Bozeman Health Foundation 2022

Perinatal Substance Abuse in Southwest Montana: An Integrated Model

Bozeman Health will support pregnant women with behavioral health issues by expanding and strengthening The Meadowlark Initiative model of care in its Women’s Specialty Clinic. The Meadowlark Initiative provides routine screening in prenatal care for mental health issues and substance use disorders and prompt access to treatment and additional community support if needed. Building on a previous grant, this project will focus on implementing collaborative care and building partnerships with community organizations that serve pregnant women and families. Grant funds will support staff salaries and a consultant who will help Bozeman Health implement the Meadowlark Initiative model of care. Community and organization partnerships will be developed throughout the course of the project.

Grant Amount

$100,000

Term

24 month

2022

Browning Public Schools 2022

Browning Public School staff & students Wellness Project

The Browning School District will host monthly holistic wellness activities for students and staff to improve the school wellness climate. These activities will be done in collaboration with community partners, including Blackfeet Tribal Health and the on-site school-based health center. These monthly activities aim to increase awareness and access to services, including the school-based health center. Browning School District is located on the Blackfeet Reservation; the school district serves approximately 98% American Indian population and is the largest geographical school district in the state of Montana. Grant funds will be used for consultants' participation in the events, supplies, and outreach. The primary partners for the project are Browning School District, Blackfeet Tribal Health, Blackfeet Crystal Creek, Honor Your Life programs, Fast Blackfeet, Blackfeet Manpower, Blackfeet Native Connections Culture and Hope and Rise above Stigma, and Blackfeet Tobacco Prevention Program.

Grant Amount

$50,000

Term

24 month

2022

Butte SPIRIT Center 2022

Women’s Substance Use Disorder Recovery Home Planning

With this planning grant, the Butte SPIRIT Center (BSC) will develop a business and operations plan for a residential treatment home for women recovering from substance use in Silver Bow County. BSC provides supportive housing and services to those recovering from substance use disorders. The organization creates an accessible drug and alcohol-free environment, supports fellowship, and builds partnerships among the recovery community. This proposal builds on successful planning and implementation grants for the men's home, which is now fully operational and sustainable. BSC will use grant funds to hire a consultant and work with other women’s residential facilities in the state (including Carol Graham House, Michel’s House/Willow Way, YWCA-WINGS, Florence Crittenton, Rimrock, and Mountain Home) to gather information, produce financial models, and develop an operating plan for the Butte women’s home. Partners include MCDC, Southwest Montana Community Health Center, Action Inc., Montana’s Peer Network, and representatives from existing women’s facilities.

Grant Amount

$25,000

Term

12 month

2022

Carroll College Master of Social Work Program 2022

A Community Collaboration to Advance Integrated Behavioral Healthcare to Montana’s Indigenous Communities

Carroll College will develop an educational track to train graduate-level social workers in integrated behavioral health settings, directly serving Native American populations. Carroll College is a liberal arts Catholic college in Helena, MT. The goal of this project is to address the shortage of behavioral health providers using integrated care principles and practices and serving Native American individuals, families, and communities. In collaboration with consultants, nonprofits, and health care centers, college faculty will develop training specific to the needs of Native American populations, services, and care systems. The training will focus on integrated care, cultural humility, and understanding pathways towards healing. The project will conduct outreach with federally qualified health centers, urban Indian health centers, and tribes implementing integrated behavioral health to establish affiliation agreements and recruit potential students to the Carroll College Master of Social Work Program. Grant funds will support curriculum development, technology needs, travel stipends, and collaborative meetings. Partners for this project include Lacey Alexander, Director of Integrated Behavioral Health and Substance Use Disorders at the Montana Primary Care Association, and Stephanie Iron Shooter, American Indian Health Director for the State of Montana.

Grant Amount

$49,692

Term

24 month

2022

Children's Clinic of Billings 2022

Expanding Behavioral Health Services for Children’s Clinic’s 12,000+ Pediatric Patients

The Children's Clinic of Billings will expand its primary care to include integrated behavioral health services. The Children’s Clinic is a physician-owned, independent outpatient pediatrics practice that serves more than 12,000 patients at two locations in Billings, Montana. Through this grant, the Children’s Clinic will hire a pediatric social worker and implement new care pathways and workflows to integrate that position into the clinic. The new pediatric social worker will enhance current mental health screening and provide brief interventions and a bridge to care for patients who need to be connected to counselors in the community. The project will also offer clinical supervision for the clinic’s recently hired psychiatric mental health nurse practitioner. Funding will support startup costs for the social worker and nurse practitioner positions while the clinic gains the expertise to bill for their services and sustain the project independently. Primary project partners include Shodair Children’s Hospital, the Behavioral Health Integration Collaborative, and Youth Dynamics.

Grant Amount

$125,000

Term

36 month

2022

Chippewa Cree Tribe 2022

Chippewa Cree Tribe Sustainable Food Systems Project

The Chippewa Cree Tribe of Rocky Boy Montana, located in North Central Montana, will create a sustainable food system on the Rocky Boys Indian Reservation. Through this grant, the tribe will hire a consultant to map the landscape of food projects and food resources in the community and draft food code regulations. The Chippewa Cree Tribe will administer the project through a partnership with the Tribal and Food Sovereignty Coalition and the tribe's planning department leadership.

