#Addiction Treatment Center Montana

[bearcreekwellnesscenter]

Bear Creek Wellness Center offers a structured and supportive environment for individuals struggling with substance abuse through our Inpatient Rehab Montana program. Our evidence-based therapies are enhanced with holistic practices such as meditation, art therapy, and outdoor activities, all aimed at helping you rebuild your life.

Bear Creek Wellness Center 122 Indian Prairie Loop, Stevensville, MT 59870 (888) 616–5123

My Official Website: https://bearcreekwellness.com/ Google Plus Listing: https://www.google.com/maps?cid=4709221083542565430

Our Other Links:

Alcohol Detox Program Montana: https://bearcreekwellness.com/programs/montana-drug-alcohol-detox/ Residential Treatment in Montana: https://bearcreekwellness.com/programs/inpatient-residential-treatment/ Dual Diagnosis Treatment Montana: https://bearcreekwellness.com/programs/dual-diagnosis-treatment-montana/ Drug Treatment Center Montana: https://bearcreekwellness.com/programs/drug-addiction-treatment-center-montana/ Alcohol Addiction Treatment Montana: https://bearcreekwellness.com/programs/alcohol-addiction-treatment-montana/

Service We Offer:

Drug Detox Drug Treatment Dual Diagnosis Treatment Addiction Treatment Inpatient Residential Treatment

[substancerehab]

Find Substance Abuse Treatment Center in Montana

Searching for treatment centers in montana? Find the list of drug rehab & treatment centers in montana, which provides treatment of substance & opioid abuse/addiction.

[hag-o-hags]

I've talked a few times about My Brother The Social Worker -- he's an LCSW in Montana who's been working with an addiction recovery center for the last few years. Montana, unsurprisingly, has a lot of people who are struggling with their addictions -- there are huge barriers to treatment that start with being hours by car from support to cultural avoidance to, as always, money.

Joann, my brother's boss, began an Intensive Outpatient program as someone in recovery herself, with the goal of meeting people where they're at instead of pushing "addicts" through a system. She created a small, tight-knit, talented group of therapists and social workers who are invested in their clients and their treatment.

Over the last month or so, the business was going through a financial crisis due to the apparent actions of someone who had access to the business's money. This person was confronted about the behavior and their access to the money was cut off. Tragically, this person murdered Joann on the night of Friday, March 17, 2023.

Since her passing, my brother has been trying to balance grieving and keeping Joann's mission alive. Even though technically they aren't being paid, he and the other therapists have been continuing to support the clients through their grief and addiction -- ensuring that the people who also knew Joann aren't left without care. They are navigating immensely complex systems of licensing and insurance while trying to manage everything else that's happening.

They've started a Gofundme, because that's where they're at. When someone passes suddenly, their assets, their business's assets, can get tangled up for months while courts make sure the estate is distributed properly. As of today, it's been a week and a half. They're treading water right now, but they badly need a life raft.

If you can help by giving money, that is wonderful. If you can help by sharing, that's also amazing. If you can't interact with this post, that is more than fine -- please take care of yourself, be safe.

- Nikita, @hag-o-hags

Seeking Recovery - Addiction treatment center: https://www.iamseekingrecovery.com/

KRTV Great Falls - Sheriff release name of GF murder victim: https://www.krtv.com/sheriff-releases-name-of-great-falls-murder-victim

[perennialwitness]

NYX: The Drug That Came and Went

Disclaimer: The following article was written by Artificial Intelligence Alice:GHSC:0102531.2, please refer any follow-up inquiry to Meta office 94516. 

NYX, a street drug that came into popularity in the late 2030s, responsible for the “Nostalgia Languor” epidemic and the subsequent Lost Generation, has despite its lasting effects on society remained much of an enigma. In relation to its namesake Nyx(originally thought to be an acronym though no evidence has surfaced to support this), Greek primordial goddess of night, the origins of NYX are veiled though many sources have alluded to the University of Montana Neuroscience Department as a possible source. All inquiries to their office in Missoula, MT have so far gone unanswered.

Reportedly developed for the purpose of PTSD and Personality Disorder treatment, NYX permits users to enter a trance-like state in which they manifest within a memory separate from themselves, inducing a sensation many have compared to watching a film. It is said the scientists responsible for the drug hoped that by allowing patients to view traumatic events from an objective third party perspective they could then better facilitate dialogue during traditional therapies. This process is known by recreational users as “Dream-Walking” or “Deeming”, though this is a misnomer as the experience is closer to hallucination than dreaming, while cataleptic until their experience has concluded the user does not enter REM nor are they subject to effects of sleep paralysis. 

Although NYX has been categorized as a schedule 3 narcotic by The United Nations and all countries within since its appearance on streets in 2034 and clinical trials of the drug outlawed, a survey of illicit users shows that more than 54% of those who have taken the drug reported finding a sense of catharsis and a decrease in depressive symptoms. Marketed by pushers as an alternative to LSD, Ketamine or Psilocybin usage rates spiked amongst working professionals, especially those in creative and tech related fields. The Centers for Disease Control and Prevention(CDC) issued a formal warning against the unsupervised consumption of NYX in 2036 following initial reports of “Nostalgia Languor”(which symptoms include Malnutrition, Narcolepsy, Anxiety, Delirium, Audio/Visual Hallucinations, Vertigo, Short-Term Amnesia and Lethargy) from Seattle hospitals. 

The first known diagnosis of this new disease was Martin Stanson(38), a legal assistant and part-time Uber driver from Burien, WA. It was reported that Stanson, after several months of recreational usage had begun Dream-Walking daily, forgoing traditional sleep in favor of a Deem. According to Neurologist and Nostalgia Languor Specialist, Dr. Teresa Madan, PhD of Stanford University, “Though NYX intoxication may appear like sleep, it is in truth the opposite. User’s neural activity spikes in all areas when under the influence, putting their minds into an overactive state that when combined with sustained use and a lack of traditional rest can lead to the symptoms associated with Nostalgia Languor.” 

One year following Stanson’s diagnosis cases of Nostalgia Languor skyrocketed, with nearly 30,000,000 cases reported worldwide, of this number close to 84% were between the ages of 29 – 45. The disease was biased in more ways than just age, in the United States middle class White Males made up a disproportionate amount of documented cases. According to Dr. Madan, “We see a concentration of cases in these areas for several reasons, one being accessibility. NYX, despite being widely distributed, was never cheap. It is believed that the true driving force behind these numbers was [perceived] failure amongst the middle-class, especially those raised in moderate comfort. In combination with a decades-long mental health crisis, those suffering from symptoms of depression could become addicted to NYX by reliving happier moments from their childhood or early-adulthood, after reaching a period of stagnation, what is commonly referred to as their ‘peak’.” She goes on to say, “The converse of this tends to be true of those born into minority or lower class social groups, they often reject the memories of their youth, pointing themselves forward and upward in hopes that one day their children will have the privilege of developing such a ‘bourgeoisie disease’.” 

By 2059 Nostalgia Languor cases reached the billions worldwide and illegal NYX production seemed to be ballooning to keep pace. Countless dollars went untaxed, birth rates plummeted and in response, governments shifted toward more aggressive tactics to eliminate the now societal threat. Drug task forces were created to target operations across the Western Hemisphere, rehabilitation research was funded at every level and punitive measures for recreational possession were strengthened. A record number of grants were issued to working class citizens of all ages in an effort to fill increasing gaps in the workforce. For three years the Western World teetered at the edge of collapse until 2041 when almost as suddenly as it had appeared NYX became nearly impossible to find on the street. By 2042 cases of Nostalgia Languor leveled off, the dealers had run out of supply. Word spread that suppliers around the world had simply vanished all within the same three month period between November 2040 and January 2041. A global initiative consisting of members representing the CIA, MI6, Interpol, DGSI, BND and NIS was created in an attempt to locate the source of the drug, no leads or arrests have yet been made public.

 As a result of the epidemic a global shift in power occurred. The largely unaffected minority and immigrant populations of countries like the US and UK have flourished due to adjustments in hiring practices as employers pivoted away from those most susceptible to NYX addiction. It was initially assumed that this would cause a shift in politics as well, propelling the Democratic and Labor parties to record levels of representation. This did not happen, on the contrary representation remained relatively balanced. Many minority leaders revealed that they had only supported the Democratic/Labor party in fear of what a majority White Republican/Tory party might endorse if left unchecked. Empowered by an increase in influence, those with more conservative views were free to represent their ideals openly.

Reminiscent of the calculated use of Crack Cocaine on the US Black population in the 1980s many White communities have crumbled as a generation of men succumbed to Nostalgia Languor, its effects causing lasting damage to those inflicted. While research continues in an effort to discover more effective treatments for the disease many fear that it may be too late. College admission amongst the Middle-class White population dropped to record lows, White Male unemployment soared while working White women(whose numbers climbed dramatically from 2050 – 2060, nearly doubling) were left unable to find suitable long-term partners. Many in metropolitan areas chose to marry either interracially or to partners of the same sex. Several government programs have been established to aid struggling families in the Mountain and West North Central regions of the United States, though their existence is tenuous as they face continuous opposition from both sides in Congress. 

