Case Management
1650 Avenue D
Billings Montana 59102
Phone: (406) 839-2400
Fax: (406) 839-2435

Contact Info:

Team Lead: Lisa Wetzler
Secretary: Amanda Binder

Hours of Operation:
Monday-Wednesday 8:00 a.m. - 5:00 p.m.

Ages Served:
Persons age 18 and older
Children and adolescents are served on a case-by-case basis

Payment for Services:
Medicaid and Mental Health Services Plan both fund case management services for adults who meet criteria for serious disabling mental illness.

Description of Services Provided:
Targeted Case Management focuses on providing in-community assistance to adults with serious disabling mental illnesses. Because the emphasis of TCM is on the success of the individual in their community, case managers meet clients in a variety of settings.

Targeted Case Managers provide advocacy to clients to insure that their rights aren't violated because of their mental illness. Additionally, case managers provide on-going monitoring in the community, referral/follow-up with community resources and assistance with obtaining entitlements such as Social Security Benefits or Food Stamps.

Targeted Case Management is available to qualifying adults who need assistance to live successfully in their community. Common activities are working with clients to access community resources such as food stamps, housing, rental assistance, entitlement programs such Social Security benefits and medical/medication coverage. Although TCM focuses on meeting the individuals community living needs, it is vitally important that the client be actively involved in the process of case management, taking responsibility for his/her own life to the best of their ability. and are expected to make at least 50% of their client contacts outside Mental Health Center facilities. Case managers often tell their clients that their job is to work themselves out of a job, simply meaning the client is able to be in the process of recovery and able to meet their daily needs on their own.

Ultimately, the focus of case management is empowerment of the client by providing needed support for symptom stabilization, development of adequate independent living skills, giving the client help in times of need, preventing worsening of conditions and the decreasing the likelihood of hospitalization. Remembering that Targeted Case Management clients are adults who have the right to be treated with dignity and respect, case managers work toward the clients' independence and recovery.

Rainbow House Community Recovery Center
925 North 18th Street
Billings Mt 59101
Phone: (406) 252-7851
Fax: (406) 252-1627
After Hours/Weekend Emergencies: (800) 266-7198

Contact Info:

Clinical Coordinator: Peggy Hough
Team Lead: Kathy Drinkwalter

Hours of Operation:
Monday - Friday: 8:00 a.m. - 12:00 p.m.
Ages Served:
Persons age 18 and older

Description of Services Provided:
Rainbow House was once the Mental Health Center's day treatment program but is now transitioning to a program centered on recovery. The Rainbow House Recovery Center focuses on providing quality, holistic, comprehensive and accessible treatment for adults who are dealing with a co-occurring disorder and/or a serious disabling mental illness.

The philosophy of this self-directed program is to offer a means by which clients in mental health treatment are able to educate themselves in one or more of the following areas: illness management and recovery, self-advocacy, socialization, assertiveness, conflict resolution, self-care, physical fitness, chemical dependency education, wellness, vocational skills, relaxation and recreation. Individuals are also able to learn about community agencies and how to access needed resources through these social and vocational services. This process encourages individuals to live in the community of their choice while making an effort to achieve his or her full potential.

A variety of strengths based treatment choices are offered daily to assist in developing overall wellness while accomplishing empowerment, hope and validation. Individuals may choose to participate in educational classes, support groups, recreational options, in a vocationally focused opportunity or may request individual support. Staff and peers work together to offer choices which will assist others along their path of recovery.

Rainbow House has provided an important service to the community since de-institutionalization of Montana State Hospital in 1975. Although Rainbow House is not a live-in facility, the program is designed to assist clients in successful independent living while incorporating support from other MHC programs and community care providers.

Rainbow House continues to be dedicated to the safety and recovery of each individual.

Payment for Services:
Treatment services are paid for by multiple sources. The cost of treatment is covered by the Veteran's Administration (with authorization), Medicaid, or the Mental Health Services Plan (MHSP) for those who qualify and do not have Medicaid. Individuals also may pay privately when they have no other coverage and the ability to pay.
The HUB Drop-In Center
Billings Mt 59101
Phone: (406) 248-4803
Fax: (406) 245-3412

Contact Info:

Team Lead: Joseph Chalupa

Hours of Operation:
Monday-Friday: 9 am - 5 pm

Ages Served:
Persons age 18 and older

Description of Services Provided:
The HUB is a drop-in center serving both the homeless and the at-risk of becoming homeless population by acting as a resource site for individuals in the community while promoting a motivational environment. We assist with information about housing, Food Stamps, SSI, SSDI, homeless shelters, health care providers and other community resources.

