Who We Serve

Diverse Needs, Dynamic Services

It can be challenging to find a services provider equipped to meet the divergent needs of your stakeholders. With challenges ranging from traditional behavioral health to a new generation of engaging ideas, our experts can make sure you honor the diverse nature of your organization with an equally unique set of offerings.

Many Rivers Whole Health serves a broad spectrum of individuals with severe behavioral health, as well as emotional and physical challenges ranging from children and adolescents to adults. Across our unique program offerings, we encounter people at various points in their behavioral health journey seeking to overcome a variety of unique challenges and concerns with their mental health and behavioral disorders.

Our specialized Behavioral Health Continuum allows us to come alongside a struggling individual and ensure they receive the expert treatment, personalized care, and specialized services they want in order to strive toward their best potential and set them up for a lifetime of success.

Open Door/Open Mobility

We have an open access policy. Call or stop in at any location to connect to learn about our services and access resources. We also have many programs that are mobile within our communities across our great state providing behavioral health care where it is needed most — right to the individual or group.

Partnering with Us

We love to serve our communities and those individuals who live beside us in our beautiful state. We strive to give excellence in all we do and appreciate those that partner with us on an organizational level and those that invite us to be with them on their personal behavioral health journey.

We are here for the women, men, and youth of our communities. We are here to help organizations, companies of all sizes, schools, hospitals, first responders, law enforcement, and our American Indians. We are here for the wellness seeker, the athlete, the community leader, students of all ages, our veterans, and our neighbors.

ACT AND MIP

Montana law requires those convicted of driving under the influence of alcohol or drugs to complete the Assessment, Course and Treatment (ACT) phases. The purpose of ACT is to reinforce the consequences of DUI conviction and interrupt the cycle of driving impaired. ACT has three components:

ASSESSMENT: An evaluation will be completed by a licensed addiction counselor (LAC) to determine if the offender is chemically dependent.

COURSE: 12 hours of education regarding Montana law; consequences for driving impaired; and how alcohol/drugs affect a person’s physiology, driving, and choices. The course will be provided by a LAC using an evidence-based program called Prime for Life.

TREATMENT: A level of treatment may be recommended and will depend on the level of chemical dependency found in the assessment. Recommendations can vary from education only to residential or inpatient treatment. Treatment is generally covered by Medicaid and other insurance; however, the assessment and the education course are client responsibility.

Minor in Possession (MIP) is an education course offered persons under the age of 21 who have been charged with consumption of alcohol or possession of a controlled substance.

ADULT CASE MANAGEMENT

Targeted case management is designed to assist clients in gaining access to required medical, social, education, and other services. It is a supportive community-based service which seeks to maximize an individual’s personal abilities and enable growth in some or all aspects of the person’s life. They utilize assessment, development and revision of an individualized treatment plan based on the identified needs through assessment, referral, and monitoring and follow-up activities to enable the client to build skills and community support.

ADULT FOSTER CARE

Recovery homes are private family homes that provide both housing and support to clients who meet SDMI criteria. The service is to provide behavioral intervention to reduce disability, restore previous functioning levels in one or more areas, and encourage recovery so the client can be successful in an independent living setting.

ADULT THERAPEUTIC AIDE

Adult therapeutic aide (ATA) services facilitate the stabilization in the home, workplace, or community settings. Focus is to reduce disability and restore functioning by teaching skills and assisting with everyday needs utilizing describing the skill, modeling, and collaborating with the client to practice the skill and providing feedback on skill development.

BEHAVIORAL HEALTH GROUP HOME

The Behavioral Health Group Home (BHGH) is meant to provide short-term, structured services to support stabilization in treatment providing supervision and behavioral modification. The home provides staffing 24/7 for provision of care and assistance with daily living skills, medication, meals, paying bills, transportation, and treatment management.

COMPREHENSIVE SCHOOL AND COMMUNITY TREATMENT (CSCT)

Comprehensive school and community treatment (CSCT) services are provided within the school environment utilizing a contract with the school district for school age children 6-20 years old. Services are provided by a team of a therapist and behavioral specialist(s). The services are focused on improving the youth’s functioning by developing skills. Management related to improved functioning in the school home, and community settings. These services are provided both in the school and community, including during school breaks and can consist of individual family, and group services.

CARE COORDINATION

Care coordination serves as a mechanism to impact a cultural shift towards client centric care. Care coordination encourages collaboration among each client’s team of providers, empowers client autonomy and self-directed care, improves health outcomes, and helps the client to achieve their goals towards whole health and a full life.

DAY TREATMENT

Day treatment services are a set of mental health services for clients whose mental health needs are severe enough that they demonstrate significant functional impairment. It provides a broad spectrum of therapeutic and rehabilitative services to adults in need of long-term care. It is designed to provide a therapeutic program, which teaches living, social and work adjustment skills. Clients are taught a variety of job skills, personal hygiene and social interaction including recreational activities.

DOMESTIC VIOLENCE/ANGER MANAGEMENT GROUP

We offer a curriculum for those who have been court ordered into domestic violence classes due to situations that have required law enforcement involvement. We offer two groups one for men and one for women. The group is a class that challenges people to examine their patterns of behavior, and interactive patterns that are often associated with past trauma, lack of coping skills and allows them to develop new tools to manage their relationship interactions. The curriculum complies with the Board of Crime Control required evidence-based standards to reduce the risk of re-offending.

