Fires burn across Montana’s Flathead reservation

Fire season is underway in Montana, with a number of active fires burning more than 1,000 acres.

Wildfire crews are battling several on the Flathead Indian Reservation; with three of the largest fires being the Niarada, Big Knife and Middle Ridge fires.

A community meeting is planned for Thursday, Aug. 10 at the Arlee Community Center regarding the Niarada, Big Knife fires and another fire, the Mill Pocket fire.

The largest fire in the state is the Niarada and is burning west of Elmo on the northern end of the reservation. It was ignited by lightning on July 30.

The forest in the area involved in the fire includes a mix of timber, including some that is downed and dead. The area also has brush and shorter grass near the valley bottom, according to Inciweb, an interagency all-risk incident information management system.

As of Wednesday morning, the fire had burned more than 20,000 acres and is 25 percent contained, according to MTfireinfo.org.

From the Aug. 9 fire update from Confederated Salish and Kootenai Tribes Division of Fire, four structure have been lost since the fire was initially ignited although it does not specify what type of structures.

Additionally, areas near the base of the mountains near the Big Knife fire have been placed in pre-evacuation status by the Lake County Sheriff’s Office. The same office downgraded areas near the Niarada from “evacuation” to “pre-evacuation warning.”

“A PRE-EVACUATION WARNING means you may return to your home. However, as there is still a potential threat from the Niarada Fire,” the press release states.

The Lake County Sheriff’s Office also asks people in the area to refrain from bring back evacuated livestock until the area has been downgraded to “ready.”

The Mill Pocket fire is burning to the west of the Niarada, far enough to keep both fires separated, Northern Rockies Team 3 public information officer Stefani Spencer told ICT.

“So the Mill Pocket is west, directly west of one portion of the Niarada and we have [fire] line around the Mill Pocket on the east side and the Niarada on the west side where they face each other,” Spencer said. “So we have good line around both of those fires.”

She added that the Mill Pocket is pretty well contained except for a portion on the west side near Mill Creek that is steep country and difficult to get crew to the area.

There are a number of types of personnel working the fires, including two interagency hotshot crews on the Niarada. Hotshot crews are specifically, highly trained firefighters that often take on some of the most difficult assignments.

Also, several types of aircraft have been assisting when needed. Helicopters have primarily been used to drop water but larger planes called “scoopers” and single engine planes have done the same.

Earlier this summer, fires in Canada led to air quality alerts in portions of the midwest and eastern United States. At one point, thirteen First Nations were had to be evacuated and more were on the frontlines.

The Associated Press reported erratic winds in Southern California made it difficult for firefighters to handle two major fires in the state.

On the island of Maui, six people were killed in a wildfire and injured at least two dozen others. The fire destroyed dozens of homes and businesses in Lahaina Town, a popular shopping and dining area, the AP reported.

Looking forward, weather is forecasted to be in the mid-to-high 80s with potential wind gusts up to 30 miles per hour. Spencer said they are keeping an eye on areas of the fires that will be most affected by the winds.

“Trying to get measures in place now while we have this break in the weather, and we got that rain, which really helped us out,” she said. “So we’re trying to take advantage of this break that we have in fire activity to really secure those areas that would be most affected by the wind that we’re expecting to come in.”

A stage 2 fire restriction is in place across the Flathead Indian Reservation. “No campfires are allowed, no smoking outside of vehicles, no operating combustible engines between 1PM-1PM, no operating vehicles off designated roads and trails,” a press release said.

The latest and daily information on the fires can be found on the Confederated Salish and Kootenai Tribes Division of Fire Facebook page.

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Sober living fraud scheme targeted Montana tribal citizens

When Autumn Nelson decided she was ready to seek treatment for her alcoholism, she knew she had to act fast.

“When someone with an addiction says, ‘I need help,’ we’re begging,” she said. “We want it.”

Nelson, who lives on the Blackfeet Reservation, knew she might have to leave home to get the help she needed. Crystal Creek Lodge provides inpatient and outpatient treatment on the reservation, but community members say the place is almost always at capacity. Journey to Recovery, another facility on the reservation, provides outpatient services primarily focused on supporting individuals after they return from inpatient treatment. And sometimes, it can be helpful for people struggling with addiction to leave their environment and disconnect from people in their circles who may be using.

So when Journey to Recovery gave Nelson the contact information for a treatment center in Arizona, Nelson was hopeful. She was ready to get clean. Little did she know she’d soon be caught up in a national scandal.

Phoenix House Recovery, a treatment center in Arizona, paid for Nelson’s plane ticket to Arizona, and Nelson was eager for a fresh start. Her father died of cancer three years ago, and just before his death, her younger brother died in a car accident.

“That really set my alcoholism off,” she said. “I kind of just stepped out of reality for a while.”

But Phoenix House Recovery wasn’t what Nelson had imagined. She has a background in health care and had been to other treatment centers in the past, and as time went on, she grew suspicious about how the facility was run.

“I started asking questions,” Nelson said. “Like, ‘Where’s the 12-step plan? Why isn’t that in our daily agenda? Why aren’t we learning about triggers, external and internal? Where is our life skills training? Why aren’t we building resumés? Why is there one therapist for 30 patients?’ I asked the clients and staff, and they kicked me out the next day.”