On a daily basis, The HUB staff provides crisis intervention and vocational opportunities while facilitating groups designed to empower individuals by expanding their social skills and increasing their ability to become more self-sufficient. Services available include one meal a day prepared and served by HUB clients, laundry facilities, mail and phone services, access to outerwear, sleeping bags, blankets, backpacks and hygiene products. The HUB serves an average of 130 men and women daily.

The HUB serves as a host site for: RiverStone's Health Care for the Homeless, which is available Wednesday 1 p.m. - 4 p.m.; Yellowstone Aids Project which offers free rapid HIV testing on Thursday and Friday 11 a.m. - 2 p.m.; Access to Recovery III, an initiative to expand treatment opportunities for people in need of substance abuse and recovery services, available by appointment; Montana State University Nursing Students Nutrition Education group on Thursday 11:00 a.m. - 12:00 p.m.; On-site assessments for Mental Health and chemical dependency evaluations every Tuesday by appointment only.

Payment for Services:
HUB services are provided at no cost to the individual.
Individual Group Therapy
1245 North 29th Street
Billings Mt 59101
Phone: (406) 252-5658
Fax: (406) 252-4641
Admissions Coordinator: Lindsay Berge
Outpatient Services

Contact Info:

Admissions Coordinator: Lindsay Berge

Hours of Operation:
Monday-Friday: 8:00 a.m. - 5:00 p.m.

Ages Served:
Persons age 18 and older
Children and adolescents are served on a case-by-case basis

Description of Services Provided:
Good therapy stems from a desire to improve life's circumstances within a safe and confidential environment. Outpatient Services provides counseling, psychotherapy and evaluation for individuals in need of mental health care. The Mental Health Center office consists of eleven therapists offering services in Billings at 1245 North 29th Street as well as in other communities throughout the region.

Individual and group therapy includes, but is not limited to the following approaches: Self Mastery, Dialectic Behavior Therapy (DBT), Family Therapy and Cognitive Behavioral Therapies. Currently, the following issues are being addressed through the therapeutic group process: Post Traumatic Stress Disorder (PTSD), Women's Issues, Men's Issues, Coping Skills, Learning to Let GO and Mental Health 101. Please call for appointments, availability and information.

Payment for Services:
We accept a variety of insurance companies, credit cards, and payment plans, and can determine if you qualify for financial aid based on a sliding fee scale. We are the contracted, servicing company for the Mental Health Services Plan (MHSP)
Projects for Assistance in Transition from Homelessness
515 North 27th
Billings Mt 59101
(Use the North 27th Street entrance)
Phone: (406) 248-4803, ext. 101
Fax: (406) 245-3412

Contact Info:

Team Lead: Carmen Gonzalez

Hours of Operation:
Monday-Friday: 8:00 a.m. - 5:00 p.m.

Ages Served:
Persons age 18 and older

Description of Services Provided:
Services through the P.A.T.H. Program are provided by a five member team of outreach liaisons. This team seeks out those unengaged adults and adolescents who experience symptoms of serious, disabling mental illness (SDMI) or serious emotional disturbance (SED) and are homeless or at risk of homelessness because of their mental illness.

The symptoms of SDMI or SED may also be combined with those of substance use disorders. Serious disabling mental illnesses are those that are chronic and impair an individuals ability to function within the normal range in at least one major area of life, i.e., unable to work, difficulty in social settings, requires help to attend to regular activities of daily living.

These homeless adults or adolescents may be found in shelters, under bridges, in caves, on the streets, in cars, "couch-surfing" with family or friends or anywhere they feel safe and can survive the elements. P.A.T.H. Outreach Liaisons visit places where the homeless live, offering them support and restoring hope that there is a future for them. P.A.T.H. offers these individuals assistance in gaining access to sources of community support, crisis intervention and enrollment in mental health services.

Additionally, P.A.T.H. staff offer community education and orientation about mental illness; information about the issues of homelessness as well as advocating for the people they serve. The P.A.T.H. Team offers advocacy, linkage, referral and short-term case management in the community.

