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Community

Enhancing Community Care: Vetted Guides for Effective Referrals in Perinatal Mental Health

By advocacy, Caregiving, Community, Community Support, Maternal Mental Health, Perinatal Mood & Anxiety Disorders

Montana has far reaching support systems for families during pregnancy and early childhood. Healthy Mothers, Healthy Babies (HMHB) works hand-in-hand with these networks and local groups, striving to gather and share the knowledge and skills necessary to serve families during these crucial stages of life. A frequent challenge we hear about is the difficulty in referring patients and clients to appropriate resources.

Communities can address this challenge by creating community specific vetted guides to help parents, caregivers, and providers find the assistance they need promptly. To support these efforts, HMHB and partners developed a toolkit to help community groups build an effective directory of perinatal mental health and support specialists.

vetted resource guideCollaborating for Comprehensive Support

HMHB collaborated with the Maternal Mental Health Taskforce of the Helena Early Childhood Coalition and the Flathead Perinatal Mental Health Coalition of the Flathead Valley Early Childhood Coalition to create this valuable resource. This toolkit is tailored to help community groups create, organize, and maintain an up-to-date list of local resources, ensuring that

families receive the best possible care.

The team at the Early Childhood Coalition of Flathead Valley recently went through the process of creating a new vetted guide.  You can see that work here.

What’s Inside the Vetted Guide Toolkit?

The toolkit contains resources and templates to simplify the process of building a community-specific referral list. Here’s what you’ll find inside:

  • Points of Consideration: Guidance on the language to use and categories to include in your resource list.
  • Criteria for Vetted Guides: Examples of criteria that can be adopted to create a reliable and vetted guide for your community.
  • Content for Outreach: Pre-made content to populate an online form for outreach and recruitment efforts.
  • Inspiration from Existing Resources: A compilation of other referral lists to inspire and guide your efforts.
  • Designed Templates: Ready-to-use templates to streamline the process of creating your resource list.

Empowering Communities Through Collaboration

By leveraging this toolkit, community groups can enhance their system of care and referrals, making it easier for families to access the support they need during pregnancy and early childhood. Our collaboration with local coalitions underscores the importance of working together to create robust, effective support networks.

If you’re in a community that hasn’t yet built a vetted resource guide, don’t forget to refer to the LIFTS Online Resource Guide for a comprehensive statewide list of service providers.

Let’s work together to build stronger, more supportive communities for all Montana families.

Spotlight on the 2024 Montana Status of Women Report

By advocacy, Community, Community Support

Today on the HMHB blog, we are excited to amplify the newly released 2024 report ‘The Status of Women in Montana: Advancing Policy for Economic Equity.’  This report was meticulously prepared by the team at the Montana Budget and Policy Center with an introduction from the Women’s Foundation of Montana. It provides a comprehensive analysis of the current state of women in Montana, highlighting policy pathways to improve economic opportunities, health and well-being, political participation, and improving lives for families and women in Montana.

The report is a valuable resource for understanding the challenges and progress in achieving gender equity in our state. It offers critical insights and data to inform policy decisions and advocacy efforts aimed at enhancing the lives of women in Montana. The report presents a variety of solutions and pathways to equity, including:

  • Improving access to affordable childcare
  • Preserving reproductive rights and autonomy
  • Improving access to healthcare, including Medicaid expansion
  • Providing paid family leave
  • Amplifying efforts to expand work related to ending the Missing and Murdered Indigenous People (MMIP) epidemic

We encourage you to read the full report to gain a deeper understanding of these important issues. You can access the report here.

Lifting Up New Moms, by Emily Clewis

By Caregiving, Community, Feeding Baby, Maternal Mental Health, Parenting, pregnancy, Self-care, Self-compassion

This is a featured article from our 1st edition (2021) of the LIFTS Magazine.  

Lifting Up New Moms

By Emily Clewis

A new life joining the world is a very exciting time. Friends and family members may be eager to gather around to take part in celebrating the new bundle of joy! There are so many ways to show up for families welcoming a new baby. Before you invite yourself over to hold that new baby, there are some really important things to keep in mind.

While holding a new baby is exciting, it’s the birthing person that truly needs to be held, loved, and supported in this golden, but vulnerable time. If the mother is well supported, she can better care for her new baby. Supporting parents in what they need is just as important as welcoming their baby.

