Missoula Health & Resouce Guide 2010 - 11 by Missoulian

2010-2011 Fourteenth Annual

Health m i s s o u l a

c o u n t y

Resource Guide

sponsored by

The Missoula Area Chamber of Commerce Health Committee

Physicians and Specialists Near You Patient Information/Operator 406-543-7271 Florence Family Practice � � � � � � � � � � � � � � � � � � � � � � � � � � 273-4923 Frenchtown Family Practice� � � � � � � � � � � � � � � � � � � � � � � � 626-5769 Grant Creek Family Practice � � � � � � � � � � � � � � � � � � � � � � � 327-1850 Infectious Disease � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 327-1732 Inpatient Rehab and Physical Medicine � � � � � � � � � � � � � � 327-3260 International Heart Institute of Montana � � � � � � � � � � � � � 329-5615 Lifespan Family Medicine Specialists � � � � � � � � � � � � � � � � 777-5522 Montana Internal Medicine� � � � � � � � � � � � � � � � � � � � � � � � 543-1197 Montana Spine and Pain Center � � � � � � � � � � � � � � � � � � � � 327-1670 Montana Spine and Pain Center Hamilton � � � � � � � � � � � � 363-4209 Occupational Health Services � � � � � � � � � � � � � � � � � � � � � � 329-5746 Providence Broadway Internal Medicine� � � � � � � � � � � � � � 327-1900 Providence Nephrology of Montana � � � � � � � � � � � � � � � � 327-1900 Providence Psychiatry and Neurosciences Center � � � � � � � 327-3362 Seeley Swan Medical Center � � � � � � � � � � � � � � � � � � � � � � � 677-2277 The Montana Center for the Treatment of Obesity � � � � � � 329-5866 Women’s Care Center � � � � � � � � � � � � � � � � � � � � � � � � � � � � 327-3057

World-class surgeons, the best technology, the highest-rated trauma center in the region and top-notch primary care for some of life’s most serious challenges…

All in one healthcare system.

www.saintpatrick.org • 500 W. Broadway, Missoula, MT 59802

Health Resource Guide 2010 -11 ~ 1

2 0 1 0 - 2 0 1 1 Fo u r t e e n t h A n n ual

elcome to Missoula County’s 2010-2011 Fourteenth Annual Health Resource Guide, brought to you by the Missoula Chamber of Commerce Health and Human Services Committee and the Missoulian. Our mission is “To increase public awareness by providing an opportunity for communication and education regarding issues such as health, safety and the environment among Missoula’s business community, medical community and the general public.” We created this publication in order to provide you with a readily available medical services guide for use in your home or office to assist family, friends, co-workers or neighbors. The table of contents and index can quickly direct you to your area of interest or concern. Feel free to copy pages as needed if you are helping others with information. We do not intend this guide to be an exhaustive list of all of the health care providers in the county, but we are hopeful that it will assist you in making wise and healthy

choices when it comes to caring for yourself and your loved ones. Please send your written comments, suggestions and additions to the Chamber of Commerce Health Care Committee, Missoula Chamber of Commerce, 825 E. Front St., Missoula, MT 59802. Finally, we encourage you to join the Chamber and become an involved member in our community business. Other Health and Human Services Committee programs include: Annual Health Resource Guide Annual Health Fair, January 8, 2011 at Southgate Mall Thank you, Health and Human Services Committee of the Chamber Carrie Schaff,

Chair for Health and Human Services Committee

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Table of Contents Common Medical Definitions. . . . . . . . . . . . . . . . . . . . . . . 4

Educational Resources . . . . . . . . . . . . . . . . . . . . . . . . . . 55

General Practice. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Seniors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

Alternative Medicine. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Disability Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70

Exercise and General Health. . . . . . . . . . . . . . . . . . . . . . 10

Disease Specific Resources. . . . . . . . . . . . . . . . . . . . . . . 76

Hospitals and Health Facilities. . . . . . . . . . . . . . . . . . . . . 13

Reconstructive & Cosmetic Surgery. . . . . . . . . . . . . . . . 87

Rehabilitation Services and Resources . . . . . . . . . . . . . . 20

Dermatology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87

Preventive Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

Dependency and Addictions . . . . . . . . . . . . . . . . . . . . . . 88

Dental Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Domestic Violence Resources. . . . . . . . . . . . . . . . . . . . . 89

Nutrition and Emergency Services. . . . . . . . . . . . . . . . . . 31

Mental Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

Native American Services . . . . . . . . . . . . . . . . . . . . . . . . 36

Health Insurance and Other Financial Options. . . . . . . . . 93

Environmental Safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

End of Life. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99

Veteran Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

Health and Wellness Directory. . . . . . . . . . . . . . . . . . . . 101

Pregnancy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104

Childrenâ&#x20AC;&#x2122;s Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

Health Resource Guide 2010 -11 ~ 3

Marcus Daly rehabilitation services

One-On-One

licensed therapy

We offer Speech, Occupational and Physical therapies and have team members certified in orthopedics, pediatrics, hand therapy, manual therapy and neurodevelopmental treatment. Come see us in our new Rehabilitation Center.

OccupatiOnal therapy

Pat Delaney, otr/l (not pictured) Jen Dunn, otr/l Bill Ownbey, otr/l, cht Holly Smith, otr/l physical therapy

Duain Abbott, pt, phd Pete Dunn, dpt, otr/l, hpcs Desiree Dutton, mpt Mike Hattlestad, ms, pt, ocs Holly Jarvis, pt, pcs, ndt Kathleen Kelly, dpt Jay Mitman, pt Tim Redfern, pt, mtc Scott Raveling, pt Jeff Simmerman, pt speech – language pathOlOgy

Jennifer Joyner, ms, ccc/slp Amy Yockey, ms, ccc/slp

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

REHABILITATION

S E RV I C E S

Quality Care Close to Home

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Common Medical Definitions

ometimes it seems as if medical professionals speak an entirely different language from the rest of us. Just like other professions, the medical field has a jargon all its own. The language can be intimidating, but never be afraid to ask questions if you don’t understand what your provider says. It is your right as a patient to be informed and take an active part in your care. A responsible provider will not be irritated by your questions and should answer them willingly. Here are a few definitions that you might find helpful. Consult a medical dictionary for a complete list of terms. Alternative Medicine or Complementary Care - an area of patient care that is not necessarily dependent on the traditional western medicine model. BMP - Basic Metabolic Panel CBC - Complete Blood Count CMP - Comprehensive Metabolic Panel with electrolytes, kidney function tests and liver function tests Colposcopy - exam of vaginal and cervical tissues by using an instrument with a magnifying lens - used in selecting sites of abnormal epithelium for biopsy in patients with abnormal Pap smears. CT Scan - Computerized Tomography; a non-invasive special radiological technique designed to show detailed images of internal structures of the body. Dermatologist - medical practitioner who specializes in diagnosis and treatment of diseases of the skin, hair and nails ECG or EKG - Electrocardiogram: a test that determines the electrical activity of the heart. EEG - Electroencephalogram: A test that determines the electrical activity of the brain. One test used in head injuries or seizure activity. Endoscopy - inspection of body organs or cavities by use of a tube like device with an optical system ENT - ear, nose and throat

Incontinence - the inability to control the function of one’s bladder or bowel. Internist - physician specializing in medical (non-surgical) care. Mammogram - a radiological exam of the breast. Recommended periodically (the frequency depends on your age and prior medical history) to detect breast cancer in its earliest stages. MRI - Magnetic Resonance Imaging: A radiological imaging technique especially helpful in viewing the soft tissues of the body such as the brain, the heart and the kidneys. Neurologist - specialist of the nervous system Obstetrician - a physician who treats women during pregnancy and delivers infants. Ophthalmologist - a physician who specializes in the treatment of eye disorders. Orthopedic Surgeon - specialist in performing surgical prevention and correction of musculoskeletal deformities. Pap Test/Smear - Papanicolaou test; A microscopic test of the cells from the cervix and the vagina in order to detect early any signs of cancer of the female organs. Pediatrician - a physician who specializes in the treatment of infants, children and teenagers Physical Therapist - an individual who is legally responsible for planning, conducting, and evaluating a physical therapy program referred by a physician. Physiatrist - health professional who specializes in physical medicine and rehabilitation. Podiatrist - health professional responsible for examination, diagnosis, prevention, treatment and care of conditions and functions of the human foot. Primary Care - health care that is provided by a family or general

practitioner

Family or General Practitioner - comprehensive medical practitioner with responsibility for health care that is not limited by patient’s age, sex, gender, particular organ, system or disease.

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

Gastroenterologist - medical practitioner who specializes in the treatment of stomach and intestinal diseases.

PSA - Prostate Specific Antigen; measures an inflammatory response in the prostate which is indicative of prostatic growths and cancers

Gynecologist - a physician who specializes in the diseases and routine physical care of women’s reproductive systems.

Ultrasound - a special non-invasive test that utilizes radio waves to determine the structures of various soft tissue organs, such as the heart, the kidneys, and the uterus.

Health Resource Guide 2010 -11 ~ 5

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General Practice PRIMARY CARE

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

NATUROPATHIC CARE

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

MAXIMIZING YOUR VISIT TO A HEALTH PROVIDER

An appointment with a health care provider is an exchange of money or insurance for information on how to take care of your health. This information may include instruction on how to take medications, what symptoms or signs to report, or a special diet to follow. Often there is a lot of information to take in, and keep in mind that you might not be in the best condition to remember everything that is said. Here are some helpful hints on how to maximize your visit: • Be prepared with information, questions and other observations. Write them down before you go so you don’t forget them, and take notes during the appointment. • Don’t be intimidated by your doctor. A good doctor is going to take the time to answer your questions. • Bring along an observer. Two heads are often better than one, especially if you are not feeling well. • Make sure that you are comfortable with, and understand, the provider’s advice. Good communication is an important part of quality health care. • If you have any doubts about the provider’s advice, don’t be afraid to ask for a second or even a third opinion. Either ask your provider for the name of a consult or confer with friends and family. A quality professional will welcome a colleague’s viewpoint and advice. • Ask for reading material or other patient education information Additional resources help to reinforce and supplement the notes you took during your appointment and might make you feel more confident taking care of yourself at home.

Health Resource Guide 2010 -11 ~ 7

Alternative Medicine ACUPUNCTURE

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

AYURVEDA

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

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

CLINICAL HYPNOTHERAPY

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

BIOACOUSTICS

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

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

Dizziness Numbness • Pain in legs & arms • •

“Good Health Naturally”

BIOFEEDBACK

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

CHIROPRACTIC MEDICINE

The philosophy behind chiropractic medicine is that the spine and associated structures are central to wellness.

Shawn M. Berard, D.C.

Shawn D. Wanderaas, D.C.

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

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nosis and taught self-hypnosis techniques that allow them to participate in creating relaxation and health.

COLON HYDROTHERAPY

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

CRANIOSACRAL THERAPY

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

ENERGY BALANCING

Energy Balancing is the science of stimulating and balancing the body’s life energy. For a person in a state of “dis-ease”, or imbalance, the flow of life energy has become obstructed.

Energy Balancing releases blocked energy so healing can occur. It combines bodywork with personal guidance and support in the areas of nutrition, exercise, relationships, communication, and development of a positive attitude.

FELDENKRAIS

Using Awareness Through Movement (ATM) and Functional Integration (FI), trained Feldenkrais practitioners guide students in non-invasive ways to improve posture and breathing; reduce stress, fatigue, pain and tension; and develop more efficient, flexible movement. In ATM, movement explorations are guided by verbal direction and can take place in a classroom with others, or at home by listening to CDs or reading books. In FI, attentive movement is initiated by the teacher, following cues from the student’s nervous system response and body language. Comfortable street clothes are worn and the practitioner’s quality of supportive touch provides a sense of safety and ease, allowing the student to focus on the internal learning process. The lessons are beneficial for people of any age, from the physically fit to those with movement troubles, and teach kinesthetic awareness and problem-solving skills through self-discovery. Physicist, judo master, and author Dr. Moshe Feldenkrais (1904-1984), who made breakthrough discoveries about the connection between movement and how we sense, think, learn and heal, said of humanity’s potential for change, “The only thing permanent about our behavior patterns is the belief that they are so.”

Specializing in Difficult C ases

acupuncture herbal medicine

M ontana A cupuncture A ssociates

Douglas K. Womack L.Ac. Diplomate Oriental Medicine • Nationally Certified Herbologist Master of Medical Qi Gong Training in China

901 S.W. Higgins, Suite 2 • www.montana-acupuncture.com • O:541-2399

Health Resource Guide 2010 -11 ~ 9

IRIDOLOGY

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

MASSAGE

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

MINDFULNESS MEDITATION

Mindfulness meditation grows out of spiritual traditions from several different religions. To practice mindfulness, you practice cultivating clear, moment-to-moment awareness. You

also focus on your “being” as opposed to your “doing” existence. Mindfulness becomes an internal resource which develops the skills to deal with challenging life experiences. The habits and thought processes you learn have been found to promote a deeper sense of being in charge of troubling experiences such as anxiety, chronic pain or illness, and the day-today stresses of life.

REIKI

Reiki is a gentle, noninvasive healing method based on the ancient practice of the laying on of hands. It’s a gentle, noninvasive touch either directly on your body or up to two inches above your body. Reiki aims to restore the unimpeded flow of energy in your body. By opening the body to its own healing energies, Reiki can ease acute pain, lower tension, and calm breathing. Western Montana Integrative Healthcare Alliance www.healthymontana.com Composed of a large group of healthcare providers committed to promoting an integrative approach to healthcare. The group meets once a month at St. Patrick Hospital and is open to healthcare professionals who share this vision. The group sponsors a large conference each February called Bridging the Gap. Information for patients is available on their website.

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Exercise & General Health

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

Access Fitness 1906 1/2 Brooks, Holiday Village, 728-5515

HEALTH CLUBS, PERSONAL TRAINERS & SERVICES

Curves for Women 2704 Brooks St., 543-9735 425 N. 5th St. W. #5, 721-8448

Many health clubs employ personal trainers who can help instruct you on exercise equipment, guide you on a personal fitness program, add variety to a stale routine, focus on training for a specific sport, and encourage you to reach your personal goals.

Baldwin Fitness Training 2825 Stockyard Rd, Unit F2, 721-8100 Bodies by Bender 113 W. Main St., 728-4395 Body Shop 1604 Kemp St., 728-1910 Bullet Gym 500 E. Spruce St., 543-7800

Goldâ&#x20AC;&#x2122;s Gym 2425 W Central Ave., 549-9181 The Gym II 3275 N. Reserve St., 541-3114

Health Resource Guide 2010 -11 ~ 11

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Healthy Inspirations 800 Kensington Ave., Ste. 107, 829-8746 JB’s Fitness & Pilates Studio 900 Council Way, 721-8882 Peak Health & Wellness Center 5000 Blue Mountain Rd., 251-3344 PhyZique Fitness Studios 2615 Connery Way, 541-3481 Stafford Fitness 218 E. Front St., 549-2832 Wallwork’s Gym Studio 11 Hammond Arcade 101 S. Higgins Ave., 327-9989 The Women’s Club 2105 Bow St., 728-4410 YMCA 3000 S. Russell St., 721-9622

Fitness First , 721-1090 Offers various classes on step, strength, circuit and yoga. As part of the YWCA Breast Cancer Wellness Program, cancer survivors may participate in any of the Fitness First classes free of charge. Health Promotion: Active Living Project, 258-3889 Encouraging all ages to spend less time in front of screens and more time exploring the outdoors. Mall Walkers Southgate Mall, Community Room, 721-5140 Hours: Mon, Wed, Fri, 9:00 a.m. - 10:00 a.m. Meeting includes health and fitness discussion group, warm up, 30 minute walk and cool down. Sponsored by Southgate Mall, St. Patrick Hospital and Western Montana Clinic. Masters Swimming, YMCA, 721-9622 Hours: Adult, coached swims: Mon & Wed 6:30 p.m. - 7:30 p.m., Fri 6:00 p.m. - 7:30 p.m Designed for fitness swimmers, triathletes and competitive swimmers, the sessions are open to ages 19 and older, members or nonmembers. Register at the front desk. Partnership Health Center 323 W. Alder St., 258-4789 Provides affordable access to therapy services through a network of 50 local therapists. Targets people with limited income and/or no health insurance in Missoula County. Fees are slide-based on ability to pay. Run Wild Missoula PO Box 1573, Missoula, 59806, (406)626-4055 www.runwildmissoula.org Run Wild Missoula is the running club for the Missoula Valley, extending into the surrounding areas. Formerly known as Missoula Road & Track Club, it has been in existense for over 30 years. Run Wild Missoula promotes walking and running in conjunction with an active, outdoor, healthy lifestyle for people of all ages. Run Wild Missoula puts on races including the Missoula Marathon, Missoula Half Marathon and the Missoula Kids Marathon; group runs; publishes a monthly newsletter; has an active website; puts on trainings and workshops; track workouts; cross country workouts; and generally provides members with incentives, encouragement and camaraderie to include running as a routine part of living well. Yoga Program St. Patrick Hospital and Health Sciences Center 500 W. Broadway, 329-5895 Yoga is the union of body, mind, and spirit, and will help you deal with physical and emotional stress. Classes consist of Yoga postures, breath awareness and relaxation techniques. Yoga classes are taught by Jennifer Brooke, a nationally-registered yoga teacher/therapist and a physical therapist at St. Pat’s. Call for times and schedule.

Health Resource Guide 2010 -11 ~ 13

Hospitals & Health Facilities HOSPITALS Community Medical Center 2827 Fort Missoula Rd., 728-4100 Community Medical Center is a 151-bed facility with more than 300 physicians on its medical staff. It includes an acute medical surgical floor, pediatric and adult intensive care, surgical services, newborn services, an Level III Neonatal Intensive Care Unit, pediatrics, women’t services, Rehabilitation Institute of Montana, orthopedics, physical therapy, speech/ language pathology, cardiology, CareFlight - air transport, Level III trauma center, diabetes and nutrition programs, pediatrics and adult hospitalist programs, diagnostic imaging, laboratory services, sleep medicine, respitory services, Montan Breast Health Center, Montana Cancer Specialists at Community Medical Center, transport referral center and Community Physician Group, which employes more than 45 physicians with a variety of specialties. Visit www.communitymed.org for more information. Marcus Daly Memorial Hospital 1200 Westwood Drive, Hamilton, MT, 406-363-2211 Marcus Daly Memorial Hospital (MDMH) is a not-forprofit, critical access medical facility. MDMH is committed to quality, accessible, personalized healthcare and makes patients’ satisfaction their highest priority. The hospital’s ongoing commitment to the delivery of quality care has resulted in national, regional and statewide recognition. Marcus Daly Home Health Service has received two national level awards; Marcus Daly Home Health Service ranks #1 for the state of Montana by the National Ranking for Home Health Agencies

and was included in the HomeCare Elite group. Marcus Daly Memorial Hospital was also recently awarded the MountainPacific Quality Health’s Quality Achievement Award. Marcus Daly Memorial Hospital offers many general services and specializes in the specialties that are available. The inpatient & outpatient Surgery Center offers general, cosmetic, podiatry, obstetrics, ophthalmology, orthopedic, and urology surgeries, as well as other minimally invasive procedures. Radiology Services are state-of-the-art and include a 64-slice CT scan, high resolution MRI, digital mammography, ultrasound, bone densitometry, fluoroscopy and the PACS system. A comprehensive multi-disciplinary team of 17 certified therapists staff the new Rehabilitation Center that opened in 2009 with evidence-based rehabilitation equipment, aquatic therapy, featuring the only Hydroworx 2000 Therapy Pool in the state and the only pediatric rehabilitation program in western Montana. The Emergency Department is a expansive 20,000 sq ft. state-of-the-art facility designed with the patient in-mind, it is staffed by a Emergency Physicians and RNs, 24 hours a day. Other services include: cardiology/cardiac rehab services, dietitian services, a Hospice Center providing a beautiful residential setting for those needing end of life care, home care services, on-site laboratory and pharmacy, lactation services, medical social services, same day services, sleep services and observation services, as well as multiple medical clinics, including Convenient Care an urgent care clinic. MDMH is committed to the health and well being of the community. Recently the hospital expended the medical staff with three new physicians and became a 100% tobacco free/ smoke free campus. Other wellness initiatives include an annual free cholesterol screening, health education classes throughout the year and online health information.

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St. Patrick Hospital and Health Sciences Center 500 West Broadway, 543-7271 St. Pat’s is a 237- bed hospital that includes general surgery, cardiology, cardiac surgery, neurosurgery, women’s care, bariatric (weight loss) surgery, cancer radiation and chemotherapy. St. Patrick Hospital was the first facility in Montana to have a da Vinci robot, for surgeries with significantly less pain, blood loss and scaring and a much faster recovery time than with traditional surgical methods. The da Vinci is used for minimally invasive urological, gynecological and cardiac surgeries. Our imaging services include PET, CAT and MRI. St. Pat’s is affiliated with The University of Montana cancer, heart disease and neuroscience research projects. Our Life Flight program is the only accredited nationally certified air ambulance service in the region and offers rotor wing, fixed wing and ground transport for adult and pediatric medical and trauma patients, as well as assisting in search and rescue efforts for the county and state. St. Pat’s is the only Level II Trauma hospital in the region, complemented by a newly redesigned Emergency Department. The hospital’s Inpatient Rehabilitation Program is accredited by the Commission on Accreditation of Rehabilitation Facilities. We provide mental health treatment for adults, geriatrics and adolescents. We are western Montana’s only accredited Chest Pain Center, St. Pat’s also has the distinction of being the longest certified Advanced Primary Stroke Center in western Montana. The hospital also has a Nationally Accredited Sleep Center.

St. Joseph Medical Center in Polson is an affiliate to St. Pat’s.Services at St. Joe’s include surgery, radiology, obstetrics, laboratory, physical therapy and visiting specialists. They also have an orthopedic clinic and two associated medical clinics: the Western Montana Medical Clinic in both Polson and Ronan. St. Patrick Hospital and St. Joseph Medical Center are part of Providence Health & Services, a not-for-profit health system committed to providing a comprehensive array of services to meet the needs of communities across five states, including Alaska, Washington, Montana, Oregon and California. Providence continues the legacy of the Sisters of Providence in the West, spanning more than 150 years. Providence Health & Services includes 26 hospitals, more than 35 non-acute facilities, physician clinics, a health plan, a liberal arts university, a high school, approximately 45,000 employees and numerous other health, housing and educational services. St. Patrick Hospital is associated with the following clinics inMissoula: Grant Creek Family Practice, Montana Internal Medicine, Providence Broadway Internal Medicine, Montana Spine and Pain Center, Providence Nephrology of Montana, Women’s Care Center and Providence Psychiatry.

Health Resource Guide 2010 -11 ~ 15

HEALTH CLINICS AND SERVICES Big Sky Surgical Center 2833 Fort Missoula Rd., 542-6559 or 1-888-311-9163 Specializing in outpatient same-day surgery. Ear/nose & throat - Orthopedic - General Surgery- Plastic reconstruction - Neurosurgery - Gynecological- Urology - Other surgical specialties - Pain management- Podiatry - State licensed and Medicare certified. Blue Mountain Clinic 610 N. California St., 721-1646 Family practice clinic, providing a traditional & complimentary care approach with emphasis on preventative care for the entire family. Diagnosis and treatment of illness and injury, health education and mental health counseling services, acupuncture, and Chinese herbology. Physical exams, adult & geriatric care, well women exams, well child care, vasectomy, prenatal care, menopause care, and breast & cervical screening education. All family planning services available. Same day appointments for acute illness and injury. Blue Mountain Clinic is a BC/BS preferred provider, primary care provider for New West Health, preferred provider for First Choice Network and accepts Medicaid and Medicare, Visa, Mastercard and Discover. Center for Health Information (Medical Library) St. Patrick Hospital and Health Sciences Center 500 West Broadway, 329-5710 chi.saintpatrick.org; library@saintpatrick.org Hours: Mon - Fri 8 a.m. - 4:30 p.m. Please call or check our website for extended evening hours. The Center for Health Information is a full-service medical library. We are open to the public and staff is available to help you with your search. The library has both consumer health and professional level medical resources and unique special collections on death and grieving and humanities in medicine as well as links to quality-filtered on-line health resources. Computer workstations, comfortable seating areas and study tables are available for your use. The Archives provides access to the history of the Sisters of Providence and St. Patrick Hospital, founded in 1843. Schools of Nursing and Radiology class photos, a historical timeline, and building photographs are available for viewing on-line. Archive holdings also include historical documents, artifacts, photographs, and medical instruments. Go to ?Our Heritage? from our website or call to make an appointment. In addition, the library staff will assist you in completing, witnessing or notarizing your advance directive and will forward it to the End-of-Life Registry in Helena. Community Medical Center 2827 Fort Missoula Rd, 327-4170 Community Physician Group (CPG).is a dedicated group of well-trained, Board certified, health professionals who together

provide comprehensive primary and specialty care for you and your family. Our 14 locations in and around Missoula provide 24/7 coverage to promote your health and resolve health problems when they arise. We are part of Community Medical Center (CMC) and are therefore well-connected to hospital services as well as to other health professionals in the area. We urge you to choose our providers and clinics for your ongoing medical needs. In addition to being excellent professionals, we think you will find our people to be engaging and interesting community members in their own right. Welcome to our group! Community Physician Group - North Reserve 2230 N. Reserve St. Suite #402, 721-0533 Walk-in clinic. No appointment necessary. Extended hours, please call for hours, open six days a week. Physical Therapy available on location. CPR 329-5613 www.montanacpr.org St. Patrick Hospital, in collaboration with The International Heart Institute of Montana Foundation, offers American Heart Association certified CPR programs to the community.

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Florence Family Practice 5549 Old Highway 93, 273-4923 Hours: Mon - Fri 8 a.m. - 5:30 p.m. Walk-ins can come in Mon - Fri 3:30 - 5:30 p.m. Services include family health care, psychology, laboratory and x-ray. Frenchtown Family Practice 16862 Beckwith St., 626-5769 Hours: Mon - Thurs, 8:30 a.m. - 5 p.m.; Fri 10 a.m. - 5 p.m. Services include family health care, including lab services. Same day appointments available. Garden City Primary Care 631 W. Alder St., 728-7388 Hours: Mon - Fri 8:00 a.m. - 5:00 p.m. Affiliated with St. Patrick Hospital and Health Sciences Center. Family healthcare with an emphasis on geriatric care provided by David Gorman, MD; Brandon Cycholl, MD; Kelli Gibbs, PA; and Mary Weber NP. Grant Creek Family Practice 3075 N. Reserve St. Ste. QU, 327-1850 Providers: Jeffery Lindley, MD; Carla Davis, MD; Jamie Granger, FNP; and Roger Castillo, PA-C. Family healthcare providers see patients from the age of birth to 100 years of age. Medicare, New West, Blue Cross, Health Infonet and Interwest accepted. The practice is affiliated with St. Patrick Hospital and Health Sciences Center. Lolo Family Practice 11350 US Hwy 93 S., 273-0045 Hours: Mon - Fri, 8:00 a.m. - 5:00 p.m. Walk-ins available Mon - Fri, 8:00 a.m. - 9:00 a.m. Services include family health care, including lab. Same day appointments available. This is a Western Montana Clinic facility. Heartsaver First Aid with CPR and AED Marcus Daly Memorial Hospital 1200 Westwood Dr., Hamilton, 406-375-4654 The 2009/10 Heartsaver First Aid and CPR class provides the general principles of first aid, medical emergencies and injury emergencies. This class also includes adult, child and infant CPR and AED skills information. Learn critical lifesaving information you can use for a victim of an illness or injury until EMS arrives. (American Heart Association Card, Valid for 2 years) $32.00. Course is Missoula Bone & Joint 2360 Mullan Rd., 721-4436 Hours: Mon-Thurs 8:30 a.m.-5:30 p.m., Fri 8:30 am-5:00 pm. New! The Orthopedic Urgent Care Clinic open Mon-Fri 8:30 a.m.-5:00 p.m. for walk-in appointments. An on-call physician is always available after hours for emergencies. Missoula Bone & Joint has been serving Western Montana

for over 50 years with comprehensive orthopedic care. Our board certified orthopedic surgeons offer specialized care in many areas including sports medicine, joint replacements, arthroscopies, hand, spine, foot & ankle, and general orthopedics. We provide a complete, convenient, and comfortable setting for our patients and offer on-site digital x-ray imaging, an open extremity MRI, and an outpatient surgery center. Hand and physical therapy are also conveniently located next door. Missoula Bone & Joint Surgery Center is located directly next to our physician offices and specialize in orthopedic and plastic surgery. Referrals and new patients welcome Missoula Indian Center Fort Missoula Bldg. 33, 829-9515 Offers comprehensive health and chemical dependency services for Native Americans. The Montana Breast and Cervical Health Program Partnership Health Center, 323 W. Alder St., 258-4167 www.phc.missoula.mt.us/phc/phcweb/page11 FREE breast and cervical health screening for women ages 30-64 who either have no health insurance or whose health insurance will not pay for these exams. Must meet income guidelines. Call to see if you qualify. Montana Breast Health Community Medical Center 2827 Fort Missoula Rd., 327-3941 Diagnostic Mammography is offered by Community Medical Center in our newly designed Montana Breast Health Center located off of the South Avenue entrance next to the CMC Emergency Department. Montana Breast Health was designed to porvide total breast care services for our patients. Breast services include state -of-art Digital Mammography, Breast Ultrasound, Unltrasound Breast Biopsy and Stereotactic Breast Biopsy equipment, all in a calming and exclusive breast care environment. Call for more information today. Montana Internal Medicine 2819 Great Northern Loop, Ste. 200, 543-1197 Providers: Chet Wright, MD, and Michael Hutchins, MD. Internal Medicine physicians see patients from 18 years and older. Self Pay, Medicare, New West, BCBS, as well as many other insurances are accepted. The practice is affiliated with St. Patrick Hospital and Health Sciences Center. Montana Veterans Home PO Box 250, Columbia Falls, MT 59912 (406) 892-3256, fax: (406) 892-0256 www.dphhs.mt.gov/sltc/services/vethome/MVHHP.shtml junderdahl@mt.gov The Montana Veterans Home is a part of the State of Montanaâ&#x20AC;&#x2122;s Department of Public Health and Human Services. A 105-bed skilled nursing facility, with a 15-bed dementia special care unit and a 12-bed self-care residential living unit. Physical, occupational & speach therapy services. Medical

Health Resource Guide 2010 -11 ~ 17

appointment scheduling and transport. Resident choice meal plan offering 5 meal times per day to chose from. Medicare/ Medicaid accepted. Admission eligibility includes honorably discharged veterans and their spouses. Call for further information or to be mailed an admission application. Northern Rockies Orthopaedics 2831 Fort Missoula Rd., Physician Center #2, Suite 232 (406) 728-6101 (800) 823-2663 www.montanaortho.com You deserve the best in orthopaedic healthcare. That’s why Northern Rockies Orthopaedics is qualified to serve you and your family. Our physicians are leading experts in their specialties and our technology is state-of-the-art, but most importantly, we are committed to provide the best care for our patients. Now Care Downtown, Broadway Building 500 W. Broadway, 6th floor, 329-7500 Hours: Mon-Fri 8:30 a.m. - 7 p.m., Closed Sat. & Sun. Patients are taken until 30 minutes before closing. Physician staffed. This is a Western Montana Clinic facility. Now Care Southgate Mall, 721-0918 Hours: Mon-Fri 9 a.m. - 9 p.m., Sat 9 a.m. - 7 p.m., Sun 11 a.m. - 6 p.m. Patients accepted until one hour before closing. Physician staffed. This is a Western Montana Clinic facility. Parish Nurse and Health Ministries, 728-3845 Parish Nurses are Registered Nurses working within faith communities to promote health and support people spiritually. Parish Nurses participate in specialized education, and believe the healing ministry of churches is an important aspect of health. We provide a link between churches and the health care system. Parish Nursing and Lay Health Ministry is ecumenical and available at many faith communities in Missoula.

patients without any form of health insurance. Services are offered on a sliding fee scale. Call for an appointment. Planned Parenthood of Montana 219 E. Main St., 728-5490 For 80 years, Planned Parenthood has been a trusted name in reproductive health care. Planned Parenthood of Missoula?s (PPM) mission is to provide reproductive and sexual health care, education and advocacy for the people of Western Montana to help them improve the quality of their lives. Because PPM offers high-quality health care, it is a great choice for people of all backgrounds and incomes. Sliding Fee Scale, accepts Medicaid, private insurance, IHS (Indian Health). Providence Psychiatry 900 North Orange St., Ste., 206-327-3362 Providence Psychiatry, affiliated with St. Patrick Hospital and Health Sciences Center, offers premier outpatient psychiatric services to the Missoula area. We?re a team of five highly qualified psychiatrists, each bringing a unique skill to the group. We proudly work with a variety of concerns including anxiety, bipolar disorder, depression, eating disorders, panic attacks and many other psychiatric issues. We see patients of all ages in our outpatient practice. SHD msln h dir 10 10

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A history of caring. Commitment to the future. • Residential and acute psychiatric care for children

Partners Solutions St. Patrick Hospital and Health Sciences Center 2687 Palmer St, Ste B., 728-8848 A local pharmacy that provides a broad range of infusion services to persons in our infusion suite or in the comforts of their home. Licensed to provide services throughout Montana and Idaho. Partnership Health Center 323 W. Alder St., 258-4789 Hours: Mon-Fri. 8 am to 6:30 pm Partnership Health Center?s mission is to provide high quality, affordable health care to the medically underserved residents of Missoula and surrounding rural areas through a partnership of community resources. We fulfill our mision by providing comprehensive medical care, dental care, pharmacy services, and a host of other special programs to everyone. We accept Medicaid, Medicare, SCHIP, private insurance, and

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• Clinical and laboratory medical genetic services for people of all ages. Outreach clinics available locally each month. Caring for Montanans since 1896

www.shodair.org

(406) 444-7500 1-800-447-6614 2755 Colonial Drive Helena, MT 59601

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Providence Surgical Center 902 N. Orange St., 327-3300 Missoula?s first multi-specialty same-day surgery center specializing in pain management and orthopedic, podiatric, cosmetic, reconstructive ear/nose & throat, dental, gynecological, urological and general surgeries. State licensed and Medicare/ Medicaid approved. Rocky Mountain Ear, Nose & Throat Center, P.C. 700 W Kent Ave., 541-EARS (3277) www.rockymountainentcenter.com Our doctors specialize in head & neck surgery, otology, pediatric otolaryngology, microvascular reconstructive surgery, skull base surgery, and treatment and surgery of ear disease. We also provide allergy and hearing evaluations. We have an on-site allergy department for allergy testing and desensitization therapy and an on-site allergy department with certified audiologist for all your hearing needs. Rocky Mountain Eye Center, P.C. 700 W Kent Ave., 541-EYES (3937) www.rockymountaineye.com Rocky Mountain Eye Center provides western Montana with an experienced staff of eye care specialists and has been providing the highest quality eye care for over 70 years. Our doctors specialize in ophthalmology, examination, treatment & surgery of the eye, cataract & intraocular lens surgery, refractive surgery, retinal & vitreous diseases and surgery, corneal & external diseases & glaucoma, pediatric ophthalmology. As local members of the community, our entire staff is committed to making each patientâ&#x20AC;&#x2122;s visit a positive experience with complete family eye care. Rocky Mountain Eye Surgery Center, Inc. 700 W Kent Ave., 541-3883 Specializing in same day outpatient eye surgery for cataracts, oculoplastics, retinal, glaucoma, corneal and refractive surgery. Comfortable, convenient and cost effective. Rocky Mountain Lasik 700 West Kent Avenue 541-3937 Fax 406-541-3810 8am - 4pm www.rockymountaineye.com jkeating@rmeec.com Offering the best refractive surgery has to offer since 1996. Dr. Nedrud has advanced cornea training and specializes in All-Laser Custom Lasik, Advanced Surface Ablation, and various Refractive Implant Lens surgeries at Rocky Mountain Eye Center. No need to travel far we are right here in Missoula! Call our coordinator for a free, no obligation screening appointment to see if refractive surgery is for you.

Seeley-Swan Medical Center 3050 Hwy 83 North, Seeley Lake, 677-2277 Hours: Mon - Fri, 8:30 a.m. - 5:30 p.m. Services include family health care, including lab and x-ray. Shodair Childrenâ&#x20AC;&#x2122;s Hospital Genetics Outreach Clinics 2755 Colonial Drive, Helena (406) 444-7500 or 1-800-447-6614 www.shodair.org Shodair is a non-profit specialty hospital serving children and families throughout Montana. Each month, members of its Genetics Department visit Missoula to conduct outreach clinics. Call for an appointment if you have a concern about a genetic condition in your family. Cancer risk assessments are also available. The Learning Center (Medical Library) St. Patrick Hospital & Health Sciences Center 500 W Broadway, 329-5711, fax: 329-5688 www.chi.saintpatrick.org library@saintpatrick.org M-F 8:00 - 4:30 pm. Please call or check our website for extended evening hours. The Learning Center houses a full-service medical library. We are open to the public and staff is available to help you with your search. The library has both consumer health and professional level medical resources and unique special collections on death, dying and grieving as well as ethics and humanities in medicine. Computer workstations provide links to quality-filtered on-line health resources and comfortable seating areas and study tables are available for your use. The hospital Archives and Our Heritage website provides access to the history and timelines of the Sisters of Providence, St. Patrick Hospital, and the Schools of Nursing and Radiology class photos. In addition, the library staff will assist you in completing, witnessing or notarizing your advance directive and will forward it to the End-of-Life Registry in Helena. University of Montana Curry Health Center 634 Eddy Ave., 243-2122 Services are available only to U of M students. Open 24 hours a day during autumn and spring semesters. Limited Summer and Winter session hours. No clinical services when school is not in session. Comprehensive primary health care specializing in college student health needs. Highly qualified health care providers including physicians, dentists, psychologists & other professionals. Medical, dental, counseling and psychological services, wellness, student assault resource center, substance abuse prevention, birth control, HIV testing, sports medicine. Fully equipped and certified lab, x-ray, pharmacy and inpatient/overnight care.