Grant Amount

$24,500

Term

12 month

2022

Community Action Partnership of Northwest Montana 2022

Supportive Housing Units for FUSE or like populations

Community Action Partners of Northwestern Montana (CAPNM) will lead efforts to develop permanent supporting housing in Kalispell, joining several larger Montana communities in the development phase of the Montana Healthcare Foundation's our Housing is Healthcare initiative. CAPNM has purchased 18 rental units and is working to obtain 17 additional units, which will be used to provide housing and supportive services for homeless people who frequently require emergency department care and hospitalization. This project will allow CAPNM to support the building and delivery of supportive services in these units. CAPNM will provide pre-tenancy support, tenancy support, and case management for participants. CAPMN will work with local partners to develop a service delivery plan for residents of the new units and work with CSH to develop a quality delivery model and sustainability framework. Funds will be used for consultation with Corporation for Supportive Housing and project management expenses. Current core partners include the community health center and city commissioners.

Grant Amount

$100,000

Term

24 month

2022

Confluence Public Health Alliance 2022

CPHA Startup Support

This grant will provide general operating support to the Confluence Public Health Alliance (CPHA). CPHA is a newly created non-profit organization that serves serves three corporate member organizations: Association for Montana Public Health Officials, Montana Public Health Association, and Montana Environmental Health Association. General support grants cannot be earmarked for a specific purpose or topic.

Grant Amount

$50,000

Term

12 month

2022

Crow Tribe Health & Human Services 2022

Crow Tribal Finance Specialist – Medical Billing and Coding

Crow Tribe Health & Human Services is a tribal health department that supports the physical, behavioral, and cultural health of the Crow Tribe. This project will enable the health department to establish an effective tribal health finance department capable of billing and coding, records management, and procedure analysis. Revenue from health department services will provide a foundation for the Crow Nation to build effective, sustainable health care and public health programs. The grant will also support the development of the Crow Tribe’s Medicaid Tribal Health Improvement Program (THIP), a critical opportunity to create effective, tribally-led disease prevention programs. Grant funding will support a new finance specialist position salary and necessary training. Primary partners include the Crow Nation leadership and members of the finance team.

Grant Amount

$300,000

Term

36 month

2022

District XI Human Resource Council 2022

Community Engagement Specialist, Ravalli County

The District XI Human Resource Council (HRC) will develop a detailed housing and service coordination plan for implementing supportive housing in Ravalli County. HRC will contract with a community engagement specialist to convene local government and health, housing, and social service providers. This group will develop a community action plan that identifies the need for housing and supportive services and the resources available in the community. Funding will support the project coordinator, provide administrative and technical assistance resources, and cover convening expenses. The Steering Committee of the Bitterroot Affordable Housing Coalition (BAHC) is a partner for this project; its membership includes leaders from human service programs, housing providers, and local government agencies. The project will result in commitments from local organizations and agencies to provide coordinated services.

Grant Amount

$25,000

Term

12 month

2022

Evergreen School District 50 2022

School and Health Community Liaison

Evergreen School District will improve student health and academic outcomes by connecting students and families with health services on school grounds. The Evergreen School District covers the Kalispell area and serves kids from pre-kindergarten through eighth grade. This District will hire a school and health community liaison to strengthen the partnership between the school and the school-based health center run by the Greater Valley Health Center. Working closely with staff from the school district and the health center, the liaison will establish relationships with students and their families to help them better understand and access the health services provided by the district. Grant funds will support the liaison’s position and travel costs for meeting with students and families. Primary partners for this project include the Evergreen School District, Greater Valley Health Center, and Intermountain.

Grant Amount

$75,000

Term

24 month

2022

Flathead City-County Health Department 2022

Flathead County Implementation Grant

This grant will support the Flathead County Health Department to implement the Crisis Now Model, with the goal of decreasing the number of behavioral health crises resulting in emergency room visits, hospitalization, and incarceration. The Flathead County Health Department (FCHD) leads a coalition that includes critical stakeholders in Flathead County, including Greater Valley Health Center, Flathead County Sherriff’s Office, Kalispell Police Department, Logan Health, Flathead County Commissioners, Western Montana Mental Health Center, Montana Public Health Institute, and other supporting agencies. This grant will support the implementation of a crisis line (988), expand the community's mobile crisis team, and create a crisis-receiving facility as a more effective alternative to hospitalization or incarceration for people in crisis. The coalition will use the grant funds for a coordinator to oversee the project, expansion of the mobile crisis team, and plan for the crisis-receiving facility.

Grant Amount

$150,000

Term

36 months

2022

Fort Belknap Tribal Health 2022

School-Based Health Program: Pearson Project

The Fort Belknap Indian Community (FBIC) Tribal Health Department, in partnership with the Harlem, Dodson, and Hays-Lodgepole school systems, will begin providing school-based health services. The project aims to improve the health, wellness, and educational systems to support higher academic achievement among all students attending each school. The Tribe will provide behavioral health services and primary care in school-based health centers. The project seeks to improve the overall school climate, enhance the classroom experience for teachers and students, and ultimately reduce student disciplinary referrals and improve academic and health outcomes. Funding will support the contracted position with Xanovea to lead the project and a salaried behavioral health psychologist position. Primary partners are the Office of Public Instruction, the FBIC Tribal Health Department, the FBIC Tribal Council Education Committee, and the Dodson, Harlem, and Hays Lodge Pole Schools. 