Regular on-site access to services is made available through the P.A.T.H. Program throughout the City of Billings. Positive working relationships with over 175 community groups and agencies allow the P.A.T.H. Team to assist participants in accessing a wide array of supportive services. P.A.T.H. services are available at the Mental Health Center HUB Drop-In Center located at 515 North 27th Street in Billings, Montana. P.A.T.H. services are also available at locations such as the Community Crisis Center or the Montana Rescue Mission Monday through Friday.

Payment for Services:
P.A.T.H. services are provided at no cost to the individual

This project is funded (in part) under a contract with the Montana Department of Public Health and Human Services. The statements herein do not necessarily reflect the opinion of the Department.

FAQs - P.A.T.H.

Q. Does PATH pay rent and/or rent deposits for clients?
A. No. However, it is not uncommon for clients who receive services from local agencies and providers to misunderstand what PATH is able to do in this area. PATH Liaisons are responsible for assisting all PATH clients in accessing local community agencies and supports that provide this type of assistance. Only in certain circumstances does the PATH Program have the ability to offer financial assistance to clients with other resources.

Q. If I need assistance in applying for SSI/SSDI, can PATH help?
A. Absolutely. The Mental Health Center offers all clients who have serious mental illnesses assistance with applications for Social Security benefits. The Mental Health Center has two certified trainers who train Center staff in Stepping Stones to Recovery, commonly called SOAR or SSI/SSDI Outreach, Access and Recovery. Again, it is important that PATH clients and others understand that PATH Liaisons cannot guarantee benefits to clients.

Q. Can PATH help me obtain documents like my birth certificate?
A. Yes. PATH has a special, time-limited project with the local Salvation Army. This program is called Project ID and is able to assist in covering the cost of certified birth certificates, marriage, divorce and death certificates; driver's license fees, driver's license renewal fees, Montana State Identification Card and rental application fees for clients who qualify for this assistance.

Q. Can PATH help homeless Vets?
A. Yes. PATH Liaisons provide outreach and supportive services to all individuals who are homeless or at imminent danger of becoming homeless may or may not be struggling with symptoms of substance abuse. The Mental Health Center holds America's Veterans in high esteem, recognizing that those veterans who are homeless are a priority for outreach and assistance.

Q. Why would some PATH clients be able to access housing sooner than others?
A. PATH Liaisons encounter many barriers when assisting their clients with housing. These barriers can slow down the process in some cases where accessing housing is concerned, i.e., poor credit history, poor rental history, old utility bills, old debts for unpaid rent. Another impediment to accessing housing is a misunderstanding on the client's part that the PATH Program will complete all the activities necessary to obtain housing which it is unable to do. Clients are asked to assist with those activities that are in their skill set.
Program for Assertive Community Treatment
1245 N. 29th St.
Billings Montana 59103
Phone: (406) 839-2605
Fax: (406) 839-3695

Contact Info:

Clinical Coordinator: Susan MacIntyre
Team Lead: Shawna Isaacson
Secretary: Tracie Morgan

Hours of Operation:
24 Hours a day 7 days a week.

Ages Served:
Persons age 18 and older

Payment for Services:
Medicaid, Veteran's Administration and Mental Health Services Plan all fund PACT services for adults who meet criteria for persistent and chronic disabling mental illness.

Description of Services Provided:
The PACT team is a community based treatment team that provides services to individuals with severe and persistent mental illness. Our PACT team here at the mental health center consists of a psychiatrist, nurse, therapist, addictions counselor, case managers, rehab aide and a peer support specialist. The treatment team works together for maximum effectiveness by having daily treatment team meetings. The PACT team's mission is "a hospital without walls". The philosophy of this comprehensive and intensive program is to increase client satisfaction with care, improve client quality of life and reduce the length of hospital stays. The PACT team provides daily medication management to ensure our clients are taking medications as prescribed to prevent hospitalization. We also hope to increase housing stability and reduce drinking and substance use behavior in clients with co-occurring diagnoses. The PACT team provides a variety of groups and activities throughout the week to assist in overall wellness. Clients can choose to participate in CD groups, support groups, wellness groups, shopping groups, bowling groups, nutrition groups and movie groups. We also have a vocational component through which clients have access to a counselor and work toward employment and/or continuing education.