The first couple of weeks are crucial for bonding, and new parents may not want any visitors during this vulnerable period. Always ask parents what precautions they may be taking and if they are up for visitors before coming to visit. New babies have no sense of night or day, so parents may be sleeping with their little ones at noon after being up all night. Be flexible with your plans for visiting and understand they may change.

If you do visit, wash your hands well and keep your face away from the baby’s, as babies are vulnerable to common illnesses. Always ask the parents if it’s okay to hold the baby. If they say yes, encourage them to take a shower or quick nap while you’re there. This is a great opportunity for them to take care of themselves!

Offer to bring healthy snacks or a ready-to-heat nutritious meal. Ask mom if she has eaten, and maybe make her a meal (and then do the dishes!). New moms, especially those breastfeeding, are always thirsty and require more calories. If she feeds the baby while you’re there, help her put her feet up and offer to get her water or a snack.

Look around for things that need to be done: laundry, dishes, taking out the trash, etc. If there are older children in the house, offer to watch a movie with them or take them on a walk. Ask new parents what they need; they will likely tell you!

 

Finally, don’t overstay. Parents during this time are heavily exhausted, and even well-meaning company can make parents feel the need to entertain. An hour or so is plenty in those first few weeks.

The early weeks of having a newborn is a beautiful time to support moms and babies. With healthy support, parents are less likely to suffer from perinatal depression and their babies have better health outcomes. Feel empowered to show up for new parents in a way that is helpful, supportive, loving, and graceful.

 

Boundaries to Support You

During postpartum, it is easy to be led by excitement and pride. You want desperately to share this new human with the world and to shout, “Look what I did!” from the rooftops. As women, we know that in the first few weeks, we are supposed to rest and allow our bodies to heal and recover. But our friends and family start calling, and we tell ourselves that we will rest later. Suddenly, visitors and responsibilities snowball, and somewhere under it all, there we are, crushed and tired as hell.

Here are some simple phrases to help draw boundaries around yourself in postpartum.

“We are not ready for visitors at this time.”

“I’m feeling really tired today. Let’s plan for another time when I’m feeling up to company.”

“My body doesn’t feel up to that. I’ll let you know once I feel recovered.”

“I don’t feel comfortable with that quite yet. I can reach out to you when I feel ready!”

“I know we had plans, but I’m not quite up for it after all. Let’s try again in a few days. In the meantime, here are some sweet pictures!”

“What I really need help with at this time is…”

“No.”

Mama, feel empowered to listen to and advocate for your own needs during this time. Speak them fiercely and unapologetically, even if your voice shakes. Your own mental and physical health is so important, and you have permission to draw a circle of protection around yourself.

 

 

To find resources and support for postpartum, parenting and more, visit our LIFTS Online Resource Guide at https://hmhb-lifts.org/. 

Empowering Families with Essentials: HMHB’s Safe Sleep and Safe Car Seat Initiatives

By Caregiving, Community, Community Support, Parenting, Safety

Ensuring the safety and well-being of our little ones is paramount. However, for some families, accessing essential items like safe sleep spaces and car seats can be a challenge. That’s where Health Mothers Healthy Babies (HMHB) steps in with the Essentials program, providing pack-and-plays and car seats to families in need across Montana through our Safe Sleep for Baby and Safe Seat for Baby programs.

Foundation of Essentials

Image of a happy family with a baby in a car seat, showcasing the importance of safe travel for infants.From its inception, Essentials has been an integral part of HMHB’s mission to support mothers and babies aged zero to three. Recognizing the critical importance of safe sleep and secure travel for infants and toddlers, the program was designed to bridge the gap for families facing financial or logistical barriers.

Impact

A glance at the numbers reveals the program’s growth and impact. In 2024, less than half-way through the year, we are already on pace to surpass our crib and car seat distribution from 2023 and have a broad reach across Montana counties and Reservations. Since its inception, the program has distributed thousands of pack-and-plays and car seats to Montana families.

Year Counties Served Reservations Served Car Seats

 

Cribs
2024 (through May 1) 22 4 141 120
2023 28 6 244 209
Success Stories

The heart of Essentials lies in the stories of families it has helped. Through testimonials like April’s, who found solace in a pack-n-play for her newborn in a small trailer, or Martha’s, a homeless mother provided with a pack-and-play, this program makes tangible differences in people’s lives. From fleeing domestic violence to unexpected births, the Essentials offerings can be accessed during critical moments, offering safety and support.

