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Department o( Public Health & Human Services

September 1998

FAIM Numbers Fall by More than Half

Montana's welfare reform effort, FAIM, has turned 30 months
old and appears to be stronger than ever, according to DPHHS
data. The Families Achieving Independence in Montana progranrt;
is designed to assist people into the workforce from public „j-j^
assistance programs.

Since FAIM's inception, the number of Montana households
receiving public assistance has decreased by half, the Child and
Family Services Division reports. "This remarkable decline in
cases is a result of a strong economy, the FAIM program's
emphasis on work and the availability of supports such as child
care. Child Support Enforcement and Medicaid," said Division
Administrator Hank Hudson.

These support services are critical to FAIM because many
people leave public assistance for relatively low paying, entry
level-jobs. "This phenomena means that individuals and public
agencies will need to develop strategies to increase the
opportunities for obtaining better paying jobs with more
benefits," Hudson noted. "The increasing number of recipients
finding work and the steadily growing total earnings of this
population is a positive trend for Montana."
Welfare reform is more unique on Montana's Indian reservations,
and the state has encouraged tribes to consider operating their
own programs. For example, the Confederated Salish and
Kootenai Tribe is in the final stages of starting its own plan.
"With the appropriate support of the state, other tribes may
follow this course," Hudson said.

Overall, he predicts 1999 will bring new challenges to Montana
welfare reform. "Of growing importance now is job retention,
advancement and the increased availability of child and health
care," Hudson said.


One Last Taste of Summer


Who says summer is over! Prepare to eat

hearty, laugh and win some prizes at the

DPHHS barbecue Thursday, Sept. 17, from

11:30 a.m. to 2 p.m.

The fun will take place on the grass

between the Sanders and Supreme Court buildings; if Mother

Nature fails to cooperate, we will relocate to the auditorium.

Spouses and families are welcome.

For $2.50 you'll receive hamburgers and hot dogs, chips and

beverages. In addition, dust off your favorite dessert and salad

recipes - each division is asked to contribute at least five

desserts and five salads.

RSVP to Ken Pekoe via Zip and buy advance tickets from:

Liz Tobel; Patty Smith; Carol Sanders; Chuck Pribyl; Becky

Malensek; Kerry Krieger; Barbara Hoffmann; Dan Anderson;

or Sandee Sletta and Ken Pekoe. ..Tjclsets will also be sold

at the BBQ. ' .'5 ?


September 16

Brown Bag Lunch
"Rainforest Seed Dispersal"
Dorothy and Randy Poulsen
Cogswell C-307, noon-1 p.m.

Sept. 29-Oct. 1

30th Annual Governor's Conference on Aging
Heritage Inn, Great Falls
Contact: 444-7782

September 30

Governor's Award for Excellence
Employee Recognition Day
10:30 a.m. to noon
Capitol Rotunda

October 7

Brown Bag Lunch — "Injury Prevention"
Thom Danenhower
Cogswell C-307, noon-1 p.m.

October 8-9

State Conference on Mental Illness
Sheraton Hotel, Billings
Contact: 458-9738

October 8-9

Montana Social Work Professional Gathering
Fairmont Hot Springs
Contact: 449-6208

October 9

Building Solutions with Families
Speaker: Insoo Kim Berg
College of Technology, Great Falls
Contact: Bev Axelsen, 771-8580 x121

October 10

Forum on Social Security
Helena Civic Center
Contact: 888-470-ADSS

October 14-16

'98 Conference on Developmental Disabilities
Ramada Inn Copper King, Butte
Contact: Perry Jones, 444-2995

October 21-23

Montana Public Health Assoc. Annual Conf.
Holiday Inn - Parkside, Missoula
Contact: Marsha Rogers, 243-4600

October 27-29

Indian Child Welfare Conference
Holiday Inn, Great Falls
. Contact; Mick Leary, 444-1677

A Message From the Director: What a Crew!

You're Smart, Creative and Generous Too!

Time after time, as I visit
with DPHHS employees
around the state, I am struck
by your generosity and
caring hearts. On the job
and in your personal lives,
DPHHS employees give back
to communities, friends and
neighbors. You sit on the
boards of charitable
organizations, volunteer with
youth programs and
organize fund-raisers all over Montana. I really
believe that public service— particularly health
and human service— attracts a unique type of
individual, someone who wants to make the
world a little better for everyone else. And,
clearly, an individual with lots of energy!