FAQ'S
If I come on the PACT team do I get to manage my own money or does the Mental Health Center have to be my payee?

A. It is not mandatory but it is recommended that the Center become your representative payee. For clarification, it is not the PACT Team who becomes your payee. It is the Mental Health Center who is named as representative payee.

How do I get someone on the PACT?
A. A referral to PACT is submitted by a mental health professional. Once it is determined that the potential client meets eligibly criteria, the individual will be considered for PACT services.
Psychiatric Services
Mental Health Center
PO Box 219
Billings Mt 59101
Phone: 406-252-5658 / 1-800-266-7198
Fax: 406-252-4641

Clinical Staff:

Thomas VanDyk, MD, Medical Director
J. Bruce Whitworth, MD
Mark Nicholson, MD
Diane Quick, APRN

Contact person: Administrative Assistant: Kathy Jandro

Hours of Operation:
Monday - Friday 8:00 a.m. - 12:00 p.m. and 1:00 - 5:00 p.m.

Ages Served:
Persons age 18 and older

Description of Services Provided:
The mission of the Medical department is to provide outpatient psychiatric services for adults with mental health issues.

The Medical department has three Board Certified Psychiatrists; two Psychiatric Nurse Practitioners; and one Psychiatric Nurse. The Medical department provides psychiatric evaluations and psychiatric medications management. Clients are seen in the office during regular working hours, and for those in rural areas, telemedicine technology may be utilized.

The Mental Health Center Medical staff also provides services in Crow Agency and Lame Deer through Indian Health Services, as well as providing psychiatric services at the Montana Mental Health Nursing Facility in Lewistown, St. Vincent Healthcare, and the Montana Women's Prison.

Inpatient services are provided by Mental Health Center physicians through an agreement with Billings Clinic Psychiatric Center, where clients receive 24-hour acute care in a therapeutic environment.
Residential Services
Contact Info: Team Lead: Gwynn Pederson or Carl Eby

Ages Served:
Persons age 18 and older

Description of Services Provided:
Residential Services is a part of the Community Support Services Division of the Mental Health Center. These services include several types of residential settings that range from structured and supervised to fully independent living. It is the hope of the Residential Services Programs that each individual who participates in services will be prepared for independent living to the best of their ability; that they will gain stability through education and treatment; and that they will feel positive and empowered about their future.

MHC Group Home:
  • operates 24 hours a day, seven days a week
  • has a maximum capacity of eight adults with beds for four male residents and four female residents
  • primarily serves individuals who have been hospitalized in a local psychiatric facility or Montana State Hospital but also accepts referrals from other agencies
  • transitional placement for individuals with severe disabling mental illness that provides services that are billed to Medicaid or Mental Health Services Plan with the individual responsible for costs for room and board
  • employs a team of qualified clinical staff who supervise and facilitate residents' access to services in the community while teaching daily living skills to empower future independence in the community
  • assists individuals with medication management
  • staff create individualized treatment plans by working with the resident's treatment team who in turn assist with discharge planning by locating appropriate post-group home stay treatment and housing
  • provides residential treatment based on each individual's diagnosis and discharge criteria which are crucial in deciding what length of stay is considered necessary; length of stay may differ based on each individual's diagnosis and discharge criteria.
Cooperative Living Settings: Cooperative living is another type of supportive service made available to individuals by the Mental Health Center. The Mental Health Center offers this alternative housing option to people who are actively involved in their treatment and who will benefit from living with others. Residence in an MHC cooperative living setting is based on each individual's level of responsibility, social function, availability and ability to pay.

Each resident pays a small deposit fee and the first months rent at the time of lease-up. The rental fee includes all utilities and household supplies. Each resident is responsible for purchasing their own personal hygiene products and food items.

Although this type of setting requires the individual to live independently with other residents, the Residential Team Lead and case managers are available to assist with problem solving. A weekly meeting of residents, the Residential Team Lead and sometimes other treatment personnel, is held to ensure that residents have a place to bring maintenance concerns and house issues.

Independent Living: Residential Services also offers fully independent living apartment settings to Mental Health Center clients who have stabilized and are self-sufficient. The three apartments available are two bedroom units with kitchen appliances including dishwashers and have a common laundry area. A rental deposit is required at the time of lease-up as is the first months rent. Section 8 rental assistance is accepted if the rental amount falls within the Section 8 guidelines.
Veteran's Services
Mental Health Center
PO Box 219
Billings Mt 59101
Phone: 406-252-5658 / 1-800-266-7198
Fax: 406-252-4641

Contact person:

Clinical Director: Carl Eby, LCPC

Hours of Operation:
Monday-Friday: 8:00 a.m. - 5:00 p.m.

