American Indian Health Grantees

American Indian Health Grantees

  • Billings Clinic - +

    American Indian Healthcare Advocate Program

    Project Term: 12 months; May 1, 2016 – Apr 30, 2017
    Grant Amount: $46,829

    Billings Clinic, in partnership with the Crow, Northern Cheyenne, and Fort Peck Tribal Health authorities, will create an American Indian Healthcare Advocate Program (AHEAD) to directly address insurance participation and health care access. An advocate from Billings Clinic will work directly with tribal health authorities to improve the health insurance literacy of tribal members, help enroll eligible individuals in available health insurance programs, and collect data on barriers to health insurance enrollment and the use of health insurance by American Indians to inform future programs.

  • Blackfeet Tribal Health - +

    School and Community-Based Health Services for Blackfeet Youth

    Project Term: 24 months, Aug 1, 2015 – July 30, 2017
    Grant Amount: $20,000

    This project will support the Blackfeet Tribe to plan and implement tribally-run, school-based health services. Through this grant, the tribal health department will explore how to utilize tribal authority to provide sustainable, community-based mental and physical health services to youth in public schools and possibly the youth court system. The project will be led by the Tribal Health Department in partnership with the Blackfeet Tribal Council and the Browning and Heart Butte Public Schools, with the Indian Health Service and the juvenile justice system as partners.

  • Blackfeet Tribe - +

    Blackfeet Centralized Third Party Billing System

    Project Term: 24 months, Nov 1, 2016 – Oct 31, 2018
    Grant Amount: $100,000

    This project will strengthen the Blackfeet tribal health system by creating a centralized third party billing office. A centralized billing office will allow the tribe to maximize revenue from health services they currently provide, and improve financial management of revenue from third party billing. Funding will be used to create two staff positions: a benefit coordinator and a patient accounts coordinator. The new staff will identify risks and existing problems, and provide solutions for the billing and collection process; enroll uninsured tribal members in Medicaid or Affordable Care Act exchange insurance plans; and provide in-house training to tribal health program directors and staff. Once implemented, the centralized billing office with help the tribe improve and expand health services to better serve the needs of their community, and create a more fiscally stable and sustainable structure for existing health programs.

  • Browning Alternative School - +

    Using Blackfeet Cultural Values to Create a Trauma-Informed School Setting

    Project Term: 18 months, Nov 1, 2015 – Apr 30, 2017
    Grant Amount: $15,000

    This project will create a trauma-informed school using Blackfeet cultural values, and implement an adverse childhood experiences (ACEs) survey for students. The project will begin in the alternative school program (one of the largest and most respected in the state), and then extend to the entire school district. The project will focus on training staff in trauma-informed approaches to school discipline, and then stepwise implementation of this approach.

  • Confederated Salish and Kootenai Tribal Health Department - +

    Understanding and Utilizing Health Care Resources on the Flathead Indian Reservation

    Project Term: 24 months, Nov 1, 2015 – Oct 31, 2017
    Grant Amount: $100,000

    The CSKT Tribal Health Department seeks to accomplish three objectives with this grant: (1) Pursuant to public law 638, assume the Indian Health Service budget for purchased and referred care (PRC), and tribally manage this program. This will vastly expand the available resources to cover services not available on the reservation; (2) enroll eligible members in Medicaid now that Montana’s Medicaid expansion has been approved, and enroll those above the Medicaid income thresholds in private insurance on the exchange; and (3) educate providers that see CSKT members on this new coverage approach, and educate patients on how to effectively use coverage.

  • Fort Peck Tribal Health Department - +

    Needle Exchange Program

    Project Term: 24 months; Nov 1, 2015 – Oct 31, 2017
    Grant Amount: $50,000

    This project will revive a needle exchange program that operated on the Fort Peck Reservation from the summer of 2009 to January 2012. The main objective of this intervention will be to reduce transmission of blood-borne illnesses such as hepatitis C and HIV.  Fort Peck developed and implemented a unique and successful needle exchange protocol which was one of the first operated in a rural reservation in the US.   This program will be reinstated and expanded to provide injection drug users with clean needles, education, sharps containers for safe disposal of needles, and referrals to addictions counselling if needed.

