SHD reunion sept 05 - Shodair Children's Hospital
SHD reunion sept 05 - Shodair Children's Hospital
SHD reunion sept 05 - Shodair Children's Hospital
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
OCTOBER 20<strong>05</strong><br />
Building<br />
on<br />
Success<br />
Changes take<br />
place inside<br />
and outside<br />
at <strong>Shodair</strong>
<strong>Shodair</strong> Children’s <strong>Hospital</strong><br />
Welcome<br />
From the Administrator<br />
This month, <strong>Shodair</strong> Children’s <strong>Hospital</strong> lost a<br />
long-time friend and supporter when James H. Foley<br />
passed away. Jim was a dedicated member of the<br />
board of trustees and a tireless supporter of the work<br />
we do here at <strong>Shodair</strong>.<br />
A member of the board for 19 years—18 of them<br />
as chairman—Jim was a shining example of the<br />
impact a board member can make in leading an<br />
organization and meeting new challenges with<br />
compassion and integrity. His commitment to the<br />
welfare of others, warmth, and good humor will be<br />
missed.<br />
Jim’s efforts are apparent in many aspects of the<br />
hospital’s operations today. The current facility on<br />
Colonial Drive was built (in 1998) while he was<br />
chairman of the board. During his chairmanship,<br />
<strong>Shodair</strong>’s inpatient psychiatric program grew from a<br />
six bed acute care facility to one that presently has<br />
12 acute care beds and another 56 for residential<br />
treatment—numbers that will grow to 20 and 68,<br />
respectively, when our expansion is complete next<br />
year. The patient numbers behind that physical<br />
growth are equally impressive: In its first year of<br />
operation, <strong>Shodair</strong>’s psychiatric program provided<br />
581 days of care to young Montana patients. This<br />
past year, the program provided a total of 19,851<br />
days of critically needed psychiatric care for<br />
children and adolescents from around the state.<br />
Jack Casey<br />
<strong>Shodair</strong> Children’s <strong>Hospital</strong><br />
Administrator<br />
appreciation appear on the facing page. In<br />
addition, the new 20-bed acute care unit<br />
currently under construction will be dedicated<br />
in memory of Jim. Throughout my 19 years as<br />
administrator of <strong>Shodair</strong> <strong>Hospital</strong>, I relied on Jim a<br />
great deal. Whenever I have had to call on him<br />
for some special reason or project, he never—not<br />
once—ever refused to help. His leadership as<br />
chairman made the difficult job of administration<br />
a lot easier, and his advice and counsel were<br />
valued by both board members and staff. <strong>Shodair</strong><br />
would not be where it is today without Jim Foley.<br />
He will be missed as a board member and, most<br />
of all, as a friend. <br />
John P. Casey<br />
Administrator<br />
Those who had the pleasure of working with him<br />
have long respected Jim’s commitment and service.<br />
Last year, at its annual meeting the board of trustees<br />
recognized his efforts by conferring the title of<br />
“chairman emeritus” upon him. Their words of
James H. Foley<br />
1920–20<strong>05</strong><br />
On September 9, 20<strong>05</strong> <strong>Shodair</strong> Children’s<br />
<strong>Hospital</strong> lost a dear friend and board member<br />
with the passing of Jim Foley. Jim served on the<br />
Montana Children’s Home and <strong>Hospital</strong> Board<br />
of Trustees for the last 19 years and was<br />
chairman for 18 of those years. He stepped<br />
down as chairman last year, but continued<br />
to serve on the board.<br />
Last September, at <strong>Shodair</strong>’s annual meeting,<br />
the board of trustees conferred upon Jim the<br />
title of “Chairman Emeritus” by passing<br />
the following resolution:<br />
RESOLUTION of<br />
APPRECIATION<br />
Whereas our good friend, loyal and dedicated fellow trustee for the last eighteen years, James H. Foley,<br />
has faithfully served as President of Montana Children’s Home and <strong>Hospital</strong> after giving loyal and<br />
devoted service in that all important office,<br />
and<br />
Whereas his unbound enthusiasm and sense of humor, his kindness and his consideration of the thoughts<br />
and opinions of all who have labored with him in this “Montana’s Greatest Charity” has given us pleasant<br />
and profitable success in our endeavors,<br />
and<br />
Whereas this institution has grown and prospered during those years in a manner pleasing to all<br />
of his co-Trustees,<br />
and<br />
Whereas during those 18 years he gave freely of his time and love and devotion to the children and<br />
families of Montana, his service being unequaled,<br />
and<br />
Whereas the undersigned fellow Trustees take this means of expressing to him our deep and heartfelt<br />
appreciation for his friendship and unselfish leadership,<br />
Therefore be it resolved that this resolution of appreciation be awarded to him and that the same be<br />
attached to the minutes of the Board of Trustees as a permanent record of our high regard and esteem.<br />
With this action, we express the hope of each of us that he remain as Chairman Emeritus of the Board<br />
of Trustees and a part of the <strong>Shodair</strong> family for many years to come. With this action we also wish for<br />
every good thing pertaining to his good health and happiness for the remaining years of his life. His<br />
dedication will serve as a beacon light to guide all that follow in his footsteps.<br />
Gratefully submitted, The Board of Trustees,<br />
SHODAIR HOSPITAL, MONTANA CHILDREN’S HOME AND HOSPITAL DATED SEPTEMBER 15, 20<strong>05</strong>.
REUNION Contents OCTOBER 20<strong>05</strong><br />
Inside Cover<br />
From the Administrator<br />
2 In Memory of Jim Foley<br />
3 Construction Begins on Acute Care Unit<br />
4 Soccer Classic Spotlights Athletes<br />
5 Colorado Golfers Tee Up for <strong>Shodair</strong><br />
6 Genetics: The Gene-Drug Connection<br />
CPS<br />
7 Genetics Outreach Clinics Schedule<br />
8 Staff Learn Collaborative<br />
Problem Solving at <strong>Shodair</strong><br />
10 CPS in the Classroom<br />
12 Thanks to Our Generous Donors<br />
14 Children’s Miracle Network Donors<br />
15 20<strong>05</strong> Telethon a Rousing Success<br />
16 Welcome Dr. Katherine Rappaport<br />
On the COVER:<br />
Jack Casey, <strong>Shodair</strong> Administrator,<br />
and Dave Bossell, <strong>Shodair</strong><br />
Maintenance Superintendent,<br />
review plans and progress on<br />
construction of <strong>Shodair</strong>’s new<br />
acute care unit.<br />
17 From the Foundation Director<br />
Published by: Marketing and Community Relations Department, <strong>Shodair</strong> Children’s <strong>Hospital</strong>, ©20<strong>05</strong><br />
Editor: Renee Hofeldt, Director, Marketing and Community Relations<br />
Contributing Photographers: Helena Photography, Renee Hofeldt, and Roger Parchen<br />
Design & Production: Art & Image Creative Resources Printing by: Thomas Printing<br />
For further information: Marketing and Community Relations Department PHONE: 406/444-7548 FAX: 406/444-10<strong>05</strong> E-MAIL: lreed@shodair.org<br />
2 Reunion
Construction Underway<br />
for New Acute Care Unit<br />
Expansion will boost services<br />
to Montana children<br />
Officials, staff, and members of the community<br />
gathered at <strong>Shodair</strong> Children’s <strong>Hospital</strong> on July 12<br />
for the ceremonial ground-breaking on the hospital’s<br />
new 20,000 square foot addition. The expansion<br />
includes a new 20-bed acute care unit, a therapeutic<br />
swimming pool, additional storage, and office space.<br />
At press time, crews were excavating the new<br />
building’s foundation, and anticipating pouring<br />
footings within a few days. Much of the work to<br />
date has focused on site preparation, utilities, and<br />
the new road east of the facility. Because the existing<br />
access road to the employee parking lot and acute<br />
care entrance will blocked during construction, a<br />
temporary road was constructed for employees<br />
and others to access the<br />
acute care unit, parking lot,<br />
and southeast entrance<br />
in the interim.<br />
The expansion comes in<br />
response to needs indicated<br />
by health care providers<br />
around the state. The need<br />
for mental health care for youth in Montana is<br />
critical. Over 25,000 children and adolescents in the<br />
state have ongoing needs for psychiatric and mental<br />
health care. At the same time, those services are<br />
limited. In recent months, <strong>Shodair</strong> has been forced<br />
to turn away youth in need of the critical services it<br />
provides, because there are no beds available for<br />
