All Posts By

Healthy Mothers Healthy Babies

Finding Strength Through Motherhood, Loss, and Healing: A Story from Chile to Montana

By Maternal Mental Health

Guest post by Catalina Geyger

Growing Up in Emotion and Resilience

I grew up watching my mom ride the highs and lows of her emotions. From a young age, I knew sadness and tears. Born and raised in Santiago, Chile, I took medication and did therapy through high school just to survive the day and ride horses after. That world kept me sane.

My mom died of colon cancer when I was 23, and I was devastated. It pushed me to leave the country, travel, and work with horses. On one trip, I visited my aunt in Montana and met my husband while helping at a remote bar. I never imagined marrying him and living here. When my grandpa met Reed, he said he was a good man—that stuck with me. We married and got a horse thanks to my father-in-law, who drove six hours so I could see one. I felt at home.

I know myself enough now to do things for me, whether going to a city for my nails or riding for a while. But admitting that need isn’t always easy. I’ve always been honest with Reed about my feelings, thoughts, and crazy ideas, and even when he doesn’t understand, he lets me be.

My First Birth and Postpartum Experience

When our first son was born, I experienced it all—baby blues, excitement, nervousness, sadness, fear. It was winter, during COVID, the baby was tiny, jaundiced, and breastfeeding struggled. Reed went out to feed cows every day, and the four walls felt tight. I needed help. After a couple fights, I admitted my jealousy that he could leave while I couldn’t. Then my father-in-law started taking the baby and me to see the horses nearly every day. I also asked my doctor for my “happy pills,” which help me be happier.

Before our second child, I was off medication but knew I’d restart afterward. Breastfeeding didn’t last long, and formula worked best. I kept taking medication, adjusting doses until I found what worked. Seeing myself more at peace, I now tell pregnant friends it’s okay to take medication—it doesn’t mean forever, and that’s fine too.

Seeking Therapy and Real Support

When our third child was born, I needed more than medication. I drove an hour to the city twice a week for therapy sessions, and it was life-changing. Even surrounded by loving people, you can feel alone, and having non-judgmental support made all the difference.

I am lucky—not just for my family, home, and raising my kids, but because Reed’s family hugs me like my mom did, listens to my ideas, and loves me through highs and lows. Losing my mom taught me life is short. I believe she moved things so I could meet Reed, wake up to mountains and cows, and build this life. I am grateful every day.

Maternity leave in the U.S. is hard—you work like you have no kids and raise kids like you don’t work. Not all jobs offer more than four to six weeks, so you have to be lucky. I wish more people knew they could ask for help and use resources, even when money is tight. Small steps to care for yourself make each day easier.

Finding Light in Hard Seasons

Winter is still hard—cold, isolating—but a sunny day can lift everything. Even through sadness, fear, or exhaustion, joy, connection, and gratitude are possible. That’s what keeps me going.


Versión en Español

Crecí Entre Emociones y Fortaleza

Crecí viendo a mi mamá subir y bajar con sus emociones. Desde pequeña conocía la tristeza y las lágrimas. Nací y crecí en Santiago, Chile, y durante toda la enseñanza media tomé medicación e hice terapia solo para sobrevivir el día y montar a caballo después. Ese mundo me mantenía cuerda.

Mi mamá murió de cáncer de colon cuando tenía 23 años y me devastó. Eso me impulsó a salir del país, viajar y trabajar con caballos. En un viaje, visité a mi tía en Montana y conocí a mi esposo mientras ayudaba en un bar en medio de la nada. Nunca imaginé casarme con él y vivir aquí. Cuando mi abuelo conoció a Reed, dijo que era un buen hombre; eso se me quedó grabado. Nos casamos y conseguimos un caballo gracias a mi suegro, que manejó seis horas para que pudiera verlo. Me sentí en casa.

Ahora me conozco lo suficiente para hacer cosas para mí, ya sea ir a la ciudad a hacerme las uñas o montar un rato. Pero admitir esa necesidad no siempre es fácil. Siempre he sido honesta con Reed sobre mis sentimientos, pensamientos e ideas locas, y aunque a veces no entienda, me deja ser.