Although the few remaining samples of NYX are kept under lock and key at CDC headquarters in Atlanta, GA many still worry about a resurgence of the drug. “I do not believe we will see NYX on the streets again in our lifetime, from what we’ve observed it is an extremely complex molecule to create, requiring enormous amounts of resources and a doctorate level of understanding in chemistry and neuroscience. What I fear, more than anything, is how little we still know about the drug and its origin.” Who created NYX, and where have they gone? Conspiracies sourced to online message boards within the Metaverse are plentiful, many believe that NYX was the beta-test for a new wave of psychological warfare meant to sedate enemy populations, making them susceptible to conquest. Others say that a person known only as “Sticks” participated in an undocumented trial for the drug and afterwards returned to the facility (rumored to be the University of Montana), liberated their supply and after distributing the drug themself locally for a number of years eventually sold their supply to the highest bidder. Whether either of these theories is even partially true remains to be seen, but one thing is certain; although what many refer to as “The Long Night” has ended, dawn has come and with it a reversal of fate. What happens next remains to be seen.

[banyanstuart]

French Montana Quits Drinking After Health Scare; Banyan Treatment Center Offers Treatment Options for Addiction

Last week, we found out an inspiring story about rap artist French Montana's decision to quit drinking and focus on his physical health. In 2019, Montana was rushed to a Los Angeles hospital for intense nausea, headaches, and abdominal pains. His team immediately shifted into high gear and started to look for possible causes. Though the cause wasn't immediately clear, Montana stuck to the doctor's orders and began to look into drug and alcohol addiction as a potential factor. After finishing a 10-day rehab stay and months of therapy, he has since quit drinking and is taking extra measures to get healthier. Here are the three main takeaways from his story: 1. Health should always be a priority. Montana's story is a true testament to the power of self-care and why it should be prioritized. When your health is threatened, it is important to take care of yourself and to get the help you need. 2. addiction can lead to serious illness. It can be easy to forget the gravity of an addiction, but as Montana experienced, it can have serious and even life-threatening consequences. 3. recovery is possible. Montana refused to give up, and now he is in the road to recovery. Through the power of support, therapy, and hard work, it is possible to make a positive foothold in sobriety and healthier lifestyle. For more information on French Montana's struggle with addiction, and how he's now focusing on his physical health, click here. If you or someone you love is struggling with addiction, visit Banyan Treatment Center's homepage, where you can seek professional help and find resources for recovery.

[gygerbeen]

Montana Lawmakers Seek More Information About Governor’s HEART Fund

A fund championed by Gov. Greg Gianforte to fill gaps in Montana’s substance use and behavioral health treatment programs has spent $5.2 million since last year as the state waits for an additional $19 million in federal funding.

Now, the Republican governor wants to put more state money into the Healing and Ending Addiction Through Recovery and Treatment initiative, but lawmakers and mental health advocates are asking for more accountability and clarity on how the money is spent.

Republican Rep. Jennifer Carlson, chair of the Human Services Committee of the Montana House of Representatives, said her committee has heard bill proposals seeking to use HEART money for child care and suicide prevention programs, among others. She is sponsoring a bill to increase HEART initiative reporting requirements.

“You really have to think, is that what that money is for, or is that just what’s convenient?” said Carlson.

Matt Kuntz, executive director of the Montana chapter of the National Alliance on Mental Illness, said a lot of questions have been floating around about the initiative this legislative session.

“Nobody really knows exactly how this is being spent or the process of how to get it,” Kuntz said.

The legislature passed Gianforte’s HEART initiative soon after he took office. It uses revenue primarily from recreational marijuana taxes for the state’s $6 million annual share to be distributed to programs dedicated to treating substance use and mental health disorders.

A federal match would bring the fund total to $25 million, but the state is waiting for full approval of its Medicaid waiver application from the Centers for Medicare & Medicaid Services. The federal agency approved part of the waiver last year.

“Until CMS approves the full HEART waiver, the state is limited in what we can do,” said Jon Ebelt, spokesperson for the state Department of Public Health and Human Services.

The health department submits a report to CMS four times a year. Department officials did not respond to a request by KHN for the latest report. The department is supposed to receive reports from tribal nations on how their funds were used. It didn’t specify whether it had received any.

Carlson’s House Bill 310 would require the department to report HEART initiative spending to the Children, Families, Health, and Human Services Interim Committee each year. That reporting would allow lawmakers to know what the money had already been used for, and if there might be a better way to spend it, Carlson said.

When Gianforte introduced the HEART initiative during his 2021 State of the State speech, he said it was designed to give directly to local communities, which know their own needs best.

“This is not bigger government,” the governor said at the time.

The HEART money is distributed through grants and Medicaid-funded services. Of the $5.2 million distributed since 2022, $1.5 million has gone to Medicaid for services like inpatient and residential chemical dependency services, Ebelt said.

Eight Indigenous tribal nations have received $1 million covering fiscal year 2022, the first year of the fund, and 2023, the current fiscal year, which ends June 30. Those grants went toward substance use prevention; mental health promotion; mental health crisis, treatment, and recovery services; and tobacco cessation and prevention.

Seven county detention centers received a total of $2.7 million in HEART money through a competitive grant process to provide behavioral health services at those facilities.

Missoula County hired a therapist, jail care coordinator, and mental health transport officer with its share. Gallatin County hired a counselor and two social workers, and Lewis and Clark County hired a therapist, case manager, and education and transport manager.

Jackie Kerry Lemon, program and facilities director at the Gallatin County Detention Center, said the money had to be used for mental health and addiction services. “Our population is often in crisis when they come to us, so having that ability to have a therapist see them really does help with their anxiety and their needs at a good time,” Kerry Lemon said.

Democratic state Rep. Mary Caferro, who says Montana hasn’t distributed enough HEART fund money, suggested it could be used to increase Medicaid reimbursement rates to health care providers.(Keely Larson / KHN)

Democratic Rep. Mary Caferro said the HEART money could go toward increases in the Medicaid rates paid to health care providers, which a state study found fall short of the cost of care, or mobile crisis response teams, which the health department intends to provide as a Medicaid service.

Caferro is sponsoring a bill on behalf of the National Alliance on Mental Illness to add youth suicide prevention to the list of programs eligible for HEART funding.

Mary Windecker, executive director of the Behavioral Health Alliance of Montana, said the HEART fund initially was meant to support tribes and county jails, and only recently did it start funding community substance use and mental health programs, after last year’s partial Medicaid waiver approval.

That allowed larger substance use disorder treatment centers (more than 17 beds) to receive Medicaid reimbursement for short-term stays at institutions for mental illness, like Rimrock in Billings and the Badlands Treatment Center in Glendive.

From July 2022 to January 2023, Ebelt said, 276 Medicaid recipients were treated in Rimrock and Badlands. A facility in Clinton, the Recovery Centers of Montana, opened in December and will be licensed for 55 additional beds able to serve patients with the new Medicaid benefit, Ebelt said. Gianforte proposed in his state budget to increase the amount going into the HEART fund by changing the funding formula from $6 million a year to 11% of Montana’s annual recreational marijuana tax revenue.

The Behavioral Health Alliance recommended that change, but, as with many of the health-related proposals in this legislative session, a major factor in the HEART initiative’s success will be whether Medicaid provider rates are raised enough, Windecker said. If provider rates aren’t funded at the full cost of care, people won’t be available to provide the care the initiative promises, she said.

The committee that meets to determine the health department’s budget will hear a presentation about the HEART initiative on Feb. 9.

Keely Larson is the KHN fellow for the UM Legislative News Service, a partnership of the University of Montana School of Journalism, the Montana Newspaper Association, and Kaiser Health News. Larson is a graduate student in environmental and natural resources journalism at the University of Montana.

Related Topics

Contact Us Submit a Story Tip

Read more here https://angelino.news

[kollegewinterscheidt]

Montana Lawmakers Seek More Information About Governor’s HEART Fund

A fund championed by Gov. Greg Gianforte to fill gaps in Montana’s substance use and behavioral health treatment programs has spent $5.2 million since last year as the state waits for an additional $19 million in federal funding.

Now, the Republican governor wants to put more state money into the Healing and Ending Addiction Through Recovery and Treatment initiative, but lawmakers and mental health advocates are asking for more accountability and clarity on how the money is spent.

Republican Rep. Jennifer Carlson, chair of the Human Services Committee of the Montana House of Representatives, said her committee has heard bill proposals seeking to use HEART money for child care and suicide prevention programs, among others. She is sponsoring a bill to increase HEART initiative reporting requirements.

“You really have to think, is that what that money is for, or is that just what’s convenient?” said Carlson.

Matt Kuntz, executive director of the Montana chapter of the National Alliance on Mental Illness, said a lot of questions have been floating around about the initiative this legislative session.

“Nobody really knows exactly how this is being spent or the process of how to get it,” Kuntz said.

The legislature passed Gianforte’s HEART initiative soon after he took office. It uses revenue primarily from recreational marijuana taxes for the state’s $6 million annual share to be distributed to programs dedicated to treating substance use and mental health disorders.

A federal match would bring the fund total to $25 million, but the state is waiting for full approval of its Medicaid waiver application from the Centers for Medicare & Medicaid Services. The federal agency approved part of the waiver last year.