additional patients.<br />
The term “acute care” in a psychiatric hospital<br />
setting such as <strong>Shodair</strong>, refers to the treatment offered<br />
to children who are in imminent danger of hurting<br />
themselves or others. They may come to <strong>Shodair</strong><br />
from other hospital emergency rooms or law<br />
enforcement agencies. The expansion will include<br />
20 beds for acute care patients, and will allow the<br />
hospital to serve additional children and families<br />
who might otherwise have few options for<br />
treatment. <strong>Shodair</strong> provides care regardless of<br />
ability to pay, providing more than $3 million<br />
dollars in uncompensated care last year alone.<br />
The new acute care unit will help <strong>Shodair</strong> provide<br />
these and other much-needed services. The<br />
hospital is a key provider of mental health services<br />
in Montana, providing early intervention and<br />
diagnosis, and working with family, guardians, and<br />
other agencies to promote patients’ well-being. It<br />
is the only facility in the state that offers acute care<br />
in tandem with residential treatment. Being able<br />
to offer this continuum of care—where a child can<br />
move from an intensive,<br />
acute treatment program to<br />
a residential one—makes<br />
<strong>Shodair</strong> unique and a<br />
critical asset in the<br />
recovery of at-risk<br />
children and youth.<br />
The expansion is estimated<br />
to cost $2.6 million dollars, and will translate into<br />
additional hiring to meet increased staffing needs.<br />
Nurses, another psychiatrist, a mental health<br />
therapist, teacher and teacher’s aide, recreation<br />
aide, and support staff will be added, along with<br />
personnel for the medical records and admissions<br />
offices. When the expansion is complete, <strong>Shodair</strong><br />
will employ five full-time physicians specializing<br />
in child and adolescent psychiatry.<br />
The project is being designed by Schlenker &<br />
McKittrick Architects (SMA) of Helena. Schlenker<br />
& McKittrick was also responsible for the design<br />
of <strong>Shodair</strong>’s current facilities, located on<br />
Colonial Drive. <br />
October 20<strong>05</strong><br />
3
<strong>Shodair</strong> Soccer Classic Thrills Fans Again;<br />
Spotlights State’s Top Student Athletes<br />
A summertime favorite, the <strong>Shodair</strong> Soccer Classic<br />
once again thrilled soccer fans at Carroll College’s<br />
Nelson Stadium on July 16. In its sixth season, the<br />
highly-competitive event began with the kick-off for<br />
the women’s game at 5:00 p.m., followed by the<br />
men’s game at 7:00 p.m. The stands were filled with<br />
enthusiastic fans who came out in force on the<br />
windy, warm afternoon.<br />
Teams Lewis and Clark—named for the Lewis and<br />
Clark bicentennial—competed before an enthusiastic<br />
crowd on Saturday. The women’s teams battled to<br />
final score of 3 to 1 in favor of team Clark. A lastminute<br />
goal by team Clark in the men’s game ended<br />
the match in a 2-2 tie. A gusty 25-30 mile-per-hour<br />
wind was a factor in both games, and teams worked<br />
hard to take advantage of it whenever they could.<br />
The annual Classic features top student athletes from<br />
high schools all across the state. Through a rigorous<br />
screening process, roughly 60 outstanding young<br />
men and women are selected to participate each<br />
year. In addition to having been selected as All-State<br />
and All-Conference high school players in Class AA<br />
or A, they must have demonstrated academic<br />
achievement, leadership, and citizenship.<br />
A talented coaching staff from around the state was<br />
on hand to guide the teams. Many have winning<br />
records in state tournaments, and their skills helped<br />
assure top-level competition. Coaches for the men’s<br />
teams included: Pat Cates, Billings Central High<br />
School, Billings; Carl Straub, Capital High, Helena;<br />
and Rob Zimmerman, Charles M. Russell High<br />
School (CMR), Great Falls. Women’s team coaches<br />
included: Erika Hinton, Bozeman High School,<br />
Bozeman; Val Nauman, Park County High,<br />
Livingston; Jon Sellers, Hamilton High, Hamilton;<br />
and Rick Thompson, Capital High, Helena.<br />
Players and coaches arrived at Carroll College on<br />
July 13th to begin practices and a variety of other<br />
activities leading up to the games. They toured<br />
<strong>Shodair</strong> and met physicians, medical genetics and<br />
nursing staff, and other personnel, and got a firsthand<br />
look at the important work they help support<br />
by participating in the Classic. On Friday before<br />
the game, the recently-graduated high school<br />
players hosted aspiring soccer all-stars in a free<br />
clinic for children age 5 to 12. That evening,<br />
they were honored at a banquet that included<br />
coaches, parents, and friends.<br />
The Classic is a labor of love for a group of<br />
hard-working volunteers and hospital employees.<br />
A small army contributed their time, effort, and<br />
enthusiasm to plan, coordinate, and execute a<br />
busy four-day event that included feeding,<br />
housing, and entertaining coaches and players<br />
from around the state. It’s no small feat, and the<br />
<strong>Shodair</strong> staff was again grateful for the added<br />
expertise and assistance. “We just couldn’t pull<br />
this off without the help of our volunteers and<br />
sponsors,” said Ellen Livers, Director of<br />
Management Services at <strong>Shodair</strong> and head of<br />
the planning committee. “We appreciate their<br />
commitment of time and resources to make this<br />
a great event and support the important work<br />
at <strong>Shodair</strong>.”<br />
The Soccer Classic is a benefit for <strong>Shodair</strong><br />
Children’s <strong>Hospital</strong> and the services it provides<br />
for Montana’s youth—in particular, specialized<br />
psychiatric services for seriously emotionally<br />
disturbed children and adolescents. These are<br />
critical services in short supply around the state,<br />
and <strong>Shodair</strong> is a vital resource for their recovery.<br />
Support generated from events like the Soccer<br />
Classic and the Children’s Miracle Network<br />
Telethon help to assure that these services remain<br />
available for those in need. <br />
Game program and team rosters are still available.<br />
Contact Linda Reed at 406-444-754 or lreed@shodair.org.<br />
4 Reunion
Golfers<br />
Tee Up<br />
for<br />
<strong>Shodair</strong><br />
The 20<strong>05</strong> Big Sky Open in Thornton, Colorado brought 144 golf enthusiasts and<br />
<strong>Shodair</strong> supporters together at the Thorncreek Golf Club in August. The event<br />
raised $6,700 to help children and adolescents in <strong>Shodair</strong>’s psychiatric<br />
treatment program.<br />
The tournament began in 1998 as an opportunity to support worthy non-profit<br />
organizations. <strong>Shodair</strong> was named as the beneficiary in 1999, and has held the<br />
coveted spot ever since. The popular annual competition draws golfers from<br />
around the region, with close to 50 would-be participants on a waiting list.<br />
The committee responsible for the event is composed of alumni from the<br />
University of Montana and Montana State University. Recalling the fiery gridiron<br />
competition between the two institutions, creative alums decided to organize a<br />
challenge on the golf course. The Big Sky Open tournament features alumni and<br />
supporters from both schools, and has brought sponsors and golfers with Montana<br />
ties to the tee-off in Colorado every year since.<br />
Committee co-chair John Niemi says the group has always had two rules of play:<br />
First, have fun. Second, refer to rule number one. “It’s for a good cause,” he said.<br />
“We’re all here to have fun, remember our Montana connections, and support<br />
efforts that benefit Montana children and families.” <br />
Sponsors<br />
of this year’s<br />
Big Sky Open<br />
included:<br />
A-A Printing - Dan Astle, Kalispell<br />
Allied Floor Service - Marcus Boyd, Lodge Grass<br />
American Furniture Warehouse - Jake Jabs, Lodge Grass<br />
Brooklyn’s Bar - Dave Keefe, Denver<br />
Builder’s Appliance Center - Ken Jensen, Circle<br />
Butte Rats - Butte<br />
Downs Financial - Shawn Downs, Helena<br />
GAF - Ted Crossman, Butte<br />
Hallador Petroleum - Victor Stabio, Broadus<br />
Keating Investments - Reed Madison and<br />
Steve Ossello, Butte, Chris Wrolstad, Spokane<br />
Maptek - Barry Henderson, Billings<br />
Phi Delta Theta, Montana Alpha - Missoula<br />
Please Support Organ Donors - Patty Boyd, Chinook<br />
Reber/Russel - Bryant Reber, Helena<br />