Mi Primer Parto y el Posparto

Cuando nació nuestro primer hijo, pasé por todo: tristeza posparto, emoción, nervios, pena y miedo. Era invierno, en plena COVID, el bebé era pequeño, tenía ictericia y la lactancia no funcionaba bien. Reed salía todos los días a alimentar las vacas y esas cuatro paredes se sentían pequeñas. Necesitaba ayuda. Tras un par de discusiones, le confesé que sentía celos de que él pudiera salir y yo no. Entonces, mi suegro empezó a llevarnos al bebé y a mí a ver los caballos casi todos los días. También pedí a mi doctora mis “pastillas felices,” que me ayudan a estar mejor.

Antes de nuestro segundo hijo, había dejado la medicación, pero sabía que la retomaría después del parto. Intenté amamantar otra vez, pero la fórmula funcionó mejor. Seguí tomando medicación, ajustando dosis hasta encontrar lo que me funcionaba. Al sentirme más en paz, ahora les digo a amigas embarazadas que está bien tomar medicación; no significa para siempre, y también está bien si lo es.

Terapia y Apoyo Real

Cuando nació nuestro tercer hijo, necesitaba más que medicación. Conduje una hora a la ciudad dos veces por semana para terapia, y fue transformador. Aunque estés rodeada de personas increíbles, puedes sentirte sola, y ese apoyo sin juicio marcó la diferencia.

Soy afortunada, no solo por mi familia, nuestro hogar y criar a mis hijos, sino porque la familia de Reed me abraza como lo hacía mi mamá, escucha mis ideas y me quiere en los altos y bajos. Perder a mi mamá me enseñó que la vida es corta. Creo que ella movió las cosas para que conociera a Reed, despertara con montañas y vacas, y pudiera construir esta vida. Estoy agradecida todos los días.

La licencia de maternidad en EE. UU. es difícil: trabajas como si no tuvieras hijos y crías a tus hijos como si no trabajaras. No todos los trabajos dan más de cuatro a seis semanas, así que hay que tener suerte. Ojalá más personas supieran que pueden pedir ayuda y usar recursos, aunque el dinero sea poco. Pequeños pasos para cuidarse hacen los días más llevaderos.

Encontrar Luz en las Temporadas Difíciles

El invierno sigue siendo duro, frío y aislante, pero un día soleado puede levantar todo. Incluso con tristeza, miedo o cansancio, es posible encontrar alegría, conexión y gratitud. Eso es lo que me mantiene adelante.

Professional photos by M.Kaye Photos.

If Catalina’s story resonates with you, remember: you don’t have to navigate parenthood alone. LIFTS offers a free, statewide resource guide connecting Montana families to mental health supports, parenting programs, and community resources. Explore local help, practical tools, and more at hmhb-lifts.org — because even small steps toward support can make a big difference.

Stephanie Morton, MSW, 2025 Announced as Montana Healthcare Foundation Mignon Waterman Award Winner 

By Maternal Mental Health

We’re honored to announce that Stephanie Morton, Executive Director of Health Mothers, Healthy Babies – The Montana Coalition (HMHB), is this year’s Mignon Waterman Award recipient in recognition of her leadership in making behavioral health services available to pregnant and postpartum women. Stephanie’s dedication to relationship-building, collaboration, and advocacy has driven innovation in and better access to perinatal mental health care across the state.

About the Award

In 2017, the Montana Healthcare Foundation created the Mignon Waterman Award to honor the life and legacy of their founding trustee, a tireless advocate for behavioral health in Montana. Each year, they accept nominations for individuals who embody the spirit of the award and have made significant contributions to improving behavioral health in Montana. Learn more about Mignon, the award, and previous recipients here.

Stephanie’s Impact

Under Stephanie’s leadership, HMHB has become a statewide anchor organization that supports better perinatal outcomes through providing organization, education, advocacy, programming, and training to communities statewide. Stephanie has made perinatal mental health a significant focus of HMHB’s work.

Stephanie’s dedicated, effective advocacy played a key role in two new policies that will improve care and outcomes for pregnant and postpartum women. In 2023, she advocated that Montana extend Medicaid coverage for pregnant women through one year postpartum (a critical period for recognizing and treating depression and other behavioral health conditions). In 2025, she collaborated with a diverse group of stakeholders to successfully advocate for a bill that created a license for doula services, a crucial step toward achieving public and private health insurance reimbursement. Both policies were passed and will improve access to care for many Montana families.

Stephanie and HMHB’s Major Initiatives

HMHB developed LIFTS (Linking Infants and Families to Supports), a statewide online resource guide, print magazine, and podcast that connects families to available resources – like mental health providers, substance use treatment, and support groups – in their community. This up-to-date database offers resources for urban, rural, and Native communities and is relied on by Meadowlark care coordinators in OB offices across the state. The annual magazine shares stories from Montana caregivers and normalizes accessing help at this critical time of life. The LIFTS Podcast shares stories about individuals who are transforming the care system for Montana mothers, babies, and families. It highlights innovative practices from direct service providers and perinatal mental health champions across the state.