Grant Amount

$300,000

Term

36 month

2022

Four Bands Community Fund 2022

Regional Revolving Loan Fund

This Program-related Investment (PRI) will support the Mountain|Plains Regional Native CDFI Coalition to establish a Regional Revolving Loan Fund (RLF). Access to capital, a core tenant of the Indigenous finance industry, is the seed for growth strategies designed to lift struggling Native economies and close the racial wealth gap. This MHCF investment is part of the Foundation’s support for the Coalition’s successful application for $45 million in funding from the U.S. Economic Development Administration (EDA). The project will strategically deploy financial investments into Native CDFIs in Montana, including Plenty Doors Community Development Corporation and NACDC Financial Services, Inc. The RLF will act as a vehicle of economic growth that drives business development and quality job creation. The project will amplify the capacity of coalition members not only by expanding their balance sheets and lending portfolios but also by unifying action and creating opportunities for peer-to-peer learning as they engage in more complex financial deployment strategies. Coalition members will collectively leverage partnerships and networks to attract additional investments, sustaining their work long-term. Replicable models and case studies will be developed and shared in collaboration with the Regional Indigenous Finance Industry Growth Plan and Non-Physical Infrastructure projects. The Regional Revolving Loan Fund will contribute to the other Montana CDFI's sustainability through earned interest revenue and access to additional loan capital.

Grant Amount

$800,000

Term

60 month

2022

Gallatin County 2022

Gallatin Behavioral Health Coalition

The Gallatin Behavioral Health Coalition (Coalition) will decrease the number of behavioral health crises that result in incarceration or hospitalization by implementing the Crisis Now Model. The Coalition is focused on building a more complete behavioral health continuum in Gallatin County. Its members include Gallatin County, Bozeman Health, the City of Bozeman, the Help Center, Community Health Partners, Connections, Montana State University, Bozeman School District, the Yellowstone Club Foundation, the Bozeman Health Department, advocates, and those with lived mental health and addiction experiences. This project will support the implementation of the crisis line (988), expand the mobile crisis team, and implement a crisis receiving facility as a more effective alternative to hospitalization or incarceration for individuals in crisis. More broadly, the coalition will continue to plan and support the implementation of a complete continuum of community-based behavioral health services – from prevention to early diagnosis and treatment – for the region. Grant funds will support a coordinator for project management, evaluation, and communications.

Grant Amount

$225,000

Term

36 months

2022

Great Northern Development Corporation 2022

Northeast Montana Supportive Housing Planning Grant

The Great Northern Development Company (GNDC) will implement a supportive housing learning collaborative that engages stakeholders across a six-county region of northeast Montana and the Fort Peck Reservation. Located in Wolf Point, GNDC provides housing education, first-time home buyer assistance, home rehabilitation, and affordable housing finance services in northeast Montana. The project will create a registry of tenancy support services and care management providers that serve the housing insecure and homeless population and an action plan to increase housing access and coordinate service providers with clients engaged in housing programs. GNDC intends to engage city councils, county commissions, and chambers of commerce in the region to identify key partners. GNDC will contract with the Corporation for Supportive Housing to facilitate stakeholder engagement, community education, and the development of best practices to share with the community. Funding will support the contract with the Corporation for Supportive Housing, project management, and stakeholder convenings.

Grant Amount

$25,000

Term

12 month

2022

Heart Butte Schools 2022

School-based Case Management Enhancement Project

Heart Butte Public Schools will enhance their collaboration with the school-based health center to promote positive health outcomes within the school and community. This project will build on the already-established relationship between Blackfeet Tribal Health and Heart Butte Schools by providing a liaison to the school-based health center. This will increase awareness and access to school-based services. Heart Butte Public Schools is a K-12 Public School located in the community of Heart Butte, Montana, which is in the southeast portion of the Blackfeet Indian Reservation in Pondera County. Grant funds will be used to hire and support a part of the salary of a full-time case manager. The primary partners for the project are Heart Butte School District and Blackfeet Tribal Health, which operates the school-based health center.

Grant Amount

$25,000

Term

24 month

2022

Helena Indian Alliance 2022

Integrated Behavioral Health

The Leo Pocha Clinic of Helena Indian Alliance (HIA) will fully implement behavioral health in its primary care practice, building on the work accomplished through a prior MHCF grant. HIA is an urban Indian health center serving Native and non-Native patients in the Helena community. This project will support the clinic as it works towards providing fully integrated care by updating its policies, job descriptions, and daily operations; training new staff from an integrated care lens; and increasing capacity for team-based care. Funding will support the director of behavioral health, a newly hired behavioral health care coordinator, and staff training.

Grant Amount

$150,000

Term

24 month

2022

Helena School District 2022

Planning Grant for School-Based Health Center Partnerships in the Helena Public Schools

Helena Public Schools will design school-based services for school sites by partnering with community health care providers, including Pureview Health Center (Helena's federally qualified health center) and the Helena Indian Alliance (and urban Indian health center). Helena Public Schools serves 7,700 students across 15 Lewis and Clark County schools. The grantee will develop a comprehensive vision and implementation plan for on-campus, community, and virtual support for youth in need. With this planning grant, Helena Public Schools intends to identify and build partnerships with partners that will commit to participating in the implementation of school-based health services. Grant funds will be used towards the salary of a coordinator for the project.

