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the ESPS may need revision before
any serious attempts are made to im-
plement it, several members of the
committee agreed to attegq>t to apply
the proposal to several development
sites around the state. Such tests
will be made to test the operatiaaal
feasibility of the proposed system
and to determine whether histodcal
siting decisions will be compatible
with those generated by the ESPS.
Members concluded that, given Ae
complexity of the proposed system
and the limited resources avaiUile
to the committee and staff, such
tests would be of limited scope.

The plan of attack of die coamit-
tee members is as follovs:

1. Bill Tomlinson, EHC member
and student at the Unhiersity of Mon-
tana, will attempt to «pply the system
to a rail spur siting decision in the
coal areas of Eastern If on taon. Tom-
linson also was involved in fccpara-
don of the ESPS, in its present form.

2. David Stuart, a professor of Mi-
crobiology at Montana State Cbiversi-
ty, and a researcher inyolved in the
study of the Big Sky Project, will
assemble a team of lesearcfaers to
apply the ESPS to existing data col-
lected on Big Sky, Stuart will ask
Chris Field, head of the teun that
prepared the ESPS, and Bill Tomlin-
son to conduct a biief seminar in the
use of the ESPS, before actively>ap-
plying the system to Big Sky. Stxiart
also will attempt to arrange for stu-
dent research credit to be given for
application of the system to several

trailer court projects in the Bozeman
area.

3. Don Rizzini, Vice-Chairman of
the committee and an assistant to
the Cascade County Commissioners,
will attempt to have the ESPS appli-
ed to existing and proposed feedlot
sites in Cascade County. Pizzini
hopes that some of the County Sani-
tarians will have time to become in-
volved in the evaluation.

4. Martha Dow, Professor of Micro-
biology at Northern Montana College,



will apply the ESPS to research data
gathered concerning the siting of a
recreation development in die Havre
area.

5. Barry Nolan, an executive with
Humble Oil Co. at Billings, will at-
tempt to arrange a test of the system
with respect to Billings' industries.
It was suggested that Nolan contact
South Central Areawide Health Plan-
ning Council for help.

6. Bill Tomlinson and staff will
work to apply the ESPS to the con-
troversial Bitterroot powerline siting
decision, involving both proponents
and opponents of the powerline in
the process.

Staff has contacted the Congress-
ional delegation, who have expressed
interest in the proposal and who have
interceded in our behalf with the U.S.
Environmental Protection Agency

(EPA). EPA has since promised ass-
istance in evaluation of the proposal,
through Thomas E. Carroll, Assistant
Administrator for Planning & Mana-
gement.

Staff has also distributed the ESPS
to various academicians and land-use
planners around the nation in hopes
that their expressed interest will
prompt some evaluative comment.

Need Environmental
Observers

by Charles Atkins, Public Health
Field Representative

The Montana Comprehensive Health
Planning organization (CHP) divides
the State of Montana into five areas
which are represented by areawide
planning agencies. These agencies
are sensitive to local needs and have
first-hand information regarding local
resources and local pioblems.

The Environmental Health Commit-
tee (EHC), of the Montana CHP or-
ganization, wishes to sponsor a Cit-
izens' Cadre of Environmental Obser-
vers (CCEO) in each of its five area-
wide sections.

The Citizens' Cadre of Environmen-
tal Observers consisting of volunteeis
from Montana's five areawide, plan-
ning sections, would serve the follow
ing functions:

(1) CCEO's would monitor local
environmental information to the state
CHP agency which would then serve
as a 'web' integrating local informa-



PAGE FIVE



tion. The coalesced information
would then be dispersed via the local
CCEO's and by state-wide publicat-
ions.

(2) CCEO's would establish a
'floating' library of environmental in-
formation and resources. This data
would be disseminated among citizens
of this state in order to stimulate en-
vironmental awareness.

(3) Local CCEO's would gamer
environmental abuse and problem in-
formation and send reports to the En-
vironmental Health Committee of CHP.

These reports would then be evaluat-
ed so that appropriate health plann-
ing could be initiated.

(4) Local CCEO's would alert citi-
zens to their regional environmental
problems. Local CCEO's and involv-
ed citizens could then take issue
with environmental degraders.

The concept of a CCEO was con-
ceived of and discussed by the EHC
in May of 1970. A pilot project test-
ing the CCEO concept was initiated
by the EHC with the cooperation of
the Gallatin County CHP later in
1970. An evaluation of the pilot pro-
ject was prepared in May, 1972. By
merit of this evaluation, it was de-
cided that the CCEO could greatly
assist in solving environmental prob-
lems if expanded and incoiporated
into CHP's five areawide sections.