Building Trust Through Partnerships

Image of a happy baby, safely in a pack n play.To ensure car seats and pack and plays are safely set up, providers (such as doctors, nurses, Health Departments, home visitors, etc.) must order Essentials items for the families they serve.  Thus, Essentials not only provides tangible products to families, but also fosters trust and relationships with direct service providers. By equipping partners with resources, HMHB empowers them to support parents comprehensively, from access to guidance on safe sleep practices, laying the foundation for future engagements.

Continuing the Mission

As HMHB continues to expand its reach and impact through Essentials, the commitment to ensuring every Montana family has access to safe sleep spaces and car seats remains unwavering. Through collaboration with partner organizations and the dedication of its team, Essentials continues to be a beacon of hope for families in need.  If you would like to help further the reach of this important program, please consider making a donation.

Donate Now to Provide Essentials to Montana Babies
A parent and child sit amidst packed boxes, representing the struggles of eviction.

Facing Eviction: The Critical Impact on Children Under 5 in Montana and Across the Nation

By advocacy, Caregiving, Community, Eviction, Housing, Parenting, Perinatal Substance Use Disorders
Today on the HMHB blog, we’re sharing crucial new insights about eviction in Montana, graciously communicated by our colleagues at the Montana Legal Services Association. Michelle Potts, Director of Strategic Focus and Development, has provided us with invaluable information regarding the impact of eviction. Read more about this pressing issue and its implications.

 

From Michelle Potts, Director of Strategic Focus and Development at Montana Legal Services Association:

Howdy! I know you all work so very hard to make our communities a better place, and thought you might find local Montana data to be of help in your work. We recently published two new Montana reports: Beyond Housing Affordability assesses the data of 65 client households who faced eviction in both rural and urban areas of Montana, while A Sample of Personal Narratives allows the clients to tell about the impact in their lived experience.

Unfortunately, our Montana study confirms a new study from the Eviction Lab, which shows that children under age 5 make up the largest group facing eviction nationwide. Hopefully this data will help you make the case for the support you need for your work.

Key takeaways from our Montana report include:

  • 48% of households facing eviction had at least one child
  • Over half of the respondents spent more than 10% of their annual income on the cost of the eviction itself – a huge burden for families already struggling to meet basic expenses.
  • 100% experienced increased expenses before the eviction, including medical emergencies, added childcare expenses, domestic violence/divorce, or added elderly dependents.
  • Respondents reported additional up-stream social breakdowns: 17% had a death in the family; 18% had violence or abuse in the household; 12% had alcohol abuse in the household; 14% had a divorce or separation; and 69% had a mental illness in the household. For households with children, these events are considered Adverse Childhood Experiences, which are linked to chronic health problems and mental illness in adolescence and adulthood. At least 5 of the top 10 leading causes of death are associated with ACEs.
  • 31% of respondents were in unstable and at-risk housing after the eviction process, including 26% of households with children. 18% were homeless as a result of the eviction.

The report includes interviews and direct quotes from Montanans facing eviction, including:

  • When asked what factors led to the eviction, one respondent replied that the “landlord doubled the rent with 10 days’ notice from $1,200 to $2,400.”
  • Survey respondents described the impact of facing an eviction on their families: “One of my children dropped out of school afterwards and did not finish high school” and “I attempted suicide 6 months after I moved.”
  • “It took all the funds I had for the storage units I had to rent and the U-Haul, plus I lost my food stamps because I had no rent but had to pay cash if I stayed anywhere.”
  • “The only reason we had a child was because we thought our rental situation was going to be long-term, and now, the only “home” my child has known is a hotel room.”
Thank you to the team Montana Legal Services Association for allowing us to share this information.  To reiterate what Michelle eloquently stated, “Hopefully this data will help you make the case for the support you need for your work.”

Rural Roots: Mothering Under the Big Sky, by Kelly Rumney

By Birth, Caregiving, Community, Maternal Mental Health, Parenting, pregnancy, Self-compassion

This is a featured article from our 3rd edition of the LIFTS Magazine.  