“Until CMS approves the full HEART waiver, the state is limited in what we can do,” said Jon Ebelt, spokesperson for the state Department of Public Health and Human Services.

The health department submits a report to CMS four times a year. Department officials did not respond to a request by KHN for the latest report. The department is supposed to receive reports from tribal nations on how their funds were used. It didn’t specify whether it had received any.

Carlson’s House Bill 310 would require the department to report HEART initiative spending to the Children, Families, Health, and Human Services Interim Committee each year. That reporting would allow lawmakers to know what the money had already been used for, and if there might be a better way to spend it, Carlson said.

When Gianforte introduced the HEART initiative during his 2021 State of the State speech, he said it was designed to give directly to local communities, which know their own needs best.

“This is not bigger government,” the governor said at the time.

The HEART money is distributed through grants and Medicaid-funded services. Of the $5.2 million distributed since 2022, $1.5 million has gone to Medicaid for services like inpatient and residential chemical dependency services, Ebelt said.

Eight Indigenous tribal nations have received $1 million covering fiscal year 2022, the first year of the fund, and 2023, the current fiscal year, which ends June 30. Those grants went toward substance use prevention; mental health promotion; mental health crisis, treatment, and recovery services; and tobacco cessation and prevention.

Seven county detention centers received a total of $2.7 million in HEART money through a competitive grant process to provide behavioral health services at those facilities.

Missoula County hired a therapist, jail care coordinator, and mental health transport officer with its share. Gallatin County hired a counselor and two social workers, and Lewis and Clark County hired a therapist, case manager, and education and transport manager.

Jackie Kerry Lemon, program and facilities director at the Gallatin County Detention Center, said the money had to be used for mental health and addiction services. “Our population is often in crisis when they come to us, so having that ability to have a therapist see them really does help with their anxiety and their needs at a good time,” Kerry Lemon said.

Democratic state Rep. Mary Caferro, who says Montana hasn’t distributed enough HEART fund money, suggested it could be used to increase Medicaid reimbursement rates to health care providers.(Keely Larson / KHN)

Democratic Rep. Mary Caferro said the HEART money could go toward increases in the Medicaid rates paid to health care providers, which a state study found fall short of the cost of care, or mobile crisis response teams, which the health department intends to provide as a Medicaid service.

Caferro is sponsoring a bill on behalf of the National Alliance on Mental Illness to add youth suicide prevention to the list of programs eligible for HEART funding.

Mary Windecker, executive director of the Behavioral Health Alliance of Montana, said the HEART fund initially was meant to support tribes and county jails, and only recently did it start funding community substance use and mental health programs, after last year’s partial Medicaid waiver approval.

That allowed larger substance use disorder treatment centers (more than 17 beds) to receive Medicaid reimbursement for short-term stays at institutions for mental illness, like Rimrock in Billings and the Badlands Treatment Center in Glendive.

From July 2022 to January 2023, Ebelt said, 276 Medicaid recipients were treated in Rimrock and Badlands. A facility in Clinton, the Recovery Centers of Montana, opened in December and will be licensed for 55 additional beds able to serve patients with the new Medicaid benefit, Ebelt said. Gianforte proposed in his state budget to increase the amount going into the HEART fund by changing the funding formula from $6 million a year to 11% of Montana’s annual recreational marijuana tax revenue.

The Behavioral Health Alliance recommended that change, but, as with many of the health-related proposals in this legislative session, a major factor in the HEART initiative’s success will be whether Medicaid provider rates are raised enough, Windecker said. If provider rates aren’t funded at the full cost of care, people won’t be available to provide the care the initiative promises, she said.

The committee that meets to determine the health department’s budget will hear a presentation about the HEART initiative on Feb. 9.

Keely Larson is the KHN fellow for the UM Legislative News Service, a partnership of the University of Montana School of Journalism, the Montana Newspaper Association, and Kaiser Health News. Larson is a graduate student in environmental and natural resources journalism at the University of Montana.

Related Topics

Contact Us Submit a Story Tip

Read more here https://angelino.news

[amelias-universe]

Montana Lawmakers Seek More Information About Governor’s HEART Fund

A fund championed by Gov. Greg Gianforte to fill gaps in Montana’s substance use and behavioral health treatment programs has spent $5.2 million since last year as the state waits for an additional $19 million in federal funding.

Now, the Republican governor wants to put more state money into the Healing and Ending Addiction Through Recovery and Treatment initiative, but lawmakers and mental health advocates are asking for more accountability and clarity on how the money is spent.

Republican Rep. Jennifer Carlson, chair of the Human Services Committee of the Montana House of Representatives, said her committee has heard bill proposals seeking to use HEART money for child care and suicide prevention programs, among others. She is sponsoring a bill to increase HEART initiative reporting requirements.

“You really have to think, is that what that money is for, or is that just what’s convenient?” said Carlson.

Matt Kuntz, executive director of the Montana chapter of the National Alliance on Mental Illness, said a lot of questions have been floating around about the initiative this legislative session.

“Nobody really knows exactly how this is being spent or the process of how to get it,” Kuntz said.

The legislature passed Gianforte’s HEART initiative soon after he took office. It uses revenue primarily from recreational marijuana taxes for the state’s $6 million annual share to be distributed to programs dedicated to treating substance use and mental health disorders.

A federal match would bring the fund total to $25 million, but the state is waiting for full approval of its Medicaid waiver application from the Centers for Medicare & Medicaid Services. The federal agency approved part of the waiver last year.

“Until CMS approves the full HEART waiver, the state is limited in what we can do,” said Jon Ebelt, spokesperson for the state Department of Public Health and Human Services.

The health department submits a report to CMS four times a year. Department officials did not respond to a request by KHN for the latest report. The department is supposed to receive reports from tribal nations on how their funds were used. It didn’t specify whether it had received any.

Carlson’s House Bill 310 would require the department to report HEART initiative spending to the Children, Families, Health, and Human Services Interim Committee each year. That reporting would allow lawmakers to know what the money had already been used for, and if there might be a better way to spend it, Carlson said.

When Gianforte introduced the HEART initiative during his 2021 State of the State speech, he said it was designed to give directly to local communities, which know their own needs best.

“This is not bigger government,” the governor said at the time.

The HEART money is distributed through grants and Medicaid-funded services. Of the $5.2 million distributed since 2022, $1.5 million has gone to Medicaid for services like inpatient and residential chemical dependency services, Ebelt said.

Eight Indigenous tribal nations have received $1 million covering fiscal year 2022, the first year of the fund, and 2023, the current fiscal year, which ends June 30. Those grants went toward substance use prevention; mental health promotion; mental health crisis, treatment, and recovery services; and tobacco cessation and prevention.

Seven county detention centers received a total of $2.7 million in HEART money through a competitive grant process to provide behavioral health services at those facilities.

Missoula County hired a therapist, jail care coordinator, and mental health transport officer with its share. Gallatin County hired a counselor and two social workers, and Lewis and Clark County hired a therapist, case manager, and education and transport manager.

Jackie Kerry Lemon, program and facilities director at the Gallatin County Detention Center, said the money had to be used for mental health and addiction services. “Our population is often in crisis when they come to us, so having that ability to have a therapist see them really does help with their anxiety and their needs at a good time,” Kerry Lemon said.

Democratic state Rep. Mary Caferro, who says Montana hasn’t distributed enough HEART fund money, suggested it could be used to increase Medicaid reimbursement rates to health care providers.(Keely Larson / KHN)

Democratic Rep. Mary Caferro said the HEART money could go toward increases in the Medicaid rates paid to health care providers, which a state study found fall short of the cost of care, or mobile crisis response teams, which the health department intends to provide as a Medicaid service.

Caferro is sponsoring a bill on behalf of the National Alliance on Mental Illness to add youth suicide prevention to the list of programs eligible for HEART funding.

Mary Windecker, executive director of the Behavioral Health Alliance of Montana, said the HEART fund initially was meant to support tribes and county jails, and only recently did it start funding community substance use and mental health programs, after last year’s partial Medicaid waiver approval.

That allowed larger substance use disorder treatment centers (more than 17 beds) to receive Medicaid reimbursement for short-term stays at institutions for mental illness, like Rimrock in Billings and the Badlands Treatment Center in Glendive.

From July 2022 to January 2023, Ebelt said, 276 Medicaid recipients were treated in Rimrock and Badlands. A facility in Clinton, the Recovery Centers of Montana, opened in December and will be licensed for 55 additional beds able to serve patients with the new Medicaid benefit, Ebelt said. Gianforte proposed in his state budget to increase the amount going into the HEART fund by changing the funding formula from $6 million a year to 11% of Montana’s annual recreational marijuana tax revenue.

The Behavioral Health Alliance recommended that change, but, as with many of the health-related proposals in this legislative session, a major factor in the HEART initiative’s success will be whether Medicaid provider rates are raised enough, Windecker said. If provider rates aren’t funded at the full cost of care, people won’t be available to provide the care the initiative promises, she said.

The committee that meets to determine the health department’s budget will hear a presentation about the HEART initiative on Feb. 9.

Keely Larson is the KHN fellow for the UM Legislative News Service, a partnership of the University of Montana School of Journalism, the Montana Newspaper Association, and Kaiser Health News. Larson is a graduate student in environmental and natural resources journalism at the University of Montana.

