shodair Winter 2017

SHODAIR

2755 Colonial Drive P.O. Box 5539 Helena, MT 59604 1.800.447.6614 shodair.org

C H I L D R E N ’ S H O S P I TA L To heal, help and inspire hope

BOARD OF DIRECTORS FROM LEFT TO RIGHT:

Ed Surbrugg, PhD; Moe Wosepka; Bill Hasquet, OD; Rich Bruner (outgoing); Ed Tinsley; Rita Gowen; Beth O’Halloran; Janet Hedges; Galen Hallenbaugh; Joel Maes, DDS; and David Lemm (outgoing).

Joe Shevlin (Not Pictured).

INCOMING BOARD MEMBERS (NOT PICTURED):

(James) Riley Johnson, Sandra Smith, and Len Wheeler

Shodair Children’s Hospital BOARD OF TRUSTEES Ed Tinsley President

Ed Surbrugg, PhD

Joe Shevlin Secretary

Jim Foley

Chairman Emeritus

Vice President

Janet Hedges

Moe Wosepka

Treasurer

Foundation President

Beth O’Halloran Foundation Secretary

Rich Bruner (outgoing) Bill Hasquet, OD

David Lemm (outgoing) Joel Maes, DDS Fr. Dan Shea (outgoing)

Zest of Life Lives in Zeesy

Galen Hollenbaugh

pages 4-5

Shodair Children’s Hospital

Meet Brittany page 8 & 20

CONTRIBUTORS

Published by: Shodair Children’s Hospital CEO: Craig Aasved Foundation Director: Keith L. Meyer Editor in Chief: Alana Listoe CMNH Manager: Becca Dudek Contributors: Tyler Setlock; Lindsay Bedlion; Jordynn Hardman; Cat King; Eve Byron; Nate Brehe; Ron Ronish; Kathy Rappaport, MD; Valerie Cundall; Eliza Wiley Cover Photography: Loneman Photography

In this Issue

Feedback Welcomed

Shodair Soccer Classic page 9

We welcome your ideas and suggestions about how we may best serve the mental health and genetic needs statewide. They can be mailed in to Alana Listoe, 2755 Colonial Drive, Helena, MT 59601, or by calling 1.800.447.6614 or email alistoe@shodair.org.

shodair.org

Heads Up Camp pages 12-13

Sanctuary at Shodair page 27

Consider Making a Gift

To heal, help and inspire hope

WINTER 2017

The Huddle Strategically a Sanctuary Any day I can find 30 or 40 minutes, I make my way through the hallways of the School at Shodair and into the units where Shodair employees are caring for the children we serve. Some days, it’s steady and I am able to quietly observe the therapeutic healing that happens every single hour and I’m filled with pride and joy. Other days, the air is light and I can always depend on hearing a joke in our middle school unit. And, some days are hard because the group dynamic can be volatile because of how emotionally injured these kids are. I pause in the recreation therapy area and find children engaged in music therapy, group exercise, and games promoting self-love. I make my way through the genetics laboratory and to the waiting room where a young family desperate for answers awaits a visit with our genetic counselors.

And, on really great days, I may even get to get to ask employees, patients, and visitors how we are doing, where we can improve, and if I’m lucky, shoot a few hoops.

It’s my belief that being a good CEO requires taking the time to learn, to witness and to show care. It’s through these rounds that I am gaining a richer sense of purpose,

learning of needs, and showing, through action, that they both are cared about. I listen to the young people talk about the abuse endured, their broken hearts, and still somehow clearly see the zeal for life in nearly all their faces.

The Shodair Community has embarked on a journey to becoming trauma-informed through what is called the Andrus Sanctuary Institute. Soon half of our employee population will have completed the training, and by late spring all 325 employees will have.

“I am so supportive and passionate about Sanctuary because it is guiding us in creating a comforting, safe, and compassionate place to do the hard work of helping to heal

Sanctuary at Shodair emotionally ill and traumatized children and their families,” said Chris Bates, director of nursing at Shodair. “It’s through this healing process that we hope to inspire hope for a healthy future for our patients as well as our staff.”

The Sanctuary Model acknowledges that all of us have been through trauma of some kind. Yes, ALL of us. We bring the “baggage” with us into every single situation and a huge part in how we react to certain situations is a direct result of that baggage. It’s called Adverse Childhood Experiences or ACES. There is much work that has been done since I arrived in Helena for this job, but there is so much more. There is no doubt in my mind that we are just tapping into the possibilities. Shodair serves as a child’s quasi-family. It is a family that helps teach coping skills.

Helping young people leave the hospital better prepared to navigate the challenges of life is a necessary aspect of what we hope to accomplish. Will we always be successful? Probably not. Do children have to return sometimes?

Yes. Mental illness is not curable. It’s forever with us, but managing it well is a definite outcome and the Shodair community has the great honor of getting to see it every single day.

Shodair is becoming a trauma-informed facility under the Sanctuary Model. The impact has made a positive impact on every department, and the benefits help us meet our mission.

The Sanctuary Model® represents a theory-based, trauma-informed, trauma-responsive, evidence-supported, whole culture approach that has a clear and structured methodology for creating or changing an organizational culture.

We call it a “model” because it is not a THING in and of itself - it is a set of interactive tools to change people’s minds and the way we go about working together, thinking together, acting together, and living together. Whether or not Sanctuary “works” is entirely dependent on everyone in the Shodair community to implement the methodology.

The objective of such a change is to more effectively provide a cohesive, innovative and creative context within which healing from psychological and social traumatic experience and adversity can be addressed - for all of us.

As an organizational culture intervention, it is designed to facilitate the development of structures, processes, and behaviors on the part of staff, clients and the communityas-a-whole that can counteract the biological, emotional, cognitive, social, and moral wounds suffered by the victims of traumatic experience and extended exposure to adversity.

It’s a big commitment but one that we are all committed to as it will help us better serve Montana families and the our staff.

Having a solid foundation is imperative to ensure a strong future for all families. That foundation was laid 120 years ago to care for parentless children in Montana who needed a place to call home. Today parents look to Shodair for genetic testing and counseling and/or answers for good emotional and behavioral health. If we want to stay relevant in an ever-changing world, we

Nonviolence

must dig deeper, listen harder, and dedicate ourselves to helping Montanans have a brighter future.

That means making some changes, taking some risks, and committing ourselves to what is certainly a challenging, and many days, a down-right heart-breaking environment. Nobody wants children to suffer, especially the team of people working at Shodair. Together, with your continued support, that’s exactly what we intend to continue working toward.

Sending love from our family to yours,

Craig Aasved CEO

Shodair Hits Sweet Spot with Donut The Shodair Donut was created as a way for the hospital to say thanks to fellow Children’s Miracle Network partners for their outstanding fundraising efforts with the help of local donut shop the Dirty Dozen Donuts.

The majestic vanilla cake donut made onsite, from scratch, with vanilla butter cream frosting isn’t available all the time, but can be pre-ordered. The donut showcases the Children’s Miracle Network Balloon insignia because Shodair Children’s Hospital is the only CMN hospital in Montana.

