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HMHB-MT 2025 Year in Review

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As we look back on 2025, we do so with deep gratitude. This year reminded us again and again that meaningful change happens through partnership, listening, storytelling, and shared commitment. Every milestone reached was shaped by the dedication of families, advocates, providers, Tribal partners, policymakers, and organizations across the state who continue to show up for Montana families by supporting mothers and babies from pregnancy through age three.

Advancing Doula Licensure and Access to Care in Montana

In 2025, HMHB worked collaboratively with statewide partners, policymakers, doulas, birthworkers, The Montana Doula Collaborative and others invested in maternal health to pass legislation licensing doula practice in Montana. This important step paves the way for Medicaid reimbursement for doula services and expands access to doula care for families across the state, particularly those in rural and Indigenous communities.

Following the passage of the bill, we spent the remainder of the year working closely with the Montana Department of Labor and Industry to support thoughtful and intentional rulemaking for the doula workforce. We are deeply grateful to the many doulas and partners who contributed their expertise, time, and lived experience throughout this process.

Creating Doula Training

In collaboration with Montana doulas and birthworkers, we developed a training program for individuals seeking doula licensure. This learning management system supports training, education, and workforce development efforts across a variety of subject matter. The training is available at no cost to Montanans and will launch for public access in January 2026.

Supporting Indigenous Birthwork and Native American Initiatives

This year, we took early steps to grow the Native American Initiatives team into its own fiscally sponsored project within HMHB, focusing on Indigenous birthwork. While we look forward to sharing more about this work in the coming year, we are deeply proud of the collective efforts and momentum to support Indigenous birthwork in Montana, led by Dr. Amy Stiffarm and the Native American Initiatives team.

Throughout the year, the Native American Initiatives team continued building community within the Indigenous Birthworkers Network, supported family care spaces at powwows, and worked alongside partners to share newly created Indigenous Birth Preference Guides that support culturally grounded care.

In December, Dr. Amy Stiffarm and HMHB Executive Director, Stephanie Morton,  presented on allyship and organization building at the national BUILD Conference in Los Angeles, California. We are grateful for the opportunity to share Montana based work and allyship on a national stage.

Mother and young daughter embraceCovering the Essentials

By November 30, 2025, our Essentials Program had reached 560 families across 29 counties and seven Tribal Nations, distributing 458 car seats and 315 safe sleep kits. These tangible supports not only protect babies, they help strengthen trust and connect families to the local systems of care that help them thrive.

Expanding the LIFTS Umbrella

In 2025, we rebranded the MotherLove Podcast into the LIFTS Podcast. By leveraging the trusted LIFTS brand, we aim to reach more listeners and continue amplifying the voices of Montana families and advocates.

This year marked the release of the fifth annual LIFTS Magazine, centering stories of lived experience from families across Montana. We remain humbled by the willingness of families to share their stories and by the power of showing when help helps. More than 14,000 copies of the magazine were distributed statewide.

We also worked to enhance the LIFTS Online Resource Guide to improve usability and ensure it functions well for all users. This work was guided by feedback from families and providers who rely on LIFTS every day.

Continuing Work to Destigmatize of Perinatal Substance Use Disorders

We continued strengthening the Look Closer campaign, a public health effort focused on decreasing negative bias surrounding perinatal substance use disorders and increasing kindness and compassion to support recovery. In 2025, we refreshed the campaign so that all artwork and models reflect real Montana moms and babies, alongside authentic Montana landscapes. It is our hope that this updated imagery allows the campaign to feel more personal, relatable, and rooted in the communities it is meant to serve. 

photo of a woman holding her baby in front of a barn

Connecting the Perinatal Mental Health Workforce

In June, HMHB hosted the 8th Annual Perinatal Mental Health Conference, welcoming approximately 332 professionals from across Montana, the Northwest, and parts of Canada. This gathering was one of our largest in person convenings to date and reflected the growing commitment to perinatal mental health across the region. We are looking forward to hosting the 9th Annual Perinatal Mental Health Conference next year in Billings on June 23 and 24, 2026.

