Patient-Centered Care

 
 
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Health and Wellness

Our providers and medical staff will work with you to help achieve your healthcare goals and improve your overall health.

At Sapphire Community Health we provide a wide range of services including: immunizations, well child checks, men’s and women’s health physicals, management of acute and chronic diseases, mental health counseling, substance abuse counseling, and pharmacy services.

We provide patient-centered primary care where you are an active participant in your healthcare and a valued member of your healthcare team. As a patient at Sapphire Community Health you will have access to medical providers and nursing staff who remember you, your family, and your health history.

Our medical home model is designed to provide not only acute care, but education and counseling on chronic conditions and the many benefits of preventative care; annual screenings for men, women, and children are essential for maintaining your health.

Primary Care

Our provider care teams can help you and your family with your medical needs including preventive care, chronic disease management, and acute care.

As a patient of Sapphire Community Health your primary care provider will lead your care team, which may include providers, nurses, medical assistants, pharmacy, health educators, behavioral health professionals and other support staff. Our teams coach you through the process of getting healthy and staying healthy, while providing the care and services that are right for you. You are at the center of your care team and you’ll love the way we care for you.

 

 
 

Acute Care

Conditions that require attention but do not pose an immediate, serious threat to your health or life. Our medical providers provide acute care for most ailments, such as lacerations, wounds, sprains, fevers, coughs and colds, ear infections, urinary tract infections, vomiting, or diarrhea.

 

Chronic Disease Management

Conditions that require long term management and monitoring by a health care professional. Chronic conditions such as asthma, COPD, diabetes, and hypertension are among the many disease processes managed by our medical providers.

 

Chronic Pain Management

Although pain is the body’s normal reaction to injury, chronic pain is usually defined as pain that continues long after its cause is gone; persisting for more than 3 -6 months. At Sapphire Community Health we have a pain management specialist who is a physician with special training in the evaluation, diagnosis and treatment of all different types of pain. We’ve learned a lot about chronic pain over the years. We know that with persistent pain the injury signal is transmitted into 16 regions in the brain. We know that persistent pain may be gradually reinforced and LEARNED; therefore even if the injuries heal, the pain persists. Some explanations may be subjective factors including the patient’s history, psychological experience, genetic, cultural, financial, sleep disorders, and other stressors. The body and brain are not separate. They are married neuroanatomically. Six of the 9 pain processing areas in the brain are also mood processing areas. With such overlap of pain and mood perception circuits, it is no wonder people with persistent pain also suffer from depression and anxiety.  At Sapphire Community Health we use a combination of pharmacology, mindfulness, exercise, psychotherapy, medical workups, and other lifestyle and clinical alternatives to design the treatment plan that will work for each specific individual.

 

DIABETES MANAGEMENT

Nationwide diabetes rates have nearly doubled in the past 20 years . The CDC projects that one in three adults could have diabetes by 2050. Keeping your blood sugar levels within the range recommended by your doctor can be challenging. That's because many things make your blood sugar levels change, sometimes unexpectedly. At Sapphire Community Health we will work with you to learn how to manage the sugar, high fructose and corn syrup, soda, juice, sports drinks that you take in , because they cause blood sugar to rise quickly. We will educate you on the diet  and exercise that is important part of your diabetes management plan. Exercise causes your muscles to use sugar for energy. Regular physical activity helps your body use insulin more efficiently. We will monitor the fluctuations in blood sugar levels and provide the medication,  education and support to successfully manage your diabetes.

 
 

Family Planning

Montana’s Family Planning Program aims to improve women’s and men’s sexual and reproductive health and reduce the rate of unintended pregnancy and sexually transmitted infections. It's mission is to provide affordable, confidential, quality reproductive health services that respect, empower, and educate individuals, families and communities. Family planning clinics provide confidential, comprehensive reproductive health services, education and outreach in communities around the state.

 

Laboratory Services

We provide basic lab services such as complete metabolic and lipid panels, tests for glucose levels, and urine analysis,  liver and hormone tests, drug screens and enzymes tests. We also provide genetic testing to provide guidelines for medication compatibility.

