral Health, Logan Health added a therapist and a care coordinator to the obstetrics team. Universal screening and a care pathway for depression was formalized, and substance use screening has begun. Consistent team meetings occur between maternal care departments and community stakeholders. Data on screenings and improvement in care are now part of the electronic health record and are reviewed and monitored consistently. By fully integrating behavioral health screening, diagnosis, and treatment into obstetrics as part of the standard prenatal care practice rather than singling out women felt to be at high risk, Logan Health was able to decrease the stigma associated with mental health issues and increase the availability of these critical services for all patients.

Grant Amount

$150,000

Term

24 month

2017

Northern Rockies Medical Center 2017

Integrating Behavioral Health in a Critical Access Hospital

Through this planning grant, Northern Rockies Medical Center (NRMC) was able to increase the effectiveness of behavioral health referrals, overcome barriers to psychiatric care, and increase the capabilities of their clinic and hospital to address the behavioral health and substance abuse needs of the community. NRMC strengthened local and regional partnerships through formalizing referral pathways, care coordination, and tele-psychiatry services for one hospital and two community health centers. NRMC also implemented universal screening for depression, anxiety, and substance use disorders, and developed data tools and workflows for screening, referrals, treatment, and emergency department utilization for behavioral health. NRMC is actively working with regional partners to explore a feasible and sustainable approach to integrated behavioral health through partnerships versus individual expansion. Leadership is committed to continued expansion of behavioral health through a regional model to better utilize existing workforce and resources.

Grant Amount

$50,000

Term

12 month

2017

One Health 2017

Integrated Healthcare Delivery Through a Hub and Spoke Model in Southeastern Montana

This project will expand substance use disorder care with medication-assisted treatment to two towns in Southeastern Montana, and build curriculum to pilot a certification-granting program to train behavioral health care managers. Grant funds will be used to hire two behavioral health care managers for new sites in Ashland and Miles City, and a social worker who will work on curriculum development with the Chief Dull Knife College in Lame Deer.

Grant Amount

$150,000

Term

24 month

2017

One Health 2017

Integrated Behavioral Health Planning and Development

Through this project, Sweet Medical Center (SMC) sought to address behavioral health needs that were identified as a top concern in the 2016 Community Health Needs Assessment through an integrated behavioral health planning grant. Over the course or the grant, however, SMC merged with OneHealth and grant funds were used to advance the provision of behavioral health services in the merger. While the merger caused some early delays, ultimately the grantee implemented a fully functional and sustainable integrated behavioral health model. At the conclusion of the grant, the grantee was working to expand this model to include substance use disorder screening and treatment. SMC has also implemented universal screening of patients for depression and anxiety, as well as SBIRT (screening, brief intervention, and referral to treatment) for all patients (over age 12) presenting at the sites. In addition, due to this planning grant, SMC was able to hire two additional behavioral health care staff, including a psychologist and licensed clinical professional counselor. These new staff members, along with the existing family nurse practitioner (who is pursuing her advanced certification as a psychiatric nurse practitioner), form the backbone of a model of integrated medication-assisted treatment (MAT) to treat opioid use disorder at sites in Chinook and Harlem.

Grant Amount

$48,215

Term

12 month

2017

Park County Health Department 2017

Park County Recovery Court Program Strategic Planning

This project will bring together a group of community stakeholders to use sequential intercept mapping (SIM) to develop a strategic plan for reducing the number of adults with co-occurring behavioral health and substance use disorders in the local detention center. SIM focuses on helping communities rationally identify the criminal justice, social service, health contacts, and costs of serving people with mental illness and substance use disorders; and design a system that improves system efficiency and outcomes. The program will contract with an independent consultant to develop a court supervision program built on evidence-based strategies from other regional and state programs. Stakeholders include members of local and regional behavioral health, law enforcement, and the judiciary.

Grant Amount

$49,250

Term

12 month

2017

Providence Montana Health Foundation 2017

Bridge to Hope: Support for Mothers of Newborns on the Flathead Reservation

This project worked to support mothers and families with newborns experiencing Neonatal Abstinence Syndrome (NAS) on the Flathead Reservation. This project was designed to reduce the rate of maternal-infant separation in the hospital setting as a result of NAS treatment, engage addicted mothers in the care of their infant through support group sessions, and increase addicted mothers’ voluntary participation in area drug treatment programs by the time of their infants’ discharge. The project successfully achieved its objectives and developed a model that has garnered the interest of other providers around the state. The program supported 40 infants per year resulting in 85% of infants involved in the program getting discharged home from the hospital with a biological caregiver. Maternal prenatal and postnatal substance use support resulted in 30% of mothers no longer using at the time of delivery and 20% of mothers involved in drug treatment programs. The project built new collaborative partnerships with Confederated Salish & Kootenai Tribal Social Services, the Montana Department of Public Health and Human Services (MT DPHHS) Child and Family Services, the Montana Department of Justice Drug Endangered Children Task Force, and the Lake County Public Health Department, in addition to many non-profit organizations and community partners.

