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Each year the Annie E. Casey Foundation funds a national survey of child well-being. The new report was recently released. Montana is again ranked 28th, same as last year.The data is analyzed in four different categories: education, economic well-being, family and community and health.Montana was above average in three of the four categories, but finished 50th in child health.The report shows that Montana improved in economic well-being, up to 15th from 20th last year. We held steady on education at 13th. We declined a bit on family and community, down to 14th from 13th.But it’s the child health numbers that seem to be the greatest cause for concern.If you dig into the health numbers, Montana did improve over last year’s report in having fewer uninsured kids — down to 12 percent — and fewer teens abusing alcohol and drugs — down to 10 percent. However, we have increased our percentage of children with low birth weights — 7.5 percent — and increased the number of child and teen deaths per 100,000 — 45.How do we make sense of this data? It’s hard because for many of us these kinds of statistics don’t mean a lot when you pull them apart. As a state, Montana’s 28th place ranking is the lowest in the region. North Dakota ranks sixth, Wyoming ranks 15th, South Dakota ranks 18th, and Idaho ranks 20th.What the report tells us about child health is we have more work to do. It may seem like 88 percent of children being covered by health insurance is pretty good, but we’re average for the region. Similar to Idaho and Wyoming, but lower than both Dakotas.For teen death rates, we’re highest in the region at 45 per 100,000. Idaho is at 28, Wyoming at 32, North Dakota at 34 and South Dakota 39.In general what this means is in Montana we can do a better job, in this areas, of improving the health of our kids. The good news is that health continues to be a priority of the Gov. Steve Bullock’s administration, which launched an initiative last week called “A Healthier Montana: A Plan to Improve the Health of Montanans.”Bullock’s plan focuses on six areas: Preventing, identifying and managing chronic diseases; promoting the health of mothers, infants and children; preventing, identifying and controlling communicable disease, preventing injuries and reducing exposure to environmental health hazards; improving mental health and reducing substance abuse; and, strengthening Montana’s public health and health care system.Reports like Kids Count, are one of many analyzing different aspects of health in Montana and around the country, said Jon Ebelt, spokesman for the Montana Department of Health and Human Services. Typically, those reports only tell part of the story. And though the state takes the Kids Count report seriously, it fit into the broader look of health in Montana now outlined in Bullock’s initiative.“We’ve done a lot of work the last year to set the priorities on where we can make the most difference,” Ebelt said.At Lewis and Clark County, county health officer Melanie Reynolds is also focused on local work.The county has been working for a number of months on their community health improvement plan and is looking to unveil soon.So while the news from Kids Count was mixed, we’re pleased the state and local governments are continuing their efforts to support better health for Montanans. We anticipate these efforts will show themselves with an improved report next year.

The U.S. Department of Health and Human Services (HHS), the Centers for Medicare and Medicaid Services (CMS) today announced grants to 41 health programs operated by the Indian Health Service; tribes and tribal organizations; and urban Indian organizations. The grants will help improve outreach and enrollment of American Indian and Alaska Native (AI/AN) uninsured children eligible for, but not enrolled in, their state’s Medicaid and the Children’s Health Insurance Programs (CHIP).

Blackfeet Tribe, Po'Ka ProjectMontana$300,000Indian Health Board of Billings, Inc.Montana$300,000

Today, as part of the Obama administration’s work to make our health care system more transparent, affordable, and accountable, Health and Human Services (HHS) Secretary Kathleen Sebelius announced the release of new, privacy-protected data on services and procedures provided to Medicare beneficiaries by physicians and other health care professionals. The new data also show payment and submitted charges, or bills, for those services and procedures by provider.“Currently, consumers have limited information about how physicians and other health care professionals practice medicine,” said Secretary Sebelius “This data will help fill that gap by offering insight into the Medicare portion of a physician’s practice. The data released today afford researchers, policymakers and the public a new window into health care spending and physician practice patterns.”

These Bright Futures training and implementation materials funded by the Commonwealth Fund with support from the US Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau, have been developed to facilitate implementation of the Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents, 3rd Edition, at the practice system level (for tools and resources to use in conjunction with health supervision visits, see the Bright Futures Tool and Resource Kit).

Health Improvement Team, LLC has been contracted by Montana Department of Health and Human Services (DPHHS) to examine the health related needs of families and children. This study is conducted every five years and is used to assist DPHHS improve health related services and resources. We would like to invite parents and adolescents from the community to participate in focus groups. Their participation will be entirely confidential to allow them to share their honest thoughts and opinions.

In a move aimed at boosting mental health treatment, Health and Human Services Secretary Kathleen Sebelius on Friday announced new rules that will put teeth in a 2008 mental health equity law. The Mental Health Parity and Addiction Equity Act, signed by President George W. Bush, requires doctors and insurers to treat mental illness the same as physical illness.