 

Pediatric and Well-Child Care

The purpose of the well child examination is to determine whether your child's needs at different ages and stages are being met. Children have more well-child visits when they are younger. This is because development is faster during these years. Each visit includes a complete physical exam. Once the child reaches school the required number of well child visits is individualized to a schedule that suits the needs of children and their families. The American Academy of Pediatrics (AAP) developed a set of comprehensive health guidelines for well-child care, called Bright Futures, for pediatricians to follow, with age appropriate questions that focus on developmental milestones, nutrition, safety, and your child and family’s emotional well-being. Visits may include topics such as: sleep habits, childhood diseases, immunizations, and what to expect as your child grows; along with a physical exam.

 

Prescription Drug Assistance

Drug overdose deaths are on the rise nationally and are the third leading cause of injury-related death in Montana. Substance abuse of opioids and methamphetamine are a growing concern in Montana, affecting individuals and families regardless of income or status. Alcohol abuse among adolescents and adults continues to be the number one drug abuse problem in Montana. The Montana suicide rate remains among the highest in the nation, and over the past ten years suicide has been a leading cause of death for young adults in our state. Montana is moving in a positive direction to curb substance abuse, as well as provide resources and support to address mental health promotion.

 

Sport’s Physicals

Most schools require a physical evaluation before students are allowed to participate in high school sports. Sports physicals are specific to a sport and focused on injury prevention. They usually occur in parts: a health history to determine any know or genetic preexisting conditions or concerns, and the actual physical exam. The medical history will include some family history of illnesses, a history of the individual’s health issues, any hospitalizations, allergies, past injuries, current medications, eye exam, and more. The medical history is looking for any illness that may compromise the health of the student. We offer sports physicals at no cost.

 

Women's Health

Services include annual exams, breast and cervical cancer screening, birth control, mammograms, breast cancer screenings, and STI testing.

 

Substance Abuse and Mental Health Care

Increasing early identification, intervention, and referral to treatment is key to improving mental health in Montana.

Drug overdose deaths are on the rise nationally and are the third leading cause of injury-related death in Montana. Substance abuse of opioids and methamphetamine are a growing concern in Montana, affecting individuals and families regardless of income or status. Alcohol abuse among adolescents and adults continues to be the number one drug abuse problem in Montana. The Montana suicide rate remains among the highest in the nation, and over the past ten years suicide has been a leading cause of death for young adults in our state. Montana is moving in a positive direction to curb substance abuse, as well as provide resources and support to address mental health promotion.

Mental illness such as Anxiety Disorders, Autism Spectrum Disorders, Attention-Deficit/Hyperactivity Disorder (ADD/ADHD), Bipolar Disorder, Depression, Eating Disorders, Obsessive-Compulsive Disorder (OCD), Panic Disorder, Post-traumatic Stress Disorder, and Schizoaffective Disorder are just some of the mental illnesses our treatment team can address. Using pharmacological remedies coupled with psychotherapy we can find the correct diagnosis and treatment modality unique to each person. Our integrated approach ensures that our dedicated team of caring professionals addresses our patients' physical, behavioral, and emotional wellbeing. Our behavior care helps you cope with the stress of hectic, demanding lives. Our psychological frame of mind impacts our physical health just as physical conditions impact our emotions. Behavioral health and physical health are interrelated, providing behavioral health care in a primary medical care setting can reduce stigma and discrimination, be cost effective, and lead to improved patient outcomes.

We encourage and support our patients to take an active role in managing their health. We believe that integrated behavioral health is an important part of overall good health. We offer assistance when stress, worry, chronic health conditions and emotional concerns interfere with your daily life. You’ll love the way we care for you.

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Our integrated approach ensures that our dedicated team of caring professionals addresses our patients' physical, behavioral, and emotional wellbeing.

