Montana Models and Innovations
These stories feature model programs and successful rural projects that can serve as a source of ideas. Some of the projects or programs may no longer be active. Read about the criteria and evidence-base for programs included.
Evidence-Based Examples
Women to Women Online Support Network
Updated/reviewed November 2020
Updated/reviewed November 2020
- Need: Women living in rural areas with chronic illness often face little social support, leading to increased rates of depression and stress
- Intervention: Women to Women offered rural women with chronic conditions social support networks via telecommunication
- Results: WTW intervention participants experienced positive increases in self-esteem, social support, and empowerment over the control group
Effective Examples


Updated/reviewed December 2022
- Need: To increase access to medical screening for miners in New Mexico.
- Intervention: A mobile screening clinic with telemedicine capability screens miners for respiratory and other conditions.
- Results: In a survey, 92% of miners reported their care as very good, while the other 8% reported it as good. The program has expanded to three other states.
Montana "Team Up. Pressure Down." Blood Pressure Medication Adherence Project
Updated/reviewed November 2022
Updated/reviewed November 2022
- Need: To help rural Montana patients manage their blood pressure levels.
- Intervention: Pharmacists distributed "Team Up. Pressure Down." materials from the Million Hearts Initiative and provided consultations.
- Results: 89% of patients were able to adhere to their blood pressure medication, compared to 73% before the intervention.

Updated/reviewed December 2019
- Need: A cost-effective approach to help rural patients with hypertension learn to manage their condition.
- Intervention: Community volunteers trained as health coaches provided an 8-session hypertension management training program to hypertension patients older than 60, with an optional supplemental 8 sessions focused on nutrition and physical activity.
- Results: Just 16 weeks after the program, participants had improved systolic blood pressure, weight, and fasting glucose, greater knowledge of hypertension, and improved self-reported behaviors.
Other Project Examples
Targeted Rural Health Education Project
Updated/reviewed May 2023
Updated/reviewed May 2023
- Need: Dual platform to both teach health literacy principles to health professions students and disseminate health information to rural populations.
- Intervention: Writing project using community-specific public health data in order to write a plain language health education article suitable for publication in a rural newspaper.
- Results: Since program start in 2017, nearly 50 students have successfully published their plain language health education articles in one or more rural newspapers in 3 states.
Rural Aging Action Network
Added February 2023
Added February 2023
- Need: To connect underserved and isolated older adults in rural Minnesota, Montana, North Dakota, and South Dakota to services and supports so they can age in place.
- Intervention: The Rural Aging Action Network is a collaborative of organizations that offer different services like caregiver support, behavioral health, financial counseling, and assistance with chores and household maintenance.
- Results: Since 2015, the collaborative has reached over 4,000 older adults and caregivers in over 100 rural communities.

Updated/reviewed February 2023
- Need: There is a shortage of rural physicians in the Northwestern United States.
- Intervention: University of Washington medical students are receiving training through the TRUST program in rural, underserved communities across a five-state radius.
- Results: Long-lasting connections have been formed among regional and underserved communities, medical students, and rural health professionals, producing more rural physicians as a result.
Together With Veterans Rural Suicide Prevention Program
Updated/reviewed February 2023
Updated/reviewed February 2023
- Need: Suicide among veterans has been steadily increasing, and rural veterans have an increased risk of death by suicide compared to urban veterans.
- Intervention: A program called Together With Veterans was formed to help rural communities address and prevent suicides among veterans. The initiative is veteran-led, collaborative, evidence-based, and community-centered.
- Results: Data collection is ongoing.

Updated/reviewed August 2022
- Need: Before 2000, Butte and southwest Montana had around 1,300 cases of child abuse a year, with only a 20% conviction rate for perpetrators of sexual abuse.
- Intervention: Multiple agencies in the community came together to address the issue of child abuse by forming the Butte Child Evaluation Center (CEC), a Children's Advocacy Center.
- Results: During a 3-year grant cycle, over 200 interviews and exams were performed on victims of sexual abuse and the Butte CEC became the first program in Montana to be accredited by the National Children's Alliance.

Updated/reviewed September 2019
- Need: Distance, time, and cost make it difficult for EMS volunteers to attend continuing education and maintain certification.
- Intervention: Inland Northwest Health Services delivers free online training to rural EMS providers via video teleconferencing.
- Results: The EMS Live@Nite program provides free, monthly training to rural EMS providers in the northwestern part of the United States. The program is available through live video conferencing from certified locations in rural communities.
Last Updated: 5/26/2023