Related Topics

Contact Us Submit a Story Tip

Read more here https://angelino.news

[huziihisasi]

Montana Lawmakers Seek More Information About Governor’s HEART Fund

A fund championed by Gov. Greg Gianforte to fill gaps in Montana’s substance use and behavioral health treatment programs has spent $5.2 million since last year as the state waits for an additional $19 million in federal funding.

Now, the Republican governor wants to put more state money into the Healing and Ending Addiction Through Recovery and Treatment initiative, but lawmakers and mental health advocates are asking for more accountability and clarity on how the money is spent.

Republican Rep. Jennifer Carlson, chair of the Human Services Committee of the Montana House of Representatives, said her committee has heard bill proposals seeking to use HEART money for child care and suicide prevention programs, among others. She is sponsoring a bill to increase HEART initiative reporting requirements.

“You really have to think, is that what that money is for, or is that just what’s convenient?” said Carlson.

Matt Kuntz, executive director of the Montana chapter of the National Alliance on Mental Illness, said a lot of questions have been floating around about the initiative this legislative session.

“Nobody really knows exactly how this is being spent or the process of how to get it,” Kuntz said.

The legislature passed Gianforte’s HEART initiative soon after he took office. It uses revenue primarily from recreational marijuana taxes for the state’s $6 million annual share to be distributed to programs dedicated to treating substance use and mental health disorders.

A federal match would bring the fund total to $25 million, but the state is waiting for full approval of its Medicaid waiver application from the Centers for Medicare & Medicaid Services. The federal agency approved part of the waiver last year.

“Until CMS approves the full HEART waiver, the state is limited in what we can do,” said Jon Ebelt, spokesperson for the state Department of Public Health and Human Services.

The health department submits a report to CMS four times a year. Department officials did not respond to a request by KHN for the latest report. The department is supposed to receive reports from tribal nations on how their funds were used. It didn’t specify whether it had received any.

Carlson’s House Bill 310 would require the department to report HEART initiative spending to the Children, Families, Health, and Human Services Interim Committee each year. That reporting would allow lawmakers to know what the money had already been used for, and if there might be a better way to spend it, Carlson said.

When Gianforte introduced the HEART initiative during his 2021 State of the State speech, he said it was designed to give directly to local communities, which know their own needs best.

“This is not bigger government,” the governor said at the time.

The HEART money is distributed through grants and Medicaid-funded services. Of the $5.2 million distributed since 2022, $1.5 million has gone to Medicaid for services like inpatient and residential chemical dependency services, Ebelt said.

Eight Indigenous tribal nations have received $1 million covering fiscal year 2022, the first year of the fund, and 2023, the current fiscal year, which ends June 30. Those grants went toward substance use prevention; mental health promotion; mental health crisis, treatment, and recovery services; and tobacco cessation and prevention.

Seven county detention centers received a total of $2.7 million in HEART money through a competitive grant process to provide behavioral health services at those facilities.

Missoula County hired a therapist, jail care coordinator, and mental health transport officer with its share. Gallatin County hired a counselor and two social workers, and Lewis and Clark County hired a therapist, case manager, and education and transport manager.

Jackie Kerry Lemon, program and facilities director at the Gallatin County Detention Center, said the money had to be used for mental health and addiction services. “Our population is often in crisis when they come to us, so having that ability to have a therapist see them really does help with their anxiety and their needs at a good time,” Kerry Lemon said.

Democratic state Rep. Mary Caferro, who says Montana hasn’t distributed enough HEART fund money, suggested it could be used to increase Medicaid reimbursement rates to health care providers.(Keely Larson / KHN)

Democratic Rep. Mary Caferro said the HEART money could go toward increases in the Medicaid rates paid to health care providers, which a state study found fall short of the cost of care, or mobile crisis response teams, which the health department intends to provide as a Medicaid service.

Caferro is sponsoring a bill on behalf of the National Alliance on Mental Illness to add youth suicide prevention to the list of programs eligible for HEART funding.

Mary Windecker, executive director of the Behavioral Health Alliance of Montana, said the HEART fund initially was meant to support tribes and county jails, and only recently did it start funding community substance use and mental health programs, after last year’s partial Medicaid waiver approval.

That allowed larger substance use disorder treatment centers (more than 17 beds) to receive Medicaid reimbursement for short-term stays at institutions for mental illness, like Rimrock in Billings and the Badlands Treatment Center in Glendive.

From July 2022 to January 2023, Ebelt said, 276 Medicaid recipients were treated in Rimrock and Badlands. A facility in Clinton, the Recovery Centers of Montana, opened in December and will be licensed for 55 additional beds able to serve patients with the new Medicaid benefit, Ebelt said. Gianforte proposed in his state budget to increase the amount going into the HEART fund by changing the funding formula from $6 million a year to 11% of Montana’s annual recreational marijuana tax revenue.

The Behavioral Health Alliance recommended that change, but, as with many of the health-related proposals in this legislative session, a major factor in the HEART initiative’s success will be whether Medicaid provider rates are raised enough, Windecker said. If provider rates aren’t funded at the full cost of care, people won’t be available to provide the care the initiative promises, she said.

The committee that meets to determine the health department’s budget will hear a presentation about the HEART initiative on Feb. 9.

Keely Larson is the KHN fellow for the UM Legislative News Service, a partnership of the University of Montana School of Journalism, the Montana Newspaper Association, and Kaiser Health News. Larson is a graduate student in environmental and natural resources journalism at the University of Montana.

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Read more here https://angelino.news

[ofthemoonandsea]

Montana Lawmakers Seek More Information About Governor’s HEART Fund

A fund championed by Gov. Greg Gianforte to fill gaps in Montana’s substance use and behavioral health treatment programs has spent $5.2 million since last year as the state waits for an additional $19 million in federal funding.

Now, the Republican governor wants to put more state money into the Healing and Ending Addiction Through Recovery and Treatment initiative, but lawmakers and mental health advocates are asking for more accountability and clarity on how the money is spent.

Republican Rep. Jennifer Carlson, chair of the Human Services Committee of the Montana House of Representatives, said her committee has heard bill proposals seeking to use HEART money for child care and suicide prevention programs, among others. She is sponsoring a bill to increase HEART initiative reporting requirements.

“You really have to think, is that what that money is for, or is that just what’s convenient?” said Carlson.

Matt Kuntz, executive director of the Montana chapter of the National Alliance on Mental Illness, said a lot of questions have been floating around about the initiative this legislative session.

“Nobody really knows exactly how this is being spent or the process of how to get it,” Kuntz said.

The legislature passed Gianforte’s HEART initiative soon after he took office. It uses revenue primarily from recreational marijuana taxes for the state’s $6 million annual share to be distributed to programs dedicated to treating substance use and mental health disorders.

A federal match would bring the fund total to $25 million, but the state is waiting for full approval of its Medicaid waiver application from the Centers for Medicare & Medicaid Services. The federal agency approved part of the waiver last year.

“Until CMS approves the full HEART waiver, the state is limited in what we can do,” said Jon Ebelt, spokesperson for the state Department of Public Health and Human Services.

The health department submits a report to CMS four times a year. Department officials did not respond to a request by KHN for the latest report. The department is supposed to receive reports from tribal nations on how their funds were used. It didn’t specify whether it had received any.

Carlson’s House Bill 310 would require the department to report HEART initiative spending to the Children, Families, Health, and Human Services Interim Committee each year. That reporting would allow lawmakers to know what the money had already been used for, and if there might be a better way to spend it, Carlson said.

When Gianforte introduced the HEART initiative during his 2021 State of the State speech, he said it was designed to give directly to local communities, which know their own needs best.

“This is not bigger government,” the governor said at the time.

The HEART money is distributed through grants and Medicaid-funded services. Of the $5.2 million distributed since 2022, $1.5 million has gone to Medicaid for services like inpatient and residential chemical dependency services, Ebelt said.

Eight Indigenous tribal nations have received $1 million covering fiscal year 2022, the first year of the fund, and 2023, the current fiscal year, which ends June 30. Those grants went toward substance use prevention; mental health promotion; mental health crisis, treatment, and recovery services; and tobacco cessation and prevention.

Seven county detention centers received a total of $2.7 million in HEART money through a competitive grant process to provide behavioral health services at those facilities.

Missoula County hired a therapist, jail care coordinator, and mental health transport officer with its share. Gallatin County hired a counselor and two social workers, and Lewis and Clark County hired a therapist, case manager, and education and transport manager.

Jackie Kerry Lemon, program and facilities director at the Gallatin County Detention Center, said the money had to be used for mental health and addiction services. “Our population is often in crisis when they come to us, so having that ability to have a therapist see them really does help with their anxiety and their needs at a good time,” Kerry Lemon said.

Democratic state Rep. Mary Caferro, who says Montana hasn’t distributed enough HEART fund money, suggested it could be used to increase Medicaid reimbursement rates to health care providers.(Keely Larson / KHN)

Democratic Rep. Mary Caferro said the HEART money could go toward increases in the Medicaid rates paid to health care providers, which a state study found fall short of the cost of care, or mobile crisis response teams, which the health department intends to provide as a Medicaid service.

