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

2. Title Title Page Content Independent, private foundation ( a 501(c)3 ) created in 2013 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 About MHCF http://www.mthcf.org/who-we-are/about-us/

3. Title 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 Focus Areas www.mthcf.org

4. Title Title Page Content Many stakeholders identified this as a common problem 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

5. Title Title Page Content Perinatal Drug Use Grantees Kalispell Regional Healthcare 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 http://www.mthcf.org/work-american-indian-health/drug-use-in-pregnancy-mhcfs- work-in-2016-and-future-plans/

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

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

8. Annesha Anderson, RNC St. Luke Hospital OB Manager

9.  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

10.  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

11.  In 2013, both hospitals began collecting data about newborns at risk for neonatal abstinence

12.  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

13.  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

15.  Annesha Anderson, RNC, St. Luke Hospital › 406-528-5318 › aanderson@stlukehealthcare.org 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 erin.rumelhart@providence.org  Jamie Staub, MD, St. Joe’s Hospital › 406-883-5377 › Jamie.Straub@providence.org Jamie.Straub@providence.org