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Special Guests

Superintendent of Public Instruction Elsie Arntzen (far right) smiles while visiting with a patient during his graduation ceremony along with Shodair CEO Craig Aasved (center) and Amy Allen, the patient’s teacher.

Montana Senator Jon Tester visited with former patient Amanda Carver (left) and her mother Amy Louise Foster (right) while spending time at Shodair.

Part of Montana’s Fabric Since 1896 Historic Dedication In 1896 thousands of orphaned children found themselves homeless at the end of the train tracks in Helena, Montana. They came from the east and the south, shipped west on “orphan trains” in hopes of finding permanent families because many were the lone survivors of immigrant families coming to America in hopes of new opportunities. The Montana’s Children’s Home and Society was formed as a way to care for these children.

Montana First Lady Lisa Bullock (center) and Lt. Gov. Mike Cooney (second from right) stand with Shodair employees Alana Listoe, director of community relations (far left), CEO Craig Aasved (second from left), and Ellen Livers, director of government relations.

Senator Jon Tester also visited with a family from Grass Range in town the day of Tester’s visit for a genetics clinic at Shodair.

In 1930 the Helena Independent featured an architectural sketch of the first hospital in Montana to be devoted to serving children, but a few years later a devastating earthquake completely stopped the construction. Federal Emergency Relief Administration money became available to finish the children’s hospital, and a gift from Louis Shodair provided needed funding for additional construction. The hospital takes it’s name from him.

Shodair evolved to meet the needs of Montanans and over the years has served in various capacities. It was the first facility in the state to treat children with polio, the first facility with a department of medical genetics, and at one time housed the first chemical dependency unit dedicated to adolescents.

Today

The Helena Police Department is a great partner and officers, like these two, often provide presentations at Shodair on topics such as bullying, internet safety, and substance abuse.

Ms. Montana 2016 Lauren Scofield smiles for the camera while at a visit to the hospital.

Shodair provides psychiatric treatment for children and adolescents (ages 3-18) suffering from mental illness and other conditions that impact their health and well-being. Patients are admitted to the hospital with a referral from their healthcare providers. The hospital is the only facility in the state offering both acute and residential treatment in one location, giving patients and their families the treatment options they need in one place, close to home. The team of professionals include board certified psychiatrists, therapists, nurses, recreation therapists, a speech pathologist, special education accredited teachers, and a full complement of support staff, ensuring 3 young patients receive the help they need.

Continued on page 23...

Zest of Life Lives in Zeesy Girl Thrives Thanks to Genetic Testing and Love Rabbi Chaim Bruk and his wife Chavie adopted Zeesy through a private adoption as an infant. The couple never met her birth mother and had no medical information whatsoever so when she spent entire days crying, they weren’t sure where to start to identify a problem.

“We didn’t think anything of it in the beginning,” Chavie said.

“But things got very real for us when seizures immediately followed those spouts. She had her first Grand Mal seizure at the age of 1 and that’s when we decided we needed to seek help.”

The first stop was at a neurological and neurodevelopment facility for kids. “It’s an awesome center,” Chavie recalled.

“She had a couple EEG’s here that were really hard to read and she had an MRI that looked normal at that point.”

Further testing found that little Zeesy was sleep-deprived, totally fatigued, and she was diagnosed with epilepsy.

Doctors put her on an anti-seizure medicine. Medical professionals suggested getting some genetic testing done because finding the reason can help doctors treat it better.

The second level of genetic testing came back showing Zeesy had an abnormality in the GLUT1 transporter protein. A while later, a spinal tap confirmed a GLUT-1 Deficiency, a rare genetic disorder only detected in about 500 people worldwide.

“There’s definitely more people who have

it, I’m sure, because it’s so easy to misdiagnose because it could be mistaken as epilepsy,” Chavie said. “Epilepsy is a symptom of this, not a source.

Basically, Zeesy’s brain doesn’t process glucose, therefore depriving her of energy for the first five years of her life because she was eating a regular diet. Because her brain wasn’t processing the diet, her brain was starving.

The seizures were caused by the starvation of the brain, Chavie said. “It’s a movement disorder, a metabolic disorder, it’s a seizure disorder; it’s all these things in one because when your whole brain is being affected at once, it manifests in so many different ways,” she explained.

Zeesy’s young life was affected in other ways as well. She didn’t walk until she was 2. She wasn’t potty trained until she was 6. The reason why she cried so much was because her brain was always in a constant state of panic. One time, Chavie recalls, she cried for two weeks straight. There are also side effects like aggression and behavioral issues.

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OIL, GAS, GOLD, independence, you maySILVER. be one of those leading the way.METALS At OTHER PRECIOUS the same time, precious metals are increasing in demand and in price. If you own land or an interest in land with any of the following, we can help you avoid taxes.

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KEITH L. MEYER

Foundation Director 406-444-7560 | Fax: 406-444-1005 kmeyer@shodair.org shodairlegacy.org

Gift of All or a Portion of Your Land

Life Estate

When you give a charity a You can receive the most direct life estate in your land, you tax benefit by giving all or part of may continue using the lan your ownership interest in your for as long as you live. Even land to a qualified charity. With though the land will not pa the help of an appraiser who charity right away, you recei specializes in valuing this type of an immediate income tax donation, you receive an income deduction for the present va tax deduction for the value of the of the remainder interest. T portion youorgive.

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A common problem for oil and not be taxed on the income. By To maintain the most income mineral rights holders is income production will likely add m making a gift of your royalties, while also maximizing charitable that pushes them into the 5% to the trust annua you can achieve your charitable intent andthan charitable deductions, upper tax brackets with higher trust the potential t whiledeductions. lowering income andplace yourthe land intohas a charitable rates goals and fewer and pay more each saving taxes. remaindergrow unitrust.

You you receive Landowners can agree to give year. a lifetime an income tax After deduction and of paym a portion of their royalties to you,on thea percentage remainder goes paymentstobased a qualified charity for a term (such as 5%) the trust’s of years. The landowner will helpoffurther our mission. value each year. Because the not be taxed on the income. By production will likely add more making a gift of your royalties, than 5% to the trust annually, you can achieve your charitable the trust has the potential to goals while lowering income and grow and pay you more each saving taxes. year. After a lifetime of payments to you, the remainder goes to help further our mission.

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OIL AND GAS Phone 406-444-7560 PRODUCTION Fax 406-444-1005 IN THE UNITED kmeyer@shodair.org shodairlegacy.org STATES IS ON THE RISE.

Well-Known Educator Heads Up Foundation Learning Foundation Fundamentals

“Working on a farm gave me knowledge and appreciation for hard work and provided me the foundation to tackle any job assignment with grace and a smile on my face,” he said while reflecting.

When people hear that Keith Meyer accepted the position of Foundation Director for Shodair Children’s Hospital, they often say that he knows just about everyone.

“I enjoy the entire hospital from the administration, patients and staff, to the supporters and donors,” he said. “We all have a common mission to help Montana’s families and I couldn’t be prouder to be part of that.”

“It’s more than just knowing his name,” CEO Craig Aasved said.

“People from Baker to Libby know that he is a third-generation Montanan who is a dedicated Bobcat fan.