    Rapid HIV and HCV Testing Services

    Project Term: 24 months; May 1, 2016 – Apr 30, 2018
    Grant Amount: $50,000

    This project will expand Fort Peck’s current needle exchange to provide testing services for HIV and hepatitis C (HCV). With 446 cases of HCV between 2011 and 2015, the HCV rates on Fort Peck are among the highest in the state and six times the national rate. A more systematic system for screening is intended to facilitate both prevention and treatment of this serious and costly disease. HIV screenings will be provided at an annual community-wide screening (which will be available to non-Native community members), and the adult and juvenile correction facilities. The project involves partnerships with the tribal corrections facilities, Roosevelt County Health Department, and Indian Health Services.

  • Fort Peck Tribes - Spotted Bull Recovery Resource Center - +

    Fort Peck Substance Abuse Inpatient Treatment Center Development Project

    Project Term: 12 months; Nov 1, 2016 – Oct 31, 2017
    Grant Amount: $50,000

    The Fort Peck Tribes will develop a business plan to guide the establishment of a new inpatient chemical dependency treatment center to compliment Spotted Bull Recovery Center’s current outpatient facility on the Fort Peck reservation. The business plan will include logistical details for the new center as well as plans for integration between the inpatient and outpatient facilities, third party billing, integration with outpatient primary care and behavioral health, and coordination with other treatment facilities. The project will be carried out through a partnership among the Tribal Action Plan Committee, the tribal executive board, the tribal health department, tribal courts, and the law enforcement agencies with jurisdiction on the reservation. While the population of focus will be Native American patients from the Fort Peck region, the facility would also serve non-Native patients.

  • Fort Peck Tribes Health Promotion Disease Prevention Program - +

    Fort Peck Tribes HPDP Staff Recruitment and Telemedicine Systems Project

    Project Term: 24 months, Aug 1, 2015 – Jul 31, 2017
    Grant Amount: $25,000

    This project will develop long-term, innovative solutions to the critical shortage of health providers on the Fort Peck reservation. The project will seek to develop formal agreements with larger healthcare systems, professional healthcare provider organizations, and universities who will agree to partner with the Fort Peck HPDP program to regularly send licensed healthcare professionals to serve the tribes. The project will also explore developing the capacity to use telemedicine to deliver needed healthcare services.

  • Helena Indian Alliance - +

    Development of Best Practices for Excellence in Opiate Dependence Treatment

    Project Term: 18 months, Nov 1, 2015 – Apr 30, 2017
    Grant Amount: $20,000

    This project seeks to support effective, office-based treatment of opioid addiction by physicians (opioids include drugs such as heroin and oxycodone). Buprenorphine is an opioid that is used in medications that are approved for office-based treatment of opioid addiction, such as Suboxone. Providers must receive special approval from the Drug Enforcement Agency (DEA) to use buprenorphine-containing products for this purpose. This proposal will engage primary care providers in developing, piloting, and evaluating a practical, best-practices guide grounded in the challenges unique to Montana.

    Helena Indian Alliance Master Plan

    Project Term: 12 months; Aug 1, 2016 – Jul 31, 2017
    Grant Amount: $25,000

    The Helena Indian Alliance will work with an architecture firm to complete a master plan to include a preliminary architecture plan and feasibility study to determine the possibility of expanding services including dental and pharmacy services. The plan will position Helena Indian Alliance to submit a successful application for Community Development Block Grant funding for facility updates.