Health Resource Guide 2010 -11 ~ 19

Well Child Clinic with Partnership Health Center 323 W. Alder St., 258-4789 Available for kids ages 0-5 years at Partnership Health Center every 1st Tuesday morning. Helps evaluate a child?s physical and developmental progress. Western Montana Clinic 500 W. Broadway, 721-5600 or 1-800-525-5688 Offers a full range of expert medical services provided by over 55 physicians and providers practicing in 18– different medical specialties. Our fully equipped, certified laboratory is available for diagnostic tests. Western Montana Clinic?s highly trained, friendly staff and physicians are readily accessible to provide quality care for its patients. Western Montana Medical Clinic - Polson 6 13th Ave E., Polson, (406) 883-5680 Hours: Mon-Fri 8:00 a.m. - 5:00 p.m., Sat 8:30 a.m. - 11:30 a.m. Family health care, including ob/gyn and pediatric services. Western Montana Medical Clinic - Ronan 311 Hwy 93 S., Ronan, (406) 676-5680 Hours: Mon-Fri 8:00 a.m. - 5:00 p.m. Family health care, including family medicine, ob/gyn, and pediatrics. Women’s Care Center St. Patrick Hospital and Health Sciences Center 500 West Broadway, 327-3057 Women’s Care Center is a unique clinic serving women of all ages. With a goal of holistic health, the clinicians and staff provide thorough, compassionate care in a comfortable and soothing atmosphere. Providers are Dr. Georgia Milan, executive director, and Advanced Practice Registered Nurses Marcia Hanks, WHNP, Mary Huddle, CNM, and Vicki Thuesen, FNP. They each see women in the various phases and transitions of their lives, helping them to maximize their own health and wellness. Integrative approaches are offered, as well as allopathic approaches, as the clinic offers complementary care to women of all ages. Women’s Care Center also offers several innovative programs for bone health, bladder health, and breast health. Our breast health program is the only accredited program in Western Montana, and is staffed by Char Houska, Breast Care Coordinator. Our Celebrating Women events share inspiration and education to women and men in our community. Wound Care Center Community Medical Center 2827 Fort Missoula Rd., 327-4409 The staff of Wound Care Services at Community Medical Center are qualified to assist patients by providing state-ofthe-art, high-quality, cost-effective care in respect to acute and chronic would management. Our staff includes wound trained

physical therapists and a Wound Ostomy and Continence Nurse (WOCN) for treatment of both inpatients and outpatients. We also offer referrals to several different areas including Nutrition, Nursing, Occupational Therapy and more. Our expert clinicians can improve the outcome of wound care by applying research-based algorithms and protocols to identify and correct impediments to healing. Please call today for more information and to make an appointment. Wound Care Center St. Patrick Hospital and Health Sciences Center 500 West Broadway, 329-5736 or 1-866-629-5736 The Wound Care Center is a physician-staffed outpatient clinic for the treatment of difficult-to -heal wounds. These wounds often don’t heal because of underlying conditions, such as diabetes, circulatory diseases including varicose veins or nerve injuries with sensory loss. The Center also treats foot wounds,pressure ulcers and burns. If an open skin area has not improved in four weeks or healed in eight weeks, a team approach such as ours is recommended. Referral by physician or self-referral. Convenient Care 1200 Westwood Drive, Suite H, Hamilton 363-0597 Hours: Mon- Fri 11am-6pm Sat. 10am-3pm Convenient Care provides accessible, high-quality and professional walk-in care to diagnose and treat minor illnesses and non-emergencies. V.I.P. Transportation, Inc. 830-3396 Fax: 830-3397 viptransmt@yahoo.com M-F 7:00 a.m. to 6:00 p.m. Weekends by appointment V.I.P. Transportation, Inc., is a non-emergent medical transportation non-profit company that serves Missoula and Western Montana. We have a wheelchair accessible vehicle with automatic door and ramp. We serve those needing a ride home from the hospital, or rides to medical and other appointments.

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Rehabilitation Services & Resources

ehabilitation health services include a wide range of health care professionals who assist in the restoration of an individualâ&#x20AC;&#x2122;s physical and mental abilities to normal or near normal status after a disabling disease or injury, recovery from an addiction or illness or cardiac insult. Many facilities and agencies in Missoula offer services to meet your rehabilitation needs. These services may include, but are not limited to physical therapy, speech therapy, occupational therapy, cardiac rehabilitation and prosthetic and orthotic resources.

brain injury, spinal cord injury, arthritis, major multiple trauma, and other disabling conditions.

Community Bridges Program 2685 Palmer St., Ste. D, 327-4592 Post-acute, outpatient therapy, comprehensive evaluations, day treatment and residential transitional living program for adults with brain injury. Services include physical, occupational and speech therapy, behavior therapy, psychological services and counseling, life-skills training, therapeutic recreation services, and vocational readiness training.

Marcus Daly Rehabilitation Center and Services 1200 Westwood Drive, Hamilton, 375-4570 Comprehensive Rehabilitation Services offering inpatient and outpatient treatment for adult and pediatric patients. Each patient works one-on-one with an experienced, licensed therapist utilizing evidence-based treatment techniques for optimal outcomes. The team includes occupational, physical and speech therapists certified in orthopedics, pediatrics, neurodevelopmental treatment, hand and manual therapies. The new state-of-the-art facility offers the only HydroworxÂŽ therapy pool of its kind in the state and is specifically designed to meet the adult and pediatric patient needs. Call for more information.

Community Medical Center Rehabilitation Institute of Montana 2827 Fort Missoula Rd., 728-4100 Rehabilitation physicians and 140 therapists, nurses, and other patient care staff provide a full range of medical rehabilitation services on an inpatient, outpatient, day treatment, or clinic basis for children and adults. Services include physical and occupational therapy, speech-language pathology, pool therapy, audiology, psychological services, nursing, recreation therapy, case management for the physically disabled, and vocational services. Special programs help persons with stroke,

Community WORCcenter 2685 Palmer St., Ste. D., 327-4345 The WORCcenter is dedicated to helping individuals with injuries or disabilities get back to work. Primary services are vocational evaluation, employment services including placement, supported employment and extended employment, and community supports.

MonTECH, University of Montana 700 SW Higgins Avenue, Suite 250 243-5751 fax: 243-4730 montech@ruralinstitute.umt.edu MonTECH, Montanaâ&#x20AC;&#x2122;s comprehensive Assistive Technology (AT) resource center offers Montanans statewide a full array of

Health Resource Guide 2010 -11 ~ 21

AT support. As a program of the UM Rural Institute: Center for Excellence in Disability Education, Research and Service, MonTECH provides an equipment demonstration center, equipment loans, financial loans, training, evaluations, tours and in-services to all Montanans in need of AT as well as professionals serving them. MonTECH provides free, confidential information about AT devices & services. Our qualified staff will offer customers current accurate information regarding AT-related issues by accessing AT resources, manufacturers & service providers. Rehabilitation Institute of MT 2827 Fort Missoula Rd. 327-4634 (inpatient) or 327-4050 (outpatient) Full range of medical rehabilitation services on an inpatient, outpatient, day treatment or clinic basis for adults and children. Services include physical and occupational therapy, speech-language pathology, pool therapy, nursing, recreation therapy, cardiac & pulmonary rehabilitation, case management for the physically disabled, and vocational services. Special programs help persons with stroke, brain injury, spinal cord injury, arthritis, major multiple trauma, and other disabling conditions. Rehabilitation Services St. Patrick Hospital and Health Sciences Center 500 W. Broadway, 329-5895 Provides cardiac rehab, occupational therapy, physical therapy and speech therapy. Offers a comprehensive approach to treatment. We strive to promote client independence and responsibility in their rehabilitation process. We place a strong emphasis on functional rehabilitation, functional outcomes, and home program development. We have recently added two new programs: Back Care Boot Camp - a comprehensive treatment plan for your spinal patients; and Pelvic Solutions - for all pelvic floor dysfunction, including incontinence or pelvic pain. St. Patrick Hospital Rehabilitation Center, Providence Center 902 N. Orange St, 4th Floor, 327-3260 St. Patrick Rehabilitation Center is an acute inpatient rehabilitation facility credentialed by CARF (Commission on Accreditation of Rehabilitation Facilities). It combines clinical expertise of physical, speech, occupational therapies along with social services and 34 hour nursing aimed at helping patients recover from physical and mental changes to return to their home and families at their highest functional ability. St. Patrick Rehabilitation Center offers therapies using Bionessďż˝ products. Based on functional electrical stimulation (FES), these products have been clinically demonstrated to minimize the impact of foot drop in some patients, and to proved both functional and therapeutic benefit for some individuals with neurological disorders affecting the function of arm and hand. These products use electrical stimulation to help people regain mobility an independence to improve quality of life and productivity.

CARDIAC REHABILITATION

For those recovering from various forms of heart disease, cardiac rehabilitation offers medical evaluation, supervised exercise, lifestyle education, and psychological support. Cardiac Rehabilitation Program St. Patrick Hospital and Health Sciences Center 500 West Broadway, 329-5824 The Cardiac Rehabilitation Program at St. Pat?s offers monitored exercise, dietary education, stress reduction programs and information about heart disease. This is primarily for people who have had a heart attack, open heart surgery or other heart problems. We also offer the Adult Lifestyle Management Program through Cardiac Rehab. This program is designed for individuals who require supervised exercise with trained professionals for the reduction of modifiable risk factors. Medical clearance is required. The Montana Heart Center at Community Medical Center 2827 Fort Missoula Rd., 327-4646 or 1-866-327-4646 Cardiac Rehabilitation at Community Medical Center offers exposure to working with cardiologists, nurses, dietitians, and pharmacists. Cardiac rehabilitation services are available. Please call today for more information.

OCCUPATIONAL THERAPY

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

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Community Medical Center Occupational Therapy 2827 Fort Missoula Rd., 327-4050 We offer a variety of treatment options for Occupational Therapy. Please call today to schedule an appointment or get more informaiton.

PHYSICAL THERAPY

Whether your chronic pain is a result of an injury, illness or undetermined cause, there are ways to manage your condition.

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

Advanced Pain Centers of Montana 2835 Fort Missoula Rd., Ste. 102 Building 3, 541-PAIN Advanced Pain Centers is a comprehensive multidisciplinary pain management clinic dedicated to providing the most effective and comprehensive pain management in Western Montana. We have the only fellowship-trained pain management specialists in the Missoula Valley. Our goal is to improve your quality of life and overall activity level. We control your pain so it doesn?t control you.

Community Medical Center Physical Therapy - Outpatient 2827 Fort Missoula Rd., 327-4050 3000 S. Russell in the YMCA., 721-YMCA(9622) 2230 N. Reserve, 327-3831 Community Medical Center offers Outpatient Therapies in three convenient locations in Missoula. Please call us today for your therapy needs and weâ&#x20AC;&#x2122;d be happy to schedule your appointment.

The Montana Spine and Pain Center St Patrick Hospital and Health Sciences Center 500 West Broadway, Missoula, 327-1670 Hamilton, 363-4209 The Montana Spine and Pain Center specializes in the evaluation and treatment of both acute and chronic pain. The team of specialists who work with our patients include both fellowship-trained and board-certified pain management specialists, psychologists, psychiatrists, physical therapists, pharmacists and others. Our team prides themselves on using a holistic approach to your care. We are committed to working closely with both you and your health care provider to develop a plan of care that focuses on improving your functionality and enhancing your quality of life. For your convenience we have locations in both Missoula and Hamilton.

Big Sky Physical Therapy 316 W Spruce 541-9500 fax: 541-9501 Comprehensive, individualized rehabilitation services for recreational and orthopedic injuries. Specializing in treatment of shoulder, elbow, wrist, and hand injuries. Also, offering comprehensive care following breast cancer surgery and/or treatment.

New Directions Skaggs Bldg., Rm 135, UM, 243-6120 A University of Montana program that offers wellness and fitness programs for persons with physical limitations and disabilities. Holds workshops on wellness, pain management, nutrition and therapeutic exercise. New Directions staff includes a physical therapist, occupational therapist, clinical psychologists and a registered dietitian. Many of the services are reimbursable through Medicare, Medicaid or private insurance, with monthly gym fees based on a sliding fee scale.

PAIN MANAGEMENT

The Pain Program, St. Patrick Hospital and Health Sciences Center, 329-5843 St Pat?s Pain Program specializes in the evaluation and treatment of all chronic pain conditions. Our pain team includes physicians, psychologists, physical therapists, occupational therapists and others. We take a holistic approach to your ongoing pain problem that has not responded to traditional methods.

PROSTHETICS AND ORTHOTICS RESOURCES:

Prosthetics is custom designing, fabricating, and fitting patients with artificial limbs (prosthesis). Prosthetics begins in the postoperative stage and continues through to the fitting of a permanent prosthesis. Orthotics is custom designing, fabricating and fitting patients with braces to either straighten or maintain alignment in all aspects of upper and lower extremities and spinal management. These bracing systems are called orthosis, and are used both long and short term. Certification is only awarded to orthotic and prosthetic practitioners who have successfully demonstrated their capa-

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bilities by passing three independent examinations, which are designed to evaluate overall knowledge and clinical competencies. A certified practitioner should provide patients with the highest quality of orthotic and prosthetic service. Hanger Prosthetics and Orthotics 1505 S. Russell St., 721-9244 or 1-800-477-9074 A certified supplier that makes orthotics and prosthetics. Has Pediatric Specialists on staff. Accepts Medicare and Medicaid. Missoula Orthotics and Prosthetics Lab, Inc. 120 South Ave. W, 1-800-255-2334 or 549-0921 A certified medical equipment supplier that makes orthotics and prosthetics. Bills insurance and accepts assignment from Medicare, Medicaid, and private party insurers. Western Montana Orthotics & Prosthetics, PC 1300 S. Reserve St., Ste. G, 549-9667; Fax 721-9667 www.WMOandP.com Missoula?s only university & residency trained clinical specialists. We provide design, fabrication, and fitting of all Prosthetic & Orthotic devices. Medicare, Medicaid, VA & private insurance accepted.

ter balance and coordination. Without conscious effort, riders are treated to a proven therapy that is both fun and rewarding while gaining confidence and setting new goals. Bitterroot Therapeutic Riding, 599 Popham Lane, Corvallis, 880-2877 or Program Director Linda Olson, 961-2999 Under the guidance of North American Riding for the Handicapped, Bitterroot Therapeutic Riding has, for four years, been providing therapeutic riding, and during the summer months, hippotherapy for our community. Youth-at-risk, the elderly, those with behavioral disorders, learning disabilities and cognitive delays benefit from equine therapy. It has been shown to address the challenges of multiple sclerosis, cerebral palsy, spina bifida, and autism to name a few. Without conscious effort, riders are treated to this proven form of therapy that is both fun and rewarding. Certified instructors focus on rider-specific goals and promoting social skills. Year-round instruction is offered in a safe environment with the help of caring volunteers and gentle horses. Scholarships available.

SPEECH THERAPY

Speech-language pathologists are professionals concerned with the evaluation, treatment, prevention and research in human communication and its disorders. They treat speech and language disorders and work with individuals of all ages. They diagnose and evaluate speech problems, such as fluency (e.g., stuttering), articulation, voice disorders, or language problems, such as dysphasia (e.g., swallowing difficulties). They design and carry out comprehensive treatment plans. Although speech and language professionals work closely with teachers, physicians, psychologists, social workers and rehabilitation counselors, and other members of an interdisciplinary team, they are autonomous and do not work under direct medical supervision.

Rehabilitation of repetitive use, orthopedic & recreational injuries.

Community Medical Center Speech Therapy 2827 Fort Missoula Rd., 327-4050 Community Medical Center offers Outpatient therapy to patients of all ages. Please call today for information on scheduling an evaluation and appointment.

Specializing in Treatment of Shoulder, Elbow, Wrist & Hand Injuries

THERAPEUTIC RIDING

Therapeutic riding has been used to improve the lives of people with disabilities since the early 1950s. Individuals suffering from almost any cognitive, physical or emotional disability can benefit from therapeutic riding, driving, vaulting, competition or other purposeful, safe and supervised interaction with horses. The horse facilitates the motion of the human stride, giving students improved joint mobility, bet-

Dawn Christian, P.T.

All insurance & Medicare accepted.

316 W. Spruce Missoula, MT 59802

Phone: 406.541.9500 Fax: 406.541.9501

dawn@bigskypt.com

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Preventive Care

taying healthy involves more than going to the doctor when you are sick. Many health problems can be prevented. This section contains ideas for maintaining good health and for finding problems before they become serious. We suggest that you use this information to guide you in talking to your health care provider. • Weight: If you eat more calories than you burn, the extra calories are stored as fat. Too much stored fat results in being overweight. By eating a responsible diet and exercising regularly, try to stay close to your ideal body weight. • Diet: The American Heart Association encourages most Americans to decrease their intake of foods high in cholesterol and fat and to increase consumption of whole grains, fruits and vegetables. Positive changes in your diet may help to decrease heart disease and some types of cancer. • Smoking: Don’t start smoking, or consider stopping if you do. Smoking causes many types of cancer, heart disease, emphysema, and chronic bronchitis. • Alcohol: Alcohol acts as a depressant, which can impair thinking and normal body responses. Alcohol-related liver disease, heart disease, cancer and pancreatitis are commonly associated with alcohol use. Seek help if your alcohol use is a concern to you, your family, or your friends. • Exercise: Regular aerobic exercise (walking, running, biking, swimming, etc.) can help prevent heart disease, lower blood pressure and cholesterol, and decrease stress. Exercising 30-60 minutes three to five times every week is recommended. Consult your doctor before beginning an exercise program if you are over 40 or have cardiac, respiratory or orthopedic disease.

Getting immunized is a lifelong, life-protecting job. Don’t leave your healthcare provider’s offec without making sure you’ve had all the vaccinations you need. Health Promotion, Missoula City/County Health Dept Varied community programs to support healthy lifestyle choices, including vehicle occupant protection (258-3880), child safety seat inspection clinics (258-3880), tobacco use prevention (258-3685), increasing physical activity (258-3889) and suicide prevention (258-3881).

The 2010-2011 Flu Season

In the United States, the flu season is usually from fall through early spring. The peak of flu season has occurred anywhere from late November through March. The overall health impact (e.g., infections, hospitalizations, and deaths) of a flu season varies from year to year. On average, each year in the United States: • 5 to 20 percent of the population get the flu • More than 200,000 people are hospitalized from flu-related complications • Deaths from flu-related causes range from 3,300 to 48,600 (average 23,600) Although the World Health Organization (WHO) declared an end to the 2009 H1N1 flu pandemic, the H1N1 flu virus is expected to circulate again this flu season, along with other seasonal flu viruses. The Facts about Vaccination For the 2010-2011 flu season, the flu vaccine includes protection against the 2009 H1N1 pandemic virus and 2 other flu viruses. • Everyone 6 months of age and older should get vaccinated against the flu as soon as the vaccine is available. • People at high risk of serious flu complications include young children, pregnant women, people with chronic health conditions like asthma, diabetes or heart and lung disease and people 65 years and older. For more information visit www.cdc.gov/h1n1flu or www.flu.gov or call 800-CDC-INFO IMMUNIZATIONS CDC Hotline, 1-800-232-2522 #2 For information on immunization, HIV, STDs, health outbreaks and autism.

Health Resource Guide 2010 -11 ~ 25

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Missoula City/County Health Department Immunization Clinic 301 W. Alder St., 258-4745 Hours: Mon, Tues, Thurs, Fri 9:00 a.m. - 11:30 a.m. & 1:00 p.m. - 4:30 p.m.; Wed 10 a.m.-11:30 a.m. & 1:00 p.m. - 4:30 p.m Provides childhood immunizations. The minimal administration fee is charged on an income-based sliding scale and can be waived if payment is a concern. Partnership Health Center 323 W. Alder St., 258-4789 Immunizations are offered Mon-Fri 8:30 a.m.-6:30 p.m. Partnership Health Center offers immunizations for school children and adults, as well as seasonal flu shots. Call to make an appointment. Cost may be discounted based on family size and income.

EYECARE

Any change in vision or in the eye?s physical appearance can indicate potential eye problems. Prevent Blindness America suggests seeing an eye doctor for a complete eye exam if you experience difficulty focusing, trouble adjusting to different amounts of light, change in the color of the iris, recurrent pain in or around the eyes, double vision, irritated eyelids, dark spot at the center of your vision, distorted or wavy lines and edges, excessive tearing, itching or burning dry eyes, or seeing spots. Even if you don?t have any symptoms, regular eye exams are recommended. Rocky Mountain Optical & Contact Lens Center 700 W. Kent 541-3918 www.rockymountaineye.com Our A.B.O. certified opticians and contact lens specialists provide the highest quality service for all your eyewear needs. We provide prescription sunglasses, sport glasses, repairs, a large inventory of lenses and solutions, accessories, and specialty lenses. We provide an on-site finishing lab and over 900

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frames on display. We will replace any broken frame part or broken lens at no charge to you within one year of original purchase. Montana EyeCare 726 Kensington Ave. 549-9413 After Hour/Emergency Number: 406-239-9413 Fax: 406-543-4410 www.mymontanaeyecare.com Dr. Michael Simons and the staff at Montana Eyecare provide the finest quality eyecare and eyewear, and make purchases affordable for everyone. Eye and health insurances accepted. Two year warranty on eyeglasses. Value priced eyewear. Financing with a “Budgetplan”. Designer frames. Repairs. Credit cards accepted. Sandy Sheppard, OD 700 South Ave. W. 549-4851 Fax: 406-549-8486 www.sandysheppard.com Monday-Friday 8:30 - 12:30 and 1:30-5:30 Optometrist providing comprehensive eye exams for children and adults. Complete vision services including glasses, contacts, pre and post care for Lasik or cataract surgery, as well as state-of-art glaucoma detection.

HEARING LOSS

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

EARLY DETECTION FOR CANCER COLORECTAL CANCER SCREENING Missoula City-County Health Department, 258-3684 HPV (HUMAN PAPILLOMAVIRUS) VACCINE Genital human papillomavirus is the most common sexually transmitted virus in the United States. There are approximately 40 types of HPV. Most HPV infections don?t cause any symptoms, and go away on their own. But HPV can cause cervical cancer in women, genital warts, and warts in the upper respiratory tract. HPV vaccine is an inactivated (not live) vaccine which protects against four major types of HPV, including two types that cause about 70% of cervical cancer and two types that cause about 90% of genital warts.

HPV is routinely recommended for girls 11-12 years of age. It is important for girls to to get vaccinated before their first sexual contact. For these girls, the vaccine can prevent almost 100% of disease caused by the four types of HPV targeted by the vaccine. The vaccine is also recommended for girls and women 13-26 years of age who did not receive it when they were younger. The vaccine is given as a 3-dose series: •1st Dose: Now •2nd Dose: 2 months after Dose 1 •3rd Dose: 6 months after Dose 1 Anyone who has ever had a life-threatening allergic reaction to yeast, to any other component of HPV vaccine or to a previous dose of HPV vaccine should not get the vaccine. Tell your doctor if the person getting the vaccine has any severe allergies. Pregnant women should not get the vaccine. The vaccine appears to be safe for both the mother and unborn baby, but it is still being studied. Any woman who learns that she was pregnant when she got the HPV vaccine is encouraged to call the HPV vaccine in pregnancy registry at 800-986-8999. HPV vaccine does not appear to cause any serious side effects.

MAMMOGRAMS & BREAST EXAMINATIONS

A National Cancer Institute report estimates that approximately 1 in 8 women will develop breast cancer over their lifetime. Women have the best chance of recovery if their breast cancer is found in its earliest stages. 90% of all breast cancer can be detected early using the triad of breast health: The keys to early detection are breast selfexamination (BSE), an annual breast examination by a health care provider, and mammography.

One of the most important health habits you can begin and follow throughout your life is monthly breast self-examination (BSE). Since most women discover their own breast lumps, self-examination is considered the first line of defense against breast cancer. As a woman you hold the key to early detection with personal and professional breast examinations. A breast selfexamination is a simple process that will take only a few minutes each month. A good place to examine your breasts is in the shower or bath or when lying on a firm mattress. The best time to do the exam is 7-10 days after the start of the menstrual cycle. Women who are no longer menstruating should choose a day that has significance. For example, if your birthday or anniversary were June 2, you would do your breast exam the 2nd day of each month. When doing a self-exam you should look for: • Nipple discharge • Appearance of a single, firm breast lump • Any dimpling, skin changes and or thickening of an area of the breast • Pain in the breast or armpit

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• Nipple changes - either inward or opposite direction when it was previously normal A mammogram is a low dose x-ray of the breast. A typical mammogram consists of two or more views of each breast, which are taken to determine the possibility of irregularities within the breast. They can reveal areas too small or too deep to feel which may or may not require further investigation. Each breast is compressed between two plates in order to get the best detail and image. The better the compression the clearer and more accurate the image. Although this compression may be uncomfortable, it should not be painful and will last only a few seconds. When should I have a mammogram? Guidelines for mammography as recommended by the National Cancer Institute and the American Cancer Society are: • Baseline mammogram by age 40 • A yearly mammogram for women over the age of 40, or as recommended by your health care provider Advanced Imaging at Community Medical Center 2803 South Ave. W., 327-3950 Full-field digital mammography with computer-aided detection for screening mammograms. 16-slice CT and 1.5 GE MRI with Excite Technology Available. Broadway Imaging Center St. Patrick Hospital & Health Sciences Center 500 West Broadway, 329-5757 Broadway Imaging Center offers full service digital screening and diagnostic mammography with computer-aided detection, breast ultrasound, ultrasound and stereotactic biopsy, MRI, CT and PET-CT. Women over age 40 are recommended to have a screening mammography each year. The Montana Breast and Cervical Health Program Partnership Health Center 323 W. Alder St., 258-4167 www.phc.missoula.mt.us/phc/phcweb/page11 FREE breast and cervical health screening for women ages 30-64 who either have no health insurance or whose health insurance will not pay for these exams. Must meet income guidelines. Call to see if you qualify. Montana Breast Health Community Medical Center 2827 Fort Missoula Rd., 327-3941 Diagnostic Mammography is offered by Community Medical Center in our newly designed Montana Breast Health Center located off of the South Avenue entrance next to the CMC Emergency Department. Montana Breast Health was designed to porvide total breast care services for our patients. Breast services include state -of-art Digital Mammography, Breast Ultrasound, Unltrasound Breast Biopsy and Stereotactic Breast Biopsy equipment, all in a calming and exclusive breast

care environment. Call for more information today. St. Patrick Hospital Breast Center St. Patrick Hospital and Health Sciences Center 500 West Broadway, 329-5656 St. Patrick Hospital Breast Center is the only program in Western Montana accredited by the National Accreditation Program for Breast Centers. We offer comprehensive breast services and breast cancer treatment in one location. Our services include screening and diagnostic mammogram, breast ultrasound, ultrasound and sterotactic biopsy, MRI, CT, and PET-CT. Our Breast Health Navigator, Char Houska, is a Certified Breast Health Nurse. Our radiologists, surgeons, medical and radiation oncologists are all board certified. We offer physical therapy and lymphedema management, nutritional services, social services, survivorship programs, and a bi-weekly breast cancer support group. Marcus Daly Radiology Services 1200 Westwood Drive, Hamilton, MT 59840, 375-4426 The women’s center inside Marcus Daly Radiology Services offers full service digital mammography and same day results for convenience and peace of mind.

PAP SMEAR TESTING

The Pap test is a simple procedure in which cells are taken from a woman?s cervix and vagina and examined under a microscope. The Pap test can pick up changes in cells before they turn cancerous. Annual Pap smears and pelvic examinations have made cervical cancer much less common than it once was. The American Cancer Society recommends annual pap smears for all women who are sexually active or over 18 years old.

PROSTATE CANCER TESTING

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

TESTICULAR EXAMINATIONS

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

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Dental Services COMMON DENTAL TERMS • Dental Hygienist: a trained professional who cleans teeth and offers instruction on the general care of teeth. •

Dentist: an authorized practitioner of medicine dealing with the care of teeth and associated structures of the oral cavity. Concerned with prevention, diagnosis, and treatment of diseases of the teeth and gums.

• Denturist: a practitioner concerned with the study and provision of full and partial dentures as well as their maintenance and repair.

• Endodontist: a dental practitioner concerned with the diagnosis, treatment, and prevention of diseases of the dental pulp and its surrounding tissues. • Orthodontist: a dentist who is an expert in dealing with prevention and correction of abnormally positioned or aligned teeth. • Periodontist: dental practitioner concerned with the study and treatment dealing with diseases of the tissues surrounding the teeth (gums).

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PEDIATRIC DENTAL CARE When Should A Child Begin Visiting the Dentist? Primary teeth serve a number of functions and it is important these teeth be kept until they are lost naturally. They help guide the proper eruption and positioning of the permanent teeth. By age three, most children have all twenty of their primary teeth. This is a good time to begin regular dental visits unless there are signs of decay or problems earlier. Note that infant tooth decay can arise from prolonged breast or bottle feeding, usually at nighttime. Weaning around the first birthday is recommended. 1. Do not put your baby to bed with a bottle or bring them to bed and breast-feed. 2. Do not let your baby walk around with a bottle during the day; tooth damage can result. 3. Use a pacifier instead of a bottle if your infant seems to . . require more sucking time. 4. Wean your baby to a cup by the age of one year. 5. Brush your baby?s teeth as soon as a tooth appears. Use a . soft brush with no toothpaste for an infant. 6. Missoula does not add fluoride to the water supply. You .. should get a prescription from a dentist or physician for fluoride supplement vitamins. They should continue fluo. ride supplements until the age of 12. 7. Begin dental visits by the age of 3, or sooner if you see any problems.

Busy Working Moms like Family Dental Group because . . . We have appointments available evenings & Saturdays We have very convenient financing options You can grab a mall pager and shop while we are doing dentistry for your family

Weâ&#x20AC;&#x2122;re here when you need us.

www.MTSmiles.com â&#x20AC;˘ 406-541-2886 Conveniently located in Southgate Mall.

ADULT DENTAL CARE

1. Schedule regular routine exams with your dentist. 2. Clean your teeth daily. 3. Use dental floss daily. 4. Eat a balanced diet for good general health. If you knock out a tooth, put it in a jar of milk and take it to your dentist immediately. Missoula Indian Center Fort Missoula, Bldg. #33, 829-9515 Once enrollment is proven, clients are referred to Flathead Service Unit in St. Ignatius. Transportation provided. Partnership Health Center Dental Clinic 323 W. Alder St., 258-4185 Hours: Mon-Fri 8:00 a.m. - 6:00 p.m. Full service clinic offering exams, cleanings, sealants, fluoride therapy, extractions, dentures and prosthetic surgery, restorative fillings, stainless steel and cast crowns for children and adults. Maintains a number of appointments for emergency care to treat pain and suffering. UM Dental Services, 243-5445 University of Montana Students ONLY once health fee is paid. Provides urgent and emergency dental care and preventive oral health services.

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Nutrition and Emergency Services

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

2-1-1/First Call for Help Hours: Calls are taken weekdays 10 a.m. - 5 p.m. Free, confidential telephone information and referral links anyone in need to human services designed to meet those needs in Missoula, Mineral and Ravalli Counties. Child Care Resources 127 E. Main St., Ste. 314., 728-6446 or 1-800-728-6446 Comprehensive child care support services to families and providers in Missoula, Ravalli and Mineral Counties. Services include: the USDA Child and Adult Care Food Program, which reimburses registered providers for meals served to children in daycare; on-site nurse consultant services; referrals to childcare; childcare subsidies assistance; Early Childhood Development Program; and Resource Lending Library.

NUTRITION PROGRAMS AND INCOME REQUIREMENTS

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

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

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SNAP (Supplemental Nutrition Assistance Program) 2677 Palmer St., Suite. 100, 329-1200 www.dphhs.mt.gov/hcsd/snap/index.shtml SNAP benfits supplement your food budget. Income eligibility is based on 130-185% of Poverty Level. Resources such as bank accounts and vehicles may be considered to determine eligibility. Head Start 1001 Worden Ave., 728-5460 Children receive meals and snacks, educational, health, and family services. Classrooms are in Missoula and Deer Lodge. Home-based programs serve Thompson Falls, Plains, Superior, Seeley, Deer Lodge and Missoula. Income eligibility is at or below 100% poverty. Live Well Missoula, Nutrition Coaching and Private Yoga Instruction Office: 406-543-8134; Cell: 978-257-3879 Learn to make healthful and meaningful food choices that support your wellness goals with registered dietitian Heather Lucas, MS, RD. Specializing in weight loss, chronic illness, sports nutrition, menu planning, and behavior changes that

meet your lifestyle. Individual sessions and group settings. Insurance and medicare/medicaid accepted. Meals on Wheels, Missoula Aging Services 337 Stephens Ave., 728-7682 or 1-800-551-3191 Mon - Fri, 8 a.m. - 5 p.m. www.missoulaagingservices.org Volunteers for Missoula Aging Services deliver hot, nutritious meals weekdays for homebound seniors and adults with disabilities. Special diets and weekend meals are also available. Services are also available in the Seeley Lake, Potomac, Frenchtown, Clinton and Condon areas. Missoula Health Department www.co.missoula.mt.us/healthpromo Western Montana Clinic 500 W. Broadway 406-721-5600 Medical nutrition therapy for diabetes (type 1 and 2), eating disorders, celiac disease, heart disease and sports nutrition by a registered dietitian. Insurance billed or self pay.

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SCHOOL BREAKFAST Missoula County Schools, 728-2400 ext. 3051 (Elementary, Middle and High School students) Missoula County Rural Schools Seeley Lake (406)677-2265, Sunset (406)244-5542 Swan Valley (406)754-2320 serves milk. Breakfasts are available in some Missoula schools at free, reduced and full price.

SCHOOL LUNCH Missoula County Schools, 728-2400 Missoula County Rural Schools.Seeley Lake (406)677-2265 Potomac (406)244-5581, Sunset (406)244-5542 Swan Valley (406)754-2320 serves milk. Some Missoula County Schools offer lunches at free, reduced or full price. Free and reduced lunch qualifications are the same as free and reduced breakfast.

EMERGENCY FOOD & CLOTHING

These locally funded agencies offer immediate service to those in crisis situations. Expedited Supplemental Nutrition Assistance Program Missoula County Office of Public Assistance 2677 Palmer St., Suite. 100, 329-1200 If no income or low income, you may be eligible for immediate appointment and benefits will be delivered in 5 working days. Goodwill Industries 2300 Brooks St., 549-6969 Household items and clothing for purchase only. Employment and training for disabled. Agencies may request assistance for families in severe need. Missoula Food Bank 219 S. 3rd St. W, 549-0543 Hours: Mon-Fri 10 a.m. - 1 p.m., Mon & Tues 5 p.m. - 7 p.m. A three-day food supply for those who are unable to afford food. Some form of identification is required. No income verification is required. Poverello Center 535 Ryman St., 728-1809 Hours: Noon meals provided Mon-Sat 11:30 a.m. - 1:45 p.m. and Sun 2:00 p.m. - 3:00 p.m.; Evening meals provided 7 days a week 5:30 p.m. - 6:30 p.m.; Food boxes and referrals for those in crisis are provided according to need and availability Mon-Fri 12:00 p.m. - 2:00 p.m. and by emergency request; Clothing for those in crisis is also provided according to need and availability Mon and Thurs 12:00 p.m.-2:00 p.m. and

by emergency request; Free clinic through Partnership Health Mon-Fri 12:00 p.m. - 3:00 p.m. Night and day shelter in men?s and women?s dorms - adults only. No income verification required for any program. Salvation Army Social Services 339 W. Broadway, 549-0710 Provides emergency clothing, household items and food to people in need. Also provides homeless assistance by meeting basic emergency needs for food, clothing, shelter, rental assistance, transportation, prescriptions, laundry facilities and toiletries. Inquire at the office to find out what kind of assistance is available. Senior Information Line and Resource Center Missoula Aging Services 337 Stephens Ave, 728-7682 www.missoulaagingservices.org Hours: Mon-Fri 8:00 a.m. - 5 p.m. Provides assistance to seniors, families of seniors or caregivers needing resource information. The Senior Information Line provides resource information and consultations on all aspects of senior needs. From transportation to Medicare insurance counseling, the trained staff can assist in finding answers.

NUTRITION EDUCATION & GARDENING PROGRAMS AND SERVICES

Gardening services is a local growing effort designed to increase self-reliance and promote locally grown fresh produce. Clark Fork River Farmerâ&#x20AC;&#x2122;s Market Riverside Parking lot by the Clark Fork River and Caras Park, 396-2954 or 542-0539 Saturdays from 8am-1pm, May through the 4th week in October Offers locally raised beef, bison, and pork, as well as organic dairy products, locally made baked goods, sausages, and locally grown fruits and vegetables. Bedding plants, fresh-cut flowers, coffee, locally made spreads and sauces,and salsa. Hot breakfast and lunch items and wool goods are also available. Market accepts EBT cards, WIC couchers, and Senior Nutrition Program vouchers. Community Medical Center Diabetes and Nutrition Center 1211 S Reserve St. Suite #202, 327-4325 Learn to control diabetes, reduce the risk of complications and improve overall health.Individual counseling for nutrition, special diets and weight management are also provided. Physician referral is required. Call 327-4325 for more information.