Meyer said he has been in education his entire career. Until now.

Meyer is kind, thoughtful, and caring. He is a father. He loves the outdoors. And, he is husband to his college sweetheart, Katie.

“He is a relationship-builder,” Aasved said. “That’s exactly what we needed at Shodair and he is hitting the mark.”

Meyer has settled in well since he started in his new role at the end of last year. Most days, he walks around grinning from ear to ear. Somedays he is dog tired because of the energy he puts into cultivating a culture of givers across the state, assisting with legislative and outreach events, meeting with donors, partners and businesses, and spreading the Shodair story.

One of his many proud moments since he started at Shodair six years ago as director of education is attending graduation ceremonies and celebrations held at the hospital for patients.

“Completing a chapter of our educational lifespan deserves recognition, and these young adults have done that despite their adversities,” Meyer said. “I’m so honored to witness an accomplishment not to be dismissed. We like to have a celebration within our Shodair community, because in some ways, we become part of their extended family for a while, and we are changing lives.”

During his free time, Meyer enjoys skiing, rafting, and relaxing out at the lake. He serves on numerous non-profit boards, likes to work out and go to football games. Keith is the father of two children – Marcus and Molly. He hopes someday to play poker in Cuba and buy a Ford Mustang convertible and drive to California with the top down and Katie by his side.

“We just carried her and we didn’t think anything of it,” Chavie said. “But really, the reason why she couldn’t walk was because her brain couldn’t process the movement. If you think about it, it’s a miracle that she walked at 2.”

There is no cure for GLUT-1, said Dr. Abe Elias, Shodair’s Director of Medical Genetics. The only treatment is the ketogenic diet, which is a fat-based diet. He explained that with this diet, Zeesy is able to use the ketones as energy instead of glucose.

Sounds simple, but it’s not.

Everything needs to be measured and weighed exactly and it has to be an exact ratio of Zeesy’s food. It takes her mother hours and hours every week because she can only eat very specific things because it has to work in her ratio. She eats five meals a day and measured out, packaged, and weighed perfectly. If she starts a meal she has to finish it.

“If she skips a meal or doesn’t finish it, her ratio will be totally off and her brain won’t get what it needs,” Chavie said. “It’s all pretty fascinating.”

Some days are harder than others for the Bruk family, which consists of four other adopted children. Zeesy is involved in a wide range of therapies and Chavie spends as much time as she possibly can researching the disorder.

Doctors say Zeesy’s GLUT-1 case is pretty severe, but her family says she has been an absolute trooper throughout all of this. She’s with doctors for months and months getting blood work and doesn’t complain.

“I’m not sure if she really understands the severity of her issue just yet,” Chavie said. “She knows she has a ‘magic diet’ and that it helps her brain. And she knows she’s always going to doctors but that’s kind of the extent of it.”

Chavie admits it’s challenging sometimes and that sometimes she is just plain exhausted.

“But that’s just what comes with the territory of being a mom, “she said. “It gets overwhelming at times, but my husband and I always have to remind ourselves to take everything one day at a time.”

Foundation Director Keith Meyer scoops ice cream with Ellen Livers, government relations director, for patients.

Keith Meyer, on right, stands with a group of employees from Blue Cross Blue Shield donating gifts for Shodair patients last Christmas.

To receive this publication, or any other of our materials electronically, email us at kmeyer@shodair.org

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What does CTRS Stand for?

A CTRS’ Reflection

By Lindsay Bedlion Recreational Therapist

The last couple weeks have been long and fairly rough. I even nicknamed last week as the week from hell. It was a week of children being defiant and rude, looking me straight in the eye and telling me “no” they would not follow my group expectations.

Yes there were small good moments here and there in the past few weeks: one child who doesn’t communicate with me often drew me pictures of animals for my office, and a child who is learning to swim was able to make it farther across the pool without my help. Despite the good moments, they were all outweighed by the bad. At the end of the week I left work questioning why I decided to become a CTRS and why I had searched so hard to find a job working with children. As I sat at home crying and worn out from the week, I realized even more how the new mission statement at Shodair reflects my goals of what I am trying to accomplish as a Recreational Therapist.

TO HEAL As a Recreational Therapist, I want to help my patients get better. I will be honest, some days I do not know how to help children heal. They won’t (or can’t) come to group with me that day for some reason, or some days they just won’t talk to me. With most of my children, their healing comes through individual and family therapy where they talk about what is going on more than they ever will in one of my groups. While my favorite way to see the healing my children are doing is to get a verbal thank you or a written note telling me how my groups have impacted them, that doesn’t happen very often. For me, I see the healing when I document the progress of my children in a treatment team update or a discharge summary. While I am typing up a report, I look back over the last thirty days or a child’s whole stay at Shodair and assess what changes I have seen from

the first day they were on my unit. Whenever a child attains the goal I set for them at the start of their stay I know I must be doing something right as a CTRS and I am thankful that I was able to impact a child’s life in some way. Being able to write that a child attained a goal is the best feeling in the world as a CTRS. TO HELP I have always been a caring person and have always wanted to help people any way I can. I love my children, despite all of the crap and rudeness they give me some days.

I hear about their past or their struggles and my heart breaks some days. I promise the children on my unit that I am there to help them and that they can count on me to do that. I want to help them in any way I can. Some days helping looks like sitting with a child and letting them talk. Some days it looks like doing a 1-1 session with a child and running with him/ her in the gym. Whether it’s helping someone learn a new leisure activity or helping children improve their leadership skills, I will always be there to help children no matter what.

TO INSPIRE HOPE I want to inspire hope. That is a goal I have had since I started working with clients in my recreational therapy program at college. I want to show children that I believe in them and encourage them to be the best that they can be. I want to light the sparks in childrens’ minds of what they could be in their future and the things they could accomplish and give them hope that those things are possible. In everything I do I want to inspire children, whether it be through the smile I give them, my actions, or sitting there and listening to them talk. I hope that through my groups and actions, I am able to inspire children to look at the bigger picture in life and see there is hope for their futures so that they can push themselves to be amazing.

That is why I am a Recreational Therapist. I didn’t join this field because of the paycheck or because I would get to put letters after my signature.

I joined it to help people. I joined it to help people heal from their past or injuries. I joined this field to encourage people in order to help spark hope into their lives. I may not always get recognized for what I am doing, I may not get thanked all the time, but the little moments where I see a child improve are what make this job the best job I could have ever wanted.

Continued from page 3...

Serving Montanans of all ages, Shodair’s medical genetics program is nationally renowned and provides genetic testing and counseling for patients throughout the state. It is the only provider in the state to offer comprehensive services that include both clinical and laboratory services in one facility. Patients benefit from the expertise of highly qualified genetic physicians, counselors, and laboratory personnel. Residents in rural areas can schedule an appointment at one of more than 100 clinics held at locations around the state. The department also provides telemedicine services.

The Board of Directors has a long-standing reputation of being committed to Montana’s children. That commitment lives on today as nearly 99 percent of patients are from Montana, many (about three-quarters) of whom come from economically-disadvantaged families and are dependent on charity to cover costs.