HOME SUPPORT SERVICES (HSS)

Home support services (HSS) are intended to work with youth clients exhibiting serious emotional and behavioral needs through working with a behavioral specialist and therapist as per the HSS ARM (Administrative Rules of Montana) guidelines. The team collaborates with the client and family to develop the skills necessary for the client to remain safely in the home, school, and community.

INDIVIDUAL, FAMILY, AND GROUP THERAPY (MENTAL HEALTH)

Mental health therapy services are provided to clients to address mental health diagnoses (both non-SDMI and SDMI) utilizing diagnosis, assessment, and psychotherapy. These services are provided by a master’s level mental health professional, or a licensed candidate being supervised by a licensed supervisor. These services can exist on their own or, depending on qualifications and criteria, in conjunction with other services to supplement the work being done in therapy.

INDIVIDUAL, FAMILY, AND GROUP THERAPY (SUBSTANCE ABUSE)

Substance abuse outpatient therapy services utilize recovery or motivational enhancement therapies through diagnosis, assessment, psychotherapy, and related services for clients that have a substance use diagnosis and meet ASAM level of 1.0. Services are provided by a licensed addictions counselor or licensed candidate working being supervised by a licensed supervisor. The level of service as defined as less than nine hours of service a week for adults consisting of a potential mix of individual, family, and group therapy.

Individual Placement Services (IPS Employment)

IPS helps clients with SDMI and co-occurring disorders to find competitive employment opportunities within their community. The program assists clients with building skills for a specific job, interviewing, resume writing and assesses strengths and identified areas of needed support. Through this program clients can receive assistance in developing work etiquette and maintaining a current job where a client is struggling and at risk of job loss. Job site monitoring is a possible component as well.

NURSING SERVICES

Nursing services provide ancillary care to clients for their medication management. They can provide education, injection services, medication reconciliation, care coordination, and support with insurance companies and pharmacies. This is all accomplished on an outpatient basis with the goal to help keep clients out of the hospital.

OUTPATIENT PSYCHIATRY AND MEDICATION MANAGEMENT

Psychiatry services include medication services, education, and counseling to clients who are dealing with the symptoms of a mental health disorder. The services include diagnosis, assessment, and ongoing follow-up to review treatment response and management. Psychiatric medication management is a level of outpatient treatment that involves the initial evaluation of the client’s need for psychotropic medications, the provision of a prescription, and ongoing medical monitoring related to the client’s use of the psychotropic medication by a qualified prescriber. Medication management includes monitoring, reconciling medications, and ensuring clients get the desired outcomes. This is accomplished through treatment planning and goal setting at each appointment. It requires a thorough review of prescribed medications and their possible side effects to create treatment plans and monitor their safety and efficacy.

PROGRAM OF ASSERTIVE COMMUNITY TREATMENT (PACT) AND MONTANA ASSERTIVE COMMUNITY TREATMENT (MACT)

Assertive community treatment (ACT) is a recovery-oriented mental health services model for facilitating community living, psychosocial rehabilitation, and recovery for clients who have not benefited from traditional outpatient services. The team is made up of a multidisciplinary, self-contained team providing services 24/7 throughout the year. Assistance may include vocational and peer support services, care coordination, psychiatry, medication management, therapeutic interventions, and other individual treatment services and approaches based on the unique needs of each client.

PEER SUPPORT SERVICES

Peer support services are provided by certified individuals seeking to assist clients with navigating the process of change to improve health and wellness. The Peers promote positive coping skills through mentoring and one on one direct service.

3.1 SUD RESIDENTIAL HOME

This service is a licensed community-based home that provides a supportive and structured living environment for clients working toward recovery from substance use disorder. The home and employees provide stability and skill building to help prevent or minimize continued substance use. Clients must have a substance use disorder and meet the criteria for ASAM 3.1 level of care which includes a minimum of five hours professionally directed treatment services a week.

SDMI WAIVER GROUP HOME

The Waiver is meant to provide longer-term, structured services to support stabilization in treatment providing supervision and behavioral modification. The home provides staffing 24/7 for provision of care and assistance with daily living skills, medication, meals, paying bills, transportation, and treatment management.

SUBSTANCE ABUSE INTENSIVE OUTPATIENT THERAPY (IOP)

IOP services are provided to clients with a substance use diagnosis and who meet the admission criteria of ASAM 2.1 level of care. This requires the client to engage in a more structured service delivery of at least nine hours per week for an adult consisting of a potential mix of individual, family, and group therapy.

TRANSITIONAL LIVING

Service for clients providing a structured residential program for people to obtain permanent housing while receiving support and supervision 24/7 in a safe, nurturing environment.

YOUTH CASE MANAGEMENT

Targeted case management is designed to assist youth clients and family systems in gaining access to required medical social, education, and other services. It is a supportive community-based service which seeks to maximize an individual’s personal abilities and enable growth in some or all aspects of the person’s life. They utilize assessment, development and revision of an individualized treatment plan based on the identified needs through assessment, referral, and monitoring and follow-up activities to enable the client to build skills and community support while focusing on their social, emotional, behavioral, and basic needs. Youth must have Medicaid to qualify for this service.

VETERANS SERVICES

Veteran’s services encompass many of the services we provide. Services require prior approval, and we have employees that can assist with the approval process if necessary. Services available include PACT, OP therapy, OP psychiatric care, adult case management, peer support, and addictions care.