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Diabetes Management Program, Community Medical Center 1211 S Reserve St. Suite #202, 327-4325 Program to assist people with diabetes to make lifestyle changes to manage their disease. A nurse educator and nutritionist assist individuals to actively manage their diabetes. Expanded Food and Nutrition Education Program (EFNEP) 2825 Santa Fe Court., 258-4208 Free program for limited resource families with children under age 19 or pregnant women. Learn how to stretch your food dollars, choose foods that keep your family healthy and plan nutritious meals. Youth programs are available for schoolaged children. The Farmer’s Market North end of Higgins Ave., 777-2636 Hours: Saturday morning 8:30 a.m. - 12:00 p.m. (Mid-May through Mid-October) and Tuesday evenings from 5:45 p.m. 7:15 p.m. (July & August) A market for growers to sell locally grown produce. Coupons for produce are available to eligible individuals and families through Missoula Aging Services (728-7682). Garden City Harvest, 103 Hickory Street 523-FOOD or 523-3663 www.gardencityharvest.org Community Garden plots at seven gardens located in neighborhoods throughout Missoula. For a $40 fee, you have a 15\’ x 15\’ plot, water, tools, compost and gardening advice. Applications are due in February. You can Volunteer for Veggies at one of our four neighborhood farms. Help us with farm labor and receive vegetables in return. Call 523-3663 for more info or check www.gardencityharvest.org. Missoula Urban Demonstration Project (MUD) 629 Phillips St., 721-7513 Provides resources and education for sustainable living. MUD offers workshops on self-reliant living skills, organic gardening and use of appropriate technologies that conserve natural resources. MUD offers a 16-week class for cognitively and physi-

cally disabled adults. MUD also offers a MUD coffee grounds recycling program and directs the North Missoula Tool Library. Western Montana Clinic Nutrition 515 W. Front St., 721-5600 Individual nutrition counseling by a registered dietitian for medical conditions or wellness. Specializing in diabetes, eating disorders and sports nutrition. WIC - Women, Infant and Children Nutrition Program 301 W. Alder St., 258-4740 or 1-800-823-4740 Hours: Mon-Fri 8:00 a.m. - 5:00 p.m., noon & evening appointments available fax: 406-258-4906 www.missoulapublichealth.org/ Nutrition education referrals and healthy foods for pregnant, breastfeeding, or postpartum women, and infants & children under 5 at the Missoula Health Department, South Reserve Area, Frenchtown, Lolo, Clinton, Philipsburg, Drummond, Seeley Lake and Community Center at the UM. Income eligibility is 185% of poverty.

WEIGHT MANAGEMENT

Contact the organizations below for help in managing a healthy weight and for supplemental medical management of serious eating disorders. Bariatric Surgery Program St. Patrick Hospital, 500 W. Broadway, 329-5866 www.saintpatrick.org There is a misconception that the body weight of obese adults is determined by their unhealthy food habits & conscious and unconscious desires. However, the cause of morbid obesity remains unknown. While there is no cure for this disease, there is help. ?Morbid? obesity is when a person is at least 100 pounds overweight, or has a Body Mass Index of 40 or more. Morbid obesity is a major health concern, affecting over 4 million people in the U.S. And morbidly obese people usually have other health problems, too, such as heart disease, Type II diabetes, sleep apnea, high blood pressure, gastroesophageal reflux, incontinence, arthritis, infertility and some cancers. Morbid obesity is a serious disease. Eternal Springs 180 South 3rd Street West, 2nd Floor Suite 406-240-6182 Only certified HCG weight loss clinic in Montana offering Dr. Simeons “Pounds and Inches” protocol. Dr. Simeons’ protocol has proven to be the most effective weight loss protocol in history treating hundreds of thousands of patients. The HCG protocol is not a diet, it is a metabolic treatment for those struggling with issues of overweight and obesity. If you are tired of being sick and tired, and have tried every “diet”under the sun, then pick up the phone today and begin your journey to optimal health with Doctors Weight Loss Clinic.

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Living Big, Weigh Less Program: A Partnership for Success, 543-7116 A fun and affordable way to learn health habits that last. This is an inside-out approach to weight loss that assists you in breaking through your roadblocks to success. Community Medical Center, Nutrition Center 1211 S. Reserve St. Suite #202, 327-4325 Learn to control diabetes, reduce the risk of complications and improve overall health. Individual counseling for nutrition, special diets and weight management are also provided. Physician referral is required. Call 327-4325 for information. Inches-A-Weigh 1300 S. Reserve St. Ste. F www.inchesaweigh.com Inches-A-Weigh, the most comprehensive weight loss and exercise program available to women of all ages. Complete 3 phase figure correction program, combining nutritional counseling, body shaping equipment and cardio fitness. No prepackaged food, no pills. Program is founded on the established guidelines set by the American Heart Assoc. and the Surgeon General. Whether you need to lose 10 lbs or 100 lbs, we can help. Call for a free individual figure analysis. Overeaters Anonymous Meetings held at the following times and places: •Mondays, 5:30 p.m. - St. Patrick Hospital, Conference room D, contact Rhonda at 777-0486 •Wednesdays, 10 a.m. - St. Stephen’s Church, 203 Main St., Stevensville, contact Jacquie at (406)777-7160 •Wednesdays, 12 noon - UM University Center Lounge, Room 222, contact Kristen at 251-2069 •Thursdays, 5:30 p.m. - St. Paul?s Church, 202 Brooks St., contact Patricia at 543-5509 •Fridays, 12 noon - 1 p.m. - St. Patrick Hospital, Conference Room C, contact Maxine at 721-7354 •Saturdays, 10 a.m. - First Presbyterian Church, 1220 W. Main St., Hamilton, contact Janette at 363-6059 Student Health Services Eating Disorders Support Program, 243-4711 Provides education, support, counseling, and psychological services to U of M students. TOPS Take Off Pounds Sensibly No. 428 meets 10 am Tuesday,First Methodist Church, 300 E. Main St., lower level. Fees are $3 a month with a $27 annual fee. Call 549-3706. Other Tops meetings in the area include: No. 177, Missoula, 6:30 p.m. Prince of Peace Lutheran Church, 2512 Sunset Ln., 543-1435 No. 428 First Christian Church, 2701 S. Russell,

Call 406 728-2287 for more info. No. 200, Seeley Lake, Thursday, 5:30 p.m. Mission Bible Church, 677-2526 No. 343, Stevensville, Thursday, 9:30 a.m. Baptist Community Church, 273-5403 No. 546, Hamilton, Wednesday, 5:45 p.m. 82 Silverberry St., 363-2668 No. 549, Frenchtown, Monday, 6 p.m. Frenchtown Community Church, 626-2549 No. 525, Charlo, Wednesday, 9:30 a.m. D’Aste Catholic Chuch, 644-2323 No. 417. Ronan, Thursday, 9:15 a.m. St. Paul Lutheran Church, 676-4510 No. 202, Plains, Friday, 11:15 a.m. Church of God, 826-3564 No. 551, Plains, Thursday, 5:45 p.m. First Security Bank, 826-0284 No. 544, Hot Springs, Wednesday, 5:45 p.m. Hot Springs Fitness, 741-2659 No. 541, Thompson Falls, 11 a.m. Community Congregational Church, 827-4620 Weight Watchers,1-800-651-6000 www.weightwatchers.com Group meetings and educational information to assist you in losing weight.

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Native American Services CSKT Tribal Health and Human Services St. Ignatius, 1-888-835-8766 or (406)745-3525 CSKT health care offers direct & contract services at no charge to eligible beneficiaries. Residency & membership in/ descendency from a federally recognized Indian tribe determine the level of benefits. THHS provides an array of direct health care services, including dental, pharmacy, mental health & addiction treatment, home care, nutrition, social services, optical, PT, & environmental health. Indian Alcohol & Drug Service, 721-2700 Services open to both Native Americans and non-Natives include: state-certified alcohol and drug counselors; inpatient and outpatient treatment; and Minor in Possession classes. Missoula Indian Center Bldg #33, Fort Missoula, 829-9515 Hours: Mon-Fri 8:00 a.m. - 5:00 p.m. The purpose of the Missoula Indian Center (MIC) is to promote and foster the health, education and general welfare of urban American Indians residing in and around Missoula. MIC provides an information and support system to the American Indian community by networking with local health and human services agencies. MIC helps American Indians bridge the gap between leaving the reservation and coping with urban life by functioning as the primary communication center for client service information. MIC provides the following services to Native American clients: referrals to health care and social services providers, limited financial assistance, immunization referrals, diabetes education classes, tobacco prevention and free over the counter medications. The following services are open to all nationalities: Free HIV testing, chemical dependency counseling, individual & family one-on-one counseling, and an intensive chemical dependency outpatient program.

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Environmental Safety Air Quality Hotline, 258-3600 Provides the community a resource to report issues that may contribute to poor air quality in the Missoula Valley. Updated November through February and during air pollution events. Consumer Services and Air Quality, 258-4755 Administers programs such as food service licensing and inspections, food borne illness investigation, public water supply inspection, septic permits, garbage complaints, outdoor air testing, air pollution source permitting, stove permits, radon information and environmental regulatory enforcement. Hotel/ Motel inspection. Trailer court inspections. Environmental Health Division Missoula City/County Health Department 301 W. Alder St., 258-4755 Promotes public health and safety through the protection of resources such as air and ground water and by insuring safe food supplies, public drinking water and sanitation. It is important to note that half of the homes in Missoula County exceed the Federal guidelines for radon gas and many private drinking water wells were found to be contaminated with unwanted bacteria. Test kits are available for radon and drinking water for a minimal fee. Call or come in for further information. Other services from our department are a junk vehicle program, dog licensing, radon test kits, bacteriological water test kits.

Home Maintenance and Safety Program Missoula Aging Services 337 Stephens Ave., 728-7682 www.missoulaagingservices.org Missoula Aging Servicesâ&#x20AC;&#x2122; Home Maintenance and Safety Program can assist eligible individuals 60 years and older. This program provides skilled volunteer assistance to conduct home safety inspections; minor home repair; referral services and occasional yard assistance with no labor costs to the recipient. RD Water Lab 3700 S. Russell St., Ste. 120 #1, 721-8179 EPA and State Certified water testing laboratory. Residential, commercial and industrial bacteriological testing. Privately owned and operated since 1999. Dayspring 4635 Trumpeter Way, 721-8179, 1-800-555-3803 Residential, commercial and remodel construction services using advanced technology to provide disaster restoration, cleaning, reconstruction. Offers remediation services for mold, water and flood damage, fire/smoke/soot damage, as well as environmental cleanup. Smoking Vehicle Hotline, 258-4744 Water Quality District, 258-4890 Addresses issues such as aquifer protection, household hazardous waste collection and underground storage tanks.

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Veteran Services Fort Harrison Medical Facility for Veterans Helena, (406)442-6410 www.montana.va.gov The Fort Harrison Facility is a 45 bed general medical and surgical facility, which offers a broad range of acute, chronic, specialized inpatient and outpatient services. Patient care services are provided to both male and female veterans, in the areas of medicine, surgery, psychiatry, and ambulatory care. Missoula VA Primary Care Center 2687 Palmer St., Ste. A & C, 829-5400 Hours: Mon, Wed, Thurs, Fri 8 a.m. - 4:30 p.m., Tues 9 a.m - 5 p.m. except holidays. As a division of the Department of Veteran Affairs, the center provides primary health care, physical therapy, substance abuse, PTSD counseling, opthamology, endoscopy and mental health services for veterans. Missoula Workforce Center (Job Service) 539 S. 3rd St. W, 728-7060 www.employmissoula.com Hours: Mon - Fri 7:30 a.m. - 5:00 p.m., except public holidays. Public employment service providing job placement, jobtraining programs, veteran representatives, employment counseling, and proficiency testing for keyboarding, spelling, math, and 10-key. Listings include private sector jobs and announcements for state, university, county, city, and other governmentrelated job vacancies. Provides public Resource Center with access to the Internet, word processing, resume programs, and career exploration. Veterans’ representatives will assist with job placement, counseling and referrals to job training, veteran services and other services. Montana Veteran Affairs Division Western Montana State Veterans Cemetery 1911 Tower St, 542-2501 State-funded Veterans Advocacy Organization. Will assist with filing claims with the Federal Veterans Administration system. Advocacy for veterans and their dependents.

Montana Veterans Home PO Box 250, Columbia Falls, MT 59912 (406) 892-3256, fax: (406) 892-0256 www.dphhs.mt.gov/sltc/services/vethome/MVHHP.shtml junderdahl@mt.gov The Montana Veterans Home is a part of the State of Montana’s Department of Public Health and Human Services. A 105-bed skilled nursing facility, with a 15-bed dementia special care unit and a 12-bed self-care residential living unit. Physical, occupational & speach therapy services. Medical appointment scheduling and transport. Resident choice meal plan offering 5 meal times per day to chose from. Medicare/ Medicaid accepted. Admission eligibility includes honorably discharged veterans and their spouses. Call for further information or to be mailed an admission application. VA Vocational Rehabilitation Palmer Professional Park, 2681 Palmer Ste. N 721-0628 or 721-3510 Hours: Mon - Thurs 8:00 a.m. - 5 p.m., Fri 8 a.m. - 4 p.m. Assists disabled vets in finding jobs and independent living services. Valor House 2820 Great Northern Loop, 549-4113 Valor House is jointly funded by Missoula Housing Authority and U.S. Dept. of Veterans Affairs. It offers a transitional housing program for homeless veterans with a two-year maximum stay, and is staffed 24 hours/day, 7 days/week. There are 17 one-bedroom apartments with full kitchens and baths, two communal TV/lounging areas, a library, a game room, and a large community dining room for group dining and cooking/housekeeping classes. Residents pay 30% of adjusted gross income for rent and are eligible for a tenant-based Section 8 housing voucher after one year of residence and successful completion of their transitional housing program plan. Vets’ Center 500 N. Higgins Ave., 721-4918 or 721-4919 Hours: Mon-Fri 8:00 a.m. - 4:30 p.m. or by appointment. Closed Federal holidays. Provides counseling for veterans and their families. Primarily re-adjustment and bereavement counseling.

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Pregnancy BIRTH CONTROL

Birth control is a device, substance or method that prevents pregnancy. Using a birth control method can significantly reduce the risk of unwanted pregnancy. There are many forms of birth control, including abstinence, condoms, birth control pills, and hormone shots. It is important that you find a method that suits your body and your lifestyle. Abstinence (the abstaining from vaginal, oral or anal intercourse) is the only 100% effective way to prevent pregnancy and STDs, including HIV/AIDS. Blue Mountain Clinic 610 California St., 721-1646 Planned Parenthood 219 E. Main St., 728-5490 University of Montana Curry Health Center 634 Eddy St., 243-4330 Services are available only to UM Students.

PREGNANCY TESTING

There are several ways to determine whether you are pregnant, and you should find out as early as possible. Urine or blood tests administered by a doctor are the most accurate. You can also purchase a home pregnancy test at a grocery or drug store, but there is a chance the results may be inaccurate. Blue Mountain Clinic 610 N. California St., 721-1646 Pregnancy tests are $7.00 First Way Pregnancy Support Center 1515 Fairview Ave., Ste. 250, 549-0406 Pregnancy tests, counseling and support for those continuing their pregnancies are free.

Missoula City/County Health Department-Outpatient Clinic 301 W. Alder St., 258-4745 Hours: Pregnancy test are administered Mon, Tues, Thurs & Fri starting at 8:30 a.m. Pregnancy tests cost $20.00. Refrigerate the sample if it is collected early. Planned Parenthood 219 E. Main St., 728-5490 Pregnancy tests are priced on a sliding scale. University of Montana Curry Health Center 634 Eddy St., 243-2122 Cost varies. Service is only available to U of M students.

UNPLANNED PREGNANCY

There are counselors available to help you make a decision if you are faced with an unplanned pregnancy. Blue Mountain Clinic 610 California St., 721-1646 Catholic Social Services of Montana 420 W. Pine St. Betsy Robel at 728-5429 or 1-800-BABYDUE (1-800-222-9383) 24 hours a day www.cssmt.org; betsymsl@montana.com A non-profit, licensed agency in Montana established in 1953. CSSM offers free, confidential counseling for those experiencing an unplanned pregnancy. We provide help with pregnancy decision-making and pre/post natal counseling for birth parents and their families. CSSM offers open adoption services for birth parents and their families, so that children grow up knowing who they are and understanding the love and care that surrounds their adoption. Open adoption with

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CSSM means that you can build a lasting, loving relationship with the adoptive family, staying in contact with your child, if you choose. People need not be Catholic to use the agency services. Please call if you are pregnant or considering making an adoption plan for your child. CSSM also serves families in Montana interested in adopting infants through an open adoption program. We also provide quality pre/post adoptive services for those adopting trans-racially, through private adoption, or internationally. First Way Pregnancy, 549-0406 Offers practical help for women facing an unplanned pregnancy. Free pregnancy tests and counseling, information on all options, support groups. No appointment necessary. Lutheran Social Services 515 Fairview, Ste. 230, 549-0147 Offers pregnancy decision-making and counseling to birth parents and their families who are experiencing an unplanned pregnancy. Through this service a birth parent may decide that adoption is the best plan for the baby. Planned Parenthood 219 E. Main St., 728-5490 Provides reproductive health care, education and advocacy to the people of Western Montana improve their individual and family lives.

Human Resource Council Partnering in Community Action in Missoula, Mineral and Ravalli Counties since 1965 We Can Help You With... Fuel Bill Assistance Information and Referral Incapacity Assessment Services Youth Employment and Training Programs Energy Conservation Housing Development Rental Assistance Housing Rehabilitation Loans First Time Homebuyer Loans Contact Us...

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

TEENAGE PREGNANCY

If you are a teenager and you are pregnant, you are NOT alone. There are people and services in the Missoula community that can help you. If you have been having sex, you could be pregnant--even if you are very young, even if you’ve had sex only once, even if you have been using some method of birth control. If you think you might be pregnant, it is important to get a pregnancy test to make certain. See the section on pregnancy testing above and ask someone to help you. 1st Way Pregnancy Support Center 1515 Fairview Ave., Ste 250, 549-0406 or 1-800-332-0406 Futures 2525 Palmer, Ste 1, 543-3550 Helps young parents build a secure future for themselves and their children by providing case management, education counseling, job readiness training, parenting education, housing, counseling and leadership development. Our services are free to young parents, and transportation assistance and childcare is provided for Futures activities. Provides specialized services for young fathers. Missoula City-County Health Department 301 W. Alder St., 258-4745 www.co.missoula.mt.us/healthservices/ Provides information about free or low-cost health insurance options for children and pregnant women. Mountain Home Montana 2606 South Ave. W, 541-4663 www.mountainhomemt.org Mountain Home is a 6-bedroom facility located on one acre in Missoula. It provides a safe, loving home where teen mothers can discover their strengths & their children can experience the joys of childhood. Participants can stay for up to 2 years. Each Resident plans her own personal development program and sets goals with an on-site social worker. Continuing Education is a priority. If high school has not been completed, re-enrollment, adult education or working toward a GED is required. Mountain Home is for voluntary participants willing to follow program guidelines. 24-hour supervision is provided & the following issues are addressed: parenting, decisionmaking, problem solving, communication skills, relationships, health issues, nutrition & cooking, time & money management, employment skills, housekeeping, chemical dependency issues, housing, and transportation. Public Health Home Visiting Missoula City County Health Department 301 W. Alder St., 258-4298 www.co.missoula.mt.us/healthservices/ This program focuses on the special needs of clients and their families, providing guidance and education that supports the teen in reaching a healthy pregnancy outcome and developing

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parenting skills. The program staff works closely with other teen support services. Either home or office visits are available.

ADOPTION

Whether you are a woman facing an unplanned pregnancy or a couple wanting to provide a child with a home, adoption may be a consideration. Catholic Social Services for Montana, 420 W. Pine St. Betsy Robel at 728-5429 or 1-800-BABYDUE (1-800-222-9383) 24 hours a day www.cssmt.com; betsymsl@montana.com CSSM is a non-profit, licensed agency in Montana established in 1953. CSSM offers free, confidential counseling for those experiencing an unplanned pregnancy. We provide help with pregnancy decision-making and pre/post natal counseling for birth parents and their families. CSSM offers open adoption services for birth parents and their families, so that children grow up knowing who they are and understanding the love and care that surrounds their adoption. Open adoption with CSSM means that you can build a lasting, loving relationship with the adoptive family, staying in contact with your child, if you choose. People need not be Catholic to use the agency services. Please call if you are pregnant or considering making an adoption plan for your child. CSSM also serves families in Montana interested in adopting infants through an open adoption program. We also provide quality pre/post adoptive services for those adopting trans-racially, through private adoption, or internationally. 1st Way Pregnancy Support Center 1515 Fairview Ave., Ste. 250, 549-0406 or 1-800-332-0406 Lutheran Social Services (LSS) 1515 Fairview Ave., Ste. 230, 549-0147 Lutheran Social Services offers domestic infant adoption services to couples in Montana. LSS also provides home study services and post-placement visits for those adopting internationally. Search and reunion services are available for birth parents and adoptees.

ABORTION

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

INFERTILITY

Infertility is a disease of the reproductive system that impairs the body’s ability to conceive children. The American Society of Reproduction Medicine reports that one-third of infertility cases can be attributed to male factors, another one-third to female factors, with the last third being a mixture of problems between the partners, or an unexplainable problem. Most infertility cases are treated with conventional therapies, which may include prescription drugs or surgery. RESOLVE 1310 Broadway, Sommerville, MA 02144, (617) 623-1156 www.resolve.org This is the national headquarters for RESOLVE, a group devoted to educating and helping couples with infertility problems. Call or write to the Massachusetts address in order to obtain referrals to fertility specialists. RESOLVE also provides information about infertility and infertility treatments.

PRENATAL CARE

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

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Community Medical Center Women’s and Newborn Care 2827 Fort Missoula Rd, 327-4009 www.communitymed.org Community Medical Center offers a variety of prenatal care for expecting parents. Ranging from excercise classes, birthing basics and more. More babies are born at Community Medical Center than any other hospital in Montana. We are excited to have the opportunity to prepare you and your family for the arrival of your newest family member. Call today to or visit our website to learn more about MOMercise, Birthing Basics, Breastfeeding Class and Postpartum & Newborn Care Class. Transport - Community Medical Center offers Maternal/ Neonatal Emergency Transport to Western Montana and Idaho. Medical staff-supported air and/or ground transport for high-risk mothers and newborns. Call 1-800-584-7500. Healthy Mothers, Healthy Babies, 1-800-421-6667 Hours: Phones are answered Mon-Fri 8:00 a.m. - 5:00 p.m. Sends packets of pregnancy/prenatal information and a baby calendar to expectant mothers. They also provide additional packets with information on health and safety issues to parents with children under age 18, as well as information on health insurance options for children. March of Dimes 643 Grand Ave., Ste. B - Billings, 59101, 1-800-597-7116 The March of Dimes’ mission is to improve the health of all babies by preventing birth defects and infant deaths. It focuses on healthy mothers and healthy babies. Educational materials are available for free. The chapter is also a referral center for parents. March of Dimes does not give direct financial aid to patients. Missoula City-County Health Department 301 W. Alder, 258-4298 8-5 M-F www.co.missoula.mt.us/healthservices/ This program encourages early enrollment in comprehensive services for all pregnant women and serves women who encounter any barrier to care, or have a need for support or information. Program staff includes nurses, dieticians and social workers that provide health care, prenatal education and assistance in arranging referrals to medical and social services. Helps income-eligible pregnant mothers apply for Medicaid so that they have health insurance coverage throughout their pregnancy and for the baby’s first year. Free prenatal class series! Missoula Early Head Start 2121 39th St., 251-9410 ext.323 Provides services to families with children 0 to 3 years and to pregnant women whose children will be in the program. Designed for families whose incomes are at or below the federal poverty level. Early Head Start provides comprehensive services focusing on child development and parent-child interaction. Health services include assistance in accessing health

insurance, medical and dental providers. Program also includes a Registered Dietician on staff for nutrition services, health screenings, health & safety education and intensive prenatal services. MOMercise Community Medical Center 2827 Fort Missoula Rd, 327-4427 Keep fit and have fun in our low-stress water aerobics class for pregnant women and new mothers. The exercise improve flexibility and strength, and help minimize excessive weight gain. A physician’s prescription for pool exercise is required. CLass times vary and are held at Community Medical Center. Call or visit our website for more information. Prenatal/Infant Care Class, the Nurturing Program at the Parenting Place Box 3805, 728-KIDS (5437) For parents and children pre-natal through 18 months. Topics include Stress Management and Handling Troublesome Feelings, Touch and Talk, Safety/Baby Proofing, Nurturing Routines: Diapering, Bathing, Bedtime. Free Children’s Program offered with the class. Rocky Mountain Neonatology Center at Community Medical Center 2825 Fort Missoula Rd. Suite #121, 327-4234 The regions most trusted resource for neonatal care. Women’s Club Health & Fitness Center 2105 Bow St., 728-4410 www.thewomensclub.com Pre or post natal classes offered at the club; you can choose yoga, Pilates or pool exercise. Check on the web or call for fees and scheduled activities.

CHILDBIRTH PRACTITIONERS

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

OBSTETRICIAN/GYNECOLOGISTS

An obstetrician/gynecologist (sometimes called an “ob-gyn”) is a licensed doctor who is a specialist in the care and treatment of the female reproductive system and childbirth. An ob-gyn’s post-college training includes four years of medical school followed by a 3-7 year long program, called a residency, which specializes in women’s reproductive health care and childbirth. Ob/gyns deliver four out of every five babies in the

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United States, making them the most popular choice in childbirth practitioners Thomas Baumgartner, MD., 42-2116 Beverly Braak, MD., 327-9390 Timothy Burke, MD., 721-9999 Brenda DeGrazio, CNM., 728-8170 Nancy Everett, CNM., 721-5600 Mark Garnaas, MD., 21-5600 Janice Givler, MD., 21-5600 Gary Harvey, MD., 728-4292 Valerie Knudsen, MD., 327-4395 Jennifer Mayo, MD., 721-5600 Criag McCoy, MD., 728-8170 Jesse Pitt, MD., 721-1640 Kristin Rauch, MD., 728-4920 James Summers, MD., 542-2116 Marshall White, MD., 363-4602

has completed medical school and a three-year training period after medical school. This training period includes a minimum of three months of obstetrical and gynecological training. Some women prefer to see their family doctor because they have established a good patient/doctor relationship or because they like the continuity of care. However, not all family practitioners have obstetrical experience, so it is important to talk with your family doctor if you would like her or him to help you during your pregnancy.

MIDWIVES

Midwives monitor the natural birth process and aid a woman during her pregnancy, the delivery and after the baby is born. There are two types of midwives: Certified Nurse Midwife: A certified nurse midwife is a woman who has obtained her degree as a registered nurse, completed at least one year of obstetrics training in an approved graduate midwifery program, passed the national certification examination given by the American College of Nurse-Midwives, and is licensed by the State of Montana. Nurse midwives typically work in a hospital. If you would like more information about nurse midwives, check the yellow pages under â&#x20AC;&#x153;Midwives.â&#x20AC;?

Surgical advances Surgical advances Surgical bring change bring change inadvances 3 ways.in 3 ways. bring change in 3 ways. FAMILY PRACTITIONERS Many women rely on their family doctor for prenatal and obstetrical care. A family practitioner is a doctor who is regularly consulted by a family or person in time of medical need and does not limit her or his practice by gender, age, organ system or disease type. A board-certified family practitioner

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

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

44 ~ Health Resource Guide 2010 -11

licensed by the State of Montana and is board-certified by the Alternative Health Care Board of Montana. This type of midwife usually works with women who have decided to have a home birth. If you would like more information about direct entry midwives in Missoula, check the yellow pages under “Midwives.”

PREGNANCY AND BIRTH RESOURCES First Way Pregnancy Support Center 1515 Fairview Ave., Ste. 250, 549-0406 Offers diapers, baby clothes, maternity clothes free pregnancy test, complimentary ultrasound Lifesteps support program and parenting support. Missoula Birth Network www.missoulabirth.com The members of Missoula Birth Network, a Missoula nonprofit organization, believe that the birth of a baby is a major transforming event in the life of a woman and a family; the birth experience itself and the care the family receives plays a powerful role in the family’s mental health. Health care decisions should be based on research evidence for the optimal health of mother and baby, and families should have the opportunity to explore all options that are available in order to make choices that are uniquely best for them. Unfortunately, we believe that some maternity health care decisions are driven by profit motives, convenience, or fear of lawsuits, sometimes to the detriment of the family. Missoula Birth Network is a consumer group committed to helping families educate themselves about their birthing options, side effects of medications and interventions, and rights and responsibilities during birth. Check out our schedule of events listed at www.missoulabirth. com and the new books donated to Missoula Public Library. Missoula Pregnancy and Birth Resource www.missoulabirth.com The Missoula Pregnancy and Birth Resource features information about natural child birth and home birth in Missoula, including: access to a network of local midwives and doulas, birth stories, monthly articles, local resources, and pregnancyrelated web links.

CHILDBIRTH CLASSES

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

Lamaze Method: The Lamaze Method teaches women what to expect during labor, and how labor changes as the baby moves toward birth. The method guides women through exercises that they will use during labor, including different types of breathing for the various stages of labor. The method also explains what will happen at the hospital and the purpose and tasks of the medical staff. Blue Mountain Clinic 610 California St., 721-1646 Childbirth Classes Marcus Daly Memorial Hospital 1200 Westwood Dr., Hamilton, 406.375.4654 Are you getting ready to welcome a new life? Learn about preparing for labor, the stages of labor and delivery. Practice breathing and relaxation exercises that help you through labor. Pain-relief options, medical interventions and a tour of our Obstetrics Department are also covered, as well as information on feeding and bringing your baby home. Class is offered two times per year, in July & October. Call for more information. Community Medical Center-Education Department 2827 Fort Missoula Rd, 327-4009 Community Medical Center offers a variety of classes for expectant mothers/families. Birthing Basics, Breastfeeding, Postpartum & Newborn Care Class along with MOMercise. Birthing Basics - get ready for your baby in this class for first-time or long-time-between expectant parents. Learn about preparing for labor and the stages of labor delivery, and practice breating and relaxation excercises that help you through labor. Pain-relief options, medical interventions and a tour of the Obstetrics Departmen are also covered. In addition, information on feeding and welcoming baby into your home is presented. Dates and time vary. Call 327-4009 or visit www. communitymed.org Breastfeeding Class - Learn breasfeeding basics, what to expect the first few weeks and special tips for success. Concerns about returning to work are also addressed. Please call 327-4009 or visit our website at www.communitymed.org Postpartum & Newborn Care Class - Postpartum is an extremely important time for a new family. do you feel overjoyed and challenged at the same time? Our class is designed to make sure you feel confident and capable in the first six weeks of your baby’s life. Join us before your baby is born to learn these strategies: bathing, diapering, hunger cues, comfort techniques, copint strategies, sleeping for you and baby, sign & symptoms of postpartum depression, changes in your relationship and all those visitors who will want to meet the new addition to the family. Call 327-4009 for more information, class size is limited. MOMercise - Water Aerobics. Keep fit and have fun in our low-stress water aerobics class for pregnant women and new mothers. The exercise improves flexibility and strength, and help minimize excessive weight gain. A physician’s prescription

Health Resource Guide 2010 -11 ~ 45

for pool exercise is required. Class times vary, call 327-4634 for fees, schedule and availability.

FINANCIAL RESOURCES

For information about agencies that can help you financially during your pregnancy, contact the following groups: Community Medical Center MASH, 327-4317 Medicaid eligible program for expecting family. Expanded Food and Nutrition Education Program 126 W. Spruce St., 258-4200 This free program is for limited resource families and pregnant women. Assistants do home visits and help individuals stretch their food budgets, choose foods that are healthy and plan nutritious meals. Missoula City/County Health Department (MC/CHD) Public Health Nursing Program 301 W. Alder St., 258-4750 www.co.missoula.mt.us/healthservices/ Assistance accessing Medical coverage and a Medical Provider to assure that women have access to early prenatal care. Missoula Early Head Start 2121 39th St., 251-9410 ext. 313 Provides services to families with children 0 to 3 years and to pregnant women whose children will be in the program. Designed for families whose incomes are at or below the federal poverty level. Early Head Start provides comprehensive services focusing on child development and parent-child interaction. Health services include assistance in accessing health insurance, medical and dental providers. Program also includes a Registered Dietician on staff for nutrition services, health screenings, health & safety education and intensive prenatal services. Montanaâ&#x20AC;&#x2122;s Child Project, 1-800-421-MOMS A community service program for Mothers To Be and for those who care about them. The Montanaâ&#x20AC;&#x2122;s Child Project asks pregnant women to obtain early and ongoing prenatal care. This care should start in the first three months of pregnancy. Call the number above to obtain information about prenatal care, funding for women in need and access to the health care system. Office of Public Assistance 2677 Palmer St., Ste. 100, 329-1200 Administers Medicaid, SNAP (food stamps) and financial programs for low-income parents and their families. Provides temporary assistance for needy families. OPA offers a wide range of assistance programs to help men, women and children. Assistance with applications is available.

Women, Infants and Children (WIC) 301 W. Alder St., 258-4740 or 1-800-823-4740 M-F 8-5. Evening appointments available. Provides food assistance and nutrition education to lowincome pregnant and nursing women and children up to the age of five.

BREASTFEEDING RESOURCES Community Medical Center 2827 Fort Missoula Rd., 327-4219 www.communitymed.org Offers inpatient and outpatient breastfeeding consultation services, including assistance over the phone and information about breastfeeding at childbirth classes. La Leche League Call Melissa at 249-8019 or Erin at 549-1779 or 544-3746 Hours: 2nd and 4th Tues. of each month at 11:30 a.m. downstairs at the Missoula Public Library, 301 E. Main St. For expectant and breast-feeding mothers; fathers and siblings welcome. Lending library, 24-hour help line, and information on nutrition, parenting, medical and legal resources. Free. WIC Lactation Specialist 301 W. Alder St., 258-4740 or 1-800-823-4740 WIC offers breastfeeding information and support, office visits, phone consultations, classes and referrals for low-income women. Nursing Nook 2404 39th St., 721-5440 www.nursingnook.net One Stop Breastfeeding Shop and Support Center located within the NEW Birth Center and next to The Lotus Poject. Walk In Hours M-W-F 12-5:30pm; Other times available by appointment. Povides breastfeeding consultations and classes. Rents and Sales Medela Breastpumps as well as replacement parts for Medela Breastpumps. Free Bra fittings, free special orders, and free use of infant scale. Other services and products include nursing bras of ALL sizes, nursing covers, herbs to increase milk supply, specialty feeding devices, Adiri natural nursing bottles, nursing pillows for twins. and more. CPR and First Aid Courses are offered monthly at the Nursing Nook. Classes for expectant parents, new parents, grandparents as well as child care providers and health care providers.

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Children’s Services

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

HEALTH CARE SERVICES Community Medical Center Pediatrics Department 2827 Fort Missoula Rd, 728-4100 Through effective partnerships with patients, families, communities, affiliated institutions, private organization, & public agencies, we provide the children and adolescents of western Montana with the best in accessible, comprehensive & familycentered care from day one. Visit our website for more information at www.communitymed.org Child Development Center T-214, Fort Missoula, 549-6413 or 1-800-914-4779 Fax 542-0143, www.childdevcenter.org kkostka@childdevcenter.org The Child Development Center (CDC) is a private, nonprofit agency providing services throughout the 7 counties of Western Montana to families with children who are either “at risk” for a developmental delay or have a diagnosed devel-

opmental disability. CDC’s services are provided by trained professionals and CDC also has a consulting Medical Director. CDC services are voluntary and at “no cost” to families. The services provided include: developmental evaluation of children primarily birth thru five; home-based intervention for children birth to 22 with an emphasis on parent education; expanded support services to include a Medicaid Waiver for children birth to 22 with intensive needs; expanded 3 years of intensive support services including a Medicaid Waiver for children under the age of 5 with a diagnosis of an autism spectrum disorder; limited respite care program and a respite house for scheduled care. Health insurance that includes an Autism Benefit can also be used to pay for evaluation and intervention services for children diagnosed with autism spectrum disorder who are between the ages of 0 and 19. Heads Up Program, Community Medical Center 2827 Fort Missoula Rd., 327-4634 Injury prevention for ages 5th grade through high school. A head and spinal cord injury prevention program offering presentations to school classes, clubs and community organizations. Please call for information to have Heads Up visit your school. Immunization Program, Missoula City-County Health Department 301 W. Alder St, 258-4745 Hours: Mon, Tues, Thurs, Fri 9:00 a.m. - 4:30 p.m.; Wed 10 a.m.- 4:30 p.m. Provides childhood immunizations. The minimal administration fee is charged on an income-based sliding scale and can be waived if payment is a concern.