Future The administrative team, the board, and the staff at Shodair are extremely dedicated to continuing the legacy of caring for Montana families.

Collectively the goal is to move forward keeping primarily mindful of the commitment to serving Montana residents in the most needed and efficient ways. A plan is underway to gather information about what and where those needs are. One effort already identified is the state’s high rate of teen suicide. Shodair intends to be present in suicide prevention efforts.

The work is critical, necessary, and completely dependent on support from our corporate and business sponsors, donors, and partnerships with other organizations. It’s through this support that these efforts will continue for decades to come, and with careful stewardship, even centuries into the future.

PATIENTS 2016 Over 1,600 Patients Served

Eureka

Whitefish Columbia Falls

Troy Libby

Thompson Falls

Shelby Chester

Browning

Kalispell Big Fork

Choteau

Fairfield

Ronan

Plains Superior

Milltown

Lincoln

Missoula Avon Lolo Philipsburg Florence Deer Lodge Stevensville Anaconda Corvallis Hamilton

Helena

Butte Sula

Wisdom

Dillon

Wolf Point Culbertson Poplar Sidney

Circle Glendive

Winnett

Harlowton

Roundup

Fallon Miles City

Custer Worden

Baker

Billings Big Timber Park City

Livingston

Gardiner West Yellowstone

Wibaux

Lewistown

Montana

Harrison Manhattan

Sheridan

Glasgow

Geraldine

Townsend White Sulphur Clancy Springs Whitehall Belgrade Bozeman

Jefferson City

Malta

Hogeland

Great Falls Black Eagle Cascade Belt

Arlee St. Ignatius

Scobey

Harlem Havre

Galata

Heart Butte

Polson

Plentywood

Kevin

Cut Bank

Hardin

Ekalaka

Laurel

Columbus Fromberg Roberts Red Lodge

Lame Deer Busby Crow Agency Lodge Grass

Broadus

To heal, help and inspire hope

23

Eating Well, Living Well

Jordynn Hardman (2nd from left) smiles at the camera with a group of other champions at the annual CMN Celebration in Florida.

Tyler Setlock, RD, LN Dietitian at Shodair

Adventures of an Ambassador Montana’s 2015 Champion for Children’s Miracle Hospitals

By Jordynn Hardman Former Champion for Shodair Growing up, I never thought I would be an inspiration, nor would I believe it would be possible to have so many blessings I wouldn’t know how to count them all. But 2015 was the year that changed my life.

Not many people can say they’ve sat down and talked with a senator in his/her office in Washington D.C., or met 52 incredible children with tear-jerking stories. I am so unbelievably lucky because I can say those things. I got to go to Disney World for the annual celebration called “Momentum,” and I was so excited that my two little brothers were able to accompany me.

It was their first time in a plane, and I am so honored that I was able to be with them for such an amazing event.

While traveling to Washington D.C. and Orlando were extraordinary, I can honestly say that the real blessings were what came

with those trips. The opportunity to meet 52 other children with inspiring, heartbreaking stories was an experience I’m afraid I’ll never be able to compete with for the rest of my life… although there is a part of me that doesn’t want to. Those moments, talking with the families who’ve encountered adversity I could only imagine in my nightmares, were humanizing and surreal. I met forever friends and motivational children who never stop fighting and offer me the support so that I never want to stop fighting, either. I learned that every child is unique and beautiful, and that even I am those things, too.

It still leaves me reeling when I think about all the amazing things being Montana’s Champion Child did for me. I’m not exaggerating when I say that it changed everything about me. It opened up my world, it expanded my comfort zone, and it helped me become more comfortable in my skin. Nothing in my life has been the same since, and I am so grateful to everyone who had a hand in my success as an ambassador for Montana.

That’s the thing I don’t think a lot of people understand. I didn’t become an ambassador overnight. I wasn’t suddenly “good” at articulating my diagnosis or explaining my childhood to strangers. But with the help of my friends and family, and the wonderful team at Shodair Children’s Hospital, I learned the value I – and everyone I met – hold in the world. It took a lot of work and a

lot of beautiful speeches made by even more beautiful people for me to comprehend the inspiration I could offer people. Even if I can’t see it myself, it fills me with so much joy and appreciation to know there are people who look at me and see someone they can look up to.

Being Montana’s 2015 Children’s Miracle Network’s Champion Child has gifted me an endless supply of lessons, blessings, and opportunities, and I wish I could share them all in this article. The one thing I want everyone to know is this: I will never be able to explain in words – not with one thousand dictionaries, not with a bachelor’s degree in English Literature, and not even if I could comprehend the immense emotions I feel – the impact that CMN, my fellow Champions, or my newfound friends have had on me, and I don’t think I ever will.

The expression “just like riding a bike,” is a way to describe how something is natural or easy to learn. Many of us, along with our kids, will learn how to ride a bike at some point – it’s something that a lot of us enjoy doing. Oddly enough, though Shodair dietitian eating is something we all HAVE Tyler Setlock speaks recently about managing to do – not everybody learns metabolic and genetic how to eat with their health in disorders through diet. mind. Nutrition is a “bike”, so to speak, that we should all learn to ride effectively throughout our lives. Our nutritional health is more than just a fun hobby, however, it’s something that is fundamental to our total wellbeing. The nourishing foods that we consume contribute directly to a healthy body and mind.

For the lot of us, eating well is simply a joy of life and something to strive toward. But for a small handful of individuals, nutrition means much more than that and can be the primary therapy through which health is maintained.

At Shodair Children’s Hospital we treat a variety of genetic conditions, some called inborn errors of metabolism (IEMs), with nutrition therapy to help these individuals lead a healthful life. As the Registered Dietitian (RD), I help to educate and facilitate the proper diet for a variety of IEMs. It is a joy to be able to see our patients lead healthy lives as a result of nutrition, alongside other therapies.

To help explain what exactly nutrition therapy can look like and to give you a look into the fascinating world of IEMs, we’ll take a look at phenylketonuria (also known as PKU). PKU is one of the more common IEMs occurring at a rate of 1 in 15,000 and is diagnosed a short time following birth. It was only as early as 1963 that broad screening for PKU began and is one of many IEMs that are

screened for. The heel prick following birth is the way in which this screening is done! It is also one of the many IEMs that benefits directly from nutrition therapy. An individual with PKU lacks the ability to properly metabolize (or break-down) phenylalanine.

Phenylalanine is an amino acid (the building blocks of protein) found in all protein-containing foods including poultry, fish, eggs, nuts, breads, dairy, and so on. Because these individuals can’t properly metabolize phenylalanine, if ingested in excess it builds up in the body and causes harm to the young, developing brain.

The nutrition therapy for PKU – you guessed it – is a diet that excludes protein (and thus phenylalanine, too), allowing only a very small amount each day!