Sopris West - Stu Horsefall, England<br />
Stacy’s Hallmark - Don Brickley, Billings<br />
The Lighting Connection - Rick Hartman, Big Fork<br />
Washington Park Grille - Greg Sauber, Libby<br />
West Valley Construction - Kelly Davis, Butte<br />
Whiting Petroleum Company - Dave Seery, Mission<br />
Special<br />
Thanks<br />
to these 20<strong>05</strong><br />
Soccer Classic<br />
Sponsors<br />
PLATINUM<br />
KTVH/KBGF<br />
GOLD<br />
Mountain West<br />
Office Solutions<br />
SILVER<br />
George’s Foods<br />
JCCS<br />
Mountain West Bank<br />
Pacific Power & Light—<br />
Montana<br />
Joe and Cheri Shevlin<br />
Wally and Fran Waddell<br />
BRONZE<br />
Blue Cross/Blue Shield<br />
of Montana<br />
BNSF Railway<br />
Catholic Diocese<br />
of Helena<br />
Jim Hunt Law Firm<br />
Laidlaw Transportation<br />
Morrison Maierle<br />
Paul’s Office Solutions<br />
Dr. John and<br />
Heather Tupper<br />
Renon Ford, Mountain<br />
West Office Solutions,<br />
receives a plaque from<br />
Linda Coulston,<br />
foundation director,<br />
in appreciation of<br />
support for the 20<strong>05</strong><br />
Soccer Classic.<br />
October 20<strong>05</strong><br />
5
The Gene-Drug Connection: Your Genetic Make-up<br />
May Influence the Action of Prescription Drugs<br />
—Cindy Hudson, Genetic Counselor, MA. MS, CGC<br />
Have you ever wondered why some people can<br />
take a particular prescription drug—for instance, a<br />
painkiller like Codeine—and have a good response,<br />
while some don’t tolerate the drug and may have<br />
a bad reaction, and still others experience little or<br />
no pain reduction at all? The answer may lie in<br />
their genes.<br />
The liver is the organ in the body that breaks down<br />
drugs we take. In a process called metabolism the<br />
drug is first broken down into a form that is more<br />
easily utilized. The drug is then further altered so its<br />
components are easily excreted from the body.<br />
Proteins in the liver called enzymes are the<br />
facilitators of this process. There are many different<br />
enzymes, and each enzyme helps metabolize a<br />
group or family of drugs. Not all drugs are<br />
metabolized by the same enzyme.<br />
Like all proteins made in your body, the<br />
instructions to make enzymes are coded in your<br />
genes. Small changes in these instructions can<br />
change the way the enzymes function, and<br />
may therefore alter the way your body<br />
reacts to certain drugs. Changes in the<br />
genetic code for these enzymes can be<br />
inherited from your parents. Some drugs<br />
also can speed up or slow down a<br />
particular enzyme, so taking more than<br />
one medication at a time can also affect<br />
how an enzyme functions.<br />
There are four types of enzyme functions<br />
determined by genes and thus, four categories of<br />
individual metabolic responses:<br />
Extensive Metabolizers are considered “the norm,”<br />
or the average in terms of the speed at which a drug<br />
is metabolized. Think of a conveyer belt carrying<br />
plastic into a recycling center to be broken down<br />
and used to make polar fleece fabric: The speed of<br />
the conveyer belt is such that the amount of plastic<br />
coming in is equal to the amount of fabric being<br />
produced. These people metabolize medications<br />
at an average rate, and generally have appropriate<br />
responses to the drugs they take.<br />
Intermediate Metabolizers have slower enzyme<br />
function. Thinking again of the conveyor belt<br />
analogy, the plastic is being turned into fabric, but<br />
the conveyer belt runs more slowly, producing less<br />
fabric and allowing some plastic to build up outside<br />
the factory. Intermediate metabolizers may need a<br />
lower dose of a medication in order to have the<br />
appropriate response to a drug.<br />
Poor Metabolizers have little or no enzyme function.<br />
In this scenario, the conveyer belt is broken down<br />
and there is a huge pile up of plastic outside the<br />
factory, while little or no fleece is being produced.<br />
Further complicating things, the build-up of plastic<br />
is becoming toxic to the environment. Poor<br />
metabolizers have inherited genes that produce an<br />
enzyme which does not function. If they take a drug<br />
that would normally be broken down by that<br />
enzyme, the process will not take place and their<br />
bodies will not be able to utilize the drug.<br />
In fact, the drug can build up to toxic<br />
levels—something that can cause serious<br />
problems for some people.<br />
Ultra-Extensive Metabolizers have fast<br />
enzyme function. Using the conveyor belt<br />
analogy again, instead of one conveyer<br />
belt carrying plastic into the recycling<br />
center, there are two, and the raw plastic<br />
is processed into fleece more quickly than it can be<br />
delivered. These individuals may need a larger dose<br />
of a drug in order for it to have the same effect in<br />
their body as it does for extensive metabolizers.<br />
A dangerous situation can arise when a person<br />
who is a poor metabolizer (for a particular enzyme)<br />
takes a drug their body is subsequently unable to<br />
metabolize. The drug may build up to toxic levels<br />
in their system. This situation has been known to<br />
cause death in some patients.<br />
6 Reunion
One enzyme, called CYP 2D6, metabolizes one quarter of<br />
prescription drugs and some over-the-counter drugs as well.<br />
Some examples of these drugs include Prozac, Zoloft, Claritin,<br />
Allegra, Tagament, and Tylenol. About 10% of the general<br />
population is in the poor metabolizer category for this enzyme.<br />
If a poor metabolizer is taking a drug that is metabolized by CYP<br />
2D6, and also taking a drug that inhibits or slows down the<br />
enzyme further, serious drug interactions can result. This is<br />
another reason to be sure your physician knows what medications<br />
you are taking and if you are experiencing any side effects.<br />
There is genetic testing available to determine an individual’s<br />
enzyme status. The test can be especially helpful if a concern<br />
arises, or if there is a family history of drug intolerance. The federal<br />
Food and Drug Administration (FDA) has recently approved a new<br />
method of genetic testing that may make identifying your enzyme<br />
function quick and relatively inexpensive. In the future, knowing<br />
your enzyme status may be a routine part of your medical care<br />
before a prescription is written. Genetics may be integrated into<br />
preventative healthcare as we continue to identify how our<br />
individual genetic variations may positively and negatively<br />
affect our health. <br />
Medical Genetics Outreach Clinics Scheduled<br />
Clinic Dates and Locations*<br />
Bozeman<br />
November 22, 20<strong>05</strong><br />
Butte<br />
September 27, 20<strong>05</strong><br />
Great Falls<br />
September 14, 20<strong>05</strong><br />
October 11, 12, 20<strong>05</strong><br />
November 2, 20<strong>05</strong><br />
December 14, 20<strong>05</strong><br />
Helena<br />
October 25, 20<strong>05</strong><br />
November 15, 20<strong>05</strong><br />
November 21, 20<strong>05</strong><br />
November 29, 20<strong>05</strong><br />
Kalispell<br />
October 5, 20<strong>05</strong><br />
Missoula<br />
October 4, 20<strong>05</strong><br />
November 1, 20<strong>05</strong><br />
December 6, 20<strong>05</strong><br />
*Dates and locations are<br />
subject to change.<br />
Genetic physicians and counselors from <strong>Shodair</strong>’s Medical<br />
Genetics Department will be on the road providing access to<br />
medical genetics services and expertise in communities around<br />
the state throughout the remainder of the year.<br />
Genetic evaluation and counseling provides individuals and<br />
families with information about actual or potential inherited<br />
diseases and conditions—those that may already have been<br />
diagnosed, or those that patients may be predisposed to develop.<br />
Common reasons for evaluation or counseling can include a<br />
variety of conditions, including: birth defects, behavioral<br />
abnormalities, familial hearing loss or blindness, abnormal growth<br />
patterns, chromosomal abnormalities, congenital, or prenatal<br />
exposure to drugs, alcohol, or medications.<br />
<strong>Shodair</strong> also provides risk assessments and counseling for families<br />
who may have a risk of inherited cancers. Breast and colon cancer<br />
are the most common cancers that may be inherited. A risk<br />
assessment can help identify a person’s potential for developing<br />
either disease—allowing them to make informed decisions about<br />
lifestyle or treatment options.<br />
Anyone wishing to schedule an appointment should contact<br />
the Medical Genetics Department at <strong>Shodair</strong> by<br />