Health Resource Guide 2010 -11 ~ 47

Missoula City/County Health Department 301 W. Alder St., 258-4750 www.co.missoula.mt.us/healthservices/ Home visits and telephone consultations are conducted by a staff of community health nurses, dieticians and social workers, upon request or through referral, for health and parenting information or issues. The primary focus is support for new parents and families of children with special health care needs. Visits can include sharing information on a variety of topics: for example, newborn infant care, breastfeeding, child development milestones and behaviors or community health and social resources. There may also be time to provide emotional support and encouragement to a concerned parent. Partners in Home Care 2687 Palmer St., Partners’ Solutions, Ste. B, 728-8848 Intravenous specialists serving Western Montana. Medications, equipment, support; specialists in adult and pediatric treatments; clinical pharmacists and registered nurse services. Partners Medical Equipment, Ste. 7, 327-3751 Provides ambulatory aids for children, breast pumps for breastfeeding, apnea monitors and oxygen. Partnership Health Center Well Child Care Partnership Panda Program 323 W. Alder St., 258-4789 Hours: Mon-Fri. 8:00 a.m. - 6:30 p.m. The pediatric well child program strives to build a relationship between parents and our providers. Parents who are successful at addressing their children’s health care needs receive age-appropriate gifts geared to aid in parenting. The program focuses on three principles: 1.planning for your child’s care; 2.preparing for tomorrow in order to keep your child as healthy as possible 3.prioritizing needs for your child’s healthcare Pediatric Rehabilitation Services - Outpatient Community Medical Center 2827 Fort Missoula Rd., Bldg. 4, 327-4050 Full range of rehabilitation services for children, including physical and occupational therapy, and speech-language pathology. Special programs for injury, illness and other disabling conditions. Pediatric Specialty Clinics 2618 South Ave. W, 327-4279 or 1-888-506-9366 The Pediatric Specialty Clinics offered at Community Medical Center can save a patient and family the time and high cost that comes with traveling out of state. CMC continues to offer multidisciplinary pediatric specialty services at our Pediatric Spcialty Clinic, thour partnerships with local & contacted providers, Seattle Children’s Hospital, and the Montana Department of public Health & Human Services

Children with Special Health Services Program. Our specialty clinics work with your primary care physician to make a definitive diagnosis and/or to enhance your child’s treatment plan. Clinics are offered in the following areas: cleft/craniofacial, cystic fibrosis, endocrine, genetics, metabolic, muscular dystrophy, nephrology, neurology, orthopedics, pulmonary, hemophilia, surgery, urology, gastroenterology, epilepsy, developmental follow-up and rheumatology. Referrals can be made for spasticity/tone management and spina bifida. A clinic to follow NICU graduates who have been identified as having an increased risk of developmental delay is also available. Marcus Daly Rehabilitation Center and Services 1200 Westwood Drive, Hamilton, MT 59840, 375-4570 Marcus Daly Rehabilitation Services provides comprehensive inpatient and outpatient pediatric rehabilitation services for children and young adults ages from 0 - 21. Our pediatric speech, occupational and physical therapists specialize in working with children and utilize treatment tools that have been developed specifically for pediatric patients. If your child needs one or all of our services, they will work one-on-one with an experienced, licensed therapist in a fully-equipped, state-ofthe-art, colorful pediatric center designed to meet the needs of our younger patients.

A United Way Agency

INFORMATION AND REFERRAL LINE LINKING YOU TO SOCIAL SERVICES

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

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

DIAL 2-1-1

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

48 ~ Health Resource Guide 2010 -11

Shriners Hospitals, 1-800-237-5055 www.shrinershq.org Shriners Hospitals for Children is a network of 22 pediatric hospitals in the US, Canada, and Mexico that provide specialized care for orthopedic conditions, burns, spinal cord injuries and cleft lip and palate. All services are provided at no charge. Eligibility for care is not based on financial need or relationship to a Shriner. The closest hospital for Missoulians is the Spokane facility, 911 W. 5th Ave, Spokane, WA 99204, (509) 455-7844. Women, Infants and Children (WIC) Missoula City-County Health Department 301 W. Alder St., 258-4740 or 1-800-823-4740 Provides food assistance and nutrition education to lowincome pregnant and nursing women and children up to the age of five. Grandparents, foster parents and fathers also are welcome to apply.

HEALTH INSURANCE Healthy Montana Kids Plan 1-877-KIDSNOW or 329-1323 www.hmk.mt.gov The Healthy Montana Kids Plan offers free or low-cost health care coverage for children and teens up to age 19. The plan covers office visits and well-child checkups, emergency care, physicals, immunizations, dental visits, vision and hearing exams, hospital care, prescription drugs, clinic services and more. The plan also covers pre-existing medical conditions. There are small co-payments for some families and no family pays more than $215 per year. There are no monthly premiums. Eligibility is based on family size and income. Families must submit proof of income when applying. Families can request and application or apply online at www.hmk.mt.gov, or pick up an application from local providers, health departments, health care facilities, clinics, schools, job service centers or Head Start programs. Approximate income guidelines are: Family Size (Includes Adults)

Approximate Family Income

$36,425

$45,775

$55,125

$64,475

$73,825

Children’s Special Health Services, Cogswell Building, 1400 Broadway, A116, 1-800-762-9891 or 444-3622 Assists eligible families with medical costs that arise from

treating children with special health care needs including, but not limited to: heart conditions, cleft lip, seizures, asthma, diabetes, and concerns with child\’s development. Can be in addition to other insurance (except Medicaid and CHIP). Sponsors specialty clinics across the state. MCHA: Montana Comprehensive Health Association Blue Cross Blue Shield, 1-800-447-7828 ext. 2128 www.mthealth.org Makes comprehensive health insurance benefits available to high-risk individuals. Includes but is not limited to: autism, cerebral palsy, diabetes, Down’s Syndrome. Also covers people who have been rejected by 2 insurers within the last 6 months. Missoula City-County Health Department Public Health Nursing Program 301 W. Alder St, 258-4298 www.co.missoula.mt.us/healthservices/ Assistance provided daily on a drop-in basis to complete applications for Medicaid, CHIP and insurance for children with special healthcare needs. Montana Youth Care Blue Cross Blue Shield, 1-800-447-7828 ext. 8965 A private health insurance plan that provides children ages 3 months to 18 with comprehensive coverage. Northwestern Scholastic Insurers P.O. Box 256, Helena, 59624, (406)458-5902 A private low-cost health insurance plan that provides children in school with supplemental accidental bodily injury coverage. Provides coverage for families with or without insurance. If a family already has insurance, any charges applied to their deductible or co-payment will be considered for coverage.

FAMILY RESOURCES AND SUPPORT ACTIVE 6 www.YMCAMISSOULA.org or call Keri McHugh at 406-532-6281 for more information. The YMCA in partner with Community Medical Center and The University of Montana invites all 6th Grade students in Missoula County to join us with a FREE one-year membership! The YMCA and our partners want to promote the well being of adolescents at a time that is most crucial to the development of choices about healthy lifestyles. “ACTIVE 6” a new program at the YMCA offers a free membership, activities specifically created for 6th graders, and access to the climbing wall, swimming pool, and a variety of other programs the YMCA has to offer. A.W.A.R.E. 2300 Regent St. Ste. 103, 543-2202 Aware provides tailored community services for Montana children with disabilities. Our programs are designed to offer specialized community-based services for people with challeng-

Health Resource Guide 2010 -11 ~ 49

ing mental, emotional and physical needs to ensure that these individuals achieve maximum independence, productivity and integration into the community. Baby Sign Language Class Marcus Daly Rehabilitation Services 1200 Westwood Dr., Hamilton, (406)375-4570 If you have a child aged 6 months - 3 years, learn to reduce your communication frustrations, jump start your baby’s language development, strengthen your parent-infant bond, enhance your child’s self-esteem and stimulate your baby’s intellectual development. Attend our Baby Sign Language class taught by a licensed speech-language pathologist. Six week sessions offered twice per year. Call 375-4570 for more information. Big Brothers Big Sisters 1520 S. Russell St, 721-2380 www.bbbsmissoula.org Hours: Mon –Fri 8:00 a.m. - 5:00 p.m. Matches children 6-14 with a Big Brother, Big Sister, or Big Couple. Offers mentoring program serving elementary and middle school children. Buckle Up Montana 400 North Park Ave. Helena, MT. 59601, 1-800-421-MOMS Educate and promote passenger vehicle safety for Montana by use of carseats and seatbelts. Please call for more information. Camp-Mak-A-Dream Gold Creek, east of Missoula, 549-5987 Foundation Office: P.O. Box 1450, Missoula, 59806 www.campdream.org Camp-Mak-A-Dream offers cost-free positive outdoor experiences for children and young adults with cancer and families of cancer patients at a camp in the Gold Creek area. Child Development Center T-214 Fort Missoula, 549-6413 or 1-800-914-4779 Fax 542-0143 • www.childdevcenter.org The Child Development Center (CDC) is a private, nonprofit agency providing services throughout the 7 counties of Western Montana to families with children who are either “at risk” for a developmental delay or have a diagnosed developmental disability. CDC’s services are provided by trained professionals who hold degrees in child development, special education, social work, pediatric therapy, or a related field. CDC also has a consulting Medical Director. CDC services are voluntary and at “no cost” to families. The services provided include: developmental evaluation of children primarily birth thru five; home-based intervention for children birth to 22 with an emphasis on parent education; expanded support services to include a Medicaid Waiver for children birth to

22 with intensive needs; limited respite care program; and a respite house for scheduled care. The Children’Museum - A Part of Families First 225 W. Front St, 541-7529 (541-PLAY) www.familiesfirstmontana.org info@familiesfirstmontana.org Hours: Tues-Sat 10:00 a.m. - 5:00 p.m., Sun noon-5:00 p.m., Closed Mon. A place for children & their grownups to learn about the world together in a fun, interactive space. Located in downtown Missoula conveniently located near the Carousel and Dragon\’s Hollow. Hands on exhibits include: Go Grow Grocery, Dino Dig, Water Works Wonders, & the Body Bubble Machine to name a few. Kiddos and their grownups can also enjoy Dr. Seuss and Amelia Bedelia Story Time on Saturdays, Toddler Play group, Birthday Parties, the Play Store, and much, much more! Admission is $4.25/person, children under age 1 are FREE. Memberships are available - call for details! More information available online. Community Circles P.O. Box 3056, Missoula, 59806, 549-1121 Crimes & community disruptions are symptoms of the breakdown of relationships. Honoring the ancient wisdom & practice of “Talking Circles”, Community Circles provides a safe space for those who have been harmed (victims), those who have caused harm (offenders), & neighbors who are at odds with one another, to engage in dialogue & resolve differences. Working with the youth in our community is one of our priorities. Community Circles is staffed by trained volunteers, & provides its services free of charge. Inquiries are welcome. Institute for Educational Research and Service (IERS) Library, 243-5344 www.iersum.org Hours: Mon-Fri 8:30 a.m.-4:30 p.m. The IERS Library is a resource for families to learn about topics related to special education such as kindergarten transition, inclusion, prevention and reduction of challenging

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50 ~ Health Resource Guide 2010 -11

behaviors, positive behavioral supports, early literacy and language skills, social communication skills, school safety, collaboration with families and professionals, individualized education programs, and specific disabilities. The Library is operated by IERS and CO-TEACH Preschool Program employees. Employment and Training Programs for Low Income Youths ages 14-21, Human Resource Council 1801 S. Higgins Ave, 728-3710 This program helps provide employment and training to low-income youth. The program assists participants to move toward career goals directed at getting and keeping unsubsidized employment. The program also offers work experience and internships. Free Youth Career Center. Families First 815 E. Front St., Ste. 3 721-7690 (parenting classes) or 541-7529 (children’s museum) www.familiesfirstmontana.org Families First is a nonprofit organization committed to the wellbeing of families of all backgrounds and life circumstances. We provide parent support through parenting programs and learning through play at the Children’s Museum, Missoula. Parenting Programs is committed to strengthening families through consultations, workshops, presentations, divorce/separation support, continuing education events for professionals, a lending library and support groups. The Children’s Museum hosts fun interactive educational exhibits and programs geared toward kids ages newborn to 8 and their grownups. The Museum is a great venue for group visits and birthday parties. Futures 2525 Palmer St., Ste. #1, 543-3550 Helps young parents build a secure future for themselves and their children by providing case management, education counseling, job readiness training, parenting education, housing, counseling and leadership development. Our services are free to young parents, and transportation assistance and childcare is provided for Futures activities. Provides specialized services for young fathers, including the legal aspects of fatherhood, such as paternity, child support, visitation, and custody. Head Start Corner of Worden & Philips St, 728-5460 Head Start is a free preschool program for low-income children whose families meet the income guidelines. Children with special needs are welcome. Full- and part-day classes are available. One nutritious meal & snack are provided free every day. Bus service is provided for families living within the transportation area. Home Start is a program of Head Start that provides a preschool experience for children and their families in their homes.

Healthy Start Council Missoula Forum for Children & Youth, 728-3000 ext. 1022 www.missoulaforum.org 435 Ryman St Healthy Start is a coalition of organizations and people concerned about families with young children. Through its School Readiness Team, Healthy Start provides information at community events about child development, parenting, early literacy, and health issues. Medicaid Transportation, 1-800-292-7114 Transportation to medical appointments billed to Medicaid when no other transportation is available. Local provider is usually Medicab. Missoula Area Education Cooperative 2825 Stockyard Rd, Ste. I2., 532-4861 Hours: Mon-Fri 8:00 a.m. - 5 p.m. Services for children ages 3-18 with disabilities who are enrolled in some outlying schools in Missoula, Mineral, Lake, and Sanders Counties. Missoula City/County Health Department 301 W. Alder St., 258-4298 www.co.missoula.mt.us/healthservices/ Home Visiting Program (with nurses, dieticians, and social workers). Provides home and office visits and telephone consultations for health and parenting information or issues. The primary focus is support for new parents and families of children with special health care needs. Visits can include sharing information on a variety of topics, such as newborn infant care, breastfeeding, child development milestones and behaviors, or community health and social resources. If time permits, emotional support and encouragement for concerned parents can also be provided. Mothers can also receive support and information to help them successfully breastfeed their babies by calling nurses who are certified lactation consultants on the Breastfeeding Hotline at 207-HELP. Parents who cannot afford to provide their baby with a safe sleep environment can fill out an application to receive a free Play ‘n’ Pak crib. Eligible parents can also get car seats for their infants at free or reduced cost. Missoula Early Head Start 2121 39th St., 251-9410 ext. 323 fax: 251-9403 laurab@ravalliheadstart.org Provides services to pregnant women and children 0 to 3 years old. Designed for families whose incomes are at or below the federal poverty level. Early Head Start provides comprehensive services focusing on child development and parent-child interaction. Health services include assistance in accessing health insurance and medical / dental providers, health screenings, and health education. Program also includes a Registered Dietician on staff for nutrition services and intensive prenatal services.

Health Resource Guide 2010 -11 ~ 51

Missoula Indian Center Fort Missoula Bldg. 33, 829-9515 www.missoulaindiancenter.org For Native Americans, MIC offers referrals to health care & social service providers, limited financial assistance, diabetes education, tobacco prevention & free over-the-counter drugs. The Alcohol Substance Abuse Prevention program can help Native families with sport shoes or other items that support positive youth activities. Minor in Possession classes are offered to Natives & non-Natives. Mountain Line Comparable Paratransit Services, 721-2848 Curb to curb transportation for qualified disabled individuals. Parent Aide Program, The Parenting Place, 1644 S. 8th St. W, 728-KIDS (5437) The Parent Aide Program works to strengthen & support families in the community thru informal home visitation & seeks to build empowering, supportive relationships with families. Professionals provide case management to families in need, including referrals to community resources, role modeling of positive parenting and communication skills, goal setting, mentoring in basic life skills and emotional support. The Parent Aide Program seeks to address the multiple barriers facing many families, assisting them in discovering strengths, developing skills, and connecting with resources. The ultimate goal of this program is to help families provide a safe & nurturing environment for their children. PLUK Parents Let’s Unite for Kids, 255-0540 or 1-877-219-9986 www.pluk.org A non-profit organization that works with Montana parents of children with disabilities. Provides workshops to provide parents with knowledge of the law and how to advocate for the child. Also provides individual and family assistance, support, information and referrals. Has a special needs lending library, various publications and assistive technology. P.R.O.S. (Police Reaching Out to Students) and School Resource Officers (SROs) Missoula Police Department Resource officers in Missoula’s middle & high schools. PROS & SROS act as resources to parents, students, teachers & the general public with concerns about the safety & well-being of students. The goal is to provide a safe learning environment for all. PROS provide information in the middle schools on drug awareness, safety, self-esteem and self-awareness. SROS provide information in high school classes such as criminology, government and Prep for Life. They also act as a link between students and law enforcement. Call your school for contact information. Ronald McDonald House Charities of Montana 3003 Fort Missoula Rd., 541-7646 Hours: Office hours are Mon-Fri 9:00 a.m. - 4:30 p.m.; House is staffed 24 hours/day. Provides housing for families of children from out of town

seeking medical care in Missoula; can provide numbers for Ronald McDonald Houses in other cities. BY MEDICAL REFERRAL ONLY Marcus Daly Rehabilitation Center and Services 1200 Westwood Drive, Hamilton, MT, 375-4570 Marcus Daly Rehabilitation Services provides comprehensive inpatient and outpatient pediatric rehabilitation services for children and young adults ages from 0 - 21. Our pediatric speech, occupational and physical therapists specialize in working with children and utilize treatment tools that have been developed specifically for pediatric patients. If your child needs one or all of our services, they will work one-on-one with an experienced, licensed therapist in a fully-equipped, state-ofthe-art, colorful pediatric center designed to meet the needs of our younger patients. Safe Kids, Safe Communities Community Medical Center 2827 Fort Missoula Rd., 327-4065 1-800-421-MOMS Provides information on safety issues for parents and children, focusing on injury prevention. A Safety Fair is held on the Community Medical Center campus each Fall with all coalition members. Please call or visit www.communitymed. org for more information. St. Patrick House 501 Alder St, 541-2828 St. Patrick House is a hospitality house for people from out of town who are in Missoula for medical reasons. By medical referral only. Tamarack Grief Resource Center, 406-541-8472 www.TamarackGriefResourceCenter.org tamarackgrc@live.com Tamarack provides grief support and education in the Missoula and Flathead valleys. Year-round camps are offered at Georgetown and Flathead Lakes to help children and families cope with the loss of a family member. Three-hour minicamps are also offered at area parks. The camps combine an adventure and experiential component with a safe, supportive group setting. Participants are asked to pay a small registration fee but services are provided regardless of ability to pay. Transitional Housing Program-Ada’s Place YWCA, 1130 W. Broadway, 543-6691 An 18-month independent living program for motivated, homeless, single women with children who want to achieve self-sufficiency.

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Youth Homes 550 N. California St., 721-2704 Hours: Mon-Fri 9 a.m. to 12:00 p.m. and 1 p.m.- 5 p.m. Provides five types of care for children and youth: shelter care, group care, foster care, adoption and family support services. Administers seven youth homes for children in crisis. Provides youth runaway services and therapeutic foster care adoption program. Serves western Montana, including the Helena area.

Child Care Health Program Missoula City County Health Department 301 W. Alder St., 258-4948 or 728-6446 In coordination with Child Care Resources, health education and consultation is provided to childcare providers and parents with children in child care. The nurse consultant conducts classes, visits child care settings and assists families in accessing health care resources. Telephone consultation on health issues is available as well.

PARENTING CLASSES

Child Care Resources, 728-6446 www.childcareresources.org Child Care Resources provides services to support children, families and child care providers in Missoula, Mineral and Ravalli counties. Services for families include the state-funded Best Beginnings Child Care Scholarship Program which helps qualifying working families pay for the cost of quality child care. Family Services also offers a free child care referral program for parents seeking child care. Using a database of over 200 local licensed providers, they offer parents profiles of child care providers who best meet their family’s needs. They also provide parents with information and tips on finding and choosing quality child care. Child Care Resources’ Provider Services serves early childhood professionals in their region through programs including the Early Childhood Development program, on-site health nurse consultation services, and a provider resource lending library. Child Care Resources also administers the USDA Child and Adult Care Food Program which partially reimburses registered child care providers for the cost of nutritious meals served to the children in their care.

The Parenting Place 1644 S. 8th St. W, 728-KIDS(5437) A non-profit agency that provides parent education & support thru classes, the home visiting Parent Aide Program & the Child’s Play program. The Parenting classes are 8-week programs. They are: •Nurturing Program: Prenatal to 3 Years Old: Learn what to expect as new parents & how your role as parents evolves as your child becomes a toddler. Receive information on Children’s Brain Development, Developmental Stages, Appropriate Expectations, Getting Needs Met Problem Solving, Decision Making, Discipline & Praise, Family Values & Rules. •Effective Parenting Class: Focuses on parenting children age preschool to preteen. Offers helpful information on development, misbehavior, family rules, choices & consequences and communication. •Free Children’s Programs for children ages 0-12 accompany all classes. Parenting Solo for Moms, Center for Integrative Care 336 W. Spruce St., 721-2860 Let’s face it - gals benefit from support from other gals. This group is for almighty Moms facing tough circumstances and transitioning identities. Parents are in the unique position of being the primary support for their children amidst their own trying circumstances. Let yourself be supported.

CHILD CARE AND EDUCATION Boys and Girls Club 617 S. Higgins Ave, 542-3116 The Boys and Girls Club is a non-profit organization committed to providing a positive and dynamic environment for local kids to learn new skills and socialize. The Boys and Girls Club offers affordable after-school programs and summer camps to children in kindergarten through fifth grade. They also offer the Smart Moves program, a nationally accredited Boys and Girls Club program that raises kids’ self esteem so they have the confidence to say “no” to drugs and alcohol. After school, the Club offers “Power Hour” with tutors that help kids with homework.

Child’s Play, The Parenting Place 1644 S. 8th St. W, 728-KIDS (5437) Hours: Mon & Wed 5:30 p.m. - 8:30 p.m. When mom and/or dad just need a break, this is just the place to take the kids. The Parenting Place offers two FREE children’s programs on Mondays & Wednesdays. Bring your children & leave them in a safe & nurturing environment so you can have some time to nurture yourself. Dinner is provided on both evenings. Child’s Play is open to all children under the age of twelve. Parents must call to reserve a place for their child(ren) on the morning of the program. Space is limited; first come, first serve. Prior to using the service, parents must make an appointment to come into the Parenting Place for a short interview and to provide emergency contact information. CO-TEACH Preschool Program, 243-5344 www.coteach.com The CO-TEACH Preschool is an inclusive program for children ages 3-5 with diverse abilities. The mission of the program is to offer all children a stimulating, playful, first school experience and to provide them with the skills they need to achieve - now, when they transition to kindergarten, and the years to follow. CO-TEACH operates on the belief that all children and families have individual strengths and needs and deserve to be treated with respect and dignity in a safe school environment.

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The Flagship Program 1325 Wyoming St., 532-9825 www.flagshipprogram.org Flagship is a community-based program of Turning Point/ Western Montana Addiction Services that is a school-community partnership. Flagship provides skill-building activities to youth during non-school hours. Five high schools, 3 middle schools, and 3 elementary schools in the Missoula County Public Schools district participate. Activities are free and transportation is provided when possible. Head Start Corner of Worden & Philips St., 728-5460 Head Start is a free preschool program for low-income children whose families meet the income guidelines. Children with special needs are welcome. Full- and part-day classes are available. One nutritious meal & snack are provided free every day. Bus service is provided for families living within the transportation area. Home Start is a program of Head Start that provides a preschool experience for children and their families in their homes.

CHILD GUIDANCE AND MENTAL HEALTH SERVICES Access to Therapy, Partnership Health Center 323 W. Alder St., 258-4789 Hours: Mon - Fri 9:00 a.m. - 5:00 p.m. The Access to Therapy program is designed to provide short-term goal-oriented therapy to Partnership Health Center patients to help them with a wide array of problems that affect their emotional and physical well-being. Access to Therapy is a community-driven program that provides short-term therapy to Partnership Health Center patients through a partnership with local providers in private practice, Master and PhD level interns, and MSW post-graduates. Adolescent Partial Hospitalization Program St. Patrick Hospital and Health Sciences Center Intakes: 327-3011 or General: 327-3182 Partial hospitalization is a day treatment program for 12 18 year olds. Admission is based on psychiatric diagnoses and/ or behavioral issues at home, school or in the community. Center for Integrative Care 336 W. Spruce St., 239-6546 Counseling, parent consultations, and play therapy for children designed to support kids facing transitions, anxiety, depressive symptoms, trauma, sleep disturbance, attachment challenges, grief, loss and bereavement.

Child and Family Service Network Western MT Mental Health Center 1305 Wyoming St, 532-9770 Provides children’s case management, school-based services, outpatient therapy, family-based services, and medication/psychiatric services. Child Psychiatric Services/Shodair Hospital 2755 Colonial Drive, Helena, (406)444-7500 or 1-800-447-6614 www.shodairhospital.org Shodair Hospital is a non-profit specialty children’s hospital serving children and families throughout Montana. Shodair’s Child and Adolescent Psychiatric program affords treatment to emotionally disturbed children through the age of 18. Staffed by an interdisciplinary team of psychiatrists, psychologists, therapists, nurses and other mental health staff, this program provides the most advanced psychiatric care available for emotionally ill, abused and neglected children in the state. Friends to Youth 2801 S. Russell, Suite 32 728-2662 fax: 406-728-2879 www.friendstoyouth.org fty@friendstoyouth.org M-F 8:00am-5:00pm evenings by appointment FTY is a local non-profit who has been helping Western Montana youth and families since 1976. We offer outpatient mental health counseling to youth up to the age of 21 and/or their families regardless of ability to pay. We also offer an inhome based service for families referred by Child and Family Services and Drug/Youth Court. We accept all insurance, as well as offer a sliding scale fee. Intermountain Children’s Home and Service 500 S. Lamborn, Helena, 59601 (406)442-7920 or 1-800-200-9112 www.intermountain.org. A nationally recognized Montana non-profit specializing in nurturing, therapeutic environments for children under severe emotional distress. We integrate relationship-based treatment & sound clinical discipline to assure a permanent family for every child. Intermountain has served the needs of children & families since 1909. Youth Homes 550 N. California St., 721-2704 Hours: Mon-Fri 9:00 a.m. to 12:00 p.m. and 1:00 p.m. - 5:00 p.m. Provides five types of care for children and youth: shelter care, group care, foster care, adoption, and wilderness therapy. Provides family support, youth runaway services, and therapeutic foster care adoption. Has seven youth homes for children in crisis. Partnership for Children provides intensive community-based treatment in 2 group homes for children ages 4-12. Serves western Montana, including the Helena area.

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CHILD PROTECTIVE SERVICES CASA (Court Appointed Special Advocate) 100 Ryman, 542-1208 A nonprofit organization providing advocacy through use of trained community volunteers, for children who are involved in cases of alleged abuse or neglect in Missoula courts. Trainings for volunteers are held in fall and spring - call for more information. Child and Family Services Division Department of Public Health and Human Services 2677 Palmer St., Ste. 300, 523-4100 Directs investigations into the abuse and exploitation of children; provides adoption services for special needs children and licensure and training for foster care and adoptive homes; provides registration for daycare family and group homes and licensure for day centers; directs investigations and accountability for compliance with laws governing daycares, foster care and adoptive homes. Children’s Support Group, YWCA 1130 W. Broadway, 543-6691 Hours: Tuesdays 6:30-8:00 p.m. Circle of Peace, for children of all ages who have experienced or witnessed family violence or abuse. Offered free in conjunction with women’s groups. Held on Tuesdays. Families can share a free meal at 5:30 PM; support groups are held 6:30 - 8 PM.

Intermountain Children’s Home and Services 500 S. Lamborn, Helena, 59601 (406)442-7920 or 1-800-200-9112 www.intermountain.org A nationally recognized Montana non-profit specializing in nurturing, therapeutic environments for children under severe emotional distress. We integrate relationship-based treatment & sound clinical discipline to assure a permanent family for every child. Intermountain has served the needs of children & families since 1909. Mountain Home Montana 2606 South Ave. W, 541-4663 www.mountainhomemt.org Mountain Home is a 6-bedroom facility located on one acre in Missoula. It provides a safe, loving home where teen mothers can discover their strengths & their children can experience the joys of childhood. Participants can stay for up to 2 years. Each Resident plans her own personal development program and sets goals with an on-site social worker. Continuing Education is a priority. If high school has not been completed, re-enrollment, adult education or working toward a GED is required. Mountain Home is for voluntary participants willing to follow program guidelines. 24-hour supervision is provided & the following issues are addressed: parenting, decisionmaking, problem solving, communication skills, relationships, health issues, nutrition & cooking, time & money management, employment skills, housekeeping, chemical dependency issues, housing, and transportation.

The Parenting Place (Child and Family Resource Center) 1644 S. 8th St. W, 728-KIDS (4357) A non-profit agency that provides parent education and support through classes and the home visiting Parent Aide Program. Free children’s programs for kids age 0-12 accompany all classes. The Child’s Play program provides free occasional child care to families in the community.

Shodair Hospital Child Psychiatric Services 2755 Colonial Dr., Helena (406) 444-7500 or 1-800-447-6614 www.shodairhospital.org Shodair’s Child and Adolescent Psychiatric program treats emotionally disturbed children through the age of 18. It offers acute and residential psychiatric care under one roof.

Watson Children’s Shelter 2901 Fort Missoula Rd., 549-0058 www.watsonchildrensshelter.org; www.oneisntenough.com A non-profit organization that provides 24 hour emergency shelter for children, infant to 14, who are victims of abuse, neglect, abandonment or family crisis.

Watson Children’s Shelter, shelter@montana.com 2901 Fort Missoula Rd., 549-0058 www.watsonchildrensshelter.org; www.oneisntenough.com A non-profit organization that provides 24 hour emergency shelter for children, infant to 14, who are victims of abuse, neglect, abandonment or family crisis.

RESIDENTIAL CARE

Youth Homes 550 N. California St., 721-2704 Hours: Mon-Fri 9:00 a.m. to 12:00 p.m. and 1:00 p.m. - 5:00 p.m. Provides five types of care for children and youth: shelter care, group care, foster care, adoption, and wilderness therapy. Provides family support, youth runaway services, and therapeutic foster care adoption. Has seven youth homes for children in crisis. Partnership for Children provides intensive community-based treatment in 2 group homes for children ages 4-12. Serves western Montana, including the Helena area.

A.W.A.R.E. 2300 Regent St., Ste. 103, 543-2202 Aware provides tailored community services for Montana children with disabilities. Our programs are designed to offer specialized community-based services for people with challenging mental, emotional and physical needs to ensure that these individuals achieve maximum independence, productivity and integration into the community.

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Educational Resources Adult Basic Education Dickinson Lifelong Learning Center 310 S. Curtis St., 542-4015 Hours: Mon-Thurs 8:00 a.m. - 3:30 p.m. The Missoula Adult Basic Education Program offers a variety of classes with small group and individualized instruction. Courses offered include basic skills in math, reading and writing, GED preparation, English as a Second Language, and Life-long learning courses to prepare for job search, employment, and post secondary education. Co-Teach Preschool Program, 243-6303 (Division of Educational Research and Service (DERS) Library, 243-5344) The Co-Teach Preschool is an inclusive program for children ages 3 through 5 with and without disabilities and their families. The mission of the Co-Teach Preschool Program is to offer all children the best possible first school experience and to provide them with opportunities and readiness skills that will enable them to succeed now, when they transition to kindergarten, and during the years that follow. The Co-Teach Family Center is designed to give all family members a place to relax, visit, read, and play. The Co-Teach Preschool Program and the DERS Library are resources for families to learn more about topics related to special education such as: kindergarten transition; inclusion; preventing and reducing challenging behavior; positive behavioral supports; early literacy and language skills; social communication skills; school safety; collaboration with families and professionals; individualized education programs; and specific disabilities. The library is operated by the division of Educational Research and Service and Co-Teach employees. It is open Mon-Fri 8:30 a.m. to 4:30 p.m.

Employment and Training Programs for Low Income Youths ages 14-21, Human Resource Council, 1801 S. Higgins Ave., 728-3710 This program helps provide employment and training to low-income youth. The program assists participants to move toward career goals directed at getting and keeping unsubsidized employment. The program also offers work experience EGThrg05 9/20/05 4:55 PM Page 1 and internships. Free Youth Career Center.

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Even Start Family Literacy Program, 523-4033 A complete program for parents and pre-school children designed to improve literacy. Families can attend at Dickinson school or at home. The program offers GED prep, job-training skills, parenting classes, computer classes, and opportunities to improve reading, writing and math skills. A full day pre-school program is offered at Dickinson School. The preschool offers a safe and secure environment, which provides social interaction with other children and learning centers to explore. (Limited enrollment) The Children’s Museum - A Part of Families First 225 W. Front St, 541-7529 (541-PLAY) www.familiesfirstmontana.org info@familiesfirstmontana.org Hours: Tues-Sat 10:00 a.m. - 5:00 p.m., Sun noon-5:00 p.m., Closed Mon. A place for children & their grownups to learn about the world together in a fun, interactive space. Located in downtown Missoula conveniently located near the Carousel and Dragon\’s Hollow. Hands on exhibits include: Go Grow Grocery, Dino Dig, Water Works Wonders, & the Body Bubble Machine to name a few. Kiddos and their grownups can also enjoy Dr. Seuss and Amelia Bedelia Story Time on Saturdays, Toddler Play group, Birthday Parties, the Play Store, and much, much more! Admission is $4.25/person, children under age 1 are FREE. Memberships are available - call for details! More information available online. The Learning Center (Medical Library) St. Patrick Hospital & Health Sciences Center 329-5711 fax: 406-329-5688 www.chi.saintpatrick.org library@saintpatrick.org M-F 8:00 - 4:30 pm. Please call or check our website for extended evening hours. The Learning Center houses a full-service medical library. We are open to the public and staff is available to help you with your search. The library has both consumer health and professional level medical resources and unique special collections on death, dying and grieving as well as ethics and humanities in medicine. Computer workstations provide links to quality-filtered on-line health resources and comfortable seating areas and study tables are available for your use. The hospital Archives and Our Heritage website provides access to the history and timelines of the Sisters of Providence, St. Patrick Hospital, and the Schools of Nursing and Radiology class photos. In addition, the library staff will assist you in completing, witnessing or notarizing your advance directive and will forward it to the End-of-Life Registry in Helena. Address: 500 W Broadway, Missoula, MT 59802

Garden City Harvest, 523-FOOD or 523-3663 www.gardencityharvest.org 103 Hickory Street Community Garden plots at seven gardens located in neighborhoods throughout Missoula. For a $40 fee, you have a 15’x 15’ plot, water, tools, compost and gardening advice. Applications are due in February. You can Volunteer for Veggies at one of our four neighborhood farms. Help us with farm labor and receive vegetables in return. Call 523-3663 for more info or check www.gardencityharvest.org. Missoula Urban Demonstration Project (MUD) 629 Phillips Street, 406-721-7513, Fax: 406-721-7513 www.mudproject.org MUD exists to provide a replicable model of urban sustainable living through education, demonstration and celebration in the Missoula community. MUD achieves this mission by providing the following resources and education for Missoulians interested in sustainable living: Backyard Sustainability Workshop Series, Demonstration Site, Tool Library, Truck Share. School Resource Officers (SROs) Missoula Police Department SROs act as resources to parents, students, teachers and the general public with concerns about the safety and well-being of students. The goal is to provide a safe learning environment for all. SROs provide information in high school classes such as criminology, government, and Prep for Life. They also act as a link between students and law enforcement. Call your Missoula high school for contact information. Buy Eat Live Better (EFNEP & SnapEd) 2825 Santa Fe Court 406-258-4207 or 4208 www.missoulaeduplace.org The Expanded Food & Nutrition Education Program offers a free series of cooking and nutrition classes for limited resource families with children under age 19 or pregnant women. SnapEd offers classes to adults on food stamps. Both programs help participants learn to stretch their food dollars, choose healthy foods and plan nutritious meals and snacks. Youth programs available for school-age children.

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Seniors

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

GLOSSARY OF SENIOR TERMS • Activities of Daily Living (ADLS) - Basics of an individual’s daily routine. If a person cannot perform these without assistance, the person should not live alone. ADL’s include bathing, dressing, grooming, eating, walking/mobility, transferring, toileting and continence care. • Adult Protective Services (APS) - Responsible for investigating abuse, neglect and exploitation of vulnerable older adults in private home settings. • Advance Directives - A written document giving or withholding consent for medical or other professional care in the event that a person becomes unable to provide that direction. • Assisted Living Facility (ALF) - Residential facility for those who need assistance with their activities of daily living within a supervised environment that helps the person remain as independent as possible. These facilities do not typically include any level of nursing care. • Care/Case Management - Assessing, arranging and overseeing an individual’s medical, functional social and financial needs. Professional case managers are typically social workers or nurses. • Certified Nursing Assistant (CNA) - A person who has successfully completed a state training program or course with a focus on activities of daily living. • Community Based Services - Services designed to help older adults remain independent and in their own home. These services may include senior centers, delivered meals or congregate meal sites, home health care, adult day care, companionship and homemaker services. • Conservator - A court-appointed individual or company authorized to manage the financial affairs of a minor or older

adult who can no longer manage his or her own property and financial matters. • Dementia - A clinical term used to describe a group of brain disorders disrupting and impairing cognitive functions such as thinking, memory, judgment, personality, mood and social functioning. • Discharge Planner - The professional staff member of a hospital or nursing home who develops a plan for the future care of a patient prior to discharge. • Do Not Resuscitate (DNR) - A written directive stating that in the case of death the patient/client requests no attempts of resuscitation. • Durable Medical Equipment (DME) - Equipment such as hospital beds, wheelchairs, walkers, commodes and raised toilet seats to be used at home. • Durable Power of Attorney - A power of attorney remaining valid and enforceable despite the incompetence or incapacity of the principal. • Emergency Response System - An electronic device designed to let a person summon help in an emergency. The device transmits a signal over the telephone to an emergency monitoring center. • Home Health Agency (HHA) - A public or private organization with a staff of skilled nurses, homemakers, home-health aides and therapists providing nursing, rehabilitation and homemaking services to homebound patients recovering from major medical treatment or chronic or temporarily debilitating conditions. • Home Health Care - Service performed in the home for an older adult by someone who has special medical training. • Homemaking/Home Care Services - A trained person providing household cleaning, cooking, grocery shop-ping, laundry, and transportation for an older adult. • Hospice - Care for the terminally ill with a life expectancy of 6 months or less. Care can be provided at home, in a nursing home, hospital or hospice facility. It is designed to support

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both the patient and the family. Hospice care emphasizes pain control, symptom management and emotional support rather than life-sustaining equipment. • Incontinence - The loss of voluntary control over bladder or bowel functions • Independent Living Facility (ILF) - A housing complex providing support services including meals in a central dining area, weekly housekeeping, social activities and transportation. • Licensed Practical Nurse (LPN) - A person currently licensed to practice nursing. Generally works under a registered nurse. • Living Will - A legal expression of an individual’s wishes about future medical treatment at a time when they become incompetent or cannot communicate due to illness. • Long Term Care (LTC) - A general term describing a range of medical nursing, custodial, social and community services designed to help people with chronic health problems or forms of dementia. • Long Term Care Insurance (LTCI) - Insurance policies issued by private companies to defray the costs of long term care in nursing facilities, assisted living facilities, home care services and community based services.

