Montana Healthcare Foundation Overview and Integrated Behavioral Health

Montana Healthcare Foundation: Overview and Integrated Behavioral Health Initiative www. mthcf. org info@mthcf. org

About MHCF Title http: //www. mthcf. org/who-we-are/about-us/ Independent, private foundation ( a 501(c)3 ) created in 2013 Title Page Content The largest Montana-based foundation focused on health Created from the sale of Blue Cross & Blue Shield of MT Permanent resource for Montana: manages the trust investments sustainably, making grants and grant-related investments of roughly 5% of the value of our trust each year • Strategic investments to improve the health and well-being of all Montanans—includes grants, but also research, policy work, convening stakeholders, etc. • Focus on at-risk populations and health disparities • • •

Focus Areas Title www. mthcf. org • Title Page Content • American Indian Health • Partnerships for Better Health (focused on value-based care/triple aim) • Behavioral Health (mental illness and drug & alcohol use) o Integrated Behavioral Health Initiative

Perinatal drug use Title • • Many stakeholders identified this as a common problem Title Page Content • Initial meetings with DPHHS, IHS, and tribal leadership: • Data are not complete—no uniform approach to screening • NAS is a subset of exposure, and some drugs of abuse may not be as likely to produce symptoms, so current data may not reflect full extent of the problem • No single, perfect intervention: multidisciplinary, team-based care; social service wrap-around • Shortage of CD and MAT providers/treatment opportunity

Perinatal Drug Use Grantees http: //www. mthcf. org/work-american-indian-health/drug-use-in-pregnancy-mhcfs. Title work-in-2016 -and-future-plans/ Kalispell Regional Healthcare • Title Page Content Post-Delivery Support for Neonatal Abstinence Syndrome Infants and Their Parents in Rural Montana St. Vincent Healthcare Foundation Comprehensive Prenatal Care with Integrated Substance Abuse Treatment for American Indian Women St. Luke Community Healthcare The Hope Project of Lake County and Flathead Reservation: Improving Health Outcomes from Mom and Baby Impacted By Substance Abuse during Pregnancy Rocky Mountain Tribal Leaders Council (2016) Feasibility of Maintenance Therapy in Pregnancy Among Opioid Users in Tribal Communities

2016 Grant opportunities Title (it’s not too late…) • • We give more than $3 million in 1 -2 year grants Titleplan Pageto. Content • 2 types of grants: • Rapid Response: $10, 000 - $50, 000; 1 step application • Large Grants (closed now): $25, 000 - $150, 000; 2 step application CFP Opens Proposals Due Funding Decision Round 1 February 2 March 15 April 15 Round 2 May 1 June 15 July 15 Round 3 (if available) September 1 October 15 November 15

Titleyou! Thank • Join mailing Titleour Page Content list: http: //www. mthcf. org/newsletter Aaron Wernham, MD, MS Montana Healthcare Foundation 777 E. Main St Bozeman, MT 59715 (406) 451 -7060 info@mthcf. org

Wrapped in Hope A collaborative project Annesha Anderson, RNC St. Luke Hospital OB Manager

Key Players St. Luke Hospital, Ronan St. Joe’s Hospital, Polson Kalispell Regional Medical Center CS&KT Health Services Lake County Public Health Funded by Montana Health Care Foundation

How It All Started… Best Beginnings, 2012 › Organizations that serve children noted an increase need for services to children with learning and behavior issues. Hope Project, 2013 › Snuggle Me Project, Maine Mark Moran’s project, Heroin affected moms. Wrapped in Hope, 2016

The DATA In 2013, both hospitals began collecting data about newborns at risk for neonatal abstinence

Who does this represent? � Moms using illicit substances in pregnancy (mostly methamphetamine) › 2014 - 4 positive › 2015 - 5 positive (6 Positives for St. Joes) › 2016 - 5 positive (1 st Quarter, St. Luke Data) Moms using prescription narcotics illicitly Moms with chronic painful conditions being prescribed chronic narcotics � Moms who are in opiate treatment programs and on chronic maintenance therapy � �

Wrapped in Hope…Our Goals To increase public awareness of the dangers of using substances illicitly while pregnant � To educate moms in chronic maintenance programs (for pain and addiction treatment) about neonatal abstinence syndrome and its effects � To encourage women who are using substances while pregnant to get prenatal care (dispel myths and provide support) � Healthcare personnel education � �Change terms that are used �(babies are not born addicted) �Change attitudes �Provider burnout

How will this work…

Contact information � Annesha Anderson, RNC, St. Luke Hospital › 406 -528 -5318 › aanderson@stlukehealthcare. org � Cara Harrop, MD, St. Luke Hospital › 406 -883 -2555 › charrop@stlukehealthcare. org � Erin Rumelhart, DON, St. Joe’s Hospital › 406 -883 -5377 › erin. rumelhart@providence. org � Jamie Staub, MD, St. Joe’s Hospital › 406 -883 -5377 › Jamie. Straub@providence. org