calling 1-800-447-6614. <br />
7
CPS<br />
While the construction outside of <strong>Shodair</strong> may be<br />
Staff Learn“What’s Up”<br />
Children Learn to Problem-Solve<br />
more obvious to the outside world, some changes<br />
in philosophy and treatment approach are yielding<br />
positive results within the hospital as well.<br />
Personnel in the psychiatric units are in the process<br />
of implementing the Collaborative Problem Solving<br />
(CPS) model as a simple, yet highly-effective way to<br />
deal with patients for whom traditional approaches<br />
have not proven successful.<br />
CPS was developed by psychologist<br />
Ross Greene, Ph.D., author of bestseller<br />
The Explosive Child. <strong>Shodair</strong>’s<br />
medical director, Dr. James Killpack,<br />
heard Dr. Greene speak at a<br />
conference earlier, and was impressed by<br />
the results being obtained using CPS. He felt<br />
the approach could really work at <strong>Shodair</strong>.<br />
The CPS approach was designed specifically for<br />
children who tend to be inflexible and explosive,<br />
although it can also work well with other children.<br />
The CPS model views inflexible and explosive<br />
children’s difficulties as akin to learning disabilities,<br />
and emphasizes teaching these children better skills<br />
for handling difficult situations. Research studies<br />
have yielded impressive results (including reduced<br />
use of seclusion and restraint, and fewer injuries to<br />
staff and patients), and CPS is consistent with<br />
<strong>Shodair</strong>’s commitment to individualized treatment,<br />
respect, and teamwork.<br />
CPS is quite different than some long-used<br />
behavioral approaches that rely on rewards and<br />
consequences. Behavior plans like these work well<br />
for some children. They are good at motivating<br />
children to behave better—assuming they know<br />
how to do so. However, they don’t teach problem<br />
solving skills, and are sometimes implemented in a<br />
one-size-fits-all manner, rather than being tailored<br />
to a child’s individual strengths and weaknesses.<br />
Also, if the behavior plan doesn’t work, sometimes<br />
the parent may be viewed as not trying hard<br />
enough, or the child may be labeled “difficult.”<br />
—Laura Fuller, Ph.D.<br />
Here’s an example: If a child knew how to clean his<br />
room but was simply not motivated enough to do<br />
so, finding the right rewards or consequences might<br />
get him to be tidier. However, if the goal was for<br />
the child to become an NBA star by the time he was<br />
20, it’s unlikely that rewards or punishment would<br />
bring about that result—and it wouldn’t mean the<br />
child was trying to be oppositional. (Although he<br />
might start to look that way if the NBA agenda was<br />
pushed on him for years.)<br />
The CPS method emphasizes being realistic in our<br />
expectations and teaching the skills needed to<br />
produce success. This is consistent with our goals at<br />
<strong>Shodair</strong>, which include utilizing an individualized<br />
approach, teaching useful skills, and staying away<br />
from assigning blame. CPS involves having the<br />
adult first make a conscious decision about whether<br />
or not a behavior or issue is worth inducing a<br />
behavioral meltdown on the part of the child. The<br />
adult can then decide to enforce his/her will, let go<br />
of a particular issue or problem-solve about it.<br />
The goal is to increase the amount of problem<br />
solving the child does by teaching thinking<br />
skills that are lacking.<br />
Of course, as we get to know the child better, it<br />
becomes easier to know when meltdowns are likely<br />
to occur, and problem solving can be done ahead of<br />
time, instead of in the midst of a crisis. A key step to<br />
problem solving using this method is simply to ask<br />
the child, “What’s up?” which opens the door to<br />
identifying ways to make things go more smoothly.<br />
During the last year, staff members of the children’s<br />
residential treatment unit at <strong>Shodair</strong> have been<br />
learning about CPS and putting that knowledge into<br />
action. The clinical leadership of the hospital has<br />
agreed that CPS is a good approach, and now the<br />
two adolescent residential treatment units and the<br />
acute care unit are also implementing CPS, with<br />
in-house training and supervision.<br />
Artwork by a<br />
<strong>Shodair</strong> student<br />
8 Reunion
Additionally, more than a dozen staff members were<br />
fortunate enough to hear Dr. Greene speak in person<br />
at the Montana Behavioral Initiative conference in<br />
Bozeman in June.<br />
The hospital’s board of trustees has also been<br />
supportive of implementing CPS. After learning more<br />
about the CPS approach,<br />
they voted to allocate funds<br />
to hire CPS’s developer,<br />
Dr. Greene, to consult with<br />
the hospital as it puts the<br />
program into place. Dr.<br />
Greene has had great<br />
success teaching CPS in<br />
institutional and outpatient<br />
settings, and staff members<br />
are looking forward to<br />
having him begin his<br />
supervision with a site visit<br />
to <strong>Shodair</strong> in January.<br />
Implementing CPS<br />
represents a major paradigm<br />
shift, and the hospital<br />
clinical staff is excited to<br />
hear the unit staff describe<br />
examples of positive results<br />
from using the method.<br />
Their comments suggest this<br />
approach decreases power<br />
struggles, and that asking<br />
the patients, “What’s up?” is<br />
producing positive outcomes. Patients who used<br />
to melt down in certain situations are now<br />
saying things like, “Can we try to work this out?”<br />
It can sometimes be difficult for staff to “back off”<br />
on certain issues and to compromise, rather than<br />
Patients share affection with a therapy dog<br />
insisting that the child do what they’re asked<br />
immediately. However, when staff members realize<br />
they’re getting more participation and compliance<br />
from kids who previously experienced meltdown<br />
several times a day, they recognize the progress that<br />
is being made. Examples of this progress include<br />
one boy who previously averaged four visits to the<br />
quiet room each day.<br />
He now attends school<br />
regularly and is close to<br />
being ready for discharge.<br />
Another child with speech<br />
and language problems is<br />
experiencing meltdown<br />
episodes much less often<br />
because he can now<br />
problem-solve ways to<br />
communicate with staff<br />
when he needs help.<br />
<strong>Shodair</strong> has always<br />
demonstrated a strong<br />
commitment to providing<br />
excellent care. As part of<br />
that commitment, the<br />
hospital has tried a number<br />
of treatment approaches<br />
in the past and, as the<br />
makeup of our patient<br />
population changes,<br />
continues to utilize new<br />
strategies. We are seeing<br />
that CPS can be used effectively by all staff, and are<br />
proud of what we’re accomplishing. CPS is making<br />
an excellent program even better! So the next time<br />
you take a look at the wonderful changes outside<br />
the building, remember that on the inside, good<br />
things are happening too! <br />
Ross W. Greene, Ph.D., is Director of the Collaborative Problem Solving Institute in<br />
the Department of Psychiatry at Massachusetts General <strong>Hospital</strong>. He specializes in<br />
the treatment of explosive, inflexible, easily frustrated children and adolescents and<br />
their families and is the author of The Explosive Child and co-author of Treating<br />
Explosive Kids: The Collaborative Problem Solving Approach. He is also Associate<br />
Professor in the Department of Psychiatry at Harvard Medical School.<br />
About Dr. Greene<br />
October 20<strong>05</strong><br />
9
CPS<br />
The collaborative problem solving model<br />
Collaborative Problem Solving in the<br />
Classroom: Teaching the Pathways to Success<br />
developed by Dr. Ross Greene and now being<br />
implemented at <strong>Shodair</strong>, proposes that oppositional,<br />
non-compliant children and adolescents are often<br />
poorly understood, and that standard approaches to<br />
treatment may not satisfactorily address their needs<br />
(and can actually worsen their difficulties). The<br />
result can be that many such children have<br />
adversarial interactions with<br />
parents, siblings, peers, and<br />
teachers. Certainly, their<br />
experiences in the classroom<br />
can be impacted by how<br />
teachers respond to meet<br />
their needs.<br />
The CPS model assumes<br />
that these children and<br />
adolescents, often labeled<br />