Starting this month, we all have an
opportunity to make the world a little better
by contributing to our annual charitable

Laurie Ekanger
DPHHS Director

giving campaign, the State Employee
Charitable Giving Campaign (SECGC). I am
always proud to be a state employee, but
never more so than during the SECGC when
our communities can realize just how much
we mean to them. Our generous
contributions really make a difference in
homes throughout the state.

Better yet, contributions from DPHHS can
have a direct impact on the work we do
each day. So many of the charitable
organizations enhance the DPHHS safety net
programs and work to eliminate the reasons
these programs are needed.

I thank all of you who make DPHHS a model
of generosity to others. I'll keep you posted
on the grand totals contributed. And
remember: If there is a nonprofit
organization in your area not listed and you
want to contribute to that organization, let us
know. We can fix that.

Annual State Charitable Giving Campaign Starts September 28

The State Employee Charitable Giving By contributing $12 your name will be entered

Campaign (SECGC) kicks off Sept. 28. SECGC, in six weekly drawings in October and

comprised of local, statewide and national non- November for fun incentive prizes such as a

profit organizations, raises money for more than one day ski pass; tickets to Grizzly-Bobcat

300 groups. Employees may designate their football and basketball games; grocery store gift

contributions to specific organizations. certificates; movie passes and more.

Last year, 285 DPHHS employees (about 9 For more information, contact any of the

percent) contributed $24,333. This year's goals following campaign coordinators:

are to increase the percentage of employee Laurie Ekanger, Directors office 444-5622

participation and to increase total donations. oan Anderson, Addictive & Mental Disorders... 444-3964

'Organizers hope everyone in our agency will Ron Balas, Mental Health Nursing Care Center ..538-7451

seriously consider donating to this worthy Cindy Gonzales, Chemical Dependency Center 496-5400

cause,' Director Laurie Ekanger said. 'Every Debbie Bailey & Karen Ralph, State Hospital.... 693-7000

DPHHS employee will receive an SECGC Winston Swift. Child & Family Services 444-5928

■ t »■ I ■ ..„ „„„i^„t Kw ♦i,^ ^*^,* «* Sandy Matule, Child Support Enforcement 444-6856

mformation and sign-up packet by the start of t „ r> n ur^ c aaa onoi

. » r- h- 1 ^ -f-QP^ Downs, Disability Services 444-3054

the campaign to ensure its success. Sandy Streib. Montana Developmental Center .... 225^411

If you contribute $36 or more, you will be Jan Kruger, Eastmont Services Center 365-6001

eligible to win a grand prize drawing for a trip ^ary Dalton, Health Policy & Services 444-4144

for two to Los Cabos, on the Mexican Baja M"? !:"'"f ' ^^T^'T s ^^'=^"°'°9y ."Iff™

„ , ,.,.^. . ■. ^- \ *.nA Linda Sandman, Quality Assurance 444-2038

Peninsula. With a minimum contnbution of $24 ^elly Williams. Senior & Long Term Care 444-4147

your name will be entered in a drawing for a Lynette Green. Veterans Home 892-3256

weekend golf package for two at the Coeur
d'Alene Resort; a Seattle getaway weekend; ice
sailing on Canyon Ferry; an expert massage
and much more. The drawing for these prizes
takes place Dec. 16 in the Capitol Rotunda.

Maggie Bullock
Mailing Address


Developmental Disabilities Program Director
PO BOX 4210, HELENA, MT 59604
[email protected]

She's back/ After an eight-year absence from Montana state government, Maggie Bullock has returned with
renewed energy and purpose, characteristics she strengthened while away.

Bullock left Montana in 1990 for Phoenix to "pursue personal happiness and embark on a major shift in
my working life." She discovered there was life after SRS (pre-DPHHS), and, after re-decorating her new
home for five months and learning more about the "Valley of the Sun," she realized she was ready to
return to work. Bullock eventually landed a Program Manager position within Arizona's largest human
service agency, the 9,000-employee Department of Economic Security. After nearly three years there,
Bullock entered the non-profit workforce as the administrator of a behavioral health agency in Mesa, AZ,
where she worked in a managed care environment. Upon her return to Helena in early 1996, she worked
for WestMont home health care.