MENTAL AND EMOTIONAL HEALTHCARE

Sapphire Community Health practices an integrated healthcare model. This means counselors and physicians work alongside one another to provide behavioral health screenings and brief therapies to patients right in the exam room, during the same visit.

INTEGRATED CARE

Integrated healthcare is care for the whole person: body, mind, emotion. Sapphire Community Health's holistic approach to healthcare involves treating patients in a way that ensures that all your needs — physical, emotional, mental and social — are being cared for.

BEHAVIORAL HEALTH

Sapphire Community Health offers support to their patients in areas such as mental health concerns, coping with chronic illness, addiction, and behavioral change assistance in a variety of areas such as weight loss, counseling, medication assistance, and lifestyle change.

MEDICATION-ASSISTED TREATMENT

Medication-assisted treatment (MAT) combines the use of medications and behavioral therapy to treat people who have a substance use disorder. It helps to reduce withdrawal symptoms, address cravings, and provides medical supervision.

We believe those who seek help for mental illness or substance abuse are brave individuals who should feel empowered and supported – not ashamed or embarrassed.

Preventative Care

Many diseases are preventable through immunizations, screenings, treatment, and lifestyle changes. 

At Sapphire Community Health we believe that as healthcare providers we play a crucial role in promoting, providing and educating our patients about preventive services and screenings; as well as maintaining the health of our community.

Our health clinic provides numerous preventive services such as:

  • Blood pressure, diabetes and cholesterol tests
  • Cancer screenings, such as mammograms and colonoscopies
  • Help to stop smoking, lose weight, fight depression and reduce alcohol abuse
  • Well-baby and well-child visits, from birth to age 21
  • Vaccines, such as measles and polio
  • Care for healthy pregnancies
  • Flu and pneumonia shots
 

 

Asthma is one of the most common childhood illnesses, the Centers for Disease Control and Prevention reports that 7.1 million children have asthma. It is one of the leading causes of school absenteeism and can cause physical, emotional, and financial burdens if not well controlled. Knowing what asthma is, how it affects the body, and ways to help control it are key to a child’s optimum health. The Asthma Control Program is committed to improving the quality of life for all children in Montana with asthma.

This program is a home based, multi-component program which targets children and families, and includes environmental and educational aspects. In order to be eligible for the program your child must:

  • Be under the age of 17 with a diagnoses of asthma.
  • Live within the sites’ service area.
  • Have has had at least one ER visit, urgent care visit or hospitalization within the previous 12 months, or have scored less than 20 on the Asthma Control Test within the previous 12 months (applicable to those age 4 and older).

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Sapphire Community Health's comprehensive cancer control services focus on cancer prevention, early detection and screening, and health advocacy to meet the needs of at-risk Montanans. Every man, woman and child can help prevent cancer by knowing their risk factors, getting screened and choosing a healthy lifestyle.

Our efforts, guided by the Montana Comprehensive Cancer Control Plan, include:

  • Providing financial assistance for screening
  • Coordinating outreach and education
  • Building coalitions
  • Nurturing advocacy

The Montana Cancer Screening Program supports comprehensive cancer control by providing ongoing quality screening services to Montana women and education in a manner that is appropriate, accessible, cost-effective and sensitive to the client’s needs. Contact us to find out more about our Cancer Screening Services and eligibility requirements.

Current Income Guidelines →

Cardiovascular diseases and cancer jointly account for approximately half of all deaths in Montana each year. Tobacco use remains the single most preventable cause of morbidity and mortality in Montana across the lifespan, contributing to adverse outcomes of pregnancy, cardiovascular disease, many kinds of cancer, and asthma. Increasing rates of obesity and overweight contribute to the growing epidemic of diabetes and cardiovascular disease. Chronic disease deaths could be postponed and healthy living enhanced through a combination of Montanans complying with health recommendations and improving personal lifestyle.

Sapphire Community Health Communicable Disease Prevention efforts help protect the public from the spread of communicable diseases through:

  • Education, reporting and tracking of communicable diseases.
  • Notification response.
  • Management of outbreaks.

