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SHD reunion sept 05 - Shodair Children's Hospital

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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 />

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list the corrections in the next issue of Reunion. Thank you.<br />

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12<br />

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April through August 20<strong>05</strong><br />

Enid R. Agamenoni<br />

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Norma M. Boylan<br />

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Martha Brothers<br />

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Mack Bruno<br />

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Mary Bugni<br />

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Marie Carey<br />

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Jack Carlson<br />

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Shirley Faye Carlson<br />

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Sam Carpenter<br />

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Samuel C. Carpenter<br />

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Clay Carson<br />

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Evelyn Codeny<br />

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Shirley Cooper<br />

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John Cote<br />

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Dale H. Davis<br />

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Raymond Davis<br />

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Rose Dewing<br />

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Donald Diemer<br />

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Pat Dorrington<br />

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Donna Edmisten<br />

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Anne Feulner<br />

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Patrick M. Fogarty<br />

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Jack Forney<br />

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Albert “Bert” Fortune<br />

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Mrs. Harold “Helen” Funk<br />

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Robert “Buck” George<br />

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Veronica Goetz<br />

- Mr. & Mrs. John W. McDonald, Jr.<br />

Mary Granier<br />

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Uncle Joe Gruny<br />

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Robert C. Gutcheck<br />

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Patty Haig<br />

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Gladys Hazelton<br />

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Eugene Heil<br />

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Robert “Bob” Henderson<br />

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Maude Hoell<br />

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L. Dexter Holtberg<br />

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Neil J. Howarth<br />

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Albert E. Hughes<br />

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John Iwen<br />

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Robert “Jake” Jacobs<br />

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Kristy Jo Johns<br />

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Irene Johnson<br />

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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 />

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Carly Vandyke<br />

Rosemarie Vetter<br />

VFW Post 5590<br />

Travis Wilson<br />

Dorthea Lucille Jorgenson<br />

- Rosie King<br />

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Madeline Kane<br />

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Cody Kanirie<br />

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James Melbye<br />

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Hank Melcher<br />

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Francis “Tweed” Morrison<br />

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John H. Morrison, Sr.<br />

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Thelma Nelson<br />

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Margaret Paul<br />

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Robert Paynter<br />

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Ray Pesanti<br />

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Joe Piazzola<br />

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Raymond “Ray” Piche<br />

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Norbert Poepping<br />

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Albert “Slitz” Poynter<br />

- Mr. & Mrs. Harry Faroni<br />

Lawrence Pressler<br />

- Mr. & Mrs. Harry Faroni<br />

Clark Pyfer<br />

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Brit Alan Ramsey<br />

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Nancy A. Reap<br />

- Mr. & Mrs. Harry Faroni<br />

Wanda Rice<br />

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John Rice, Jr.<br />

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Verna & John Rice, Sr.<br />

- Betty A. Rice<br />

Joe Richards<br />

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Joseph Richards<br />

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Brent Roeber<br />

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George R. Ruckman<br />

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George Ruffatto<br />

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Loraine “Lolly” Russell<br />

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Myrna L. Russell<br />

- Harold & Marjorie Keilman<br />

Gladys Sands<br />

- Pat Banka<br />

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Marjorie Saunders<br />

- Eva Fortune<br />

Merle Schend<br />

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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

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