While Bullock feels she spent the first 20-plus years of her career "growing up" professionally, the past
eight years have taught her survival skills. For example, she experienced the humility of literally starting
over personally and professionally; she learned the value of networking and living in a metropolitan area;
she learned the difficulties of being an agency mid-level manager; she learned that people are people
whether in Montana or Arizona; she adjusted to traveling great distances in the same city to attend
meetings; she learned to be more self-sufficient, organized and prepared.

These experiences provided the foundation for her return to DPHHS in the new position of Program
Director, Developmental Disabilities Program (DDP). Her first priorities are to develop a rapport with DDP
staff, consumers and providers around the state so, together, they can tackle any challenges. As a result,
she is "on the road again" hoping to cover Montana before the end of October, or before lasting snow
starts falling ... whichever comes first.

For Bullock, "what goes around, comes around." In 1973, as Chief of the Vocational Rehabilitation Special
Projects Bureau, she received the newly established DD Program from the Boulder River School and
Hospital (now the Montana Developmental Center). Twenty-five years later she is determined to lead the
DDP into the twenty-first century.

Training Committee Begins New Phase

A DPHHS employee committee has evolved into a
new phase to better prepare workers for on-the-job

An Employee Training Committee last spring provided
recommendations to administrators on areas to cover
in training sessions, and now that committee has
entered an oversight and implementation stage,
according to Ken Mordan (AMDD), who chairs the
Employee Training Oversight Committee. Other
members are Liz Evans (HPSD); Mick Leary (CFSD);
Gary Curtis and Ken Pekoe (Directors Office); Carol
Seaman (HR); Mary Anne McCrea (AMDD); and
Duane Preshinger (CSED). Debra Dirkson, Montana
State Hospital director, is a back-up member.
The committee has met three times and is
developing a work plan based on recommendations
from the previous committee. The group is focusing
on four areas for required employee training: New
Employee Orientation, Safety, Customer Service
(including cultural diversity) and Sexual Harassment.
The committee's main goal is to research and

Trainers Vie for Contract

An employee group has reviewed bids and heard presentations
from four consultant groups vying for a contract to provide
six days of training to DPHHS managers and supervisors
throughout Montana this fall.

The successful bidder will be announced in our next edition.
Management training is being offered in response to the
1997 DPHHS employee survey, which identified areas of
needed development, according to Director Laurie Ekanger.

establish a feasible training schedule and method for

all DPHHS employees.

"It will be an exciting challenge to develop a

workable and efficient system, given the large

numbers of employees in our department," Mordan

said. "Committee members encourage input from

other divisions into this process and to provide

assistance if possible."

To obtain information about committee meetings, or

to offer assistance, contact Mordan (444-4926) or

Seaman (444-3426).

DPHHS Developing Safety, Service Suggestions

Because some DPHHS employees work in
situations where office safety is a concern,
and as a general safety reminder. Director
Laurie Ekanger has sought recommendations
to make our buildings more secure and
tailored to assisting visitors.

Safety Coordinator Rob Virts recently toured
the Cogswell and Sanders buildings with a
Helena Police officer to obtain advice and
ideas. Goals are to establish lobbies in both
buildings where a DPHHS employee could
greet visitors and provide information, to
create a work environment where employees
wouldn't be surprised by confrontational
visitors, and to make sure employees know
what to do in after-hour emergency

While administrators work on developing a
safety plan, Virts offers the following advice,
culled from his Workplace Violence training

• If you are in an emergency situation (such
as fire, theft, angry/
violent individual, or
person with a weapon),
call 911 for police
assistance. Remember to dial the prefix "8"
to obtain an outside line when calling from
the Capitol complex. Post this number near
your phone. City police and county
deputies provide security for state buildings
in the Capitol complex and at leased
facilities throughout Helena. After 6 p.m.
on weekends and holidays, a contracted
security service patrols the Capitol complex
and maintains a central security point in
the Capitol.

• If situations arise where a visible security
presence is needed, such as to protect
employees from domestic or professional
confrontations, contact the Police
Department at 442-3233. There is an
hourly charge for this service.

• As a courtesy and safety precaution, when
working nights, weekends, or holidays in
the Capitol complex, call Capitol Security
at 444-3725 and notify them of

your work location and telephone

• When working irregular hours, be
cautious. Plan ahead and park in
an area that will be well lit after
dark. Keep building and work-area
doors locked. Report strange
incidents or individuals to security,
police or deputies. Try and have
someone with you when you leave
your work area. If necessary, call
Capitol Security to request an escort.
When leaving, make sure all doors and
windows are secure and the lights are off.