Out on the streets in 100-plus degree weather, Nelson had to find somewhere to go. She looked into other sober living homes but grew concerned when she was offered alcohol and drugs at one of them. She didn’t know who she could trust.

“I was scared,” she said. “I’m thousands of miles away from my family and my home. I was freaking out. I was hysterical.”

While Nelson ultimately made it home to the Blackfeet Reservation, her experience in Arizona is not uncommon.

What happened to her has happened to thousands of other Native Americans in Arizona amid a widespread Medicaid fraud scheme, where treatment centers billed the state thousands of dollars per patient for services that were not actually provided. Indigenous people from Montana, Arizona, New Mexico and South Dakota were recruited to get treatment at these fraudulent facilities, and experts estimate that at least 100 Native Americans from Montana are tangled in the scam.

The scheme defrauded Arizona taxpayers, and at these fraudulent sober living homes, some clients were given drugs and alcohol. Others were told to get on food stamps. And some people seeking treatment were paid to recruit more Native Americans to these facilities. As the fraudulent treatment centers have shuttered amid a government crackdown, Montana tribes and grassroots advocates are scrambling to get their relatives home. But because these facilities changed clients’ state of residency to Arizona for billing purposes, it’s even harder for tribes and families in Montana to locate their loved ones.

What exactly is happening in Arizona?

Arizona officials have called it “a stunning failure of government.”

In a widespread scam, treatment facilities in Arizona billed for nonexistent services, and the money was paid through the Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid program. The scam targeted Native Americans because a loophole in AHCCCS’s American Indian Health Program allowed individuals to pose as a treatment facility.

Reva Stewart, who launched the campaign #StolenPeopleStolenBenefits to raise awareness of the fraud, said experts have traced the origins of the scam to the pandemic.

“They targeted Native Americans because the American Indian Health Plan would pay for everything they documented,” she explained. “Once these places found out they could get something like $1,700 per day per person, you saw them popping up everywhere. With that money, one home can make $2 million in two weeks. I even saw a YouTube video on how to open a sober living home in 15 minutes.”

The Arizona Mirror reported that AHCCCS was billed $53.5 million under the outpatient behavioral health clinic code in 2019. In 2020, it more than doubled to $132.6 million, and by 2022 it exploded to $668 million.

The FBI, which is investigating the fraud, is seeking to contact victims of the scam. The agency said in some cases, organizers pick up addicts at popular gathering places; sometimes individuals are given alcohol during transport; and clients are told to obtain food stamps during their time in treatment even though their enrollment brings funding to the home. The FBI investigation has resulted in at least 45 indictments by the office of the Arizona Attorney General, and at least $75 million has been seized.

Arizona Gov. Katie Hobbs in May announced, according to The Associated Press, that the homes defrauded the state of hundreds of millions of dollars. AHCCCS has since suspended payments to hundreds of providers in the state.

As these homes have closed, Native American residents are left on the streets of Arizona in temperatures nearing 115 degrees. Some people have been reported missing, and others have turned up dead.

‘I blame them’

Mona Bear Medicine, Blackfeet, said when her 25-year-old son RayDel Calf Looking went to Phoenix for treatment, she had high hopes for him.

Calf Looking completed a longer treatment program, lasting 60 or 90 days, and Bear Medicine said he was doing well. There are many highly regarded treatment facilities in Arizona that have effective programs and competent staff, and plenty of Montana tribal members speak highly of them.

“He sent a selfie over Christmas, and he looked really healthy,” Bear Medicine said of her son. “He looked good. And I could tell he was doing good for himself.”

Bear Medicine said her son started drinking in high school, but she didn’t realize he was doing drugs until about five years ago. Calf Looking was gay, and Bear Medicine said he struggled to come out and faced adversity when people he loved didn’t accept him.

“I think that was the reason he got into drugs,” she said. “He didn’t know how to come out. He was teased for it, and it hurt him. He started doing different drugs, and it got worse and worse, and he got into meth. It was hard for me to realize the extent of it, and I didn’t realize how hard it was going to be on my family.”

Calf Looking completed the long-term program, and then went to a sober-living home in Arizona, called Calm Integrated Healthcare. Bear Medicine said, “That’s when the problems started.”

In February, Bear Medicine hadn’t heard from her son in a while, and she was worried. She and her sister flew down to Arizona and found Calf Looking, who had walked out of the home and appeared to be intoxicated.

“He was disappointed in himself for relapsing,” Bear Medicine recalled.

Bear Medicine took her son back to Calm Integrated Healthcare and almost immediately got a bad feeling about the place. She said her son was clearly intoxicated, and the staff at Calm Integrated said it was fine for him to stay with Bear Medicine at her motel for a few days.

“It was so shady,” Bear Medicine said. “When she said RayDel could stay with us, I asked, ‘What does he need to do? Does he need to go to class?’ And she just said, ‘No, he doesn’t need to do anything.’ When I drove away, I said to RayDel, ‘I’m so confused. I thought sober living was sober.’ And he said, ‘They don’t care as long as they get your money.’”

When Calf Looking stayed with Bear Medicine at the motel, he kept drinking, and after Bear Medicine left, she knew he was still drinking, even though he’d returned to the sober-living home.

In late March, Calf Looking’s cousin, Vandree Old Person, was found dead on the Blackfeet Reservation, and Calf Looking, who was supposed to fly home to be a pallbearer, was taking the death hard. Again, Bear Medicine didn’t hear from him, and again, she was worried.