HMHB prioritizes outreach to Native communities. Their innovative approach to partnership development is outlined in a 2024 article published in Health Affairs titled, “A Strategy to Support Perinatal Mental Health by Collaborating with Tribal Communities in Montana.” Under Stephanie’s leadership, the Native American Initiatives Program has continued to grow in connection with those serving Native families across Montana.

Stephanie is committed to collaboration and solving problems through building strong partnerships. Through her relationships with organizations like the Montana Psychiatric Access Line (MTPAL), the Maternal Supports (MOMS) Program, and The Meadowlark Initiative®, Stephanie has played a crucial role in leading discussions and crafting toolkits to train caregivers in maternal mental health, facilitate organizational systems change, and improve health outcomes for moms and families.

We are grateful to the Montana Healthcare Foundation for all the strategic investments they make to improve health in Montana and for recognizing Stephanie’s work and supporting perinatal mental health across the state.

Mother Love is Now the LIFTS Podcast!

By Uncategorized

By Emily Freeman, Podcast Host and HMHB Storytelling Coordinator

New Season, New Name! 

For the past five years, the Mother Love Podcast has been sharing stories of parenting and caregiving in Montana, illuminating the challenges and triumphs of the 0-3 years. In conversation with providers, families, advocates, and more, our podcast aims to illuminate both the challenges and celebrations of pregnancy and parenting, and to provide a space to learn, listen, and uplift Montanans across our vast state. 

Starting this fall, Mother Love is getting a new name: the LIFTS Podcast. You can expect the same great content, but with a show title that fits neatly in line with some of other other projects: the LIFTS online resource guide, and LIFTS magazine. LIFTS stands for Linking Infants and Families to Supports, and it’s one of the things that we do best at HMHB. Additionally, we wanted the name of the podcast to acknowledge the full range of people who support and navigate the perinatal journey: including dads, grandparents, foster parents, and more. 

Exciting Episodes and Voices Coming Your Way

While our name is new, our mission hasn’t changed: to share honest conversations, highlight voices of lived experience, and bring attention to perinatal mental health and family well-being in Montana. We invite you to follow along as we launch new episodes starting in October, featuring a variety of voices and perspectives from around the state. In conversation with Maureen Ward of DPHHS, and Tracie Kiesel from Buckle Up Montana, we’ll learn about Montana’s new carseat law, which brings our state in line with federal safety guidelines. We’ll chat with Suzanne Bendick, of Roots Family Collaborative, about the power of live storytelling to provide a space for connection and healing. And we’ll hear from Mindy Petranek, one of the writers featured in our 2025 LIFTS magazine, about the process of sharing her experience on the page. 

Tune In and Join the Conversation

We hope you’ll tune in and join us for the upcoming season of The Lifts Podcast, which you can find on our website, Spotify, or Apple Podcasts. And if you’ve got a great idea for a guest, let us know! You’re welcome to email us at stories@hmhb-mt.org.

Just Showing Up

By Parenting

By Mindy Petranek

This story appears in the 5th Annual LIFTS Magazine, where Montana parents share honest experiences about connection, resilience, and the journey through early parenthood.

 

It can be challenging to make friends in your adult life. I can’t count the number of times I’ve tried to connect with people and then they don’t ever call back. I just really crave that community.

We live on a ranch, a cattle operation, so things run around the schedules of what’s happening at the time: calving, branding – ranching kind of stuff.  

One Christmas, my husband got me a gift certificate to a pottery class. I was super excited, but when it came time for the class, calving had begun. He said he thought I’d be able to sneak away for a couple hours in the evenings, but when it came down to it, we couldn’t make it work. We didn’t have any childcare, and it was just too crazy of a time.

Sometimes you have to cancel plans, and do what maintains your livelihood. 

I was stuck in a period of feeling really low and lonely, and didn’t know how to break the cycle. I started looking for resources and found a baby storytime in the nearest big town. So I took a chance.

My son had really long hair at the time, and one week this gal came up to me and complimented his hair. That’s all it took: just her kind openness to tell me it was okay that I was doing things differently. 