So imagine, if you will, a diet without those protein foods we know and love. Imagine a diet without poultry, fish, eggs, nuts, most breads, and most dairy. Not many of us actively think about how much protein we eat each day but most people eat between 50-60 grams each day, or more. For someone with PKU, the maximum amount of protein allowed might be as low as only 5 grams each day. It might sound bleak initially but the outcome for those with PKU is healthy development and many will continue to follow diet for life. You really would not be able to recognize someone with PKU walking down the street as the only difference is the diet that they follow. What a PKU-diet might commonly look like is something akin to a vegan or vegetarian diet with lots of fruits and vegetables. And because we all do need some sort of protein to be healthy, a special medical formula (much like a protein powder) is consumed to give the body a safe source of protein on a daily basis. Though the diet is a challenge to follow, all will agree that the positive outcomes far outweighs the effort put in. To avoid the deleterious brain impacts early in life or, for adults, the mental “fogginess” is the whole purpose of following this nutritional therapy.

Many of us have the luxury of being able to mostly eat whatever we want, whenever we want it. It is humbling to remember that for some, making the right food choices is something that requires much more thought. It is a reminder that the food we eat is more than just that but also is the fuel 7 that nourishes our bodies and grants us lasting health.

Meet Brittany ...

Daddy’s Little Girls Learns to Cope without Him

By Alana Listoe Director of Community Relations Brittany Sergent was an out-right daddy’s little girl. She is the only daughter of Rocky Sergent, a clean-cut, quiet and introspective man whose daughter put the sparkle in his eye. He taught her how to read, how to ride a bike, how to put a worm on a hook, and sometimes would help comb the knots out of her hair. Brittany is a beautiful, bright-eyed girl who was always eager to tag along with her dad. The duo went fishing together, listened to classic rock music like the Eagles, and watched Nascar races. You could say that Brittany’s “person” was her dad. While Rocky may not have been the most affectionate person, it was rare that a day when by without him saying, “I love you.”

“It was just me and him for the longest time, and we did ok,” Brittany said.

All that changed when Rocky was killed in a car crash.

Rocky had a drinking problem, Brittany says, and while he was fun to be around for his friends, she hated it. Even as a child Brittany knew, as most children do, how substance abuse can be damaging. He was killed during the end of her 7th grade year.

Her family wouldn’t allow her to read the autopsy report, but she was told that alcohol played a major role in the wreck.

Brittany and her dad were living with some friends at the time.

The morning after the wreck, her Godfather, Tory Robinson, showed up from Missoula to deliver the tragic news.

“He was supposed to just be running back to work and be right back,” Brittany recalls. “Instead he went to the bar.”

The death of her father sent Brittany on a downward spiral of self-destruction. Brittany didn’t have the coping skills to handle such a tragedy and she ultimately felt she had nothing to live for.

“Before that I was a really good kid, but after he died, I didn’t care about anything,” Brittany said. “I didn’t care about myself.

I didn’t care about people who cared about me. I just tossed my hands up in the air and gave up.”

Brittany’s biological mom had been completely out of the picture for much of her life, and others tried to step in to be a motherly influence. Brittany was resistant. She was angry. She was sad.

She felt alone and abandoned.

Her behavior started to reflect those feelings and she increasingly got into trouble. She was beginning to self-harm in an attempt to relocate the pain she was feeling on the inside to the outside.

Her pain over the loss of her daddy was more than she could bear. It’s the kind of pain that makes your ears buzz, your heart pound, and your gut wrench until it drops you to your knees.

After a couple years of dysfunctional, inappropriate behavior, Brittany was admitted to Shodair Children’s Hospital for care.

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“My life changed forever the day my dad died,” said Brittany, now a smart and shy 20-year-old. “Some things happen to you and it makes you feel so empty that you could almost float away when you don’t have any coping skills. That’s what Shodair helped me get.”

Brittany spent many months at Shodair and she says it was one of the darkest times in her life, but also the most empowering, nurturing, and safe environments she ever experienced.

Heather Zaluski is a psychiatrist at Shodair and said that children process death differently depending on their age.

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“Preschoolers and below really cannot comprehend that death is permanent,” Zaluski said. “Elementary school-aged children are just beginning to grasp this concept. Young children are also very much centered on themselves and their immediate needs.”

Teens are cognitively more able to process death and grief.

“However, in the teen years, this loss will take on special significance because of the developmental task of adolescence – separation, individuation, and identity formation,” Zaluski said.

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That’s the idea behind AmazonSmile. AmazonSmile is a simple and automatic way for online shoppers to support their favorite charitable organization every time they shop, at no cost to the customer. When you shop at smile.amazon.com, you’ll find the exact same prices, convenient shopping experience as Amazon.com, with the added bonus that Amazon will donate a portion of the purchase price to your favorite charitable organization. Shodair Children’s Hospital was recently added to the list of organizations customers can donate to, and we ask that you consider showing your support by asking Amazon to donate a portion of your total to Shodair Children’s Hospital.

TO DESIGNATE SHODAIR AS YOUR SUPPORTING CHARITY, GO TO SMILE.AMAZON.COM. AT THE TOP OF THE PAGE YOU WILL SEE SUPPORTING - CLICK ON AND TYPE IN SHODAIR CHILDREN’S HOSPITAL. TO MAKE FUTURE DONATIONS THROUGH AMAZON, JUST LOG ON TO SMILE.AMAZON.COM. THANK YOU FOR SUPPORTING SHODAIR! 21 NEED HELP SETTING IT UP? Call Becca at 406.444.7548

Continued from page 8...

“This is an inherently complicated task, and having a parent die during this phase will increase the difficulty and complexity of forming a healthy adult identity.”

Children between the ages of 3 and 18 seek care at Shodair at a time of an emotional and/or behavioral disturbance that requires removal from their home environments. It’s only once young people are admitted into treatment and stabilized the healing process can begin.

In every situation, it is most important to try to figure out where the child is at, and follow their lead, Zaluski said.

“Everyone (regardless of age) processes death and grief differently,” she said. “Adults should try to be supportive and non-judgmental. Don’t be surprised if you think you are having a very serious, sad talk with a child and then they suddenly ask you for a snack. That is just what they feel they need in the moment. It does not mean that they are being cold or don’t care that their parent died.”

Zaluski said it’s also important to note that sometimes children will act out their grief behaviorally because they don’t have the language skills to express their feelings in words.

“It is also common for children to regress after a major stressor like losing a parent,” she said. “For very young children this might mean they start having toileting accidents, or not sleeping through the night. Older children are likely to struggle more with their schoolwork, and have difficulty focusing.”

Brittany was a patient who first required a short stay on the facility’s acute (stabilizing) unit for being in danger of harming herself or others. Many children are then transferred to the residential unit for continued treatment and stay an average of 56 days.

Christine Schultz is a Registered Nurse at Shodair that is the manager for the high school unit. She described acute care as crisis stabilization, and residential as a longer term treatment that often includes trauma work and development of coping skills.

“Knowing when a patient is ready is individualized. However, most patients are transferred from acute to residential when the initial crisis that resulted in their admission to acute has passed,” Schultz said. “They may be in need of further treatment, but are no longer in immediate danger either to themselves or others.”

Brittany spent her 16th birthday at Shodair. She had a visit with her grandparents and a friend’s mom.