In partnership with Montana PSI, we paved the way to launch the Montana Perinatal Mental Health Collaborative, creating a space for coordination, collaboration, and shared learning among providers and advocates.

We also continued working with partners across the state to explore the expansion of Infant and Early Childhood Mental Health efforts in Montana and the Montana Association of Infant Mental Health. This included hosting an IECMH Roadshow that invited stakeholders to help shape how these initiatives can best support families and behavioral health professionals statewide.

Strengthening the Montana Workforce

HMHB hosted an in person convening of the Montana Home Visiting Coalition in September and co-convened several trainings throughout the year. Together with partners, we focused on strengthening the home visiting workforce, sharing resources, supporting home visitor safety, and advancing legislative investments that help this essential work grow.

We are deeply grateful to Sarah Corbally for the work she has done to grow the Home Visiting Coalition and help shape policy in Montana. While her work will take a new direction in January, her impact on moms, babies, and families across the state will be felt long into the future.

We also continued co-convening the Montana Early Childhood Coalition alongside Montana Zero to Five.  These monthly meetings bring together early childhood advocates from across the state to share partnership, advocacy opportunities, funding updates, and training. In September, we were grateful to gather in person for a statewide convening.

Stephanie MortonHonoring Leadership

In 2025, Stephanie Morton was honored with the Mignon Waterman Award from the Montana Healthcare Foundation in recognition of her leadership in expanding access to behavioral health services for pregnant and postpartum women. We are grateful for Stephanie’s steady leadership, care, and vision. She leads her team with such grace and intention and we are all extremely proud of her.

Growing our HMHB Team

We were so happy to welcome Mary Collins as our Policy Coordinator in October. Many of our partners already know Mary well, and her leadership and experience strengthen our ability to engage in advocacy and policy work that centers families.

Looking ahead, we are excited to welcome a new Storytelling and Engagement Coordinator in January. This role reflects our commitment to amplifying lived experience and deeply integrating family stories into our policy and systems work.

We will also be welcoming a new Operations Coordinator to help streamline organizational operations, allowing leadership to focus more deeply on strategic and programmatic direction. We invite you to visit our Meet Our Team page in January to learn more about these new team members.

Moving Forward with Gratitude

This year was marked by growth, uncertainty, and resilience, including navigating a shifting federal funding landscape. Through it all, we were sustained by the strength of our partnerships and the shared belief that families deserve care, dignity, and support.

As we move into the new year, we do so with humility, gratitude, and hope. Thank you to every partner, funder, advocate, provider, and family who walked alongside us in 2025. If you’ve read this far, no doubt you are one of those individuals and please know that we appreciate and value you. We are honored to continue this work together.

When families have what they need, babies are safer and communities are stronger. If you feel called to support this work, we welcome your tax-deductible donation to Healthy Mothers Healthy Babies – The Montana Coalition. $75 helps place a baby safely in a car seat; $135 helps ensure a safe sleep space. If you feel called to donate, visit hmhb-mt.org/donate.

Mother Love is Now the LIFTS Podcast!

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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.

Focus on Foster Care: Improving Montana’s Child Welfare System (Q&A)

By Uncategorized

In a recent interview on the Mother Love podcast, we heard from an incredible woman, Miranda Maxson, who was raised in Montana’s foster care system and has now become an advocate for Montana’s fostered youth.

Miranda was placed in foster care at the age of 8 and she is a survivor, through and through. In her episode, Season 3: Ep. 2, she shares her heart-wrenching but triumphant story. Now that Miranda is a mother and works incredibly hard to provide the safety and stability she never had, she explains that she’s had to face most of her parenting challenges by thinking of what happened to her as a kid and then doing the opposite. We talk about what it’s taken for her to build a life of peace and security for her and her family, about the importance of learning to accept help, and about the pieces of parenting that are often left out of the conversation due to stigma and shame but MUST be discussed. Today, Miranda is a fierce advocate for youth in Montana’s care system and works hard every day to ensure that they get to participate in decisions regarding their care. Miranda is giving kids the chance to speak because she knows the pain of being kept silent. It’s very much worth a listen.