Communicable diseases include sexually transmitted infections (STIs), Influenza, Anthrax, Pertussis, Norovirus, West Nile Virus, HIV, food borne illness and others. We care for people who have a communicable disease and people who may have been exposed to one, as well as provide education and information about these diseases and how to avoid their spread. Chlamydia, a sexually transmitted infection (STI), is the most common reportable infectious disease in Montana, underscoring the need for ongoing STI prevention activities.

The Montana Diabetes Prevention Program is a public health program that supports healthy lifestyle changes for adults who are at risk for developing type 2 diabetes. Trained lifestyle coaches deliver the program through 19 organizations across the state. Committed to reducing the burden of cardiovascular disease and diabetes, the Montana Diabetes Prevention Program utilizes sustainable community partnerships to provide opportunities for primary prevention emphasizing healthy lifestyle change among high risk Montanans.

Implementing healthy, sustainable changes to your daily nutrition and learning how to implement physical activity that is enjoyable can ultimately help you lose weight and feel better is what this lifestyle program is all about. You will be in classes with others who have similar struggles, but can offer a sense of support. There are trained lifestyle coaches that will educate and help guide you to success.

Eligibility Criteria

Adults are eligible if they are overweight, have medical clearance and have one or more of the following risk factors:

  • Pre-diabetes
  • High blood pressure
  • High LDL cholesterol, low HDL cholesterol, or high triglycerides
  • Had gestational diabetes mellitus (GDM) or delivered a baby >9 lbs

People who have completed this year-long program gain confidence and learn new life skills. You will attend 1-hour group classes for a 16-week series of nutrition and physical activity classes and then 6 monthly classes. You will learn how to make better food choices, be more active, and manage stress or other challenges to help you lose weight.

Find a Diabetes Prevention Program →

The Ryan White Comprehensive AIDS Resources Emergency (CARE) Act provides funding for HIV/AIDS care. Federal funds enable states to improve the quality and availability of healthcare and support services for people infected with HIV/AIDS. Sapphire Community Health provides and coordinates top-quality care under the Ryan White CARE Act. Our services include:

  • Medical, pharmaceutical, nutritional, mental health and substance abuse service.
  • Referrals to specialists as needed.
  • Assistance in accessing financial resources and financial assistance on a sliding fee scale.
  • Education and counseling for HIV/AIDS patients and their families.
  • AIDS Drug Assistance Program (ADAP) and AIDS Insurance Continuation Program (AICP).
  • Housing and transportation referrals.
  • Advocacy and case management services.

Learn More →

Sapphire Community Health provides protection from disease through immunizations. Please remember to bring all immunization records with you to each visit.

Childhood Vaccines

Childhood immunizations are crucial to the health of your child, as well as the health of the community. Because they are so critical, Vaccines for Children, a federally-funded program, helps provide vaccinations to children who are not insured or underinsured. With Vaccines for Children, there is no fee for the office visit, and no appointment is necessary. The Centers for Disease Control and Prevention recommends several childhood immunizations. The state of Montana requires immunizations as a condition of daycare and school entry.

Adult Vaccines

Vaccines available for adults include: Hepatitis A and B, HPV (human papillomavirus), influenza, MMR (measles, mumps, rubella), meningitis, pneumonia, polio, Tdap (tetanus, diphtheria, pertussis), chickenpox, and shingles. The vaccine for shingles is recommended for all adults age 60 and older, since the older a person is, the more likely they are to develop a severe a case of shingles rather than a mild case.

Travel Vaccines

If you travel overseas, you can protect yourself against many serious illnesses by making sure you have the proper immunizations. Give yourself four to six weeks prior to your trip to complete all necessary vaccinations. Travel vaccinations are available by appointment only. Contact us to schedule an appointment. People age 60 and older need a prescription from their doctor to receive Yellow Fever Vaccine.