Caferro is sponsoring a bill on behalf of the National Alliance on Mental Illness to add youth suicide prevention to the list of programs eligible for HEART funding.

Mary Windecker, executive director of the Behavioral Health Alliance of Montana, said the HEART fund initially was meant to support tribes and county jails, and only recently did it start funding community substance use and mental health programs, after last year’s partial Medicaid waiver approval.

That allowed larger substance use disorder treatment centers (more than 17 beds) to receive Medicaid reimbursement for short-term stays at institutions for mental illness, like Rimrock in Billings and the Badlands Treatment Center in Glendive.

From July 2022 to January 2023, Ebelt said, 276 Medicaid recipients were treated in Rimrock and Badlands. A facility in Clinton, the Recovery Centers of Montana, opened in December and will be licensed for 55 additional beds able to serve patients with the new Medicaid benefit, Ebelt said. Gianforte proposed in his state budget to increase the amount going into the HEART fund by changing the funding formula from $6 million a year to 11% of Montana’s annual recreational marijuana tax revenue.

The Behavioral Health Alliance recommended that change, but, as with many of the health-related proposals in this legislative session, a major factor in the HEART initiative’s success will be whether Medicaid provider rates are raised enough, Windecker said. If provider rates aren’t funded at the full cost of care, people won’t be available to provide the care the initiative promises, she said.

The committee that meets to determine the health department’s budget will hear a presentation about the HEART initiative on Feb. 9.

Keely Larson is the KHN fellow for the UM Legislative News Service, a partnership of the University of Montana School of Journalism, the Montana Newspaper Association, and Kaiser Health News. Larson is a graduate student in environmental and natural resources journalism at the University of Montana.

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Read more here https://angelino.news

[studybuddycara]

Montana Lawmakers Seek More Information About Governor’s HEART Fund

A fund championed by Gov. Greg Gianforte to fill gaps in Montana’s substance use and behavioral health treatment programs has spent $5.2 million since last year as the state waits for an additional $19 million in federal funding.

Now, the Republican governor wants to put more state money into the Healing and Ending Addiction Through Recovery and Treatment initiative, but lawmakers and mental health advocates are asking for more accountability and clarity on how the money is spent.

Republican Rep. Jennifer Carlson, chair of the Human Services Committee of the Montana House of Representatives, said her committee has heard bill proposals seeking to use HEART money for child care and suicide prevention programs, among others. She is sponsoring a bill to increase HEART initiative reporting requirements.

“You really have to think, is that what that money is for, or is that just what’s convenient?” said Carlson.

Matt Kuntz, executive director of the Montana chapter of the National Alliance on Mental Illness, said a lot of questions have been floating around about the initiative this legislative session.

“Nobody really knows exactly how this is being spent or the process of how to get it,” Kuntz said.

The legislature passed Gianforte’s HEART initiative soon after he took office. It uses revenue primarily from recreational marijuana taxes for the state’s $6 million annual share to be distributed to programs dedicated to treating substance use and mental health disorders.

A federal match would bring the fund total to $25 million, but the state is waiting for full approval of its Medicaid waiver application from the Centers for Medicare & Medicaid Services. The federal agency approved part of the waiver last year.

“Until CMS approves the full HEART waiver, the state is limited in what we can do,” said Jon Ebelt, spokesperson for the state Department of Public Health and Human Services.

The health department submits a report to CMS four times a year. Department officials did not respond to a request by KHN for the latest report. The department is supposed to receive reports from tribal nations on how their funds were used. It didn’t specify whether it had received any.

Carlson’s House Bill 310 would require the department to report HEART initiative spending to the Children, Families, Health, and Human Services Interim Committee each year. That reporting would allow lawmakers to know what the money had already been used for, and if there might be a better way to spend it, Carlson said.

When Gianforte introduced the HEART initiative during his 2021 State of the State speech, he said it was designed to give directly to local communities, which know their own needs best.

“This is not bigger government,” the governor said at the time.

The HEART money is distributed through grants and Medicaid-funded services. Of the $5.2 million distributed since 2022, $1.5 million has gone to Medicaid for services like inpatient and residential chemical dependency services, Ebelt said.

Eight Indigenous tribal nations have received $1 million covering fiscal year 2022, the first year of the fund, and 2023, the current fiscal year, which ends June 30. Those grants went toward substance use prevention; mental health promotion; mental health crisis, treatment, and recovery services; and tobacco cessation and prevention.

Seven county detention centers received a total of $2.7 million in HEART money through a competitive grant process to provide behavioral health services at those facilities.

Missoula County hired a therapist, jail care coordinator, and mental health transport officer with its share. Gallatin County hired a counselor and two social workers, and Lewis and Clark County hired a therapist, case manager, and education and transport manager.

Jackie Kerry Lemon, program and facilities director at the Gallatin County Detention Center, said the money had to be used for mental health and addiction services. “Our population is often in crisis when they come to us, so having that ability to have a therapist see them really does help with their anxiety and their needs at a good time,” Kerry Lemon said.

Democratic state Rep. Mary Caferro, who says Montana hasn’t distributed enough HEART fund money, suggested it could be used to increase Medicaid reimbursement rates to health care providers.(Keely Larson / KHN)

Democratic Rep. Mary Caferro said the HEART money could go toward increases in the Medicaid rates paid to health care providers, which a state study found fall short of the cost of care, or mobile crisis response teams, which the health department intends to provide as a Medicaid service.

Caferro is sponsoring a bill on behalf of the National Alliance on Mental Illness to add youth suicide prevention to the list of programs eligible for HEART funding.

Mary Windecker, executive director of the Behavioral Health Alliance of Montana, said the HEART fund initially was meant to support tribes and county jails, and only recently did it start funding community substance use and mental health programs, after last year’s partial Medicaid waiver approval.

That allowed larger substance use disorder treatment centers (more than 17 beds) to receive Medicaid reimbursement for short-term stays at institutions for mental illness, like Rimrock in Billings and the Badlands Treatment Center in Glendive.

From July 2022 to January 2023, Ebelt said, 276 Medicaid recipients were treated in Rimrock and Badlands. A facility in Clinton, the Recovery Centers of Montana, opened in December and will be licensed for 55 additional beds able to serve patients with the new Medicaid benefit, Ebelt said. Gianforte proposed in his state budget to increase the amount going into the HEART fund by changing the funding formula from $6 million a year to 11% of Montana’s annual recreational marijuana tax revenue.

The Behavioral Health Alliance recommended that change, but, as with many of the health-related proposals in this legislative session, a major factor in the HEART initiative’s success will be whether Medicaid provider rates are raised enough, Windecker said. If provider rates aren’t funded at the full cost of care, people won’t be available to provide the care the initiative promises, she said.

The committee that meets to determine the health department’s budget will hear a presentation about the HEART initiative on Feb. 9.

Keely Larson is the KHN fellow for the UM Legislative News Service, a partnership of the University of Montana School of Journalism, the Montana Newspaper Association, and Kaiser Health News. Larson is a graduate student in environmental and natural resources journalism at the University of Montana.

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Read more here https://angelino.news

[jaspersheart]

Montana Lawmakers Seek More Information About Governor’s HEART Fund

A fund championed by Gov. Greg Gianforte to fill gaps in Montana’s substance use and behavioral health treatment programs has spent $5.2 million since last year as the state waits for an additional $19 million in federal funding.

Now, the Republican governor wants to put more state money into the Healing and Ending Addiction Through Recovery and Treatment initiative, but lawmakers and mental health advocates are asking for more accountability and clarity on how the money is spent.

Republican Rep. Jennifer Carlson, chair of the Human Services Committee of the Montana House of Representatives, said her committee has heard bill proposals seeking to use HEART money for child care and suicide prevention programs, among others. She is sponsoring a bill to increase HEART initiative reporting requirements.

“You really have to think, is that what that money is for, or is that just what’s convenient?” said Carlson.

Matt Kuntz, executive director of the Montana chapter of the National Alliance on Mental Illness, said a lot of questions have been floating around about the initiative this legislative session.

“Nobody really knows exactly how this is being spent or the process of how to get it,” Kuntz said.

The legislature passed Gianforte’s HEART initiative soon after he took office. It uses revenue primarily from recreational marijuana taxes for the state’s $6 million annual share to be distributed to programs dedicated to treating substance use and mental health disorders.

A federal match would bring the fund total to $25 million, but the state is waiting for full approval of its Medicaid waiver application from the Centers for Medicare & Medicaid Services. The federal agency approved part of the waiver last year.

“Until CMS approves the full HEART waiver, the state is limited in what we can do,” said Jon Ebelt, spokesperson for the state Department of Public Health and Human Services.

The health department submits a report to CMS four times a year. Department officials did not respond to a request by KHN for the latest report. The department is supposed to receive reports from tribal nations on how their funds were used. It didn’t specify whether it had received any.

Carlson’s House Bill 310 would require the department to report HEART initiative spending to the Children, Families, Health, and Human Services Interim Committee each year. That reporting would allow lawmakers to know what the money had already been used for, and if there might be a better way to spend it, Carlson said.

When Gianforte introduced the HEART initiative during his 2021 State of the State speech, he said it was designed to give directly to local communities, which know their own needs best.

“This is not bigger government,” the governor said at the time.