Ages Served:
Veterans 18 years of age and older

(Also see Satellites)

Description of Services Provided:
Serving veterans has always been one of the Mental Health Center's missions. Veterans have mental health needs just the same as the population at large. Many of the mental health concerns that veterans have are not always military or combat related, but rather problems that existed prior to military service. Recently, the Veteran's Administration made a decision to refer veterans to local mental health centers where they can be treated near their homes, rather than traveling sometimes long distances to Fort Harrison.

The Mental Health Center provides a full array of services to veterans, including psychiatry, outpatient therapy, case management, and other specialty services as needed. When it appears the veteran's mental health needs are more intense and require more specific war-related treatment, such as Post Traumatic Stress Disorder (PTSD), or traumatic brain injury, the Office of Veteran's Affairs may refer the veteran to the Mental Health Center.

The Mental Health Center has many employees in supervisory positions that are veterans, and have experienced military wartime conflicts. All of the Mental Health Center providers are trained to work with veterans with special needs. We have a long history of consulting with special branches of the Veteran's Administration on clinical mental health issues.

Veteran's services are available through the Mental Health Center for the following counties in South Central Montana: Big Horn, Carbon, Fergus, Golden Valley, Judith Basin, Musselshell, Stillwater, Sweet Grass, Petroleum, Wheatland and Yellowstone.

FAQS - Veteran's Services

I am a veteran and a patient at the VA medical clinic. How can I access mental health services at the Mental Health Center near my home?
Since you are a veteran and receiving medical services at the VA medical clinic, you can speak to your VA doctor and tell him/her about your mental health concerns, and request to see a mental health counselor. The VA doctor will then make a referral to Fort Harrison mental health staff and they will assist you with options for treatment at the VA, or refer you to a Mental Health Center near your home.

I am a veteran and receive no VA medical services through the VA medical clinic. Can I be served at the Mental Health Center?
Yes, the Mental Health Center Counselor will complete an assessment, which takes about one hour. They will explain what serves they think you need, and discuss a payment plan if you have no payor source. You may be eligible for state contract support (Mental Health Services Plan). We accept Medicaid,
Journey Recovery
1245 North 29th Street
Billings Mt 59101
Phone: (406) 252-5658

Contact Info:

Laura Harper, LAC

Hours of Operation:
Monday-Friday: 8:00 a.m. - 5:00 p.m.

Ages Served:
Persons age 18 and older
Children and adolescents are served on a case-by-case basis

Description of Services Provided:
Journey Recover consistently provides professional and confidential services for those in the community who deal with the dysfunction that comes with addiction and co-occurring disorders. We specifically serve adolescents and adults who suffer from addiction and co-occurring disorders. We provide chemical dependency evaluations to determine diagnoses as well as appropriate treatment, up to and including residential treatment if necessary.

Groups offered by Journey Recover include: Level II.1 Intensive Outpatient treatment, Level I Outpatient treatment, Aftercare groups, Co-Occurring Disorder groups, Dialectic Behavioral Therapy (DBT) groups, and Early Intervention. Our clients are offered case management services as well.

Prime for Life is specifically intended for those who are court ordered to the ACT program due to a Driving Under the Influence (DUI), Miscellaneous Dangerous Drugs (MDD) and repeat Minor In Possessions (MIP). We also offer an MIP classes for first and second offenses. Our services are of value to help those suffering with addiction and co-occurring disorders learn new coping skills to aide them in their recovery.

We offer groups throughout the day as well as some groups at night. Our Prime for Life classes run for four weeks on Tuesday nights from 5:30p.m. to 8:30p.m., as well as our one week "Fast Track" which runs Monday, Tuesday, and Wednesday from 10 a.m. to 2 p.m. For more information on our groups please contact Denean Bible at (406) 252-5658.

Cost of Services:
We offer financial aid that is based on a sliding fee scale, take Medicaid and insurance.

Websites that may be helpful:
Alcoholics Anonymous
Narcotics Anonymous
Family Self Help