Grant Amount

$42,600

Term

12 month

2017

PureView Health Center 2017

Universal Substance Use Disorder Screenings and Warm-Handoffs

For this project, PureView Health Center sought to implement universal substance use disorder screenings for all patients over 10-years old. Every patient 10-years old and older were screened for substance use disorders, and if necessary, they were referred and given a warm-handoff to the health center’s behavioral health team. Screening, brief intervention, and referral to treatment (SBIRT) was successfully implemented and integrated into integrated behavioral health workflows and processes and substance use disorder screenings went from 0% to 75% during project period. Additionally, three providers obtained waivers for medication assisted treatment (MAT) and MAT has been initiated as part of PureView’s integrated model. Universal screenings for social determinants of health have also been incorporated into the integrated model with this pilot for screening starting in January 2019.

Grant Amount

$13,440

Term

12 month

2017

Rimrock Foundation 2017

Elm House: Residential Treatment for Pregnant American Indian Women

This grant helped Rimrock Foundation establish Elm House, a residential treatment program that incorporates perinatal care with addiction treatment throughout pregnancy to support long-term sobriety for mothers and improved health outcomes for babies. By partnering with St. Vincent Healthcare's midwifery program, Rimrock was able to ensure pregnant women struggling with addiction receive adequate prenatal care along with treatment services. Case management is provided to help women transition to a safe, sober living environment after delivery. Rimrock was also able to identify specific gaps in care and develop services to fill those gaps, including Parent-Child Interaction Therapy, Circle of Security, Helping Women Recover Beyond Trauma, health coaching, and peer support. Elm House served 10 pregnant women during the reporting period, with five completing the full residential treatment program, one currently in treatment, and four leaving treatment against medical advice. Rimrock built a strong relationship with the Montana Obstetrics & Maternal Support (MOMS) program at the Billings Clinic and was awarded a SAMHSA grant through the State of Montana to serve outpatient pregnant women.

Grant Amount

$63,000

Term

24 month

2017

RiverStone Health 2017

PAX: Good Behavior Game and Trauma-Informed Schools on the Southside of Billings

This grant provided funding for a pilot project in three elementary schools on the Southside of Billings (Newman, Orchard, and Ponderosa), where students often experience multiple health inequities and other societal challenges that impact their well-being and their ability to succeed in school and adult life. The project implemented the PAX Good Behavior Game (PAX:GBG) model. PAX:GBG is a trauma-informed approach that helps students learn effective self-management skills shown to increase student success through increasing graduation rates, decreasing costs of special education, and lower rates of suicide, incarceration, and substance abuse. The model helps create a more equitable school culture which enhances student success and creates a healthy trajectory for children as they become adults. As part of the model, parents also receive coaching to ensure students’ self-management skills are translated into the home. The success of PAX:GBG in these three schools helped inform the planning and disbursement of a $2.1 million opioid block grant, leading to the model being used in all 22 elementary schools in Billings, as well as many elementary schools across the state. The pilot project also led to five GBG trainers working in Montana to train and mentor teachers throughout Montana and the development of a working group to advance GBG statewide.

Grant Amount

$75,000

Term

24 month

2017

Shodair Children's Hospital 2017

Shodair Children’s Hospital Integrated Behavioral Health Planning Project

This project helped enhance Shodair’s current services by allowing them to develop a plan to integrate primary care and substance use disorder treatment to their current inpatient services and develop a plan to provide pediatric psychiatric consultation in their primary care clinics. In addition, Shodair opened an outpatient behavioral health program, which helps expand the continuum of care that was limited to inpatient. They also integrated substance use disorder treatment as part of their care by hiring and incorporating a licensed addiction counselor into their programming. Finally, they developed a psychiatric consultation service that is available to pediatricians throughout the state; this helps ensure access to remote areas and helps prevent unnecessary admissions and facilitates successful discharges back to the community.

Grant Amount

$50,000

Term

12 month

2017

St. Luke Community Healthcare Foundation 2017

Integrated Behavioral Health

This project developed a plan to enhance St. Luke’s current integrated behavioral health model so that they could provide more evidence-based and financially sustainable services throughout their health care system. St. Luke’s successfully optimized scheduling and stratification of patient needs and reduced no shows for behavioral health appointments by 50%. They also received approval for rural health clinic status so that they can now assist with the delivery of integrated care and ensure its financial sustainability. Finally, they added a second licensed clinical social worker so that they could offer more comprehensive behavioral health coverage throughout their health system.