The HEART money is distributed through grants and Medicaid-funded services. Of the $5.2 million distributed since 2022, $1.5 million has gone to Medicaid for services like inpatient and residential chemical dependency services, Ebelt said.

Eight Indigenous tribal nations have received $1 million covering fiscal year 2022, the first year of the fund, and 2023, the current fiscal year, which ends June 30. Those grants went toward substance use prevention; mental health promotion; mental health crisis, treatment, and recovery services; and tobacco cessation and prevention.

Seven county detention centers received a total of $2.7 million in HEART money through a competitive grant process to provide behavioral health services at those facilities.

Missoula County hired a therapist, jail care coordinator, and mental health transport officer with its share. Gallatin County hired a counselor and two social workers, and Lewis and Clark County hired a therapist, case manager, and education and transport manager.

Jackie Kerry Lemon, program and facilities director at the Gallatin County Detention Center, said the money had to be used for mental health and addiction services. “Our population is often in crisis when they come to us, so having that ability to have a therapist see them really does help with their anxiety and their needs at a good time,” Kerry Lemon said.

Democratic state Rep. Mary Caferro, who says Montana hasn’t distributed enough HEART fund money, suggested it could be used to increase Medicaid reimbursement rates to health care providers.(Keely Larson / KHN)

Democratic Rep. Mary Caferro said the HEART money could go toward increases in the Medicaid rates paid to health care providers, which a state study found fall short of the cost of care, or mobile crisis response teams, which the health department intends to provide as a Medicaid service.

Caferro is sponsoring a bill on behalf of the National Alliance on Mental Illness to add youth suicide prevention to the list of programs eligible for HEART funding.

Mary Windecker, executive director of the Behavioral Health Alliance of Montana, said the HEART fund initially was meant to support tribes and county jails, and only recently did it start funding community substance use and mental health programs, after last year’s partial Medicaid waiver approval.

That allowed larger substance use disorder treatment centers (more than 17 beds) to receive Medicaid reimbursement for short-term stays at institutions for mental illness, like Rimrock in Billings and the Badlands Treatment Center in Glendive.

From July 2022 to January 2023, Ebelt said, 276 Medicaid recipients were treated in Rimrock and Badlands. A facility in Clinton, the Recovery Centers of Montana, opened in December and will be licensed for 55 additional beds able to serve patients with the new Medicaid benefit, Ebelt said. Gianforte proposed in his state budget to increase the amount going into the HEART fund by changing the funding formula from $6 million a year to 11% of Montana’s annual recreational marijuana tax revenue.

The Behavioral Health Alliance recommended that change, but, as with many of the health-related proposals in this legislative session, a major factor in the HEART initiative’s success will be whether Medicaid provider rates are raised enough, Windecker said. If provider rates aren’t funded at the full cost of care, people won’t be available to provide the care the initiative promises, she said.

The committee that meets to determine the health department’s budget will hear a presentation about the HEART initiative on Feb. 9.

Keely Larson is the KHN fellow for the UM Legislative News Service, a partnership of the University of Montana School of Journalism, the Montana Newspaper Association, and Kaiser Health News. Larson is a graduate student in environmental and natural resources journalism at the University of Montana.

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Read more here https://angelino.news

[scourge-against-terfs]

Montana Lawmakers Seek More Information About Governor’s HEART Fund

A fund championed by Gov. Greg Gianforte to fill gaps in Montana’s substance use and behavioral health treatment programs has spent $5.2 million since last year as the state waits for an additional $19 million in federal funding.

Now, the Republican governor wants to put more state money into the Healing and Ending Addiction Through Recovery and Treatment initiative, but lawmakers and mental health advocates are asking for more accountability and clarity on how the money is spent.

Republican Rep. Jennifer Carlson, chair of the Human Services Committee of the Montana House of Representatives, said her committee has heard bill proposals seeking to use HEART money for child care and suicide prevention programs, among others. She is sponsoring a bill to increase HEART initiative reporting requirements.

“You really have to think, is that what that money is for, or is that just what’s convenient?” said Carlson.

Matt Kuntz, executive director of the Montana chapter of the National Alliance on Mental Illness, said a lot of questions have been floating around about the initiative this legislative session.

“Nobody really knows exactly how this is being spent or the process of how to get it,” Kuntz said.

The legislature passed Gianforte’s HEART initiative soon after he took office. It uses revenue primarily from recreational marijuana taxes for the state’s $6 million annual share to be distributed to programs dedicated to treating substance use and mental health disorders.

A federal match would bring the fund total to $25 million, but the state is waiting for full approval of its Medicaid waiver application from the Centers for Medicare & Medicaid Services. The federal agency approved part of the waiver last year.

“Until CMS approves the full HEART waiver, the state is limited in what we can do,” said Jon Ebelt, spokesperson for the state Department of Public Health and Human Services.

The health department submits a report to CMS four times a year. Department officials did not respond to a request by KHN for the latest report. The department is supposed to receive reports from tribal nations on how their funds were used. It didn’t specify whether it had received any.

Carlson’s House Bill 310 would require the department to report HEART initiative spending to the Children, Families, Health, and Human Services Interim Committee each year. That reporting would allow lawmakers to know what the money had already been used for, and if there might be a better way to spend it, Carlson said.

When Gianforte introduced the HEART initiative during his 2021 State of the State speech, he said it was designed to give directly to local communities, which know their own needs best.

“This is not bigger government,” the governor said at the time.

The HEART money is distributed through grants and Medicaid-funded services. Of the $5.2 million distributed since 2022, $1.5 million has gone to Medicaid for services like inpatient and residential chemical dependency services, Ebelt said.

Eight Indigenous tribal nations have received $1 million covering fiscal year 2022, the first year of the fund, and 2023, the current fiscal year, which ends June 30. Those grants went toward substance use prevention; mental health promotion; mental health crisis, treatment, and recovery services; and tobacco cessation and prevention.

Seven county detention centers received a total of $2.7 million in HEART money through a competitive grant process to provide behavioral health services at those facilities.

Missoula County hired a therapist, jail care coordinator, and mental health transport officer with its share. Gallatin County hired a counselor and two social workers, and Lewis and Clark County hired a therapist, case manager, and education and transport manager.

Jackie Kerry Lemon, program and facilities director at the Gallatin County Detention Center, said the money had to be used for mental health and addiction services. “Our population is often in crisis when they come to us, so having that ability to have a therapist see them really does help with their anxiety and their needs at a good time,” Kerry Lemon said.

Democratic state Rep. Mary Caferro, who says Montana hasn’t distributed enough HEART fund money, suggested it could be used to increase Medicaid reimbursement rates to health care providers.(Keely Larson / KHN)

Democratic Rep. Mary Caferro said the HEART money could go toward increases in the Medicaid rates paid to health care providers, which a state study found fall short of the cost of care, or mobile crisis response teams, which the health department intends to provide as a Medicaid service.

Caferro is sponsoring a bill on behalf of the National Alliance on Mental Illness to add youth suicide prevention to the list of programs eligible for HEART funding.

Mary Windecker, executive director of the Behavioral Health Alliance of Montana, said the HEART fund initially was meant to support tribes and county jails, and only recently did it start funding community substance use and mental health programs, after last year’s partial Medicaid waiver approval.

That allowed larger substance use disorder treatment centers (more than 17 beds) to receive Medicaid reimbursement for short-term stays at institutions for mental illness, like Rimrock in Billings and the Badlands Treatment Center in Glendive.

From July 2022 to January 2023, Ebelt said, 276 Medicaid recipients were treated in Rimrock and Badlands. A facility in Clinton, the Recovery Centers of Montana, opened in December and will be licensed for 55 additional beds able to serve patients with the new Medicaid benefit, Ebelt said. Gianforte proposed in his state budget to increase the amount going into the HEART fund by changing the funding formula from $6 million a year to 11% of Montana’s annual recreational marijuana tax revenue.

The Behavioral Health Alliance recommended that change, but, as with many of the health-related proposals in this legislative session, a major factor in the HEART initiative’s success will be whether Medicaid provider rates are raised enough, Windecker said. If provider rates aren’t funded at the full cost of care, people won’t be available to provide the care the initiative promises, she said.

The committee that meets to determine the health department’s budget will hear a presentation about the HEART initiative on Feb. 9.

Keely Larson is the KHN fellow for the UM Legislative News Service, a partnership of the University of Montana School of Journalism, the Montana Newspaper Association, and Kaiser Health News. Larson is a graduate student in environmental and natural resources journalism at the University of Montana.

Related Topics

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Read more here https://angelino.news

[alisonhellahendrix]

Montana Lawmakers Seek More Information About Governor’s HEART Fund

A fund championed by Gov. Greg Gianforte to fill gaps in Montana’s substance use and behavioral health treatment programs has spent $5.2 million since last year as the state waits for an additional $19 million in federal funding.

Now, the Republican governor wants to put more state money into the Healing and Ending Addiction Through Recovery and Treatment initiative, but lawmakers and mental health advocates are asking for more accountability and clarity on how the money is spent.

Republican Rep. Jennifer Carlson, chair of the Human Services Committee of the Montana House of Representatives, said her committee has heard bill proposals seeking to use HEART money for child care and suicide prevention programs, among others. She is sponsoring a bill to increase HEART initiative reporting requirements.