Then, Miranda introduced us to another remarkable high school student, Alyssa Vancampen (pictured above), who has chosen to research the intersection and overlap of those who have been in the child welfare system while growing up. The rates are high and, although Alyssa knew from her own personal experience why that might be, she wanted to dive in deeper and have numbers and stories to prove how the injustices and traumas endured by this population impact their ability to do well in the world once they’ve aged out of care.

Since our mission at Healthy Mothers, Healthy Babies – The MT Coalition is to improve the health, safety, and well-being of Montana families by supporting mothers and babies, age zero to three, we spend a lot of time focusing on prevention and trauma-informed care and we partner with organizations and people who are doing the same. Miranda and Alyssa are two of those people.

Alyssa took the time to share more about her senior project in the Q&A below. Clearly, she is passionate about the subject and is transforming her hardships into healing through advocacy. If you are someone who wants to know about the impacts of foster care and group homes on children in Montana and the measures that need to be taken to improve the system, keep reading.

  • Q (HMHB): 

What inspired you to focus on the connection and overlap of youth who’ve grown up in foster care and those who are incarcerated?

  • A (Alyssa): 

My experience as a youth in the foster care system has exposed me to the injustices of both the child welfare and legal systems as my circumstances unfolded into a series of events that left me traumatized, stigmatized, and feeling defeated. The trials of hopelessness that I encountered with no support as a dual-status youth became my inspiration to focus on the connection and overlap of youth in foster care and incarcerated. I was blessed with insight that now allows me to perceive the world from an unsheltered and authentic view. I have relentlessly advocated for my voice to be heard as the systems tried to silence me. Without fail, my strong-willed mindset was misguided as defiance labeling me as disrespectful and impulsive while I sought out freedom. Now that I am in a position of stability, sharing my experience and expressing my passion for advocacy could help those who are struggling alone. 

  • Q: 

Have you had personal experience with the criminal justice system in MT? If so, what was that like for you and how do you understand the reasons why you may have been involved with circumstances that led to those experiences?

  • A:

I tried to manage working and attending school but my priorities were different considering my circumstances. I dropped out of high school with the intent to get my hi-set through an alternative program, but I was not able to commit to that with everything going on. I picked up extra shifts at work but my tips would go straight into my gas tank just to ensure I would make it to Clinton and then back the next night. During this time, I was also struggling with addiction which heavily affected my sense of responsibility When I got off work, I would drink until I blacked out and then wake up hungover with only enough time to go to work. Eventually, I was partying so much that I would make up any excuse to call out. My boss and I mutually agreed that I could not work at the restaurant anymore. Once things got too complicated with my living situation at my friend’s place, I went back to couch hopping and living out of my car. I’d have rather suffered alone than ask for support and I was not capable of relying on someone enough to allow it. I felt hopeless and desperate to have control over my life, even if it meant ruining it. 

In this time of despair, on May 25, 2022, I was arrested for a violent offense and remained incarcerated for 8 months. I was in Missoula County JDC for almost 3 months awaiting my sentencing or release. They transferred me to Five County Detention Center in St. Anthony ID, on July 29th. I was given a plea deal and had to complete the rehabilitative program enforced at 5C to be released before I turned 18. I completed the program in roughly 5 months but my time in corrections was extended because I had nowhere to go upon release. I prayed that God had my best interest at heart and trusted that I would be released when he felt I should be. For weeks, Five County continued to get email responses about how I still had nowhere to go. Discouraged, I would fall to my knees in prayer, and in my vulnerability, He was there. I was released on January 19, 2023.

My experience in the criminal justice system was intense. For years I had run away from the traumas in my past that left me layered in defensive mechanisms and anger so raw it consumed me. Instead of addressing my issues, I tried to escape and ended up locked in a cell with them. The first two weeks were the hardest. Scenarios of endless time and nothingness would have me waking up in a state of pure panic. I had felt trapped all of my life so it wasn’t the confinement that tormented me, it was being a victim to my mind. The fear I felt was paralyzing but I still attempted to avoid and distract. Withdrawing from the substances that promised me just that, I had no choice but to read. I fell in love with reading as I let the stories absorb me into their pages. Anything opposed to thinking. 