Click here to register for this event What: Montana state government is hosting a one-day disability employment seminar for state employees and others interested in promoting employment opportunities for people with disabilities. Jim Marks, Director, Disability Transition Programs, Department of Public Health and Human Services, will kick off the event at 9 a.m. The featured keynote speaker, Lois McElravy, will speak from her personal experience illustrating how the complexities of brain injury cause confusion and chaos with the simplest of tasks, like writing notes and making lists. Participants will gain a better understanding of how they can partner with employees with disabilities to identify accommodations needed to create a productive work environment. Other sessions include small-group exercises based on complex workplace issues, a presentation on reasonable accommodations by Anne Hirsch, Job Accommodation Network, a presentation on People without Limits, by Paul Gelderloos, People without Limits, and a panel of local experts will address commonly asked questions through locally developed case studies. The expert panel includes: Marieke Beck, Montana Human Rights Bureau Jim Marks, Department of Public Health and Human Services Anne Hirsch, Job Accommodation Network Michelle Pickell, Job Opportunity Based Services When: Thursday, May 26, 2011 9:00am - 4:00pm Mountain Where: Gateway Conference Center 1710 National Avenue in Helena, MT Registration: $50 and includes breakfast and lunch. You can register online at http://pdc.mt.gov/default.mcpx or call (406) 444-3871.

“Treating children at home whenever possible,” said Patrick Gardner, an attorney with Young Minds Advocacy Project, “is more humane, less costly, and more effective than institutionalization.” Under the agreement the state will establish a new program and approach for delivering mental health services called Wraparound with Intensive Services or “WISe.” The program will help prevent adverse outcomes for youth with serious mental illness such as hospitalization, long-­term institutionalization in psychiatric facilities, and placements in the foster care and juvenile justice systems. These are all experiences Smith has known personally and doesn’t want repeated for other kids. “This case,” says Smith, “was about doing something to make a difference so kids with illnesses like mine won’t have to go through the things I did.” Leecia Welch, Senior Attorney at the National Center for Youth Law, agrees. “Approval of this settlement has set the stage for increasing access to appropriate mental health services for Washington’s most vulnerable youth. Better access to care means better outcomes for kids like Phillip.”

The 2nd Annual Integrated School Mental Health Initiative (ISMHI) conference will be held in Helena at the Best Western Great Northern Hotel, March 3-4, 2011. This conference is a collaboration between The Office of Public Instruction, The Department of Public Health and Human Services and the Community of Practice (stakeholders statewide).

El Departamento de Salud y Servicios Humanos de Estados Unidos (U.S. Department of Health and Human Services) dio a conocer hoy CuidadodeSalud.gov, el primer sitio de Internet en español de su tipo para ayudar los consumidores a tomar el control de su cuidado de salud al conectarlos con nueva información y recursos que los ayudarán a obtener acceso a seguro médico económico y de calidad.

Click here to register for this event What: According to the Centers for Disease Control and Prevention (CDC), almost 60 percent of American adults say they endured abuse and other difficult family situations as children, otherwise known as adverse childhood experiences. Those experiences can have long-term health consequences. The annual financial burden to society of childhood abuse and trauma is $103 billion, according to a 2007 Federal Economic Impact Study. The costs include annual direct costs such as hospitalization, mental health care, child welfare service, and law enforcement, as well as indirect costs such as special education, juvenile delinquency, mental health and health care, adult criminal justice system, and lost productivity. The SAMHSA 10x10 Wellness Campaign invites you to a free training teleconference titled, “The Impact of Trauma on Wellness: Implications for Comprehensive Systems Change.” This teleconference will educate diverse stakeholders about comprehensive systems change, including preventing harm and inadvertent retraumatization and ensuring that services and supports are welcoming, engaging, and culturally attuned. The goal is to help facilitate the healing process among people who have experienced trauma so that they can become fully engaged in their communities. When: Wednesday, March 30, 2011 1:00 - 2:30p.m. Mountain Presenters: Cathy Cave, Senior Program Associate, Advocates for Human Potential Roger Fallot, Ph.D., Director of Research and Evaluation, Community Connections Ann Jennings, Ph. D., Founder and Executive Director, The Anna Institute

As these latest cases illustrated, there's no doubt that autism and autism spectrum disorders place a heavy burden on many families.  We know that autism and related disorders are conditions that present many special challenges to all families touched by these disorders.  That is why the U.S. Department of Health and Human Services provides services to families with family members with autism spectrum disorder and continues to support research to better understand risk factors and causes of autism spectrum disorders and develop more effective methods of treatment.  

The Network of Care for Service Members, Veterans & Their Families is a one-stop-shop for virtually all services, information, support, advocacy, and much more. This public service is an attempt to bring together critical information for all components of the veterans' community, including veterans, family members, active-duty personnel, reservists, members of the National Guard, employers, service providers, and the community at large.