Unintentional injuries cause almost half of all deaths among children, teens, and young adults. One third of unintentional injury deaths occur in vehicle crashes. Four out of five people who die in vehicle crashes are unrestrained by seat belts or age-appropriate car seats. Montana consistently ranks among the top ten states for the highest occupational injury and fatality rates, in part because many Montanans work in high-risk occupations. However, a large proportion of occupational injuries and fatalities are also caused by vehicle crashes. Strengthening and better enforcing motor vehicle safety policies can reduce injuries and save lives. Environmental hazards are known to exist; these hazards can be found both indoors and outdoors. The public health system works to identify and mitigate exposures that can potentially lead to adverse health effects.

We provide basic lab services such as complete metabolic and lipid panels, tests for glucose levels, and urine analysis, liver and hormone tests, drug screens and enzymes tests. We also provide genetic testing to provide guidelines for medication compatibility.

Sapphire Community Health offers reliable and confidential testing and prevention services for Sexually Transmitted Infections (STIs). Because many STIs have few or no symptoms, people can unknowingly spread infections to others through sexual contact. If you have symptoms of an STI, or if you have been exposed to an STI, contact a Sapphire Community Health at (406) 541-0032 to learn more about confidential diagnosis and treatment options.

Follow these links to learn more about STIs and their prevention. This information should be used to help decide whether to seek medical care, but it is not intended for self-diagnosis.

Common STIs:

Hepatitis Services

Hepatitis, a disease that harms the liver, can be spread through exposure to blood, contaminated food and water, contaminated needles or through sex with an infected person. The Centers for Disease Control and Prevention is an excellent resource for more information about hepatitis.

To help prevent the spread of hepatitis, Sapphire Community Health provides Hepatitis A and B immunizations on a sliding fee scale; hepatitis C testing; and free prevention information. Call (406) 541-0032 to learn more.

Suicide is preventable. Yet, Montana has one of the highest suicide rates in the nation and has for 40 years. In 2013, Montana had the highest suicide death rate in the nation with 23.9 deaths per 100,000 people, compared to the national average of 13 deaths per 100,000.

Common Suicide Warning Signs:

  • Depression
  • Hopelessness
  • Giving away possessions
  • Isolation
  • Drug and/or alcohol abuse
  • Drastic change in mood
  • Noticeable decline in school or work performance
  • Change in sleep or appetite
  • Negative comments such as, “I’d be better off dead” or “I’m a burden to everyone”

Get Help

If you or a loved one are in crisis, call the Montana Suicide Prevention Lifeline: 1 (800) 273-8255 or text MT to (406) 741-741 a free, 24/7 text line for people in crisis. For more information also visit the American Foundation for Suicide Prevention.

Four Montanans die every day from tobacco-related diseases. And corporate tobacco spends more than $28 million a year to advertise tobacco products in Montana.

At Sapphire Community Health we support the efforts of the Montana Tobacco Use Prevention Program, which addresses the public health crisis that is caused by the use of all forms of commercial tobacco products. Our goal is to reduce disease, disability, and death related to tobacco use by:

  • Preventing tobacco use among young people
  • Eliminating exposure to secondhand smoke
  • Eliminating disparities related to tobacco use and its effects among certain populations
  • Encouraging adults and young people to quit

We promote the use of the Montana Tobacco Quit Line: 1 (800) 784-8669 and the American Indian Commercial Tobacco Quit Line: 1 (855) 372-0037. Both services connect callers to certified cessation coaches and additional benefits.

 
 

Medication Assistance Program (340B)

Through a partnership with local pharmacies, Sapphire Community Health is able to provide medication assistance for eligible patients.

Medication Assistance Program

Most medications that are covered under this federal program are free or significantly reduced cost. The 340B Drug Discount Program is a Federal government program that requires drug manufacturers that participate in Medicaid to provide outpatient drugs to eligible health care organizations at significantly reduced prices.

As a non-profit program, Sapphire Community Health has applied for and received status as a covered entity which means our patients are eligible for this discount. In order to be eligible the individual:

  1. must have an established relationship with Sapphire Community Health such that we maintain records of the individual’s care;
  2. must receive care from a professional employed by Sapphire Community Health; and,
  3. must receive health services from the Sapphire community Health that are consistent with our provided services.