One day in April, Bear Medicine got a call from a detective.

“When she called, I thought, ‘What did he do now?’” Bear Medicine recalled. “I said, ‘Is he in jail? Is he hurt?’ And she said, ‘No.’ Then she asked me, ‘Is anyone with you?’ and that’s when it started clicking. I said, ‘Oh my God. Is he dead?’ And she said, ‘Yes.’”

The detective told Bear Medicine that her son broke into a house while intoxicated and the homeowner, fearing for his life, shot Calf Looking as he walked up the stairs of his home. Bear Medicine said her son was shot in the back, which she finds incongruous with the detective’s recounting. And she still hasn’t received an autopsy. She was told the FBI is investigating her son’s case, but months later, she still hasn’t heard from the federal agency.

Calm Integrated Healthcare has told Bear Medicine that her son walked out of their facility and was not under their care at the time he was killed, but Bear Medicine maintains that the sober-living home had a part in his death.

“I do think the center was responsible for his death,” she said. “They took the money but still let him drink. He was really trying. He really did try, but it was so easy for him to have a free place to stay that allowed him to drink. I blame them. I really blame them.”

AHCCCS payments to Calm Integrated Healthcare were suspended on May 15 — about a month after Calf Looking was killed.

‘It’s systemic’

Just as with Autumn Nelson, Journey to Recovery in Browning connected Josh Racine to a treatment center in Arizona. A spokesperson for Journey to Recovery was not available for comment.

Racine, Blackfeet, flew out to Sunrise Native Recovery, an alcohol and drug treatment center in Scottsdale, in March. About a month later, he was on the streets.

Laura McGee, Racine’s sister, didn’t know where he was or what happened, but she was determined to find him. She called Sunrise Native Recovery, but they were no help. She called the hospitals in the area, but no luck there, either. Racine would occasionally ask her to send him food at the treatment center — something McGee thought was odd — so she scoured previous food orders to try and nail down a timeline of his disappearance. She scrutinized past texts with her brother to pinpoint a location, but her efforts felt futile.

“I was panicking because I knew what had happened to RayDel,” she said. “It was a feeling I can’t even describe. We lost our mother suddenly, and seven months later, our stepdad, who primarily raised Josh, died. And then our grandmother died, and our first cousin died of an overdose. So Josh is already an addict and now he’s out on the streets dealing with sudden death.”

As McGee did more research, she learned about the hundreds of other sober-living homes in Arizona that had been shut down. It became clear that the problem was bigger than just her and her brother, so she approached the Blackfeet Tribal Business Council.

“I told council, ‘I need help,’” she recalled. “’You sent him there through a program on this reservation. I need help getting him back.’”

The council ultimately paid for a few of McGee’s family members to fly to Arizona, and they successfully brought Racine home, but McGee’s work was not done. Upon her brother’s return, she began to piece together the broken system.

Through conversations with her brother, McGee said she learned that Sunrise charged AHCCCS at least $117,000 in one month for services related to Racine — services that Racine himself said he did not receive.

“That was for one month for one person,” McGee said. “So imagine doing that for 20 or 80 people in a facility. It adds up.”

Racine told McGee that the centers would give clients $50 a week to live on, and he was reportedly told by Sunrise that if he recruited other Native Americans, they would reward him with $100.

“It’s systemic,” McGee said. “There weren’t protocols, and people were being taken advantage of.”

McGee said people struggling with addiction are a particularly vulnerable population, which worked to the scheme’s advantage.

“These are addicts who have lost the trust of their families,” she said. “So when they say, ‘This treatment center isn’t good. They’re putting me out on the street,’ families weren’t believing them. These people knew that and used it against them.”

That’s exactly what happened to Wendy Bremner. Her daughter Brooke Running Crane, Blackfeet, also went to Sunrise, and Running Crane was also suspicious of the facility. She told her mother she wasn’t comfortable at Sunrise and was scared to be there. But Bremner didn’t know what to do.

“I didn’t want to be an enabler,” she said. “I don’t know if what she’s telling me is true. I don’t want to interfere with treatment.”

Later, Running Crane’s anxiety about Sunrise rose to a breaking point, and she was hospitalized for a panic attack. Sunrise told Bremner that her daughter could not return to the facility, and as far as Bremner could tell, her daughter was going to be discharged from the hospital on to the streets.

Bremner called Sunrise over and over again until they finally agreed to help transfer Running Crane to another facility. Running Crane’s new facility is a good one, but Bremner said she doesn’t know what would’ve happened to her daughter if she hadn’t intervened.

“It was really scary,” she said. “She didn’t have anywhere to go, and I was just calling people saying, ‘You can’t just throw my daughter out.’”

Bremner said her daughter ended up at Sunrise because she’d heard of several people in Browning who’d gone there. And when Running Crane expressed that she wanted to receive treatment, Bremner said the treatment facilities in Arizona “felt like a miracle.”

“Families are desperate to get their people help when they say, ‘I want to go to treatment,’” she said. “It’s very rare, so at that moment, you really want to get them in somewhere while they’re ready to go. It’s so hard to get treatment here, and sending her far away is scary, but we wanted her to get help.”

AHCCCS payments to Sunrise Native Wellness were suspended on July 21 — almost two months after Racine went missing and five months after Running Crane’s panic attack.

Tribes take action

After the Blackfeet Council helped get Racine home, it quickly became clear that its work wasn’t done.

