Community Services

Mental Health

Introductory Information

The mental health system has many different services, and each has their own criteria and providers. The mental health system is different from other systems in that families have more choices of providers. This is both a benefit and a challenge. The benefit is having options to choose from, and the challenge is knowing how to navigate those options and select the best one. Here we provide some tips for selecting a provider, and an overview of the available types of mental health services. The services are listed in order of intensity, with the exception of crisis services and wilderness therapy listed at the end.

Eligibility

Many services require a serious emotional disturbance. Click here for a definition (found on pages 14-17 of the link document), of serious emotional disturbance in Montana.

Healthy Montana Kids Plus is also known as Medicaid. Healthy Montana Kids Basic or Extended are known as HMK and were previously known as CHIP. You can apply for either program online, or visit the local Office of Public Assistance.

The state agency that oversees Medicaid mental health for youth is the Children’s Mental Health Bureau within the Department of Public Health and Human Services (DPHHS). 

Tips for Selecting a Provider

The best way to find a good fit is to ask people you know for recommendations. Consider friends, family members, school counselors, school psychologists, teachers, and your doctor. Have an idea of what you would like to be different in your family’s life, and what the goal of seeking counseling/services would be. Also think about what type of personality or style might be a good fit for the youth or your family, and what might not be. Feel free to ask about their approach and the types of strategies they use. Also feel comfortable asking whether they have a specialty and what their experience is. Ask about scheduling flexibility and how they can respond in crisis. For mental health centers, what is the process to get services set up? How long does it take? If you want in-home services, what does that look like? How many hours a week? For how long? Shop around. Also express any concerns or worries you have upfront.

Outpatient Therapy

Outpatient therapy provides individual, family, and group counseling. Mental health therapists can be: licensed clinical social workers (LCSW), licensed clinical professional counselors (LCPC), and psychologists. Most insurance covers outpatient therapy, but it varies based on the diagnosis, how often sessions happen, and for how long. There may be some restrictions on what services a youth can receive during the same time as outpatient therapy. Additionally, private practice therapists have their own specializations, insurances accepted, and individual eligibility requirements. Most outpatient therapists see clients in an office setting, though some will also come to the home. Therapists through licensed mental health centers are more likely to provide in-home sessions.

For Missoula providers, see below. For a list of providers in the Bitterroot Valley, click here.

Medication Management


Medication management refers to medications for mental health issues and can be provided by a primary care practitioner, a psychiatrist, or an Advanced Psychiatric Nurse Practitioner (APRN). It generally requires an initial medication evaluation, with regular follow up appointments with the youth and family about how the medications are working. It is covered by most insurances. Some practitioners require a referral from another professional, and some will accept self referrals from parents. Some Urgent Care Clinics will prescribe medications for youth ages 12 and up.

Contact Information

Medication Management/Prescribers
Bitterroot Valley Contacts

Family Psychiatry – Irene Walers, APRN

(406) 375-7522

Rhonda Eickholt, APRN

(406) 777-6958

Case Management

Case Management provides linkage to resources and helps coordinate services. It is helpful when a child and family has complex needs across many areas of life, and are receiving several types of services.

Case Management is a licensed mental health center service and requires a serious emotional disturbance. It is primarily covered by Healthy Montana Kids Plus. 

Family Based Services

Family Based Services provide in-home therapeutic supports for children and families. They focus on parenting skills, family dynamics & relationships, and other skills needed for the child to be safe and successful in the home.

Family Based Services are a licensed mental health center service and require a serious emotional disturbance. Youth must have attempted other community services. They are primarily covered by Healthy Montana Kids Plus, generally up to one year. Healthy Montana Kids Extended may cover shorter periods of this service if the youth is at risk of out of home placement. Each licensed mental health center has its own model for how they deliver this service. Some models include additional hours of behavioral support with a therapeutic aide. This service is also known as Home Support Services.

School Based Mental Health

School based mental health provides in-school therapeutic support for youth. A therapist and behavioral specialist offer individual & group therapy and classroom support. They focus on social skills, emotional development, and behavioral support.

School based Mental Health is primarily covered through Healthy Montana Kids Plus, though other insurance may cover it to some extent. It requires a serious emotional disturbance. This service is also known as Comprehensive School and Community Treatment (CSCT). It is a different resource than a school counselor or psychologist. For more information, see Missoula County Schools.

We have listed the mental health centers providing school based mental health in Missoula County. However, the school the youth is attending will determine which provider the youth will work with.

Contact Information

Missoula Providers

Missoula Co. Suicide Prevention Program

The Suicide Prevention Program's goal is to decrease completed suicides in Missoula County. The Program works with the Western MT Suicide Prevention Initiative and to provide education and awareness about suicide prevention to the people of Missoula County. Heidi Kendall is a certified QPR (Question - Persuade - Refer) Gatekeeper instructor and also provide SOS (Signs of Suicide) instruction for middle and high schoolers.