Under these guidelines, an individual is not considered a patient if the only health care service received by the individual is the dispensing of a drug. Pharmaceutical prices available through the 340B program are significantly lower than both retail and wholesale prices. In 2015, the Government Accountability Office reported that program participants can save an estimated 20-50% off drug costs.

Please contact us at (406) 541-0032 for more information about our medication assistance options and the Sapphire Community Health Medication Assistance Program.

Social Services

Ravalli County departments of social services provide information on food stamps, public assistance, housing, healthcare, emergency assistance, and child services. Eligibility varies depending on the type of program and the local agency. Many programs are based on income and available only to households below a certain income threshold. Other programs may be targeted for specific groups, such as children, the elderly, or people with disabilities.

 

 

The Early Childhood Services Bureau offers Best Beginnings child care scholarships to qualified low-income families whose child receives care from a licensed child care center, registered group or family child care home, or legally certified child care provider. Each family participates in the cost of that care by making a copayment based on a sliding fee scale.

The program helps to pay for care when parents are not available to care for their children:

  • During working hours;
  • During school or training hours, if meeting work requirements;
  • If they are a teen parent attending high school; or
  • If they are a parent receiving TANF who is participating in family investment agreement activities.

Learn More →

Big Sky Rx (BSRx) is dedicated to helping Medicare clients pay for Medicare approved prescription drug insurance premiums. It is administered by the State of Montana.

Eligibility Criteria:

  • Montana is your primary state of residence
  • Must be a Medicare recipient
  • Income less than $24,280 (single person) Or $32,920 (two person household)

Learn More →

The Community First Choice and Personal Assistance Services (PAS) Programs are entitlement programs designed to provide long term supportive care in the home setting. These programs enable thousands of elderly and disabled citizens to remain in their homes. The type of care authorized is tailored to each individual in a person centered manner and dependent upon their needs, living situation, and availability of caregivers.

Services available through the CFC/PAS Program include the Activities of Daily Living: bathing, dressing, grooming, toileting, eating, medication assistance, ambulation and exercising. Medical escort is also available. Under the PAS program there is additional time for limited grocery shopping, housekeeping and laundry. Under the CFC program there is also additional time for community integration, yard hazard removal for the purpose of providing safe access and entry to the home, correspondence assistance and personal emergency response system.

The CFC/PAS Program does not pay for tasks such as yard work other than authorized task to assure health and safety, household repair or modifications, major cleaning, shopping for non-essential items, escort to non-medical services, pet care, or general transportation. Some of these tasks are allowed through the waiver program depending upon an individual’s needs and required level of care.

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Services provided to eligible persons through the Developmental Disabilities Program are available at no cost to individuals of any age. Many kinds of services are offered through providers in communities or self-directed options. This support is separate from other assistance that is provided through schools, Medicaid, private insurance, Social Security, and other sources.

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Healthy Montana Kids (HMK), Children's Health Insurance Plan is just one of many Montana Healthcare Programs offering a free or low-cost health insurance plan which provides coverage to eligible Montana children up to age 19. Medical benefits are administered through the Blue Cross Blue Shield (BCBS) of Montana Provider Network, except for Federally Qualified Health Centers, Rural Health Clinics and Community Based Psychiatric Rehabilitation and Support Services. Treatments and services must be medically necessary and the member must be enrolled at the time the service is delivered. Covered services include medical, dental, eyeglasses, and other related services.

Health Care Services Include:

  • Medical
  • Pharmacy
  • Dental
  • Vision
  • Transportation

Apply Now →

The State of Montana, through the Department of Public Health and Human Services, offers two programs aimed at helping low-income individuals reduce their heating costs.

The Low Income Energy Assistance Program (LIEAP) pays part of winter energy bills for eligible people. Most utilities offer LIEAP recipients discounts on their bills. The Weatherization Program helps participants to improve the heating efficiency of their homes and thus reduce their energy consumption.