The next week I went to the library again, and saw the same gal. I thanked her for what she’d said about my son’s hair. She told me she was starting a mom’s group, and invited me to join. We exchanged numbers, and that’s how I started going to the Bad Moms Group.

The name of the group either sparks an interest or people are turned off by it. I love the truth of it, cause as a mom there are so many moments where I feel like I’m botching the job. 

The moms group was an hour’s drive away, and the first time I went I was nervous, but excited to be out of the house by myself, listening to music as loud as I wanted. I felt like I had a grip on a little of me. When you become a mom, you can lose yourself, and it’s all about figuring out how to reinvent.

The way the group works is you just show up. Each meeting starts with the mission statement: to create a safe space for mamas to share in order to gain understanding and compassion for ourselves and others. Zero judgment. No one is to repeat what we say here. No interrupting, and only give input if the person sharing welcomes it or is asking for advice. 

Connecting with other women about the challenges of motherhood gave me reassurance, comfort, and camaraderie. It was so much better than just packing all of my feelings into a hole and telling myself that I’m tough enough to handle it. A friend in the group once said to me, you’re always so tough – do you ever get tired of being tough?

A moms group can help you find a better head space, which will be tenfold worth it for yourself and your family. You can’t understand how much you need that outlet till you’re on your drive home and thinking: oh, I feel like me again. 

Just stick with it and go out of your comfort zone. It will be worth it. A little bit of discomfort will help you grow.

Stories like this remind us that finding connection can make all the difference. If you’re looking for parenting support, mental health resources, or ways to connect with other families, visit HMHB-LIFTS.org.

Keeping Kids Safe on the Road: Montana’s Updated Car Seat Guidelines

By Safety

Car seats are essential for safety.

Car seats are a vital part of early childhood care, a boon to public health, and one of the easiest ways to keep little ones safe on Montana roads. But they can also be confusing. With the seemingly infinite combination of makes and models of cars to connect to, and each manufacturer’s unique system of buckles and attachments, car seat use and installation can be a little overwhelming to even the most seasoned parent. Additionally, car seat laws can vary from state to state, with guidelines that can be hard to follow. The rubric of height, weight, and age recommendations can be complex.

Car seat use is particularly important in Montana, as our traffic fatality rate exceeds the national average. Car seats and booster seats are proven to keep children safer in road accidents, reducing the risk of death by 71% for infants, and by 54% for toddlers ages 1 to 4 years. For children 4 to 7 years, booster seats reduce injury risk by 59% compared to seat belts alone. (Source: CDC)

Good news incoming!

The good news is that starting October 1, a new car seat law goes into effect in Montana, one which aims to make guidelines easier to understand, puts our state in line with national safety standards, and aims to increase the number of babies and kids traveling safely on our highways and back roads. The guidelines are as follows:

  • Children under age two must ride in a rear-facing car seat that meets federal safety standards. Keeping children rear-facing for as long as possible is the safest option. If you need help, Child Passenger Safety Technicians across the state are available at no cost to ensure your car seat is installed correctly.
  • For kids ages 2 to 4, use a rear or forward-facing car seat with a harness.
  • For children ages 4 to 8, they should use a forward-facing seat with a harness or a booster seat, depending on their size.
  • Once a child is 9 years old or has outgrown their booster seat, they can switch to an adult seat belt, but only if it fits them correctly. Always follow the manufacturer’s instructions to ensure every seat and belt is used properly.

(Source: Montana Department of Public Health and Human Services (DPHHS) )

For communities in need, HMHB is able to offer free car seats through our Safe Seat for Baby program, including installation and training guidance by a certified professional. Availability is limited, based on funding and inventory, but we invite inquiries from public health departments or other family support organizations.

Kudos to our state legislators for passing such a valuable and common-sense law!

Need help installing a car seat? Check the LIFTS Online Resource Guide under “Car Seat Installers” to find providers in your community.

Prioritizing Fathers: Join PSI’s 2-Day Paternal Mental Health Training

By Dads, Dads, Parenting

Written by Adriana Reyes de Merkle, MT PSI Chapter Chair

 

postpartum support international Montana chapter While the world is becoming more aware of maternal mental health, fathers are often overlooked in the perinatal period. Yet, 1 in 10 fathers will experience depression or anxiety during pregnancy or the first year postpartum [1,2,3]. These challenges can deeply affect the entire family, including the emotional and developmental well-being of their children.

That’s why Postpartum Support International (PSI) is proud to offer a comprehensive 2-day training dedicated to Paternal Mental Health. This interactive and evidence-based training is designed for anyone working with fathers during the perinatal period.