By implementing five Citizens'
Cadre of Environmental Observers,
an outlet for citizen participation in
environmental matters is provided.
In addition to informing citizens and
stimulating environmental conscious-
ness, the CCEO's would perform val-
uable environmental resource and
problem lesearch that would assist
the EHC in their health planning.

CHP staff are currently preparing
grant applications in an attempt to
fund the expansion of this worthy
project.



Montana Comprehensive Health
Planning News is published
each month
by
Comprehensive Health Planning
Division of Montana State De-
partment of Health and Envir-
onmental Sciences, 510 Logan,
Helena, Montana 59601.



PAGE SIX



7



msmos



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aae



a Jta^2^ & JfeaWu^ J^ew. Ifecui/






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-■>l*4






Charles Mins

Warren Brass

Ted Clack
Mary Jane Crtgler
Dave Depew
Doris Downs
Walter Foster
Bob Johnson
fldele Joyce



Ileen Ketchum
Fd Mahn
Sheri Mann
Dorothy Martin
Andrea Moody
Pat Morgan
Barry Potter
^ack Stevens



To Review ECO-R-D Proposal



by Ted Clack, Health Planner

A staff proposal, the Ecological
Research and Development (ECO-R-
D) project, after months of gestation,
will be submitted to the Environment-
al Health Committee for review and
approval.

The ECO-R-D proposal is based
upon a staff conviction that signifi-
cant progress toward a more harmon-
ious relationship between man and
the environment upon which he de-
pends will require positive changes
in behavior patterns, both personal
and technological. Since behavior
patterns are difficult to change, par-
ticularly with a negative approach,
the staff is further convinced that ne-
cessary change will come much more
rapidly if it can be seen as advanta-
geous. The ECO-R-D concept is pro-
posed as one RMite to snch change.

The ECORJ3 concept centers ar-
ound the creation of « lesearch fiaun-
dation which would serve to provide
a connection between persons with
what appear to be soaad research id-
eas or sound pcoduct proposals and
persons, organicatioas, governmental
bodies or coipoiatioas with the finan-
cial and persooael reaonrces neces-
sary to test and develop those ideas.
Such ideas coald pertain to the crea-
tion of altematire somces of energy,
innovative liviag arrangements, new
uses for resoofces now ctnsidered
waste, alternatwe tecfcnological pro-
cesses, etc.

The internal structniie, profit stat-
us, and operating stmctiire of such a
foundation are yet to he decided. Mr.
Charles O'Donaell, attorney for the
Department of Health nnd Environ-
mental Sciences, is cnrrently conduc-
ting legal resenich to provide us in-
foimation. The staff decided that the
foundation shonld be located in Mon-
tana, at least initially. CHP perceiv-
es its role la this pioject as solely
that of an ioitiator — once the founda-
tion has been established, or organiz-
ed, the sole involvement of CHP is
seen to be dist of a potential source
of ideas.

The EC(VR-D concept has been
discussed in several localities ar-
ound the State and has been received
favorably, although with some confus-
ion. The confusion apparently arises
from the lack of specifity in the pro-
posal. Mr. Tom Larson, Missoula, has
begun work to develop such an organ-
ization in Missoula and has been able
to interest several persons in the con-
cept, despite their confusion. The
CHP staff wishes to request suggest-
ions from readers of the neesle



ions from readers of the newsletter
in hopes that the proposal may be-
come more substantial. While Mr. O'-
Donnel's legal research will prove
invaluable, your suggestions should
prove equally so. Please address any
comments you may have on ECO-R-D
to:

ECO-R-D
Office of CHP
510 Logan
Helena, Montana 59601

and to:
Mr. Thomas E. Larson
431 South 2nd West
Missoula, Montana 59801

South Central Report:

by Jim Toner, Executive Director,
South Central Regional Health Plan-
ning Council, Inc.