Who Is Eligible

Eligibility for weatherization and fuel (energy) assistance is based on your income and resource limits. Both homeowners and renters may apply for these programs.

If your household receives benefits from the Supplemental Nutrition Assistance Program (SNAP), Supplemental Security Income (SSI) or the Temporary Assistance to Needy Families (TANF) program, you may qualify automatically for weatherization or fuel assistance.

When and Where to Apply

The Low-Income Energy Assistance (LIEAP) application is available during the heating season, which is October 1 through April 30 of each year, you may apply for weatherization assistance or an emergency situation with a furnace or water heater at any time during the year by contacting the energy assistance LIEAP eligibility office or tribal LIHEAP office serving your community.

SAFE’s mission is to address the fundamental need in our community to decrease domestic and sexual violence and its impact in Ravalli County, Montana through the provision of direct services to survivors and their children and by working to minimize those conditions that support violence against women.

Important Phone Numbers

  • Ravalli County Twenty-Four Hour Crisis Hotline: (406) 363-4600
  • National Domestic Violence Hotline: 1 (800) 799-SAFE, If you need help, have questions about violence and abuse or would like to know more about any SAFE service, this hotline is answered twenty-four hours a day, seven days a week.

SAFE Services and Programs

Emergency Shelter

SAFE offers emergency shelter to families and individuals who are being victimized by domestic or sexual violence. Emergency shelter offers a safe place to stay for a short period of time. While in the shelter, survivors meet regularly with an advocate and make plans for violence-free futures. For emergency assistance call: (406) 363-4600.

Outreach and Advocacy

SAFE’s outreach and advocacy program includes a 24-hour crisis hotline, available for survivors and other community members who wish to get more information about domestic violence and community resources, or for people who just want to talk about their situations. The outreach program also offers weekly domestic violence support groups where survivors can talk to others who are experiencing similar issues.

SAFE Kids Program

In SAFE’s Kids Program, the top priorities are safety and meeting the needs of children and parents. SAFE provides a safe place for children to develop their self-esteem, build confidence, learn about healthy relationships, and begin the process of healing from the effects of domestic violence. SAFE provides needed emotional support and parenting advice for adults who request it and we offer a fun and safe place for kids while parents who are using our services attend appointments.

Children’s Support Group meets weekly. SAFE explores topics such as safety planning, expressing feelings, self-esteem, healthy relationships, boundaries, and conflict resolution. SAFE utilizes an empowerment framework with art activities such as sculpting, drawing, painting, and writing designed by A Window Between Worlds as a means to heal from traumatic experiences.

SAFE Transitional Housing

The SAFE Transitional Housing Program is dedicated to providing safe, affordable housing to survivors of domestic and sexual violence. SAFE’s purpose is to advocate for violence-free relationships and safety by providing a safe, non-judgmental, supportive environment.

The SAFE Transitional Housing Program was created to provide survivors of domestic violence, sexual assault, dating violence and stalking the opportunity to live in a violence-free community for up to two years while developing and working toward plans for safe, self-sufficient lives.

Ravalli County Coalition

The goal of the Ravalli County Coalition Against Domestic and Sexual Violence is to create a coordinated community response to domestic and sexual violence in Ravalli County, Montana. Guided by the work of seven committees, the Coalition works to end intimate partner and sexual violence in our community through collaborative intervention, prevention and primary prevention projects. To learn more about the Coalition, click here.

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Healthcare for Montana's Veterans

On April 29, 2015, Governor Steve Bullock signed the bipartisan HELP Act into law, establishing the Montana Health and Economic Livelihood Partnership (HELP) Plan and expanding health coverage in Montana to thousands of low-income working Montanans. Coverage began January 1, 2016. The HELP Plan offers medical, behavioral health, dental, vision, and prescription drug benefits.

Now, more people are insured in Montana than ever before and our federal tax dollars are coming home to provide affordable healthcare to over 50,000 hardworking Montanans. But too many veterans still aren’t getting the services they need.