difficult or explosive, lack<br />
crucial skills that are essential<br />
to handling frustration and<br />
mastering situations requiring<br />
flexibility and adaptability. In the<br />
classroom, the lack of these skills can result in<br />
disruptive outbursts or meltdowns, and lost<br />
opportunities for learning.<br />
For teachers, the first step to putting collaborative<br />
problem solving to use in the classroom is to<br />
identify which thinking or problem solving skills a<br />
student may lack. In collaborative problem solving,<br />
these thinking skills are “pathways” to success.<br />
Children who lack them may not have options to<br />
help problem-solve in challenging situations.<br />
For example, a child may lack what are called<br />
“executive skills.” A lack of executive skills can<br />
lead to difficulty handling transitions, staying calm<br />
enough to think clearly when upset, or having the<br />
ability to shift from one mindset to another when<br />
the environment changes.<br />
—Marilyn Weber and Jennifer Zimmerman<br />
A <strong>Shodair</strong> student and teacher<br />
play math bingo<br />
Still another child may lack skills in the language<br />
processing area. This child may be unable to label<br />
or categorize their emotions and act appropriately.<br />
Because of their problems processing language—<br />
which includes receiving messages from others and<br />
responding—they may struggle to find words to<br />
express themselves, or to understand what they are<br />
being asked to do. Most people, when presented<br />
with problems, refer to things that<br />
have worked for them in the past<br />
when determining solutions.<br />
Children who lack appropriate<br />
language processing skills are<br />
often unable to think of solutions<br />
that have previously worked<br />
for them.<br />
Another area of thinking skills that<br />
may be lacking is that of cognitive<br />
flexibility—the ability to shift<br />
one’s mindset according to the<br />
demands of a given situation.<br />
In this case, the child may have a tendency<br />
to think in very literal, black-and-white terms.<br />
The more “gray” life gets for these children, the<br />
more difficult it becomes for them. They tend<br />
to focus on details rather than the big picture, and<br />
may have difficulty appreciating others’ viewpoints.<br />
Still other children may lack skills in the area of<br />
emotion regulation, another pathway is the CPS<br />
model. They might appear grouchy and irritable,<br />
fatigued, or seem to have low energy levels—or they<br />
may seem anxious, nervous, or obsessive.<br />
Social skills are considered the fifth pathway in the<br />
CPS model. Children who lack skills in this area<br />
often display cognitive distortions—distorted<br />
thinking or belief systems. They may say or think<br />
things such as, “I’m stupid,” or “It’s not fair. People<br />
are out to get me!” Unfortunately, a child who says<br />
or thinks these things usually has some experience<br />
that makes the feeling a reality for them. Usually<br />
10 Reunion
someone has said similar things to them before.<br />
Further complicating matters, they may also have a<br />
limited set of social responses or a poor sense of<br />
how their behavior affects others.<br />
The first step in the process of teaching these<br />
critical thinking skills and helping these children<br />
succeed in the classroom, is to identify possible<br />
triggers for explosive behaviors. A trigger may result<br />
in a meltdown for a student who lacks the skills to<br />
deal with a distressing situation. In the classroom<br />
setting, typical triggers include homework,<br />
unstructured activities and transitioning between<br />
activities, difficult peer interactions, and sensory<br />
hypersensitivities*. To be successful, triggers must<br />
be identified before a student and teacher can<br />
effectively collaborate to problem-solve and learn<br />
ways to deal with circumstances that may lead<br />
to meltdowns.<br />
The doors of communication must also be<br />
open between both teachers and students in the<br />
classroom. Students must be invited to identify the<br />
real problem before thinking about what will help<br />
them. One way educators can facilitate this is to<br />
make a classroom community meeting part of the<br />
daily schedule. Daily meetings where students are<br />
encouraged to express their feelings of concern<br />
and happiness can promote smoother transitions<br />
between activities. And, by offering them an<br />
opportunity to share their feelings, students may be<br />
encouraged to express worries or concerns that<br />
may be affecting their classroom performance.<br />
This activity also opens a window of opportunity<br />
for teachers to express empathy and encourage a<br />
student to think of possible ways to deal with a<br />
situation in a mutually satisfactory way. For younger<br />
children, the community meeting can be presented<br />
as a quiet time, or story time first thing in the<br />
morning. Reading stories and communicating as a<br />
group are other ways of effectively teaching some<br />
of these skills to younger children.<br />
comfortable and productive for teachers and<br />
other students.<br />
Examples of how valuable these activities can be are<br />
growing more numerous each day. For instance, a<br />
student was late to class one day, and missed the<br />
community time. When he realized he’d missed out<br />
on that opportunity to share his joys and concerns,<br />
he anxiously asked his teacher, “I know I missed<br />
community, but can I still tell you about my joys and<br />
concerns?” He then waited until the next available<br />
time to share his thoughts.<br />
In another community meeting, a student voiced<br />
concern about what he perceived as a peer’s<br />
negative behavior. The teacher repeated the first<br />
student’s concern with empathy, and then invited<br />
everyone to help problem-solve. The class<br />
developed a list of ways they could avoid<br />
contributing to negative behavior on the part of the<br />
second student, and invited that student to help<br />
problem-solve for positive behaviors. The class was<br />
unified in feeling they could encourage their peer<br />
to have better behavior.<br />
<strong>Shodair</strong>’s education staff is excited for the<br />
opportunities this approach offers. With the insights<br />
and options gained through utilizing CPS, they’re<br />
confident more of the hospital’s young patients<br />
will be enjoying successful school experiences in<br />
the future. <br />
*Sensory hypersensitivity is the condition of being extra<br />
sensitive to sensory stimulation (sight, sound, smell, touch, etc.).<br />
For example, a child with this condition might be driven to<br />
distraction by an itchy tag on his shirt. Or, to a girl whose sense<br />
of sound is amplified, regular speech may seem like yelling.<br />
Hope, an African tree frog, rests on the<br />
hand of a <strong>Shodair</strong> student<br />
At <strong>Shodair</strong>, using these group activities has already<br />
helped several children with behavioral challenges<br />
get more out of their school time—in addition to<br />
making the classroom environment more<br />
October 20<strong>05</strong><br />
11
Thank You to<br />
Our Supporters<br />
Please Note! We make every effort to make sure the donor lists are accurate.<br />
Should something be wrong with your listing, please let us know so that we can<br />
list the corrections in the next issue of Reunion. Thank you.<br />
Bequest, Estate<br />
& Trust Gifts<br />
Charles L. Brown Trust<br />
Margaret M. Bubash Estate<br />
Wilbur Erickson Trust<br />
James B. & Virginia Ewing Trust<br />
Willard E. Harris Trust<br />
Fern Hartman Trust<br />
Alden P. Howell Trust<br />
Marguerite R. Hunt Trust<br />
Alvina Kramlich Bequest<br />
Elizabeth McCord Estate<br />
Harold F. Nordahl Estate<br />
Edward Schmidlkofer Estate<br />
Virginia Toler Bequest<br />
12<br />
Memorial Gifts<br />
April through August 20<strong>05</strong><br />
Enid R. Agamenoni<br />
- Thomas H. Agamenoni<br />
June L. Alexander<br />
- Mr. & Mrs. Jack L. Simons<br />
Margaret Althoff<br />
- Mr. & Mrs. Edward Kramer<br />
George Antonovich<br />
- Eva A. Fortune<br />
Rose Aughney<br />
- Mr. & Mrs. Stan Milesnick<br />
Ken Bailey<br />
- Mr. & Mrs. William E. Campbell<br />
Mercedes Baker<br />
- Mr. & Mrs. Ben Miller<br />
Pearl Thoreson Bangeman<br />
- Click & Arloene Christianson<br />
Harold Barner<br />
- Mr. & Mrs. Ray G. Harrison<br />
Paul Beausoleil<br />
- Mr. & Mrs. Ray Puccinelli, Jr.<br />
Edward Bentley<br />
- Mr. & Mrs. Kenneth L. Fink<br />
- Kenneth & Joanne LaPalm<br />
- Phyllis Petritz<br />
John Berryman<br />
- Eva A. Fortune<br />
Daryl Betz<br />
