{"id":1267,"date":"2012-04-14T13:52:44","date_gmt":"2012-04-14T19:52:44","guid":{"rendered":"http:\/\/mtdh.ruralinstitute.umt.edu\/blog\/?page_id=1267"},"modified":"2022-10-10T13:37:50","modified_gmt":"2022-10-10T19:37:50","slug":"preventing-and-managing-secondary-conditions","status":"publish","type":"page","link":"https:\/\/mtdh.ruralinstitute.umt.edu\/?page_id=1267","title":{"rendered":"Preventing and Managing Secondary Conditions"},"content":{"rendered":"

Preventing and Managing Secondary Conditions<\/h1>\n

with Adult Montanans Who have<\/h1>\n

Intellectual\/Developmental Disabilities<\/h1>\n

 <\/p>\n

Health Resource Guide<\/span><\/strong><\/p>\n

Updated July 2009<\/span><\/p>\n

\n

<\/a>Table of Contents
\n<\/strong>
\nIntroduction<\/a><\/span><\/p>\n

Resources for the Ten Most-Commonly-Reported Secondary Conditions<\/span><\/p>\n

1.\u00a0\u00a0 Communication Difficulties<\/a>
\n2.\u00a0\u00a0 Physical Fitness and Conditioning Problems<\/a>
\n3.\u00a0\u00a0 Weight Problems<\/a>
\n4.\u00a0\u00a0 Low Level of Persistence\/Low Tolerance for Frustration Problems<\/a>
\n5.\u00a0\u00a0 Personal Hygiene Problems<\/a>
\n6.\u00a0\u00a0 Dental\/Oral Hygiene Problems<\/a>
\n7.\u00a0\u00a0 Vision Problems<\/a>
\n8.\u00a0\u00a0 Memory Problems<\/a>
\n9.\u00a0\u00a0 Fatigue<\/a>
\n10.\u00a0 Depression<\/a><\/p>\n

References<\/a><\/p>\n

\n

<\/a>Introduction<\/strong><\/span><\/span><\/p>\n

In the past several decades, there has been an explosion of interest in health and wellness. Americans, including the more than 30 million adults with disabilities, have access to a great deal of information on caring for their health and achieving well being.<\/p>\n

This increased interest also has focused on developing strategies for preventing and managing secondary conditions<\/strong> \u2013 health problems that limit the lives of people with disabilities. Information and programs targeting secondary conditions are important parts of the national movement to make all Americans the healthiest they can be. From some perspectives, this focus on health and wellness is the most significant disability development since passage of the Americans with Disabilities Act.<\/p>\n

Persons with disabilities are at risk for secondary health conditions such as depression, weight problems and fatigue, that can limit their ability to participate in daily activities. Many secondary conditions can be prevented or effectively managed.<\/strong> Health promotion programs that help people with disabilities prevent or manage secondary conditions may improve their quality of life and may reduce the amount of money they spend on health care such as emergency room or doctor visits.<\/p>\n

In 1999 with the assistance of their direct services staff, 749 adults served by the Montana Developmental Disabilities Program completed Life Quality and Health for Adults with Developmental Disabilities Surveys<\/em> on:<\/a><\/p>\n

\u2022 Types of health care providers (doctors, physical therapists, dentists, etc.) visited in the previous year.<\/p>\n

\u2022 Health habits (exercise, smoking, tooth brushing, etc.)<\/p>\n

\u2022 Number of hours that each of 45 secondary conditions caused them to be less happy, independent, skillful, or productive in their activities.<\/p>\n

Survey data were used to rank the most commonly-reported and most-limiting secondary conditions. This Resource Guide<\/strong><\/span> lists the ten most commonly-reported secondary conditions<\/strong> and provides helpful resources to address each problem.<\/p>\n

Return to Table of Contents<\/a><\/span><\/p>\n

\n

#1 <\/a>Communication Difficulties<\/strong><\/span><\/p>\n

Many disabilities affect a person\u2019s ability to hear and understand speech and\/or to express thoughts, emotions, needs and wants with intelligible and appropriate speech. Some individuals never develop the ability to speak vocally \u2013 they may communicate with sign language or in writing, or rely on others\u2019 ability to interpret the meaning of their gestures, movements, facial expressions, or behavior. Some people use alternative or augmentative communication technology, such as communication boards or devices that display or speak selected text. People with sensory and\/or intellectual disabilities may be unable to write, and physical disabilities may make holding a book, turning pages, writing, keyboarding, or signing difficult.<\/p>\n

Some individuals with limited speech can reliably communicate a small repertoire of messages using a basic vocabulary. Some individuals have speech that is intelligible only to those who are very familiar with their speech patterns or pronunciation. Other individuals may have lost their ability to communicate due to medical conditions (such as strokes) or medical procedures (such as using a ventilator).<\/p>\n

Having limited ability to communicate can be frustrating. The Life Quality and Health for Adults with Developmental Disabilities Survey<\/a><\/em> found that only half (56.2%) of respondents were able to communicate effectively most (90%) of the time.<\/p>\n

Communication Resources in Montana<\/strong><\/span><\/p>\n

Montana Association for the Deaf<\/a><\/strong> (MAD)
\nChar Harasymczuk, President
\n914 Wyoming Ave., Billings, MT 59801
\n406-259-5181<\/span><\/p>\n

\n

MAD advocates for the social, legal, educational, and economic welfare of deaf Montanans.<\/span><\/p>\n<\/blockquote>\n

Montana Deaf and Hard of Hearing Services<\/a><\/strong> (The Deaf Center)
\nBetty VanTighem, Director
\n3911 Central Avenue, PO Box 6433, Great Falls, MT 59407
\n406-771-9194 (TTY)
\n406-771-9053 (Voice)
\n406-771-8056 (Fax)
\nE-mail: MDHHS@mtn-webtech.com<\/a> <\/span><\/p>\n

\n

This division of the Montana Association of the Deaf is a nonprofit organization providing an array of services to deaf and hard of hearing Montanans.<\/span><\/p>\n<\/blockquote>\n

Montana IDEA Services for Children and Young Adults with Deaf-Blindness Project<\/a><\/strong>
\nFrancisco J. Rom\u00e1n, Project Coordinator\u00a0 froman@mt.gov<\/a>
\nOffice of Public Instruction
\nPO Box 202501 Helena, MT 59620-2501
\n(406) 444-4426 or 888-231-9393\u00a0 |\u00a0 Fax: (406) 444-3924 |\u00a0 TTY:(406) 444-0235<\/span><\/p>\n

\n

Provides an array of technical assistance and training opportunities for Montana’s individuals with deaf-blindness, their families and service providers.\u00a0 Services are designed to meet specific individual and unique needs of children and young adults 0-21 who are identified as having deaf-blindness. <\/span><\/p>\n<\/blockquote>\n

Montana Speech-Language and Hearing Association<\/a><\/strong> (MSHA)
\nP.O. Box 215, Miles City, MT 59301
\n877-747-7734 or 406-234-8727
\ninfo@mshaonline.org<\/a> <\/span><\/p>\n

\n

MSHA is an organization of certified speech\/language pathologists and audiologists with specialized education in serving the needs of individuals with disorders of communication, reasoning, swallowing, or hearing due to medical or developmental conditions. MSHA educates patients and others about these disorders.<\/span><\/p>\n<\/blockquote>\n

MonTECH: Technology-Related Assistance Program for People with Disabilities <\/a> <\/strong>
\nThe University of Montana Rural Institute, 700 SW Higgins, Suite 250, Missoula, MT 59803
\n877-243-5511 or 406-243-5751 (Voice)
\n406-243-4730 (FAX)
\ntpennell@ruralinstitute.umt.edu<\/a>\u00a0 <\/span><\/p>\n

\n

MonTECH provides free, confidential information about assistive technology devices and services for Montanans of all ages. MonTECH staff cannot diagnose or prescribe assistive devices or services, but their computerized database of manufacturers and service providers has current information (descriptions, prices, contact and location information) on products and services to meet individual needs.<\/span><\/p>\n<\/blockquote>\n