What to Expect from the Training

This two-day immersive experience will dive deep into the unique mental health needs and experiences of fathers. Topics covered include:

  • Bias in Paternal, Perinatal Mental Health
  • Men, Masculinities, and Mental Health
  • The Psychology of Early Fatherhood
  • Screening and Assessment
  • Dads and PMADs (Perinatal Mood and Anxiety Disorders)

In addition to lectures and case-based learning, the training includes:

  • Networking opportunities with peers and experts
  • A powerful Fathers Panel

Why This Training Matters

The statistics speak for themselves:

  • Depression and anxiety are twice as common in expecting and new fathers compared to global estimates in men. [1,4]
  • Fathers may show different symptoms than mothers—men are more likely to report physical symptoms like sleep disturbances, headaches, fatigue, and psychomotor changes such as restlessness or muscle tension. [10,11]
  • Emotional symptoms may also present differently—many fathers exhibit irritability, anger, aggression, or withdraw from relationships. This can lead to isolation, avoidance behaviors, risk-taking, and substance use. [12,13]

Most importantly, untreated paternal mental health issues can have long-term negative consequences on child development, increasing the risk of Adverse Childhood Experiences (ACEs) and their health multiple domains. [2,8,9]

 Why You Should Attend

By attending this PSI training, you’ll gain the skills and knowledge to better serve fathers during the perinatal period, reduce stigma, and support stronger family systems. Whether you’re a clinician, advocate, researcher, or community worker, this training will equip you to recognize and respond to the mental health needs of dads with greater confidence and compassion.

Let’s break the silence around paternal mental health and create systems that support all parents.

Be part of the change and register today at: https://postpartum.net/training/paternal-perinatal-mental-health/

dad and son 

  CITATIONS:

  1. Paulson, J. F., & Bazemore, S. D. (2010). Prenatal and Postpartum Depression in Fathers and Its Association With Maternal Depression. JAMA, 303(19), 1961. https://doi.org/10.1001/jama.2010.605
  2. Ansari, N. S., Shah, J., Dennis, C., & Shah, P. S. (2021). Risk factors for postpartum depressive symptoms among fathers: A systematic review and meta‐analysis. Acta Obstetricia et Gynecologica Scandinavica, 100(7), 1186–1199. https://doi.org/10.1111/aogs.14109
  3. Leach, L. S., Poyser, C., Cooklin, A. R., & Giallo, R. (2016). Prevalence and course of anxiety disorders (and symptom levels) in men across the perinatal period: A systematic review. Journal of Affective Disorders, 190, 675–686. https://doi.org/10.1016/j.jad.2015.09.063
  4. Leiferman, J. A., Farewell, C. V., Jewell, J., Rachael Lacy, Walls, J., Harnke, B., & Paulson, J. F. (2021). Anxiety among fathers during the prenatal and postpartum period: a meta-analysis. Journal of Psychosomatic Obstetrics & Gynecology, 42(2), 152–161. https://doi.org/10.1080/0167482X.2021.1885025
  5. Fisher, S. D., & Garfield, C. (2016). Opportunities to Detect and Manage Perinatal Depression in Men. American Family Physician, 93(10), 824–825. www.aafp.org/pubs/afp/issues/2016/0515/p824.html
  6. Matthey, S., Barnett, B., Kavanagh, D. J., & Howie, P. (2001). Validation of the Edinburgh Postnatal Depression Scale for men, and comparison of item endorsement with their partners. Journal of Affective Disorders, 64(2–3), 175–184. https://doi.org/10.1016/S0165-0327(00)00236-6
  7. Edmondson, O. J. H., Psychogiou, L., Vlachos, H., Netsi, E., & Ramchandani, P. G. (2010). Depression in fathers in the postnatal period: Assessment of the Edinburgh Postnatal Depression Scale as a screening measure. Journal of Affective Disorders, 125(1–3), 365–368. https://doi.org/10.1016/j.jad.2010.01.069
  8. Singley, D. B., Cole, B. P., Hammer, J. H., Molloy, S., Rowell, A., & Isacco, A. (2018). Development and psychometric evaluation of the Paternal Involvement With Infants Scale. Psychology of Men & Masculinity, 19(2), 167–183. https://doi.org/10.1037/men0000094
  9. Pedersen, S. C., Maindal, H. T., & Ryom, K. (2021). “I Wanted to Be There as a Father, but I Couldn’t”: A Qualitative Study of Fathers’ Experiences of Postpartum Depression and Their Help-Seeking Behavior. American Journal of Men’s Health, 15(3), 15579883211024376. https://doi.org/10.1177/15579883211024375
  10. Rabinowitz, F. E., & Cochran, S. V. (2008). Men and Therapy: A Case of Masked Male Depression. Clinical Case Studies, 7(6), 575591. https://doi.org/10.1177/1534650108319917
  11. Dziurkowska, E., & Wesolowski, M. (2021). Cortisol as a Biomarker of Mental Disorder Severity. Journal of Clinical Medicine, 10(21), 5204. https://doi.org/10.3390/jcm10215204
  12. Eddy, B., Poll, V., Whiting, J., & Clevesy, M. (2019). Forgotten Fathers: Postpartum Depression in Men. Journal of Family Issues, 40(8), 1001–1017. https://doi.org/10.1177/0192513X19833111
  13. Molloy, S., Singley, D. B., Ingram, P. B., Cole, B. P., & Dye, A. R. (2021). ¡Qué Padre! Measuring Latino Fathers’ Involvement with Infants. Family Relations, 70(5), 1449–1464. https://doi.org/10.1111/fare.12543