She received a couple gifts but nothing that she could keep due to safety rules at the hospital. She remembers one particular staff member brought her in her favorite candy, a Reeses Peanut Butter Cup. She said little things, like that special treat, often tightened connections with

19th Annual people at Shodair because they made her feel special and cared about. Yet it wasn’t the candy that contributed so profoundly to her successful treatment, but gaining the ability to cope. She said she knows that life will continue to toss her a curveball or two, and learning to deal with them as they come is part of living a healthy life.

Schultz says that every person copes in different ways, in different situations, based on previous experience. “Traumatic experiences sculpt brains that are wired for certain characteristics – like being edgy, hot-tempered, impulsive and hyper-vigilant, or being withdrawn, dissociated or numb,” Schultz said. “These children may have a very short fuse, be self-focused, and may have a difficult time shifting gears from emotion to problemsolving. Our experiences get hard-wired into our biology. Part of the treatment program at Shodair is to actively teach skills that society views are required to succeed – the ability to focus, be flexible, be relationship oriented, be patient, etc. Coping is relative. It’s also about helping kids learn how to communicate and ask for help (a skill that is sometimes hard for adults).”

Saturday, July 7 Kickoff for the Women’s game is 3 p.m.

Kickoff for the Men’s game is 5 p.m.

Within a couple years of her stay Shodair, Brittany was working a full-time job, attending school, and on the road to graduate from Paris Gibson Alternative School in Great Falls. It took support from her teachers, an extra push here and there from her close friends, and an enormous commitment to self-improvement to be able to walk across the stage with her high school diploma in hand.

Brittany looks back at life with content. She accepts what is, even though her life could have been different without the passing of her father, she said. Brittany is proud of where she is today, but says there is not a day that goes by that she doesn’t miss her father terribly. Yet today, she knows how to cope with those feelings and carries on.

Shodair Children’s Hospital brings 80 of Montana’s best men and women high school soccer players to Helena to play in the 18th Annual Shodair Soccer Classic. The games will be played at Carroll College - Nelson Stadium.

FREE KIDS’ SOCCER CLINIC - AGES 5-12 The Shodair Soccer Classic Kids’ Clinic is hosted by players in the Soccer Classic.

The clinic will be held on Friday, July 6th, from 9:00 - 11:00 am at Carroll College Nelson Stadium. The first 300 registrants will receive a t-shirt.

Snacks and refreshments will be provided.

Clinic managed by Helena Youth Soccer Association

100% of the proceeds from the Shodair Soccer Classic benefit the children and adolescents served at Shodair Children’s Hospital.

To learn more about the Shodair Kids’ Soccer Clinic and the Soccer Classic contact Keith Meyer at (406) 444-7560 or kmeyer@shodair.org

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Meet Rita Outgoing Board President Rita Gowen first began a lifelong relationship with Shodair Children’s Hospital more than 40 years ago when she accepted a position helping at the front desk. Today, Rita remains committed to the care of Montana’s families and has served on the board for nearly 25 years.

What makes you happiest: When all my family is together and our home is full of children.

Who are your heroes?

The staff at Shodair.

Personal philosophy: To live in peace and harmony and to respect people and their situations in life.

Pet Peeve: When people’s first response is negative.

Hobbies: Singer with the Sweet Adeline’s barbershop choruses.

What is your most treasured possession? My wedding ring.

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Community of Support Meet Lilian She is a 9-year-old lacrosse player, has a smile that can light up a room, and a third generation 4-H member. Lilian recently helped children at Shodair by making a donation from the money she earned selling a pig at the Fair.

CWG Architects Donates Duffel Bags for Patients The bags were filled with personal care items and staff at the architecture firm painted pictures on the bags to personalize them. Shodair patients often do not have a suitcase of any kind and therefore the hospital accepts gently used suitcases for patients as they discharge.

New Spiritual Care Provider on Staff Trish Dick recently joined the Shodair team overseeing spiritual care.

“Having Trish joining the Shodair family means we will have spiritual assistance during times of struggle for staff and patients,” said Chris Bates, Director of Clinical Services.

Trish lived in Iowa until she was 16 where she took up residency in Ellensburg, Wash for the next two decades. She is the fifth of nine children. She holds great admiration for her mother who at the age of 37 lost her husband and raised all nine children as an LPN nurse. Trish’s mother passed away last spring at the age of 86.

Trish has 20 years of pastoral experience in a Protestant Church as well as 15 years as a Catholic Benedictine religious sister. She went to summer camp at Flathead Lake and had dreamed of living in the Treasure State ever since.

Trish says she is looking forward to connecting with and becoming a part of the Shodair community. She said she is excited to be involved in the shaping of the future of Shodair and the mental health for Montana families and beyond.

She said she was intrigued and impressed with the implementation of the Sanctuary model at Shodair. She loves doing pioneer work and establishing new programs.

“Shodair was receptive to integrate my passion and work in ecopsychology and animal human connection with spirituality and mental health,” she said. I have worked with children and have a soft spot for the most vulnerable and those in need of healing.

It provides a scared opportunity to explore spirituality and hope with children who are suffering from mental illness and marginalized.”

In her free-time, Trish enjoys walking, hiking and gardening. She also says she loves being a homebody where she can 11 cook, read, and quilt.

Heads Up Camp Greater Sense of Self

By Alana Listoe Director of Community Relations Helena, Mont. –A group of upperclassmen from high schools around Montana arrived strangers earlier this week to the Heads Up camp – apprehensive yet curious and eager.

The diverse group included two students from Red Eagle in Polson, which the students’ describe as a Native alternative school; one from Helena; and the rest from small towns like Conrad, Shelby and Whitehall.

The camp is the first of its kind, focusing on mental health, suicide awareness and behavioral health career exploration. But organizers plan to bring it to communities across the state through students. Craig Aasved, chief executive officer of Shodair Children’s Hospital, which hosted the camp, said the interactions experienced by the students will stay with them forever.

“This is an excellent opportunity for agencies and officials to come together to address the community health problem of suicide,” Aasved said.

The program was created in response to Montana’s high suicide rate and the lack of access to mental health care. Yet the students also got a bird’s eye view of a comprehensive medical genetics laboratory and a plethora of job options to consider, which could lessen significant shortages in health care fields.

Additional partners at the Heads Up Camp include the South Central Area Health Education, Montana Hospital Association, and the Montana Office of Public Instruction. Many local delegates visited during the camp, and Intermountain played an important role in assisting to schedule the guest speakers.

It’s important that Shodair is at the table when it comes to suicide prevention, Aasved said. Montana’s youngest residents who are dealing with emotional or behavioral disturbances sometimes find themselves in Shodair’s care, and a large percentage have harmed themselves or others.

Rita Gowen is the board president at Shodair and was able to attend a luncheon with the young adults. “I’m so impressed with each of you,” she told them. “You are going back to your communities as wonderful ambassadors.”

Katelyn (Kit) Smith just completed high school a year early. She was home-schooled until tenth grade, when she enrolled in public school in Whitehall. When she was young, she was certain that becoming a veterinarian was her chosen career path – until she turned 6 years old and learned about euthanasia.