  • Messengers for Health - +

    Traditional Relationships Improve Contemporary Health

    Project Term: 24 months, Nov 1, 2015 – Oct 31, 2017
    Grant Amount: $50,000

    Messengers for Health, a Crow non-profit, will carry out two projects with this grant: (1) broadening a cancer screening outreach program to include colon cancer screening for men; and (2) implementing and evaluating a culturally-based chronic disease self-management program for illnesses such as diabetes. Messengers for Health has been working in the area of cancer screening since 1996, in partnership with Professor Suzanne Christopher at Montana State University (MSU), using a community-based participatory research framework. The program uses a volunteer-driven, culturally-based model to encourage women to seek screening for breast and cervical cancer. To contribute to the chronic disease self-management program, this grant will support development of a training manual for volunteers, and pilot test the elements of the model with patients of Bighorn Valley Community Health Center.

  • Missoula Urban Indian Health Center - +

    Walking Well With Traditional Healing

    Project Term: 24 months; Jan 2016 – Dec 2017
    Grant Amount: $50,000

    The Missoula Urban Indian Health Center (MUIHC) serves the urban Indian population in Missoula County and surrounding areas in Western Montana by offering a comprehensive holistic healing model for those struggling with historical trauma. This project will focus on increasing MUIHC’s capacity to provide culturally adapted, evidence based, and trauma informed awareness and care to the more than 540 active clients they see every year. As part of the project, they will incorporate the self-help techniques of the Community Resiliency Model for community members, and the Trauma Resiliency Model for counselors and therapists to incorporate into client therapy.

  • Montana State University - Sociology & Anthropology - +

    Responding to Secondary Trauma among American Indian Victim Service Providers

    Project Term: 24 months; May 1, 2016 – Apr 30, 2018
    Grant Amount: $25,000

    This grant will create a program to address secondary trauma (trauma experienced by people who serve victims of violence). Secondary trauma is recognized as an occupational hazard that contributes to health problems and burnout among victim service providers. The program will serve employees in programs that support victims of domestic violence, elder abuse, child abuse and neglect, sexual assault, and other forms of trauma. Desired outcomes include an increase in awareness, normalization, and knowledge of secondary trauma, as well as an improvement in individual and organizational responses. Over the long term, this project will help address the shortage of behavioral healthcare and victim support providers.

  • Northern Cheyenne Tribal Board of Health - +

    Northern Cheyenne Injury Prevention Project

    Project Term: 24 months, Nov 1, 2015 – Oct 31, 2017
    Grant Amount: $99,453

    The Northern Cheyenne Tribal Board of Health will establish an injury prevention program.  Montana has one of the nation’s highest rates of motor vehicle injury among American Indians.  The project will establish a comprehensive, public health approach to injury prevention on the Northern Cheyenne Indian Reservation.  Key elements include (1) revising the current Tribal Safety Belt Ordinance; (2) conducting community-based activities to increase the use of seat belts and child restraints, such as community education campaigns and partnering with Head Start to distribute and encourage the use of child seats; and (3) collaborating with law enforcement to strengthen traffic safety.  The grant will fund a fulltime injury prevention coordinator to lead the activities. The Indian Health Service and Centers for Disease Control and Prevention offer longer-term funding for tribal injury prevention programs: this grant will also help the tribe establish the foundation needed to successfully apply for these longer-term grants.

  • Rocky Boy Health Board - +

    Rocky Boy Health Board Centralized Coding, Billing, and Revenue Maximization Project

    Project Term: 24 months, Nov 1, 2015 – Oct 31, 2017
    Grant Amount: $99,608

    This project will strengthen the Rocky Boy health system by improving administration, coding, and billing through developing and implementing a centralized billing system. The project will begin by identifying current challenges in billing and collections, and then develop a plan to address these issues and train staff in billing and coding.  The project will also focus on enrolling uninsured tribal members in Medicaid or Affordable Care Act (ACA) exchange insurance plans.  In addition, the project will begin a consideration of how to better serve the health needs of the community through, for example, providing reimbursable school-based services, and providing on-site services for tribal Temporary Assistance for Needy Families recipients. The overall goal for this project is to develop a sound administration and stable revenue base, which will allow the tribe to design and run effective, tribally-led health programs.