That was until I got to Five County Detention. The freedom I was going to achieve from this experience was not materialistic, but peace. I engaged in therapy and felt validated as I reflected on the cause and effect of what I endured. I participated in Recovery classes including Drug and Alcohol (D&A) and Women’s 12 Steps Through Recovery. I graduated with Moral Reconation Therapy (MRT) which educated me on how to hold myself accountable by recognizing if I am being ethical or not. I took anger management classes and Dialectical Behavioral Therapy (DBT) as well. As I attended these classes, I was able to appreciate the support I received while walking through the healing process. There were times that I felt misunderstood and hopeless, but I tried to count my blessings instead of my days. I was blessed to have 3 meals a day, a consistent shower, and books. I bittersweet reality was that I was the most supported while I was incarcerated. I do believe that my incarceration could have been avoided if my life did not have the “not your fault, but your problem” dynamic. For that, I hold the foster care system accountable because of the lack of support and sympathy I received as I was facing all odds of inevitable failure while still trying to succeed. As a child, the most important things are psychological needs (food, water, and shelter), safety, and a sense of belonging. Without a solid foundation that offers that, it became very difficult for me to not be angry at my circumstances. 

Now I no longer live with resentment and emotional turmoil as I learn to thrive in peace instead of accepting chaos. Although the way I perceive the world is still influenced by my past, I remain undefined. After release, I had a rough integration into the community as my living arrangement offered no stability. However, I was offered the opportunity to move to Bozeman, MT with someone I considered a mentor of mine. She was someone who had seen my potential and advocated relentlessly for my future. I was immensely grateful for the chance of a fresh start. At heart I knew the only way I could do that was if I left everything behind. Unhealthy relationships, unhealthy habits, and my hometown. Those who supported and encouraged me to accept this change in my life were the people whom I maintained relationships with. Communication and frequent visits help with the distance, but it does become difficult at times for me to manage. When I made the move, I started my senior year at Gallatin High School and intend to participate in the HI-SET program during my second semester. This ensures that I will graduate if I meet proficiency in all subjects without needing more than twelve required credits. I will still attend graduation and walk with my class, receiving my high school diploma. I am managing the Gallatin High School basketball team and spend most of my time prioritizing education as I plan to continue through college. I am now connected with a healthy support system of friends and family, disregarding my labels and achieving a future worth fighting for. 

 

  • Q: 

Do you have friends who’ve also grown up in foster care and group homes? What is that connection like?

  • A:

Through my journey in the system, I have encountered foster homes, group homes, treatment centers, and detention facilities. Transitioning into unfamiliar environments is difficult given the circumstances, but feeling alone is worse. I developed relationships during these times with people who were experiencing similar vulnerabilities; hoping to find strength where we felt weak. These connections were so raw and deep-rooted because of the intense setting they were usually created in. Exposure to trauma as an individual has damaging effects on emotional and social development, often making it difficult to cope. Being surrounded by other young women who were determined to heal and find strength in their hardships, was so empowering for me. We only grew closer as we bonded over our passions, and our faith in God, walking through sobriety, breaking down our barriers and ending the generational cycles that kept us captive. The difference about these relationships compared to others I’ve had, is they were never temporary or conditional. I’ve hit rock bottom while they risked their life to pull me out knowing I’d do the same for them. We fought together for the same thing; freedom. Freedom from our past, our trauma, our addiction and our mentality. We are living proof that the people you consider family do not have to be dictated by blood. I am still in contact with people I’ve met in over 25 placements as well as others I met along the way, and I am blessed to have had the opportunity to make so many lifelong friends. 

  • Q: 

What have you found to be most surprising and profound as you’ve conducted research for this project? What makes you feel hopeful? What information/stories have been the most important?