Montana has the highest percentage of uninsured veterans in the nation. Not all veterans are eligible to receive health care through the VA and those who are eligible don’t always have full coverage. Too many of Montana’s heroes still struggle with long wait times and lack of access to local care. The HELP Act provides another option for eligible veterans.

Apply Now →

Homeless Veteran (HUD-VASH)

The U.S. Department of Housing and Urban Development (HUD) - Veterans Affairs Supportive Housing (VASH) Program combines Housing Choice Voucher rental assistance for homeless veterans with case management and clinical services provided by the Department of Veterans Affairs.

The Montana Department of Commerce's Rental Assistance Bureau provides this rental assistance for eligible veterans across the state, except Billings.For more information, call (406) 841-2830 and ask for assistance with the VASH Program.

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Disabled Veteran Outreach Program (DVOP)

The Employment Specialists at Montana's Job Service offices can assist all Veterans in securing employment and training, as well as refer Veterans to other service providers in both public and private agencies and organizations. Below is a list of contact information for all of Montana's Job Service offices, with specific listings for the DVOP Specialist.

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The Montana Department of Public Health and Human Services distributes Supplemental Nutrition Assistance Program (SNAP), formerly referred to as "Food Stamps" benefits and cash assistance from the Temporary Assistance for Needy Families (TANF) program using an electronic benefit transfer (EBT) system.

Who is Eligible to Participate?

  • People who live together and buy food and prepare meals together are grouped as a “household” for SNAP. Husbands and wives, and children under age 22 living with their natural, adoptive or stepparents must be considered as one household.
  • Household members that wish to be included must be U.S. citizens or legal aliens.
  • Household members that wish to be included must furnish or apply for a social security number.
  • Income and resource guidelines listed in this overview must be met.
  • Able-bodied household members who are age 16 through 59 must register for work, and may be required to participate in a SNAP Employment and Training Program unless a specified exemption is met.

Apply Now →

TANF cash assistance is a program providing temporary financial assistance to needy families. The receipt of TANF cash assistance is limited to 60 months in an adult's lifetime. Temporary financial assistance may be provided to the following families and individuals:

  • Minor Children;
  • Specified relatives with whom the children are living;
  • The minor children's blood-related/adoptive siblings with whom the children are living;
  • Pregnant women in their last trimester who have no other eligible children; and
  • Refugees with minor dependent children.

Apply Now →

Sapphire Community Health WIC Services, a nutrition program for Women, Infants and Children, improves the health of pregnant women and their children.

WIC offers families:

  • Benefits to buy healthy foods
  • Breastfeeding support
  • Tips for eating well
  • Referrals for healthcare and to other community resources

WIC is available to:

  • Pregnant women
  • New moms, for up to six months after delivery
  • Breastfeeding moms, for up to one year after delivery
  • Infants
  • Children under the age of five

WIC is for all kinds of Montana families: married and single parents, working or not working. If you are a mother, father, grandparent, foster parent or legal guardian of a child under age five, you can apply for WIC.

WIC participants receive benefits that can be used to buy cereal, juice, milk, cheese, eggs, peanut butter, whole grain items including whole wheat pasta, dry or canned beans, yogurt, fresh fruits and vegetables, baby food, infant cereal and formula.

WIC contributes to healthy pregnancies, healthy babies and helps young children be ready to learn. To find out how to enroll in WIC, call (406) 375-6685.

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Sapphire Community Health Fees and Payment

Fees and Payment

At Sapphire Community Health we accept most private insurance; as well as Medicaid, Medicare, Healthy Montana Kids, VA Healthcare, and health insurance assistance and tax credits through the federal Health Insurance Marketplace.

We know that medical bills can get expensive, and may be a barrier to someone receiving treatment. We will work with you on this. At Sapphire Community Health we have a sliding fee payment schedule based on income and number of people living in your household. Sapphire Community Health will not refuse services due to a person's inability to pay.