The South Central Regioonl Heattfa
Planning Council, Inc. (SCRHPC) has
been involved in several new and on-
going activities. Besides holding the
Annual Meeting in October where new
officers were elected, the SCRHPC
has:

1. been negotiating with MSRMP for
a contract to plan for establishing a
Health Training Network (HTN) which
is along similar lines of an Aiea
Health Education Center (AHEC)

2. been assisting the sobarea CHP
unit in Roundup with its applicatioD
for a National Health Service Coips
Public Health Nurse for Musselshell
County

3. been working with the Health Af-
faire Committee of the Billings Cham-
ber of Commerce in attempting to get
established a City-County Health De-
partment

4. been contacting people in Treas-
ure, Judith Basin, Fergus and Petro-
leum Counties to detetmiiie which
areawide CHP organization they wish
to become or remain involved with

5. beer working with the Yellow-
stone Council of Community Services
on a funding proposal and on the
possibility of that organization be-
coming the subarea CHP unit in Yel-
lowstone County

6. been attempting to find a replac-
ement for the Secretary of tiie Coun-
cil, Hedy Quesenberry (Virginia Mit-
chell has just been hired as out new
secretary)

7. obtained more office space whidi
should provide immediate relief for
the "Executive Director's impending
intense attack of claustrophobia.



PAGE SEVEN

North West Report:

by Carl Helding, Acting Executive
Director, Northwest Areawide Health
Planning Council

For whatever reasons you have be-
come associated with Comprehensive
Health Planning, whether your con-
cessions are social or professional,
it seems the time has arrived for all
of us to be one. An enomious amount
of federal monies is arriving at each
of our Montana counties for expendi-
ture by mayors and county commis-
sioners. County CHP councils in Re-
gion One are meeting to insure that
a portion of revenue sharing be spent
to improve health care in their com-
munities.

Each county council has assessed
their local health needs, and many
have fomied committees to meet with
mayors and commissioners to present
proposals on behalf of CHP.

Health care needs are as varied as
the counties that comprise Region
One. To mention a few. Mineral Coun-
ty is asking the commissionere for a
public health nurse, while Sanders
County CHP is requesting an ambu-
lance for Sanders County Hospital.
Flathead County CHP is attempting
to implement a VD program for Kalis-
pell, and the Missoula Health Plan-
ning Council is supporting a new
tuilding program for the Seeley Lake
Health Center.

One very important step that all
county councils must do is identify
the process by which m syors and
commissioners plan to spend their
revenue sharing monies. Some coun-
ties and cities are forming advisory
revenue sharing councils to estab-
lish local priorities. County CHP
gro;4)s in Region One are asking for
representation on such advisory
groups, and preparing health care
proposals to be submitted during the
public review of revenue sharing.

Many mayors and commissioners
have never been involved with health
planning. CHP groups are taking the
time to identify their health care
needs and establishing priorities for
them.

The responsibility for improving
health care thru revenue sharing now
rests on input from local CHP coun-
cils and 7 counties of Region One aie
accepting the challenge - gladly.

CHRIS1MAS



PAGE EIGHT



Gallatin county CHP Active



by Shirley Smith, Gallatin County
Areawide Coordinator

The Gallatin County Comprehensive
Health Planning Council held a gen-
eral meeting December 6th at the
Chamber of Commerce meeting room.
There were 45 interested persons
present. The meeting was opened by
Dr. Del Samson, Chairman.

The program for the evening was
'Gallatin County's Alcoholic and
Drug Programs. ' Speakers were Mr.
Wes Davidson, Director of the Galla-
tin County Health and Drug Council
and Mr. Ward Hamlin, Associate Dir-
ector of the Alcoholism and Drug
Association for Southw estem Montana.

Mr. Hamlin stated that his program
was originated in Helena by citizens
concerned with the alcoholism prob-
lem in their area. It has now been
federally funded and spread to Reg-
ion 3, the Mental Health Area. This
is a staffing grant only, with $13,300
being allocated for the Boz&nan area
Mr. Hamlin feels alcohol is the num-
ber one health problem in our nation.
Montana has the highest per capita
consumption of alcohol in the United
States. This is partially due to the
seasonal work and has increased
greatly in the past three years.

Some of the ways of identifying a
person with an alcoholic problem are:
no social even/ without alcohol; per-
son likes to switch drinks and com-
panions; hides liquor; tries a geogra-
phical cure; denies he has a problem;
has a definite personality change;
extended binges; D.T.'s and convul-
sions. All tfus will eventually lead
to an early death.

The Information and Referral Cen-
ter in Bozeman will be staffed by
Mrs. Joy Nash the first of die year.
The location has not been selected
as yet. The center will be known as
the Bozeman Problem Drinking Cen-
ter. A great deal of emphasis is plao
ed on outpatient counseling, group
therapy and treatment at these local
centers. Mrs. Nash is presently at-
tending a training session in Helena
to prepare her for her duties here.