Montana Telecommunications Access Program<\/a><\/strong> (MTAP)
\nConnie Phelps, Director
\n111 N. Jackson, P.O. Box 4210, Helena, MT 59604
\n406-444-1486 (V\/TTY) or 800-833-8503
\ncphelps@mt.gov<\/a> <\/span><\/p>\n

Dial 711 to use Montana Relay<\/strong><\/span><\/p>\n

\n
\n

Great Falls Equipment Distribution
\n11 38th Street North, Suite #1, Great Falls, MT 59405
\n406-452-2724 or 877-499-5682 (V\/TTY)<\/span><\/p>\n<\/blockquote>\n

MTAP has two services. The Montana Relay Service<\/a> (866-735-2968) provides telephone access to people whose disabilities make it difficult for them to use a standard phone. Specially trained Communication Assistants (CA\u2019s) are available at all times to relay conversations over a TTY (text telephone) or verbally. There are no restrictions on the number of calls placed or on the length of calls. The Equipment Distribution Program (800-877-2579) provides specialized telecommunications equipment to make using the telephone easier for people who have physical limitations that interfere with hearing, speaking, or holding a telephone. The equipment is loaned for as long as needed at no charge to all qualified Montanans who meet MTAP income eligibility requirements. Qualified Montanans who exceed income guidelines may purchase equipment at reduced prices.<\/span><\/p>\n<\/blockquote>\n

National Communication Resources<\/strong><\/span><\/p>\n

National Center on Birth Defects and Developmental Disabilities<\/a><\/strong> (NCBDDD)
\nbddi@cdc.gov<\/a> <\/span><\/p>\n

\n

NCBDDD provides information about hearing loss and secondary conditions, conducts surveillance and research activities, and publishes scientific literature.<\/span><\/p>\n<\/blockquote>\n

National Institute on Deafness and Other Communication Disorders<\/a><\/strong><\/span><\/p>\n

\n

The Institute\u2019s web site is available in Spanish or English and provides information on communication-related health topics, including hearing, ear infection, deafness, voice, speech, and language.<\/span><\/p>\n<\/blockquote>\n

Special Olympics Healthy Hearing<\/em><\/a><\/strong>
\nHealthy Athletes Program<\/em><\/strong><\/span><\/p>\n

\n

Healthy Hearing<\/em> is a core component of the Special Olympics Healthy Athlete<\/em> initiative which focuses on improving the health of Special Olympics athletes. Healthy Hearing<\/em> screens athletes\u2019 hearing; notifies athletes and their coaches if follow-up care is needed; provides corrective (hearing aids) and preventive (custom swim earplugs) services where possible; and studies the prevalence of hearing loss in athletes competing in Special Olympics events.<\/span><\/p>\n<\/blockquote>\n

The University of Arkansas – Rehabilitation Research and Training Center for Persons Who are Deaf or Hard of Hearing<\/a><\/strong>
\nrehabres@cavern.uark.edu<\/a> <\/span><\/p>\n

\n

Funded by the National Institute on Disability and Rehabilitation Research, the Center\u2019s research and training enhances the employability of people who are deaf or hard of hearing. Its web site links to sites with information on deafness, employment, post-secondary education, professional and consumer organizations, and rehabilitation.<\/span><\/p>\n<\/blockquote>\n

(Also see resources on vision<\/a> problems.) <\/span><\/p>\n

Return to Table of Contents<\/a><\/span><\/p>\n

\n

#2 <\/a>Physical Fitness and Conditioning Problems<\/strong><\/span><\/p>\n

Some people with disabilities are not fit enough to participate in daily activities. An unfit individual may get winded on even short walks, take frequent rest breaks, sweat and be flushed after minimal exertion; or may avoid physical activity entirely. For most unfit individuals, activity level is both the cause and the cure. However, people with cardiac conditions (often associated with Down Syndrome or Williams Syndrome) have low tolerance for exercise, and their exercise programs should be planned with a qualified physician.<\/p>\n

On the Life Quality and Health for Adults with Developmental Disabilities Survey<\/em><\/a>, 46.2% of respondents reported they exercise or work hard enough to raise their heart rates only two or fewer days per week, and 51.4% were reported to be very sedentary.<\/p>\n

Physical Fitness Resources in Montana<\/span><\/strong><\/span><\/p>\n

Bitterroot Therapeutic Riding<\/a><\/strong> 599 Popham Lane, Corvallis, MT 59828 (406) 961-2999
\nbtr@onewest.net<\/a> <\/span><\/p>\n

Butte Special Riders<\/strong> North American Riding\u00a0 for the Handicapped Association (NARHA) Premier Accredited Center
\n1179 Beacon Rd Butte, MT 59701 (406) 497-2806
\njim.griffin@northwestern.com<\/a> <\/span><\/p>\n

Eagle Mount<\/strong> – Billings
\n2822 3rd Avenue North, Suite 203, Billings, MT 59101
\n406-245-5422
\n406-245-5529 fax
\nlmullowney@eaglemountbillings.org<\/a> <\/span><\/p>\n

Eagle Mount<\/a> <\/strong>– Bozeman (NARHA Premier Accredited Center)
\n6901 Goldenstein Lane, Bozeman, MT 59715
\n406-586-1781
\neaglemount@eaglemount.org<\/a> or cchristman@eaglemount.org<\/a> <\/span><\/p>\n

Eagle Mount<\/a><\/strong> – Great Falls (NARHA Premier Accredited Center)
\n9 Third Street North, Suite 1, Great Falls, MT 59401
\n406-454-1449
\neaglemount@eaglemount.net<\/a><\/span><\/p>\n

Eagle Mount<\/strong> – Helena
\n3165 Miranda Drive, Helena, MT 59602
\n406-227-8689
\nVismith4@msn.com<\/a><\/p>\n

\n

Eagle Mount provides therapeutic recreation opportunities for people of all ages and disabilities in skiing, swimming, horseback riding, ice-skating, fishing, Saturday Nights Out, golf, kayaking, cycling and horticulture. <\/span><\/p>\n<\/blockquote>\n

Montana Cardiovascular Health Program <\/a> <\/strong>
\nLynda Blades, Program Manager
\n(406) 444-3138
\nlblades@mt.gov<\/a><\/span><\/p>\n

Ann Bay, Administrative Assistant
\n(406) 444-5508
\nabay@mt.gov<\/a><\/p>\n

Fax #: 406-444-7465<\/p>\n

\n

The Centers for Disease Control and Prevention funds this program to conduct statewide activities that promote cardiovascular health and prevent cardiovascular disease and its associated risk factors, such as physical inactivity, obesity, hypertension and high cholesterol. <\/span><\/p>\n<\/blockquote>\n

New Directions Wellness Center<\/a><\/strong>
\n025 Skaggs Building, The University of Montana, Missoula, MT 59812
\n406-243-4016<\/span><\/p>\n

\n

New Directions is a fitness and wellness center for people with disabilities. The facility houses an accessible gym, a physical therapist, and the Living Well with a Disability<\/em> program. Living Well with a Disability<\/em> is an eight-week workshop designed for adults with physical disabilities. It teaches participants to set and clarify their goals, and to generate, implement and monitor solutions to their problems. <\/span><\/p>\n<\/blockquote>\n

Sheridan Remley,<\/strong> PT, PLLC (Therapeutic Horseback Riding), 1229 Jackson St., Missoula, MT 59802; 406-549-1153\u00a0 jsheridan@yahoo.com<\/a> <\/span><\/p>\n

Shooting Star Ranch Therapeutic Riding Program<\/strong>, 321 Hairpin Lane, Darby, MT 59829, 406-821-4700\u00a0 diane@nevadajoe.net<\/a> <\/span><\/p>\n

Special Olympics of Montana<\/a><\/strong>
\nP.O. Box 3507, Great Falls, MT 59403
\n1-800-242-6876 or 406-268-6759<\/span><\/p>\n

\n

Special Olympics is a nonprofit organization that provides year-round, state-wide programs of physical fitness, sports training and athletic competition for children and adults with intellectual and developmental disabilities. <\/span><\/p>\n<\/blockquote>\n

