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Native American Initiatives Archives - Healthy Mothers, Healthy Babies: the Montana Coalition

HMHB-MT 2025 Year in Review

By Community, Uncategorized

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.

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.

 

HMHB in April Issue of Health Affairs

By Community Support, Maternal Mental Health, Native American Initiatives, Native Cultural Connections, Parenting

Behind the Scenes: A Strategy to Support Perinatal Mental Health By Collaborating With Tribal Communities in Montana (A note from our Executive Director, Stephanie Morton)

Hello HMHB Supporters,

I am elated to share that staff at HMHB authored an article that will be featured in Health Affairs, April issue on Perinatal Mental Health and Wellbeing.  You can link directly to the article and full April Issue (both are open access).

Led by Dr. Amy Stiffarm, PhD, MPH, Director of Native American Initiatives at HMHB, HMHB staff including myself, Dawn Gunderson, CLC, Program and Communications Coordinator and former Executive Director, Brie MacLaurin, collaborated with Nicole Redvers, Maridee Shogren, Terri Wright and Andrew Williams, to produce the article titled, “A Strategy to Support Perinatal Mental Health by Collaborating With Tribal Communities in Montana.” The article highlights work completed to include family-supporting resources on Reservations in Montana into the LIFTS Online Resource Guide (hmhb-lifts.org). This project was completed in partnership with HMHB and Dr. Stiffarm while she was a graduate student at the University of North Dakota in the Indigenous Health Program. Funding from the Montana Obstetrics and Maternal Support (MOMS) Program made it possible for the HMHB Team to fittingly engage Tribal communities in the process of mapping local resource relevant to pregnant and parenting families to be listed in the LIFTS Resource Guide.

The HMHB team is so appreciative of the funding, partnership and support that has allowed us to engage in this important work. Many of you have been key partners in this work and for that we are deeply grateful. Additionally, we are so thankful for the community members who shared their time and knowledge to improve the system of care for families in Indian Country in Montana. Please join me in congratulating Dr. Stiffarm and the team on this success. We are so proud to work with you all to continue to improve the health and wellbeing of Montana moms, babies and families.

Sincerely,

Stephanie Morton
Executive Director

 

Find Native Cultural Connections and other support in your community on the LIFTS Online Resource Guide at https://hmhb-lifts.org/.

Learn more about Dr. Amy Stiffarm’s work and our Native American Initiatives Program