As McGee became more vocal on Facebook, more and more families reached out saying their loved ones were missing or stuck at treatment centers in Arizona. McGee continued to present her findings to the tribal government, and eventually, the council came out with a formalized plan of action.

Councilman Lyle Rutherford directed facilities on the reservation, including Journey to Recovery, not to send clients to treatment centers in Arizona. The tribe has worked with McGee and other advocates to bring at least 10 members home. And on Tuesday, the council issued a public health state of emergency “for Blackfeet tribal members affected by the humanitarian crisis arising from shuttered fraudulent behavioral health treatment facilities in Arizona.”

The council on Thursday instituted a ban prohibiting the solicitation of individuals on the reservation to attend fraudulent treatment facilities in Arizona and established civil penalties for individuals or entities that violate the ban at $5,000 for the first offense, $10,000 for the second offense and permanent expulsion from the reservation on the third offense.

The council also pledged to continue to help members who were displaced and said it created a task force to identify displaced individuals.

Councilwoman Shelly Hall said the emergency declaration helps bring awareness to the crisis and could allow the tribe to allocate more money toward its resolution.

“I believe there are about eight or 10 more Blackfeet down there,” Hall said. “This is important because these are our members. If they’re in any kind of trouble, we want to help them. We’ve heard horror stories of people who are on the streets in this heat.”

McGee said she also urged Gov. Greg Gianforte’s office to issue a public service announcement on the matter but was told that his office needed more information on the subject. She also reached out to members of Montana’s congressional delegation, and Sen. Jon Tester sent a letter to the Centers for Medicare and Medicaid Services, urging the group to “immediately investigate this matter further and provide a detailed report of their findings.”

The Billings Area Indian Health Service has asked Montana tribes to let the agency know how many citizens have been impacted, and other tribes in Montana have also taken action.

Josie Fisher, Northern Cheyenne, was at a different treatment facility in Arizona and didn’t feel safe. She said a staff member made inappropriate sexual comments to her, and she wrote on Facebook that she wanted to leave.

Fisher got connected with advocates through Facebook, and the Northern Cheyenne Tribe paid for her plane ticket home.

“I’m so thankful to be home,” she said. “I’m at peace now. When I was there, I was just in survival mode.”

Northern Cheyenne Councilwoman Melissa Lonebear said as of Aug. 1, the tribe had helped three members get home from Arizona and added that the council is working with the tribal health department to develop a plan to get more people home.

She said part of the issue is that there is no treatment center on the Northern Cheyenne Reservation.

“The way the system is set up is if someone hits rock bottom and they want treatment, they will do an assessment at the Northern Cheyenne Recovery Center and then get referred to an outpatient 10-day program,” she said. “After 10 days, there’s a chance a bed will open in Billings or Butte, but that person may have to just return home. And because we don’t have sober living homes here, people come back and return to the same environment.”

Lonebear is hopeful that the tribe will be able to help people return home from Arizona, but acknowledged the council will have to overcome significant barriers in doing so. To be eligible for AHCCCS, treatment centers had clients change their residency address to Arizona, so it’s hard for tribal councils in Montana to know how many of their members are there. And tribes have noted that even when someone returns home, it can take time to change their residency back to Montana and re-enroll them in Medicaid.

“I just posted on Facebook asking, ‘How many Cheyenne members do we have in Arizona?’” Lonebear said. “I’m getting names from families, and it’s hard. It’s hard to reach people because there’s no way to communicate if that person doesn’t have a phone. This is a lot bigger than we know.”

Fisher’s boyfriend was at the same facility in Arizona, but it wasn’t as easy for him to get home. Jacinto Brien is Crow, and he tried reaching out to his tribe, just as Fisher had. But he had no luck.

“I tried reaching my tribe on the phone, but I couldn’t get ahold of anyone,” he said. “And because I’m Crow, the Northern Cheyenne Tribe couldn’t help.”

Reva Stewart, of the #StolenPeopleStolenBenefits campaign, ultimately fundraised to help get Brien home. Her GoFundMe has raised more than $8,000 to help Native Americans caught in the scam.

“I’m really grateful,” Brien said of Stewart’s efforts. “I’d just say, for any tribe that’s willing to help, please answer your phones. People need your help. This is important.”

Resources

If you or a loved one is at an Arizona treatment center or was at an Arizona treatment center and wants to come home, here are some resources:

  • Call your tribe. See if they can help bring you or a loved one home.
  • The Billings Area Indian Health Service is asking each tribe to let the agency know how many members have been impacted. Send relevant information to Jennifer.Lamere@ihs.gov and Steven.Williamson2@ihs.gov or call 406-247-7248.
  • For an updated list on which Arizona treatment centers have been suspended, visit azahcccs.gov/Fraud/Providers/actions.html.
  • To either verify or report an existing treatment center, visit verifyandreport.org.
  • If you suspect Medicaid fraud or a health violation, call the Montana Department of Public Health and Human Services’ fraud hotline at 800-201-6308.
  • If you would like to file a report to add to the ongoing FBI investigation into Arizona treatment centers, visit forms.fbi.gov/phoenixgrouphomes.
  • Advocates Reva Stewart and Laura McGee can be reached on Facebook.

This article was first published in the Missoulian. 