• Medicaid - A United States health insurance program financed by the federal and state governments and administered by the states for eligible low-income people regardless of age. Needy older people can have their Medicare deductibles and co-payments paid by Medicaid. Medicaid may also pay for nursing home and assisted living care if the individual’s income and assets are within certain limits. • Medicap Insurance - Also known as supplemental insurance. United States private health insurance policies intended to cover medical costs not fully covered by Medicare. • Medicare - A United States health insurance program for people 65 and older and some disabled individuals. Part A covers hospital costs and nursing facility care. Part B covers physician services, therapies and home health care. Patients must pay deductibles and co-payments and make up any expenses not covered by Medicare or a Medicare Supplement/Medicap insurance policy. • Nursing Home (NH) - A licensed nursing facility providing a full range of care, medical services and rehabilitation to those recovering from hospitalization or suffering from chronic illness, dementia or other factors making it impossible for them to live at home. • Registered Nurse (RN) - A person who has met all educational requirements from an approved program of professional nursing education and has successfully passed the NCLEX examination leading to current state licensure to practice professional nursing. • Registry - An agency that acts as a broker matching a person with a care provider. • Respite Care - A service providing temporary care for an older adult. The purpose of the care is to allow the primary caregiver some short-term relief from their day-to-day responsibilities. Respite care may be provided in or out of the home. • Reverse Mortgage - A mortgage in which a homeowner, usually an elderly or retired person, borrows money in the form of annual payments which are charged against the equity of the home.

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• Skilled Nursing Facility (SNF) - A licensed facility providing 24-hour medical services by registered nurses, licensed practical nurses and nurse aides for seriously ill or severely disturbed people who do not require hospitalization. • Spend Down - A requirement that an individual use up most of his or her income and assets to meet the United States Medicaid eligibility requirements. • Spousal Impoverishment - United States regulations allowing the division of some income and assets for a spouse of nursing home resident whose stay is covered by Medicaid.

SENIOR RESOURCES & INFORMATION American Association of Retired Persons (AARP) 30 W. 14th St #301, Helena, 59601 1-888-687-2277 or Statewide 1-866-295-7278 Fax (406)441-2230 • www.aarp.org, mtaarp@aarp.org This national association has over 35+ million members. They offer many special programs to seniors including: a defensive driving program for those over 50, special group insurance rates, physical fitness, social and recreational programs. Area XI Agency on Aging/ Missoula Aging Services 337 Stephens Ave. 728-7682 or 1-800-551-3191 www.missoulaagingservices.org Missoula Aging Services links seniors, people with disabilities, their families and caregivers with community based services and resources. MAS operates the Senior Nutrition Program, which includes Meals On Wheels, Congregate Dining and Senior Diner Club. The Senior Help Line (728-7682) and Resource Center offer information on Medicare/Medicaid issues, family caregiver needs, long term care counseling, housing, transportation, ombudsmen and much more. Volunteer opportunities include RSVP (the Retired Senior Volunteer Program), Foster Grandparents and Senior Companions . Community Living Program, Missoula Aging Services 337 Stephens Ave., 728-7682 The Community Living Program (CLP) allows seniors at risk for nursing home placement and living in Missoula County to select care and in-home support services tailored to fit their needs, situation and budget. CLP provides professional case management with expert guidance, support and assistance in key areas, empowering seniors age 60 and over to manage in-home care for long-term success. Foot Care Services, St. Patrick Hospital 500 W. Broadway, 327-1733 Pamper your tired, aching, sore feet…you deserve it! On the first and third Monday of every month, specially trained nurses soak your feet, trim and file your nails, and finish with a lotion massage. Appointments last approximately 30 minutes. The first visit is $26; following visits are $20. People with

diabetes are welcome. Pre-registration is required. Gift certificates are available. Home Maintenance and Safety Program Missoula Aging Services 337 Stephens Ave., 728-7682 www.missoulaagingservices.org Missoula Aging Services’ Home Maintenance and Safety Program can assist eligible individuals 60 years and older. This program provides skilled volunteer assistance to conduct home safety inspections; minor home repair; referral services and occasional yard assistance with no labor costs to the recipient. Mall Walkers Southgate Mall Community Room, 721-5140 Hours: Mon, Wed, Fri 9:00 a.m. - 10:00 a.m. Meeting includes health and fitness discussion group, warm up, 30 minute walk and cool down. Sponsored by WMC, SPH and Southgate Mall. Missoula Housing Authority 1235 34th St., 549-4113 Fax 549-6406 or TTY 880-253-4091 Hours: Mon-Thurs 8 a.m. - 5 p.m.; Fri appt. & phone only Lists and provides low-rent housing available to seniors and disabled.

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Missoula Aging Services Resource Center Missoula Aging Services 337 Stephens Ave., 728-7682 www.missoulaagingservices.org Houses books, videos, brochures, informational pamphlets and more to assist older adults, people with disabilities, their families, friends and caregivers. The family caregiver section of the center is specific to helping families and caregivers find answers to their needs. Missoula Senior Center 705 S. Higgins Ave., 543-7154 Hours: Mon-Fri 8:00 a.m. - 4:00 p.m. As a popular gathering place for older citizens, this site offers a wide array of social and recreational activities. Lunch is served from 11:30 a.m. - 12:30 p.m. Mon-Fri at a nominal cost. Membership is available to people 50 years of age and older, but all activities are open to the public regardless of membership. Partners In Home Care Palmer Professional Plaza, 2687 Palmer #B, 728-8848 Provides a full range of in-home services including Hospice, IV therapy, Case Management services & medical equipment in Missoula, Mineral, and Ravalli counties. Home Health & Hospice in Missoula, Mineral and Lake counties only.

RSVP: Volunteer Services, Missoula Aging Services 337 Stephens Ave., 728-7682 www.missoulaagingservices.org A program of Missoula Aging Services that matches the skills, talents and life experience of adults 55 plus with nonprofit and public agencies. These volunteers help solve critical needs in Missoula and enhance the quality of life in our community. Senior Help Line, Missoula Aging Services 337 Stephens Ave., 728-7682 or 1-800-551-3191 www.missoulaagingservices.org Provides assistance to older adults, people with disabilities, families or caregivers needing resource information. The Senior Help Line provides resource information and consultations covering all aspects of need. From transportation to Medicare insurance counseling, the trained staff can assist in finding answers. Senior Wheels USA Program, 1-800-246-6010 Provides electric wheelchairs to senior citizens and the permanently disabled at no cost if they qualify. Leon Johnson, Director.

STRUCTURED OUTPATIENT PROGRAM St. Patrick Hospital and Health Sciences Center Intakes: 327-3011 or General: 327-3015 The Structured Outpatient Program is a geriatric and older adult, intensive behavioral outpatient program. The program targets individuals who are dealing with grief, worry, fear, irritability, withdrawal, sleep disturbances and/or physical decline. Patients must be evaluated before admission to the program. Treatment is overseen by the medical director and clinical treatment team.

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SENIOR EDUCATION, EMPLOYMENT AND TRAINING Experience Works 3700 S. Russell St., Ste 121, 543-2300 or (800) 450-5627 www.experienceworks.org Experience Works is a nationwide nonprofit organization that provides training and employment services to people over 55 years of age that are on limited income. Experience Works develops training opportunities through nonprofit and government agencies in the community and pays the participants while they are receiving the training. We assist each of the participants with job search and job placement strategies in the field of their choice. Foster Grandparents and Senior Companions Missoula Aging Services 337 Stephens Ave., 728-7682 www.missoulaagingservices.org These programs of Missoula Aging Services offer a tax-free stipend to age and income eligible people who volunteer with children and older adults.

Mall Walkers Southgate Mall Community Room, 721-5140 Hours: Mon-Wed-Fri 9:00 a.m. - 10:00 a.m. Meeting includes health and fitness discussion group, warm up, 30 minute walk and cool down. Sponsored by WMC, SPH and Southgate Mall. Missoula Academy of Tâ&#x20AC;&#x2122;ai Chi Châ&#x20AC;&#x2122;uan, 728-0918 These slow, relaxed exercises are low impact, easy to learn and have immediate beneficial effects on the practitioner, especially seniors. Continued practice improves balance, alertness, flexibility, dexterity, weight control, mental attitude and overall health. New Directions UM Skaggs Bldg. #113, 243-4016 www.health.umt.edu/newdirections/ New Directions is a wellness program designed for persons with physical limitations or disabilities. The healthier we are, the more we are able to do. The staff at New Directions helps participants develop the tools to participate in life as fully as possible. This includes physical Therapy, a physical fitness center, nutrition services and educational workshops.

SENIOR NUTRITION

Nutrition is a very important part of healthy aging. Missoula Aging Services sponsors nutrition programs for people over 60 who are homebound or mobile. Meals On Wheels, Missoula Aging Services 337 Stephens Ave., 728-7682 www.missoulaagingservices.org Volunteers for Missoula Aging Services deliver hot, nutritious meals weekdays for homebound seniors and adults with disabilities. Special diets and weekend meals are also available. Services are also available in Seeley Lake, Potomac, Frenchtown, Clinton and Condon areas. Senior Diner Club or Senior Congregate Meals Missoula Aging Services 337 Stephens Ave., 728-7682 or 1-800-551-3191 www.missoulaagingservices.org Available for seniors 60 and older, who fall within certain income guidelines and live in Missoula County. Coupons, each good for one full meal, can be used at participating restaurants and cafeterias. Participants are asked to contribute according to income and ability to pay. Sites are also serving meals in Lolo, Condon, and Seeley Lake.

SENIOR EXERCISE PROGRAMS

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

Honoring the dignity of those who paved the way for us. Life is marked by transitions. Count on us to provide information, resources, services and volunteer opportunities for older adults, their families and caregivers. Please call or visit:

www.MissoulaAgingServices.org (406) 728-7682 337 Stephens Ave. 1-800-551-3191

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Osteoporosis Exercise Class—“Healthy Backs and Bones” St. Patrick Hospital and Health Sciences Center Physical Therapy Department 500 West Broadway, 329-5895 Healthy Backs and Bones is a class designed to help prevent osteoporosis or keep it from proceeding further by learning about how to take care of your bones and learn exercises to strengthen them. Community Medical Centers - Senior Health Class offered at the Missoula Family YMCA 3000 S. Russell, 721-YMCA(9622) This class incorporates functional exercise to decrease one’s fall risk. Functional exercise refers to a level of strength, cardiovascular efficiency, joint flexibility and balance that enables one to carry out their activities of daily living effectively and independently. Offered Mondays & Wednesdays at 2 - 3PM. Fee is $3 per session or FREE for YMCA members. Your physician approval is encouraged. Call for more information.

FINANCIAL RESOURCES

Nothing can be more burdensome to an elderly person or their family than worry about the cost of living. Many resources are available in the community to assist seniors and their loved ones plan for financial security in their old age. Please refer to the Financial Section of this guide for more information and referral resources. Missoula Social Security Office 700 S. W. Higgins Ave., Ste. 5, 542-1580 Social Security General Information and Services, 800-772-1213 Retirement, survivors and disability benefits information.

MEDICAID AND MEDICARE

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

MASH Community Medical Center 2827 Fort Missoula Rd., 327-4317 Medicaid eligible program for patients and family. Montana SMP, 1-800-551-3191 Missoula Aging Services 337 Stephens Ave, 728-7682 www.missoulaagingservices.org Montana SMP (Senior Medicare Patrol) is a statewide program to help reduce Medicare and Medicaid waste, fraud and abuse. Montana SMP empowers seniors to: • Understand Medicare summary notices including Medicare Prescription Drug Plans • Protect themselves against healthcare waste, fraud and abuse, • Be an informed consumer • Keep a record of medical appointments and tests, and check bill to confirm all services listed were received. Montana SMP is funded by the Administration on Aging and run by Missoula Aging Services. If you have concerns about your Medicare or other health care statements, call 7287682 or 1-800-551-3191. Montana SMP is a free and confidential program. SHIP (State Health Insurance Assistance Program) Missoula Aging Services 337 Stephens Ave., 728-7682 www.missoulaagingservices.com Will answer questions about Medicare and Medicaid, including the Medicare Prescription Drug Program and other health insurance needs.

LONG-TERM CARE PLANNING AND CONCERNS Caring With Kindness Adult Day Center 805 West Spruce Street 406-529-5996 or 406-396-3986 fax: 406-830-3300 www.MissoulaAdultDayCare.com scarlette@caringwithkindness.com Mon.- Fri. 7:30am- 5:30pm; Sat.- Sun. 9:00am - 2:00pm Caring With Kindness Adult Day Center focuses on supporting caregivers in keeping their family members at home through a comprehensive program created for adults who require daytime assistance and supervision. Your loved ones will enjoy choosing from a variety of stimulating games, delight in watching live entertainment, listening to music, and playing with Wii fitness.

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Certified Local Ombudsman Program Missoula Aging Services 337 Stephens Ave, 728-7682 or 1-800-551-3191 www.missoulaagingservices.org The Ombudsman Program at Missoula Aging Services is part of a national network of advocacy, education, empowerment and vigilance for residents of assisted living facilities and Nursing Homes. Ombudsmen provide information on and support for residents’ and their rights. They identify, investigate and resolve complaints. They also work closely with regulatory bodies as well as advocacy and rights organizations to guarantee the respect, health, safety, rights and empowerment of residents. Home Instead Senior Care, 523-9909 www.homeinstead.com America’s trusted resource for non-medical care ranging from 1-hour drop-ins, 3-hour visits, overnights or 24 hour care. Personal care, homemaking, incidental transportation, meal preparation and medication reminders. Free consultation to discuss options for care. Missoula Aging Services Information Line and Resource Center Missoula Aging Services 337 Stephens Ave, 728-7682 or 1-800-551-3191 Mon. - Fri., 8 a.m. - 5 p.m. www.missoulaagingservices.org Provides assistance to seniors, families of seniors or caregivers needing resource information. The Senior Information Line provides resource information and consultations on all aspects of senior needs. From transportation to Medicare insurance counseling, the trained staff can assist in finding answers. Montana End-of-Life Registry 2225 11th Ave., P.O. Box 201410, Helena, 59620-1410 (866) 675-3314 or (406) 444-0660 www.endoflife.mt.gov; endofliferegistry@mt.gov Montana’s End-of-Life-Registry stores advance health care directives in a secure computer database and makes these documents available to health care providers and registrants. The Registry provides this service free of charge. The registry • Securely stores directives relating to life-sustaining treatment • Is accessible online • Provides immediate access to authorized health care providers The Registry does not provide legal advice or legal services. Consumers should consult with their doctor, attorney or agencies that specialize in end-of-life care choice about any questions they have related to advance health care directives, living wills, health care (medical) powers of attorney and other personalized directives. Montana Seniors Office of Legal and Ombudsman Services, 1-800-332-2272 Ask for the office on aging for legal and/or senior care concerns.

Montana Veterans Home Columbia Falls, (406)892-3256 Montana Veteran’s Home is part of the Senior and Long Term Care Division in the Department of Health and Human Services of the State of Montana. We are a 105 bed, skilled nursing facility, and offer a 15 bed special care unit for dementia care, and 12 bed self-care units for honorably discharged veterans. Accept Medicare and Medicaid. Veterans can call and will be sent an application. Open to all veterans and their spouses. Preference is given to Montana residents, but out-ofstate applicants will also be considered. Partners In Home Care, Palmer Professional Plaza, 2687 Palmer St. #B, 728-8848 Provides a full range of in-home services including Medicare Home Health, Hospice, IV therapy, Case Management services, personal care, medical equipment and home making services in Missoula, Lake, Mineral, and Ravalli counties. Sponsored by Community Medical Center and St. Patrick Hospital.

LONG-TERM CARE INSURANCE

Long-term care insurance helps cover the cost of medical needs if you are unable to take care of yourself due to a prolonged illness or disability. There are several basic types of long-term care insurance: coverage for nursing homes only; coverage limited to home and community-based care; and comprehensive policies that cover nursing homes and homeand community-based care. Recent national studies conducted by the Health Insurance Association of America indicate that the actual risk for needing long-term care services (either in our homes, in the community, or in a nursing home) at some point in our lives is greater than 50%. The cost of care is staggering: according to the “Montana Consumer’s Guide to Long Term Care” the state average for private stay in a nursing home in June 1999 was $100 per day. A year in a nursing home is expected to cost $90,000.00 by the year 2015. Whether or not you choose to purchase long-term care insurance may depend on your age, your health, and your personal finances. For more information, contact the Montana Insurance Department at 1-800-332-6148.

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HOUSING/RESIDENTIAL ALZHEIMER’S CARE

ASSISTED LIVING

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

Housing with secure units for those impaired by Alzheimer’s disease or other forms of dementia. See also Assisted Living and Licensed Nursing Home sections.

At Home Assisted Living 1300 Speedway, 549-8127

Edgewood Vista 2815 Palmer St., 549-9660

Bee Hive Homes 2406 River Rd., 543-0345

Hillside Health Care 4718 23rd Ave., 251-5100 or 251-5912

Bitterroot Valley Living Center 63 Main St, Stevensville, 777-5411 or 800 410-5411

Rosetta Assisted Living 2810 Great Northern Loop, 728-5822

Country Home Estates 1704 S. Reserve, 542-1889

The Springs at Missoula 3710 American Way, 273-0101

Flor-Haven Assisted Living Facility 433 S. 3rd St., 542-2598

Village Health Care Center 2651 South Ave. West, 728-9162

Grandma’s House 2327 39th St., 251-7101 Hillside Place 4718 23rd Ave., 251-5100 or 251-5912 Hunter’s Glen 3620 American Way, 542-7009 Missoula Health and Rehabilitation Center 3018 Rattlesnake Dr., 549-0988 Pleasant View 4322 W. Central Ave., 728-8675 Rosetta Assisted Living 2810 Great Northern Loop, 728-5822 The Springs at Missoula 3710 American Way, 273-0101 The Village Senior Residence 2815 Old Fort Road, 549-1300 Warm Sunsets 19655 Old Hwy 93 S., Florence, 273-2200

INDEPENDENT LIVING

For seniors who are able to manage on their own.

Grizzly Peak 3600 American Way, 721-2292 The Springs at Missoula 3710 American Way, 273-0101 The Village Senior Residence 2815 Old Fort Road, 549-1300

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INDEPENDENT LIVING-INCOME BASED Section 8 rental subsidy programs help low and moderateincome and independent seniors obtain apartments. Some apartments are handicapped accessible. Burlington Square Apartments 2450 Burlington Ave., 327-6659 Camelot Apartments 520 W Spruce, 542-1765 Clark Fork Riverside 301 W. Front St., 721-2439 Glengarra Place 3900 Galway Ave., 541-9245 Missoula Manor 909 W. Central Ave., 728-3210 River Ridge Apartments 2840 Santa Fe Ct., 543-7500 Russell Square Apartments 1235 34th St., 540-4113 Silver Crest Apartment Community 1550 S. 2nd St., 541-0464 Valor House (For homeless senior/disabled veterans) 2820 Great Northern Loop, 728-1809 Vantage Villa 1319 E. Broadway, 549-4113

LICENSED NURSING HOMES

RESPITE CARE

Respite care offers short-term care for older adults and people with disabilities to give their at-home caregivers a period of relief. This service may be provided in-home or in a facility. See also In-Home Home Care section. At Home Assisted Living 1300 Speedway Ave., 549-8127 Bee Hive Homes 2406 River Rd., 543-0345 Big Sky Home Care P. O. Box 16540, 396-7909 Bitterroot Valley Living Center 57 Main St., Stevensville, 777-5411 Case Management Caregiving Inc. 800 Kensington, 208 541-6577 Consumer Choice Home Care 1921 Oxford St., 549-2397 Edgewood Vista 2815 Palmer St., 549-9660

A SAfe & CAring Home for PeoPle WitH memory loSS

Licensed nursing homes are annually surveyed by the state for compliance to standards of care.

• Comforts & design of a family home.

Bitterroot Valley Living Center 63 Main St., Stevensville, 777-5411 or 1 800-410-5411

• Well trained & compassionate caregivers. • Respite & day program.

Hillside Health Care Center 4720 23rd Ave., 251-5100 Missoula Health and Rehabilitation Center 3018 Rattlesnake Dr., 549-0988

• Personalized daily activities such as gardening, art, worship, reminiscing, singing, baking, exercise, & pet therapy.

Riverside Health Care Center 1301 E. Broadway, 721-0680

• Culture of gentle and loving care.

Valley View Estates 225 N. 8th Street, Hamilton, 363-1144 Village Health Care Center 2651 South Ave., 728-9162

www.edgewoodvista.com

406-549-9660

2815 Palmer, Missoula

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Grandma’s House 2327 39th St., 251-7101 Hillside Healthcare 4720 23rd Ave., 251-1500 Home Care Services 1048 Burlington Ave., 543-1184 Home Health of Montana 1903 Russell St., 541-1800 Home Instead Senior Care 410 Expressway, Ste D, 523-9909 Hunter’s Glen 3620 American Way, 542-7009 Loving Lisa’s Homecare Florence, 728-7682 Missoula Health and Rehabilitation Center 3018 Rattlesnake Dr., 549-0988 Nightingale Nursing Service 1903 Russell St., 541-1700 Riverside Health Care 1301 E. Broadway, 721-0680 Rosetta Assisted Living 2810 Great Northern Loop, 728-5822 Stella White, RN PLLC 156 Kensington Ave. Ste., 208 240-5972 Village Health Care Center 2651 South Ave. West, 728-9162 Warm Sunsets 19655 Old Hwy 93 S., 273-2200

IN-HOME CARE • HOME CARE (non-medical in-home care)

Case Management Connections and In Home Assistance 800 Kensington, (208) 541-6577 or 866-830-2224 cmconnections.com. Provides in-home assistance, case management and bill paying services. Creates customized care giving teams for day and/ or nighttime care. Family member can stay in the comfort of their home and receive top-quality care from caregivers who become like family. Specialize in one- on-one relationships with our clients and care that is around the clock. Case management services can be used to navigate the health care system to make sure you or your loved ones are receiving the right services and to give a local liaison with the doctors and other services that might be received. Consumer Direct Personal Care 1903 S. Russell, 541-8700 or 1-866-438-8591 www.ConsumerDirectOnline.net. Self-directed in-home care. You are in charge: recruit, hire and manage your caregiver. Stay at home, maintain your independence and control. Express Employment Professionals 3709 Brooks St., 542-0323 www.expresspros.com. Locally owned and operated company with national resources that has been staffing in-home caregivers since 1993. Express provides personal care attendants, homemakers, grounds keeping or socialization companions and is a state approved Medicaid provider also accepting private pay. You customize your care plan. Heartland Caregivers, Inc. & companions to the Elderly 5500 Grant Creek Rd, 542-0241 Fax 549-7304, www.estatestaffing.com Hours: Mon-Thurs 9 a.m. - 4 p.m. and by appointment. Live in or live-out home care for children and the elderly or anyone who needs help to stay in their home. Home Care Services 1018 Burlington Ave, Suite 105, 543-1184 Assistance with bathing, dressing and personal needs. Meal preparation and feeding. Medication reminders,housekeeping, transportation, respite care. Marcus Daly Home Care Services 1200 Westwood Drive, Hamilton, MT, 59840, 363.6503 Whether you only require an occasional visit from a nurse to administer medication, or more elaborate care, Marcus Daly Home Care Services, a service of Marcus Daly Memorial Hospital, provides skilled care, under the direction of your doctor, by health care professionals, such as nurses and therapists. Our services are ranked #1 in the state and in the top 3% nationally; they include skilled nursing care, physical,

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occupational, and speech therapists, as well as medical social work and home health aides. We have been serving the Bitterroot Valley since 1987 and are certified for Medicare and Medicaid and licensed by the State of Montana. We accept Medicare, Medicaid, Health Insurance and Private Pay. Home Instead Senior Care 400 Expressway, Ste. C, 523-9909 Fax: 523-9949; homeinstead.com. Contact Kathy Noble, Client Care Coordinator. Assists older adults with everyday non-medical tasks that allow independence no matter where you call home. From a few hours a day up to 24 hours/seven days a week including weekends and holidays. Meal preparation, medication reminders, laundry, light housekeeping, personal care, shopping, errands, escort to appointments, assistance with hospice care, Alzheimer/dementia care, respite care. Progressive Personal Care 1921 Oxford St., 251-9333 or 866-772-4621, www.progressivepersonalcare.com; kreynolds@bresnan.net Contact Kelly Reynolds. Provide Medicaid personal care service throughout the State of Montana. Summit Independent Living 700 SW Higgins #101, 728-1630 Fax: 329-1312; www.summitilc.org.

SKILLED HOME HEALTH CARE

(physician-ordered Medicare and/or Medicaid certified)

Home Health of Montana 1903 S. Russell, 541-1800 www.homehealthofmontana.com Provides a wide spectrum of in-home services including nursing, IV therapy, physical/occupational/speech therapies and care management. Also provides complimentary nursing consultations for patients and/or families. The only independent Medicare-Certified home health agency in Missoula and Ravalli counties. Nightingale Nursing 1903 S. Russell St, 541-1700 Offers skilled nursing services, personal care attendants, home monitoring system, on-call nurse, respite service, chore services, in-home counseling, physical therapy, assistance with hospice and other services. Northwest Homecare 913 SW Higgins, Ste. 204, 549-8059 Provides skilled nursing, PCA or CNA services for children, seniors or disabled clients in the comfort of their won home. Medicaid, private insurance and private pay.

Partners in Home Care 2867 Palmers St., Ste. B, 728-8848 or (888)729-8848 www.partnersinhomecare.org. Provides home health care, rehab services, infusion therapy, case management, hospice and home medical equipment to people in western Montana. This nonprofit home health service is sponsored by Community Medical Center and St. Patrick Hospital. All employees are fully insured and comprehensive background investigations are conducted. Clinicians available 24 hours a day, 365 days a year.

HOSPICE

(Care for the terminally ill)

Hospice of Missoula 800 Kensington Ave. #204, 543-4408 Fax: 543-4118; hospiceofmissoula.com A charitable hospice providing physical, emotional and spiritual care at end of life. Patients are cared for by a team of physicians, nurses, home aides, chaplain, music thanatologist and social workers. Hospice care serves the entire family, not just the patient and continues after death with bereavement support. Partners Hospice & Palliative Care Services 2687 Palmer St, Ste. B, 728-8848 or (888)729-8848 www.partnersinhomecare.org. Hospice is a concept of care providing comfort and support for people facing a life-limiting illness. Services include 24-hour care, expert pain management, counseling, spiritual care, social work, caregiver support and training, bereavement services and advanced directives. Interdisciplinary team includes physician, nurses, chaplain, pharmacist, social worker, home health aides, volunteers, homemakers, and bereavement counselors.

MEDICAL EQUIPMENT & SUPPLIES Community Home Oxygen 2111 South Ave. W, 728-4315 Harrington Surgical Supply 1208 W. Kent Ave, 721-8468 harringtonsurgical@blackfoot.net. Locally owned durable medical equipment supplier who prides themselves in customer service. Services include wheelchair, hospital bed and walker rentals, oxygen rental, ostomy supplies, surgical wound dressings, power equipment sales and service,rehab supplies, insurance billing and certified A.T.S. on staff.

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Lincare 715 Kensington Ave, Ste. 25A, 543-1832 www.lincare.com. Contact: Courtney Imhoff MonTECH, UM Curry Health Center 634 Eddy Ave, 243-2426 or 1-877-243-5511 Fax 243-4730; montech@ruralinstitute.umt.edu MonTECH, Montanaâ&#x20AC;&#x2122;s comprehensive Assistive Technology (AT) resource center on the UM campus offers Montanans statewide a full array of AT support. As a program of the UM Rural Institute: Center for Excellence in Disability Education, Research and Service, MonTECH provides an equipment demonstration center, equipment loans, financial loans, training, evaluations, tours and in-services to all Montanans in need of AT as well as professionals serving them. MonTECH provides free, confidential information about AT devices & services. Our qualified staff will offer customers current accurate information regarding AT-related issues by accessing AT resources, manufacturers & service providers. Norco Medical 2850 Stockyard Rd, 549-2321 www.norco-inc.com; mikec@norco-inc.com Supplies home medical equipment and supplies throughout western Montana. Full line medical equipment provider billing Medicare, Medicaid and private insurance. Partners Medical Equipment 2687 Palmers St, Suite F, 327-3751 or 888-729-8848 www.partnersinhomecare.org. A full line home medical equipment provider specializing in respiratory services. Our services include oxygen therapy, CPAP, oximetry, ambulation equipment, bed and bath equipment, infant apnea monitors, bililights, aids to daily living and more. Certified Respiratory Therapists on staff to provide in-home clinical support 24 hours a day every day of the week. Provides ambulatory aids for children, breast pumps for breastfeeding, apnea monitors and oxygen.

Positive Outlooks Incontinence: 546-3587 Contact: Chad Glass, p.olooks@yahoo.com. Offers home delivery to all ages and for a wide variety of personal care products. Provides personal, friendly service at an affordable rate to those in need of incontinence related products. Offer the #1 rated American-made products on the market. Medicare provider infant through adult.

OTHER HEALTH-RELATED SERVICES Foot Care Clinic St. Patrick Hospital and Health Sciences Center 500 West Broadway, 327-1733 On the first and third Monday of every month, specially trained nurses work with seniors with mobility issues, vision issues and diabetes to help them keep their feet healthy. The nurses soak your feet, trim and file your nails, and finish with a lotion massage. Appointments last around 30 minutes. The first visit is $26; following visits are $20. Pre-registration is required. Gift certificates are available. Montana Talking Book Library 1515 E 6th Ave., Box 201800, Helena, 59620-1800 Provides over 60,000 books titles on audio cassette for all ages. Over 80 free magazines on audio cassette. Offers online and print Braille services and online large-print audio and Braille catalogues are available. Produces a library newsletter, conducts summer reading programs and offers a digital recording program for Montana books in Helena. Services are free to all eligible Montana citizens who are blind, have low vision, are physically handicapped or have a reading disability from organic brain dysfunction. Must be certified by an M.D.

Pharmacies with Medication Management Eastgate Drug, 1003 E. Broadway, 549-6163 Bubble Pack, Medicine on Time, Doc-U-Dose, and medication boxes. Frenchtown Drug, 16862 Beckwith St., Frenchtown, 59834 626-4113 Doc-U-Dose, medication boxes, Bubble Packs. Immunizations and Pharmacy Management Consultation Services Palmerâ&#x20AC;&#x2122;s Drug, 918 SW Higgins, 549-4125 Bubble Pack, Medicine on Time, and Doc-U-Dose. Savmor Drug, 1610 S. 3rd St., 721-6017 Bubble Packs, medication boxes and Doc-U-Dose.

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TRANSPORTATION AARP Drivers Safety Program 500 W. Broadway, 543-7184 aarp.org/families/driver-safety Produced by the American Association of Retired Persons and conducted at various sites throughout the country, this is a program designed to assist people over the age of 50 to develop safe driving skills and defensive driving techniques. Call to register. Two 4-hr sessions in 2 days. Sponsored by St. Patrick Hospital & Health Sciences Center.

V.I.P. Transportation, Inc. 830-3396 fax: 830-3397 M-F 7:00 a.m. to 6:00 p.m. Weekends by appointment viptransmt@yahoo.com V.I.P. Transportation, Inc., is a non-emergent medical transportation non-profit company that serves Missoula and Western Montana. We have a wheelchair accessible vehicle with automatic door and ramp. We serve those needing a ride home from the hospital, or rides to medical and other appointments.

Medicab P.O.Box 1597, Missoula 59806 Contact Bryan or Peggy at 327-1510 Medical transportation company.

SAFETY

Missoula Senior Center 705 S. Higgins, 543-7154 Sponsors AARP Driver Safety Program. Call to pre-register for two four-hour sessions.

PERS - (Personal Emergency Response Systems) PERS are electronic systems that provide security for older people living alone by making emergency assistance just a touch away. Several providers are located in Missoula. Please check the Yellow Pages for a complete listing.

Mountain Line 1221 Shakespeare Office: 543-8386 or Information: 721-3333 mountainline.com. Transportation around Missoula. Wheelchair equipped. Mountain Line Comparable Paratransit Service 1221 Shakespeare, Contact Chris mountainline.com Special needs curb to curb service equipped for wheelchairs. Call ahead for service. Application must be filled out to provide service. Senior Van 1221 Shakespeare, 543-8386 Curb to curb van service anywhere you want to go available weekdays between 8:30 a.m. and 4:30 p.m. for those 60 or over or those with temporary or permanent disability that prevents them from riding the regular bus. Rides are $1.50 each way. Call to receive registration information and to reserve your ride. Assistance with packages or a knock on your door available for a small additional charge. SENIOR VAN-GROCERY RUN available at many housing facilities when residents take a group trip to Albertson, Safeway, or Super Wal-mart. Tuesdays and Thursdays. Assistance with groceries on the way home. $3.00 round-trip. Inquire at your housing facility to see if they are signed up for this service.

ADT Security 16810 E. Euclid, Spokane, WA, 99216, (800)237-2727

FORT MISSOULA

Hearing Center

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

Ruth Fugleberg, MCSD, CCC-A Audiologist

2831 Fort Missoula Road, Suite 300 COMMUnITy MedICAL CenTeR PHySICIAn CenTeR #2 542-5200 • 1-800-458-6661

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Disability Services BLINDNESS/VISUAL IMPAIRMENT Blind and Low Vision Services 2675 Palmer St., Ste. A, 329-5400 Various services for visually impaired; independent living skills for home and office; training on adaptive computer equipment and retraining for employment; homemaker training; purchase of low-vision aids; counseling for newly blind people; orientation and mobility coaching for cane travel, shopping techniques. May assist with appropriate eye treatments if medically/financially eligible. Montana Assistive Technology Program (MATP) 700 SW. Higgins Ave., Suite 250 406-243-2841 fax: 406-243-4730 www.montech.ruralinstitute.umt.edu/MAEP.asp maep@ruralinstitute.umt.edu Hours: Monday-Friday, 8 AM-5 PM The Montana Adaptive Equipment Program (MAEP) provides positioning, seating, and mobility equipment to Montanans with developmental disabilities. Program services include an equipment recycle program, long- and short-term equipment loan program, and information and assistance related to equipment acquisition. The MAEP equipment recycle program includes a wide range of new and used equipment for seating, positioning, and mobility that has been purchased by our donated to the program and it is located in Missoula but services the entire state. The MAEP Coordinator works directly with primary occupational and physical therapists, case managers, durable medical equipment suppliers, consumers and family members around Montana to ensure provision of the most appropriate adaptive equipment. When needed, MAEP will assist consumers and/or families in locating an experienced adaptive equipment therapist. Available equipment can be used for evaluation and/or trial purposes or can be provided to eligible participants when long-term loan is appropriate. Montana Access To Outdoor Recreation (MATOR) 700 SW. Higgins Ave., Suite 250 406-243-5751 fax: 406-243-4730 www.recreation.ruralinstitute.umt.edu/ mator@ruralinstitute.umt.edu Hours: Monday-Friday, 8 AM-5 PM The Montana Access To Outdoor Recreation (MATOR)

program strives to increase opportunities for Montanans with disabilities and those who are aging to participate in wildlife viewing, fishing, hunting, and other related outdoor activities. The primary services of MATOR include a free recreational equipment loan program, demonstration activities, education and awareness, and a volunteer network. Montanans with functional limitations through aging and/or disability are encouraged to contact MATOR staff to learn more about how they can recreate outdoors at a time, in a location, and with whom they choose. Visit MATOR online, in person, or by telephone or e-mail to learn more about how you or someone you know can benefit. MATOR is a program of the UM Rural Institute on Disabilities funded by the Department of Education Rehabilitation Services Administration offered in partnership with Montana FWP, Montana Vocational Rehabilitation, statewide Independent Living Centers, and a volunteer network. Montana Radio Reading Service 337 Stephens Ave., P.O. Box 4126, Missoula, 59806 721-1998 or Statewide 24 hours, 1-800-942-7323 A closed-circuit radio service that reads newspapers to people who are blind or physically print-impaired. Free receiving equipment available. Montana School for the Deaf and Blind 3911 Central Ave., Great Falls, 59405 (406)-771-6000 or 1-800-882-6732 Montana School for the Deaf and Blind is funded by the State Legislature and governed by the Board of Education. The school serves visually and hearing-impaired children from birth through age 21. MSDB is located in Great Falls, but students are welcome from across the state. Educational outreach also is conducted in cities throughout Montana. Fort Missoula Hearing Center 2831 Fort Missoula Road #300, 406-542-5200 fax: 406-542-1951 FMHC@msn.com 8:30 A.M. to 5:00 P.M. Monday through Friday Fort Missoula Hearing Center is a full-service audiology clinic offering attentive personalized care by audiologist, Ruth Fugleberg, MCSD, CCC-A. We offer comprehensive hearing testing and hearing aid services for all ages. Located at Community Medical Center in Physican Center 2.

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Montana Talking Book Library 1515 E. 6th Ave., Box 201800, Helena 59620-1800 1-800-332-3400 Provides cassette recordings and records of books and some magazines, and a subscription service for people who are blind, have low vision, are physically handicapped or have a reading disability from organic dysfunction (must be certified by an M.D.) If you qualify, services are free.

Hearing loss disconnects you from the

activities you love most.

Northwest Lions Eye Bank, 449-6103 www.nleb.org Hours: Mon-Fri, 8:00 a.m. - 5:00 p.m. Collects eye tissue for corneal transplant and research. .POUI %BZ %BZ t 9BN 9QN Information regarding organ and tissue donation available. Hearing

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Hearing loss disconnects you from the

Hearing Aid Institute 705 S. Reserve St. #B, 543-5025 or 1-800-331-6009 Oldest & largest hearing aid company in Montana for 62 years.