Grant Amount

$50,000

Term

12 month

2022

Indian Family Health Clinic 2022

IFHC IBH: Hope, Healing & Health

The Indian Family Health Clinic (IFHC) will expand on its previous integrated behavioral health project to provide accessible, culturally informed behavioral and physical health services. IFHC is an urban Indian health clinic that serves over 9,000 patients in Great Falls and the surrounding area. This project will strengthen the successful communication and service delivery components of the initial launch of integrated care, with a growth focus on building comprehensive and streamlined screening and tracking systems. IFHC will implement systemic data collection to track screening, internal and external referrals to care, and follow-up. They will establish a policy and procedure to screen patients for needs related to the social determinants of health, standardize care coordination efforts, and track patient engagement, adherence, and progress. Funding will support increased access to patient-centered navigation provided by care coordinators and managers, data consultant, health and wellness education, and services to reduce barriers to access. Partnerships include the Alliance for Youth, Sober Life, Alluvion, the county health department, and the Little Shell Tribe.

Grant Amount

$150,000

Term

24 month

2022

Kalispell Regional Medical Center Inc. dba Logan Health Medical Center 2022

LHMC Meadowlark Phase 3

Logan Health will expand its Meadowlark Initiative from its midwifery clinic into its maternal-fetal medicine clinic and its newly acquired obstetrics practice, Logan Health OB/GYN. This project will implement Meadowlark’s collaborative care model by adding a full-time counselor and a part-time care coordinator to Logan Health’s staff to support women and families across its clinics. Funding will support the project staff and a consultant to provide technical assistance on Meadowlark’s collaborative care model. This is the third Meadowlark project supported at Logan Health since 2017. Over the years, the hospital has developed extensive partnerships with community coalitions and organizations that provide social support to pregnant women and their families. A few identified collaborators on this project include the Early Childhood Coalition of Flathead Valley and the Flathead Valley Perinatal Mental Health Coalition.

Grant Amount

$100,000

Term

24 month

2022

Kalispell Regional Medical Center Inc. dba Logan Health Medical Center 2022

Logan Health SBHC Mobile Clinic

Kalispell Regional Medical Center dba Logan Health Medical Center (LHMC) is the medical hub of a nonprofit health system headquartered in the Flathead Valley of northwest Montana. This project will allow LHMC to begin providing primary, preventive, and behavioral health services to students in rural schools located in the communities of Kila, Marion, and Smith Valley and to expand behavioral health services to the Big Fork School District. LHMC will implement a Mobile School-Based Health Center to serve Kila, Marion, and Smith Valley rural schools that do not have the appropriate physical space for an on-site health center. They will also expand mental and behavioral health services to the Bigfork School District and provide these services on-site at the school. Medical, behavioral, and mental health care will be offered to students and staff of these rural schools. Telehealth services will be integrated throughout the school-based program to serve the target populations’ integrated health needs. Grant funds will offset medical and behavioral health providers’ salaries, supplies, and outreach and communications. The primary partners for this project are four school districts, including Kila, Marion, Smith Valley, and Big Fork.

Grant Amount

$299,993

Term

36 months

2022

L'esprit Behavioral Health Center 2022

MACT in Park and Sweet Grass County

L’espirt Behavioral Health Center will establish a new Montana Assertive Community Treatment (MACT) team to provide community-based treatment to individuals with severe mental illness and substance use disorders in Park and Sweetgrass Counties. MACT allows people with longstanding, severe, or disabling mental illnesses to live and function safely in their homes and communities rather than being hospitalized. Once established, the MACT team will help improve health outcomes and thereby decrease the number of behavioral health crises resulting in emergency room visits, hospitalization, and incarceration. Funds will offset the transition of L’espirit staff onto the MACT team, onboard clients, and technical assistance. Partners include Community Health Partners, law enforcement, hospitals, and the Human Resource Development Council.

Grant Amount

$125,000

Term

24 month

2022

Little Shell Tribe of Chippewa Indians of Montana 2022

Little Shell Tribe Housing Needs Assessment

The Little Shell Tribe of Chippewa Indians of Montana will collect an accurate assessment of the housing needs and homeless situation of tribal members and develop a housing improvement plan. Because the Little Shell only recently gained federal recognition, there is relatively little specific data on the housing and health needs of enrolled members of the Tribe. To date the Tribe has relied mainly on anecdotal or derivative data to assess health status and assess the need for health and social services. This project will allow the tribe to gather quantitative and qualitative data through household surveys, focus groups, community meetings, and interviews with knowledgeable sources. Grant funds will contribute to the costs of the assessment and housing improvement plan. Expenses include consultant fees, travel expenses, household survey labor and mileage, survey equipment, outreach, and participation incentives. Project partners include Indian Health Service, Rocky Mountain Tribal Leaders Council Tribal Epidemiology Center, and all municipalities in the four-county service area.

Grant Amount

$60,000

Term

12 month

2022

LiveWell49 2022

Planning for the Financial Sustainability of LiveWell49

LiveWell49 (LW49) is a community coalition that is focused on prevention. It includes key stakeholders in Park County, including Livingston Healthcare, Community Health Partners, Livingston School District, Park County Community Foundation, Park County Health Department, and City and County Commissions. The project will expand LW49's community resilience, mental health promotion, and prevention efforts and develop a long-term sustainability plan. LW49 will utilize the grant funds for a consultant to develop a sustainability plan and administrative support to oversee the project and coordinate partnerships with community agencies.