Heidi Kendall

Emergency Preparedness Coordinator

(406) 258-3883

Hkendall@missoulacounty.us

Bitterroot Valley

Therapeutic Group Home

Therapeutic group homes provide mental health support, stability, and supervision to youth who are struggling to be successful at home. All of the therapeutic group homes in Missoula are in local community/neighborhood settings, though some others in the state are campus based. Therapeutic group homes in Missoula each house 4-6 youth, and specific ages depend on the group home and agency. They have support staff and a home manager, supervised by a licensed therapist.

Youth must have attempted other community services, and must have a serious emotional disturbance. Healthy Montana Kids Plus and Healthy Montana Kids covers the therapeutic component, but generally another funding source needs to pay room and board. This may include Youth Court, Child and Family Services, or Children's Mental Health Bureau. 

Contact Information

Therapeutic Group Home Providers

A.W.A.R.E.

Jake Henderson 

Service Administrator Missoula & Kalispell

406-529-9571

jhenderson@aware-inc.org

Youth Homes

Sally Stansberry, Director of Operations

(406) 541-1645

sstansberry@youthhomesmt.org

Partial Hospitalization

Partial hospitalization provides daytime therapeutic services in a hospital setting. This includes evaluation, medication management, individual, group & family therapy, occupational therapy, and academics. Youth are under medical supervision, with access to nursing staff, a physician and psychiatrist. It can be a step down from acute or residential care, or to prevent an inpatient admission. Youth remain in their home or community while attending partial hospitalization.

Youth must be 12-18 years of age, have attempted other community services, and have a serious emotional disturbance. It is covered by most private insurances, Healthy Montana Kids Plus, and Healthy Montana Kids (HMK). The length of stay for partial hospitalization is 3 ½ weeks on average but can be shorter or longer based on need and authorization. 

Acute Inpatient Hospitalization

Acute hospitalization provides short-term, inpatient services in a secure hospital setting. It focuses on evaluation, stabilization of symptoms, and referral to other services as needed. Treatment is provided by clinical social workers, nurses, occupational therapists, addiction counselors, pharmacists, dieticians, and other healthcare professionals under the direction of a psychiatrist.

Youth access acute care through the Emergency Room. Healthy Montana Kids Plus and most insurance covers acute hospitalization. It has an average length of stay of 7 days but can be shorter or longer based on need and authorization. With some insurance programs, all other mental health services must stop while youth are in acute care except for limited discharge planning. 

Residential Care

Residential Care provides longer term mental health services in a secure hospital setting. Youth are placed on a unit with other youth of similar age. They receive group, individual, and family therapy, and other therapeutic and recreational activities. They may also receive specialized treatment depending on the youth’s identified issues and needs. Residential care provides for all of the day to day needs for a youth in care, such as medical, mental health, and school.

Residential care is for youth who cannot receive the level of intervention they need in the home and community safely. Youth must have attempted other services and have a serious emotional disturbance. Length of stay can span several weeks to a month or longer. Coverage varies across insurance companies. 

Crisis Services

There are a few options for youth crisis services in Missoula. For youth already receiving services through a mental health center, the mental health center is responsible to offer some form of after-hours crisis response. This sometimes takes the form of a crisis hotline, an on-call worker through the agency, or the on-call mental health professional (MHP) through Western Montana Mental Health Center. Youth and families needing after hours crisis response are also frequently directed to 9-1-1 or the Emergency Room.

For crisis situations that can be addressed with next day response, the two available options are the Missoula County Youth Crisis Diversion Project and the Providence Medical Group's Urgent Mental Health Clinic. The Youth Crisis Diversion Project offers crisis facilitation and short term shelter care beginning within 24 business hours of referral. The Urgent Mental Health Clinic offers short term counseling and medication consultation with same day or next day appointments. 

Wilderness Therapy

Wilderness Therapy is an intensive intervention for youth ages 14-17 to help struggling youth change direction, find motivation, build self-worth and insight, develop interpersonal skills, and better understand the connection between their actions and consequences. Youth engage in a variety of therapeutic activities, including group and individual therapy, journal writing, group initiatives, as well as an academic curriculum. Youth enter a wilderness setting for 4-6 weeks with a 2:1 youth to staff ratio. The family stays highly involved while the youth is enrolled with structured weekly sessions and skill building to prepare for the youth's return home.

The program explores several options with the families for covering cost which may include: sliding fee scales, insurance, payment by agencies involved in the youth's life, or scholarship.

Contact Information

Wilderness Therapy