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Montana State Hospital tallies high rates of falls, chemical restraints and staff vacancies

Montana State Hospital tallies high rates of falls, chemical restraints and staff vacancies

The Montana State Hospital in Warm Springs, the state’s only public adult psychiatric facility, is continuing to see high staff vacancies, budget deficits, and shortfalls in health and safety standards more than a year after losing federal accreditation following investigations into patient deaths and injuries.

In a virtual public meeting Tuesday with the hospital’s governing board — composed of top administrators from the Department of Public Health and Human Services and the Warm Springs facility — staff and consultants delivered presentations about safety trends and plans for improvement while touting encouraging changes at the state-run facility. 

The state health department has said that the oversight from the recently created governing board and focus on improving conditions at the facility is part of the Gianforte administration’s commitment to regaining the hospital’s federal certification from the Centers for Medicare and Medicaid. One of the consultants hired by the state to help oversee hospital operations described that effort in a written report on Tuesday as a multi-year “rigorous journey,” an assessment echoed by members of the group during the hour-long meeting.

The hospital is currently operating at roughly 80% capacity, with about 216 patients residing there, including the geriatric-psychiatry Spratt unit and a forensic wing for evaluating and treating criminal defendants. The hospital’s forensic unit was the only part of the facility with a wait-list. It is licensed for 54 beds, but has operated at a consistently lower census since last year. As of June, it was occupied by 46 people with 70 people across the state waiting for admission that month.

There have been 159 patient falls — one of the key indicators of patient safety that federal investigators flagged in 2022 — recorded across all parts of the facility so far this year. The highest frequency of falls — an average monthly rate of 12.1 per 1,000 patient days — has occurred in the Spratt unit. Staff told the governing board on Tuesday that falls are being tracked and reported more accurately across the facility and are down on the geriatric unit by roughly 25% compared to last year. 

The hospital also reported failing to meet its goal of zero chemical restraints used on patients in the main hospital and geriatric wing. Chemical restraints — defined by the federal Centers for Medicaid and Medicare as “any drug used for discipline or convenience and not required to treat medical symptoms” — were most commonly employed in the main hospital, where the intervention was reported at an average rate of 8.85 instances per 1,000 patient days in 2023. The practice was less common in the Spratt unit, while the hospital’s forensic unit reported zero instances of chemical restraint this year.

A 2022 clinical resource document created by the American Psychiatric Association said that using medication to treat a patient’s agitation should be voluntary and that medication should “never [be] used as a ‘chemical restraint,’” but noted that the term is poorly defined and misunderstood. Involuntary medications, the publication says, “should be used as a last resort for situations that present as acutely dangerous.”

A spokesperson for the health department did not respond before deadline to questions about how the hospital defines “chemical restraints” and what counts as an “occurrence.” 

Bernie Franks-Ongoy, director of the federally designated oversight group Disability Rights Montana, said Thursday that while eliminating the use of chemical restraints entirely should be a priority, defining and documenting the misuse of medication is often complicated.

“It is difficult to know exactly what the numbers represent without knowing precisely how the term ‘chemical restraint’ is defined under current hospital policies and what the reporting requirements are,” Franks-Ongoy said. “It would be good to know, for example, how many occurrences of chemical restraint were the result of genuine patient safety concerns and how many were based on staff convenience.”

The rate of patient seclusion also exceeded goals in different parts of the facility, sometimes significantly. In the main hospital, hours spent in seclusion per 1,000 patient hours ranged from 16.68 in January to 1.81 in May, far exceeding the goal rate of less than .36 hours.

In the forensic unit, rates of seclusion also varied widely, recorded at .05 hours per 1,000 patient hours in March to 24.73 hours in May. In the Spratt unit, rates of recorded seclusion were much less common and consistently below the hospital’s goal.

The hospital’s quality improvement metrics did not include how many of its patients have died this year. A health department spokesperson did not respond to multiple questions from Montana Free Press about patient deaths before deadline. 

Safety issues resulting in serious injuries continue to occur, officials said Tuesday, with a total of 10 recorded between the main hospital and the Spratt unit so far this year, compared to 14 in the prior year. 

One patient recently ingested a “toxic cleaning agent” brought into the facility by a contractor, interim hospital administrator David Culberson said. The patient was transferred to another facility for a higher level of care and later returned to the psychiatric hospital. That patient has since been discharged, Culberson said, and the hospital has implemented five new safety protocols to more closely monitor contractors entering the facility in the future.

The hospital reported a 37% employee vacancy rate in June, down from 45% last summer. After a hiring surge in January, February and March of this year resulting in a net gain of 39 employees, the hospital reported losing nine staff members in May and June. 

The highest vacancy rates are among registered nurses, with an 82% vacancy rate, and clinical therapists, whose vacancy rate was 72%, according to the hospital’s latest finance and human resources report. 

With high rates of contract staff and traveling professionals continuing to work at the facility, the hospital’s director of nursing, Jocelyn Peterson, told the governing board that Warm Springs is working to extend the length of traveler contracts to 26 weeks instead of 13 weeks to increase training opportunities for short-term workers.

“This way we can give them a couple more weeks of actual training and speak to some of those areas of safety, and things to look for, and kind of give them a better idea of what the facility is like and how important it is to treat our patients and make sure that they’re safe,” Peterson said. 

Culberson also told the board that the hospital is working hard to respond to the passage of House Bill 29, which will restrict the admission of patients with a primary diagnosis of Alzheimer’s, dementia or traumatic brain injury to the Montana State Hospital beginning in 2025.