STAR Riding Program, Inc<\/strong>. North American Riding for the Handicapped Association (NARHA) Premier Accredited Center, 2005 Bitterroot Dr, Billings, MT 59105 (406) 245-7227<\/span><\/p>\n

National Fitness Resources<\/strong><\/span><\/p>\n

Breckenridge Outdoor Education Center<\/a><\/strong>
\nP.O. Box 697, Breckenridge, CO 80424
\n970-453-6422
\n970-453-4676 fax
\nboec@boec.org<\/a> <\/span><\/p>\n

\n

BOEC is a non-profit organization offering adaptive skiing, snowboarding, wilderness courses, climbing wall instruction, rafting, canoeing, sea kayaking and other experiential education resources. Educational experiences are offered to people with physical, cognitive and sensory disabilities.<\/span><\/p>\n<\/blockquote>\n

Disabled Sports USA<\/a><\/strong>
\n451 Hungerford Drive, Suite 100, Rockville, MD 20850
\n301-217-0960
\n301-217-0968 fax
\nevents@dsusa.org<\/a> <\/span><\/p>\n

\n

This national non-profit organization offers nationwide sports rehabilitation programs to anyone with a permanent disability. Activities include winter skiing, water sports, summer and winter competitions, fitness and special sports events.<\/span><\/p>\n<\/blockquote>\n

National Center on Physical Activity and Disability<\/a><\/strong> (NCPAD)
\n1640 W. Roosevelt Road, Chicago, IL 60608-6904
\n800-900-8086<\/span><\/p>\n

\n

NCPAD is a collaborative effort of the University of Illinois at Chicago, the Rehabilitation Institute of Chicago and the National Center on Accessibility at Indiana University. NCPAD provides resources on fitness, exercise and recreation for people with disabilities.<\/span><\/p>\n<\/blockquote>\n

North American Riding for the Handicapped Association<\/a><\/strong> (NARHA)
\nP.O. Box 33150, Denver, CO 80233
\n800-369-7433 or 303-452-1212
\nNARHA@NARHA.org<\/a> <\/span><\/p>\n

\n

NARHA promotes the rehabilitation of individuals with physical, emotional and learning disabilities through its worldwide network of member therapeutic horseback riding centers. Montana has several NARHA-accredited facilities.<\/span><\/p>\n<\/blockquote>\n

President\u2019s Council on Physical Fitness and Sports<\/a><\/strong><\/span><\/p>\n

\n

The President\u2019s Council publishes A Report of the Surgeon General: Physical Activity and Health for Persons with Disabilities<\/em>.<\/span><\/p>\n<\/blockquote>\n

Wilderness Inquiry<\/a><\/strong>
\n808 14th Ave., Southeast, Minneapolis, MN 55414-1516
\n612-676-9400 or 800-728-0719 or 612-676-9475 TTY
\n612-676-9401 fax
\ninfo@wildernessinquiry.org<\/a><\/span><\/p>\n

\n

WI offers a variety of experiences designed to make the outdoors accessible to everyone, including persons with disabilities. WI leads canoe, sea kayak, dogsled, raft, horse pack and hiking trips for people with and without disabilities, throughout North American and the world.<\/span><\/p>\n<\/blockquote>\n

Return to Table of Contents<\/a><\/span><\/p>\n

\n

#3 <\/a>Weight Problems<\/strong><\/span><\/p>\n

For all populations in the United States, being overweight is a problem that can limit participation in life activities. Being underweight is also a concern if it reduces muscle strength and function. People with weight problems may be inactive, lack endurance, spend too much or too little time eating, have mobility problems, or be uncomfortable due to ill-fitting clothing.<\/p>\n

On the Life Quality and Health for Adults with Developmental Disabilities Survey<\/a><\/em> 39 percent of respondents reported weight problems.<\/p>\n

Weight Management Resources in Montana<\/strong><\/span><\/p>\n

Montana Dietetic Association<\/a><\/strong><\/span><\/p>\n

Montana Disability and Health Program: Living Well under the Big Sky<\/a><\/strong> (MTDH)
\nKathleen Humphries, Nutrition Program Director
\nThe University of Montana Rural Institute, 52 Corbin Hall, Missoula, MT 59812-7056
\n888-268-2743 or 406-243-4956
\nkhumphries@ruralinstitute.umt.edu<\/a> | matraci@ruralinstitute.umt.edu<\/a> <\/span><\/p>\n

\n

A partnership between the Montana Department of Health and Human Services and The University of Montana Rural Institute, MTDH develops services to prevent secondary conditions and promote the health of Montanans with disabilities. The program has a strong focus on the food and nutrition needs of adults with intellectual and developmental disabilities.<\/span><\/p>\n<\/blockquote>\n

Montana State University Extension Service<\/a><\/strong>
\nMSU Nutrition and Food Office, P.O. Box 173360, Bozeman, MT 59717-3360
\n406-994-5702<\/span><\/p>\n

\n

MSU Extension provides research-based knowledge to strengthen the social, economic, and environmental well-being of Montana families, communities, and agricultural businesses. The Nutrition Program and Food and Safety Program help Montanans make informed choices about diet and lifestyles. The Expanded Food and Nutrition Education Program helps low-income families select and prepare nutritious, low-cost foods.<\/span><\/p>\n

Links to Montana County Extension Offices<\/a><\/span><\/p>\n<\/blockquote>\n

National Weight Management Resources<\/strong><\/span><\/p>\n

Aim for a Healthy Weight<\/a><\/strong>
\nNational Heart, Lung and Blood Institute<\/span><\/p>\n

\n

This web site offers educational materials for patients and the public, including a Body Mass Index (BMI) calculator, food shopping and preparation tips, dining out ideas, low-calorie menu plans, physical activity ideas, and more. <\/span><\/p>\n<\/blockquote>\n

American Dietetic Association<\/a><\/strong> (ADA)<\/span><\/p>\n

\n

The ADA has advice and information on eating for a healthy weight and can refer visitors to local Registered Dieticians.<\/span><\/p>\n<\/blockquote>\n

American Obesity Association<\/a><\/strong>
\n1250 24th Street, Northwest, Suite 300, Washington, DC 20037
\n202-776-7711<\/span><\/p>\n

\n

This leading organization for advocacy and education on obesity has a comprehensive web site with links to \u201cDisability Due to Obesity\u201d (information on Social Security benefits), \u201cCommunity Action\u201d (community programs and creating a healthy environment), and \u201cAdvocacy Updates\u201d (activities and current hot topics.) <\/span><\/p>\n<\/blockquote>\n

Finding a Weight Loss Program that Works for You<\/a><\/strong><\/em>
\nInternational Food Information Council<\/span><\/p>\n

\n

Co-published by the Partnership for Healthy Weight Management, this free brochure helps in choosing weight loss products and programs. The booklet is downloadable, and includes forms for assessing individual risk factors and weight loss services. <\/span><\/p>\n<\/blockquote>\n

National Institute on Diabetes and Digestive and Kidney Diseases<\/a>:<\/strong>
\nWeight Control Information Network <\/span><\/p>\n

\n

The Network provides current scientific information on obesity, physical activity, weight control, and related nutritional issues to health professionals, people who are overweight or obese, the media, Congress, and the general public. Informational pamphlets are free.<\/span><\/p>\n<\/blockquote>\n

Partnership for Healthy Weight Management<\/a><\/strong><\/span><\/p>\n

\n

The partnership web site provides Finding a Weight Loss Program that Works for You<\/em> and another brochure on setting weight loss goals. It also has a BMI chart and materials for use in public information campaigns.<\/span><\/p>\n<\/blockquote>\n

U.S. Department of Agriculture: Food and Nutrition Information Center<\/a><\/strong><\/span><\/p>\n

\n

This web site has information on weight control and obesity, weight loss programs, practical weight control assistance, and quackery and nutrition misinformation. <\/span><\/p>\n<\/blockquote>\n

U.S. Surgeon General<\/a><\/strong><\/span><\/p>\n

\n

This is the link to Call for Action to Prevent and Decrease Overweight and Obesity<\/em>. <\/span><\/p>\n<\/blockquote>\n