Grant Amount

$25,000

Term

12 month

2022

Mineral Community Hospital 2022

MCH Integrated Behavioral Health

Mineral Community Hospital (MCH) will integrate behavioral health services into its primary care clinic to improve access to behavioral health for community members with complex social needs and patients experiencing crises. MCH is a 25-bed critical access hospital serving rural western Montana in Superior. The hospital plans to recruit a new behavioral health staff position for the primary care clinic, contract or recruit a psychiatrist to provide program oversight, and update its electronic medical records system to facilitate new screening workflows and data monitoring. Funding will support the new staff position, psychiatric consultation, and direct expenses like training, travel, and marketing. MCH works closely with the Mineral County Health Department and will collaborate on identifying community needs and expanding services.

Grant Amount

$125,000

Term

36 months

2022

Missoula College 2022

Community Paramedicine Curriculum

Missoula College will develop a curriculum in Community Paramedicine (sometimes referred to as "Community Integrated Healthcare” or “CIHC”). This will be the first Montana-based program that offers training in community paramedicine to emergency medical technicians (EMTs) and paramedics. Community paramedicine allows EMTs and paramedics to expand their roles to provide certain non-emergency services, such as in-home follow-up visits after hospitalization, management of chronic illnesses, fall risk assessments, wound care, and limited behavioral health services. Missoula College will convene an inter-professional working group of faculty and health care professionals in medicine, paramedicine, nursing, and social work to build the curriculum. The curriculum will be delivered remotely using online modules, complemented by a clinical rotation, and is designed to provide emergency responders around the state with access to the training. Funding will support a project manager, instructional design, and curriculum development content experts. Partners include faculty from the Missoula College Health Professions Department, the University of Montana Social Work and Public Health Departments, emergency service providers, including Missoula Emergency Services, Inc., and the Montana Department of Public Health and Human Services Community Integrated Health Program Specialist.

Grant Amount

$54,000

Term

12 month

2022

Montana Center for Inclusive Education, MSUB 2022

Establishing Connections in Eastern and Central Montana: A Planning Grant for the Institute for Neurodiversity and Applied Behavior Analysis

The Montana Center for Inclusive Education (MCIE) at Montana State University Billings will work with partners in Eastern Montana to develop a plan to help rural providers effectively serve children with mental, social, and behavioral differences associated with autism spectrum disorders, developmental disabilities, and mental health disorders. Through this grant, MCIE will develop remote training opportunities for providers and establish a pipeline for referrals of young children who would benefit from telehealth applied behavioral analysis therapy. Applied behavioral analysis therapy helps kids with autism learn skills and lessen problematic behaviors like self-harm. Funding will be used for staffing, supplies, and travel.

Grant Amount

$25,000

Term

12 month

2022

Montana Continuum Care Coalition 2022

Montana CES and Local/Tribal Continuum Capacity-Building and Engagement Project

The Montana Continuum of Care (CoC) will engage communities and reservations in rural Montana to identify practical, community-based solutions to homelessness. The project will perform an audit to assess whether and how the current system of care (called the Coordinated Entry System) for families experiencing homelessness is meeting the needs of local communities. Based on this information, the CoC will develop a strategy and an action plan. This plan will also engage tribal communities and develop strategies to promote newly eligible tribal housing projects. Funding will support a consultant who will provide technical assistance and help CoC develop detailed strategic and outreach plans. Partners include the Montana Youth Action Board, Native Homeownership, and the Pathways Community Network Institute.

Grant Amount

$77,400

Term

24 month

2022

Montana Department of Public Health and Human Services - Public Health and Safety Division 2022

Montana Medicaid Survey

The Montana Department of Public Health and Human Services (DPHHS) will survey Medicaid enrollees to learn about their ability to access health services, health-related behaviors, chronic conditions, and environmental factors related to their health. This information will be used by DPHHS, MHCF, and partners to understand and explain the impact of Medicaid on health access and to improve services and health promotion programs. DPHHS will accomplish this goal by selecting a random sample of Medicaid enrollees to complete an online or telephone-based questionnaire. DPHHS is partnering with the University of Wyoming Survey and Analysis Center (WYSAC) to complete this project. Grant funds will cover the survey development and implementation services that WYSAC provides.

Grant Amount

$65,000

Term

12 month

2022

Montana Free Press 2022

Health care reporting for Montanans

Montana Free Press will provide in-depth, ongoing coverage of health and health policy issues. These stories will be published for free on the Montana Free Press website and in collaboration with over 100 partnering news outlets across the state. Reporting will ensure that public health experts, policymakers, leaders, and Montana residents alike are aware of the policy debates and decisions made by their elected representatives and have access to the information they need to make informed decisions for their health and the health of their communities. Funding will support reporting and editorial staff positions. Partners include print and online news sites and radio stations across the state that re-publish Montana Free Press reporting.