• When approaching your vehicle, (especially
at night), have your keys ready and scan
inside and under your car for hiding
individuals. If someone escorted you,
make sure they are safely in their vehicle-^
or building before you leave.

• When working late, on weekends, or
holidays, avoid working in offices with
windows on the ground level. Instead,
use an interior office or conference room
so you are not as visible.

• Make sure a family member, supervisor, or
co-worker knows you are working late and
your location.

• If you discover that your office has been
burglarized, do not enter; call police or
deputies as appropriate and notify your

• Listen to your instincts. If a situation
doesn't seem right, take extra precautions.

All offices should have a Disaster and
Emergency Procedures and Policies
Handbook, which covers most of these
topics, said Kathy Battrick, also a DPHHS
Safety Coordinator.

For more information, contact Virts at 444-
6823 or Battrick at 444-5937.


Feedback Welcomed

The DPHHS Newsletter aims to inform and entertain its readers, who predominantly are the more than
3,000 department employees spread across Montana. The newsletter editor and the volunteer reporting
staff encourage readers to share their comments. If you have story or photo ideas, or if you'd like to
offer constructive criticism or kudos, please call or e-mail Ken Pekoe (444-2596, [email protected]).

The A, B, Cs of Hepatitis

By Michael R. Spence. M.D., MPH — Medical Officer

Although there are eight

known types of the

hepatitis virus, only three

of them are of major

importance in the United

States — hepatitis A, B,

and C. Hepatitis A,

previously called "infectious

hepatitis," is transmitted by what is called the

"fecal-oral" route and usually occurs in people

who eat food that has not been cleaned or

cooked properly, or has been handled by

individuals who have not washed their hands

adequately. Hepatitis A is an acute, flu-like

illness usually associated with nausea, vomiting

and sometimes turning yellow. It usually lasts

2-to-4 weeks and results in the person being

immune to the infection for life. There is no

carrier state for Hepatitis A.

Hepatitis B, also called "serum hepatitis," is a
little different. It is usually transmitted in blood
and body fluids, but can be sexually
transmitted and passed from mother to baby
in breast milk. It is a common problem
among injection drug users, especially those
who share needles. Hepatitis B causes an
acute infection, similar to Hepatitis A, and can
be a chronic problem. There are two kinds of
chronic Hepatitis B — "chronic active hepatitis"
and "chronic carrier state." Chronic active
hepatitis is a progressive disease of the liver
that often leads to cirrhosis and liver failure or
liver cancer. People with the chronic carrier
state will have the virus in their bloodstream
for life and be infectious for others, but will
usually not have a serious liver problem.

Hepatitis C, formerly known as "non-A, non-B," is
most commonly transmitted in blood and blood
products. It is uncommon to be transmitted sexually
or from mother to baby. Most of the time this virus
causes progressive liver disease that results in
cirrhosis and liver failure.


Hepatitis A is transmitted through contaminated
food or close contact with an infected individual. It
can usually be prevented by eating food that is
adequately cleaned and cooked, and using good
hygienic measures. However, we now have a very
effective vaccine making immunization the best way
to prevent Hepatitis A.

Because the Hepatitis B and C viruses are usually
passed in blood and body fluids, most infections
occur person to person. We now have very good
tests for these two viruses, so the risk of being
infected through a blood transfusion is virtually
nonexistent. Many infections occur in injection
drug users who share needles. This includes body
builders who use steroids. Therefore, the best way
for people who use needles to prevent infection is
by thoroughly cleaning the needles and syringes
before using, and never sharing them.

Because Hepatitis B can also be sexually
transmitted, limiting ones sexual partners and the
types of sexual activity can help stop the spread of
disease. There are also very effective Hepatitis B
vaccines available. Because Hepatitis B is such a
widespread disease (accounting for up to 50
percent of the 500,000 annual cases of hepatitis in
the United States) and can be so easily prevented,
vaccine should be given to all newborns, teen-agers
as well as people with behaviors that put them at
risk of infection.