“You really have to think, is that what that money is for, or is that just what’s convenient?” said Carlson.

Matt Kuntz, executive director of the Montana chapter of the National Alliance on Mental Illness, said a lot of questions have been floating around about the initiative this legislative session.

“Nobody really knows exactly how this is being spent or the process of how to get it,” Kuntz said.

The legislature passed Gianforte’s HEART initiative soon after he took office. It uses revenue primarily from recreational marijuana taxes for the state’s $6 million annual share to be distributed to programs dedicated to treating substance use and mental health disorders.

A federal match would bring the fund total to $25 million, but the state is waiting for full approval of its Medicaid waiver application from the Centers for Medicare & Medicaid Services. The federal agency approved part of the waiver last year.

“Until CMS approves the full HEART waiver, the state is limited in what we can do,” said Jon Ebelt, spokesperson for the state Department of Public Health and Human Services.

The health department submits a report to CMS four times a year. Department officials did not respond to a request by KHN for the latest report. The department is supposed to receive reports from tribal nations on how their funds were used. It didn’t specify whether it had received any.

Carlson’s House Bill 310 would require the department to report HEART initiative spending to the Children, Families, Health, and Human Services Interim Committee each year. That reporting would allow lawmakers to know what the money had already been used for, and if there might be a better way to spend it, Carlson said.

When Gianforte introduced the HEART initiative during his 2021 State of the State speech, he said it was designed to give directly to local communities, which know their own needs best.

“This is not bigger government,” the governor said at the time.

The HEART money is distributed through grants and Medicaid-funded services. Of the $5.2 million distributed since 2022, $1.5 million has gone to Medicaid for services like inpatient and residential chemical dependency services, Ebelt said.

Eight Indigenous tribal nations have received $1 million covering fiscal year 2022, the first year of the fund, and 2023, the current fiscal year, which ends June 30. Those grants went toward substance use prevention; mental health promotion; mental health crisis, treatment, and recovery services; and tobacco cessation and prevention.

Seven county detention centers received a total of $2.7 million in HEART money through a competitive grant process to provide behavioral health services at those facilities.

Missoula County hired a therapist, jail care coordinator, and mental health transport officer with its share. Gallatin County hired a counselor and two social workers, and Lewis and Clark County hired a therapist, case manager, and education and transport manager.

Jackie Kerry Lemon, program and facilities director at the Gallatin County Detention Center, said the money had to be used for mental health and addiction services. “Our population is often in crisis when they come to us, so having that ability to have a therapist see them really does help with their anxiety and their needs at a good time,” Kerry Lemon said.

Democratic state Rep. Mary Caferro, who says Montana hasn’t distributed enough HEART fund money, suggested it could be used to increase Medicaid reimbursement rates to health care providers.(Keely Larson / KHN)

Democratic Rep. Mary Caferro said the HEART money could go toward increases in the Medicaid rates paid to health care providers, which a state study found fall short of the cost of care, or mobile crisis response teams, which the health department intends to provide as a Medicaid service.

Caferro is sponsoring a bill on behalf of the National Alliance on Mental Illness to add youth suicide prevention to the list of programs eligible for HEART funding.

Mary Windecker, executive director of the Behavioral Health Alliance of Montana, said the HEART fund initially was meant to support tribes and county jails, and only recently did it start funding community substance use and mental health programs, after last year’s partial Medicaid waiver approval.

That allowed larger substance use disorder treatment centers (more than 17 beds) to receive Medicaid reimbursement for short-term stays at institutions for mental illness, like Rimrock in Billings and the Badlands Treatment Center in Glendive.

From July 2022 to January 2023, Ebelt said, 276 Medicaid recipients were treated in Rimrock and Badlands. A facility in Clinton, the Recovery Centers of Montana, opened in December and will be licensed for 55 additional beds able to serve patients with the new Medicaid benefit, Ebelt said. Gianforte proposed in his state budget to increase the amount going into the HEART fund by changing the funding formula from $6 million a year to 11% of Montana’s annual recreational marijuana tax revenue.

The Behavioral Health Alliance recommended that change, but, as with many of the health-related proposals in this legislative session, a major factor in the HEART initiative’s success will be whether Medicaid provider rates are raised enough, Windecker said. If provider rates aren’t funded at the full cost of care, people won’t be available to provide the care the initiative promises, she said.

The committee that meets to determine the health department’s budget will hear a presentation about the HEART initiative on Feb. 9.

Keely Larson is the KHN fellow for the UM Legislative News Service, a partnership of the University of Montana School of Journalism, the Montana Newspaper Association, and Kaiser Health News. Larson is a graduate student in environmental and natural resources journalism at the University of Montana.

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Read more here https://angelino.news

[traumabydaviddardashti]

MONTANA HAS THE ABILITY TO BRING OUT THE BEST IN PEOPLE

full article here

It is comprised of magnificent natural landscaping. The residents enjoy their lifestyle and welcome all those who come to visit here. They are family orientated and are full of American pride. They take pleasure in helping others that are in need. Like other communities, they have the burden of dealing with drug addiction which creates a tremendous strain on many neighborhoods. Many of the drug abusers and their friends and family spend a great deal of time looking for help to rid them of this sometimes overwhelming problem. Many have been actively seeking out information about Ibogaine as they have heard of the impressive results that Ibogaine therapy is providing. David Dardashti Treatment Center which also offers Ibogaine detox is open for all those drug addicts looking for a solution to their drug problems call for more information today 1 888-462-1164.

Montana receives its illicit drug supply of meth, cocaine, heroin, and marijuana from the Mexican traffickers, with Meth being the prime drug of choice.

Percentage of Montana population using/abusing drugs

MONTANA DRUG STATS VS OTHER STATES:

Illicit drugs in general:

In Montana, the illicit drugs overall for those 18 and over it is moderately high.

Marijuana:

For those who are 18 and over marijuana use is moderately high.

Cocaine:

Cocaine use is average for those 26 and over, but amongst the highest for the age group 18 to 25.

Alcohol:

For those 18 and over alcohol is amongst the highest.

Pharmaceuticals:

Montana is moderately high for those 18 and over in regards to pharmaceuticals

Source: SAMHSA’s most recent National Survey on Drug Use and Health, based on 2008-2009 annual averages. SAMHSA is the Substance Abuse & Mental Health Services Administration, part of the U.S. Department of Health and Human Services.

MONTANA DRUG OVERVIEW:

Meth: The most significant drug issue is the use of Meth. The main providers of this illicit drug are the Mexican drug organizations, although there are lots of small local labs.

Marijuana: for medicinal purposes, it is legal in Montana but is classed as the most abused drug. It is brought in from Mexico. Although the BC Bud from Canada is becoming a favorite.

Cocaine: The use of this drug seems to be limited to the Billings, Great Falls, and Blackfeet Indian Reservation. Billings is noted for its crack cocaine use where control is maintained by the street gangs.

Pharmaceuticals: Montana has drug abusers that favor the most common pharmaceutical like OxyContin along with benzodiazepines and Adderall being the most likely choices. Added to this is a problem with Hydrocodone and opiate-based pain relievers.

Club drugs: Usually more prevalent on college campuses and some of the larger communities. Ecstasy is the drug of choice.

Heroin: Is not widely available although it is easier to find in Missoula.

WHAT IS THE MONTANA DRUG SOLUTION?

The drug abuser that is ready to change their life around it is a big decision. It can be difficult for them when it comes to choosing what kind of rehab is going to work for them, and many have begun to look at Ibogaine therapy. One of the enticing factors about this is the effectiveness of Ibogaine detox making this segment of drug rehabilitation much easier to handle. Family and friends are eager to learn more about Ibogaine with the hopes of it being a solution for the drug addict in their lives. The best resource for Ibogaine drug rehab and Ibogaine detox solutions is through the David Dardashti ibogaine treatment center.

[placesthatchangedpeople]

Montana Academy testimony

This testimony was found on Reddit. All rights go to the author.

I’m not going to go into the hell that was SUWS Carolina [wilderness], as that is a whole different can of worms, and the boarding school was far more sinister. I arrived at Montana Academy a few weeks after turning 17. I was absolutely terrified after what I had been through spending 9 weeks living in the woods, but I was at least happy that I could use a toilet and sleep in a bed. [To get rid of any confusion later on, I was born male. At this point in my life I was still living as a boy, and trying very hard to convince myself I wanted to stay that way.] When I got to campus I was greeted by my team leaders and paraded through the lunch room as the entire student body looked at me [as all new students are]. I’m still convinced this is a power play devised by the creators of the school to subtly break your guard down. I said goodbye to my mom, grandmother, and my uncle, and began the worst period of my life.

So the Staff of our team was our team leader Dave, and boy, Dave was a piece of shit. He was the type of guy who would get a shit eating grin whenever he could punish you. You could fucking tell he got a semi off of it, and we would all talk about how much we hated him behind his back. I remember the ear to ear smile he got on his face as my eyes welled up with tears when he told me I couldn’t spend Christmas away from the ranch with my mom, because I was short by one signature on my checklist. That’s Dave in a nutshell. The weekend team leader was Sam and I think he was even worse, because he had the amazing ability to make you feel safe and loved one week, and then emotionally beat you to a pulp the next. For instance... There was one weekend where Sam and I had a long emotional talk where I opened up to him about how much my dad meant to me and how I would give anything to have him back. He gave me the biggest hug and told me he was here for me. The week after was rough and I was so excited to talk to him again, but when his shift started, he sat down and immediately screamed at me in front of everybody for not sitting down fast enough at the table, and put me on privilege freeze for a week. This would happen all the time. It was like he got off on building up our trust and hopes and then he would have a bad week at home and treat us like absolute shit.