Return to Table of Contents<\/a><\/span><\/p>\n

\n

#4 <\/a>Low Level of Persistence\/Low Tolerance for Frustration<\/strong><\/span><\/p>\n

Adults with intellectual and developmental disabilities may experience repeated failure in learning new tasks, or may find it difficult to adapt to changes imposed by external sources. When trying to complete tasks and goals, they may consistently give up in frustration after only minimal effort. Individuals may express frustration by withdrawing, or with angry or sad facial expressions, clenched fists or rigid body posture, negative statements about their own abilities, or with verbal outbursts.<\/p>\n

The Life Quality and Health for Adults with Developmental Disabilities Survey<\/a><\/em> found that 39 percent of respondents experienced problems with persistence\/low tolerance for frustration.<\/p>\n

Persistence Resources in Montana<\/strong><\/span><\/p>\n

Contact the Quality Improvement Specialist at your regional Developmental Disabilities Program (DDP) office:<\/strong><\/span><\/p>\n

Region I DDP<\/strong>
\nBox 472B – 226 6th St. South
\nGlasgow, MT 59230
\n(406) 228-8265
\ncnwethern@mt.gov<\/a><\/p>\n

\n

DDP Miles City<\/strong>
\nP.O. Box 880, 708 Palmer
\nMiles City, MT 59301
\n(406) 232-2595
\nnomartin@mt.gov<\/a>\u00a0 <\/span><\/p>\n<\/blockquote>\n

Region II DDP<\/strong>
\n201 1st St. South, Ste. 3
\nGreat Falls, MT 59405
\n(406) 454-6085
\nlhowe@mt.gov<\/a>\u00a0 or catmurphy@mt.gov<\/a><\/span><\/p>\n

Region III DDP<\/strong>
\n2121 Rosebud Dr., Ste. C-1
\nBillings, MT 59102
\n(406) 655-7601 or 7602
\nsgehring@mt.gov<\/a>\u00a0 or jarnold@mt.gov<\/a>\u00a0 or btrent@mt.gov<\/a><\/p>\n

Region IV DDP<\/strong>
\n3075 N. Montana, Rm. 108
\nHelena, MT 59620
\n(406) 444-17174
\npakindt@mt.gov<\/a> or dstaley@mt.gov<\/a><\/p>\n

\n

DDP Bozeman<\/strong>
\n20 E. Olive, Ste. LL21
\nBozeman, MT 59715
\n(406) 587-6066
\nbrjohnson@mt.gov<\/a> <\/span><\/p>\n

DDP Butte<\/strong>
\n700 Casey, Ste. A
\nButte, MT 59701
\n(406) 782-8728
\nsmatosich@mt.gov<\/a> <\/span><\/p>\n<\/blockquote>\n

Region V DDP<\/strong>
\n1610 S. 3rd West, Ste. 202
\nMissoula, MT 59801
\n(406) 329-5415
\nrholmstrom@mt.gov<\/a> or pmiskuly@mt.gov<\/a> or psherwood@mt.gov<\/a> <\/span><\/p>\n

\n

DDP Kalispell<\/strong>
\nP.O. Box 2357, 2282 Hwy. 93 South
\nKalispell, MT 59903-2357
\n(406) 751-5930
\njallen@mt.gov<\/a>\u00a0 <\/span><\/p>\n<\/blockquote>\n

National Persistence Resources<\/strong><\/span><\/span><\/p>\n

Rehabilitation Research and Training Center on Positive Behavioral Supports<\/a><\/strong><\/span><\/p>\n

\n

This national research and training develops and disseminates effective, practical, and tested procedures for improving support for individuals with disabilities and problem behavior.<\/span><\/p>\n<\/blockquote>\n

(Also see communication<\/strong><\/a> resources and resources listed under depression<\/a><\/strong>.) <\/span><\/p>\n

Return to Table of Contents<\/a><\/span><\/p>\n

\n

#5 <\/a>Personal Hygiene Problems<\/strong><\/span><\/p>\n

A person can improve his or her appearance and hygiene by regularly bathing\/showering; shampooing hair; brushing and flossing teeth; using deodorant\/antiperspirant; shaving; cleaning and clipping nails, etc. Poor hygiene can affect health, self-esteem, job performance, and social interactions.<\/p>\n

The Life Quality and Health for Adults with Developmental Disabilities Survey<\/a><\/em> found that 12.3% of respondents shampooed their hair two or fewer times per week; 19.6% bathed or showered three or fewer times per week; and 87.1% dressed in clean, neat clothing 5-7 days per week.<\/p>\n

Personal Hygiene Resources in Montana<\/strong><\/span><\/p>\n

Parents, Let\u2019s Unite for Kids<\/a><\/strong> (PLUK)
\n516 North 32nd Street, Billings, MT 59101
\n406-255-0540 or 800-222-7585<\/span><\/p>\n

\n

PLUK is a non-profit organization that provides information, support, training, and assistance to Montana parents of children and adults with disabilities and chronic illnesses. The PLUK library and web site are a wealth of information on supporting healthy hygiene behaviors with adults who have intellectual\/developmental disabilities, and PLUK has collected best practice resources in education, medicine, law, human services, rehabilitation and technology.<\/span><\/p>\n<\/blockquote>\n

National Personal Hygiene Resources<\/strong><\/span><\/p>\n

James Stanfield Company, Inc.<\/strong>
\nDrawer C9C3, P.O. Box 41058, Santa Barbara, CA 93140
\n800-421-6534<\/span><\/p>\n

\n

Offers videotapes on personal hygiene and grooming, including: Hygiene for Males<\/em>, Hygiene for Females<\/em>, Grooming for Males<\/em>, Grooming for Females<\/em>, and Dress Makes the Man\/Woman<\/em>.<\/span><\/p>\n<\/blockquote>\n

National Christian Resource Center<\/a><\/strong>
\nBethesda Lutheran Homes and Services, 700 Hoffman Drive, Watertown, WI 53094
\n800-369-4636, ext. 541<\/span><\/p>\n

\n

The Center\u2019s Daily Living Skill video series (also available at PLUK, above) includes: Handwashing<\/em>, Bathing and Showering<\/em>, Shampooing<\/em>, Nail Care<\/em>, Shaving<\/em>, Bathroom Assistance<\/em>, Oral Hygiene<\/em>, Feminine Hygiene<\/em>, and Personal Appearance Assessment<\/em>. <\/span><\/p>\n<\/blockquote>\n

Return to Table of Contents<\/a><\/span><\/p>\n

\n

#6 <\/a>Dental\/Oral Problems<\/strong><\/span><\/p>\n

People with developmental disabilities are at a greater risk for dental or gum disease. Missing, crooked, malformed, thinly-enameled, or neglected teeth can lead to decay, gum disease, a poor bite, toothache, progressive tooth loss, and malnourishment. Consistent bad breath may indicate tooth decay or infection, and poor dental hygiene may limit a person\u2019s social interactions or eating pleasure.<\/p>\n

On the Life Quality and Health for Adults with Developmental Disabilities Survey<\/a>,<\/em> 43.9% of respondents reported having their teeth cleaned and 78.9% visited a dentist during the previous year.<\/p>\n

Dental\/Oral Health Resources in Montana<\/strong><\/span><\/p>\n

Caring Program for Children<\/a><\/strong> Sponsored and administered by Blue Cross Blue Shield of Montana
\n800) 447-7828 ext. 3630 <\/span><\/p>\n

Have Healthy Teeth<\/em> Program<\/a><\/strong>
\nDonna Bainbridge, Program Director
\nMontana Disability and Health Program, The University of Montana Rural Institute, 52 Corbin Hall, Missoula, MT 59812-7056
\n406-243-5741 or 406-243-4956
\ndbridge@ruralinstitute.umt.edu<\/a>\u00a0 or matraci@ruralinstitute.umt.edu<\/a> <\/span><\/p>\n