- Mr. & Mrs. Glen Stratton<br />
Helen Bird<br />
- Catherine A. Alger<br />
Wyman E. Blakney<br />
- Rex J. & Lois Flansburg<br />
Clifford Borgen<br />
- Georgianna Borgen<br />
Leonard M. Bosanatz<br />
- Mary Bosanatz<br />
David Bowen<br />
- Mr. & Mrs. Marshall Muchmore<br />
Norma M. Boylan<br />
- Pat Ray<br />
Martha Brothers<br />
- William B. & Lois Horn<br />
Mack Bruno<br />
- Mr. & Mrs. Larry Funston<br />
Mary Bugni<br />
- Lorraine Hulverson<br />
Marie Carey<br />
- Marguerite R. McIntosh<br />
Jack Carlson<br />
- Mr. & Mrs. Edgar Fisher<br />
Shirley Faye Carlson<br />
- George & Colleen Hutchens<br />
Sam Carpenter<br />
- Mary G. Eliason<br />
Samuel C. Carpenter<br />
- Dr. & Mrs. John D. Kennedy<br />
Clay Carson<br />
- Mr. & Mrs. Eugene Mendel<br />
Evelyn Codeny<br />
- Betty Lou Fritz<br />
Shirley Cooper<br />
- Mrs. Kenneth C. Bell<br />
John Cote<br />
- Mr. & Mrs. Peter W. Sullivan<br />
Dale H. Davis<br />
- Mr. & Mrs. Stan Milesnick<br />
Raymond Davis<br />
- Luella Avens<br />
Claude S. Demarest<br />
- Mr. & Mrs. Roy D. Wickum<br />
Rose Dewing<br />
- George & Colleen Hutchens<br />
Donald Diemer<br />
- Mr. & Mrs. Val Gutcheck<br />
Pat Dorrington<br />
- Kay Ebert<br />
Elizabeth Dougherty<br />
- Mr. & Mrs. Ibrahim Ayyoub<br />
Ronald Eccleston<br />
- Mr. & Mrs. Kenneth L. Fink<br />
Donna Edmisten<br />
- Betty A. Rice<br />
George Evans<br />
- Mary Anne Sladich<br />
Ted Farrow<br />
- Mr. & Mrs. Robert J. Helstrom<br />
- Dale & Heidi Hjelt<br />
Anne Feulner<br />
- Richard & Sylvia Dulaney<br />
Patrick M. Fogarty<br />
- Mr. & Mrs. Harry Faroni<br />
Jack Forney<br />
- Babe Alger<br />
Albert “Bert” Fortune<br />
- Eva A. Fortune<br />
Mrs. Harold “Helen” Funk<br />
- Mrs. Roy Mikkelsen<br />
Robert “Buck” George<br />
- Mr. and Mrs. Robert J. Gray<br />
Veronica Goetz<br />
- Mr. & Mrs. John W. McDonald, Jr.<br />
Mary Granier<br />
- Margaret Heberly<br />
Uncle Joe Gruny<br />
- Joyce Styler Siems<br />
Robert C. Gutcheck<br />
- Mr. & Mrs. Val Gutcheck<br />
Patty Haig<br />
- Mr. & Mrs. Edgar Fisher<br />
Gladys Hazelton<br />
- Mr. & Mrs. Kelly Stephenson<br />
Eugene Heil<br />
- Arthur R. & Eileen Tucker<br />
Robert “Bob” Henderson<br />
- Eva A. Fortune<br />
Maude Hoell<br />
- Mrs. Don Marx<br />
L. Dexter Holtberg<br />
- Mr. and Mrs. Gordon Eliason<br />
Neil J. Howarth<br />
- Mr. and Mrs. Alvin Goldenstein<br />
Albert E. Hughes<br />
- Arlene Hughes<br />
John Iwen<br />
- Glenn L. Mason<br />
Robert “Jake” Jacobs<br />
- Mr. & Mrs. Gary Gallaher<br />
Kristy Jo Johns<br />
- Jerald Eldredge<br />
Irene Johnson<br />
- Arnold J. Odegaard<br />
Reunion<br />
In-Honor Gifts<br />
April through August 20<strong>05</strong><br />
Jack Casey<br />
- Anonymous<br />
<strong>Shodair</strong> <strong>Hospital</strong> Staff<br />
- Bob & Edie Witham Redpath<br />
Irene O. Weissberg<br />
- Dr. & Mrs. Albert O. Weissberg<br />
Leo Weissberg<br />
- Dr. & Mrs. Albert O. Weissberg<br />
In-Kind Gifts<br />
Romi, Marni,& Berni Barta<br />
Natalie Chamberlain<br />
James Couts<br />
Margaret Emanuelson<br />
Alice M. Gilchrist<br />
Good Samaritan Thrift Store<br />
Marla Jo Gorecki<br />
Helena College of Technology<br />
Helena Quilters Guild<br />
Howard’s Pizza<br />
Shari Hunter<br />
Harold Kober<br />
KTVH Channel 12<br />
Raymond Lazuk<br />
Robert J. Moes<br />
Montana Broom & Brush<br />
Jill Myhre<br />
Maggie Petaja<br />
Samantha Rohwer<br />
Safeway Store of Helena<br />
Josh & Lindsay Sykes<br />
Don & Glenda VanDaele<br />
Carly Vandyke<br />
Rosemarie Vetter<br />
VFW Post 5590<br />
Travis Wilson<br />
Dorthea Lucille Jorgenson<br />
- Rosie King<br />
- Dorla & Morland Neiman<br />
Madeline Kane<br />
- Mr. & Mrs. Kenneth L. Fink<br />
Cody Kanirie<br />
- Mr. & Mrs. Ray Puccinelli, Jr.<br />
Ronald E. “Swede” Kenison<br />
- Mr. & Mrs. Harry Faroni<br />
Jim Kennedy<br />
- Mr. & Mrs. Stan Milesnick<br />
Peg Kenny<br />
- George & Colleen Hutchens<br />
Joanne King, R.N.<br />
- Bruce King<br />
William Kobelt<br />
- Gladys Kobelt<br />
Carmen Kurilich<br />
- Mr. & Mrs. Kenneth L. Fink<br />
- Lorraine Hulverson<br />
Mary Lou Larango<br />
- Mr. & Mrs. John Lopez<br />
Helmie Larson<br />
- Mr. & Mrs. Edgar Fisher<br />
James R. Leary<br />
- Shirley Prophet<br />
Gerrit K. Leppink<br />
- Thelma Potter<br />
Janet Likarish<br />
- Eva A. Fortune<br />
Murray Lind<br />
- Mr. & Mrs. Harry Faroni<br />
Mike Little<br />
- Mr. & Mrs. Harry Faroni<br />
Joe Longpre<br />
- Shirley B. Bertelsen<br />
Joseph A. Maierle<br />
- Morrison-Maierle, Inc.<br />
Carmen Marozzo<br />
- Shirley B. Bertelsen<br />
- Jack & Cheri Brown<br />
- Bud & Joyce Cottet<br />
- Cheryl David<br />
- Joe & Sheila Keller<br />
- Brad & Mary Lafevers<br />
- Barbara & James May<br />
- Philip J. Mischkot<br />
- Rose Nye<br />
Victor B. May<br />
- Barbara & Ken Jolley<br />
Howard Mayo<br />
- Betty A. Rice<br />
Agnes McDonald<br />
- Norman & Coreene Bohrnsen<br />
Joseph McGuire<br />
- Mr. & Mrs. Alvin Goldenstein<br />
Margaret McLean<br />
- George & Colleen Hutchens<br />
Mary Ann McLeod<br />
- Steve & Terry McGree<br />
- Rose Marie Phyfield<br />
John McNay<br />
- Lois Cadwell<br />
James Melbye<br />
- Dorothy J. Slapnik
Hank Melcher<br />
- Mr. & Mrs. Kelly Stephenson<br />
Rachell Merritt<br />
- Selma Sederstrom<br />
Lucille Miltenburger<br />
- Luella Avens<br />
Austin H. Moon<br />
- Bob & Gayle Moon<br />
Delbert Morrison<br />
- Mr. & Mrs. Charles Delaney<br />
Francis “Tweed” Morrison<br />
- Mr. & Mrs. Harry Faroni<br />
John H. Morrison, Sr.<br />
- Morrison-Maierle, Inc.<br />
Lyle Myhre<br />
- Mr. & Mrs. Gordon Pischel<br />
Thelma Nelson<br />
- Mr. & Mrs. Jack Donisthorpe<br />
Ed Noling<br />
- Jessie Treweek<br />
Grant Lee Parsons<br />
- Mr. & Mrs. Harry Faroni<br />
Margaret Paul<br />
- George & Colleen Hutchens<br />
Robert Paynter<br />
- Mr. & Mrs. Kenneth L. Fink<br />
- Dale & Heidi Hjelt<br />
Ray Pesanti<br />
- Dale & Heidi Hjelt<br />
Joe Piazzola<br />
- Leroy H. Peterson<br />
Raymond “Ray” Piche<br />
- Cal & Harriet Mentzer<br />
- Mrs. Henry Brotzman<br />
Norbert Poepping<br />
- Paul Kleffner<br />
Albert “Slitz” Poynter<br />
- Mr. & Mrs. Harry Faroni<br />
Lawrence Pressler<br />
- Mr. & Mrs. Harry Faroni<br />
Clark Pyfer<br />
- Mr. and Mrs. Russell J. Ritter<br />
Brit Alan Ramsey<br />
- Mr. & Mrs. Jack L. Simons<br />
Nancy A. Reap<br />
- Mr. & Mrs. Harry Faroni<br />
Wanda Rice<br />
- Betty A. Rice<br />
John Rice, Jr.<br />
- Betty A. Rice<br />
Verna & John Rice, Sr.<br />
- Betty A. Rice<br />
Joe Richards<br />
- Marguerite R. McIntosh<br />
Joseph Richards<br />
- Lori M. Anglin<br />
Darrell Lee Ridder<br />
- Mr. & Mrs. John J. Panich<br />
Dorothy Riis<br />
- Mr. & Mrs. Peter W. Sullivan<br />
Beatrice Evelyn “Bea” Robertson<br />
- Mr. & Mrs. Roy D. Wickum<br />
Brent Roeber<br />
- Mr. & Mrs. Harry Faroni<br />
Dorothy Ruane<br />
- George & Colleen Hutchens<br />
George R. Ruckman<br />
- LaMarr & Cora Baldwin<br />
George Ruffatto<br />
- Mr. & Mrs. Edgar Fisher<br />
Loraine “Lolly” Russell<br />
- Mr. & Mrs. Peter W. Sullivan<br />
Myrna L. Russell<br />
- Harold & Marjorie Keilman<br />
Gladys Sands<br />
- Pat Banka<br />
- Gary & Diana Harris<br />
Marjorie Saunders<br />
- Eva Fortune<br />
Merle Schend<br />
- Edith Turner<br />
Emma Adelaide Scheytt<br />
- Shirley & Jim Clark<br />
- Ken & Laura Leuthold<br />
- John Leuthold<br />
- Red & Shirley Menahan<br />
Monique Renee Schiffer<br />
- Gordon & Juanita Hirschi<br />
Larry Schmautz<br />
- Catherine Hall<br />
- George & Colleen Hutchens<br />
- Mr. & Mrs. Glen Stratton<br />
Ann Schmuth<br />
- Violet R. Kramer<br />
Loren Tueller Schoss<br />
- Leora Brinig<br />
Carol R. Sheridan<br />
- Ron & Dixie Dye<br />
John Shreehan<br />
- Mr. & Mrs. Val Gutcheck<br />
Ed Shurr<br />
- Jerry & Ethel Diettert<br />
Margaret Silberman<br />
- Anderson ZurMuehlen<br />
& Company<br />
Otto Simon<br />
- Mr. & Mrs. John J. Panich<br />
- Leora Brinig<br />
Melvin E. Singleton<br />
- Mildred O. Singleton<br />
Jason Starchman<br />
- Mr. & Mrs. Harry Faroni<br />
Melvin A. Stokke<br />
- George & Colleen Hutchens<br />
Don Stonehocker<br />
- Penny R. Stonehocker<br />
Kohler Stout<br />
- Mr. & Mrs. Kenneth L. Fink<br />
John Paul Stowell<br />
- Betty Poor<br />
Virginia Stromberg<br />
- George & Colleen Hutchens<br />
Heldegardt Stuhlert<br />
- Mr. & Mrs. Harry Faroni<br />
Dr. George Takach<br />
- Mr. & Mrs. Kenneth L. Fink<br />
Jeanette Tescher<br />
- Eva A. Fortune<br />
Mrs. Toriez<br />
- Mr. & Mrs. Edgar Fisher<br />
Jack Torney<br />
- Babe Alger<br />
- Norma S. Dwyer<br />
- George & Colleen Hutchens<br />
- Lucey E. Wasvig<br />
James R. Tunnicliff<br />
- Mr. & Mrs. Peter W. Sullivan<br />
Bert Turner<br />
- Harry & Blanche Syverson<br />
Lois Tuss<br />
- George & Colleen Hutchens<br />