Rural Roots: Mothering Under the Big Sky, by Kelly Rumney

As Montana residents, we all have some sense of what rural life looks like. In fact, living in wide open spaces can be peaceful and rewarding; it’s one reason many of us choose Montana as home in the first place. But, as a mother of a newborn, it can also be isolating and intimidating.

I live on a beautiful ranch 10 miles outside of Cascade, a small town of around 600 people. As soon as my husband steps out the front door, he’s already at work, tackling jobs that require him to report for duty seven days a week, during most of the year. Living the dream! Except…I am 45 minutes from the nearest medical help or activities for my children. As a new mother, this definitely caused anxiety. Raising my children here is sometimes comforting and sometimes lonely. Often, it’s both. When they were little, I learned to get out and interact with other mothers because, through conversation, we shared similar worries, struggles and wins. Talking with them helped ease my anxiety and depression so much. But, getting up and out of the house and on the (long) road is easier said than done.

When I gave birth to my daughter, I was 22. I had never changed a diaper or interacted with babies other than our calves. Needless to say, I was unsure about motherhood. So, after she was born, the friendly nurses made sure the car seat was good to go and I was released into the wild – sore, exhausted, and terrified. I arrived home, a panicked mess, and tried to act like I knew what I was doing. Fake it ‘til you make it, right? I felt so unprepared. Luckily, my mom stayed for a few days to help, and my mother-in-law lived next door. They both offered advice, but it was mostly conflicting and definitely wasn’t what I’d read in the baby book. Visitors came, and they too would offer heaps of advice.

Meanwhile, no one warned me that I would continue to look and feel like a whale, or that nursing would be so darn hard, or that I would be so sore. Did I mention the baby was 8lbs, 10oz after 17 hours of labor? The cows out in the field make it look a lot easier! Eventually, things quieted down but, as soon as it did, I longed for people to come back and advise me. I was alone all day, every day with only my own panic for company. Is she pooping too much or too little? Eating enough? Crying enough? Too much? What if she stops breathing? Why won’t the baby stop crying; is she fevered? I swear I took her temperature 12 times a day.

Oh, the mom brain! I imagined horrendous things happening to my infant. I once spewed out all the thoughts in my brain to my husband, who seemed so calm in his transition to parenthood, changing diapers like a pro and unfazed by screaming or fussing. He asked how a person could stay sane with the thoughts I was having. Well, I wasn’t! I was struggling with postpartum depression but didn’t realize it until the birth of my son, two years later.

Everything felt so overwhelming. John would go to work, and I would worry about all the possible accidents he might get into. It seemed like I was faking it, but not making it. Even doctor appointments and grocery shopping felt daunting. Since we lived so far from town, we would try to fit in as many errands as we could into one trip. This meant long days spent trying to function in public. Nursing in the car’s not easy, and I constantly worried that people would hear my baby crying and judge me.

Finally, someone told me “Dumber people than you have raised perfectly healthy and happy children.” And, for whatever reason, hearing that made me feel better. In fact, 16 years later, I still remind myself of this. I came to understand that we all have strengths and weaknesses and despite, or maybe because of them, our kids will be okay, as long as we care enough to try. Let me repeat: TRY, not master!

I started to relax and let the baby cry for a few minutes in the crib while I showered. I napped when the baby slept. I went for walks, taking time to just breathe the mountain air and visited my 15-miles-away-neighbor who had a baby the same age and found that we shared a lot of the same worries and self-doubts. I saved my favorite show to watch during night feedings, so it felt like a special treat. And, instead of putting pressure on myself to keep the whole house clean, I just chose one spot (the kitchen sink) and focused on keeping that clean. The rest of the house might be a disaster but, if that sink was shiny and tidy, I felt like I was succeeding in life. These were small things, but they made a big difference.

Then, along came child number two and it seemed like everything I had learned up until then no longer applied. Depression hit hard. This baby did not sleep and, honestly, I can’t share much about how I got through this time because I don’t even really remember. We faced jaundice, ear infections and thrush (which made nursing excruciatingly painful). Labor was more complicated, so recovery was harder and took longer. I had intrusive thoughts that scared me and kept me up at night, but I also had thoughts that seemed so apathetic and disconnected they didn’t even feel like my own. I’d say to myself, “What kind of mother thinks this way?”.