I started with every intention of bettering myself. I had fully subscribed to the belief that I was broken as a result of “immaturity”, and the Founder of M.A.'s book was so fond of claiming. Despite coming from a broken home, childhood neglect, death of a parent, sexual abuse, trauma etc, it was MY fault that I ended up at M.A. I was ready to do my part. Unfortunately I wasn’t perfect as the staff expected me to be. I tried my ass off to do chores to the militaristic standards that they upheld, but I often fell short. Perhaps I missed a nearly microscopic hair in a bathtub. Sometimes, my sheets were a little crooked. And for each little transgression there was a severe consequence. If you made more than one mistake on your chores within a week, you could kiss all of your privileges goodbye. No phone call to your mom. No movie night. This may not seem like a big deal, but when you’re locked in an environment where you have maybe one tiny thing to look forward to a week, losing it because of something that is often not your fault is the most heart wrenching feeling in the world. Sometimes the punishments would go beyond cruel and just become abusive. About 5 weeks into my stay, I made the grave mistake of telling my team leader Dave that I had finished my assignment because I was having a really horrible day and just wanted to continue reading my book. Unfortunately he decided to double check. When he found out I wasn’t being honest, he assigned me to my first drudgery. That weekend I spent 6 hours outside in 20 degree weather scraping ice off of every single pathway on the entire ranch campus. I asked once if I could stop because my hands were rubbed raw and starting to bleed, and my weekend team leader Sam refused. I shouldn’t have lied, he insisted. By the end of the night, my hands were covered in blisters and I had learned my place. At this point I was broken, or so I thought. I didn’t know it could get worse.

As for therapy… My 1st therapist was useless. She was liable to cry about tragedies that had occurred during her own life. Ironically she was as cold as ice when it came to my issues. When it came to the issue of me being sexually assaulted in the 1st grade, she breezed right past it, and moved on to other issues. When I told her that I had always wished I had been been born a girl, she didn’t seem to give the slightest semblance of a fuck. When I would bring up the death of my father, or my mother’s alcoholism, she would go into how her brother died and start crying, and the next thing I knew I would be awkwardly wondering if I should console her. The biggest breakthrough in our therapy was when she came to the confident conclusion that the root of all my issues was that I was… wait for it… ADDICTED TO VIDEO GAMES… Every therapy session turned into her trying to convince me that I never wanted to play video games again, despite the fact I was drinking heavily and using substances before entering wilderness. After I finally promised her I would never touch another game again, we finally moved on to trying to process the loss of my father, and even that was a useless endeavor.

Group therapy was a clusterfuck. I don’t exactly know a better way to describe it than to call it “conflict therapy”. Seeing as how the entire M.A. operation was based around punishing students for their mistakes it was only natural to pit them against each other. The students of M.A. were each separated into 7 teams of roughly 10 students each. I spent 90% of my time with my team. They were your my friends, but I can guarantee they knew me fucking biblically. During group, it was common for one student on the team to be singled out and for every other student on the team to just fucking lay into them. It happened to everybody. We were all encouraged to tell on each other if we witnessed any rules being broken. I couldn’t trust my best friends with a secret at M.A. because the consequences were so dire. One tiny mistake could land me there for an extra year. Imagine the fucking paranoia that this causes. I was ALWAYS being watched. I began to question every single thing that I did. I began to believe the punishments I was being given were because I was useless, and because I couldn’t do anything right. After about a year I was 100% fucking brainwashed. I because some kind of M.A. Drone and I genuinely believed that I needed them to survive. It was like I was in a fucking cult, and if they had fucking cyanide in the punch I wouldn’t be writing this right now.

I think this next part was the most fucked up. This was the point where my red-pollyped festering cunt of a therapist decided to use me as an example, to teach a fucking seminar. My team was planning a father-son weekend trip. Doesn’t that sound lovely? Well, problem is, my dad’s fucking brain drowned in its own blood and so he’s in a box in my mom’s closet, so I can’t exactly take that out to Bowman lake with the boys. Luckily for me my therapist called me in and informed me that I was allowed to spend a weekend with my Uncle [who I love very much]. I was so happy, I was jumping for joy! A few weeks pass, and the father-son weekend is getting closer. My therapist calls me back in and tells me to sit down, and then informs me that she actually thinks it would be great for my “therapy” if I went with my team on the trip... I begged her to let me spend the weekend with my uncle, but she said it would also be good for the team’s therapy. So that weekend we all went to the lake. It was a really wonderful experience for everybody except for me. For the entire weekend I was alone. Some of my friends and their dads spent some time with me but I honestly wanted to be alone. Being the only kid without a fucking dad on a father-son trip is fucking humiliating beyond words. The worst part was on the last night of the weekend where the therapist held a group therapy session and the whole fucking thing was centered around me and my fucking dead dad, and all the issues that come with having a dead dad. My therapist had some really great and sensitive questions prepared... “Do you miss your dad?” “Do you feel guilty about anything?” “Why do you feel like it was your fault?” “Do you think your dad would be proud of you?” “Do you wish your dad was here?” “How did you deal with your mom falling apart?” “How do you feel that your mom is drinking again?” and the therapist just keeps pushing me and pushing me and pushing me until I’m inconsolable, and having a panic attack, and I just want her to shut the fuck up. I felt so broken, humiliated, and violated. How fucking dare this bitch of a therapist come at me with all of this heavy shit in front of people I've never met, when all she ever wants to talk about in our sessions is how much I like video games. They don’t care in these fucking places. They wanted to give these stupid fucking dads something powerful to witness so they could write a fucking Facebook post about the amazing work that's being done at MA. May they rot in hell.

Medical malpractice was also Rampant. While at M.A. I was struggling with weight and eating issues. My team “suggested” that I run a half marathon because our new team leader liked to run and they love to fucking push even the smallest beliefs and hobbies on their students. The shoes I was training in had literally no insoles. I asked for new shoes and was told to write a proposal. I wrote one and was never responded to by the treatment team [big fucking surprise]. After weeks of training we finally ran the half marathon. Halfway through, I felt a shooting pain in my foot. I told my team leader as he was not too far ahead. He didn’t give me much of a choice but to finish. For the next 6-8 weeks I asked the nurse every day if I could please go to the doctor as my foot was killing me, and nobody ever did anything about it. Finally after asking over what must have been 50 times, they agreed to let me go into town to get an x-ray. The x-ray found that I had snapped the middle metatarsal bone in my foot clean in half. So not only did M.A. make me run 6 miles with a broken foot, they made me do hard fucking labor on it for 6-8 weeks before allowing medical treatment. Care for Transgender students was disgustingly ignorant and based on lies and misinformation. Despite trying to come out as trans to my 1st M.A. therapist, it was just ignored. I tried multiple times to bring it up, but I’m now certain that my therapist didn’t know what a trans person was, and so she just thought it would be easier to switch the subject. When I moved on to the Sky House [the halfway house portion of the program] I said fuck it and just fully came out. This was met with backlash from the therapy team. Since I was at the Sky house now I had a new therapist and he had a lot of info about transitioning. Unfortunately, all of the info was fucking wrong, and he filled my head with misinformation, lies, and half-truths, in an attempt to make it sound like starting hormones was harder than getting a fucking doctorate from Harvard.

After Finally graduating M.A. I had been brainwashed into believing that getting a script for hormones was like a quest for the holy grail. I had no idea how fucking easy it actually was. I tried to live a normal life. I moved in with my aunt and uncle for a little while until I went off to college. I stayed sober for a few months, but as soon as I got to the university, things started fucking unraveling fast. I realized that I had been horribly abused and that the “therapy” I had been undergoing was nothing more than expensive babysitting. I fucking lost it I started drinking and taking any substance I could. I failed out of my school and moved back home. I drifted around for 3 years drinking, and being a disgusting and terrible person. I had to figure it all out on my own. I fucked with drugs I never should have and fell in with people I had no business being with. I drank too much, and made many regrettable decisions. But I still figured my fucking life out. I figured out that I needed to fucking get it together. I made a goal. I needed to transition. That was problem A. I got sober, went to my Nana [my hero] and found a therapist and within 2 weeks I was on hormones and began my transition, and by pure luck, I found love. It’s been a little over 4 years since I’ve gotten sober and things are far from perfect. I have severe PTSD from going to that hell of a school. I still dream about it multiple nights a week, and wake up in a fucking panic. I never leave the goddamn house because I start to panic, and I have serious trouble holding a job, so instead I work from home as a camgirl, inserting large objects into me for money. I’m lucky though that I now have my girlfriend to help me through it. Without her, I don’t know what I would do most days. Also, its really fucking great to not have to be a goddamn boy anymore. If anyone else had a similar experience [and I know others have] you’re not alone, and good luck.