  • A: 

As I conducted research for this project, I encountered someone who I consider to be a remarkable person. He didn’t have a chance in the world; a world that labeled him broken and expected him to fail because of the circumstances he was born into. 

Steve Pemberton is a credited author, motivational speaker, philanthropist, and corporate executive who became successful despite overwhelming odds against him. He is remarkable because of his undeniable passion for advocacy against the disparities of the child welfare system and restorative perspectives that illuminate his resilience as he shares his experience with the world. 

Despite the discouragement of social stigma, Pemberton became an inspiration all across the country, and a voice for marginalized children dispirited by the harsh realities around them. As someone from a similar background to Pemberton, I admire the commitment, self-discipline, and advocacy that he demonstrated to achieve his successes. In his humble approach, he has been able to reach so many despondent hearts by finding strength in his vulnerability. 

 

Inspired by my dedication to this project, my foster mom reached out to Pemberton via email with no expectations as she shared our story with him. She expressed gratitude for his influence and credited him deeply for his admirable accomplishments. He responded with a heartfelt appreciation for her social media message and wanted to put together a virtual meeting. After emailing schedules back and forth, we were able to set a time. This interaction was so insightful and offered a change in my perspective. It was refreshing to understand the vision he had and how he made it happen due to his own perseverance. Something that surprised me was how I felt when I spoke to him. I expected the conversation to be difficult given that I was nervous about conversing with someone who had spoken in front of millions of people and wrote worldwide best-sellers; however, that was not the case. When Pemberton recognized my uncomfortable demeanor, he reminded me that he was only a person, the same as I was. Even more comforting was that he came from dysfunction too, and we shared an understanding that put me at ease for the rest of our visit. I am blessed to have him as a part of my village while he helps me further navigate the changes in my life.

 

Seeing someone come from tragedy and prioritize their triumph despite all of the odds against them; gives me hope. The world can label children who endured trauma, but they do not have the control to dictate their success.

 

  • Q: 

How did you become a part of the pilot project for youth engagement in permanency, cultural, and relational decisions? How do you think this program differs from efforts to improve the system in the past?

  • A: 

The legal team that I was assigned to as a ward of the state, forced me into a vulnerable position every time we encountered each other. This would usually be in meetings at DCFS where I was made into a puppet while they pulled my strings, listening to them speak about me like I was not in the room.  Except when I cut the rope, I was depicted as defiant and dangerous. I refused to allow someone else to use me as a pawn in a sick game of misused control and realized that if I did not speak up, they would win. That is what inspired my passion for advocacy, and influenced me to be a voice for those who are silenced. 

The Chafee program wanted me to join an advocacy panel made of foster youth and youth formerly in care. At this time, I was not stable enough to take on that kind of commitment, so I only reached back out to the organization and found out they were inactive recently. They introduced me to OIC-EY(Quality Improvement Center on Engaging Youth in Finding Permanency) because they figured that I could be of help to this newly forming establishment. I got connected with Child and Youth Engagement Coordinator, Mira Max, and was accepted onto this team of advocates after a few conversations with her. Although I have not been involved for very long, I can tell that it is evolving into something that will make a difference for generations to come. This program differs from efforts to improve the system in the past because of the experience we have going into the issue at hand. We have all had exposure to the injustices of the child welfare system and will continue advocating for change. 

Dr. Amy Stiffarm & Claire Larson

Native American Initiative Series on the Mother Love Podcast!

By Birth, Indigineous Maternal Health, Maternal Mental Health, Perinatal Mood & Anxiety Disorders, Uncategorized

November was Native American Heritage Month and, in case you missed our Native American Initiative Series on the Mother Love Podcast, we wanted to let you know all about it so you can check out some of the amazing conversations we captured.

Dr. Amy Stiffarm joined Claire Larson (our usual host) to help lead these conversations as she is an expert on the topic of Indigenous maternal health and had pre-existing relationships and friendships with our guests. She is also HMHB’s Native American Initiatives Program Manager and an incredible leader in her field. Plus, she’s super fun and engaging which makes her a great co-host on the show!