“That’s a good portion of the folks in [the] Spratt [unit] right now. And we will not only have to turn down admissions, but we will have to discharge everybody with those three diagnoses,” Culberson said. “So it’s a big project we’ve started here with the help of [contractor Alvarez & Marsal] and then the care team in Spratt.”

As of June, the hospital reported overspending its annual budget significantly, with about $93 million in expenses versus its stated budget of $48.9 million, a trend that has continued from 2022. Of the listed expenses, the finance report said roughly $3.9 million was spent on the cost of traveling staff in June, a figure that has fluctuated month-to-month.

The hospital was given nearly $16 million in additional funds by the 2023 Legislature to make facility repairs and upgrades to help regain federal certification. 

Out of that total budget for capital projects, the hospital’s Tuesday report outlined specific uses for $5.9 million, including repairing the HVAC system, replacing fire doors, and other safety and medical upgrades. The report said the remaining $10 million in legislative appropriations will be set aside as “contingency for unanticipated repair projects impacting recertification.”

The group did not receive any public testimony during the designated public comment period. It is slated to meet again in the fall.

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Dark Forest: A Look Inside Controversial Wilderness Therapy Camps

Will the reduction of red tape put conservation success at risk?

Will the reduction of red tape put conservation success at risk?

After years of work, the Flathead Basin Commission released a map this spring identifying the highest potential risks from septic systems in the Flathead Basin. Many populated areas near bodies of water like Flathead Lake and Lake Mary Ronan were identified as “very high-risk,” meaning there is potential for septic systems to leak into the groundwater and, eventually, the surface water.

The commission had hoped the map would be a tool for planners and policymakers. Nutrient pollution is a leading cause of water impairment in the state, according to the Montana Environmental Information Center, and nutrients often get into the water via “nonpoint sources,” such as leaking septic systems or agricultural runoff, that accumulate into larger problems.

The FBC – initially formed by the Legislature in 1983 to help keep clean the water in the Flathead Basin – devoted a lot of attention to nonpoint source pollution.

Now, as part of Montana Gov. Greg Gianforte’s Red Tape Relief initiative, the FBC is no more, combined instead with the Upper Colombia Conservation Commission, or UC3. The Western Montana Conservation Commission will replace the two groups that were dedicated to different problems in different watersheds. WMCC will extend its focus to six watersheds in western Montana.

In the Upper Columbia River Basin’s case, the former commission there accomplished its main objective, ridding the state of invasive mussels. But in the Flathead Basin, some are worried its needs are going to lose priority when combined with a larger area. 

For that reason, Jim Elser was not in favor of combining the commissions. 

In the Flathead Basin, the main focuses were curtailing nutrient pollution and aquatic invasive species, said Elser, the director of the Flathead Lake Biological Station. 

Since Flathead Lake bolsters the state economy – homes on the lake adding $12 to $17 million in property taxes, according to a 2021 study – it’s a very “lake-focused” basin, Elser said. One reason he agreed to be on the new commission was to make sure he has an “opportunity to call attention to the Flathead and its challenges and importance.”

Flathead Lake is known for its pristine water quality. Kate Sheridan, executive director of the water quality advocacy group the Flathead Lakers, said the biggest threat to the lake, other than something like an oil spill from the railway, is contamination from septic systems. Sheridan said headway was being made on that problem, and progress is going to need to continue as people keep moving to northwest Montana.

“We just don’t want to lose focus on the Flathead because we feel that this area is incredibly valued both ecologically and economically to Montana,” Sheridan said.

Sheridan said the new commission bringing on more watersheds brings their individual needs and concerns. She brought up the Clark Fork River Basin – a designated Superfund site included in the WMCC’s purview – and how that compares to Flathead Lake, which doesn’t have such considerable issues. She said she hopes the focus on Flathead Lake won’t diminish, although she’s optimistic about the way the new commission is taking shape. 

Aquatic invasive species, like zebra, quagga and dreissenid mussels, were the main focus of the former UC3. Such invasive species were anticipated to have a negative economic impact on Montana – one study estimated a loss of $230 million – if they took hold in the state’s rivers and lakes. 

After the first identification of dreissenid mussels in the Tiber Reservoir in 2016 – about 50 miles east of Shelby – there has been no physical evidence of mussels in Montana since 2017, said Phil Matson, head of the water quality and invasive species program at the Flathead Lake Biological Station and former UC3 member. 

Every year boats pass through inspection stations across the state with living or dead mussels attached, Matson said, but there’s been no evidence of the invasive species in water samples.

But Matson, who has been nominated by the UC3 to serve on the new WMCC, said boat inspection records show that mussels could be coming back in full force.

“The problem’s not over,” Matson said. “These boats are coming from all over the place, and those are the main threats.”

Despite the success curbing invasive species in the state, during the last meeting of the UC3, one identified downside of the commission was that it covered too big of an area and that its resources were spread too thin. 

Mark Bostrom, administrator of the Conservation and Resource Development Division at the Montana Department of Natural Resources and Conservation, said the biggest hurdle now is trying to figure out how to handle an even bigger area with many issues that continue to demand attention.

“That’s the challenge, trying to do a consolidation on a bigger area and not grow government,” Bostrom said.