Grant Amount

$100,000

Term

24 month

2022

Montana Human Rights Network 2022

Transgender Community Support and Wellness Project

This planning grant will support the development of a statewide network focused on reducing isolation and increasing resilience through engaging transgender and non-binary people across Montana. The Montana Gender Alliance (MGA) – a fiscally-sponsored organization of the Montana Human Rights Network – provides community support and resources to transgender and nonbinary Montanans, as well as public education and training. MGA will complete a community assessment focused on eliminating barriers to participation for rural community members, such as lack of reliable access to high-speed internet. Funds will support hiring a project coordinator, travel expenses to carry out meetings as part of the community assessment component of the project, and marketing and advertising to promote support groups through social media. Partners include Shodair Children's Hospital, the Montana Primary Care Association, Bridgercare, Montana Legal Services Association, the Montana Chapter of the American Academy of Pediatrics, and the Montana Medical Association.

Grant Amount

$25,000

Term

12 month

2022

Montana Legal Services Association 2022

Strategic Planning of Additional Hospital-Based Medical-Legal Partnerships

This grant will support the Montana Legal Services Association (MLSA) in developing hospital-based medical-legal partnerships that address health-harming legal needs and achieve better health outcomes for low-income patients. MLSA is a nonprofit law firm that empowers low-income people by providing free legal information, advice, and other services. Over the past six years, MLSA has developed innovative, successful medical-legal partnerships that serve a network of federally qualified health centers and Providence St. Patrick Hospital in Missoula. Through this grant, MLSA will extend this model to other communities by building a sustainable hospital-based medical-legal partnership structure, identifying interested hospitals, nurturing relationships with those hospitals, building needed data sets, and finalizing memoranda of agreement. Grant funds will primarily be used for staff salaries, consultant fees, and travel. MLSA will identify and develop three primary partnerships with Montana hospitals as part of the project's outreach phase.

Grant Amount

$25,000

Term

12 month

2022

Montana Medical Association Foundation 2022

Montana Professional Health and Wellbeing Program

The Montana Medical Association Foundation is joining with other health care coalition members to protect public safety by establishing a Montana program run by Montana health care professionals to assist and rehabilitate licensed Montana health care professionals who are found to be physically or mentally impaired. This coalition intends to establish a non-profit to provide these services to licensed Montana healthcare professionals and offer educational sessions with respect to recognition and treatment of alcohol dependency, and chemical dependency. The goal will be achieved through the committed work of a coalition of Montana healthcare stakeholders who will identify and bring the resources needed together for the creation of the organization and establishment of the medical assistance program. The funding will support MMA to develop a business and operations plan and establish a new organization. Partners include MHA, Montana Nurses Association, Montana Dental Association, and BHAM: broad buy-in from these organizations will be essential to successfully re-establishing services. The partners include the Montana Medical Association, the Montana Hospital Association, the Montana Nurses Association, the Montana Dental Association, and the Behavioral Health Alliance of Montana.

Grant Amount

$38,160

Term

18 month

2022

Montana Office of Public Instruction 2022

Indigenous Foundations in Systems of Education: Shifting the Academic, Holistic Health, And Behavioral School Supports Provided to Montana’s American Indian Students

The Montana Office of Public Instruction (OPI) will work to improve American Indian student academic and wellness outcomes by adjusting its support for academics, holistic health, and behavioral health. OPI serves as the state education authority in Montana and acts as the state-level governmental organization for education. OPI has incorporated Native American knowledge within its Tribal Relations and Resiliency Unit. Through this project, OPI will contract with the Elder and Cultural Wisdom Council to provide training to additional units within the organization. The units include American Indian Student Achievement, Coordinated School Health, and Indian Education for All. Each team will update its strategic plans and implement policies and practices to create necessary changes in the services offered to districts. Grant funds will support the consultant, cover the strategic planning efforts, and travel for meetings.

Grant Amount

$48,430

Term

12 month

2022

Montana State University 2022

Partnering to Provide Equitable Care to Unhoused Individuals Impacted by Opioid Use Disorder

The Montana State University College of Nursing (MSU CON) will use this grant to plan an innovative program to deliver medication-assisted treatment (MAT) for opioid use disorders to people living on the streets. Unhoused individuals encounter many barriers to accessing this life-saving treatment. MSU CON will take a three-pronged approach to develop a street-based treatment model. 1) Seek insight and guidance from unhoused individuals with opioid use disorders. 2) Design a coordinated response by partnering with organizations already serving this population. 3) Engage interdisciplinary health profession students in this street-based model of care to build a pipeline of nursing, medical, and behavioral health clinicians capable of implementing the model. Grant funds will be used for staffing, supplies, and participant costs. Project partners include Partnership Health Center, Open Aid Alliance, and All Nations Health Center.

Grant Amount

$23,057

Term

12 month

2022

Mountain Home Montana 2022

Improving Mountain Home’s Continuum of Care for Indigenous Women and Children

With this planning grant, Mountain Home Montana will work with All Nations Health Center and Kauffman & Associates to improve their care continuum and access to services for indigenous women and children. Mountain Home Montana’s mission is to provide a safe home and nurturing community where young mothers discover their strengths and their children thrive. Mountain Home offers shelter for young mothers who need a place to live and a network of support as they create their own safe, stable, and nurturing homes. They aim to increase the percentage of Native women in their residential services from 16% to 30%. Through their justice, equity, diversity, and inclusion initiative, Mountain Home will work with project partners to review programs and spaces through an Indigenous lens and address identified health inequities. Funds will support completing a quality improvement assessment, creating a new referral coordinator position, and recruiting more Native staff across the organization. In addition to All Nations Health Center, primary partners include Montana Pediatrics and the Missoula City-County Health Department.