  • Rocky Mountain Tribal Epidemiology Center - +

    Feasibility of Maintenance Therapy in Pregnancy among Opioid Users in Tribal Communities

    Project Term: 12 months; May 1, 2016 – Apr 30, 2017
    Grant Amount: $25,000

    This planning grant will investigate the feasibility of providing medication-assisted treatment for women on the Blackfeet reservation who are using opioids during pregnancy. This treatment is recommended by the American College of Obstetricians and Gynecologists as an evidence-based standard of care, because it can prevent maternal and fetal complications of opioid use and withdrawal; encourage prenatal care and drug treatment; and reduce social complications and criminal activity associated with addiction. The planning process will determine acceptability, cost, training needs, community educational needs, and steps which must be taken to liaise with the Indian Health Service and Blackfeet tribal health. The project will result in a strategic plan for the Blackfeet reservation which could potentially be replicated in other Montana tribes.

  • Special Olympics Montana - +

    Insurance Enrollment, Health Screenings, and Follow-Up Care for CSKT Special Olympics Athletes

    Project Term: 24 months; Aug 1, 2016 – Jul 31, 2018
    Grant Amount: $20,000

    Special Olympics Montana (SOMT) will partner with the Confederated Salish and Kootenai Tribal Health Department (CSKT), and the Department of Public Health and Human Services to work towards improving health for those with intellectual disability on the Flathead Reservation. A SOMT tribal outreach director will work in the CSKT Health Department one day a week to identify potential CSKT Special Olympics athletes, involve them in SOMT, and facilitate participation in SOMT-required health screenings. CSKT staff will assist with insurance enrollment, bill insurance for care received, and ensure robust coordination of care among all of each individual’s health providers.

  • The Center Pole - +

    Oosha Itchik/Healthy Food System

    Project Term: 24 months; May 1, 2016 – Apr 30, 2018
    Grant Amount: $50,000

    The goal of this project is to provide a healthy, sustainable food system for the Crow Reservation, while teaching community members about food sovereignty and health. Activities include creating a farm at Center Pole, harvesting wild fruits and vegetables, hunting, and traditional food preservation. These activities will be carried out in partnership with elementary schools and the Tribe’s diabetes prevention program, and will be linked to a series of community education and outreach activities intended to disseminate the program throughout the reservation. The Center Pole will also work to develop a tribal ordinance to support local and traditional food production.

  • University of Montana - ORSP - +

    Assessing Access to Asthma Education Services for Montana’s American Indian Population

    Project Term: 12 months; Aug 1, 2016 – Jul 31, 2017
    Grant Amount: $25,000

    The Pharmacist Managed Asthma Clinics Program at the University of Montana-Skaggs School of Pharmacy will assess current access to asthma self-management education and determine the feasibility of multi-disciplinary, pharmacist-led managed asthma care in Montana’s American Indian communities. This project will adapt current toolkits to expand the program into pharmacies on the reservations and urban communities. In addition to looking at the need for asthma programs in American Indian communities in Montana, the program will help patients and health care professionals understand the need and importance of asthma management. Partners include the Native American Center of Excellence, Missoula Urban Indian Health Center, Rocky Boy Health Board, the Montana Asthma Control Program, and the Improving Health Among Rural Montanans program.

  • Western Native Voice - +

    HELP Act Outreach and Assistance in Native American Communities across Montana

    Project Term: 12 months; Aug 1, 2016 – Jul 31, 2017
    Grant Amount: $25,000

    Western Native Voice will engage in outreach and coordination activities to support enrollment of Native American people in Medicaid or other insurance. The project seeks to identify people (primarily Native Americans living on remote reservations or in urban areas) who may be eligible for coverage, and regional resources available to assist with enrollment, and connect them.