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Montana School for the Deaf and Blind 3911 Central Ave., Great Falls, 59405 (406) 771-6000 or 1-800-882-6732 Montana School for the Deaf and Blind is funded by the State Legislature and governed by the Board of Education. The .POUI %BZ %BZ t 9BN 9QN school serves visually and hearing-impaired children from birth Hearing loss is a common problem through age 21. MSDB is located in Great Falls, but students with real consequences. are welcome from across the state. Educational outreach also is яБПяБ╢яБеяБ▓яАаяА│яА▒яАаяБНяБйяБмяБмяБйяБпяБояАаяБйяБояБдяБйяБ╢яБйяБдяБ╡яБбяБмяБ│яАаяБ│яБ╡яБжяБжяБеяБ▓яАаяБжяБ▓яБпяБняАаяБияБеяБбяБ▓яБйяБояБзяАаяБмяБпяБ│яБ│яАаяБйяБояАаяБ┤яБияБеяАаяБХяБояБйяБ┤яБеяБдяАаяБУяБ┤яБбяБ┤яБеяБ│яАояАаяБМяБпяБ│яБйяБояБзяАаяБ╣яБпяБ╡яБ▓яАа conducted in cities throughout Montana. яБияБеяБбяБ▓яБйяБояБзяАаяБияБбяБ░яБ░яБеяБояБ│яВТяАаяБ│яБпяАаяБзяБ▓яБбяБдяБ╡яБбяБмяАаяБ┤яБияБбяБ┤яАаяБйяБ┤яАаяБзяБпяБеяБ│яАаяБ╡яБояБояБпяБ┤яБйяБгяБеяБдяАаяБбяБояБдяАаяБ╡яБояБ┤яБ▓яБеяБбяБ┤яБеяБдяАо

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National Association of the Deaf your appointment (301)587-1789 (TDD) Reserve or (301)587-1788 (voice)

Connecting People

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National Center for Hearing Assessment and Management яБ┤яБ▓яБеяБбяБ┤яБняБеяБояБ┤яАаяБбяБояБдяАаяБ▓яБеяБияБбяБвяБйяБмяБйяБ┤яБбяБ┤яБйяБпяБояАаяБдяБеяБ░яБеяБояБдяБ│яАаяБпяБояАаяБйяБдяБеяБояБ┤яБйяБжяБ╣яБйяБояБзяАаяБияБеяБбяБ▓яБйяБояБзяАаяБмяБпяБ│яБ│яАаяБйяБояАаяБ┤яБияБеяАаяБеяБбяБ▓яБмяБ╣яАаяБ│яБ┤яБбяБзяБеяБ│яАо t 7JEFP PUPTDPQZ PG FBS DBOBM t 7JEFP PUPTDPQZ PG FBS DBOBM Utah State University 1-888-827-0800 or (425)797-3584 Sound Advice Hearing t $PNQVUFS BOBMZTJT PG ZPVS DVSSFOU t $PNQVUFS BOBMZTJT PG ZPVS DVSSFOU www.infanthearing.org 2339 Cobban St. Butte, MT 59701 t The goal of the National Center for Hearing Assessment Local number 565-4808 t %FNPOTUSBUJPO PG *NBHJOF IFBS GPS ZPVSTFMG t and Management (NCHAM) is to ensure that all infants Call Toll Free: 1-800-NEW HEAR .POUI %BZ %BZ t 9BN 9QN (newborns) and toddlers with hearing loss are identified as t %FNPOTUSBUJPO PG *NBHJOF IFBS GPS ZPVSTFMG www.hearingaidinstitute.com early as possible and provided with timely and appropriate audiological, educational, and medical intervention. Connecting People.

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72 ~ Health Resource Guide 2010 -11

Rocky Mountain ENT- Audiology 700 West Kent, 541-3277 Rocky Mountain Hearing & Balance Center provides a setting in which your hearing needs can be assessed comfortably, accurately and efficiently. Our services include evaluation, hearing aid selection, fitting and followup. We repair all makes and models of hearing aids and offer an extensive selection of batteries and supplies. We perform a variety of tests including ENG and OAE. We also perform cochlear implant mapping. Diagnostic services for balance disorders are available with a physicianâ&#x20AC;&#x2122;s referral. Our Audiologists are available five days a week to answer your questions about hearing loss and balance disorders. We strive to maintain honest, respectful relationships with all of our patients in a relaxing, stress-free setting. To learn more, please give us a call. Service Dogs, Specialized Adaptive Equipment Karosel Service Dogs Contact Barbara, 626-5280 or LeAnne Beers 549-2827 Karosel Service Dogs is a group of dog trainers dedicated to raising and training dogs to live with and assist individuals with disabilities and mobility impairments. These skills include: opening and closing doors, turning lights on and off, opening handicapped access doors, retrieving dropped items as well as items in cabinets, answering telephones, and any other support skill a dog is reasonably able to perform for a person.

DISABILITY SUPPORT GROUPS AND RESOURCES Aging and Disability Resource Center (ADRC) Missoula Aging Services 337 Stephens Ave, 728-7682 or 1-800-551-3191 www.missoulaagingservices.org Provides assistance to people with disabilities or caregivers needing resource information. The Information Line has resource information and consultations covering all aspects of needs. The information and assistance specialists can assist with long-term care planning and all the concerns that come with making decisions for the future, at no cost. Alliance for Disability and Students of the University of Montana (ADSUM) University Center, Rm 205, 243-2636 www.umt.edu/asum/adsum ADSUM advocates for the rights of the students with disabilities. Board meetings held once a week; anyone is welcome to come to learn more about ADSUM and its efforts. Students can be paired with fellow students with disabilities. 33 Bitterroot Therapeutic Riding 599 Popham Lane, Corvallis, 880-2877 We Accept Medicare through Home & Community Based Services. Riders of all ages and varying abilities accepted with parental or medical approval.

Brain Injury Association of Montana 541-6442 or 1-800-241-6442 www.biamt.org; biam@biamt.org Free statewide support groups and resource facilitation service. Camp Challenge Box 2905, Missoula 59806-2905 Week-long camp each summer at Camp Paxson on Seeley Lake for developmentally disabled and physically disabled young adults and adults. Child Development Center T-214 Fort Missoula Rd., 549-6413 or 1-800-914-4779 Fax 542-0143 A private non-profit organization providing services to families with children with developmental disabilities or who are at risk for developmental delay. CDC has provided early intervention services in Western Montana for 27 years, and offers 3 Certified Behavior Specialists, 25 Family Education and Support Specialists, leading-edge home-based teaching strategies, functional assessments, person-centered planning, program development and implementation, assistance with transitions into school and adult services, child education, parent education, resource and support coordination, respite services, and evaluation and diagnosis. Childrenâ&#x20AC;&#x2122;s Special Health Services DPHHS, P.O. Box 202951, Helena, 59620 (406)444-3622 or 1-800-762-9891 CSHS assists families by paying medical costs and finding resources for children with special health care needs. Participants must qualify both financially and by special condition. Harrington Surgical Supply 1208 W. Kent St., 721-8468 Rent, sell and service home health care products. Qualified rehab fitters for adaptive seating systems and wheelchairs. Missoula Developmental Service Corporation 1005 Marshall St, 728-5484 A private, non-profit organization providing nationally accredited rehabilitative services for adults with developmental disabilities and intensive needs. MDSC provides residential, vocational, employment, medical, personal, social and community services. Services are based on needs, desires, and abilities of individuals to live, work, recreate and be healthy. Missoula Social Security Office 700 S.W. Higgins Ave., Ste. 5, 542-1580 Hours: Mon-Fri 9:00 a.m. - 4:00 p.m. Social Security General Information and Services, 800-772-1213 Retirement, survivors and disability benefits; also SSI or Supplemental Security Income.

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Missoula Workforce Center Job Service, 539 S. 3rd St. W., 728-7060 www.employmissoula.com Hours: Mon, Wed, Thur, Fri 7:30 a.m.-5:00 p.m.; Tues 9:00 a.m. - 5:00 p.m. Public employment service providing job placement, jobtraining programs, veteran representatives, employment counseling, and ProveIt internet-based program that accesses over 800 efficiency tests. Listings include private sector jobs and announcements for state, university, county, city, and other government-related job vacancies. Provides public Resource Center with access to the Internet, word processing, resume programs, and career exploration. Disabilities Coordinator assists individuals with disabilities in seeking employment, accessing and utilizing resources described above, and making appropriate referrals to other community services. The building is fully accessible and MAGIC software is installed on a public resource computer along with an over-sized monitor. A close working relationship is maintained with Vocational Rehabilitation Services staff. Montana Advocacy Program - Client Assistance Program 400 N. Park St., 2nd Floor, P.O. Box 1681, Helena (406)449-2344 or 1-800-245-4743. During rehabilitation, if you encounter a problem, you should first discuss it with your counselor. If you need further assistance, you can ask for help from the Client Assistance Program (CAP). Montana Radio Reading Service 337 Stephens Ave. 721-1998 or Statewide 24-hour 1-800-942-7323 A closed-circuit radio service that reads newspapers to people who are blind or unable to read. Free receiving equipment available to the visual or physical print impaired. MonTech Program : The University of Montana Rural Institute 700 SW Higgins Avenue, Suite 250, 243-5751 fax: 243-4730 montech@ruralinstitute.umt.edu MonTECH, Montanaâ&#x20AC;&#x2122;s comprehensive Assistive Technology (AT) resource center offers Montanans statewide a full array of AT support. As a program of the UM Rural Institute: Center for Excellence in Disability Education, Research and Service, MonTECH provides an equipment demonstration center, equipment loans, financial loans, training, evaluations, tours and in-services to all Montanans in need of AT as well as professionals serving them. MonTECH provides free, confidential information about AT devices & services. Our qualified staff will offer customers current accurate information regarding AT-related issues by accessing AT resources, manufacturers & service providers. Norco Medical 2850 Stockyard Rd., 549-2321 Western Montanaâ&#x20AC;&#x2122;s most exprienced independant home

medical equipment supplier. Our services inclued oxygen, home ventilators, CPAP, hospital beds, power wheelchairs, power scooters, and aids to daily living. Certified Respiratory Therapists on staff. Only Western Montana Provider with certified Assitive Technology Professionals on staff to meet your wheelchair and powered mobility needs. 24/7 service. Opportunity Resources Inc. 2821 S. Russell St., 721-2930 Provides a variety of programs designed to support individuals with disabilities in enhancing their quality of life. Services include health care coordination for adults with developmental disabilities, vocational assessment and job development, independent living support and adult day care services for adults who have suffered severe head trauma. Services for individuals are coordinated through referrals from Developmental Disabilities Division and Vocational Rehabilitation. Senior Wheels USA Program, 1-800-246-6010 www.seniorwheelsusa.com The Senior Wheels USA Program provides electric wheelchairs to senior citizens and the permanently disabled at no cost if program guidelines are met. If unable to meet guidelines it may be possible to find a donation through our donation program. Service Dogs, Specialized Adaptive Equipment Karosel Service Dogs Barbara 626-5280 or LeAnne Beers 549-2827 Karosel Service Dogs is a group of dog trainers dedicated to raising and training dogs to live with and assist individuals with disabilities and mobility impairments. These skills include: opening and closing doors, turning lights on and off, opening handicapped access doors, retrieving dropped items as well as items in cabinets, answering telephones, and any other support skill a dog is reasonably able to perform for a person. Social Security General Information and Services, 800-772-1213 Retirement, survivors and disability benefits; also SSI or Supplemental Security Income. Summit Independent Living Center 700 S.W. Higgins Ave., Ste. 101, 728-1630 (voice/TTD) www.summitilc.org An advocacy and resource center for people with disabilities. Consumer services include: individual advocacy, skills training, peer advocacy, ADA/Vocational services, and personal assistance services. Community services include: systems advocacy, consultation services and community education. Vocational Rehabilitation 2675 Palmer St., Ste. A, 329-5400 If you want to work, but have a physical or mental disability that prevents you from getting or keeping a job, VR services can help.

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HOUSING AND TRANSPORTATION RESOURCES Americans with Disabilities Act (ADA) Summit Independent Living Center Inc. 700 S.W. Higgins Ave., Ste. 101, 728-1630 www.summitilc.org Group training and individual consultations for people with disabilities; businesses and employers; government agencies, commercial facilities; transportation operators; and individuals. Architectural accessibility surveys, seminars, referral to local resources for architectural or operational modifications and tax-incentive information. Community Needs Van 2820 S. Higgins Ave., 542-2121 Hours: Mon-Fri 9:00 a.m. - 3:00 p.m. Operated by the Missoula Ravalli Transportation Management Assoc., this service offers van transportation for seniors and adults with disabilities. Call at least 24 hours in advance to schedule. $1 for each one-way ride. Missoula Developmental Service Corporation 1005 Marshall St., 728-5484 A private, non-profit organization providing nationally accredited habilitative services for adults with developmental disabilities and intensive needs. MDSC provides residential, vocational, employment, medical, personal, social and community services. Services are based on needs, desires, and abilities of individuals to live, work, recreate, and be healthy. Missoula Housing Authority 1235 34th St., 549-4113 Low- and moderate-income housing that serves handicapped, disabled, seniors and families. Some of the apartments are wheelchair accessible. Orientation meetings Tuesdays at 5:15 and Wednesdays at noon. Mountain Line Paratransit 1221 Shakespeare St., 721-2848 Paratransit transportation for disabled and elderly people who have mobility restrictions that prevent them from using fixed-route services.

EDUCATION AND TRAINING PROGRAMS Child Development Center T-214 Fort Missoula Rd., 549-6413 or 1-800-914-4779 Fax: 542-0143 A private non-profit organization providing services to families with children with developmental disabilities or who are at risk for developmental delay. CDC has provided early intervention services in Western Montana for 27 years, and

offers 3 Certified Behavior Specialists, 25 Family Education and Support Specialists, leading-edge home-based teaching strategies, functional assessments, person-centered planning, program development and implementation, assistance with transitions into school and adult services, child education, parent education, resource and support coordination, respite services, and evaluation and diagnosis. Community Medical Center Community WORCcenter 2685 Palmer St., Ste. D, 327-4345 The WORCcenter is dedicated to helping individuals with injuries or disabilities get back to work. Primary services are vocational evaluation; employment services including placement, supported employment and extended employment; and community supports. Developmental Disabilities Services 2675 Palmer St., Ste. B, 329-5415 Missoula Area Education Cooperative 438 W. Spruce St., 258-4861 Services for children ages 3-18 with disabilities who are enrolled in county schools. Serves: Alberton, Superior, Arlee, Charlo, St. Ignatius, Dixon, Bonner, Clinton, DeSmet, Lolo, Potomac, Seeley Lake, Sunset, Swan Valley, and Woodman. Missoula Developmental Service Corporation 1005 Marshall St., 728-5484 A private, non-profit organization providing nationally accredited habilitative services for adults with developmental disabilities and intensive needs. MDSC provides residential, vocational, employment, medical, personal, social and community services. Services are based on needs, desires, and abilities of individuals to live, work, recreate, and are healthy. Montana Talking Book Library 1515 E. 6th Ave., Box 201800, Helena, 59620-1800 1-800-332-3400 Provides cassette recordings and records of books and some magazines, and a subscription service for people who are blind, have low vision, are physically handicapped or have a reading disability from organic dysfunction (must be certified by an M.D.) If you qualify, services are free. Montana Vocational Rehabilitation 2675 Palmer St., Ste. A, 329-5400 Provides evaluation services, counseling and guidance, job training and placement, and artificial aids for people with emotional, mental or physical disabilities. Partners Hospice & Palliative Care Services 2687 Palmer St., Ste. B, 728-8848 We are a non-profit organization that has been providing hospice care to the Missoula community and western Montana since 1987. We provide educational programs on hospice care,

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end-of-life issues and training in hospice volunteering and bereavement. Research and Training Center on Disability and Rural Communities 52 North Corbin Hall, UM Campus, 243-5467 Contact Diana Spas. Funded through a national grant, the center helps rural people with disabilities achieve greater independence. Materials on self-employment, rural transportation and health promotion. Hours are Mon-Fri 8 a.m. to 5 p.m.

social communication skills; school safety; technology integration; collaboration with families and professionals; individualized education programs; and specific disabilities. Easter Seals Growing Place 2683 Palmer St., Ste. A, 728-1243 Preschool childcare for children from 6 weeks of age through kindergarten with all abilities. March of Dimes, 1-888-663-4637

University of Montana Affiliated Rural Institute on Disabilities 52 North Corbin Hall, UM Campus, 243-5467 or 1-800-732-0323 or contact Jean Paskert 243-4135 A center of excellence for developmental disabilities education, research, and services. Provides demonstrations of services, training, technical assistance as well as information to support programs and services for people with developmental disabilities. The institute also offers parent-child interaction groups.

Missoula Area Education Cooperative 438 W. Spruce St., 258-4861 Services for children ages 3-18 with disabilities who are enrolled in county schools. Serves: Alberton, Superior, Arlee, Charlo, St. Ignatius, Dixon, Bonner, Clinton, DeSmet, Lolo, Potomac, Seeley Lake, Sunset, Swan Valley, Woodman, and Missoula. Serves member school districts. Call to see if your school is a member.

University of Montana College of Technology Disability Services 909 South Ave. W. 243-7811 or contact Dan Burke, 243-4424 Most areas of study and classrooms accessible to people with physical impairments. Offers typing programs for the blind or physically impaired.

Parents Let’s Unite for Kids (PLUK) 516 N 32nd St., Billings, 59101-6003, (406)255-0540 2230 N. Reserve St., Ste. 402, Missoula 728-1822 or 1-800-222-7585 www.pluk.org; plukinfo@pluk.org

CHILDREN’S SERVICES AND RESOURCES

FINANCIAL RESOURCES

CO-TEACH Preschool Program Division of Educational Research and Service (DERS) Library and Family Center Basement of McGill Hall, UM, 243-6303 www.dersom.org Hours: CO-TEACH Preschool operates two programs MonThurs, morning (8:30 a.m. - 11:30 a.m.) and afternoon (12:00 p.m. - 3:00 p.m.). The family center and the DERS library are open Mon-Fri 8:30 a.m.-4:30 p.m. The CO-TEACH Preschool is an inclusive program for children ages three through five with diverse abilities and their families. The mission of the CO-TEACH Preschool Program is to offer all children a stimulating, playful first school experience and to provide them with the readiness skills they need to achieve - now, when they transition to kindergarten, and during the years that follow. Moreover, CO-TEACH operates on the belief that all children and families have individual strengths and needs and deserve to be treated with respect and dignity in a safe school environment. CO-TEACH and DERS serve students, educators, families, and community members by providing information and technical assistance regarding topics related to early childhood special education such as: kindergarten transition; inclusion; preventing and reducing challenging behavior; positive behavioral supports; early literacy and language skills;

Shodair Hospital, (406)444-7500 or 1-800-447-6614

Children’s Special Health Services 1-800-762-9891 or (406)444-3622 Assists eligible families with medical costs that arise from treating children with special health care needs including, but not limited to: heart conditions, cleft lip, seizures, asthma, diabetes, and concerns with child’s development. Can be in addition to other insurance (except Medicaid) Missoula Social Security Office 700 S.W. Higgins Ave., Ste. 5, 542-1580 Hours: Mon-Fri 9:00 a.m. - 5:00 p.m. Office of Public Assistance Missoula County 2677 Palmer St., Ste. 100, 329-1200 Ravalli County 310 N. 3rd St., Hamilton, MT, 363-1944 Social Security General Information and Services, 800-772-1213 Retirement, survivors and Disability benefits; also SSI or Supplemental Security Income.

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Disease Specific Resources AIDS/HIV

Missoula AIDS Counsel 500 N. Higgins Ave., Ste. 100, 543-4770 mac@centric.net Provides HIV prevention information and risk-reduction supplies. Offers HIV education, including at-risk youth program, HIV positive speakers bureau, and community presentations. Rapid testing is available free of charge; results are treated anonymously and confidentially. Only a 20-80 minute wait for results! Support for HIV-positive individuals includes referrals, housing assistance, and support groups.

AIDS/HIV Hotline National, 1-800-232-4636 Hours: Open 24 hours a day, 7 days a week Referrals, answers to questions and free written materials.

Partnership Health Center 323 W. Alder St., 258-4789 Assistance with medical, dental and pharmacy needs for the uninsured and underinsured. Also offers mental health services and educational resources.

AIDS (acquired immunodeficiency syndrome) is caused by HIV (human immunodeficiency virus). HIV is most commonly spread through IV drug use and by sexual intercourse with an infected partner. It can also be spread through contact with infected blood, and women can transmit the virus to their babies during pregnancy or birth. By killing or damaging cells in the bodyâ&#x20AC;&#x2122;s immune system, HIV progressively destroys the bodyâ&#x20AC;&#x2122;s ability to fight infections. The term AIDS applies to the most advanced stages of HIV infection.

AIDS and HIV Anonymous Counseling, Testing Missoula County Health Dept., 258-4745 Counseling & HIV testing by appointment on Wednesdays only. Communicable Diseases, Missoula County Health Department 301 W. Alder St., 258-3896 Communicable Diseases answers questions about sexually transmitted illness and communicable diseases including HIV. Counseling and testing available.

Yellowstone AIDS Project 2906 1st Ave. N, Ste. 200, Billings, 59101, (406)245-2029 www.yapmt.org Provides direct services to people with HIV and AIDS, including prevention education and outreach, HIV counseling and testing. Also provides prevention education for people affected by HIV/AIDS or at risk.

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ALZHEIMER’S AND OTHER DEMENTIAS

Alzheimer’s Disease (AD) is a progressive, neurodegenerative disease characterized in the brain by abnormal clumps and tangled bundles of fibers composed of misplaced proteins. Age is the most important risk factor for AD. Symptoms of AD include memory loss, language deterioration, impaired ability to mentally manipulate visual information, poor judgment, confusion, restlessness, and mood swings. There is no cure for AD and no way to slow the progression of the disease. National Institute of Neurological Disorders and Stroke Alzheimer’s Association, Montana Chapter 3010 11th Ave. N., Billings (406) 252-3053 or 24 Hour Helpline 800-272-3900 www.alz-mt.org Safe Return Program for Montana - information available from this office along with educational materials about Alzheimer’s Disease. Alzheimer’s Support Group Contact John and Gale English 406-273-2429. Alzheimer’s & Related Disorder support grop meets the 4th Monday of each month at 6:30 p.m. in St. Patrick’s Hospital conference room, level one-room B.

Caregiver Support Group Missoula Aging Services, 337 Stephens Ave., 728-7682 Do you give care to a friend or family member? It may range from occasional errand-running and other supportive care to 24-hour live-in support. Support group meets every third Tuesday of the month from 4 - 5 p.m. at Missoula Aging Services. Respite care is available--please call in advance to arrange. Senior Information Line and Resource Center Missoula Aging Services 337 Stephens Ave., 728-7682 or 1-800-551-3191 www.missoulaagingservices.org Provides assistance to seniors, families of seniors or caregivers needing resource information. The Senior Information Line has over 600 resources listed in the database covering all aspects of senior needs. From transportation to Medicare insurance counseling, the trained staff can assist in finding answers.

ARTHRITIS

Arthritis is inflammation of a joint, often accompanied by pain, swelling, stiffness, and structural changes. Aquatic Movement Therapy for Arthritis Community Medical Center 2827 Fort Missoula Rd., 327-4634 Our therapeutic pool offers the ideal environment for

patients with arthritis to maximize their exercise program. The warm water environment provides comfort, support and freedom of movement. Call 327-4634 for more information and available class times. Arthritis Foundation Rocky Mountain Chapter/Montana Branch 15 N. 26th St., Ste. 207, Billings, 59101 Education and support for people with arthritis and related diseases. Free informational brochures. Annual Camp Limber Limbs available for children with juvenile rheumatoid arthritis. The Women’s Club Fitness Center 2105 Bow St., 728-4410 Offers programs specific for women with arthritis and other debilitating joint or bone disease. Check on the web or call for fees and scheduled activities

ASTHMA

Asthma is a chronic respiratory disease that often arises from allergies. Labored breathing, chest constriction, and coughing accompany the disease. American Lung Association and “Camp Huff and Puff” 825 Helena Ave., Helena, 59601 (406)442-6556 or call the Lung Association of the Northern Rockies at 1-800-LUNG-USA Information about lung disease & promoting lung health. A summer camp “Camp Huff and Puff ” for children with asthma and other respiratory difficulties.

BACK, NECK, AND SPINE

According to the Mayo Clinic, back pain ranks second only to headaches as the most frequent pain location. Back pain can occur anywhere along the spine and for no apparent reason. The Montana Spine and Pain Center St Patrick Hospital and Health Sciences Center 500 West Broadway, Missoula, 327-1670 Hamilton, 363-4209 The Montana Spine and Pain Center specializes in the evaluation and treatment of both acute and chronic pain. The team of specialists who work with our patients include both fellowship-trained and board-certified pain management specialists, psychologists, psychiatrists, physical therapists, pharmacists and others. Our team prides themselves on using a holistic approach to your care. We are committed to working closely with both you and your health care provider to develop a plan of care that focuses on improving your functionality and enhancing your quality of life. For your convenience we have locations in both Missoula and Hamilton.

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CANCER

Cancer is the general term for the abnormal, malignant growth of cells in the body. The growth is purposeless, parasitic and flourishes at the expense of the human host. The cause of cancer is unknown, but it is not contagious. Cancer is considered curable if it is discovered early and if all cancer cells are removed by surgery or destroyed by radiation. • Carcinoma: Carcinoma refers to malignant tumors of the skin or mucus membrane. • Sarcoma: Sarcoma refers to tumors of the connective tissue.

Montana Breast Health Community Medical Center 2827 Fort Missoula Rd., 327-3941 Montana Breast Health (MBH) is a comprehensive, multidisciplinary breast care center, providing western Montana’s most complete reange of clinical and support services, from state-of-the-art screening and diagnositcs to personalized treatment and counseling in a centralized, convenient location. Call 327-3941 for more information or visit our website at www. communitymed.org

The ABCDS of Melanoma: • Asymmetry - one half doesn’t match the other half • Color - The pigmentation is not uniform • Border irregularity - the edges are ragged, notched or blurred • Diameter - greater than six millimeters (about the size of a pencil eraser)

Leukemia and Lymphoma Society of America Rocky Mountain Chapter 5353 W. Dartmouth Ave., Denver, CO 80227 (303)984-2110 or 1-800-955-4572 (Information Resource Center)

American Cancer Society 542-2191 Opt. 3, M-F 8:30 a.m.-5 p.m. (Missoula Office) 1-800-ACS-2345, 24 hours a day, 7 days a week www.cancer.org The nationwide, community-based, voluntary health organization dedicated to eliminating cancer as a major health problem by preventing cancer, saving lives and diminishing suffering from cancer through research, education, advocacy and service. Local programs in Western Montana available to cancer patients include support groups, free transportation to and from cancer treatment, information & educational resources, prescription assistance, makeup, hair and skincare suggestions, free or discounted hotel accommodations and free loan closet with wigs, hats, scarves and other head coverings.

Leukemia and Lymphoma Society, Idaho/Montana Chapter 921 S. Orchard St. Ste. I, Boise, ID 83705, (208)658-6662

Benefis Cancer Programs, Sletten Cancer Institute 1117 29th St. S, Great Falls, 59405 (406)731-8200 or 1-866-466-6822 Benefis Cancer Programs offers comprehensive cancer care services for inpatients, outpatients and their families. Services include radiation oncology, chemotherapy and infusion, inpatient care including stem cell harvesting and transplant, and supportive services such as genetic counseling, pastoral care, nutritional services, physical, occupational and speech therapy services, and other service resources including but not limited to the Image and Appearance Center, Learning Resource Library and a variety of support groups for patients and their families. Benefis Healthcare’s Cancer Program is accredited by the American College of Surgeon’s Commission on Cancer as a Community Hospital Comprehensive Cancer Program. Montana Cancer Specialist at Community Medical Center 2827 Fort Missoula Rd., 327-3911 Community Medical Center is committed to bringing the best medical providers, services and facilities together in order to provide western Montana best-in-class healthcare in one centralized location. our partnership with Montana Cancer Specialists is a testament to this promise. Please call for more information or visit www.communitymed.org

The Montana Cancer Center 500 W. Broadway Medical Oncology: 728-2539 Radiation Oncology: 329-5655 The Montana Cancer Center is a collaboration between medical oncology and radiation oncology specialists, and St. Patrick Hospital and Health Sciences Center. This collaboration helps us to manage the cancer patient’s complex medical care and to support the patients and their families during the cancer treatment experience. Our mission is to support persistent improvement in cancer care, through a patient-oriented, physician-lead, information-rich system. We provide patients with access to a wide range of professionals: dieticians, physical therapists, oncology-certified registered nurses, nurse specialists, social workers and chaplains. Montana Cancer Screening Program Partnership Health Center, 323 W. Alder St., 258-4167 or 1-888-803-9343 The Montana Cancer Screening Program is a federally funded program for underinsured or uninsured men and women who meet income and age guidelines. Free cervical cancer screening exams for women 30+, free breast cancer screening exams for women 40+ and free colon cancer screenings for men and women 50+.

CLOTHING, WIGS, VIDEOS & SUPPORT ITEMS FOR CANCER PATIENTS American Cancer Loan Closet, Montana Cancer Center 500 West Broadway, 728-2539 The American Cancer Society Loan Closet is located at the Montana Cancer Center. Wigs, hats and scarves are made available to cancer patients and their caregivers free of charge.

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“TLC” Catalog by American Cancer Society, 1-800-850-9445 Items include breast prosthesis, hairpieces, wigs and head coverings. Items cost less than retail. For a free copy, call number listed above.

For One Another, Cancer Family Network, (406)587-8080 www.foroneanother.org Networking Montana families affected by cancer through summer camps and events during the year.

CANCER PATIENT SUPPORT GROUPS AND RESOURCES

General Cancer Support Group, Montana Cancer Center 500 West Broadway, 396-6294 The general support group is open to all patients and caregivers in any phase of their cancer. It meets on the second Thursday of each month from 12:30 to 1:30 p.m. at the Montana Cancer Center. Please contact Katy Simon for more information at the above number or email katysimon@katysimon.com.

American Cancer Society Look Good…Feel Better, 1-800-ACS-2345 Trained cosmetologists offer free group sessions to teach female cancer patients beauty techniques to help enhance their appearance and self-image during chemotherapy and radiation treatments. American Cancer Society - Reach to Recovery 24 hrs/7 days a week, 1-800-ACS-2345 Trained breast cancer survivor volunteers visit with newly diagnosed breast cancer patients (and other types of cancer) to provide support and local resources. Call to schedule a visit or for more information. Breast Cancer Wellness Group Community Medical Center 2827 Fort Missoula Rd., 327-4517 This group meets the second Wednesday of every month from noon to 1:30PM at Montana Breast Health on the CMC campus. Sessions are free and open to anyone who has had or is in treatment for breast cance. For more information call Michelle Weaver Knowles, Breast Health Navigator at 3274517 or Deb RIvey at 327-3912. Breast Cancer Survivors Water Fitness Community Medical Center 2827 Fort Missoula Rd., 327-4634 This program is designed specifically for women who have felt the impact of cancer in their lives. A small, supportive environment uses warm-water therapy for stretching and aerobic exercise to improve a sense of well-being. Call for class time and availability today. Breast Rehabilitation and Lymphedema Treatment Community Medical Center 2827 Fort Missoula Rd, 327-4050 Therapists with specialized training can provide the breast cancer patient with an individualized program to restore painfree movement, maximize upper extremity function, and manage edema when necessary.

Guardian Angels Foundation 2835 Fort Missoula Rd, 721-1118 guardianangelsmt.org The Guardian Angels Foundation is a 501c(3) nonprofit dedicated to helping Montana cancer patients focus their energies on the healing process by providing them with financial and other assistance with out-of-pocket expenses not covered by insurance. Guardian Angels will hold its Annual Auto and Motorcycle Fun Run in July of 2009 in which all interested parties are welcome to participate. Please call or visit our website for further information. Living Art PO Box 17303, Missoula, 59808, 549-5329 www.livingartofmontana.org; livingart@inwspace.org Living Art supports whole person healing through the expressive arts and nature-based experiences for people facing illness and loss through a variety of programs, including workshops. Our biennial community event, Winterfeast, will be held in January 2007. An annual educational art exhibit that addresses the experiences of illness will be on display during the month of November. We also offer programs for people facing life altering illnesses and conditions. The Sisters in Survival Breast Cancer Support Group St. Patrick Hospital and Health Sciences Center, 329-5656 This breast cancer support group meets the first and third Tuesday of every month from 12 to 1 p.m. at St. Francis Xavier Parish Center, 420 W. Pine Street. For more information call Char Houska, RN, at the above number, or email her at chouska@saintpatrick.org.

CAREGIVERS/HOUSING/ TRANSPORTATION FOR CANCER PATIENTS AND THEIR FAMILIES: American Cancer Society Road to Recovery, 1-800-ACS-2345 Volunteers provide ground transportation for cancer patients to their treatments and home again free of charge.

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SUPPORT HOUSING Discounts at Red Lion and Mountain Valley Inn Contact St. Patrick Hospital at 543-7271 St. Patrick House 501 W. Alder St., 541-2828 St. Patrick House is a hospitality house for people from out of town who are in Missoula for medical reasons. By medical referral only.

CEREBRAL PALSY

Cerebral palsy is a general term referring to the abnormal motor control caused by damage to a child’s brain in early development. Damage resulting in cerebral palsy can occur during fetal development, during the birth process or during the first few months of an infant’s life. United Cerebral Palsy, 1-800-USA-5-UCP

CHRONIC FATIGUE

CFIDS (chronic fatigue and immune dysfunction syndrome) is also known as CFS (chronic fatigue syndrome), CEBV (chronic Epstein-Barr virus), M.E. (myalgic encephalomyelitis), “yuppie flu” and many other names. It is a complex illness characterized by incapacitating fatigue (experienced as exhaustion and extremely poor stamina), neurological problems and a constellation of symptoms that can resemble other disorders including: mononucleosis, multiple sclerosis, fibromyalgia, AIDS-related complex (ARC), Lyme disease, postpolio syndrome and autoimmune diseases such as lupus. These symptoms tend to wax and wane but are often severely debilitating and may last for many months or years. All segments of the population (including children) are at risk, but women under the age of 45 seem to be the most susceptible. CFIDS Association of Americas Inc. P.O. Box 220398, Charlotte, NC 28222-0398, (704)365-2343 www.cfids.org

DEPRESSION

According to the National Institute of Mental Health, a depressive disorder is an illness that involves the body, mood, and thoughts. It affects the way a person eats and sleeps, the way one feels about oneself, and the way one thinks about things. A depressive disorder is not the same as a passing blue mood. It is not a sign of personal weakness or a condition that can be willed or wished away. People with a depressive illness cannot merely “pull themselves together” and get better. Without treatment, symptoms can last for weeks, months, or years. Appropriate treatment, however, can help most people who suffer from depression.

Catastrophic Loss and Depression Support Group, 721-3351 singer@montana.com 4-session commitment, $50 charge, 4-person minimum Partnership Health Center 323 W. Alder St., 258-4789 www.co.missoula.mt.us/phc In conjunction with the University of Montana, provides access to therapy services through a network of 50 local therapists. Cost may be discounted based on family size and income. Recovery Inc., 866-221-0302 www.lowselfhelpsystems.org Hours: Meets every Fri 1:30 p.m. - 3:00 p.m. in the board room just inside the front door of the Missoula Public Library, 301 E. Main St. Improve mental health and reduce suffering. Learn skills and acquire tools to help cope with difficult emotions and nervous symptoms. Senior Help Line Missoula Aging Services, 728-7682 or 1-800-551-3191 Hours: Mon-Fri 8 a.m. - 5 p.m.

DIABETES

There are several types of diabetes. Type 1 diabetes usually develops during childhood and is an autoimmune disease that is characterized by the inability of the pancreas to create enough insulin. The most common form of diabetes is type 2, which usually develops in adults and is not an autoimmune disease. Pregnant women may develop gestational diabetes if their hormones increase the body’s resistance to insulin. Gestational diabetes typically goes away after the pregnancy. Diabetes Care Services St. Patrick Hospital and Health Sciences Center 500 West Broadway, 329-5781 Our staff of Diabetes Educators works with you and your physician to develop an individualized program to meet your specific self-management needs. The American DiaThe American Association of Diabetic Educators has recognized our program for its high-quality education.betes Association has recognized our program for its high-quality education. Group classes include such topics as types of diabetes; meal planning basics; high and low blood sugar levels; glucose monitoring; exercise; medications; foot care; complications of diabetes and how to avoid them; and setting goals. Lectures, discussions, literature and videos, along with the long term support and follow up by our professional staff, come together to create an environment where you can learn how to stay in control of your diabetes and maintain a positive, healthy lifestyle.