\n

Have Healthy Teeth<\/em> works with members of People First<\/em> chapters in Helena and Missoula to implement and evaluate low-cost oral health self-management and prevention strategies that establish good oral health behaviors. The program\u2019s key elements are oral hygiene self-management and peer mentoring to assist with compliance. People First Missoula<\/em> is training peer mentors in Helena who will subsequently train other peer mentors as the program expands to additional Montana People First<\/em> chapters. <\/span><\/p>\n<\/blockquote>\n

Montana Dental Association<\/a><\/strong> (MDA)
\n800-257-4988
\nmda@mt.net<\/a> <\/span><\/p>\n

\n

MDA has a free lending library for health-related organizations. Several videotapes are available on oral health and disability.<\/span><\/p>\n<\/blockquote>\n

Montana Dental Health Program<\/strong>
\nMontana Department of Public Health and Human Services, Helena, MT 59620
\n406-444-0276
\ncseed@mt.gov<\/a> <\/span><\/p>\n

This program promotes dental health educational activities that encourage good dental health practices and help prevent dental cavities, gum disease and oral cancer.<\/span><\/p>\n

\n

Medicaid Services Bureau<\/a><\/strong> (800) 362-8312 <\/span><\/p>\n

\n

Dental Program Manager<\/strong> (406) 444-3182<\/span><\/p>\n<\/blockquote>\n

Montana Children\u2019s Health Insurance Plan<\/a><\/strong> (CHIP) (877) 543-7669<\/span><\/p>\n

\n

CHIP Dental Program Officer <\/strong>(406) 444-7046 <\/span><\/p>\n<\/blockquote>\n<\/blockquote>\n

Montana Foundation of Dentistry for the Handicapped<\/a><\/strong>
\nPO Box 1154, Helena, MT 59624
\n406-449-9670 or 888-449-9670
\nmpetrick@nfdh.org<\/a>\u00a0 <\/span><\/p>\n

\n

A chapter of the National Foundation of Dentistry for the Handicapped, the Montana Foundation has 140 dentists and 57 laboratory volunteers who donate free, comprehensive dental treatment to Montanans with disabilities and elderly Montanans.<\/span><\/p>\n<\/blockquote>\n

Montana Primary Care Association<\/a><\/strong>
\n900 N. Montana Ave., Helena, MT 59601
\n406-442-2750
\nmbfrideres@mtpca.org<\/a><\/span><\/p>\n

\n

Montana Community Dental Clinics<\/strong>: Private, non-profit, consumer-directed healthcare corporations that provide quality, cost-effective and comprehensive dental services to medically under-served and uninsured people. <\/span><\/p>\n

Billings:<\/strong><\/span><\/p>\n

\n

Deering Community Health Center
\n<\/strong>Deering Community Health Center Dental Clinic
\n123 S. 27th St., Billings, MT59107
\n406-247-3333
\nlila@ycchd.org<\/a>
\nHours: 7:00 \u2013 6:00 M-F<\/span><\/p>\n

Healthcare for the Homeless Volunteer Program<\/strong> (406) 651-6421<\/span><\/p>\n

Ronald McDonald Care Mobile<\/strong> (406) 238-6008<\/span><\/p>\n<\/blockquote>\n

Bozeman:<\/strong> Gallatin Community Clinic
\n<\/strong>(406) 585-8701
\nHours: 8:00 \u2013 4:30 M -Th<\/span><\/p>\n

Butte: Community Health Center<\/strong> (with satellites in Sheridan and Dillon)
\nCommunity Health Center Dental Clinic
\n445 Centennial Drive, Butte, MT 59702
\n406-496-6007
\ncster@in-tch.com<\/a>
\nHours: 8:00 \u2013 5:00 M,F; 8:00 \u2013 2:00 T; Closed W & Th<\/span><\/p>\n

Great Falls:<\/strong><\/span><\/p>\n

\n

Community Health Care Center, Inc.
\n<\/strong>Community Health Care Center Dental Clinic
\nCascade City-County Health Dept.,
\n115 4th Ave. South, Great Falls, MT 59405-4597
\n406-791-9267
\nloney@co.cascade.mt.us<\/a>
\nHours: 8:00 \u2013 5:00 M – F by appointment <\/span><\/p>\n

Montana State University College Of Technology
\nDental Clinic <\/strong>
\n(800) 446-2698 or (406) 771-4300
\nHours: 8:00 \u2013 1:00 M & T by appointment <\/span><\/p>\n<\/blockquote>\n

Helena Cooperative Health Center, Inc<\/strong>. (with satellite in Lincoln)
\nCooperative Health Center Dental Clinic
\n1930 9th Ave., Ste. 207, Helena, MT 59601
\n406-457-8928
\nkwilson@co.lewis-clark.mt.us<\/a>
\nHours: 8:00 \u2013 2:30 M & F Walk-ins; 8:00 \u2013 5:00 T,W,Th<\/span><\/p>\n

Libby – Lincoln County Community Health Center, Inc.
\n<\/strong>Lincoln County Community Dental Clinic
\n711 California Ave., Libby, MT 59923
\n406-293-3755
\nmaria@lcchc.org<\/a>
\nHours: 9:00 \u2013 5:00 M-F<\/span><\/p>\n

Livingston Community Health Partners, Inc<\/strong>.
\nCommunity Health Partners Dental Practice
\n126 S. Main St., Livingston, MT 59047
\n406-222-4777
\nlfrancis@CHPhealth.org<\/a>
\nHours: 8:00 \u2013 5:00 M,W,F; 11:00 \u2013 7:00 T,Th<\/span><\/p>\n

Missoula – Partnership Health Center, Inc.
\n<\/strong>Partnership Health Center Dental Clinic
\n323 W. Alder, Missoula, MT 59802
\n406-829-4185
\nmahne@phc.missoula.mt.us<\/a>
\nHours: 8:00 \u2013 5:00 M; 9:00 \u2013 5:00 T; 8:30 \u2013 4:00 W, Th, F<\/span><\/p>\n

Montana Migrant Council, Inc.<\/strong> (406) 248-3149<\/span><\/p>\n

Mobile Dental Clinic<\/strong> – Serving Carbon, Dawson, Treasure, Rosebud, Richland, Bighorn, Yellowstone, Beaverhead, Flathead and Lake Counties (Each site serves 1- 5 counties)<\/span><\/p>\n

Indian Health Service<\/strong> – Billings Area Office (406) 247-7120
\nDental clinics located in Browning, Crow Agency, Lodge Grass, Pryor, Polson, Pablo, St. Ignatius, Harlem, Hays, Poplar, Wolf Point, Lame Deer, and Box Elder<\/strong>.<\/span><\/p>\n

Urban Indian Clinic <\/strong>(406) 449-5796<\/span><\/p>\n

Helena Indian Alliance<\/strong> \u2013 Leo Pocha Clinic – Serving Great Falls, Butte and Helena
\nHours: 8:00 \u2013 4:00 M-F<\/span><\/p>\n<\/blockquote>\n

National Dental\/Oral Health Resources<\/strong><\/span><\/p>\n

American Dental Association: Tips for People Who Have Special Needs<\/em><\/a><\/strong><\/span><\/p>\n

\n

This web site provides an overview of dental issues of persons with special needs, answers frequently asked questions, and lists additional resources. <\/span><\/p>\n<\/blockquote>\n

Dental Education in Care of People with Disabilities Program <\/a> <\/strong>
\nSchool of Dentistry, The University of Washington
\ndecod@u.washington.edu<\/a>\u00a0 <\/span><\/p>\n

\n

This program trains dentists and dental hygienists to meet the needs of patients with disabilities, and also offers attendant\/staff training materials and self-directed study modules. <\/span><\/p>\n<\/blockquote>\n

Dentistry for the Disabled Child and Adult<\/a><\/strong><\/span><\/p>\n

\n

This site is authored by a dentist who treats patients with disabilities. He lists educational materials and resources, and gives advice on finding a dentist for a person with a disability, on dental hygiene for people with disabilities, and on bruxism (teeth-grinding).<\/span><\/p>\n<\/blockquote>\n