In the past the only treatment cen-
ters for alcoholics was at Warm
Springs or Galen. The New Horizon
Treatment Center in Helena also has
a halfway house for those persons
feeling the need for more treatment.
This program feels the need for ex-
tensive follow up care and with a
counselor located at Bozeman this
will be done right in our locality.

Mr. Wes Davidson, Director of the
looal Health and Dnig Council report-
ed bis program was also formed by



concerned citizens. This program
has been in operation for almost two
years and has worked with persons
from the 4th grade to 80 years of age.
In July of 1973 the federal funds for
this program will run out and there-
fore the community will be asked to
support it.

The Help Center, which is a part
of the Gallatin County Health and
Drug Council is operated under the
directorship of Mr. Pat Estenson and
operates on a 24 hour a day basis as
a crisis and referral center. The Help
Center has a 24 hour a day program
of outreach teams, this is composed
of two volunteers (1 mate and 1 fem-
ale) who respond to calls of people
who cannot or will not come to the
Help Center. All outreach teams have
received first aid training and carry
cards stating they are from ffie Help
Center.

Mr. Davidson explained that his
program is more than drug oriented,
many problems have been encounter-
ed in alcohol and marital areas.

Some of the new services being
offered by the council are: Chile Ab-
use Squads, Big Brother-Big Sister
Program, Arts and Crafts, the Y.E.S.
(Youth Employment Service), and the
Volunteer Aide Program. This pro-
gram also works closely with the
counselors and principals in all Gal-
latin County schools to adopt drug
related programs for the students.
Recently Mr. Davidson has been
working closely with these people to
identify the needs for the 1973-74
school year. This particular part of
the program has been funded for the
coming year.

There are five paid staff members
on this program and all the rest is
done by volunteers. At the present
time there are approximately 48 vol-
unteers who are trained by profess-
ionals in the community.

Mr. Rex Campbell of the Montana
State University Extension Service
presented a short program on estab-
lishing the health priorities in Reve-
nue Sharing. The general concensus
of those present was that the health
needs are as follows: (1) Nutrition
for the Elderly; (2) a Mental Health
Clinic; (3) financial assistance to
the Help Center and Gallatin County
Council on Health and Drugs; (4) En-
vironment; (5) Day Care Center; (6)
Transportation for the Elderly; (7)
full time County Health Doctor; and
(8) Reduce property taxes.

Mrs. Marg Drummond reported on
plans for a nutrition program for the
elderly in the county. This committee
is investigating all areas of support



for this program. Many people have
voiced interest in a program of this
sort.

Following the meeting the Execu-
tive Board of the Gallatin County
Comprehensive Health Planning
Council held a short meeting.



Manpower Report



by Mary Jane Crigler, Health Man-
power Planner

As a result of decisions made at a
Health Manpower Committee meeting
on November 4, the following activi-
ties are either now underway or soon
to be undertaken:

1. Preparation of a 'Physician Re-
cruitment Manual' for the use of com-
munities as they confront the question
of 'How do we find a physician and
attract him to our town?'

2. Preparation of a brochure des-
cribing nurse practitioners and non-
nurse physician's assistants for the
information of communities as they
begin to think of alternatives to ac-
quiring a physician.

3. Preparation of a packet of mat-
erials on Montana in general and the
health scene in particular which
would be available for distribution
by individuals and community groups

,to health personnd they are trying to
recruit.

4. Collection of all studies regard-
ing health manpower in Montana
which have been done by CHP, RMP's
and other sources within and outside
of Montana in order for the Health
Manpower Committee to address the
following questions:

'What do we know about health man-
power needs in Montana?'
'How do we use this inforaiation?'
'What problems does the material
suggest?'

'What possible solutions are there
for these problems?*

5. Completion of the SOS Health
Center evaluation for the Committee's
consideration at its next meeting.

6. Visits to communities interested
in the use of nurse practitioners to
see whether this would be feasible
for them and the best solution to
their health manpower problems.

NEWSLETTER readers ate request-
ed to respond —

(1) if they wish more information on
any of the above activities, or —

(2) if they have special knowledge
about or interest in becoming involv-
ed in any of the activities.

Contact Mary Jane Crigler, Man-
power Health Planner.