I felt like I was in an exhausted stupor most of the time; just running on fumes in auto-pilot mode. I’d forget things and miss things and was afraid of what that could mean. I no longer felt like a healthy mom, so I finally asked my doctor to help me with the curtain of apathy and exhaustion that had landed between me and my world. The cowboy mentality of “spit on it and rub a little dirt in it” was not going to suffice here. I was isolated, sad, and tired, but none of that was my fault.

My husband was incredibly supportive and involved with the baby, which was great but, in some ways, made me feel worse. Why was this so easy for him? Eventually, I realized I was not a bad mom. Like so many other moms, I was trying to live up to an unrealistic ideal that just doesn’t exist. By taking the time to care for myself and allowing myself some grace, I was doing a much better job of taking care of my baby. I was learning to ask for help and that accepting help didn’t mean I was failing as mom; it actually meant I was rocking it!

As I look back, I realize that every parenting journey comes with unique challenges, and you have to just parent in a way that works for you and your family. Take the advice that helps and leave the stuff that doesn’t. Just because you don’t have a chore chart doesn’t mean your kiddos won’t grow into responsible adults. No two children are exactly the same, so no two parenting styles should be the same either. What worked for my first born had to go out the window for my second born. In balancing a teaching career along with parenting over the past 10 years, I have spent a lot of time with other people’s children and, from what I can tell, the kids that seem to be growing into fully functioning citizens are the ones whose parents consistently try their best, but also allow for chaos, mistakes, and messes. They surround themselves with support so they can be reminded that one bad day does not mean the end of it all. So, give yourself some grace, find support, and just TRY!

Resources and Support:

To learn about statewide programs and resources designed to help support rural families in Montana visit: https://www.frontier.care/beyondtheweather.html

Or, visit https://hmhb-lifts.org/ for local resources using the search terms “counselors” or “support groups”.

 

The Importance of Community in the Years of Early Childhood

By Community, Parenting

This story features HMHB staffer Lauren Johnson’s experience with a LIFTS resource guide partner in her community.

My daughter recently turned six. This year, she started kindergarten, riding the bus, doing math, and reading. She has an established group of friends, and I know many of their parents. We can call each other when we need help with rides to activities or want to schedule playdates so other parents can go grocery shopping or clean the house.

But that wasn’t always the case.

My daughter turned two in early March of 2020, just as COVID quarantine was beginning. She was on the cusp of starting playdates, and we were about to lean more into relationships with other parents, but the pandemic put a pause on that. She was in childcare, and it became so complicated. My husband and I couldn’t go inside her facility, and we rarely connected with other parents and teachers. We turned more and more inward, didn’t ask for help, and didn’t seek connection with other families and resources. We felt lost.

We needed community.

When The Village Playspace opened in our community in 2021, some of the vacuum for connection was filled for us. It offered a safe and healthy place where parents could gather, children could play, and relationships could flourish. I crossed paths again with some of the moms from our “mom and me” yoga classes from infancy and had a chance to reconnect. Suddenly, we weren’t alone in our struggles and joys of parenthood. We found solace in sharing stories, tips, and commiserating over the challenges. It helped us begin confidently building relationships with other families.

Our community grew.

We gradually began seeing more families that we knew from our childcare center and started scheduling playdates. We found a sense of belonging, support, and camaraderie that we had been missing. We got other parents’ phone numbers, started having birthday parties together, and our connections grew.

The zero to five years are a blend of special moments, challenges, and rapid growth, and the importance of community during these formative years cannot be overstated. It’s not just about having someone to call for a favor or a playdate; it’s about knowing that you’re not alone. It’s about finding comfort in the shared experiences of others and knowing that there are people who understand what you’re going through.

A child swinging on a swing set, their hair flying in the air, while others watch and cheer at The Village Playspace.

Find your Village.

As my daughter has now turned six, we find ourselves gradually outgrowing The Village Playspace. While our visits may be less frequent, the connections we forged there remain invaluable. We are growing into other spaces for connection and have built a supportive community that will continue to guide us through the years ahead. For that sense of community and connection, we will always be grateful, and I hope every parent of children in the early childhood years is able to find their village.

Are you curious if your Montana community has a place like The Village? Check out our LIFTS Resource Guide and search “Play Spaces.”