Family Village<\/a> <\/strong>(dental page) <\/span><\/p>\n

\n

The Family Village web site integrates online information, resources, and communication opportunities for people with cognitive and other disabilities, for their families, and for disability services and support providers. The dental page links to resources on the dental needs of people with disabilities. <\/span><\/p>\n<\/blockquote>\n

National Oral Health Information Clearinghouse<\/a><\/strong> (NOHIC)
\n1 NOHIC Way, Bethesda, MD 20892-3900
\n301-402-7364<\/span><\/p>\n

\n

A service of the National Institute of Dental and Craniofacial Research, NOHIC information specialists provide oral health information for special care patients and professionals, refer requesters to resources, and provide professional and patient education materials (factsheets, brochures, and information packets).<\/span><\/p>\n<\/blockquote>\n

Special Olympics Special Smiles<\/em><\/strong>
\nShantae Polk, Manager, Healthy Athletes
\n202-628-3630
\nspolk@specialolympics.org<\/a><\/span><\/p>\n

\n

Special Smiles<\/em> is a core component of the Special Olympics Healthy Athletes<\/em> initiative which focuses on improving the health of Special Olympics athletes. Special Smiles<\/em> provides access to dental care for athletes and others with intellectual disabilities at Special Olympics games in each state and around the world. <\/span><\/p>\n<\/blockquote>\n

Return to Table of Contents<\/a><\/span><\/p>\n

\n

#7<\/a> Vision Problems<\/strong><\/span><\/p>\n

Vision problems include near-sightedness, far-sightedness, astigmatism, presbyopia, reduced field of vision, light sensitivity, and blindness. Symptoms of vision problems include squinting at printed matter or holding it at a distance, bumping into or tripping over objects, or closing the eyes for long periods of (non-sleep) time. Incorrect use of prescription glasses or contact lenses may result in vision problems.<\/p>\n

Thirty percent of the respondents to the Life Quality and Health for Adults with Developmental Disabilities Survey<\/a><\/em> reported vision problems.<\/p>\n

Vision Resources in Montana<\/span><\/strong><\/span><\/p>\n

International Association of Lions Clubs<\/a><\/strong> – Montana Chapters<\/span><\/p>\n

\n

Sight conservation and work with blind individuals are official activities of Lions Clubs International. Activities include sponsorship of leader dogs and dog training, eyeglass recycling, vision awareness and education activities, eye banks, children\u2019s camps and many other vision-related services.<\/span><\/p>\n<\/blockquote>\n

Montana Affiliate, National Federation of the Blind<\/a><\/strong> (NFB)
\nDan Burke, 408 Sussex Ave., Missoula, MT 59801
\n406-546-8546
\nburkemt@onewest.net<\/a> <\/span><\/p>\n

\n

NFB is the nation\u2019s largest and most influential organization of people who are blind. Its purpose is to help people with blindness achieve self-confidence, self-respect and collective self-expression. Resources include a Materials Center of literature and assistive devices, the International Braille and Technology Center, NFB-NEWSLINE<\/em> (a free talking newspaper service), and Jobline<\/em>, which offers free national employment listings. <\/span><\/p>\n<\/blockquote>\n

Montana Association for the Blind<\/strong><\/a> (MAB)
\nP.O. Box 465, Helena, MT 59624
\n406-442-9411<\/span><\/p>\n

\n

MAB is a non-profit organization which fosters a positive understanding of blindness and promotes the social and economic self-sufficiency of blind and low vision Montanans through quality education, training, and employment services and opportunities. MAB\u2019s quarterly newsletter, The Observer, is available in large print and Braille, on disk or cassette, or via e-mail. Annual membership dues are $5.00. <\/span><\/p>\n<\/blockquote>\n

Montana IDEA Services for Children and Young Adults with Deaf-Blindness Project<\/a><\/strong>
\nFrancisco J. Rom\u00e1n, Project Coordinator froman@mt.gov<\/a>
\nOffice of Public Instruction
\nPO Box 202501
\nHelena, MT 59620-2501
\n(406) 444-4426 or 888-231-9393\u00a0 |\u00a0 Fax: (406) 444-3924\u00a0 |\u00a0 TTY:(406) 444-0235<\/span><\/p>\n

\n

Provides an array of technical assistance and training opportunities for Montana’s individuals with deaf-blindness, their families and service providers.\u00a0 Services are designed to meet specific individual and unique needs of children and young adults 0-21 who are identified as having deaf-blindness. <\/span><\/p>\n<\/blockquote>\n

Montana Talking Book Library<\/a><\/strong>
\n1515 East 6th Ave., Helena, MT 59620
\n406-444-2064 <\/span><\/p>\n

\n

The Talking Book Library advises and assists eligible individuals with disabilities that affect the ability to read print (visual and mobility impairments, cognitive and learning disabilities, etc.). Staff also support other libraries, nursing homes, schools and institutions in providing library services to individuals with disabilities. Inter-library loan services are available between participating libraries. Patrons have access to descriptive videotapes, over 500 locally-produced cassette books, and Braille books.<\/span><\/p>\n<\/blockquote>\n

Montana Vocational Rehabilitation\/Blind and Low Vision Services<\/a><\/strong>
\n111 Sanders, P.O. Box 4210, Helena, MT 59604-4210
\n406-444-2590 <\/span><\/p>\n

\n

Blind and Low Vision Services Program provides a broad range of services through three programs to assist eligible individuals with visual disabilities in finding or maintaining employment and increasing independence. These programs are (1) Vocational Rehabilitation, (2) Visual Medical, and (3) Older Blind. Visual Medical Program services are available to people who need eye treatment to prevent blindness, restore sight, or provide other appropriate eye treatment where loss of vision cannot be prevented or sight restored.<\/span><\/p>\n<\/blockquote>\n

National Vision Resources<\/strong><\/span><\/p>\n

Blind, Inc. <\/a> <\/strong>
\n100 East 22nd Street, Minneapolis, MN 55404
\n612-872-0100<\/span><\/p>\n

\n

Blind, Inc. is a training center that teaches the skills needed by people with blindness to become independent and employable. Classes teach Braille reading, home management, using a white cane, using computer screen reading software, and more. <\/span><\/p>\n<\/blockquote>\n

Opening Eyes<\/em> – Special Olympics and Lions Clubs International Initiative<\/a><\/strong>
\nDavid Evangelista, Manager
\n202-628-3630
\ndevangelista@specialolympics.org<\/a><\/span><\/p>\n

\n

Opening Eyes<\/em> is a core component of the Special Olympics Healthy Athletes initiative which focuses on improving the health of Special Olympics athletes. Opening Eyes<\/em> screens athletes\u2019 vision; educates athletes, parents, and coaches about the importance of regular eye care; educates and changes attitudes of eye care professionals about the vision care needs of persons with intellectual disabilities; and increases knowledge of visual and eye health needs of persons with intellectual disabilities through research.<\/span><\/p>\n<\/blockquote>\n

Return to Table of Contents<\/span><\/a><\/p>\n

\n

#8 <\/a>Memory<\/strong><\/span><\/p>\n

People with short-term or long-term memory problems often forget problem-solving strategies and skills necessary for performing tasks. Changes in a person\u2019s ability to remember may be a side effect of medication, or an indication of brain injury, pain, depression, or dementia. Individuals may repeat questions that have been answered, forget information, frequently lose things, or anger more easily than before. Memory aids, prompts or cues may be necessary.<\/p>\n

On the Life Quality and Health for Adults with Developmental Disabilities Survey<\/a><\/em>, 29 percent of respondents reported memory problems.<\/p>\n

Memory Resources in Montana<\/strong><\/span><\/span><\/p>\n

Brain Injury Association of Montana<\/a><\/strong> (BIAM)
\n1280 S. 3rd St. West, Ste. 4, Missoula, MT 59801
\n800-241-6442 or 406-541-6442
\nbiam@biamt.org<\/a> <\/span><\/p>\n

\n

This association\u2019s focus is brain injury prevention, research, education, and advocacy. If an individual\u2019s memory problems may be associated with a brain injury, this association has appropriate resources.<\/span><\/p>\n<\/blockquote>\n