Bostrom, a former member of the FBC, said he’s excited about the new WMCC. Working with a former colleague on the UC3, they often asked each other, “Why do we even have these two commissions?”

Mike Koopal was one of the researchers who developed the septic risk map and is a former FBC member.

Koopal said the map overlays physical risk — things like how nutrients from septic systems can move through the soil and how far the residue from septic systems is to ground and surface water — with septic permit data from Flathead County, which included the age of each system. 

What the map shows is that there are more than 30,000 septic systems in Flathead County and roughly a third of them are older than 30 years, Koopal said. The average lifespan for an appropriately functioning septic system is 25 to 30 years. 

“It’s an issue that’s only going to grow in scope and size,” Koopal said. “We will have more septic on the landscape as more and more people move to Montana. And at the same time, the existing septics on the landscape are aging.”

Koopal said the new commission has a great opportunity to expand the map.

From an administrative perspective, Casey Lewis said combining the two commissions simplifies many things — projects, budgets and all the overlap in between. Lewis will be the new executive director for WMCC, a position she previously held at both the UC3 and the FBC.

Lewis is excited about the new commission and she sees a possibility to take the FBC’s mission and expand it west of the Continental Divide. She said the WMCC won’t lose track of issues in the Flathead.

“I anticipate septic systems and septic leachate to be a topic we continue to work on, and, ideally, we will expand the septic risk map to all of western Montana,” Lewis said in an email.

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In the Northern Rockies, grizzly bears are on the move

Keane had lived on the plains 16 miles north of Loma, Montana, for 14 years. He married into the farm and he and his wife grew wheat, canola, flax and hemp. They kept chickens, but not cows. To the best of Keane’s knowledge, the closest grizzlies lived some 150 miles west in Glacier National Park — certainly not in the wide-open ranchland of north-central Montana. He reasoned that the bear followed the Marias River, which flows east from Glacier County, near the Blackfeet Reservation, and runs along the edge of the Keane farm. “I guess he happened to smell the chickens and came up out of the river bottom,” Keane said.

At the time, Keane’s grizzly sighting was the easternmost in the United States in more than a century. He had heard murmurings around town that the bears were moving closer, “but you just don’t expect one to be in your backyard,” he told me. As the grizzly pulverized his poultry, Keane dialed up the Montana Department of Fish, Wildlife and Parks to report the animal. But before the officer could make it out to his farm to apprehend the grizzly, a neighbor drove by in a loud pickup. The bear took off, and Keane was left to assess the carnage.

When the state’s grizzly bear management specialist for the region investigated the scene, he surmised that the bear was a 3-year-old male that had been moving toward the area, traveling about 10 miles every day. The official set a trap next to Keane’s coop, but the bear was never caught.

After the encounter, the state official installed an electric fence around his coop to protect the ruffled survivors. Keane started carrying a pistol with him on his tractor. “I catch myself looking over my shoulder now,” he said. “It makes you think twice about what else is out there.” After the incident made the local news, Keane was criticized by others around town. “One guy said we should have known better to keep chickens, being in bear country and all. Well, we aren’t in bear country. But maybe we’re starting to be now.”

“I catch myself looking over my shoulder now. It makes you think twice about what else is out there.”

TODAY, KEANE’S RUN-IN would not be newsworthy. Just a year after his sighting, another grizzly was photographed in the Big Snowy Mountains, about 100 miles southeast of the Keane farm. In the Yellowstone and Northern Continental Divide ecosystems, bears that have been isolated from one another for more than 100 years are venturing out of their respective regions, slowly reclaiming old territory.

The grizzly bear, despite what most people think, isn’t a species unto itself. Rather, it’s one of two living subspecies of brown bear found in North America, the other being the Kodiak bear (Ursus arctos middendorffi) in Alaska. Grizzlies (Ursus arctos horribilis) once ranged as far south as central Mexico, where they were known as oso plateado, silvery bears, for their grayish fur. An estimated 50,000 grizzly bears lived in the contiguous United States when the Lewis and Clark Expedition passed through in the early 1800s. But European settlers trapped and shot these bears until fewer than 1,000 remained. The southern edge of the grizzly’s range eventually contracted from Mexico to the southern border of the Greater Yellowstone Ecosystem.

Grizzlies also disappeared from the Pacific Coast. In California in the mid-1800s, the bears were still so common that a $10 bounty was placed on their heads. Restaurants fried up greasy grizzly steaks and served them for less than a dollar. But by 1922, there were only 37 grizzly populations left in the contiguous U.S., and 31 would vanish within just 50 years. Survivors sought refuge in the remote forests of Montana, Wyoming, Idaho and Washington.

The grizzly’s gains in recent decades are the result of swift human intervention followed by natural expansion. In 1975, all grizzlies living in the Lower 48 of the United States were protected under the Endangered Species Act. The U.S. Fish and Wildlife Service later designated six ecosystems as the focus of recovery efforts: Greater Yellowstone, Northern Continental Divide, Cabinet-Yaak, Bitterroot, Selkirk and the North Cascades.

Through taxes and donations, Americans spent millions of dollars to restore grizzlies — financing recovery planning, private land easements, and educational programs designed to teach people how to live with an animal capable of eating them. Critically, they also funded the relocation of bears. In the 1990s, scientists augmented the Cabinet-Yaak grizzly population in northwestern Montana by transplanting a handful of Canadian bears into the ecosystem. The descendants of those bears are now wandering into the Bitterroot Range, near the Montana-Idaho border, which has been devoid of grizzlies for decades. Biologists had initially planned to move some Canadian bears into the Bitteroots, too. Now they think the grizzlies may repopulate the ecosystem without their help.