PAGE NINE



Butte to Identify Health Needs




Head. Neck and Oral Cancer Advisory Committee - Left to right: Dr. F-P Duch-
esneau. City-County Health Officer; Robert Farren, Health Planner - SWAHPC;
Ruby Larsen, Consumer Representative; Sister Mary Jerome Kelly, St. James Com-
munity Hospital - Director of Education; Jim Foley, Director of the SWAHPC- Dr
Robert Soderberg. Director of Head, Neck and Oral Cancer Clinic; Ben H. Davis
IRMP; Matt Christie, Silver Bow Cancer Society. (Polaroid photo provided by'
Robert Farren. Butte)



by Robert Fanen, Health Planner,
Southwest Aieawide Health Planning
Butte -

Health planning in the Butte area
is centering around both community
organization and the initiation of
health oriented programs. A health
planning task force is being formed
to woik with the local health planner
and Human Resources Council in an
effort to identify needs, establish
priorities and initiate appropriate
programs. This task force will also
functibh as the local facilities review
committee and work closely with the
SWAHPC.

'Action' programs in the develop-
mental stages include a head, neck
and oral cancer clinic and a carbon
monoxide testing program. Jointly
sponsored by the SWAHPC, the Mary
Swift Tumor Clinic, the Silver Bow
Medical and Dental Societies, the
Montana Division of the Mountain
States Regional Medical Program,
the Montana Medical Education and
Research Foundation and the State
Department of Health, the cancer cli-
nic will provide a refresher course
for doctors and dentists on the latest



cancer screening techniques. Partici-
pants will review effective diagnost-
ic and treatment techniques for can-
cer of the facial skin, lips, tongue,
oral mucosa, pharynx, cervical lymph
nodes and thyroid as emphasis is
placed upon thorough cancer detect-
ion procedures as part of the routine
patient examination. The clinic will
also provide free screening services
to approximately 400 individuals from
within the community.

The Carbon Monoxide (CO) testing
program will test the level of CO in
100 low-income homes as well as in
100 low-income children in an effort
to determine if any real danger is
present. Pamphlets will be distribut-
ed throu^out the community to help
make people more aware of the dan-
gers of CO. Each year 1,500 Americ-
ans die and thousands more are hos-
pitalized for extended periods of time
from CO poisoning. About 900 of
these deaths occur in the home and
could be prevented if ordinary pre-
cautions are taken.

Other projects which will be stud-
ies by the health planning task force
and Human Resources Council include:
flouridation, initiation of health ser-



vices at Montana Tech, development
of areawide speech and hearing ser-
vices, the purchase of hearing aids
for senior citizens, the initiation of
a health screening service for senior
citizens and the refinement of the
overall health delivery system. Con-
tinuing efforts will be made to allow
for widespread participation reducing
duplication and enhancing coordina-
tion.

Helena Health
Council Organized

by Mike Murray, Helena Health Plan-
ner

An organizational meeting of the
Helena Health Planning Council was
held November 20th, with twenty-nine
people in attendance.

Jim Foley, Executive Director of
the Southwestern Areawide Compre-
hensive Health Planning Council
served as acting chairman. He ex-
plained the function and current ac-
tivities of the Southwest Areawide
Council: currently preparing a Health
Resource Manual and Community Dir-
ectory for Helena; cooperating with
School District One on a tooth keeper
project designed to train all the ele-
mentary school teachers to be dental
educators; explained a proposed pro-
gram of continuing education for loc-
al doctors and dentists on detection
of head, neck and oral cancer with a
screening clinic open to the public
tentatively scheduled for late Janu-
ary, 1973.

The Council discussed the propos-
ed State drug program that will be
located in Helena and requested ad-
ditional information on this program
be presented at their next meeting.

Council members also requested
additional information on the mental
health grant that was to be funded in
this area last July.

Members agreed the purpose of the
Council will be: health information
exchange; need identification and
review on all fiiture health projects
for the Helena area. Council members
agreed with the need for and their
desire to be the clearing house rev-
iew body for all health funded pro-
jects for the Helena area.

The staff of the Southwestern Area-
wide Comprehensive Health Planning
Council was asked to mail to Council
members before the next meeting a
list of all health grants funded and
pending for the Helena area. Also,
additional information was asked for
concerning Comprehensive Health
Planning.

The next meeting is scheduled for
January 8, 1973.



PAGE TEN



Will Seek Auto
Recycling Legislation



■by Arthur Kussman, Trainer, Solicf
Waste Section, Environmental Scien-
ces Division

A plan to establish free motor ve-
hicle graveyards for the public and
to subsidize the recycling of these
vehicles by private enterprise has
been prepared and will be introduced


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