Today, she aspires to become a neuroscience cell biologist. She is attending Montana State University this fall, but dreams of attending graduate school at Yale. She said the experience at Heads Up gave her a closer look at a variety of career paths including psychiatry, psychology or even medical genetics. She spent time with professionals from these careers, asking dozens of questions, as they were on the job.

Moffie Funk (D-Helena) also attended the luncheon and urged the students not to feel discouraged if their efforts don’t take off immediately. Sometimes, great work takes time and patience.

Getting more information before college is a positive outcome of the camps, said Shani Rich, director of North Central Montana Area Health Education Center. One student decided through the camp that she isn’t well-suited for working in the mental health industry.

“Realize you do make a different and you are making a difference because of your openness, willingness, and ability to listen and care,” Funk said.

“She learned this wasn’t going to be the path she pursued and we really view that as success because it happened before the onset of student loan debt or a job she isn’t happy with,” Rich said.

“There is a place for us when it comes to suicide awareness and prevention, because we are on the receiving end when other interventions have not yet been successful,” Aasved said.

Campers were from all walks of life: One student’s forte is participating in drama, another is captain of her school’s varsity volleyball team, and one student does what she can to keep her grades good while caring for her siblings. Although their interests vary, their commitment to their peers in their home communities is identical.

“This camp was way different than I expected,” said Macy Waugh, a junior from Polson. “It was a small group so it was easy for us to connect and we were able to share our struggles.”

Harold Klinker Joyce Knodel Robert Knoepke Charyl Knote Jannet Knox John Knudson Robert Kobos David Koch Beverly Koch Roger Koch Christopher Kolstad Roy Konen Kootenai Logging, Inc Eugene Koppy Robert Korizek Donald Koteskey Jane Kountz Jane Kovich Ami Kraft Kraken Oil & Gas, LLC Edward Kramer R. Krattiger James Krause Kevin Krebsbach Eugene Kremer Valerie Kremer Kay Krezelok Deborah Krieger Michael Krivec Alphonse Kroll Bill Kropp Gordon Krumheuer Donald Kude Beverly Kuhr Warren Kukay Bonnie Kukes Urban Kultgen Judy Kuntz Shiela Kuper Martin Kux Jean Kvande Mary Kyler Kimberly Labreche Kumal LaCasse Grace Lacy Kelli Ladd Leonard Lahr Robert Lake Lamb and Carey Law Offices Jerry Lanchbury Kari Lane Rae Lane Lorna Lang Lee Langhus Nancy Lapeyre Gordon Laridon Sharon Larkin Gerda Larocque Arlon Larsen Bonnie Larsen Bettijane Larson George Larson Vicki Larson Gail Lattin Janet Lauf Laurel Ace Hardware Warren Lavinder Frankie Lawlor Sarah Lawlor Douglas Lawrence Margaret Lawyer Jim Lay Norma Layton Darrell Lazure Paul Lazzari Margo Leavitt Vicki Ledesma Vern Ledoux Irene Lee Margaret Lee Travis Lee Barbara Lee Thomas Lee Debbie Lee Bill Lee Lois Leeds Kyle Lees Lois Lefurgey Barbara Lehfeldt Rose Lehner Marilynn Leininger Mark Leipheimer David Leipheimer Nancy Lemke David Lemm Howard Lemm Gordon Lemmons Raymond Leone Fredric Leopold Leroy Strand Estate Barbara Lester Sandy Lett Alida Lewis Carolyn Lewis Melvin Lewis

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Important things to know about suicide*

• Montana has the HIGHEST suicide rate in the country.

• Missoula has twice the national average of suicides.

• Last year bewteen 33-36 suicides were completed in Missoula.

• The highest risk group is MEN ages 40-60.

One night, the group had dinner with Dr. Keith Foster, the medical director at Shodair and Chris Bates, director of clinical services. Smith asked how long patients usually stay in residential or acute care and how that is determined. Foster shared with the group the process, evaluations, and tests that are done when patients arrive to help the treatment team get a better understanding of what happened.

• Suicide is ofen an important act, the average time between deciding to commit suicide and attempting it is only TEN minutes.

“Our goal is to get them back into their communities, with their families and with the supports they need,” Foster said. “Being admitted here isn’t a sentence, and length of stay doesn’t mean the patient has done something wrong. But rather it’s about caring for them until they are ready to return to their homes.”

National Suicide Hotline* 800-273-TALK (8255)

Chris Bates said involving families is a critical component because everyone is affected.

She said sometimes what presents as being introverted, could really be depression.

“It’s our job to help patients learn how to cope,” she said. “We talk things through and figure out how to work with them and meet their needs without force.”

Jess Hegstrom, an AmeriCorps VISTA service member for East Helena Public Schools, attended several of the learning sessions the Heads Up camp provided. She accompanied the campers and visited the Memory Care neighborhood at Touchmark senior living facility for a game of Bingo.

Through the game, the students learned ways to communicate with someone dealing with Alzheimer’s or dementia.

“Their approach is believed to reduce depression among clients and fosters a safe and caring community within this neighborhood of the Touchmark facility,” Hegstrom said.

Hegstrom was impressed with the social worker on the panel of experts, who acknowledges that honors and recognitions in the field are rare.

“She said that there are precious, fleeting moments when they know they’ve made a difference in their clients’ lives,” Hegstrom said. “The importance of the work, paired with these flashes of success, keep them impassioned and enthusiastic about their work, which focuses on helping clients make healthy decisions.”

The students left armed with inspiration and motivation to make a difference. Brittany Brusven, from Shelby, said the sense of security allowed her incredible personal growth during the camp.

“I felt safe because I felt like my opinion mattered and no one was ever judging what I was saying,” she said. “I think our group got along very well. We were very open with each other and bonded a lot.”

Professionals told the students that the work can be difficult and burnout can be high without a healthy self-awareness.

“The experience also helped me identify and acknowledge what my self-help techniques are,” said Brusven. “I liked this camp so much because learned that I do want to go the nurse practitioner route and specialize in psychiatry.”

• Gunlocks make a huge difference.

Suicide Warning Signs*

These signs may mean someone is at risk for suicide. Risk is greater if a behavior is new or has recently increased in frequency or intensity, and if it seems related to painful event, loss, or change.

• Talking about wanting to die or kill oneself • Looking for ways to kill oneself, such as searching online or buying a gun • Talking about feeling hopeless or having no reason to live • Talking about being a burden to others • Increasing the use of alcohol or drugs • Acting anxious or agitated or behaving recklessly • Sleeping too little or too much • Withdrawing or feeling isolated • Showing rage or talking about seeking revenge • Displaying extreme mood swings If you notice any of these signs and would like to talk with an expert, please contact the National Suicide Prevention Lifeline at #1-800-273-TALK (8255) *Sidebar information from Western Montana Suicide Prevention Initiative wmspi.org

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Thank YOU! To All of Shodair’s Generous Donors We make every effort to ensure our donor listing contains accurate information. If you see an error or omission, please call the Foundation Office at (406) 444-7548. This listing includes donors who gave to Shodair.