Former State Bureau Chief Donald Espelin Leaves Legacy

Dr. Donald E. Espelin, 68, pediatrician and longtime child advocate, died June 16 after a

short illness. Dr. Espelin was nationally known for his advocacy work on behalf of

pregnant women and young children. He lectured nationally and locally on prevention of

low birth weight and prenatal care, advocacy and coalition building and maintenance.

Dr. Espelin spent 20 years in private practice in Helena and then became Bureau Chief of

Preventive Health Services at the former state Department of Health. There he established

the Montana Perinatal Program and was its Medical Director. In that capacity, he

established the MIAMI Project (Montana's Initiative for the Abatement of Mortality in

Infants) which now provides outreach and services to high-risk pregnant women in 31 counties.

In addition to the Perinatal Program, Dr. Espelin was responsible for Communicable Diseases and

Immunization programs. Under his leadership, the Department established its comprehensive AIDS public

education and outreach efforts.

He established the Montana Council of Maternal and Child Health and was the founder of Healthy Mothers,

Healthy Babies the Montana Coalition. At the time of his death, he was medical advisor to the organization

and provided technical assistance to two statewide public education campaigns. Baby Your Baby and

Montana's Child.

,-fi^r- /■ <


Teleconference Planned October 19
To Discuss Upcoming Budget, Bills

An all-employee video teleconference is scheduled
Oct. 19 from 10 a.m. to noon to provide DPHHS
employees and the general public a look at our
2000-01 budget proposal and 1999 legislative

Director Laurie Ekanger and DPHHS administrators
are scheduled to provide brief overviews for each
of their areas.

The teleconference will be broadcast from the
DPHHS Auditorium live to the Montana
Developmental Center in Boulder; Western
Montana College in Dillon; MSU Northern in
Havre; College of Technology in Great Falls; Miles
City Community College; Flathead Valley College
in Kalispell; MSU Billings; and MSU Bozeman.

The session will also be videotaped for those not
able to attend. For more information on telecon-
ference locations, contact Jim Cervelli, 444-1832.

MDC Unveils Logo, Honors Staff

BOULDER - The Montana Developmental Center
unveiled its new logo during an Aug. 19 ceremony
that also honored five employees for merit and
another 19 for their years of dedicated service.
Jeff Wilson submitted the winning logo entry, which

will be used to visually identify and

promote MDC, according to

Superintendent Vincente Benjamin.

Brian Hartford was runner-up in the

contest, which attracted entries from

14 employees.

"I was thrilled that so many
employees would take the time to submit logo
entries," Benjamin said. "We have a really thoughtful
and creative staff."

Director Laurie Ekanger and Division Administrator
Joe Mathews attended the ceremony and helped
congratulate David Anderson, Carroll Benjamin, Steve
Holloway, Jim McMahon and JoAnna Ulsher with
their Awards of Merit.

Of those in the group honored for service. Ruby
Tiefenthaler led the way with 20 years.

Cascade County Camp-out Cultivates Strong Family Support

Hats off to the Cascade County Child and Family Services office for providing educational support to foster,
adoptive and biological families from across Montana in a fun-filled, cool environment — a lakeside camp-out.
DPHHS staff and about 80 campers unrolled their sleeping bags and perfected their "S'more" techniques in
mid-July while listening to humorous but serious presentations designed to create stronger family bonds. The
third annual Foster/Adoptive/Biological Families Camp was held at the Lake Frances Recreation Area near

The statewide event has provided opportunities for families and staff to learn together, with no registration cost,
from nationally recognized presenters. This year's camp featured Dr. Richard Delaney, Ph.D., a licensed
psychologist with more than 15 years experience working with families.

Delaney made lively presentations on topics titled:

• "Up a Creek Without a Paddle" (predicaments we all encounter with troubled kids)

• "Can't See the Forest for the Trees" (how to sort out so many problems)

• "Moss Grows on the North Side of Trees" (tips for those who feel somewhat lost)

• "Blazing Trails" (how parents can help each other find direction)

Highlight activities included making glycerin bubbles, feasting on a potluck dinner and sharing
S'mores around the campfire. Families also enjoyed a unique fashion show that, according to
many, "will not soon be forgotten!"

Jackie Stoeckel, a Permanency Planning Specialist from the Eastern Region, provided
entertainment with guitar and songs. Participants said a Sunday presentation on "Shaken
Baby Syndrome" by Dawn English, a social worker from Butte, and Michelle Miller, from St.


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