Connection, Care, and Collective Strength: Highlights from the 2025 Perinatal Mental Health Conference

By Perinatal Mental Health Conference

In June 2025, perinatal mental health professionals from across Montana and the West gathered in Helena for the 8th Annual Perinatal Mental Health Conference, hosted by Healthy Mothers, Healthy Babies. The event continues to grow in energy, attendance, and impact.

As the landscape of maternal and infant health continues to shift at a rapid pace, one message rang out clearly across sessions and conversations: connection is vital. Staying connected to peers, to new research, and to one’s own well-being is essential for anyone supporting moms, babies, and families through the perinatal period. 

A Growing and Diverse Community

This year’s fully in-person format featured a wide range of new speakers and first time attendees, including professionals from Canada, Wyoming, and across Montana. In addition to our mainstage presentations, we featured breakout sessions organized by professional role, offering tailored content for therapists, home visitors, doulas, physicians, and others supporting perinatal health.

At HMHB, we recognize how easy it can be to lose sight of the needs of caregivers who are working so hard to support others. With this in mind, the 2025 conference placed a new emphasis on care for the caregiver. Attendees could visit a dedicated wellness room, participate in guided mindfulness sessions, or take a break for a free chair massage—reminders that sustainable service starts with self-care.

Gratitude for Our Partners

A conference of this size and scope is only as successful as the people behind it, and we remain grateful for the generosity of our sponsors, including our presenting partner, the Department of Public Health and Human Services (DPHHS); our Platinum Sponsors, the Montana Pediatric and Adolescent Mental Health Access Line (MTPAL); and the Montana Obstetric and Maternal Support (MOMS) Program.

 

Planning is already underway for the 2026 Perinatal Mental Health Conference with some exciting changes in the works! We can’t wait to build on this year’s momentum and bring our community together once again. Stay tuned for a Save the Date—it’s coming soon! 

Want to stay in the loop about next year’s conference and other perinatal mental health events across Montana? Subscribe to our newsletter!

 

Family Care Spaces Across Montana

By Breastfeeding, Community, Indigineous Maternal Health

By Diona Buck, Native American Initiatives Program Coordinator

Photos contributed by MOMS and local Indigenous BirthWorkers

 

A Family Care Space is a space where mothers, parents, and families can come to feed their babies, change their baby’s diaper, and receive educational materials, and most importantly connect with local BirthWorkers. While the concept of Family Care Spaces at public events is not the first of its kind, the meaning of this movement for Tribal Communities in Montana lies in something deeper: the reclamation of Indigenous traditional ways.

 

Families attending cultural or public events often have to navigate the unique challenges like feeding their infants, changing diapers, or simply finding a quiet private area to care for their young children. Often times we see parents leaving events to go change or feed their babies in their cars, making these tasks harder than they should be. These needs, though common, are rarely addressed in event planning.

 

Family Care Spaces across Montana were developed not just to meet these needs, but to do so in a way that honored and recentered Indigenous Traditional Knowledge around the sacredness of birthing, parenting, and raising the next generations. These spaces are a reminder that as Indigenous people, we once surrounded birthing people with ceremony, care, and collective support. Parenting was not meant to be done in isolation but in community. It takes a village to raise a child.