1st Liberty Federal Credit Union 1st Main LLC 3 Mor Enterprises, Inc. 4H Teen Leaders Dolores Aadsen Craig Aasved Ace Hardware - Anaconda Ace Hardware - Big Sky Ace Hardware - Whitehall Ace Hardware Butte Ace Hardware Great Falls Ace Home & Ranch Center Dale Ackels Patricia Adam Clarice Adkins Denise Agee Mary Lou Aicher Paul Aicher Linda Albers Leah Albright ALCAL LLC Alex and Ani Monika Alexander Stephanie Alexander Leslie Alexander Catherine Alger All Terrain Trucking & Excavation, Inc. Allegiance Health Systems Alice Allen Amy Allen Barbara Allen Mary Allen Forrest Allen Tom Allen Vera Allen Myrna Alme James Almond Altana Federal Credit Union American Funds American Legion Aux Helena 8 & 40 American Legion Aux.of Montana American Legion Auxilary Post #137 American Legion Auxiliary American Legion of Chester Post 88 American Legion of Deer Lodge American Legion of Great Falls #3 American Legion Post #10 American Legion Post #5 - Custer America’s Best Value Inn Weldon Amundsen Jon Anders Nukhet Anders Rita Anderson Mary Anderson Violet Anderson Edith Anderson Ruth Anderson Susan Anderson Susan K. Anderson Natalie Anderson Nellie Anderson Shirley Anderson Lorraine Anderson Theodore Anderson Ted Anderson Edna Anderson Norma Anderson Wayne Andrews Craig Andrews Richard Andriolo Susan Angell Anonymous Mert Antonich Stanley Anttila Lorraine Archambeault Judith Archer Elva Archibald Julianna Arellano Leslie Arensmeyer Patricia Arms Eugene Ashby Bill Ashe Bart Aslin Elaine Atkins Zoann Attwood Charles Aumell Steve Austin Angela Austin Tamara Avasion Mary Ayres James Ayres

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Richard Dysart Dave Dziak Eagles Lodge #16 Betty Earll East Helena Valley Rodeo Association East Ohio Gas Cleveland Oper Emp Federal Valree Eastwood Samantha Eastwood Lindsey Eaton Reta Rae Eby Joyce Eck Linda Eckhoff Richard Ecklund Eddy Foundation Donna Edgerton Janice Edmister Avis Edmonds EDTECH Federal Credit Union Edward Jones Trust Company Trust Operation Carolyn Egan William Eiker Becky Eiker Lorraine Ekegren Jesse Ekness Abdallah Elias Gordon Eliason Mary Eliason Neil Eliason Karen Elliott Bruce Ellis Embark Credit Union Roberta Emett ENERGCOMM Credit Union Veronica Engelter Victoria Enger Duane Enger Keith Engle EOG Resources, Inc. Andy Erdahl George Erickson John Erickson Maxine Erickson Ray Erickson Orville Erlenbush John Esp Peggy Estabrook Esther Chapter NO.3 OES JoAnn Evans Thomas Evans Evan’s Ace Hardware Tim Evanson Lois Eveland Andrea Evje Express Employment Professionals Express Employment Professionals Butte Express Employment Professionals Kalispell Express Employment Professionals Missoula Shirley Eye F.O.E. Ladies Auxiliary NO. 166 David Fahrenbruck Ardell Fair Jim Falk Fallon County Federal Credit Union Family First Federal Credit Union Family Promise of Greater Helena Don Faris Robert Farkas Raeneda Faroni Zella Farrell Ron Faught Rae Marie Fauley Mary Ann Fee Veronica Feightner Fergus Federal Credit Union Maxine Ferguson Betty Ferguson Ferndale Sewing Circle Ralph Ferraro Brandi Ferriter Carol Ffisher Fidelity Investments Richard Field Ann Field Kathy Fields Mamie Fiers Michelle Figler Rhonda Fillinger Alfred Finch Murrill Finch Georgia Fine William Fine Dorothy Fink Zelda Fink Alma Fink Robert Finkbeiner Robert Finke Amanda Finneman Margaretha Firehammer

First Clearing, LLC First Interstate Bank First Interstate Bank Wealth Management John Fischer Calvin Fischer Allen Fischer Vern Fischer Jackie Fisher Edgar Fisher Sarah Fiske Lori Fitzgerald Scott Fitzpatrick Ben Fjare John Flansaas Rex Flansburg Flathead Timber Bruceen Fleenor Carol Fleharty John Flemming A. Flesch Waling Florence Ace Hardware William Flynn Cindy Focken FOE Ladies Auxiliary #326 Leanne Fontaine Debra Fontaine Jerry Ford Ford’s Department Store Ronald Foreman Dorothy Forsell Gordon Forster Mark Forsythe Fort Peck Community Federal Credit Union Ellen Fortenberry Jim Fortune William Fortune Keith Foster Cynthia Foster Foundation Energy Management, LLC Loran Foust Boyce Fowler Marlene Frank Helen Frank Cheryl Frank Richard Frankforter Pat Franks Richard Frasch Douglas Fraser J. Frazer Tina Freeman Charles Freeman Lane Freiboth Freres Foundation Sally Fried Roberta Fried Friendship Lodge No. 37 AF & AM Phillip Fries Bernard Friez Gary Frisch Froid Federal Credit Union Charlene Frojen Robert Fry Myron Frydenlund Neal Fugere Phyllis Fuhrman Dell Fuller Alan Fulton Helen Fultz Larry Funston Claudia Furois Janet Furrer Harold Gaarder Jane Gabanyicz Ella Gaffaney Yvonne Gagnon Betsy Galbraith Gary Gales Gary Gallaher Patrick Gallegos

Debra Gallegos Marie Gallinger Calvin Galloway David Galt Jim Gamble Kathryn Gannon Anne Garde Judy Gardner Donald Garness Edward Garnett Floydena Garrison Bill Garrison Dale Garrison Michael Garrity Dennie Gasser Kory Gassman Gates of the Mountains Chapter of Credit Unions Joan Gause Dorothy Gebhardt Dixie Gebhart Mike Geddes Darrel Gee L. Gee Herman Gee Sharon Gehringer Vance Gehringer Jan Geldrich Angela George Beverly (BJ) Gerhart Jeri Gerry GFPS Student Activity Dale Giacomino Giant Springs Chapter of Credit Unions Bruce Gibson Beverly Gibson Debbi Gibson Rusty Gibson Mary Louise Gies Karl Gies William Gilbert Amy Gilbert Dorothea Gilbert Donald Gilbertson Fritz Gillepsie Alan Gillies Kathi Gimmeson Gary Gingery Heidi Gingrich John Giop Girl Scout Troop #3205 Girl Scout Troop #3506 Scott A. Gittens Roger Giulio GiveGab RonaldGjestson Glacier Bancorp Inc Glacier Line Logging, Inc. Brian Gleason Glendive BN Federal Credit Union Bernice Gloschat Don Glynn Martin Glynn Eunice Goddard Duane Goicoechea Bart Goldbar Jeffry Goldes Leila Goldes Tom Golik Fawn Gongre Derek Gonzales Debra Goodheart Edna Goodman K. Goodridge Berniece Goodwin Richard Gordon Gore Hill Self Storage Gene Goulet Governor’s Office William Gowen

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