Grant Amount

$25,000

Term

12 month

2022

NACDC Financial Services Inc. 2022

Four Bands Workforce & Professional Development

NACDC Financial Services, a community development financial institution (CDFI) located in Browning, will create the infrastructure to incubate businesses and train community members as part of the Mountain|Plains Native CDFI Coalition’s Native finance industry project. This project will address the health consequences of poverty, unemployment, and lack of economic opportunity by placing candidates in quality jobs in the region's Native economies. NACDC will design and implement a skills development program for Native CDFI staff, including a regional recruitment strategy and workforce training program, and will leverage partnerships to explore workforce wrap-around services. Funding will be used as sub-award grants to the other Montana-based Native CDFIs to pilot workforce and professional development innovation.

Grant Amount

$200,000

Term

36 month

2022

Native American Development Corporation 2022

Integrated Behavioral Health 2.0

The Billings Urban Indian Health and Wellness Center (BUIHWC) will implement a cohesive, collaborative, and culturally appropriate approach to patient care by integrating behavioral health into its primary care clinic. As one of the five urban Indian health centers in Montana, BUIHWC serves Native American people living in Billings and Yellowstone County. This project will hire a project manager to help the organization implement the integrated behavioral health program and collaborate with community health partners. Anticipated results of this program include improved patient outcomes, lower operations costs, and reduced stigma surrounding mental health. Funding will support the project manager position and additional technical assistance. Project partners include community health programs associated with the Native American Development Corporation.

Grant Amount

$150,000

Term

36 month

2022

NeighborWorks Great Falls 2022

Baatz Block Apartments Technical Assistance

NeighborWorks Great Falls has partnered with Homeword Development to rehabilitate the historic, abandoned Baatz building in downtown Great Falls into 24 permanent supportive housing units. Permanent supportive housing combines affordable housing with support services to improve health and social outcomes for people experiencing chronic homelessness in addition to complex, chronic physical and behavioral conditions. The services are designed to build independent living and tenancy skills and connect people with community-based health care, treatment, case management, employment assistance, and other services. The project is the community’s first purpose-built permanent supportive housing. The team has secured $10 million in tax credits and other funding from state and local sources to construct the project. This grant was used to fund technical assistance and support provided by BeauxSimone Consulting (BSC), including engagement of a design team and community partners, coordination of regular service planning meetings, conducting focus groups that included both experts and those with lived experiences, and the development of MOUs between service providers and property owners. While the project has experienced delays due to construction market conditions, its strong financial standing will most likely result in a successfully completed supportive housing building by the summer of 2025. The project expects to sustain the Baatz Block Apartments through partnerships and grants.

Grant Amount

$20,000

Term

12 month

2022

Northern Cheyenne Tribal Housing Authority 2022

Northern Cheyenne Healthy Housing Needs Assessment

The Northern Cheyenne Tribal Housing Authority will conduct an in-depth housing needs assessment for the Northern Cheyenne Nation. The assessment will focus on housing needs and incorporate health, education, employment, economic development, and social services related to housing. Funding from the U.S. Department of Housing and Urban Development Office of Native American Program Training and Technical Assistance will support a consultant to conduct the assessment. Montana Healthcare Foundation funding will support the direct expenses incurred through local data collection activities, including field staff labor, equipment, mileage, and respondent incentives. Project partners include Northern Cheyenne Tribal Health, the Tribal Board of Health, and the Tribal Health Improvement Program.

Grant Amount

$50,000

Term

12 month

2022

Northern Montana Health Care 2022

Integrated Behavioral Health Initiative Implementation at Northern Montana Hospital

Northern Montana Hospital (Northern), based in Havre, will implement integrated behavioral health throughout its health system to universally screen primary care patients for behavioral health conditions and improve health outcomes. Northern will hire a care coordinator and two therapists who will work with the primary care teams to implement integrated behavioral health throughout the Northern health system. Funding will support staffing, project oversight, and updates to the electronic health record to support population health and data analytics. Northern will receive technical assistance from the Montana Healthcare Foundation's technical assistance team and data collection and analysis assistance from JG Research and Evaluation. Throughout the project, Northern will work with the local federally qualified health center, mental health center, Rocky Boy Reservation, and Northern Montana College.

Grant Amount

$300,000

Term

36 month

2022

Northern Montana Health Care 2022

Meadowlark Initiative Implementation at Northern Montana Hospital

Northern Montana Hospital (Northern) will implement The Meadowlark Initiative to decrease drug use in pregnancy, reduce child removals, identify individual needs for each patient and their family, and build a safe team-based approach to support better perinatal outcomes. Northern will coordinate OB/GYN, family practice, and behavioral health providers and provide care coordination to identify and connect resources from the community to patients when needs are identified. Funding will support a care coordinator and licensed addiction counselor, and the project will also draw on Northern's behavioral health team. Project partners include Rocky Boy Health Center and Sweet Home Medical Center.