Community Bridges<\/a><\/strong>
\n607 S.W. Higgins Avenue, Missoula, MT 59803
\n406-728-4100, ext. 7525 or 1-800-252-7982 <\/span><\/p>\n

\n

This Community Medical Center program offers comprehensive day treatment and residential services for individuals with traumatic brain injury or other neurological problems caused by motor vehicle accidents and other injuries, aneurysms, anoxia, brain tumors, encephalitis, meningitis, and stroke. Their efforts address memory loss resulting from these events or conditions.<\/span><\/p>\n<\/blockquote>\n

Headway<\/a><\/strong>
\nNew Hope Rehabilitation Center, St. Vincent\u2019s Healthcare, Billings, MT 59101
\n406-238-6440<\/span><\/p>\n

\n

Headway offers individual treatment programs for adults and adolescents with a wide variety of disabilities related to memory loss. <\/span><\/p>\n<\/blockquote>\n

Montana Orthopedic, Neurologic and Rehabilitative Care<\/a>: Benefis Healthcare<\/span><\/strong>
\n<\/strong>West Campus, 500 15th Ave. South, Great Falls, MT 59405
\n406-455-2293<\/span><\/p>\n

\n

The Center offers occupational therapy, speech\/language pathology and several other services to improve an individual\u2019s memory or ability to cope with memory loss. It serves people who have experienced head injury; stroke; loss of abilities to think, reason, and remember; and other disabilities.<\/span><\/p>\n<\/blockquote>\n

The University of Montana – Department of Pharmacy Practice<\/strong><\/a>
\nSkaggs Building 316, Missoula, MT 59812
\n406- 243-6796<\/span><\/p>\n

\n

Drug Information Service<\/strong>: 406-243-5254
\nDrugInfo@umontana.edu<\/a> <\/span><\/p>\n<\/blockquote>\n

National Memory Resources<\/strong><\/span><\/p>\n

Brain Injury Association of America<\/a><\/strong>
\n800-444-6443<\/span><\/p>\n

\n

Resources and links for professionals, consumers and family members.<\/span><\/p>\n<\/blockquote>\n

AbleData Assistive Technology Database<\/a><\/strong><\/span><\/p>\n

\n

Enter \u201cmemory\u201d and\/or \u201creminder\u201d into the search box to bring up a long list of resources and devices, including memory-training software, medication reminders, audible or vibrating message watches, talking alarm clocks, vibrating reminder disks, braille and voice note-taking systems, \u201ccognitive prosthetics\u201d, environmental control units and more.<\/span><\/p>\n<\/blockquote>\n

Return to Table of Contents<\/a>
\n<\/span><\/p>\n

\n

#9 <\/a>Fatigue<\/strong><\/span><\/p>\n

Fatigue is a tired, but not necessarily sleepy feeling after minimal exertion. Fatigue is a common problem for individuals with congenital muscle disorders. Fatigue may also be a side effect of medication or the result of two or more medications interacting. People with fatigue often are inexpressive, unmotivated, and\/or inactive. They may need more breaks, naps, and increased sleep. Daytime fatigue, nighttime snoring or failure to sleep through the night may indicate that an individual has an undiagnosed or unobserved sleep disorder.<\/p>\n

Twenty-eight percent of Life Quality and Health for Adults with Developmental Disabilities Survey<\/a><\/em> respondents had problems with fatigue.<\/p>\n

Fatigue Resources in Montana<\/strong><\/span><\/p>\n

Sleep Center at St. Vincent Healthcare<\/a><\/strong>
\n1233 N. 30th St., Billings, MT 59101
\n406-238-6815 or 866-4-SNORES
\nsleepcenter@svh-mt.org<\/a><\/span><\/p>\n

Sleep Disorders Center<\/a><\/strong>
\nBozeman Deaconess Clinic, Bozeman, MT 59715
\n406-585-5058
\nmphipps@bdh-boz.com<\/a><\/p>\n

Rocky Mountain Sleep Disorders Center<\/a><\/strong>
\n401 S. Alabama, Suite 3A, Butte, Montana 59701
\n406-782-7570<\/span><\/p>\n

Montana Sleep Diagnostics<\/a><\/strong>
\nLiberty County Medical Center, 315 W. Madison Ave., Chester, MT 59522<\/span><\/p>\n

Montana Sleep Diagnostics<\/a> <\/strong>
\nPondera Medical Center, 805 Sunset Blvd, Conrad, MT 59425<\/p>\n

Montana Sleep Diagnostics<\/a><\/strong>
\nBarrett Memorial Hospital, 90 Hwy 91 South, Dillon, MT 59725<\/p>\n

Montana Sleep Diagnostics<\/a><\/strong>
\nFrances Mahon Deaconess Hospital, 621 Third Street South, Glasgow, MT 59230<\/p>\n

Rocky Mountain Sleep Disorders Center<\/a><\/strong>
\n1917 4th St. South, Great Falls, MT 59405
\n406-453-7570
\npauls@rockymountainsleep.com<\/a><\/p>\n

Northern Montana Sleep Disorders Center<\/a><\/strong> (Havre)
\n30 W. 13th St., Havre, MT 59501
\n406-262-1437 or 800-352-5097<\/span><\/p>\n

Rocky Mountain Sleep Disorders Center<\/a><\/strong>
\n2271 Deerfield Lane, Helena MT 59601
\n406-442-7700<\/p>\n

Montana Sleep Diagnostics<\/a> (Rocky Mountain Sleep Disorders Center)<\/strong>
\nLewistown, MT
\n406-538-7711<\/span><\/p>\n

Sleep Disorders Center<\/a><\/strong>
\n620 S. Haynes Ave., Miles City, MT 59301
\n406-255-8400 or 800-252-1246
\nhealth@billingsclinic.org<\/a><\/span><\/p>\n

Sleep Center at St. Patrick\u2019s Hospital and Health Sciences Center<\/a><\/strong>
\n500 W. Broadway, Missoula, MT 59802
\n406-329-5650
\ninfo@saintpatrick.org<\/a><\/p>\n

The University of Montana Department of Pharmacy Practice<\/strong><\/a>
\nSkaggs Building 316, Missoula, MT 59812
\n406- 243-6796<\/p>\n

\n

Drug Information Service<\/strong>: 406-243-5254
\nDrugInfo@umontana.edu<\/a> <\/span><\/p>\n<\/blockquote>\n

National Fatigue Resources<\/strong><\/span><\/p>\n

Chronic Pain and Fatigue Research Center<\/a><\/strong>
\nUniv. of Michigan Health System, Dept. of Internal Medicine,
\nDivision of Rheumatology, Domino\u2019s Farms, Lobby M, Box 385,
\n24 Frank Lloyd Wright Dr., Ann Arbor, MI 48106
\n734-998-6961<\/span><\/p>\n

\n

This multi-disciplinary center is committed to better recognition, understanding and management of chronic pain and fatigue disorders. Its web site describes the Center\u2019s research and opportunities to participate as a research subject, and provides information on fibromyalgia, other chronic multi-symptom illnesses, evidence-based treatment, exercise, stress, and other related topics. <\/span><\/p>\n<\/blockquote>\n

Rehabilitation Research and Training Center in Neuromuscular Diseases<\/a><\/strong> (RRTC\/NMD)
\nMED: PM&R TB 191, University of California, Davis, CA 95616
\n<\/span><\/p>\n

\n

RRTC\/NMD improves the lives of individuals with neuromuscular diseases and their families by developing and evaluating new strategies for health care, rehabilitation, psychosocial well-being, education, employment, and independent living. The Center also provides a comprehensive consumer-focused training and information dissemination program. <\/span><\/p>\n<\/blockquote>\n

Return to Table of Contents<\/a><\/span><\/p>\n

\n

#10 <\/a>Depression<\/strong><\/span><\/p>\n

Depression is more than \u201cfeeling blue\u201d. Symptoms include extreme, long-term sadness; frequent or unexplained crying; loss of interest in personal appearance; less laughing or smiling than usual; withdrawal from favorite things, activities, or people; sleep difficulties; unintentional weight loss or gain; change in behavior (such as increased anger or aggressive behavior); and\/or suicidal comments or actions. In many individuals with intellectual and developmental disabilities, depression often is reactive and responds well to treatment.<\/p>\n