Grant Amount

$50,000

Term

12 month

2017

St. Peter's Health Foundation 2017

Integrating Behavioral Health into St. Peter’s Medical Group’s Primary Care Practice

This planning project sought to establish clinical work flows, data analytics, and revenue cycle needed to develop a successful integrated behavioral health model in St. Peter’s two primary clinics. The project successfully created a multidisciplinary team of primary care and behavioral health professionals who worked together to create standardized screening assessments and clinical pathways for the medical groups. Care team education, standardized tools, and clinical pathways were all developed and implemented to support best practice clinical care and integrated behavioral health workflows. As a result of this project, St. Peter’s realized a 9.4% reduction in emergency room visits and a 5.1% reduction in inpatient stays for behavioral health patients. The behavioral health professionals continue to increase the number of warm hand-offs and follow-up patient appointments to help increase the access to behavioral health services in their community. With this robust planning process and beginning implementation steps, St. Peter’s is positioned to take the next steps to fully implement integrated behavioral health into their primary care clinics.

Grant Amount

$50,000

Term

12 month

2017

St. Vincent Healthcare Foundation 2017

Building out the Continuum of Care for Integrated Behavioral Health

St. Vincent’s integrated behavioral health services into nine primary care clinics and created a virtual connection between these clinics and specialty behavioral health. With the virtual health technology infrastructure in place, warm hand-offs to virtual visits with behavioral health specialty providers are happening at each site. St. Vincent also began using SBIRT (screening, brief intervention, and referral to treatment) for primary care patients in all its sites, which is a significant accomplishment. This project is sustainable through billing and reimbursement. St. Vincent will continue working with national payers to explore how it can extend its integrated behavioral health infrastructure to support access to behavioral health services in rural eastern Montana communities.

Grant Amount

$150,000

Term

24 month

2017

Townsend Health Systems 2017

Enhancing Rural Health Through the Expansion of Integrated Behavioral Health Services

This expansion grant supported a sustainable integrated behavioral health model at Broadwater Health Center (BHC) in Townsend. BHC redesigned their existing behavioral health services by educating their providers, systematizing their screening for depression, anxiety, and substance use disorders, developing new workflows and care pathways, and engaging the school and community in their efforts. Through this project, BHC is now successfully generating a net income and has developed a clinically appropriate and financially viable model.

Grant Amount

$75,000

2017

University of Montana - Curry Health Center 2017

Enhancing Behavioral Health Integration in the Curry Health Center at the University of Montana

This project’s goal was to strengthen the Curry Health Center’s level of behavioral health integration between their medical and counseling clinics. The health center succeeded in implementing a process change that promotes more consistent usage of depression screenings and coordinated follow-up care. The health center now exceeds national averages for college health centers for the care of depression with respect to use of the PHQ-9 depression screening at initial and follow up visits. In the fall of 2018, the health center will implement an integrated team including a primary care provider, a behavioral health clinician, health coach, and a university psychology student. This pilot was an innovative way to maximize existing resources at the university and support further integration of services. Technical assistance was provided by the National Council for Behavioral Health.

Grant Amount

$30,000

Term

12 month

2017

University of Montana - Department of Psychology 2017

Workforce Development Initiative

This project will plan for and implement an Integrated Behavioral Health (IBH) Workforce Development Initiative at the University of Montana. This initiative will recruit students, expand IBH training opportunities, place students in rural integrated care programs, and provide appropriate supervision. Grant funding will be used to hire an assistant psychology professor to direct the initiative. This project will build on prior MHCF grants to the University which helped develop IBH training and certification curriculum for psychology, social work, and counseling students. The project has strong partners from other university departments, as well as the Family Medicine Residency of Western Montana, Curry Health Center, Missoula Urban Indian Health Center, and CSKT Tribal Health.

Grant Amount

$141,104

Term

24 month

2017

Yellowstone Boys and Girls Ranch 2017

Substance Use Disorder Treatment Program

The Yellowstone Boys and Girls Ranch expanded their substance use programming – including prevention and treatment – for young people in Yellowstone County. While they tried to expand services into counties outside of Yellowstone, their efforts were not successful. They did, however, complete the state certification process to provide substance use disorder services, secured contracts with three high schools and six middle schools, and engaged multiple counties outside of Yellowstone. They also integrated substance use treatment into residential and community-based treatment and implemented substance use prevention programming.