Grant Amount

$175,000

Term

24 month

2022

Partnership Health Center 2022

Strategic Alliance for Improved Behavioral Health

This grant will support the Strategic Alliance for Improved Behavioral Health to decrease the number of behavioral health crises resulting from incarceration or hospitalization by implementing the Crisis Now Model. The Strategic Alliance for Improved Behavioral Health (Alliance) is a coalition that includes critical stakeholders in Missoula County, including Providence St. Patrick Hospital, Community Medical Center, Partnership Health Center, Western Montana Mental Health Center, All Nations Health Center, the Missoula City-County Health Department, and the City Council and County Commission. This grant will support implementation of a crisis line (988), expand the community's mobile crisis team, and create a crisis receiving facility as a more effective alternative to hospitalization or incarceration for people in crisis. More broadly, the Alliance will also continue to plan and support implementation of a more complete continuum of behavioral health services -- from prevention to early diagnosis and treatment -- for the region. The Alliance will utilize the grant funds for a coordinator to oversee the project and a consultant for updating the resource mapping and strategic planning.

Grant Amount

$225,000

Term

36 months

2022

Pioneer Medical Center 2022

Crisis Coalition Formation, Improvement, and Sustainability

Pioneer Medical Center will plan and develop a crisis system for Sweetgrass County based on the Crisis Now Model. With this grant, Pioneer Medical Center will create a coalition, hire a coordinator, map the current behavioral health crisis system, and develop a strategic plan. The Crisis Now Model includes a crisis line (988), a mobile crisis team, and a crisis-receiving facility and provides a more effective alternative to hospitalization or incarceration for people in crisis. Funding will support a coordinator to oversee the project, mapping, program design, and convenings. Through this grant, Pioneer Medical Center will also engage neighboring counties, including Park, Wheatland, Meagher, Golden Valley, and Stillwater counties, in discussions on a regional crisis framework. Project partners include Sweet Grass County, Sweet Grass County EMS, Billings Clinic, and Billings Clinic Integrated Behavioral Health Program.

Grant Amount

$40,000

Term

18 month

2022

Plenty Doors Community Development Corporation 2022

Crow Nation Innovation Center

The Crow Nation Innovation Center will develop a facility to support community development for the Crow Reservation and surrounding area. Through this project, a signature space in the Crow community will be created to spur innovation and entrepreneurial development as well as local income and jobs. This grant will serve as a match for federal funding secured from the U.S. Economic Development Administration (EDA). Partners include The Steele Reese Foundation, First Interstate Bank Foundation, and the Northwest Area Foundation.

Grant Amount

$50,000

Term

12 month

2022

Richland County Housing Authority 2022

Richland County Rural Housing Planning Grant

The Richland County Housing Authority (RCHA) will develop a community action plan focusing on Richland County’s homeless and housing insecure populations and coordinating housing and supportive services for this population. RCHA will contract with the Corporation for Supportive Housing to identify housing insecure individuals who frequently use community systems. It will also build partnerships with community service providers that can provide tenancy support and care coordination. The Richland County Health Department has identified housing as a critical health issue. It has partnered with the RCHA to convene stakeholders and develop a community plan to address housing access and service support for vulnerable populations. Funds will support the technical assistance contractor, project management, and convening. Partners engaged in preliminary steering committee discussions include the Richland County Health Department, Sidney Community Health Center, Eastern Montana Community Mental Health Center, law enforcement, and Prairie Hills Recovery center.

Grant Amount

$25,000

Term

12 month

2022

Roots Family Collaborative 2022

Postpartum Doula Project

The Postpartum Doula Project, a program of Roots Family Collaborative, will provide free or sliding-scale postpartum doula services in Gallatin and surrounding counties for families in the critical developmental stage following birth. Roots Family Collaborative's mission is to connect all families to the support they need from pregnancy to parenthood. This planning grant will support a year-long process during which the organization will examine and build program staff capacity, identify new and existing strategic partnerships, develop an advisory council, identify and overcome barriers to creating long-term sustainability for the program, and develop a handbook for program implementation.

Grant Amount

$20,000

Term

12 month

2022

Ruby Valley Medical Center 2022

RVMC Integrated Behavioral Health

Ruby Valley Medical Center (RVMC) will integrate behavioral health services into its primary care practice. RVMC is a critical access hospital in Sheridan serving seven rural communities in western Madison County and southern Jefferson County. This project will help RVMC identify a champion to lead the project and provide team training for its providers to enhance the organization’s standard way of delivering care. Funding will support staff training on the integrated behavioral health model, developing organizational workflows to support the model, and integrating a counselor into the primary care office.

Grant Amount

$100,000

Term

36 month

2022

South Central Montana Regional Mental Health Center 2022

Improving PACT Client Outcomes through Medication Optimization and Care Coordination

The South-Central Montana Regional Mental Health Center (SCMRMHC) will explore the feasibility of improving its Program of Assertive Community Treatment (PACT) teams by adding another provider type – a clinical pharmacist – to the team. PACT allows people with longstanding, severe, or disabling mental illnesses to live and function safely in their homes and communities rather than being hospitalized. Traditional PACT teams consist of a supervisor, program assistant, psychiatrist, peer specialist, and mental health professionals. This project will explore the feasibility of adding a clinical pharmacist to the team to provide medication management which is proven effective in complex populations. Funds will be used for care coordination and supporting a consultant to help determine the feasibility of integrating a clinical pharmacist into the PACT team and recommending a successful finding to the state.

Grant Amount

$25,000

Term

18 month

2022