To listen, please visit our Mother Love webpage at: https://hmhb-mt.org/podcast/ or search ‘Mother Love’ on Apple, Audacy, Spotify, or wherever you listen to podcasts. Be sure to follow us so you never miss an episode.

The 5 part series consists of these episodes:  

  • Season 3: Episode 5 – Native American Heritage Month: An intro to our Native American Initiatives Series with Dr. Amy Stiffarm

  • Season 3: Episode 6 – Native American Initiatives Series: The Current State of Indigenous Maternal Health with Dr. Janelle Palacios (Amy guest-hosts!)

  • Season 3: Episode 7 – NAI Series: “Life’s Blessings”: A Culturally Immersive Event for Nurses w/Margaret Anne Adams & Mary Ellen Lafromboise + *Bonus* Episode Intro: Decolonizing Thanksgiving w/Amy & Claire!

  • Season 3: Episode 8 – NAI Series: Cultural Inheritance and Toddler Mayhem w/Indigenous Artist Rachel Twoteeth-Pichardo

  • Season 3: Episode 9 – NAI Series: Sweetgrass in the Psych Unit w/Chelsea Bellon

 

*A note on this final episode in the series with Chelsea Bellon- the list of resources and show notes we compiled is such a hearty one that we had to list it here on our blog instead of below the description of the show. Please do check it out!


Show notes/Resources from “Sweetgrass in the Psych Unit”

Chelsea recommends

Claire recommends:

And, if you’re just now hearing about our Mother Love podcast, here’s a little more info:

On Mother Love, you’ll meet a new guest (or sometimes guests) each week. They are here to speak honestly about what they know now that they wish they’d known before. They want to give voice to their experiences in ways they just couldn’t when they were right smack dab in the middle of them. We talk about the pressures we put on ourselves and how real parent life looks very different from fantasy parenting life. And, most of all, we share these stories because they prove that resilience is real, that joy exists right alongside anguish and that if our guests can move through the hardest parts of all, you can too.

If you have any questions about our Storytelling Program or would like to share your own story, please contact Claire Larson via email: claire@hmhb-mt.org.

Our community, my peers (older and younger) do not feel safe sharing it.

April Charlo

Having a baby in 2020 helped me find yoga again in small ways.

Anna Bradley

Reading Recommendations from PMHC 2021

By Uncategorized

Attendees at the virtual Perinatal Mental Health Conference 2021 were energized by the topics shared and took to the chatbox, sharing articles, books, and more. The Healthy Mothers, Healthy Babies teams took those recommendations and created this list for you to save and share for your own personal and professional development. These links are organized alphabetically by type of source.

Books

Journal Articles

The following articles present alternative theories applicable within perinatal psychology that deliberately consider the experience of those receiving care, shared in Anna King’s presentation “Decolonization of the Mental Healthcare System.”

The group of articles below was shared after Dr. Linda Mayes and Dr. Helena Rutherford’s presentation about the “Neurodevelopment of Parenthood.”

This selection of articles provides information about the use of nutraceuticals in pregnancy.

Our PMHC 2021 attendees shared even more than what you see in this list, so stay tuned for more blog posts of recommended resources!

LIFTS Launch Party

By Uncategorized

It was an incredibly creative and busy summer at Healthy Mothers, Healthy Babies. Thanks to partners around the state, we took the LIFTS project to the next level with an annual publication and online resource guide. And we were lucky enough to share this work with those collaborators during our “LIFTS Launch Party”! Contributors to the magazine read their pieces, as we hope to lift up the stories of mothers and caregivers around Montana. We shared the “Look Closer Campaign,” working to break the stigma of helping mothers in recovery. And then we shared a demo of the LIFTS Online Guide in action, showing how the website can be used by parents around the state.