 

A total of nine Family Care Space Kits, each equipped with a canopy tent with sidewalls, a portable diaper changing table, and a table and chairs, were funded through the Montana Obstetrics and Maternal Support (MOMS) program. These kits were distributed to six Tribal and three Urban Indian Communities across Montana to support the creation of Family Care Spaces into their communities. Since 2024, at least a dozen Family Care Spaces have been set up at local events and gatherings to support families.

 

Today, Indigenous doulas, lactation consultants, and maternal health champions are leading the way, working with community organizers to integrate these spaces into powwows, health fairs, and cultural gatherings. Key maternal health champions include Tribal Health programs, Public Health Nursing programs and Urban Indian organizations who recognize the importance of providing these spaces as a community. Family Care Space kits are stored with local organizations that have taken the initiative to lead this effort in their communities. But this work is not done alone. At its core, this initiative is about community collaboration, bringing together BirthWorkers, families, Elders, health departments, and event organizers to uplift and care for our families.

 

HMHB Native American Initiatives is able to continue supporting the Family Care Space initiative. Vital to this work is Diona Buck, who is Nakoda from the Fort Belknap Indian Community and a descendant of the Aaniiih Tribe and currently serves as the Native American Initiatives Program Coordinator. In her role at HMHB, Diona continues to uplift and expand Family Care Spaces across Montana by connecting with Indigenous BirthWorkers and maternal health champions and guiding communities in creating these spaces.

The Family Care Space Toolkit was developed in January 2024 by Diona Buck. If you or your organization are interested in bringing a Family Care Space to your next event or would like to collaborate, we encourage you to reach out to Diona at diona@hmhb-mt.org. We would be honored to connect you with local maternal health champions and support you in creating a space that reflects and uplifts your community.

 

Honoring Stories. Elevating Care.

By Maternal Mental Health

By Emily Freeman, HMHB Storytelling Coordinator

Photos by Kim Giannone

May is Maternal Mental Health Month.

Maternal Mental Health Month can be a good time to remember that motherhood doesn’t always feel – on the inside – quite the same way it appears on the outside. All manner of challenges and stressors may lurk behind the smiling family portrait posted on social media. That perfect mom you see at pre-school pick-up? She may be holding back deep grief over a lost pregnancy, or shame about needing help with a problem she can’t yet put words to, the solution to which she can’t yet identify. 

Perinatal mental health challenges can vary widely. While some issues may require robust support from trained professionals and systems, others can be helped along through person-to-person, community-based care, which we can all be a part of. This can be as simple as smiling at a struggling mom to make her feel seen, and not like her crying baby is a burden; it can be a few small words spoken to a stranger in line at the grocery store: You’re doing great. It can be a weekly moms meetup at the park that begins as a group of strangers, and soon becomes a place to connect, to vent, to heal. These points of human connection are so important. 

Real Stories from Montana Moms

At HMHB, Maternal Mental Health Month provides us with an opportunity to highlight some of the lived experiences that mothers across the state have been bold and generous enough to share. In last year’s issue of LIFTS magazine, Shayla Horner wrote about the support and medical advice she received for her bipolar disorder, allowing her to become the strong and stable mom her daughters deserve. Kelsie Christensen wrote about the encouragement she received from a local moms group which helped her manage her anxiety in the early months of motherhood. On the Mother Love podcast, Rachael Watters shared her harrowing journey through postpartum psychosis, and how she continues to grow and heal.

Insights from Perinatal Mental Health Experts

In addition to these invaluable stories from moms, we’re honored to be able to share the lived experience of our trusted network experts and providers working with, and for, moms and families during this season of life. In the 2023 edition of LIFTS, Dr. Ariela Frieder offered her wisdom and expertise as a perinatal psychiatrist, including a perinatal mood and anxiety disorder checklist for moms, and resources to guide them towards getting the help they might need.

Recent guests on the Mother Love podcast have included Amy Lowney, a labor and delivery nurse who pivoted to postpartum doula work to better address the mental and emotional needs of moms after they left the hospital. Last year, we spoke with perinatal mental health expert Diana Barnes, an episode which not only addressed the way that maternal mental health can have unintended legal consequences, but provided an opportunity for listeners to hear mothers across two generations in conversation about their own experiences with postpartum mood disorders.  

Explore the LIFTS Resource Guide

Maternal Mental Health is a good time to share and bookmark our LIFTS online resource guide. LIFTS offers a searchable, and frequently updated, database of resources around the state, with categories such as Mental Health Providers, Family Support and Education, Cultural Connections, and more. It’s a great resource to share with parents, or with providers who interface with, and support, families during this season of life. 