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Diabetes & Nutrition Center Community Medical Center 1211 S. Reserve St. Suite 202., 327-4325 Learn to control diabetes, reduce the risk of complications and improve overall health. Individual counseling for nutrition, special diets and weight management are also provided. Physician referral is required. Call 327-4325 for more information. Free Diabetes Screening St. Patrick Hospital and Health Sciences Center, 329-5781 Call to schedule an appointment at 8 a.m. the next day. Overnight fast required. Juvenile Diabetes Research Foundation PO Box 2805, Missoula, 59806, 251-4972 or 549-0556 Driven by the needs of people with diabetes, the mission of the Juvenile Diabetes Research Foundation (JDRF) is to find a cure for diabetes and it’s complications through the support of research. We work to accomplish this by finding and funding the best and most relevant research to help achieve a cure for this devastating disease. The Western Montana Branch of JDRF holds annual fundraisers such as the Walk to Cure Diabetes. We offer a “Bag of Hope” to newly diagnosed children. Missoula Indian Center Fort Missoula, Bldg. 33, 829-9515 On-site blood sugar testing with glucose monitor, quarterly offers of immunizations, fasting blood sugar, lipid profile and thyroid panel. Partnership Health Center 323 W. Alder St., 258-4789 As a participant in the National Diabetes Collaborative, Partnership Health Center practitioners are armed with the best and latest information in diabetes management. Costs may be discounted depending on family size and income. Public Health Nursing Program 1400 Broadway, 444-4542 or call WIC 258-4740 Gestational Diabetes Counseling for low-income pregnant women provided to patients of the MCC Health Department Prenatal Case Management Program. No charge. Self-Management Education Classes, Diabetes Care Services St. Patrick Hospital and Health Sciences Center 500 West Broadway, 329-5781 People with diabetes and their loved ones learn how to manage the disease on their own. Physician referral only. Call for more information. Sweet’n Low Aquatic Exercise for Adults with Diabetes Community Medical Center 2827 Fort Missoula Rd., 327-4427 This warm-water therapy pool class helps adults with diabetes increase endurance, improve flexibility, strength, increase

circulation, and improve control of diabetes. Call for fee and class schedule. Physician referral only.

EPILEPSY

According to the National Institute of Neurological Disorders and Stroke, epilepsy is a brain disorder in which clusters of nerve cells, or neurons, in the brain sometimes signal abnormally. In epilepsy, the normal pattern of neuronal activity becomes disturbed, causing strange sensations, emotions, and behavior or sometimes convulsions, muscle spasms, and loss of consciousness. Epilepsy Foundation, 1-800-332-1000 www.epilepsyfoundation.org

HEART DISEASE/CHOLESTEROL

Heart disease is the number one killer of men and women in the United States. High blood cholesterol is one of the major risk factors for heart disease. When too much cholesterol is in the blood, it can build up in the arteries. Blood flow to the heart may be slowed down or blocked. If the blood supply to the heart is completely cut off, a heart attack will result. Everyone over the age of 20 should have their cholesterol checked at least once every five years. A “lipoprotein profile” is a blood test that measures the types of cholesterol in your blood. “Bad” blood cholesterol is called low-density lipoprotein or LDL cholesterol, and this is the kind that clogs arteries. “Good” blood cholesterol is high-density lipoprotein or HDL cholesterol, and it actually protects against clogging arteries. Maintaining a normal blood pressure helps to prevent heart disease and stroke. Blood pressure should be checked at least once a year and more often if you take blood pressure medication. American Heart Association 700 South Ave. W, Ste. D, 829-3377 or 1-800-242-8721 www.americanheart.org The American Heart Association’s mission is to fight cardiovascular disease and stroke, the #1 and #3 killers in the state. The AHA has the Heart Walk each September and the Go Red for Women luncheon in February. AHA has Jump Rope for Heart in local schools. A turnkey corporate wellness walking program, START! is available for any businesses that are concerned with employee wellness and rising health care costs. Community Medical Center Lipid Panel 2827 Fort Missoula Rd. Physician Bldg. #2 Suite #101 327-4077 Hours: Mon-Fri, 6:30a.m. - 6:00 p.m., Sat 8:30 a.m. - 2 p.m. Community Medical Center offers a walk-in lipid panel at a cost of $20. A physician’s order is not needed and no appointment is necessary. A 10-hour fast (water permitted) is required. To participate, go to the hospital’s front reception desk.

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The International Heart Institute of Montana St. Patrick Hospital and Health Sciences Center, 500 West Broadway, 329-5615 or 877-444-5615 The IHI involves physicians and scientists from St. Pat’s and The University of Montana. It brings together an internationally recognized team of cardiologists, heart surgeons and researchers to perform the most advanced cardiac procedures and to search for new and improved ways to treat heart disease. We’re developing new cardiovascular treatments and working toward the prevention of heart disease. We understand that families and loved ones have unique needs and concerns and are an important part of the healing process. We make sure your questions are answered and your family’s needs are met. We also stay in close communication with your personal physician for your follow-up care. The Montana Heart Center at Community Medical Center 2827 Fort Missoula Rd, 327-4646 or 1-866-327-4646 Community Medical Center’s cardiology program at The Montana Heart Center provides all aspects of cardiac care to patients throughout Western Montana and Idaho. Our staff is committed to this program, originally established in 1999, to give patients immediate access to our services. Call today or visit our website for more information at www. communitymed.org

HEPATITIS A, B AND C

Hepatitis A is a liver disease caused by the hepatitis A virus (HAV). Hepatitis B is a serious disease caused by the hepatitis B virus (HBV) that attacks the liver cells. Hepatitis C is a disease of the liver that is caused by the hepatitis C virus (HCV). Hepatitis B and C can cause liver damage, lifelong chronic infection, cirrhosis (or scarring) of the liver, liver failure, liver cancer or sometimes death. Many people may have hepatitis but have no symptoms. If you think you may have hepatitis, it is important to get tested by a health care professional. Missoula County Health Department 301 W. Alder St., 258-4745 www.co.missoula.mt.us/health Hours: Mon 2:00 p.m. - 4:00 p.m., Wed 10:00 a.m. - 12:00 p.m.; Thurs 2:00 p.m. - 3:00 p.m. Hepatitis B and C anonymous counseling and testing by appointment only. Partnership Health Center 323 W. Alder St, 258-4789 Provides primary medical care to persons with Hepatitis B and Hepatitis C.

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KIDNEY DISEASE

Healthy kidneys clean the blood by filtering out extra water and wastes. They also make hormones that keep your bones strong and blood healthy. When the kidneys stop working the body holds fluid, blood pressure rises, and harmful wastes build up in the body. When this happens, treatment to replace the work of the failed kidneys is needed. High blood pressure and diabetes are the two most common causes of kidney disease. American Kidney Fund 6110 Executive Blvd., Ste. 1010, Rockville, MD 20852 1-800-638-8299 www.kidneyfund.org St. Patrick Hospital and Health Sciences Center Dialysis Center 615 W. Alder St., 327-1750 Hours: The outpatient dialysis unit is open Mon-Sat St. Patrick Hospital Dialysis Center offers both hemodialysis and peritoneal dialysis treatments for people with kidney failure. Patients with kidney failure and their families are provided with ongoing education and support by our professional Renal Team. The Renal Team is comprised of board-certified nephrologists, registered nurses, licensed practical nurses, dialysis technicians, registered dietitians, medical social worker, chaplain and financial counselor.

MULTIPLE SCLEROSIS

Multiple sclerosis is a disorder of the brain and spinal cord caused by progressive damage to the outer coverings of nerve cells. Missoula Multiple Sclerosis Support Group Contact Nancy at 721-9877 or Becky at 721-3826 Hours: Monthly meetings on the 2nd Sat of the month, 10:00 a.m. 12:00 p.m. at Community Medical Centerâ&#x20AC;&#x2122;s rehab conference room, 2827 Fort Missoula Rd. Self-help group for individuals with MS, their families and caregivers. Guest speakers offer education at meetings. Please call to receive a monthly newsletter. Sep-May summer break.

Multiple Sclerosis Association of America, Northwestern Region, 600 Central Plaza, Ste. 13 Great Falls, 59401, 1-800-565-6722 ext. 131 www.msassociation.org Information and education for people living with MS. Offers a monthly newsletter, home assessment/modifications for safety and accessibility, equipment distribution program, and social events for those with MS and their families. Coordinates with support groups, provides aquatics and therapeutic horseback riding, and offers assistance with MRI funding. National MS Society, 1-800-344-4867 or 252-5927 www.nationalmssociety.org Multiple Sclerosis is a chronic, often disabling disease of the central nervous system. Symptoms may be mild, such as numbness in the limbs, or severe, such as paralysis or loss of vision. The progress, severity, and specific symptoms of MS in any one person cannot yet be predicted, but research and treatments are giving hope to those affected by the disease. National MS Society provides equipment loan, respite care, advocacy, and programs. Womenâ&#x20AC;&#x2122;s Club 2105 Bow St., 728-4410 twc@thewomensclub.com Supported and recognized by the National MS Society, this class is a session-based yoga class specifically designed for women with MS. Call for fees and scheduled activities.

MUSCULAR DYSTROPHY

According to the National Institute of Neurological Disorders and Strokes, muscular dystrophy refers to a group of genetic diseases characterized by progressive weakness and degeneration of the skeletal or voluntary muscles which control movement. Although some forms first become apparent in infancy or childhood, others may not appear until middle age or later. Muscular Dystrophy Association of Montana 2070 Overland Ave., Billings, 59102, (406) 655-9000 Provides evaluation, treatment, therapy, family counseling, and adaptive equipment services for clients affected with neuromuscular disease. Offers a week-long summer camp for children with MD.

OSTEOPOROSIS

Osteoporosis is a common bone disease that can affect both men and women as they grow older. People lose bone strength as they age, making the bones weaker and prone to fracture. Osteoporosis is symptomless and may not be diagnosed until after a bone has been broken. A person suffering from osteoporosis can suffer broken bones even after a minor fall. Osteoporosis is 100% preventable and if diagnosed early, responds well to treatment.

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Community Medical Center Osteoporosis Resource Center 2827 Fort Missoula Rd, 327-4133 osteoeducation@communitymed.org Contact us today for information about living with Osteoporosis, diet, exercise, preventing fractures and more.

SLEEP DISORDERS

Osteoporosis Prevention, Screening and Referral Services, 258-4837 Missoula City-County Health Department Wellness Program offers services to help reduce the risk of osteoporosis in our county. Services include risk assessment, heel scans using an FDA-approved Peripheral Testing device, explanation of testing results, brief nutrition counseling related to bone health and referrals to health care providers for bone density follow-up. Call for more information or to schedule individual appointments or worksite osteoporosis prevention programs.

Missoula Sleep Medicine 910 Brooks St., Ste. 201, 829-8053 A variety of sleep disorders can have a significant negative impact on health and work, and can lead to increased accidents in the workplace and on the highways. Common sleep disorders include sleep apnea, insomnia, narcolepsy, restless legs syndrome and periodic limb movement disorder. They not only rob a person of a good night’s sleep, but can also contribute to serious medical problems including heart failure, high blood pressure and stroke. Many motor vehicle accidents are the result of drivers falling asleep behind the wheel. Missoula Sleep Medicine is accredited by the American Academy of Sleep Medicine, and our Medical Director, Dr. Michael Silverglat, is certified by the American Board of Sleep Medicine. Services available include formal diagnostic testing, with CPAP and BiPAP therapy if needed, performed by registered technologists. Consultation, treatment recommendations and follow-up care are all available through Dr. Silverglat.

POLIO

Poliomyelitis is an infectious viral disease occurring mainly in children. In its acute form it attacks the central nervous system and produces paralysis, muscular atrophy, and often deformity. Post-Polio Clinic Community Medical Center 327-4050 Multidisciplinary team provides assessment to individuals experiencing symptoms of late effects of polio.

SEXUALLY TRANSMITTED INFECTIONS

Sexually transmitted diseases are epidemic and many people do not know that they have them. Men often have no symptoms. Symptoms in women can be mild but if left untreated may lead to infertility. If you are notified that you have, or have been exposed to a sexually transmitted infection, see your healthcare provider and take all medications prescribed. Communicable Diseases, Missoula County Health Department, 301 W. Alder St., 258-3896 Communicable Diseases answers questions about communicable diseases including HIV and STIs (sexually transmitted illnesses). Genital Human Papillomavirus (HPV), 1-800-232-4636 Contact the Centers for Disease Control and Prevention for more information about the virus and the vaccine. Also see the HPV Vaccine section under “Preventative Care” in this Health Resource Guide. Herpes Hotline 1-919-361-8488 Sexually Transmitted Infection Hotline 1-800-227-8922 www.ashastd.org

How you feel and perform during the day is related to how much sleep you get the night before. If sleepiness interferes with your daily activities, more sleep each night will improve the quality of your waking hours. Yet many adults report experiencing a sleeping problem one or more nights a week.

Missoula Sleep Medicine

LLC

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

Rick Wall David Peterson

Registered Polysomnographic Technologists

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

406-829-8053 910 Brooks Street, Missoula

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The Sleep Center St. Patrick Hospital and Health Sciences Center 500 West Broadway, 329-5650 An occasional bad night’s sleep is no cause for concern, but a continued sleep problem, such as snoring, restless legs, excessive daytime sleepiness and insomnia, can affect your health and the quality of your waking hours. At St. Pat’s Sleep Center, we offer complete in-laboratory testing of Registered Polysomnography Technicians. We offer CPAP support for patients on CPAP. .The St. Patrick Hospital Sleep Center is accredited by the American Academy of Sleep Medicine. Drs. Rolf Holle and Stephen Johnson are recognized by the American Board of Sleep Medicine and are Co-Directors of the Sleep Center.

STROKE

A stroke occurs when either the blood supply to the brain is interrupted or when a blood vessel in the brain bursts. The symptoms of a stroke include: sudden numbness or weakness, especially on one side of the body; sudden confusion or difficulty understanding speech; sudden trouble in seeing with one or both eyes; sudden trouble walking; dizziness; or loss of balance or coordination. Stroke/Head Injury Support Group First Presbyterian Church, 1220 W. Main St., Hamilton Contact Delores at 363-1850 Meets second Monday of each month at 7:00 p.m. Must call before attending meeting. Stroke Support Group Community Medical Center, 2827 Fort Missoula Rd. Contact Marilyn at 542-8371 or Linda at 327-4133 Hours: Meets 4th Wednesday of each month at 7:00 p.m. on the Community Medical Center Campus. Monthly meeting for individuals surviving a stroke, their families and caregivers. St. Patrick Hospital Advanced Primary Stroke Center 500 West Broadway 329-2685 www.saintpatrick.org St. Patrick Hospital’s award-winning Advanced Primary Stroke Center treats stroke patients with a multidisciplinary team of stroke experts who provide 24-hour rapid response and secondary stroke prevention. Stroke care starts in the Emergency Department and continues through inpatient hospitalization and rehabilitation. A leading edge radiology facility ensures the highest standard of care and the most accurate diagnostic techniques, therapeutic developments and interventional options to stop a stroke in progress and minimize the potential damage. The advanced Primary Stroke Center’s comprehensive care extends beyond hospitalization, and specialists provide stroke prevention, stroke survivor support, and extended rehabilitation.

St. Patrick Stroke Support Group St. Patrick Hospital and Health Sciences Center, 327-3280 Meets the second Thursday of every month, from 1:30 p.m.-3:30 p.m. It is free and open to the community. Open to stroke survivors, family members and caregivers.

OTHER DISEASES AND RESEARCH HELP Center for Health Information (Medical Library) St. Patrick Hospital and Health Sciences Center 500 W Broadway, 329-5710 chi.saintpatrick.org; library@saintpatrick.org Hours: Monday - Friday 8 a.m. - 4:30 p.m. Please call or check our website for extended evening hours. The Center for Health Information is a full-service medical library that is open to the public. A variety of resources are available for self-service or staff-assisted searching; library holdings include consumer health information, medical and nursing textbooks and journals, and special collections on death and grieving, and medical humanities. Computer workstations, comfortable seating areas and study tables are available for your use and the Center provides quick links to quality health resource sites. Family Caregiver Program & Resource Library Missoula Aging Services 337 Stephens Ave., 728-7682 www.missoulaagingservices.org The family caregiver program and resource library provides information and consultations for people caring, informally, for older family members at home. The resource library provides information for caregivers on such topics as personal care, self-care strategies, diagnosis-specific information and resource information available locally and nationally.

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Reconstructive & Cosmetic Surgery

econstructive surgery is performed to reconstruct areas of the body that are abnormal due to congenital defects, illness or trauma. Patients undergo reconstructive surgery to improve bodily function or to restore a normal appearance. Cosmetic surgery is elective; patients choose to reshape normal body features in order to enhance their appearance and self-esteem. To make sure that your surgeon is qualified to perform your surgery, ask potential surgeons the following questions: 1) Are you certified by the American Board of Plastic Surgery? Surgeons who are certified have at least 5 years of surgical training and a minimum of 2 years of plastic surgery training. 2) How long have you been performing this procedure? How many of these procedures have you performed? Are you using the latest techniques and participated in any specialized training for this procedure? Generally speaking, the more experience a physician has, the better the outcome. Questions to ask your surgeon about the surgery itself: 1) Am I a good candidate for this procedure? 2) What will be expected of me to get the best results? 3) What are the risks? 4) How long is the recovery period? Will I need assistance during my recovery? Will I need to take time off from work? Aesthetic Plastic Surgery Center 900 N. Orange St., Suite 106, 406-542-7300, fax: 406-542-0003, www.aplasticsurgerycenter.com info@aplasticsurgerycenter.com 9-5 Monday-Thursday, Friday 9-noon Dr. Harlan is Board certified by the American Board of Plastic Surgery and is a member of the American Society of Plastic Surgeons as well as the American Society for Aesthetic Plastic Surgery. Dr. Harlan has been providing cosmetic and reconstructive surgery in Missoula since 1995. Other services provided include laser skin rejuvenation, laser hair reduction, laser tattoo removal, Botox, Juvederm, Obagi, NIA24, Laroche-Posay and Skinceuticals.

Dermatology

ermatology is a specialty medical field that diagnoses and treats diseases of the skin, hair and nails. These conditions may include but are not limited to skin cancer, melanomas, moles, acne, dry skin, and inflammation and irritation of the skin. Skin rashes of all types, hair loss and scars fall under the expertise of dermatologists. Additionally, these specialists receive extensive training in skin surgery and surgical and non-surgical removal of skin growths. Dermatologists are knowledgeable in cosmetic skin procedures such as collagen injections, Botox injections, peels, microdermabrasion, laser treatments and intense pulsed light treatments. Dermatologists understand how the skin reacts to laser technologies, facial treatments and products applied to the skin. Dermatologists are the only medical professionals that have extensive training in the skin, skin treatments, and skin diseases. After four years of medical school training, dermatologists dedicate an extra 3 or 4 years to their specialty training. Board certification by the American Board of Dermatology demonstrates a unique capability of dealing with all aspects of skin care, skin illness and skin health, as well as skin maintenance.

Skin Care Center â&#x20AC;˘ Offering non-invasive skin treatments since 1998 â&#x20AC;˘ Most experienced laser staff in Western MT Fraxel Laser facial rejuvenation, loose neck skin, acne scarring Laser Hair Removal Diolite Laser facial veins & redness Medical Microdermabrasion no aluminum crystals Glycolic Acid Peels Botox & Restylane General Dermatology Epicuren Skin Treatments & Products

Combining the science of skin with aesthetics & beauty.

Robert Korenberg, M.D. Board Certified Dermatologist

Frank McCann, PA-C Dermatology Physician Assistant

Sandy Acord Laser Technician

543-8512 1821 South Ave, Ste. 402, Missoula

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Dependency & Addictions, Including Drug & Alcohol Abuse

lcohol and drug abuse or dependency and addictions not only devastate the victim, but also the family members. These are treatable diseases with a variety of levels of treatment available. Al-Anon Adult Children of Alcoholics, 721-5818 A 12-step program for adult children from addictive family systems. Al-Anon Information Line, 721-5818 A 12-step program for family and friends of alcoholics. Alateen First Christian Church, 2701 Russell St., 721-5818 A support group for teens and pre-teens living in a situation that involves alcoholism. Share concerns about living with and relating to an alcoholic. Alcohol Abuse 24 Hour Hotline 1-800-299-6317 Can make referrals to local treatment programs and support groups. Alcoholics Anonymous, 543-0011 A variety of meeting times and locations are scheduled each week. The fellowship is offered to anyone attempting recovery from alcoholism. Support is given by persons who have alcohol problems. Center for Integrative Care 336 W. Spruce St., 721-2860 The Center provides counseling and consultation for individuals and families affected by alcohol or drug use. Community Care, Inc. 330 E. Main St., 549-2890 Community Care, Inc. is committed to the prevention of and intervention into alcohol/drug related problems and other behavioral difficulties experienced by youth and their families by providing and coordinating education, awareness, and support activities in our community. Debtors Anonymous Contact Rhonda at 777-0486 Meetings: Mondays at 7 p.m. in St. Paulâ&#x20AC;&#x2122;s Lutheran Church, 202 Brooks St., 2nd floor library. For those having problems with money and debt.

Drug Abuse 24 Hour Helpline 1-800-888-9383 Can make referrals to local treatment programs and support groups. Gamblers Anonymous, Providence Center 902 N. Orange St., Level One, Room B Meetings: Sundays at 6:00 p.m. & Thursdays at 5:00 p.m. Peer support group for individuals who have a gambling problem. Gambling Group, Addiction Treatment Program St. Patrick Hospital and Health Sciences Center Providence Center 902 N. Orange, 327-3043 Meetings: Wednesdays 5:30 - 7:30 p.m. Group for people who struggle with problem gambling. Cost is $5 each session. Minor in Possession Classes St. Patrick Hospital and Health Sciences Center Providence Center 902 N. Orange St., 327-3015 Classes for 18 - 20 year-olds who have received an MIP ticket (first and multiple offences). These classes fulfill court requirements for MIP of alcohol citations. Missoula Indian Center Building #33, Fort Missoula 829-9515 or 24-Hour Crisis Line 721-2700 The Chemical Dependency Program is designed to provide services for individuals who have problems associated with chemical abuse or chemical dependency. Offers standard, intensive, family, and adolescent counseling for individuals and groups, prevention services, chemical dependency evaluations and assessments, and information and referral services. Montana Chemical Dependency Center 2500 Continental Dr., Butte, 59701, (406)496-5412 Variable length of stay inpatient services for chemical dependency. State funded services for all Montana adult residents.

Narcotics Anonymous, 1-800-990-6262 www.namt.com A 12-step program for people recovering from drug addiction. Can provide local meeting times and places. Rimrock Foundation, 1-800-227-3953 Offers referrals, consultations, assessments and treatments for adults and adolescents suffering from all types of addictions, including eating disorders. Rocky Mountain Treatment Center Great Falls, MT, 1-800-521-6572 Provides chemical dependency and eating disorder treatment. Self Over Substances Program Curry Health Center, UM, 243-4711 Provides educational and counseling services for students about substance abuse, prevention and related services, and for people whose lives are affected by substance abusers. Share House 1335 Wyoming St., 532-9830 Housing during addiction recovery Turning Point Addiction Services 1325 Wyoming St., 532-9800 Outpatient counseling for people who are chemically dependent, or abusing drugs and/or alcohol. Individual and group services; separate tracks for men, women and adolescents; outreach; outpatient programs. Services provided on a sliding fee basis.

SMOKING CESSATION & PREVENTION PROGRAMS Montana Tobacco Quit Line 1-866-485-QUIT (1-866-485-7848) Free counseling for everyone and free nicotine replacement therapy for those who qualify. Quit for Life - St. Patrick Hospital and Health Sciences Center 500 W. Broadway, 329-2905 Meetings: A 5-class program offered in January, February, April, September, and October. The first class is the first Wednesday of each month. Successive classes are the next Mon, Wed, Fri and Mon. During the first class the instructor prepares participants to quit the following Monday. One of the first objectives of the class is to give participants the tools they need to stay away from any form of tobacco. The success rate of the program is 80% for participants who attend all 5 classes. Registration is $35, which includes a one-week supply of nicotine patches or gum. Tobacco Free Missoula County Missoula City County Health Department 301 W. Alder St., 258-3685 A network of agencies and individuals committed to improving our community through tobacco use prevention.

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Domestic Violence Resources

omestic violence occurs across religious, ethnic, racial, educational and economic lines. Most often, it involves a man abusing his female partner in an attempt to establish control. Domestic violence is not limited to physical beatings. It includes threats, sexual abuse, verbal abuse, intimidation, isolation and exploitation. Attacks usually begin with verbal abuse and progress to physical abuse. Adult Protective Services 2681 Palmer St., Ste. K, 329-1315 APS is the state agency responsible for investigating suspected abuse, neglect and exploitation of elderly and adult disabled persons. Adult Survivors of Child Sexual Abuse or Domestic Violence 542-1944 or 24 hours 1-800-483-7858 For adult women who have experienced childhood sexual abuse, adult sexual assault, domestic violence, or child abuse. Childrenâ&#x20AC;&#x2122;s Support Group, YWCA, 543-6691 Meetings: Tuesdays 6:30 p.m. - 8:00 p.m. Circle of Peace, for all ages who have experienced or witnessed family violence or abuse. Offered free in conjunction with womenâ&#x20AC;&#x2122;s groups. Crime Victim Advocate Program 301 W. Alder St. For civil advocacy: 258-4630 For criminal advocacy: 258-3674 Provides advocacy to victims of violent personal crime in Missoula. Offers crisis counseling, referrals and advocacy for victims of domestic violence, sexual assault and stalking. A feature of the civil legal advocacy component of the CVA program is the Pro Bono Attorney Program, which involves local attorneys who regularly represent order of protection petitioners in court for their order of protection hearings. Domestic Violence Support Group for Women in Crisis or Transition, YWCA, 543-6691 Meetings: Tuesdays 6:30 p.m. - 8:00 p.m. No fee. Registration is at 6:00. First Step Resource Center 900 N. Orange, Ste. 107, 329-5776 First Step is a nonprofit collaboration of professionals dedicated to a coordinated approach in child abuse and adult sexual assault investigations. First Step brings together professionals from criminal justice, Child Protective Services, victim

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advocacy agencies, medical and mental health professionals, and law enforcement (in the cases of children and reporting adults only). Along with coordinating the response, the First Step clinic directly provides medical care, forensic interviewing, advocacy services, mental health services and referrals for adults with a recent history of sexual assault and for children with a history of abuse. Medical Advocacy, 542-1944 For survivors of domestic and sexual violence who are dealing with medical appointments, hospitals, etc. YWCA Pathways advocates are available to accompany survivors during any stage of these processes to help and support them. Missoula Family Violence Council 523-4614 or Contact Shantelle at 531-6550 Promotes interagency coordination and communication. Promotes effective prevention, intervention and treatment and an improved response to family violence. Montana Legal Services Association 304 N. Higgins Ave., 543-8343 Provides legal services to low-income people who need help with problems concerning utilities, health, divorces involving spouse abuse and supplemental security income recipients, etc.

SAFE (Supporters of Abuse Free Environment), 363-4600 Meetings: Thursdays 6:30p.m. - 8:00 p.m. Support group for people experiencing emotional or physical abuse. Free childcare, but please call in advance. SARS (Student Assault and Recovery Services, 728-8553 Support system designed especially for students experiencing emotional or physical abuse. Senior Help Line/Elder Abuse, 728-7682 or Help line for state of Montana 1-800-551-3191 Hours: Mon-Fri 8:00 a.m. - 5:00 p.m. Sexual Assault Support Group, YWCA, 543-6691 Meetings: Tuesdays 6:30 p.m. - 8:00 p.m. Registration is at 6:15. Sexual Assault Support Group, YWCA, 543-6691 10 two-hour sessions per week for those who have experienced rape or sexual assault and are ready to begin or continue your healing process in a safe place. Sexual Assault Walk-In, YWCA 1130 W. Broadway Hours: Mon-Fri, 12:00 p.m. - 4:00 p.m. For women and children, families and friends looking for support, information, and referrals on the issues of domestic and sexual violence. Therapy Group for Adult Women of Child Sexual Abuse YWCA, 543-6691 Sixteen-week sessions offered three to four times a year or as needed. Groups are free of charge and facilitated by a local professional therapist. Transitional Housing Program, YWCA, 543-6691 An 18-month independent living program for motivated, homeless, single women with children who want to achieve self-sufficiency. The YWCA 1130 W. Broadway, 543-6691 The YWCA runs a shelter for women and their children who are victims of domestic violence. The YWCA can provide some clothing and food to women who are staying in the shelter and help these women to connect with other resources within the Missoula community. YWCA Pathways 1130 W. Broadway 24-hour crisis line 542-1944 or 1-800-483-7858 Hours: Mon-Fri, 12:00 p.m. - 4:00 p.m. Counseling, 24-hour crisis help, confidential shelter for battered women and their children, rape advocates, services for children survivors of domestic violence, temporary safe refuge for survivors of sexual assault, and a variety of support groups.

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CHILD ABUSE AND NEGLECT CASA (Court Appointed Special Advocates) P.O. Box 7433, Missoula, 59807, 542-1208 A nonprofit organization providing advocacy through use of trained community volunteers, for children who are neglected, abused and involved in the juvenile court system. Child & Family Resource Council 1644 S. 8th St. W, 728-5437 Offers parenting classes, parent support groups, and volunteer parent aid programs. Matches volunteers with families who need support. Childâ&#x20AC;&#x2122;s play 2 nights per week offers parents a few hours of respite. Child and Family Services Division, Department of Public Health and Human Services 610 Woody St., 523-4100 Directs investigations into the abuse and exploitation of children; provides adoption services for special needs children; licenser and training for foster care and adoptive homes; provides registration for day care family and group homes; licenser for day centers; directs investigations and accountability for compliance with laws governing day cares, foster care and adoptive homes. To report neglect or abuse, call 1-866-820-5437. First Step Resource Center 900 N. Orange, Ste. 107, 329-5776 First Step is a nonprofit collaboration of professionals dedicated to a coordinated approach in child abuse and adult sexual assault investigations. First Step brings together professionals from criminal justice, Child Protective Services, victim advocacy agencies, medical and mental health professionals, and law enforcement (in the cases of children and reporting adults only). Along with coordinating the response, the First Step clinic directly provides medical care, forensic interviewing, advocacy services, mental health services and referrals for adults with a recent history of sexual assault and for children with a history of abuse. Montana Council for Families 127 E. Main St., 728-9449 Watson Childrenâ&#x20AC;&#x2122;s Shelter 2901 Fort Missoula Rd., 549-0058 shelter@montana.com A non-profit organization that provides 24 hour emergency shelter for children, infant to age 14, who are victims of abuse, neglect, abandonment or family crisis. The YWCA 1130 W. Broadway, 543-6691 The YWCA runs a shelter for women and their children who are victims of domestic violence.

Mental Health

ental health services are widely available to persons experiencing short-term emotional turmoil and for people with long-standing problems such as depression. Western Montana has a large number of private practitioners (psychiatrists, psychologists, licensed social workers, licensed professional counselors and certified chemical dependency counselors) as well as organized group practices and clinics that offer mental health services. Please reference the local yellow pages for private practitioners. 2-1-1/First Call for Help Dial 2-1-1 A telephone information and referral service that provides a well designed, constantly updated, comprehensive, computerized database to link persons in need with the community organizations, public agencies and self-help groups designed to address human needs in Missoula and Ravalli Counties. It is not a crisis line or an emergency service like 911. This line does not provide direct services or money to assist callers. It is a generic line; anyone can call and access. Adolescent Partial Hospitalization Program (APHP) Intakes 327-3011 or General 327-3182 The Adolescent Partial Hospitalization Program is an outpatient service for 12-18 year olds having behavioral or emotional difficulties. APHP provides assessment, crisis stabilization and treatment for individuals with a psychiatric diagnosis, emotional difficulties or maladaptive behaviors. Treatment includes a psychiatric evaluation by a Child and Adolescent Psychiatrist; medication management; individual, group and family therapy; occupational therapy; nursing management; and academics. National Alliance on Mental Illness- NAMI of Missoula Providence Center Conference Rm 109, lower level, 902 N. Orange St. 721-1621 or 543-3055 This organization holds weekly meetings which provide support and information for family members of people with mental illness and also recovering adults. A.W.A.R.E. 118 E. Seventh St., Anaconda, 59711, (406) 563-8117 Aware provides tailored community services for Montanans with disabilities. Our programs are designed to offer specialized community-based services for people with challenging mental, emotional and physical needs to ensure that these individuals achieve maximum independence, productivity and integration into the community. We act as a lifeline for the human spirit.

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Center for Integrative Care: Psychotherapy, Counseling, Consultation, Education 336 W. Spruce St., 721-2860 Counseling, parent consultation, and play therapy for children designed to support kids facing transitions, anxiety, depressive symptoms, trauma, sleep disturbance, attachment challenges, grief, loss and bereavement. Friends to Youth 2801 S. Russell, Suite 32 728-2662 fax: 406-728-2879 M-F 8-5, evenings by appointment www.friendstoyouth.org fty@friendstoyouth.org FTY is a local non-profit who has been helping Western Montana youth and families since 1976. We offer outpatient mental health counseling to youth up to the age of 21 and/or their families regardless of ability to pay. We also offer an inhome based service for families referred by Child and Family Services and Drug/Youth Court. We accept all insurance, as well as offer a sliding scale fee. Mental Health Association of Montana 25 South Ewing, Ste. 200, Helena, 1-800-823-6426 A non-profit education and advocacy organization working on behalf of persons and families living with a mental illness. Free professional referrals provided. A resource library of videos and brochures on a wide array of illnesses is available at no charge. Mental Health Center Information and appointments, 728-6870 Provides primarily outpatient services in 13 counties throughout Western Montana. Local services are located in each county. Services available include: •24-hour emergency services: phone response, face-to-face assessment, and crisis residential, 532-9830 •Case Management: Stepping Stones for adults 532-9700 •Children’s network for youth and families, 532-9770 Day Treatment: For adults - River House; Children’s day treatment through local schools; outpatient therapies for adults, adolescents and families

Sapphire Psychiatric Health Care Services,INC Mimi L. Morris, MSN, PMH-NP, BC

Psychiatric & Mental Health Nurse Practitioner PO Box 38 (for mail) 5505 Eagle Court, Suite D, Florence, MT 59833 P: 406-273-7063 F: 406-273-7064 Offering Medication management & therapy services to children, adolescents and young adults

Alcohol and Drug Services: Turning Point, 532-9800 Share House, 532-9830 Emergency: 1315 Wyoming, 532-9710 Administration: Fort Missoula, 728-6870 Business Office: Fort Missoula, 728-6870 Child & Family Service Network: 1305 Wyoming, 532-9770 Adult Mental Health: 1335 Wyoming, 532-9700 River House: 1315 Wyoming, 532-9700 Share House: 1335 Wyoming, 532-9830 (Housing during addiction recovery) Stepping Stones, 1315 Wyoming 532-9700 (Adult Mental Health) Turning Point, 1345 Wyoming, 532-9800 MHSP: Mental Health Services Plan, 532-9700 Provides coverage for eligible adults diagnosed with severe and disabling mental who need medication. Neurobehavioral Medicine Department St. Patrick Hospital and Health Sciences Center Providence Center, 902 N. Orange Acute Psychiatric Inpatient Unit, Intakes 327-3011 St. Patrick Hospital offers acute inpatient treatment for individuals with a primary psychiatric diagnosis. There are 30 inpatient beds: 6 adolescent, 6 intensive care and 18 general care beds. Adults, seniors and adolescents receive treatment under the direction of a Psychiatrist & by Clinical Social Workers, Nurses, Occupational Therapists, Pharmacists, Dieticians and other healthcare professionals. Partnership Health Center 323 W. Alder St., 258-4789 Provides affordable access to therapy services through a network of 50 local therapists. Targeting people with limited income and/or no health insurance in Missoula County. Fees are slide-based on ability to pay. Recovery Inc., 825-3063 or 542-7372 www.recovery-inc.org Meetings: Fridays 1:30-3:00 in the boardroom of the Missoula Public Library, 301 E. Main St. Improve mental health and reduce suffering. Learn skills and acquire tools to help cope with difficult emotions and nervous symptoms. River House 1315 Wyoming St., 532-9700 A facility providing treatment for people with mental illness. Specific purposes include to: to assist recently hospitalized persons with reintegration into the community; to help clients and families develop skills to cope with mental illness; to optimize health and to maintain individuals in the community setting.

Social Security Administration 700 S.W. Higgins, Ste. #5 National line 1-800-772-1213 or National TTY 1-800-3250778 Hours: Mon-Fri, 7:00 a.m. - 7:00 p.m. Local line...............................................................542-1580 Hours: Mon-Fri, 9:00 a.m. - 4:00 p.m. Fax 542-9944 TTY 542-5229. Stepping Stones 1315 Wyoming St..................................................532-9700 Case management services for adults with severe and persistent mental illness. Helps consumers with accessing community agencies and services, obtaining medical treatment and medication, improving and developing daily living skills, finding housing, and developing educational, vocation, and leisure-time activity plans. Applicants are prioritized by clinical and financial need. Structured Outpatient Program (SOP) Intakes 327-3011 or General 327-3015 The SOP is an intensive behavioral outpatient program for older adults. The program targets older individuals dealing with grief, worry, fear, irritability, withdrawal, sleep disturbance or physical decline. We understand the unique challenges older adults face in this phase of life; relocation, loss of primary supports, changes in living environment, coping with deteriorating health, loss of spouse, family and friends. Western Montana Mental Health Center 405 Brooklyn Ave., Superior, 59872…......... (406)532-9150 We offer out-patient, adult and children case management, medication management and chemical dependency services.

Suicide Prevention Suicide Crisis Hotline................................. 1-800-273-8255 Administered by the National Suicide Prevention Lifeline. Suicide Prevention Network Missoula City-County Health Department..............258-3881 Area professionals and individuals working to lower the suicide rate in Missoula County through training, educational materials, and special projects. Google Missoula Suicide Prevention.