If you weren’t able to join us, or want to share the good news with others, watch the recording of our meeting below:

Our Stories Are Our Healing

By Uncategorized

April Charlo grew up on the Flathead Reservation in western Montana, a postcard-perfect landscape of glacial mountains and expansive valleys. When she got pregnant at 38, she thought she’d have a birth rife with traditional elements—nature, a teepee, and songs. Like so many things in life though, birth can’t be planned, and April’s early years of motherhood did not go as she expected either. 

“The second I got pregnant with Chief I was super anxious because I have a friend that lost a baby at 5 months and I didn’t know what I would do mental health-wise if I was to miscarry and have to tell everyone. These stigmas were really ingrained in me early on, that the world doesn’t need to know how I feel around a miscarriage and mental health. I didn’t want to tell anyone [I was pregnant] till I got past the 5-month mark because I didn’t want people to have to feel sorry for me if something went wrong,“ says April. 

When her son Chief was born, she didn’t have the experience she thought she would have. Since she was a teenager, April dreamed of having a baby of her own and was convinced she would be the best parent she could be. It turned out it wasn’t that simple.

“All my friends disappeared. I couldn’t go anywhere. I would put him in his car seat and he would scream. It was just such, such an anxious time. I would go into fight or flight, definitely a dysregulated, hyperarousal state where I would just shut down if I had to go to a store or anything. It was really intense,” says April.

She didn’t realize she was experiencing postpartum depression—a condition affecting up to 20 percent of women in the first weeks after giving birth that is classified as a serious mental health issue. 

“Postpartum depression was completely hidden in my community. At thirteen I went from playing with dolls to not being able to wait to have my own baby. In the [25] years between then and when I had Chief, I thought there was no way that was going to happen to me. I wanted this baby more than anything. More than anyone else who ever wanted their baby,” said April, choked with tears. 

Postpartum depression manifests uniquely in every woman, but common symptoms include depressed mood or mood swings, excessive crying, difficulty bonding with your baby, withdrawing from family and friends, change in appetite, changes in sleep, overwhelming fatigue, reduced interest and pleasure in activities you used to enjoy, intense irritability or anger, hopelessness, feelings of shame or guilt, diminished ability to think clearly, and thoughts of harming yourself or your baby. 

For most women in America, and Native American communities in particular , postpartum depression comes along with a whole lot of stigma. 

“It’s very hidden because it’s very embarrassing. In any culture, how this affects anyone of any color or status—it’s the same. It’s the same fear of being judged or ostracized. It’s the same fear of sharing the intrusive thoughts with anyone beyond yourself. What will that mean? Are they going to take my kids if I share these intrusive thoughts? Postpartum depression doesn’t discriminate,” says April. 

Unlike the “baby blues,” which typically clear up on their own after a few days, postpartum depression can last for anywhere from a few months to several years.

 “I didn’t even know that it was postpartum depression,” says April through tears. “I thought I had some unique condition. It never occurred to me that it was postpartum depression. My brain chemistry had me so locked in tunnel vision of just getting through the day. Maybe tomorrow I’ll kill myself. If I can’t make it through tomorrow, I’ll kill myself and my son. It still shakes me to my core.”

April attributes much of her community’s silent struggle with postpartum depression to the lack of traditional knowledge being handed down—a paradigm that has been pervasive since the colonization of the Americas when boarding schools forced Native children out of their homelands and disrupted their chain of cultural heritage. 

Despite past struggles, the dialogue around Native American prenatal and postpartum care is gaining traction. With more gatherings and conversations happening in public forums than ever before, Native women are finally finding their voices on the issue. 

“Once I told my story it was like story after story after story of ‘I had that.’ It tells me that our community, my peers (older and younger) do not feel safe sharing it. The dialogue has slowly started on social media which is great to see,” says April. 

Postpartum depression is common and while sharing your story can be hard, reaching out for help is important. Unintentional overdose and suicide are the top causes of death in mothers in the first year postpartum and are completely preventable with the proper help. 

Healthy Mothers, Healthy Babies seeks to support all moms of any ethnicity in their journey to finding their way through postpartum mood disorders.

To learn more about April’s story of postpartum depression and ways that you can seek help if you find yourself experiencing symptoms, watch the video above.