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Rural Health
Resources by State: Montana

The Other Side of the ACEs Pyramid: A Healing Framework for Indigenous Communities
Describes the Indigenous Wellness Pyramid developed at the University of Montana National Native Children's Trauma Center offering a holistic approach to healing from the effects of adverse childhood events (ACEs) in Indigenous communities. Provides examples, supporting research, and suggestions for implementing the Indigenous Wellness Pyramid.
Author(s): Maegan Rides At The Door, Sidney Shaw
Citation: International Journal of Environmental Research and Public Health, 20(5), 4108
Date: 02/2023
Type: Document
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Medicaid in Montana - 2023 Annual Report
Report details the effect Medicaid has on healthcare, economy, and state budget of Montana. Explores the role of Medicaid expansion plays in improving access and features a special section on Medicaid in rural Montana.
Additional links: Behavioral Health One Page Summary, DataBook, One Page Summary
Date: 2023
Type: Document
Sponsoring organization: Montana Healthcare Foundation
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Hidden Crisis: Pediatric Oral Health In Rural America
Highlights barriers to rural pediatric oral health, along with proposed solutions. Examines Dental Health Professional Shortage Areas, oral health literacy, and needed Medicaid reforms. Features model oral health programs in Washington, Montana, North Dakota, Arizona, Colorado, Nebraska, Louisiana, North Carolina, Virginia, and Maryland, and includes profiles of several rural providers.
Author(s): Michael A. Ignelzi, Tegwyn Brickhouse, Erica Caffrey, et al.
Date: 2023
Type: Document
Sponsoring organization: American Academy of Pediatric Dentistry
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Serving Native American Households Using ERA: Learning from High-Spending Programs
Examines high-spending Emergency Rental Assistance (ERA) on Native lands to address housing issues such as overcrowding, homelessness, and application accessibility, among others. Examines 7 Tribes and Tribally Designated Housing Entities (TDHEs) in the states of North Dakota, South Dakota, Colorado, Utah, Wyoming, Montana, and Nebraska. Provides background on housing instability, statistics about allocated funding and households served by ERA, and challenges TDHEs face.
Author(s): Neetu Nair, Sophie Siebach-Glover, Andrew Aurand
Date: 12/2022
Type: Document
Sponsoring organizations: National Low Income Housing Coalition, United Native American Housing Association
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American Indian and Alaska Native (AIAN) Children Are Overrepresented in Foster Care in States With the Largest Proportions of AIAN Children
Analyzes the disproportionate population of American Indian and Alaska Native (AI/AN) children in the foster care system with percentage comparisons for 10 states. Discusses culturally relevant practices and policies to address AI/AN historical trauma that has exacerbated high rates of foster care usage.
Author(s): Deana Around Him
Date: 11/2022
Type: Document
Sponsoring organization: Child Trends
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Montana's Physician Workforce in 2021
Findings brief describing the size, distribution, and education history of Montana's physician workforce. Features statistics on various specialties with breakdowns by urban, overall rural, large rural, small rural, and isolated small rural areas.
Author(s): Arati Dahal, Susan M. Skillman
Date: 07/2022
Type: Document
Sponsoring organizations: UW Center for Health Workforce Studies, WWAMI Area Health Education Center Program
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Evaluating Vaccination Coverage and Timeliness in American Indian/Alaska Native and Non-Hispanic White Children Using State Immunization Information System Data, 2015–2017
Explores the rates of vaccination coverage and timeliness among American Indian and Alaska Native children in Montana. Compares rates with non-Hispanic White children. Breaks down data by vaccines given, doses received, and time of vaccinations, among other measures.
Author(s): Sarah Y. Michels, Rain E. Freeman, Elizabeth Williams, et al.
Citation: Preventive Medicine Reports, 27, 101817
Date: 06/2022
Type: Document
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COVID-19 and Food Insecurity in the Blackfeet Tribal Community
Examines the occurrence of food insecurity on the Blackfeet reservation in rural Montana across a 4-month period during the COVID-19 pandemic. Includes survey data from 167 participants and discusses the public health implications of food insecurity and health disparities in indigenous populations.
Author(s): Neha A. John-Henderson, Benjamin J. Oosterhoff, Lester R. Johnson, et al.
Citation: Food Security, 14(5), 1337-1346
Date: 05/2022
Type: Document
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The Impact of COVID-19 on the Rural Health Care Landscape: Challenges and Opportunities
Presents an overview of key findings from interviews with stakeholders in eight states - Iowa, Minnesota, Montana, Nebraska, Nevada, North Dakota, South Dakota, and Wyoming - regarding the rural healthcare landscape. Discusses rural hospital financial health, rural hospital transformation models, challenges facing the rural healthcare workforce, and the role of telehealth in increasing access to care. Provides recommendations aimed at further advancing the use of virtual care in all communities, including rural and frontier areas, beyond the temporary federal COVID-19 public health emergency flexibilities.
Author(s): Sabah Bhatnagar, Julia Harris, Tara Hartnett, et al.
Date: 05/2022
Type: Document
Sponsoring organization: Bipartisan Policy Center
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A Qualitative Study of Rural Healthcare Providers' Views of Social, Cultural, and Programmatic Barriers to Healthcare Access
Examines barriers to healthcare access in rural populations based on semi-structured interviews with 12 healthcare providers practicing in Montana. Focuses on domains of cultural considerations, patient-provider communication, and provider-provider communication.
Author(s): Nicholas C. Coombs, Duncan G. Campbell, James Caringi
Citation: BMC Health Services Research, 22, 438
Date: 04/2022
Type: Document
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