On the Life Quality and Health for Adults with Developmental Disabilities Survey<\/a><\/em>, 27.6 percent of respondents reported a problem with depression.<\/p>\n

Depression Resources in Montana<\/strong><\/span><\/span><\/p>\n

Montana Mental Health Association<\/a><\/strong> (MMHA)
\nP.O. Box 6133, Great Falls, MT 59401
\n406-727-6642
\ninfo@montanamentalhealth.org<\/a> <\/span><\/p>\n

\n

MMHA works to eliminate the stigma of mental illness, to improve care and treatment of Montanans with mental illness, such as depression, to preserve the rights of Montana\u2019s mental health consumers and their families and to support programs and individuals providing direct mental health services. <\/span><\/p>\n<\/blockquote>\n

National Alliance for the Mentally Ill <\/a>(NAMI): Montana Chapter<\/strong>
\n616 Helena Ave., Suite 218, Helena, MT 59601
\n406-443-7871 or 888-280-6264
\n406-862-6357 fax
\nnamimt@ixi.net<\/a><\/span><\/p>\n

\n

NAMI Montana maintains a library of hundreds of books, audio-cassettes and video tapes about serious mental illness, such as depression, and the people who suffer from them. The web site helps visitors locate local resources and affiliates.<\/span><\/p>\n<\/blockquote>\n

(Also see the list of Developmental Disabilities Program Quality Improvement Specialists<\/strong> under Persistence Problems<\/strong><\/a>.)<\/span><\/p>\n

National Depression Resources<\/strong><\/span><\/span><\/p>\n

National Association for the Dually Diagnosed<\/a> (NADD)<\/strong><\/span><\/p>\n

\n

NADD provides professionals, educators, policy makers, and families with education, training, and information on mental health issues of persons with intellectual\/developmental disabilities.<\/span><\/p>\n<\/blockquote>\n

National Institute of Mental Health<\/a><\/strong> (NIMH)
\n800-421-4211<\/span><\/p>\n

\n

Provides free information in both English and Spanish on depression and other mental illnesses.<\/span><\/p>\n<\/blockquote>\n

National Mental Health Association<\/a><\/strong> (NMHA)
\n800-969-6642\u00a0 <\/span><\/p>\n

\n

NMHA addresses all aspects of depression and other mental health issues and mental illnesses. <\/span><\/p>\n<\/blockquote>\n

All About Depression<\/a><\/strong><\/span><\/p>\n

\n

This web site offers accurate, authoritative, relevant and current research-based information about depression, its causes, self-help techniques (including seeking professional medical help), and self-tests to determine if an individual is depressed. <\/span><\/p>\n<\/blockquote>\n

Return to Table of Contents<\/a><\/span><\/p>\n

\n

<\/a>References<\/strong><\/span><\/p>\n

Brandt, E. N. & Pope, A. M. (1997). Enabling America: Assessing the role of rehabilitation science and engineering<\/em>. Washington, DC: National Academy Press.<\/p>\n

Horowitz, S. M., Kerker, B. D., Owens, P. L., & Zigler, E. (2001). The health status and needs of individuals with mental retardation<\/em>. New Haven, CT: Yale University School of Medicine.<\/p>\n

Lollar, D. J. (Ed.). (1994). Preventing secondary conditions associated with spina bifida or cerebral palsy: Proceedings and recommendations of a symposium<\/em>. Washington, DC: Spina Bifida Association of America.<\/p>\n

Lollar, D. J. (2001). Public health trends in disability: Past, present, and future. In G. L. Albrecht, K. D. Seelman, & M. Bury (Eds.), Handbook of disability studies<\/em>. Thousand Oaks, CA: Sage Publications.<\/p>\n

Marge, M. (1988). Health promotion for persons with disabilities: Moving beyond rehabilitation. American Journal of Health Promotion<\/em>, 2, 29-44.<\/p>\n

Pope, A. M. (1992). Preventing secondary conditions. Mental Retardation<\/em>, 30, 347-354.<\/p>\n

Pope, A. M. & Tarlov, A. R. (1991). Disability in America: Toward a national agenda for prevention<\/em>. Washington, DC: National Academy Press.<\/p>\n

Seekins, T., Clay, J. A., & Ravesloot, C. (1994). A descriptive study of secondary conditions reported by a population of adults with physical disabilities served by three independent living centers in a rural state. Journal of Rehabilitation<\/em>, 60, 47-51.<\/p>\n

Turpin, L., Rice, D. P., & Max, W. (1995). Medical expenditures for people with disabilities in the United States, 1987<\/em>. Washington, DC: U.S. Government Printing Office.<\/p>\n

US Census Bureau. (2000). Census 2000 Summary File 3<\/em>, Matrices P18, P19, P21, P22, P24, P36, P37, P39, P42, PCT8, PCT16, PCT17, and PCT19. Retrieved July 1, 2004, from http:\/\/factfinder.census.gov<\/a> .<\/p>\n

Williams, B. (1998). Keynote address. Presented at the National Conference on Disability and Health: Building bridges for science and consumers, Dallas, TX.
\n
\nReturn to Table of Contents<\/a><\/p>\n

For more information, contact:<\/strong><\/p>\n

Meg Traci, Director\u00a0 matraci@ruralinstitute.umt.edu<\/a>
\nMontana Disability and Health Program
\nThe University of Montana Rural Institute
\n52 Corbin Hall, Missoula, MT 59812-7056
\n888-268-2743 toll-free;
\n406-243-5467 Voice;
\n406-243-4200 TTY
\n406-243-2349 (fax)
\nhttp:\/\/rtc.ruralinstitute.umt.edu<\/a>
\nhttps:\/\/mtdh.ruralinstitute.umt.edu<\/a><\/p>\n

Opinions expressed are those of the authors, and not necessarily those of the funding agencies.
\nThis report is available in Braille, large print and text formats on request.<\/p>\n

This Resource Directory was prepared by Diana Spas, Meg Traci, and Lisa Brennan \u00a9 RTC: Rural, 2005.<\/p>\n","protected":false},"excerpt":{"rendered":"

Preventing and Managing Secondary Conditions with Adult Montanans Who have Intellectual\/Developmental Disabilities   Health Resource Guide Updated July 2009 Table of Contents Introduction Resources for the Ten Most-Commonly-Reported Secondary Conditions 1.\u00a0\u00a0 Communication Difficulties 2.\u00a0\u00a0 Physical Fitness and Conditioning Problems 3.\u00a0\u00a0 Weight Problems 4.\u00a0\u00a0 Low Level of Persistence\/Low Tolerance for Frustration Problems 5.\u00a0\u00a0 Personal Hygiene Problems […]<\/p>\n","protected":false},"author":10,"featured_media":0,"parent":149,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template_leftsidebar_horizontalnav.php","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-1267","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/mtdh.ruralinstitute.umt.edu\/index.php?rest_route=\/wp\/v2\/pages\/1267","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mtdh.ruralinstitute.umt.edu\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mtdh.ruralinstitute.umt.edu\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mtdh.ruralinstitute.umt.edu\/index.php?rest_route=\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/mtdh.ruralinstitute.umt.edu\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1267"}],"version-history":[{"count":1,"href":"https:\/\/mtdh.ruralinstitute.umt.edu\/index.php?rest_route=\/wp\/v2\/pages\/1267\/revisions"}],"predecessor-version":[{"id":7950,"href":"https:\/\/mtdh.ruralinstitute.umt.edu\/index.php?rest_route=\/wp\/v2\/pages\/1267\/revisions\/7950"}],"up":[{"embeddable":true,"href":"https:\/\/mtdh.ruralinstitute.umt.edu\/index.php?rest_route=\/wp\/v2\/pages\/149"}],"wp:attachment":[{"href":"https:\/\/mtdh.ruralinstitute.umt.edu\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1267"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}