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Health Insurance and Other Financial Options

he financial options and resources for health care come in a variety of forms. Much of this guide identifies for profit and non-profit organizations and resources that provide health care for financially compromised individuals and families. Being insured is the best defense against the medical emergencies and illnesses that might otherwise ruin your financial security. Please read this section carefully to see which resources you can contact to help you with your particular need. If you have no medical insurance: First, work with your primary health care provider. Ask for their help and recommendations. Hopefully, they will work out a financial arrangement acceptable to you. Inquire if they can direct you through “the system” so that your basic health care needs are met. Check your eligibility for the government programs listed in this section, such as Social Security, Medicare and Medicaid. •Medicare is a national health insurance program for people age 65 and older, some people under age 65 with disabilities, and people with End-Stage Renal Disease. For more information about the program, contact the Centers for Medicare and Medicaid Services at 1-800-633-4227. •Medicaid is a medical assistance program for eligible low-income individuals. For more information, contact the Department of Public Health and Human Services of Montana at 1-800-332-2272. Children’s Special Health Services 1-800-762-9891 or (406)444-3622 Assists eligible families with medical costs that arise from treating children with special health care needs including, but not limited to: heart conditions, cleft lip, seizures, asthma, diabetes, and concerns with child’s development. Also sponsors specialty clinics throughout the state. Please call for info. Can be in addition to other insurance.

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Medicaid Home and Community Services Department of Public Health and Human Services 2681 Palmer St., Ste. K, 329-1312 or 329-1310 Serves residents of Mineral, Missoula, Sanders and Ravalli counties through case-management teams. Goal is to serve Medicaid clients in cost-effective home settings as an alternative to nursing-home placement. Services might include adult day services, environmental modifications, medical-alert monitors, nursing services, nutritional needs, personal care attendants and homemaker services, respite care, respiratory therapy and transportation, and possibly other services.

all nursing home costs. See the action entitled Long Term Care insurance for more information.

MHSP Mental Health Services Plan 1315 Wyoming St. 532-9700 or (After hours emergency line), 532-9710 Provides coverage for eligible adults diagnosed with severe and disabling mental illness who need medication. Must be in addition to other insurance (except Medicaid) 1-800-730-3903 Medicare Supplement Insurance - Since Medicare does not cover all doctor and hospital costs you should consider getting a medigap policy from a private insurer. Medigap policies, like Medicare, offer a window of opportunity for enrollment. Sign up for Medigap coverage within six months of the time you enroll for Medicare Part B coverage. Realize too that Medicare and Medigap supplements do not cover custodial and longterm care. Only skilled nursing care is covered for limited amounts of time. In fact, Medicare only pays for about 5% of

MT SMP (formerly known as AIMS) Missoula Aging Services 337 Stephens Ave. Contact Renee Libre at 728-7682 or 1-800-551-3191 SMP is a statewide project to help reduce Medicare and Medicaid waste, fraud and abuse. SMP teaches seniors to: • Understand Medicare summary notices • Protect themselves against healthcare waste fraud and abuse • Be an informed consumer • Keep a record of medical appointments and tests, and check bill to confirm all services listed were received

Missoula County Office of Public Assistance 2677 Palmer St., Ste. 100, 329-1200 Hours: Mon-Thurs, 7:30 a.m. - 5:30 p.m., Fri 7:30 a.m.-5:00 p.m. Provides Medicaid services for elderly, blind, disabled people for various hospital inpatient costs, outpatient services and waiver services such as physician, dentist, eye care and home services. Coverage also extended to certain infants, low-income pregnant women and families.

SMP is a collaboration between Missoula Aging Services and Area Agencies on Aging and the Cascade County Chapter for the Prevention of Elder Abuse. If you have any

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concerns about your Medicare statement, call us. SMP is a free and confidential program. Senior and Long Term Care Services 2677 Palmer St., Ste., 240, 329-1309 Serves residents of Mineral, Missoula, Ravalli and Sanders counties through Medicaid funded in home care programs. These programs include home health, home dialysis attendant, home and community based services and personal assistance (both agency based and self-directed personal assistance.) If you would like additional information about any of these programs feel free to call. TANF (Temporary Assistance to Needy Families Program) 2677 Palmer St., Ste. 100, 329-1200 A time-limited cash assistance program designed to provide families with monthly cash grants and opportunities leading to self-support. A family’s TANF eligibility is limited to sixty (60) months in the adult’s lifetime. Participants must complete a Family Investment Agreement, a document listing activities, time frames, and mutual obligations of the State and the participant regarding the course of action to empower his/her family to become self-supporting. Participants of the above programs may be eligible for Medicaid and Food Stamps.

INSURANCE

Individual and Family Medical Insurance: Medical insurance has the reputation of being very expensive, especially for comprehensive coverage with a low deductible. However, there are many different levels of coverage available. The size of your deductible (the amount you must pay before your insurance kicks in) greatly affects your level of coverage. This affects your cost, or premium, for insurance. Whether or not you choose dental, vision and prescriptions will also affect your premium. Policies are also available for short-term coverage if you are caught between jobs or if you are in the process of securing major medical coverage. Many people cannot afford coverage, yet many more who can, choose to go without! You may be surprised at the low cost of a large deductible, no-frills, major medical policy. While not ideal, it could save you from financial ruin. If you are self-employed or an employer, research medical insurance for your business! As an employer you have options for medical coverage. Legislation and tax laws have improved your rights to both acquire and afford medical coverage for yourself, your family and your employees. Seek out a reputable provider to guide you through the process of acquiring “tax-wise” medical coverage. Blue Care 1-800-447-7828 ext. 8295 www.bluecrossmontana.com Provides limited coverage for uninsured adults and children. Caring Program for Children, 1-800-447-7828, ext. 3612 Pays for minimal primary and preventive health care services for uninsured children

Children’s Health Insurance Program (CHIP) 523-4750 or 1-877-KIDS NOW This is a free or low-cost health insurance plan that provides coverage for uninsured children through age 18. Financial eligibility is based on family’s gross income and household size. Doesn’t count family’s assets or resources: savings, IRA’s, extra vehicles, etc. Income Guidelines for CHIP* Effective October 1, 2009 Family Size Family Annual Income (including adults) (approximately) 2 $36,425 3 $45,775 4 $55,125 5 $64,475 6 $73,825 7 $83,175 8 $92,525 Some employment-related and child care deductions apply. Income guidelines may increase in 2010. *If a child qualifies for Medicaid, health insurance will be provided by Medicaid. Insure Montana www.sao.mt.gov/insuremontana/index.asp Insuring Montanans one small business at a time. Bringing legislators from both sides of the aisle together with the business community, this landmark healthcare legislation was a joint initiative of Governor Brian Schweitzer and State Auditor John Morrison. Funded by a $1 per pack cigarette tax passed by voters as a ballot initiative in the fall of 2004, the program is set up to assist small business owners in Montana. MCHA: Montana Comprehensive Health Association (administered by Blue Cross/Blue Shield) PO Box 4309, Helena, MT, 59604 1-800-447-7828 ext. 2128 www.mthealth.org Makes comprehensive health insurance benefits available to high-risk individuals. Includes but is not limited to: coronary artery disease, leukemia, AIDS, malignant tumor, lupus. Also covers people who have been rejected by 2 insurers within the last 6 months. MCHA Portability Plan - is available to individuals losing group or cobra coverage. Also having 18 months of prior creditable coverage. Medicaid 2677 Palmer St., Ste. 100, 329-1200 Provides medical coverage to children, based on family’s income. Takes into consideration family’s assets and resources. Family is not eligible for coverage if countable resources and assets exceed $3000 (excluding 1 house and 1 car). Apply: Office of Public Assistance 523-4950.

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Medicare/Social Security Administration 700 S.W. Higgins Ave., Ste. 5, 542-1580 Medicare is a federal health insurance program for individuals 65 and over or those with disabilities or permanent kidney failure. Montana Youthcare, Blue Cross Blue Shield, 1-800-447-7828 ext. 896 #5 A private health insurance plan that provides a child with comprehensive coverage at affordable prices. Northwestern Scholastic Insurers, (406)458-5902 A private health insurance plan that provides a child who is in school with supplemental accidental bodily injury coverage. Provides coverage for families with or without insurance. If a family already has insurance, Northwestern will pay a percent of the family’s copay and/ or the deductible owed to the other insurance company.

INSURANCE FRAUD

Insurance fraud continues to be a problem across our country. You have the option to call the state auditors office in Helena at 1-800-332-6148 to verify a company or individual with which you are working. DO NOT HESITATE TO CALL WHENEVER IN DOUBT. Senior Information Line, Missoula Aging Services, 337 Stephens Ave., 728-7682 www.missoulaagingservices.org The Information and Assistance specialists at Missoula Aging Services are trained to assist seniors in defining and addressing all types of fraud including insurance fraud. If you have questions about a company or are concerned that you are being scammed, please don’t hesitate to call. We can verify an individuals licensing and business history and if necessary work as an advocate for you.

ANOTHER OPTION FOR SMALL EMPLOYERS:

If you are a small employer without the time or resources to manage your company medical coverage, retirement plans or workman’s compensation, there are businesses that provide these services to multiple businesses to gain the economy only a larger organization can have. Avitus Group, 550 S. 24th St. W, Ste. 201, Billings, MT 59102; Mailing Address: P.O. Box 81590, Billings, MT 59108; 1-800-454-2446.

LONG TERM CARE INSURANCE

Use it to pay the bills

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

More than you expect

523-3300 / www.missoulafcu.org

Why is it important for you and your family to learn about long-term care issues and to consider the suitability of long-term care insurance? Because the chances of needing long-term care are high, and the costs to you and your family could be substantial. Statistically, chances are greater than 50% that we will require extended care at home or in a nursing home, according to the Health Insurance Association of America. Women tend to outlive men and are more likely to need long-term care services; the American Health Care Association indicates that women comprise 75% of the nursing home population for those over age 65. The potential cost of long-term care has become an important financial planning issue because these expenses have the potential to rapidly drain a family’s resources. Intelligently preparing for the potential cost of long-term care is clearly a personal responsibility. Many people have the misconception that Medicare will cover their nursing home bills, but Medicare only covers skilled care, and 95% of the persons in nursing homes are receiving custodial care. To qualify, an individual must meet the following requirements: Medicare also pays for some home health care costs. If eligibility requirements are met: •The patient must be under a physician’s care and the doctor must certify the need for home health care. The need must include intermittent skilled nursing care, physical therapy,

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speech therapy, or occupational therapy. Full time care is not covered and neither is homemaker services primarily needed to assist in meeting personal care or housekeeping needs. • The patient must be homebound, having a medical condition that restricts ability to leave the house without assistance. • The home health care agency providing the services must be certified by Medicare. In summary, the reason Medicare ultimately covers such a small percentage of the costs of long-term care is because the level of care needed is overwhelmingly custodial (“ personal assistance”) and Medicare covers care with a skilled element, to the extent that it covers long-term care at all. In nursing homes, approximately 95% of the care rendered is custodial. The mission of MEDICAID, a joint federal-state assistance program, is to help those who could not otherwise afford longterm care. It is one of the largest sources of funding for long-term care and pays for 61% of all nursing home bills in Montana. Many persons begin paying for nursing care out of their own pockets and turn to Medicaid when their assets have been depleted. A person qualifying for and receiving Medicaid assistance may find that their options are limited as to where they receive care. In addition, states are required to pursue recovery of the cost of care after the death of the recipient: In Montana this is accomplished through the Medicaid Lien and Estate Recovery Law. Generally, reliance on Medicaid is only done as a last resort by those individuals who have few assets to protect. Once a person understands the basic issues surrounding long-term care (the significant chances of someday requiring care; the potential financial drain; and who pays for these costs), it becomes clear that long-term care insurance may be a suitable option to offset the risk of a financial and emotional calamity. In fact, asset protection is secondary in many people’s minds. According to a Health Insurance Association of America survey, the most frequently cited reason for purchasing LTC insurance: to maintain independence and choice - and to avoid depending on others for care. “Peace of mind” is one of the basic reasons to buy long-term care insurance. Is long-term care insurance appropriate for you or your parents? It depends on your age, your health and medical history, as well as your income and assets. Policies are “age-rated”: the earlier you purchase a policy, the lower the premiums. (Age 50 is not too early to be considering coverage). Persons with serious health problems will not be able to qualify for coverage - another good reason for purchasing a policy sooner rather than later. You should not buy long-term care insurance if you cannot afford the premiums. If your assets are limited, then you would likely qualify for Medicaid if you need long-term care; spending your limited resources on insurance premiums may not be in your best interest. Other important considerations include your family health history, your marital status, the family support that would be available to you if you needed care, and the importance - to you - of maintaining independence and having a choice as to where you receive care. (Most persons would prefer to remain in their own homes as long as practical). A qualified long-term care insurance agent will be able to determine if insurance is

In Medicine, Bigger Doesn’t Necessarily Mean Better. There are times when smaller is better. New West Health Services proves that every day. We’re the perfect size to offer our customers smart, affordable plans with personal service that bigger insurance companies can’t match. We also provide useful, money-saving online tools like MyNewWest to help you access claims records, estimate costs and compare every aspect of your plan. Join the thousands of Montanans who have become believers in New West. We’re not the biggest, just the best.

Believe in Better Health C are w w w . n e w w e s t h e a l t h . c o m

202122. NWHS Pills ad (Misso 9.29.10 AD5 JS 3.4167 x 4-color

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suitable and available for your personal situation and will suggest a strategy to reduce your emotional and financial risks. Comprehensive long-term care policies cover both nursing home and home health care in the same plan. Most policies also cover care provided in assisted living facilities, which provide assistance with activities of daily living, such as dressing, eating, and bathing. Community based care, such as adult day care, is also usually covered. “Nursing home only” policies are available and are less expensive. They are worth considering for persons whose living situations make it unlikely they would remain at home if they should require care. Other key elements of a long-term care policy: •Daily benefit: the maximum dollar amount a policy will pay: some pay the full daily benefit regardless of the charges you incur (“indemnity”), other policies pay only actual charges up to the covered amount (“reimbursement”). •Benefit period: the length of time for which benefits are payable •Elimination period: the number of days at the start of a claim for which no benefits are payable (also known as the “waiting period or the deductible”); typical options include 0, 30, 90 and 180 days. Other optional benefits, or riders, that are available include: •Inflation protection: this optional policy feature increases the daily benefit each year to help keep pace with the increasing cost of long-term care; this is an important consideration for anyone younger than mid-70’s •Non-forfeiture benefit: an optional benefit that allows the insured to receive some type of benefit from the coverage if the policy is surrendered. •Some final advice... Long-term care insurance provides an excellent alternative to personally financing the cost of longterm care, but it is a complex product with numerous substantial and subtle variations from company to company. Don’t buy this product in an educational vacuum. Work with an insurance agent who is knowledgeable about long-term care issues and familiar with a variety of long-term care insurance plans. The agent should take the time to learn about your personal situation, answer your questions, and should adequately explain the plan and features he or she is proposing. Know what you are buying - and why you are buying it. Review several different long-term care insurance policies. And perhaps most importantly: involve your family in a discussion of long-term care issues and a decision to buy or not buy long-term care insurance - while you are healthy. They will almost certainly be impacted should the need for long-term care arise.

REVERSE MORTGAGES

Reverse mortgages are designed for homeowners age 62 and older and living in their homes as their primary residences. The reverse mortgage is a new tool for retirement planning. It is a way to turn your home into a source of cash. Before reverse mortgages, there were two ways to get cash out of your home: by selling it and moving, or by getting a home equity loan and making the required monthly payments. Now there is a way to turn the equity in your home into cash without making loan payments, and you continue to live there. This is why the term “reverse mortgage” is used. It is a type of mortgage that works exactly the opposite of the traditional mortgage we used when we bought our homes. Instead of paying the lender, the lender pays the homeowner, who retains ownership to the property, continues to live there, and makes no monthly repayments. The reverse mortgage is a loan with a rising balance and must be repaid when the homeowner leaves the house, either by selling it and moving, or by passing away. The money from a reverse mortgage is not taxable and does not affect Social Security and Medicare. The list is unlimited: travel bills, remodeling, redecorating, hobbies, medical and health care expenses, property taxes, emergency funds, college tuition for grandchildren, car purchase or repair, and the list goes on and on and on..... The amount of money available for a reverse mortgage varies for everyone. No two homeowners are alike. Information can tailored to your specific circumstances. There are three reverse mortgage programs for Montanas: the Federal Housing Administration Insured Reverse Mortgage (HECM), the Fannie Mae Homekeeper, and the State of Montana’s Reverse Annuity Mortgage (RAM). For free information and referral, call Justin Schedel, Montana Board of Housing - 1-800-761-6264. Montana Board of Housing’s Reverse Annuity Mortgage Education Tool Program, Missoula Aging Services 337 Stephens Ave., 728-7682 or 1-800-551-3191 www.missoulaagingservices.com The Information and Assistance Staff at Missoula Aging Services is certified by the Montana Board of Housing to provide counseling on the MBH Reverse Annuity Mortgage. RAM counselors can meet with you to explain and define how a reverse annuity mortgage works and how it might benefit you. This is not a sales pitch, but an educational tool for people interested in the program.

ESTATE PLANNING

If you don’t plan the division of your estate, the government will do it for you. You may also suffer unnecessary estate taxes. Trusts, wills, charitable gifts, tax-exempt gifts and insurance trusts are all means for controlling your estate. By using effective estate planning techniques you can direct your estate to the people or organizations you would like to benefit. Find out how to protect your estate. Consult the yellow pages for a complete listing of financial planners, attorneys, accountants and insurance agents.

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End of Life

he end of life is an experience all human beings share. We may experience it quickly with little manner, the end of life is an inevitable event that affects not only the individual, but also their loved ones and other members of the community. Hospice Services are one way that people with life-limiting illnesses and their significant others can acquire support during the final stages of their life. Support Services are available in hospitals, for in-home services, long-term care and assisted living settings. Those who are grieving from the loss of a loved one also need support and relief. The organizations listed below may help you locate support.

END OF LIFE CARE AND SUPPORT Center for Attitudinal Healing and the Arts Dan Comstock, Director, 728-6501 www.cahamt.org Peer support using the principles of attitudinal healing. The idea is to learn tools to find peace while going through the healing process. Open support groups as well as grief support. Support groups are free. Workshops also available. End-of-Life Registry (formerly Choices Bank) P.O. Box 201410, Helena, 59620-1410 (866)675-3314 or (406)444-0660 or Fax (406)444-9680 www.endoflife.mt.gov; endofliferegistry@mt.gov St. Patrick Hospital Center for Health Information 500 W. Broadway, 329-5710 The End-of-Life-Registry is in the Dept of Justice, Office of Consumer Protection and Victim Services. The Choices Bank was originally created by the Life’s End Institute and sponsored by St. Patrick Hospital and Heath Sciences Center. Missoula legislators proposed a bill in 2005 to create and maintain a secure, online registry accessible to health care providers and families throughout the state. As with Choices Bank, using the Montana End-of-Life Registry is free of charge. To view your advance directive in the Registry, you use the same name and access code that is on your existing Choices Bank wallet card. You do not need a new card. The updated My Choices Advance Directive form is still available for your use, either from the registry’s website or from the Center at St. Pat’s. For information and assistance in completing your advance directive you are invited to go to the Center for Health Information (Medical Library) at St Patrick Hospital, located on the first level of the Broadway Building. The library staff will witness and notarize your advance directive and forward it to the End-of-Life-Registry in Helena.

The Registry is staffed 24 hours a day, seven days a week, so help is always available should you or your family have question in an emergency. Hospice Link 1-800-331-1620 Hours: 9:00 a.m.-4:30 p.m. eastern time. Providing information for hospice services in other areas of the country. Hospice of Missoula 800 Kensington St., Ste., 204, 543-4408 fax: 543-4418 www.hospiceofmissoula.com hospiceofmissoula@bresnan.net Hospice of Missoula is committed to providing the very best in end-of-life care. Our sole focus is on hospice care, and the superiority of our care demonstrates this distinction. Our team of hospice professionals provides not only expert pain and symptom management, but also emotional and spiritual support, which extends to bereavement care for families after a patient has died. Marcus Daly Hospice Center and Services 1200 Westwood Drive, Hamilton, MT 59840 363-6503 Our work is an affirmation of life as we provide compassionate support and help our patients, families and friends to live and cope in the most positive manner at the end of life’s journey. We are licensed and certified for Medicare and Medicaid; and many insurance plans cover Hospice care. Hospice services are available at our beautiful Hospice Center or wherever the patient resides. Those services include a comprehensive team approach, medication related to terminal illness, medical equipment and supplies, 24 hour access to care, support and assistance with coordinating and managing care and bereavement support following death. Partners Hospice and Palliative Care Services 2687 Palmer St., Ste. B, 728-8848 We are a non-profit, 501 C3 organization that has been providing hospice care to the Missoula community and western Montana since 1987. We provide comprehensive, active health care by specially trained professionals in pain/symptom management, spiritual support, counseling, personal care, volunteer, and bereavement services. Our mission is to enhance the quality of life’s end. We provide education and support allowing the family or caregivers to actively participate in caring for the patient. We also help loved ones and caregivers cope with the loss after death. We offer complimentary Hospice & Palliative Care consultations 7 days a week. Storykeepers, Contact Susie Risho at 549-0752 Trains family members, health care workers and others to gather a person’s life story at the end of life. Provides services to record life stories.

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Strings of Peace Music - Thanatology Services, 546-4127 A palliative service for individuals at the end of life which provides care through the delivery of live prescriptive music, using harp and voice. Patients and families can benefit from one or a series of music vigils during the process of an approaching death, as well as when death becomes imminent. Call for more information or to make patient referrals. Fee charged for services.

BEREAVEMENT & LOSS SUPPORT GROUPS Bereavement Support Services Partners Hospice, 2687 Palmer St., Ste. B Contact Gretchen Strohmaier, Bereavement Coordinator at 327-3624 Bereavement support groups for those grieving the death of a friend or loved one are offered multiple times throughout the year. These eight- week groups are free and open to the public. They include education about grief and give participants an opportunity to share their own experiences. Individual bereavement counseling, education and referral are also available. Call for specific times and dates. Tamarack Grief Resource Center 336 W. Spruce St., 721-2860 www.tamarackgriefresourcecenter.org Housed in the Center for Integrative Care, Grief Resources provides stabilizing and compassionate assistance for children, teens, adults and families amidst bereavement, loss and life transitions. Individual and group counseling, caregiver support, parent support and education, grief camps, and professional workshops available. Healing Hearts for Moms Contact Judy at 549-8482 or Phyllis at 549-4333 This is a caring support group for mothers who have had children die. We meet each month and help each other through the hardest thing a mother ever has to deal with - the death of their child. We cry together, encourage each other, and give a lot of support. Our purpose is to help each other deal with grief and then to move on and make life meaningful again.

H.O.P.E. 1621 South Ave W., 543-2890 www.anewsong.org/hope.html A group for the mutual support of those who have lost someone to suicide. A New Song A Resource Center for Grief, Loss and Life Transitions 1621 South Ave. W., 543-2890, www.anewsong.org A New Song offers materials relating to death, bereavement, depression, suicide, divorce and separation, elder care and chronic illness. Materials are available for people of all ages. Books, brochures, videos, audiotapes, and CDs are available from the lending library at no charge. Grief Support Group, 363-6503 Every Tuesday from 2pm-3:30pm Marcus Daly Hospice Center, Living Room 1200 Westwood Drive, Hamilton, MT 59840 Marcus Daly Hospice offers an opportunity where you can find help and healing for the hurt of losing a loved one. Share grieving experiences and grow from them. This weekly group is for anyone dealing with the loss of a loved one. Licensed counselors and trained volunteers address issues of grief and loss while building a network of support for attendees. All are welcome. Call for more information. Men’s Bereavement Breakfast, 363.6303 Marcus Daly Hospice Center 1200 Westwood Dr. Every 2nd Friday of each month at 9am Marcus Daly Hospice sponsors a monthly Men’s Bereavement Support Breakfast. The group is a special opportunity for men coping with the death of a spouse or loved one to gather and share their journey of healing. Informal discussions are led by a trained Bereavement Facilitator and address such issues dealing with grief, practical suggestions for coping as a single parent, and forming new relationships. Donation of $3.00 is appreciated. Call for more information.

FUNERAL ASSISTANCE Cremation Burial Society of the Rockies Corner of Reserve & Spurgin, 543-5595

    







MISSOULA AREA FUNERAL HOMES Garden City Funeral Home 1705 W. Broadway, 543-4190 Livingston Malletta Geraghty 224 W. Spruce St. 543-3137 Sunset Memorial Funeral Home 7405 Mullan Rd. 549-2857

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Acupuncture Clinic of Missoula Dallas Seaber, MAcOM, LAc A practitioner with a wealth of training and experience. Acupuncture, Chinese herbs, nutritional counseling and NAET. Wellness care and treatment for: • Pain of all types • Allergies, stress, IBS, fatigue, injuries, depression, asthma, women’s health and more. Gentle, effective, safe. Children to adults. Free consultations.

Health Options Clinic 3031 S. Russell • 728-1600

The Montana Chapter provides support, programs and education to those with Alzheimer’s, their caregivers, civic groups, health care professionals and the general public. The office has a large resource library with pamphlets, books, DVD’s that are available to check out. The Medic/Alert Safe Return program and the new Comfort Zone products assist in the safe and timely return of individuals who wander and become lost. The chapter has a 24/7 toll free help-line that can answer many questions. 3010 11th Ave N, Billings, MT 59101 406-252-3053 phone • 406-252-2933 fax Toll free 24/7 help-line 1-800-272-3900

State-of-the-art care for Alzheimer’s victims in a uniquely designed, safe home-like setting. Small uncomplicated living areas with private rooms, each with a bathroom, 24-hr nursing services, assistance with grooming, bathing and medication. Secured courtyard with walking paths, individualized care and activities. Offering respite and adult day care. State licensed and approved. For more information or a private tour

2815 Palmer • 549-9660

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Weâ&#x20AC;&#x2122;re here when you need us. Conveniently located in the Southgate Mall. Appointments availiable evenings and Saturdays! Mall pagers for our guests.

www.MTSmiles.com Southgate Mall â&#x20AC;˘ 541-2886

Hospice of Missoula is committed to providing the very best in end-oflife care. We are the only Missoula organization focused solely on hospice care. We are a family-centered hospice, helping to support the needs of both patient and family through social services, spiritual care, and medical symptom management. Our team-approach ensures the best-possible physical comfort for the patient. Music-thanatology and bereavement services are also available. Please call for more information or to schedule a consultation. Hospice care is covered by Medicare and most private insurances. We find it a privilege to be of service at this important time in life.

800 Kensington, Suite 204 â&#x20AC;˘ 543-4408

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Open Weekdays: 10am-8pm Sat: 10am-6pm Sun: 11am-5pm 3055 N Reserve St. Missoula, MT 59808 (406) 543-4629

Rocky Mountain Psychotherapy & Neurofeedback Your Life at its Best

Individual, couples, & family counseling With a comfortable and supportive atmosphere, clients achieve the growth they’re striving for. Dorothy Garner, LCSW

(406)396-3500 dorothygarner@rmpsych.net

Missoula Sleep Medicine is accredited

by the American Academy of Sleep Medicine, and our Medical Director, Dr. Michael Silverglat, is certified by the American Board of Sleep Medicine. Services available include formal diagnostic testing for adults and children, with CPAP and BiPAP therapy if needed, performed by registered technologists. Consultation, treatment recommendations and follow-up care are all available through Dr. Silverglat.

910 Brooks, Ste 201 406-829-8053

es “Nothing tast as as good skinny feels!” Go Figure is a weight loss management program designed specifically for each individual’s weight loss goals. • FDA approved appetite suppressant • No hunger • No prepackaged food • A ton of energy • All natural fat burners & fat blockers 2412 RiveR Rd, Suite A, MSLA • 531-6779

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Index Abortion. . . . . . . . . . . . . . . . . . . . . . . . . 41 Acupuncture. . . . . . . . . . . . . . . . . . . . . . . 7 Addictions. . . . . . . . . . . . . . . . . . . . . . . .88 Adoption. . . . . . . . . . . . . . . . . . . . . . . . . 41 AIDS/HIV. . . . . . . . . . . . . . . . . . . . . . . . .76 Alcohol Abuse. . . . . . . . . . . . . . . . . . . . .88 Alternative Medicine. . . . . . . . . . . . . . . . . 7 Alzheimerâ&#x20AC;&#x2122;s Disease. . . . . . . . . . . . . 64, 77 Arthritis . . . . . . . . . . . . . . . . . . . . . . . . . 77 Assisted Living. . . . . . . . . . . . . . . . . . . . 64 Asthma. . . . . . . . . . . . . . . . . . . . . . . . . . 77 Ayurveda . . . . . . . . . . . . . . . . . . . . . . . . . 7 Back Pain. . . . . . . . . . . . . . . . . . . . . . . . 77 Bereavement. . . . . . . . . . . . . . . . . . . . . 100 Bioacoustics. . . . . . . . . . . . . . . . . . . . . . . 7 Biofeedback. . . . . . . . . . . . . . . . . . . . . . . 7 Birth Control. . . . . . . . . . . . . . . . . . . . . . 39 Blindness. . . . . . . . . . . . . . . . . . . . . . . . 70 Breast Examinations. . . . . . . . . . . . . . . . 27 Breastfeeding Resources. . . . . . . . . . . . . 45 Cancer. . . . . . . . . . . . . . . . . . . . . . . 27, 78 Cardiac Rehabilitation. . . . . . . . . . . . . . . 21 Cerebral Palsy. . . . . . . . . . . . . . . . . . . . . 80 Child Abuse . . . . . . . . . . . . . . . . . . . . . . 91 Childbirth Classes. . . . . . . . . . . . . . . . . . 44 Childbirth Practitioners. . . . . . . . . . . . . . 42 Childcare . . . . . . . . . . . . . . . . . . . . . . . . 52 Childrenâ&#x20AC;&#x2122;s Services. . . . . . . . . . . . . . . . . 46 Education. . . . . . . . . . . . . . . . . . . . 52 Guidance. . . . . . . . . . . . . . . . . . . . 53 Health Insurance . . . . . . . . . . . . . . 48 Mental Health Services. . . . . . . . . . 53 Protective Services. . . . . . . . . . . . . 54 Residential Care. . . . . . . . . . . . . . . 54 Chiropractic Medicine. . . . . . . . . . . . . . . . 7 Chronic Fatigue. . . . . . . . . . . . . . . . . . . . 80 Clinical Hypnotherapy. . . . . . . . . . . . . . . . 7 Clothing . . . . . . . . . . . . . . . . . . . . . . . . . 33 Colon Hydrotherapy . . . . . . . . . . . . . . . . . 8 Cosmetic Surgery. . . . . . . . . . . . . . . . . . 87 Craniosacral Therapy . . . . . . . . . . . . . . . . 8 Death (see End of Life) Definitions. . . . . . . . . . . . . . . . . . . 4, 29, 57 Dental Services. . . . . . . . . . . . . . . . . . . . 29 Depression. . . . . . . . . . . . . . . . . . . . . . . 80 Dermatology. . . . . . . . . . . . . . . . . . . . . . 87 Diabetes. . . . . . . . . . . . . . . . . . . . . . . . . 80 Disability Services. . . . . . . . . . . . . . . . . . 70 For Children. . . . . . . . . . . . . . . . . . 75 Education. . . . . . . . . . . . . . . . . . . . 74 Financial Resources. . . . . . . . . . . . 75

Housing. . . . . . . . . . . . . . . . . . . . . 74 Support Groups. . . . . . . . . . . . . . . 72 Transportation. . . . . . . . . . . . . . . . 74 Domestic Violence . . . . . . . . . . . . . . . . . 89 Drug Abuse . . . . . . . . . . . . . . . . . . . . . . 88 Education. . . . . . . . . . . . . . . . . . . . . . . . 55 Emergency Services. . . . . . . . . . . . . . . . 33 End of Life . . . . . . . . . . . . . . . . . . . . . . . 99 Energy Balancing . . . . . . . . . . . . . . . . . . . 8 Environmental Safety . . . . . . . . . . . . . . . 37 Epilepsy. . . . . . . . . . . . . . . . . . . . . . . . . 82 Estate Planning. . . . . . . . . . . . . . . . . . . . 98 Exercise. . . . . . . . . . . . . . . . . . . . . . . . . 10 Eyecare . . . . . . . . . . . . . . . . . . . . . . 26, 70 Family Practitioners. . . . . . . . . . . . . . . . . 43 Feldenkrais. . . . . . . . . . . . . . . . . . . . . . . . 8 Flu . . . . . . . . . . . . . . . . . . . . . . . . . . . .24 Food . . . . . . . . . . . . . . . . . . . . . . . . . . . .33 Funeral Homes. . . . . . . . . . . . . . . . . . . 100 General Practice. . . . . . . . . . . . . . . . . . . . 6 Health Clinics. . . . . . . . . . . . . . . . . . . . . 15 Health Clubs. . . . . . . . . . . . . . . . . . . . . . 10 Health Insurance. . . . . . . . . . . . . . . . . . . 93 Fraud. . . . . . . . . . . . . . . . . . . . . . . 96 Hearing Loss . . . . . . . . . . . . . . . . . . 27, 71 Heart Disease. . . . . . . . . . . . . . . . . . . . . 82 Hepatitis. . . . . . . . . . . . . . . . . . . . . . . . . 83 Home Health Services. . . . . . . . . . . . . . . 66 Hospitals . . . . . . . . . . . . . . . . . . . . . . . . 13 Hospice . . . . . . . . . . . . . . . . . . . . . . . . . 67 Independent Living. . . . . . . . . . . . . . . . . 65 Infertility. . . . . . . . . . . . . . . . . . . . . . . . . 41 Insurance see Health Insurance Iridology. . . . . . . . . . . . . . . . . . . . . . . . . . 9 Kidney Disease. . . . . . . . . . . . . . . . . . . . 84 Long Term Care Insurance . . . . . . . . 63, 96 Long-Term Care Planning . . . . . . . . . . . . 62 Mammograms . . . . . . . . . . . . . . . . . . . . 27 Massage. . . . . . . . . . . . . . . . . . . . . . . . . . 9 Medicaid. . . . . . . . . . . . . . . . . . . . . . . . . 62 Medical Equipment. . . . . . . . . . . . . . . . . 67 Medicare. . . . . . . . . . . . . . . . . . . . . . . . . 62 Meditation. . . . . . . . . . . . . . . . . . . . . . . . . 9 Mental Health. . . . . . . . . . . . . . . . . . . . . 91 Midwives . . . . . . . . . . . . . . . . . . . . . . . . 43 Multiple Sclerosis. . . . . . . . . . . . . . . . . . 84 Muscular Dystrophy. . . . . . . . . . . . . . . . 84 Native American Services. . . . . . . . . . . . 36 Naturopathic Care. . . . . . . . . . . . . . . . . . . 6 Nursing Homes. . . . . . . . . . . . . . . . . . . . 65 Nutrition. . . . . . . . . . . . . . . . . . . . . . . . . 31

Education. . . . . . . . . . . . . . . . . . . . 33 Income Requirements . . . . . . . . . . 31 School Breakfast . . . . . . . . . . . . . . 33 School Lunch. . . . . . . . . . . . . . . . . 33 Obstetrician/Gynecologists. . . . . . . . . . . 42 Occupational Therapy. . . . . . . . . . . . . . . 21 Orthotics. . . . . . . . . . . . . . . . . . . . . . . . .22 Osteoporosis . . . . . . . . . . . . . . . . . . . . . 84 Pain Management. . . . . . . . . . . . . . . . . . 22 Pap Smear Testing . . . . . . . . . . . . . . . . . 28 Parenting Classes. . . . . . . . . . . . . . . . . . 52 Pharmacies. . . . . . . . . . . . . . . . . . . . . . . 68 Physical Therapy . . . . . . . . . . . . . . . . . . 22 Polio . . . . . . . . . . . . . . . . . . . . . . . . . . . .85 Pregnancy . . . . . . . . . . . . . . . . . . . . . . . 39 Financial Resources. . . . . . . . . . . . 45 Resources. . . . . . . . . . . . . . . . . . . 44 Teenage Pregnancy . . . . . . . . . . . . 40 Testing. . . . . . . . . . . . . . . . . . . . . . 39 Unplanned Pregnancy . . . . . . . . . . 39 Prenatal Care . . . . . . . . . . . . . . . . . . . . . .41 Preventive Care. . . . . . . . . . . . . . . . . . . . 24 Primary Care. . . . . . . . . . . . . . . . . . . . . . . 6 Prostate Cancer Testing . . . . . . . . . . . . . 28 Prosthetics. . . . . . . . . . . . . . . . . . . . . . . 22 Rehabilitation . . . . . . . . . . . . . . . . . . . . . 20 Reiki . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 Respite Care. . . . . . . . . . . . . . . . . . . . . . 65 Reverse Mortgages. . . . . . . . . . . . . . . . . 98 Seniors. . . . . . . . . . . . . . . . . . . . . . . . . . 57 Exercise. . . . . . . . . . . . . . . . . . . . . 61 Education. . . . . . . . . . . . . . . . . . . . 61 Employment. . . . . . . . . . . . . . . . . . 61 Financial Resources. . . . . . . . . . . . 62 Housing. . . . . . . . . . . . . . . . . . . . . 64 Nutrition. . . . . . . . . . . . . . . . . . . . . 61 Safety . . . . . . . . . . . . . . . . . . . . . . 69 Transportation. . . . . . . . . . . . . . . . 69 Sexually Transmitted Infections. . . . . . . . 85 Sleep Disorders . . . . . . . . . . . . . . . . . . . 85 Smoking. . . . . . . . . . . . . . . . . . . . . . . . . 89 Speech Therapy. . . . . . . . . . . . . . . . . . . 23 Stroke. . . . . . . . . . . . . . . . . . . . . . . . . . . 86 Suicide Prevention . . . . . . . . . . . . . . . . . 93 Testicular Examinations. . . . . . . . . . . . . . 28 Therapeutic Riding . . . . . . . . . . . . . . . . . 23 Vaccinations. . . . . . . . . . . . . . . . . . . . . . 25 Veteran Services. . . . . . . . . . . . . . . . . . . 38 Weight Management. . . . . . . . . . . . . . . . 34

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www.saintpatrick.org • 500 W. Broadway, Missoula, MT 59802

2010-2011 Fourteenth Annual

Health m i s s o u l a

c o u n t y

Resource Guide