- Mr. & Mrs. Marshall Muchmore<br />
Fred Vanisko<br />
- Lois Cadwell<br />
Ruby Vogt<br />
- Click & Arloene Christianson<br />
Margaret Vulk<br />
- Maureen Sheldon<br />
Lloyd Walund<br />
- Mr. & Mrs. Ray Puccinelli, Jr.<br />
- Paul & Garnet E. Stephenson<br />
Astrid Linnea Westerlund<br />
- George & Colleen Hutchens<br />
Sandra Bushnell Wilhoit<br />
- George & Colleen Hutchens<br />
Leon H. Willson<br />
- Marion C. Willson<br />
Edith Wolverton<br />
- Evelyn G. McKenna<br />
Michelle Wonnocot<br />
- Rose Nye<br />
Stuart Wright<br />
- Helen Davis<br />
Special Projects &<br />
Foundation Grants<br />
Burlington Northern<br />
Santa Fe Railway<br />
Anonymous Private Foundation<br />
Unrestricted Gifts<br />
Albertsons, Inc.<br />
American Legion Auxiliary<br />
Mary & David L. Anderson<br />
Leona Brennan<br />
Browning Kaleczyc Berry & Hoven<br />
Rita R. Carrow<br />
“Casual For Kids,”<br />
c/o The Montana Standard<br />
Mr. & Mrs. Burton T. Colwell<br />
Combined Federal Campaign<br />
Roy & Mary Lou Countryman<br />
Zelma Jeanne Hartley<br />
Marion T. & Lora S. Hedegaard<br />
Highrock Christian Church<br />
Arthur R. Hunthausen<br />
Norma & E. Lee Jones<br />
Ted R. Kline<br />
Alma A. Lee<br />
Montana Broom & Brush<br />
Jean & Art Morris<br />
Fletcher & Karen Mulvaney<br />
Helen Myers<br />
Leslie D. Nelson<br />
Roger L. Rawls<br />
Mr. & Mrs. E. Maynard Smith<br />
Marylee Staedler<br />
Mr. & Mrs. Bernie A. Swift<br />
Gerry Thompson<br />
Laura Land Zuelke<br />
There are<br />
many ways<br />
you can<br />
help the<br />
kids at<br />
<strong>Shodair</strong><br />
Bequest, Estate<br />
& Trust Gifts<br />
•<br />
In-Honor Gifts<br />
•<br />
In-Kind Gifts<br />
•<br />
Memorial Gifts<br />
•<br />
Special<br />
Projects<br />
& Foundation<br />
Grants<br />
•<br />
Restricted Gifts<br />
•<br />
Unrestricted<br />
Gifts<br />
•<br />
Corporate<br />
Sponsorship<br />
For more<br />
information about<br />
how you can help<br />
the kids, please<br />
contact the <strong>Shodair</strong><br />
Foundation office<br />
at 406-444-7548.<br />
October 20<strong>05</strong><br />
13
Thank You to Our CMN Supporters<br />
Children’s Miracle<br />
Network National<br />
Corporate Sponsors<br />
Wal-Mart $52,909<br />
Log-a-Load $17,562<br />
Carmike Cinemas $11,531<br />
Dairy Queen $6,768<br />
ACE Hardware $2,447<br />
Combined Federal<br />
Campaign $1,142<br />
Great Clips $1,528<br />
Laidlaw Transportation $520<br />
Credit Unions for Kids $484<br />
Children’s Miracle<br />
Network State & Local<br />
Corporate Sponsors<br />
American Legion Post 2 $100<br />
American Legion<br />
of Montana $1,096<br />
American Legion<br />
Auxiliary $173<br />
Sons of the<br />
American Legion $111<br />
Costco $84,6<strong>05</strong><br />
Jade Garden $1,500<br />
Great Clips (Helena) $1,309<br />
Last Chance Kiwanis $550<br />
MT Society for Clinical<br />
Laboratory Science $1,258<br />
Payne Financial $1,000<br />
Rocky Mountain<br />
Credit Union $1,500<br />
Schlenker & McKittrick<br />
Architects $1,000<br />
ING/ Sullivan<br />
Financial Group $500<br />
Children’s Miracle<br />
Network Donations—<br />
$100 or more<br />
8 & 40 Salon #606<br />
All About Lights<br />
All-Season Heating &<br />
Air Conditioning<br />
Lloyd & Donna Allen<br />
American Legion of Great Falls #3<br />
American Legion of Harlowton #15<br />
American Legion of Helena<br />
Mr. & Mrs. Ralph T. Anderson<br />
Associated Dermatology<br />
Bear Paw Credit Union<br />
Donna Beutler<br />
Carole O. Bolme<br />
Arnette R. Borden<br />
Terri Bossard<br />
Dave & Linda Bossell<br />
Bowser’s Casino<br />
Jack Buckley<br />
Milton L. Bullis<br />
Carol Cady<br />
Leonard & Gladys Cantrell<br />
Capital Hill Mall<br />
Anita J. Carpenter<br />
Carter Trucking, Inc.<br />
Mr. & Mrs. John P. Casey<br />
Michele & Levi Cheff<br />
Kimberly Cooney<br />
Lane & Linda Coulston<br />
Shirley Covert<br />
Dairy Queen North of Great Falls<br />
Dairy Queen of Great Falls<br />
Mr. & Mrs. Thomas A. DeYoung<br />
Chuck Douglas<br />
Lynne Eaton<br />
Donald & Alvina Eblen<br />
Cecilia Eusterman<br />
Leigh Fahlquist<br />
Alfred L. Finch<br />
Flowers By Hansen<br />
Joe Frankovich<br />
Mr. & Mrs. Earl M. Genzberger, Jr.<br />
Mr. & Mrs. William Gowen<br />
Granite Peak Transportation<br />
Sherri Gregory<br />
Headwaters Salons, LLC<br />
Michael E. Heisler<br />
Helena Plumbing<br />
Roger & Joyce Hibbs<br />
Dorel A. Hunt<br />
IOOF Lodge #48<br />
Mr. & Mrs. Karl Ingebrigtson<br />
IOOF Covenant Lodge #6<br />
Montana Broom & Brush<br />
Howard’s Pizza<br />
Margaret Johnson<br />
Sarah L. Johnson<br />
Christy Kahler<br />
Stephen C. & Jan K. Kalgaard<br />
Kiwanis of Columbia Falls<br />
Kiwanis of Malta<br />
Rick Kuchynka<br />
Evelin M. LaBuda<br />
David Lemm<br />
Liberty County Combined<br />
Fund Drive<br />
Joe & Amy Lierow<br />
Lucky Dog Ventures<br />
McFarland Logging<br />
Dr. & Mrs. Joseph G. McKinley<br />
Barbara & Gene Meek<br />
Newton Logging<br />
Leonard E. Nopen<br />
Ray Patterson<br />
Pennington Construction<br />
Many thanks to Cherry Creek Media, KBLL-FM in Helena, and<br />
KZMY-FM in Bozeman for their generous support during Radiothon.<br />
Robert & Cheryl Pesta<br />
Al Picchioni<br />
Cheri Pijanowski<br />
Placer Motors<br />
Plane Oak Construction, Inc.<br />
Bill & Bessie Pluid<br />
Joe Randall<br />
Mark, Pam & John Refling<br />
Mary Jane Rice<br />
Robert A. & Laurie Rogers<br />
Dr. Jim Rowlings<br />
Mr. & Mrs. Michael W. Seery<br />
Select Realty<br />
Father Daniel B. Shea<br />
Earl & Judy Sheldon<br />
Dan & Debbie Snyder<br />
Clifton & Alberta Sowle<br />
Joyce Spicher<br />
Bob Spoonheim<br />
Virginia & Ward Thompson<br />
Springhill Ranch<br />
Anne Stark<br />
Talbot<br />
The Milky Whey, Inc.<br />
Bruce A. Thomas<br />
TMW International, Inc.<br />
Triangle N Farms, Inc.<br />
Mr. & Mrs. Harold A. Tutvedt<br />
Valley Bank of Kalispell<br />
Charles Van Gorden<br />
Diane Van Gorden<br />
Van’s Thriftway<br />
Mike & Jessica Wagner<br />
Monty Wallis<br />
Dolores Weathers<br />
Mr. & Mrs. Henry Wertheimer, Jr.<br />
William Whitsitt<br />
James W. & Carol Williams<br />
Thank You!<br />
For Supporting Montana’s Youth<br />
Please remember <strong>Shodair</strong> in your upcoming<br />
Holiday giving plans. Your generous donations<br />
truly make a difference!<br />
14 Reunion
CMN Telethon<br />
20<strong>05</strong><br />
Telethon a<br />
Rousing<br />
Success:<br />
Supports<br />
Critical<br />
Services to<br />
Children,<br />
Families<br />
ABOVE RIGHT<br />
Jim Foley accepts a generous<br />
contribution from a corporate<br />
sponsor<br />
BELOW<br />
Montana’s Champion<br />
Todd Daniels and some family<br />
members with telethon hosts<br />
The annual Children’s Miracle Network Celebration (CMN) broadcast<br />
aired Saturday, June 4th. With phone banks manned by volunteers from<br />
businesses and organizations in Helena and around the state, <strong>Shodair</strong><br />
Children’s <strong>Hospital</strong> began its annual fundraising event to benefit Montana<br />
children. The event was broadcast live from the hospital in Helena on<br />
CBS affiliates around the state.<br />
<strong>Shodair</strong>’s telethon was part of the international CMN Celebration<br />
broadcast that aired June 3-5. Celebration is the annual fundraising<br />
event for Children’s Miracle Network hospitals across the nation and<br />
Canada. The 21-hour television special, live from Walt Disney World,<br />
is broadcast over a network of some 200 television stations in the<br />
United States, Canada, and Mexico.<br />
Proceeds from the <strong>Shodair</strong> telethon stay in the state to support vital<br />
health care services for children and families in Montana. <strong>Shodair</strong> is<br />
one of 170 premier children’s hospitals around the nation that are<br />
affiliated with the Children’s Miracle Network. <strong>Shodair</strong> is a non-profit,<br />
non-denominational facility that helps children of all races, ages,<br />
religions, and financial backgrounds, providing specialized psychiatric care<br />
and medical genetics services. It is Montana’s only CMN-affiliated hospital.<br />
October 20<strong>05</strong><br />
During the day-long broadcast, viewers all over Montana heard inspiring<br />
stories of dedication and courage from families and children who triumphed<br />
over significant challenges to their health and well-being. Eleven year-old<br />
Todd Daniels from Trout Creek was on hand to thank donors and volunteers.<br />
Todd is a former patient at <strong>Shodair</strong> and was Montana’s representative in the<br />
20<strong>05</strong> CMN/Foresters Champions Across America program. During an earlier visit to<br />
Continued on page 16 15
WELCOME DR. KATHERINE RAPPAPORT<br />