Grant Amount

$75,000

Term

24 month

2017

YWCA of Helena 2017

WINGS Reentry Transitional Housing Program

This project’s goal was to integrate a behavioral health clinician into the YWCA’s transitional women’s housing program and secure state approval for a level three sober living home for women and children, which would allow for a range of reimbursable services for behavioral health. Through this project, the YWCA successfully completed a building inspection, developed the policies and procedures, and planned for the programming that will be implemented once state approval is obtained. In the course of the project, the YWCA experienced a leadership turnover which created challenges in applying for state approval and this objective was ultimately not achieved. However, the YWCA did hire a behavioral health clinician, which was a major achievement in advancing programming and strategies and positions the organization to successfully obtain state approval in the future.

Grant Amount

$50,000

Term

12 month

2017

Benefis Health System Foundation 2016

Integrated Behavioral Health for Primary Care Patients in Great Falls and North Central Montana

This project’s initial goal was for the Benefis Medical Group to plan for the integration of behavioral health into their primary care practice and support the broader implementation of integrated behavioral health by regional partners in Cascade County and north-central Montana. However, the project experienced unexpected challenges which led to an adjustment in scope. Despite challenges, the project did succeed in implementing a pilot program with a provider in a primary care clinic to screen individuals for depression. More than 150 individuals were screened, 40 of whom reported high depression scores. Through this pilot project, Benefis was able to fine-tune an algorithm for identifying individuals with depression and/or suicidal ideation, develop plans for the ongoing integration of behavioral health in clinic operations, and identify ways to improve and consolidate their electronic health records system and incorporate behavioral health modules into primary care clinic workflows.

Grant Amount

$35,000

Term

12 month

2016

Bozeman Health Foundation 2016

Integrating Behavioral Health into an Internal Medicine Team

The goal of this project was to develop a plan to integrate behavioral health care into a Bozeman Health internal medicine team. The project resulted in the hiring of a psychiatrist who worked with the internal medicine team and a women’s specialist to establish the integrated behavioral health (IBH) program. The National Council for Behavioral Health met with providers and staff to provide guidance on implementing IBH workflows, policies, procedures, and protocols. Bozeman Health integrated IBH into one “pod” of providers and then expanded to the rest of the group once workflows were ironed out. The staggered roll-out allowed refinement and improvement of processes prior to full implementation. Because of this thorough planning process, Bozeman Health positioned themselves to fully implement IBH throughout their primary care and pediatric practices.

Grant Amount

$32,700

Term

12 month

2016

Flathead Community Health Center 2016

FCHC/Intermountain Integrated Behavioral Health Collaboration

For this project, Flathead Community Health Center received technical assistance and training from the National Council for Behavioral Health so that they could enhance their integrated behavioral health model and explore a partnership with Intermountain. The health center succeeded in refining their structure and protocol for defining when to treat, when to consult, and when to refer individuals for specialty behavioral health services. They also standardized their depression screening tool, developed protocols for a scope of care and referral, and purchased an EHR module for screening, brief intervention, and referral to treatment (SBIRT). The successful collaboration between the health center and Intermountain can be used as a model for further integration efforts across the community.

Grant Amount

$35,000

Term

12 month

2016

Intermountain Deaconess Children's Services 2016

Intermountain/PureView Integrated Behavioral Health Collaboration

This project’s goal was to prepare an integrated behavioral health business and operations plan to serve as a blueprint for building an economically sustainable, patient-centered, team-based collaboration between Intermountain and PureView. The project resulted in an MOU for placement of a part-time Intermountain psychotherapist at PureView, and a formal agreement for carrying forward a focused and informed approach for implementing integrated care at the East Helena Schools Clinic. This planning grant provided an opportunity for both partners to examine their existing and potential relationships with behavioral and primary care providers, and to explore new and promising opportunities for integrated health.

Grant Amount

$35,000

Term

12 month

2016

Livingston HealthCare Foundation 2016

Integrating Behavioral Health into Primary Care Services in Park County

For this project, Livingston HealthCare successfully integrated behavioral health services into their primary care clinic by creating a collaborative primary and psychiatric care team. They also began implementing universal behavioral health screenings and developed a streamlined system to provide care for patients with physical and mental health concerns at the same visit. Throughout the course of the grant, screening rates for depression increased from 17% to 65%, emergency behavioral health evaluations decreased by 43%, and depression scores improved by 76%.

