MaryLynn Donnelly, Nurse Consultant Childrens Special Health Services Mt Dept of Public Health and Human Services

Children and Youth with Special Health Care Needs are: Children with developmental delays or disabilities, such as learning disabilities, sensory impairment, and mental retardation Children with ongoing medical conditions, such as diabetes, asthma, chronic renal disease, CF, congenital heart disease Children with emotional or behavioral problems such as autism and psychiatric disorders Serving children with special health care for many years….

Coordinate and contract for specialty clinics to reduce out of state travel and care Provide financial assistance for treatment and prescription drugs Provides resource, referral, and training opportunities for families and providers Coordinate statewide and local programs to prevent service gaps or overlap CSHS Activities

Limited Financial Assistance Covered conditions include: Asthma Cystic Fibrosis Diabetes Epilepsy Spina bifida

Cerebral Palsy/Spasticity Management Cleft/Craniofacial Clinic Diabetes Clinic Endocrine Clinic Gastrointestinal Clinic Genetic Evaluation & Outreach Services Genitourinary Clinic Ensure a broad range of Pediatric Specialty Clinics:

Juvenile Arthritis Metabolic Clinic Muscular Dystrophy Neural Tube Defects /Spina Bifida Clinic Neonatal Intensive Care Follow Up Clinic Neurology Outreach Clinics Pulmonary Clinics Rehabilitation Clinic Clinics continued..

Partnerships with local communities provided regional pediatric specialty clinic access for 3437 Montana children & youth with special health care needs, a 10% increase from In 2009, 754 of those visits were to pulmonary clinics held in Missoula, Great Falls, and Helena for asthma and other respiratory conditions. 70% of visits were for asthma disorders During Calendar Year 2009

Jerrold Eichner MD th Street S Great Falls MT (W) (W) (F) Pediatric Pulmonologist

Joline Hartze, RN, Clinic Coordinator Terry Halls, RN, Clinic Coordinator Community Medical Center 2618 South Avenue West Missoula MT Phone: (toll free) Fax: Western Region Pediatric Specialty Clinic

Krystal Tweet, RN, Clinic Coordinator Julie LaRoque, RN, Clinic Coordinator Great Falls Clinic th Street South, Great Falls MT (W) (toll free) (F) North Central Region Pediatric Specialty Clinics

Cyndi Leaphart, RN, Clinic Coordinator Stacy Smith, RN, Clinic Coordinator Medical Arts South Ste N 30 th Street Billings MT (W) (toll free) (F) Eastern Region Pediatric Specialty Clinics

Jerimiah Lysinger, MD Billings Clinic-Pediatric Specialties Clinic 2800 Tenth Ave. North Billings, MT Phone: or Fax: Pediatric Pulmonologist Pediatric patients in Billings, with outreach clinics in Bozeman and Miles City