Background: Engaging minorities in research especially in Montana where Latinos make up a small percentage of the population can be a challenge. We describe an effort to recruit Latinos into a research study by hosting a health screening event. Purpose: This event served as the first step in the creation of an academic-community partnership.…

In 2017, the National Association of School Psychologists described tele-assessment as the least researched area of telehealth. This became problematic in 2020 when COVID-19 curtailed the administration of face-to-face assessments. Publishers began to offer computer-adapted tele-assessment methods for tests that had only previously been…

Patient-centered care is extending the sphere of health care beyond the patient, focusing attention upon the family caregiver(s). In this context, patient-family relationships are at the center of consistent, well-developed interprofessional interventions that encompass caregiver education, training, and wellness. Cohort models of intervention…

Child- and family-serving programs in community-based settings wield tremendous power for improving the lives of infants and toddlers. In this article, three authors, from Ohio, Montana, and Sierra Leone, describe the principles of adaptive leadership and will share their real-world applications. Their stories explore critical questions for…

This study characterized psychotropic medication use among Medicaid-enrolled children and adolescents with autism spectrum disorders by examining trends over time, including length of treatment and polypharmacy using 4 years of administrative claims data from 41 state Medicaid programs (2000-2003). The data set included nearly 3 million children…

Objective: This analysis examined the effectiveness of utilizing interferon-gamma release assay (IGRA) technology in a TB (TB) screening program at a university. Participants: Participants were 2299 students at a Montana university who had presented to the university health center for TB screening during 2012 and 2013. Methods: A retrospective…

Context: The Indian Health Service (IHS), whose per capita expenditure for American Indian and Alaska Native (AI/AN) health services is about half that of the US civilian population, is the only source of health care funding for many rural AI/ANs. Specialty services, largely funded through contracts with outside practitioners, may be limited by…

A survey of incidence of secondary disabilities, completed by 75 disabled Native American adults on 3 Montana reservations, indicated fair to poor ratings for overall health and independence, high incidence/severity for problems of mobility and access, and problems with behavioral components, such as pain, fatigue, and depression. (SV)

Presents an overview of the use of telemedicine technologies and critical access hospitals in rural areas. Discusses changes in rural population, hospital closures, and federal health care policy. Provides anecdotal evidence on the impact of these innovations in rural Montana, which suggests that different health care solutions are needed for…

Examined perceptions of Montana residents regarding health, health needs, and health care services. Respondents defined health in relation to ability to function and work; pain appeared less important in determining the rural person's notion of health. Self-reliance and self-help were used to cope with illness; family and friends were relied upon…

Recent cutbacks in Indian Health Service (IHS) funding, particularly for urban programs, generated political mobilization and intergroup conflict among several Indian groups with IHS-funded programs. A Montana survey revealed gross underestimation of urban Indian population and high levels of unmet needs for health care services. Contains 27…

During 1974-1978, a six-week senior clerkship was completed by 234 students in six WAMI (Washington, Alaska, Montana, Idaho) family practices. The average student saw 56 percent of diagnoses common in family practice, and performed 26 percent of common procedures. Despite wide regional variation, few differences were seen among the sites. (MSE)

Briefly describes three innovative social service programs for rural areas: Rural Adolescent Pregnancy Program, Involving the Natural Family in Long-Term (Foster) Care, and Promoting Collaboration in Rural Health Practice through Interdisciplinary Education. Provides names and addresses of rural practitioners to contact for further information.…