Grant Amount

$126,717

Term

24 month

2016

Madison County 2016

Integrating Behavioral and Physical Health in Madison County

The Madison County Local Advisory Council for Mental Health oversaw a community-wide process for behavioral health integration. The National Council for Behavioral Health provided technical assistance and training throughout the process. The advisory council utilized integration of behavioral health as a lens to convene key community leaders and both Madison Valley Medical Center and Ruby Valley Hospital. Throughout the course of the project, primary care providers became more aware of the mental health and addiction counselors who practice in Madison County and learned how to contact them. Crisis response procedures between the two hospitals and Western Montana Mental Health Center were clarified and telehealth for crisis response evaluations was launched at both hospitals and their clinics. Universal screening for depression, referral forms, and protocols were developed for hospitals, and materials were distributed to all local primary care providers and licensed counselors. A local crisis counseling pilot project was designed and implemented by utilizing existing clinicians in Madison County, and transfer agreements with Barrett Hospital in Dillon were clarified to enable Madison County’s two local hospitals to transfer patients to the Barrett Hospital emergency room’s crisis stabilization/detox room on an as-available basis. Finally, a searchable database of local resources related to physical health, behavioral health, and social services was developed and is now available on the Madison County website with a list of priority projects.

Grant Amount

$28,398

Term

12 month

2016

North Valley Hospital Foundation 2016

School Based Integrated Behavioral Healthcare for Students

This project helped North Valley work towards integrating behavioral health services into a school-based health center serving at-risk students in Columbia Falls and Whitefish. A previous grant from MHCF, helped North Valley establish telepsychiatry services at the school. This new grant was intended to help the hospital hire an on-site behavioral health provider who would offer mental health and substance use disorder screening and treatment to the high-risk student population and develop and implement a fully-integrated system of care in the hospital’s outpatient clinics. The project experienced some staff turnover, and they are currently recruiting for this position. Even so, during the grant North Valley realized a 23% improvement in depression screening rates for their primary care clinic and a 71% improvement in depression scores for the integrated behavioral health population during the time when the behavioral health position was filled.

Grant Amount

$150,000

Term

24 month

2016

Providence Montana Health Foundation 2016

Providence Medical Group Integrated Behavioral Health Initiative

With this grant, Providence Medical Group integrated behavioral health into their Grant Creek Family Practice (a patient-centered medical home). Over the course of the project, Grant Creek established universal processes for depression and increased screening rates from 63% to 71%. They also established protocols and started universally screening for substance use disorders, anxiety, and suicide. By developing clinical workflows and applicable billing and coding procedures, Grant Creek was able to create a financially sustainable model for the future. Providence Medical Group leadership is committed to implementing the integrated behavioral health model throughout its remaining eight primary care clinics and will do so starting in 2019.

Grant Amount

$150,000

Term

24 month

2016

RiverStone Health 2016

Expanding Integrated Behavioral Health Care and Training in Primary Care

For this project, RiverStone Health successfully completed a business feasibility plan for expanding its scope of service to provide integrated psychiatric services. The feasibility plan also examined opportunities for RiverStone to serve as an integrated behavioral health rotation site for students in psychiatric nurse practitioner training programs, psychiatry residency programs, and Master of Social Worker students. As a result of the planning, the project was able to successfully formalize an integrated behavioral health training program. Additionally, a community coalition of behavioral health providers was established in Billings and continues to meet to network and share critical information among programs.

Grant Amount

$50,000

Term

12 month

2016

University of Montana - Department of Psychology 2016

Integrated Behavioral Healthcare Workforce Development

Through this grant, the University of Montana Department of Psychology, with Partnership Health Center (PHC) of Missoula and the Family Medicine Residency of Western Montana, developed a field placement experience for behavioral health graduate students to address critical workforce development needs in Montana. The project provides a structured, “hands-on” training experience for students interested in learning how to provide integrated behavioral health services, while simultaneously addressing key health needs (including managing chronic pain and promoting health behavior change) in PHC’s underserved and “at risk” patient population. The project built on a prior MHCF grant to the University to develop an integrated behavioral health curriculum.

Grant Amount

$44,821

Term

24 month

2016

Montana Medical Association Foundation 2015

Prescription Drug Abuse Reduction Initiative

This project developed a curriculum to present new and consistent information and to emphasize key points in the existing learning experience for residents. Presentations were completed in two programs and will continue to be available in future years. To assist the teaching faculty and residents, scholarships were provided to the Billings Clinic Internal Medicine Residency Program, the Family Medicine Residency of Western Montana Program, and the Montana Family Medicine Residency Program for teaching faculty and residents to attend the 2018 Montana Pain Conference: Evolving Science and Modalities. The conference was held in April 2018 at the University of Montana, and participants learned about best medical practices, shared experiences, and discussed challenges.

Grant Amount

$25,000

Term

24 month

2015