Fifth Psychiatrist Joins <strong>Shodair</strong> Staff<br />
In August, <strong>Shodair</strong> welcomed another<br />
psychiatrist to its ranks. Dr. Katherine<br />
Rappaport joined the staff of Child<br />
and Adolescent Psychiatry<br />
Department, bringing the number of<br />
full-time board certified psychiatrists<br />
on staff to five.<br />
Dr. Rappaport comes to <strong>Shodair</strong><br />
from the Children’s <strong>Hospital</strong> Medical<br />
Center in Cincinnati, Ohio, where<br />
she was an Associate Professor of<br />
Child and Adolescent Psychiatry and<br />
a medical director of the Adolescent<br />
Medical Service. She is board<br />
certified in adult, child, and adolescent<br />
psychiatry, with additional<br />
qualifications and experience in<br />
addiction psychiatry.<br />
Rappaport will be in charge of one of<br />
the adolescent residential treatment<br />
units. Her first day on the job was<br />
August 15th.<br />
In addition to her familiarity with<br />
two psychiatrists already on staff at<br />
<strong>Shodair</strong>—Dr. Keith Foster and Dr.<br />
Celeste Sinton—Rappaport said<br />
several factors influenced her<br />
decision to come to <strong>Shodair</strong>. Among<br />
them, the quality of care, and<br />
Medical Director, Dr. James Killpack.<br />
“The tone he sets and work that’s<br />
done here impressed me,” she said.<br />
Rappaport feels her experience in<br />
acute and outpatient care, gained<br />
at a major university hospital and<br />
referral center, as well as her<br />
expertise in chemical dependency<br />
will be valuable at <strong>Shodair</strong>. While<br />
the hospital doesn’t have a chemical<br />
dependency treatment unit, many<br />
patients and their families are<br />
affected by substance use disorders.<br />
She’s also looking forward to the<br />
smaller, concentrated treatment<br />
environment at <strong>Shodair</strong>. “I’m looking<br />
forward to being able to really spend<br />
Dr. Katherine Rappaport<br />
time with kids and their families—<br />
the kind of time that contributes to<br />
positive outcomes,” she said.<br />
Rappaport received her bachelor’s<br />
degree from Washington University<br />
in St. Louis, Missouri. She earned<br />
her M.D. from the University of<br />
Cincinnati Medical College, in<br />
Cincinnati, Ohio, and completed her<br />
residency and fellowship training<br />
program in child psychiatry there as<br />
well. She received the Children’s<br />
<strong>Hospital</strong> Martin Luther King<br />
Humanitarian Award in 2002, and<br />
was a Cincinnati Health Hero<br />
nominee in 2003.<br />
CMN Telethon ...continued from page 15<br />
the state capital, he was honored by legislative<br />
proclamation and standing ovations in both the house<br />
and the senate chambers, and visited with Governor<br />
Brian Schweitzer.<br />
As of September, the total pledged at this year’s telethon<br />
stood at $231,567. That amount is likely to increase as<br />
pledges continue coming in.<br />
The telethon is made possible by the efforts of hospital<br />
staff and volunteers who graciously contribute their time<br />
to make the event possible. Local businesses donate<br />
food to feed to the small army, whose members work<br />
from morning until midnight.<br />
Many donors and Children’s<br />
Miracle Network corporate<br />
sponsors came from locations<br />
around the state to present their contributions personally<br />
and staff phone banks throughout the day and evening.<br />
Television hosts also represented markets across the state<br />
and included broadcast personalities from Helena,<br />
Missoula, Bozeman, Billings, Great Falls, and Glendive.<br />
While producing the telethon is a lot of work, everyone<br />
enjoys the event and the opportunity to work together<br />
for an important cause. “It’s great to be involved in<br />
something that benefits young people and families in<br />
Montana,” said Linda Reed, a <strong>Shodair</strong> employee who<br />
spent her Saturday recording pledges and keeping<br />
volunteers fed. “The need for these services is so great,<br />
and I’m glad we have this chance to tell people about it,<br />
and to offer them an opportunity to<br />
help,” added Linda Bossell, who<br />
also recorded pledges and ran<br />
errands to help to keep the event<br />
running smoothly.<br />
16 Reunion
SHODAIR FOUNDATION<br />
From the Foundation Director<br />
Big changes are taking place<br />
at <strong>Shodair</strong>! We’re growing to<br />
help meet the needs of children<br />
and families—and other health<br />
care providers in our state, by<br />
providing much-needed acute<br />
psychiatric care and important<br />
new medical genetic services.<br />
It’s an exciting time and a<br />
challenging undertaking.<br />
Expansion of our facility, staff,<br />
and services has involved<br />
careful planning, commitment,<br />
and a significant investment<br />
of resources.<br />
Drafting or updating a will<br />
involves a similar process. It can<br />
be a challenging effort; one that<br />
requires thoughtful planning and<br />
consideration of resources, and<br />
is often a task most of us would<br />
rather put off for another day.<br />
It is, however, one of the most<br />
important things you can do for<br />
yourself, your family, and any<br />
causes you support. For these<br />
reasons, I’d like to gently<br />
prompt you to obtain or<br />
update your will.<br />
In my role here at <strong>Shodair</strong>, I’ve<br />
seen first-hand the problems that<br />
arise when someone fails to<br />
complete this important task.<br />
Without a will, family members<br />
are often left to make tough<br />
decisions during an already<br />
difficult time, and the deceased<br />
may not have their wishes<br />
fulfilled.<br />
<strong>Shodair</strong> has been blessed by<br />
loyal donors and friends from all<br />
over the state for over 109 years,<br />
and we are truly grateful for<br />
their contributions. Without our<br />
generous donors, we’d be hardpressed<br />
to meet the needs of<br />
patients from around the state.<br />
Many of these people have<br />
remembered <strong>Shodair</strong> Children’s<br />
<strong>Hospital</strong> in their wills, and their<br />
support has helped us improve<br />
our facilities, add capabilities,<br />
and reach more of those<br />
patients and families who<br />
need our services.<br />
You can be part of this exciting<br />
time and help us build a solid<br />
foundation for continuing<br />
services and future growth. If<br />
you’d like to draft or update your<br />
will, we can offer useful<br />
information to help you as you<br />
consider your options and<br />
prepare for a visit with a trusted<br />
advisor. Remember: If you’re<br />
thinking of honoring <strong>Shodair</strong><br />
Children’s <strong>Hospital</strong> with a<br />
bequest or donation, your wish<br />
will not become reality unless it’s<br />
clearly stated in a valid will!<br />
If you would like to receive free<br />
information on Making a Will<br />
That Works, or learn more about<br />
estate planning, bequests, and<br />
Linda Coulston<br />
<strong>Shodair</strong> Children’s <strong>Hospital</strong><br />
Foundation Director<br />
other planned gifts that can let<br />
you make a significant donation<br />
while meeting your current<br />
financial obligations, please<br />
drop me a note, or call toll free<br />
1-800-447-6614 and ask to<br />
speak to me.<br />
Best wishes,<br />
Linda Coulston<br />
Foundation Director<br />
Peace of mind is…completing<br />
a valid will, caring for your<br />
loved ones, creating a legacy<br />
through a bequest to <strong>Shodair</strong><br />
Children’s <strong>Hospital</strong>, and making<br />
a difference in the life of a child.<br />
<br />
* This information is for illustrative<br />
purposes and is not intended to be tax<br />
or financial advice. You should always<br />
consult your own attorney or financial<br />
advisors when considering a planned<br />
gift. We thank you for considering<br />
us in your will or other estate plans.<br />
October 20<strong>05</strong><br />
17
O c t o b e r 2 0 0 5<br />
Coming Up...<br />
Montana’s 2006<br />
Children’s Miracle Network<br />
Champion will be announced<br />
in the next issue of Reunion.<br />
Board of<br />
Trustees<br />
Red Menahan<br />
President<br />
Rev. Dan Shea<br />
1st Vice President<br />
Virginia Thompson<br />
2nd Vice President<br />
Bob Lemm<br />
Secretary<br />
Rita Gowen<br />
Treasurer<br />
Cynthia Gustafson<br />
Marilyn McKibben<br />
Pete McNamee<br />
Cynthia Melton<br />
Jerry Mitchke<br />
Ed Tinsley<br />
Moe Wosepka<br />
2755 Colonial Drive<br />
P.O. Box 5539<br />
Helena, MT 59604<br />
Non-Profit Org.<br />
U.S. Postage<br />
PAID<br />
Kalispell, MT<br />
Permit #27