In June, we’re hosting the 8th annual Perinatal Mental Health Conference, a chance for providers from across the state to come together to share, strategize, and enjoy the camaraderie of a vast network of those who work collectively to improve and sustain the health of moms in our state. We’re looking forward to learning together, and pooling the knowledge that each of us will bring from our different pocket of this vast and diversely resourced state. You can get a taste of the conference by viewing Dr. Samantha Greenberg’s “Perinatal Mental Health 101” session from last year’s conference. If you’d like to join us this year, you can find more information and register here.

 

The Growing Movement of Indigenous Birthworkers in Montana

By Birth, Caregiving, Native American Initiatives, Native Cultural Connections

Written by Chelsea Bellon

Photos courtesy of Julianne Denny

 

In many Indigenous communities, birth is more than a medical event—it is a sacred ceremony, deeply rooted in tradition, community, and ancestral knowledge. While the term “Doula” is widely recognized today, its origins are tied to Western frameworks that may not fully capture the depth of Indigenous birthing practices. Long before Western society formalized the role of Doulas, Indigenous families, Elders, and community members played an essential part in supporting birth as a ceremony.

Today, many Indigenous communities use the terms Birthworker and Doula interchangeably, reflecting both historical traditions and contemporary roles. Birthworkers provide non-medical support before, during, and after childbirth, offering emotional, spiritual, and physical care. Birthworkers provide information around perinatal education, community resources, and advocacy support. Many consider this work a calling—”heart work” that centers ceremony and connection, creating a meaningful and supported start for both parents and baby.

Strengthening Indigenous Birthwork in Montana

Since the introduction of the Indigenous Full Spectrum Doula training to Montana’s Tribal communities in 2022, the movement of Indigenous Birthworkers has gained remarkable momentum. Trainings held across reservations have supported more than 80 Birthworkers, empowering those in both rural and urban communities throughout the state. Following training efforts supported by the Montana Obstetrics & Maternal Support (MOMS) program, newly trained Birthworkers sought continued education, mentorship, and community. In response, the Native American Initiatives (NAI) Program with Healthy Mothers, Healthy Babies – Montana (HMHB-MT) cultivated a space for growth, connection, and collaboration.

Through monthly gatherings, Birthworkers from across Montana have built a network to share successes, navigate challenges, and learn from one another. Under the leadership of NAI Program Director, Amy Stiffarm, the group has welcomed guest speakers and educators to help Birthworkers develop their skills and expand their impact.

  • Kendra Potter, a Birth Doula and Trainer from Missoula, has provided mentorship on balancing birthwork with family life and other job responsibilities.
  • Tina Begay of Redtail Accounting has shared insights on marketing, networking, and business growth for Birthworkers.
  • Diona Buck, representing the MOMS Program provided guidance and resources for Indigenous Birthworkers to engage and support families and elders in their communities. The Family Care Space initiative was formed to provide supplies for communities to create a breastfeeding and respite space for events such as pow wows, basketball games, health fairs, celebrations, and more. The Family Care space was intended to be led by the local Indigenous Birthworkers; 15 Family Care Spaces were sent out to rural and urban communities across Montana.
  • Most recently, the group welcomed Glenda Abbot, founder of the Indigenous Birth Justice Network in Canada, which now extends into Washington State. She introduced valuable perspectives on land-based birthing practices and the role of Birthworkers in community healing and revitalization.

Join the Indigenous Birthworker Network

The Indigneous Birthworker Network of Montana continues to grow, providing a space for Indigenous Birthworkers, past Doula training participants, and advocates to connect with a supportive community, access valuable resources, receive mentorship and advocacy to strengthen skills and expand culturally centered care. The Indigenous Birthworker Network of Montana fosters collaboration, ensuring Indigenous Birthworkers are recognized, supported and uplifted in their roles. The group meets every third Thursday of the month from 6:00 PM – 7:30 PM and welcomes those who are passionate about supporting Indigenous birthwork in Montana.

For more information or to join the meetings, contact Chelsea Bellon at chelsea@hmhb-mt.org.

Together, this network is strengthening the path for Indigenous Birthworkers, ensuring that birth remains a ceremony and community-centered care continues to thrive for future generations.

To find Doulas and Birthworkers near you, use the category “Doulas and Other Birth Professionals” on LIFTS!

linking infants and families to supports