Today, grizzlies number just below 2,000 in the Lower 48. Their population has more than doubled in half a century, and, as evidenced by Keane’s encounter, the bears are no longer content to roam within the boundaries we’ve contrived for them. Yellowstone’s grizzlies have tripled their range in recent decades and are now moving north out of the national park. Meanwhile, grizzlies in the Northern Continental Divide recovery zone are heading south. The populations are now only about 50 miles apart, the closest they’ve been in more than a century. Scientists expect that the bears will join up in less than a decade — two islands becoming a continent.

The return of the grizzly bear from near-extinction is one of America’s unlikeliest comeback stories. The bears are among the slowest-reproducing mammals in North America; they require vast tracts of habitat (an adult male grizzly can have a home range of 600 square miles); and they kill people. Bringing back the grizzly required humans to overcome their fear of predators and champion the return of a known man-eater.

And the grizzly remains a fearsome animal. The bear is 800 pounds of muscle and fat, with sharp canines and 4-inch-long claws. It’s extremely defensive, always ready to neutralize a perceived threat. A human being is little more than a rag doll in its immense jaws. Though humans have protected the grizzly from extinction, public sentiment toward the subspecies remains divided: Only the wolf inspires more hatred and mistrust. And as grizzlies expand into places they haven’t inhabited in more than a century, they are crossing not only geographical and political boundaries but thresholds of tolerance.

By 1922, there were only 37 grizzly populations left in the contiguous U.S., and 31 would vanish within just 50 years.

I ENCOUNTERED MY FIRST Yellowstone grizzly outside a resort hotel near Jackson, Wyoming, in 2015. Next to the stone facade, a portly man wearing a furry brown onesie was waving at passing cars. The bear costume’s head was perched above his own, and two fangs protruded over his mustachioed face, almost as if the man had been partially consumed by the bear and was now helplessly peering out of its open mouth. In front of his chest, clasped between wooden claws, he held a placard that read: “I’m Worth More Alive Than Dead.”

I approached the bear, notebook in hand.

“I got this costume just for this event,” the man beamed, performing a small twirl. “Grizzlies are my absolute favorite species! I always feel more alive when I’m in grizzly habitat.”

Extending a paw, he introduced himself as Jim Laybourn, and said he had shown up on behalf of Wyoming Wildlife Advocates, a nonprofit dedicated to conservation in the state. Inside the hotel, dozens of federal, state and tribal representatives were gathering to discuss the possible removal of federal protections from the Yellowstone grizzly population. If the states — Wyoming, Montana and Idaho — regained management authority, they were likely to legalize a trophy hunt.

The debate over Endangered Species Act protections for Yellowstone’s grizzly bears has dragged on for more than a decade. In 2007, when the population numbered more than five hundred, the U.S. Fish and Wildlife Service declared it recovered and removed protections. But environmental groups disputed the government’s assessment and took the agency to court, where a judge ruled that Fish and Wildlife had failed to adequately analyze the impact of climate change on whitebark pine, a key food source for Yellowstone’s grizzlies. Average temperatures in the region had increased by more than 2 degrees Fahrenheit since the 1950s, and the greatest warming was occurring at elevations above 5,000 feet, where whitebark pine grows. (In 2022, the tree was listed as threatened under the Endangered Species Act.)

Federal scientists launched their own investigation into the grizzly’s food sources. They agreed that whitebark’s precipitous decline had caused bears to forage at lower elevations, making run-ins with humans more likely. And reduced cub survival rates, which had begun to slow grizzly population growth in 2002, coincided with the whitebark decline. However, the scientists also found that Yellowstone grizzlies relied more on meat than other populations, and that many bears already lived in areas without much whitebark pine. They proposed that cubs and yearlings were dying not from a lack of whitebark pine but because too many grizzlies were crowded into too limited an area.

Federal officials had again recommended the removal of Endangered Species Act protections for the Yellowstone grizzly population. Laybourn, a lifelong Wyoming resident, declared that despite his costume, he was not a “bear-hugger.” He was most concerned about the economic ramifications of a trophy hunt. “Our tourism economy here is based on bears. I work as a guide myself, and I’ve taken hundreds of people to see grizzly bears,” he said. Scientists funneled past us into the building, carrying hefty manila folders. Laybourn held the door open with his toothpick claws, an inadvertent ursine bellhop. “I want to make sure we have a robust population,” he continued. “Whenever we take people out to see the wildlife and geysers, every single person asks me, ‘Are we going to see a bear today?’”

FROM THE THREE BEAR LODGE to the Beartooth Barbeque to the Running Bear Pancake House, businesses near Yellowstone rely heavily on the ursine theme. “Grizzly X-ing” mugs are well stocked at every souvenir stand. And bear claws — a sweet Danish pastry — are sold in almost every bakery within a 100-mile radius of the national park. But there are still those who long for an actual bear claw.

At his office in eastern Oregon, I met Steve West, the host of the TV show Steve’s Outdoor Adventures. West was huge in both height and girth — the kind of man who might stand a tiny chance against a grizzly in a fight. A trimmed sandy beard created the mirage of a jawline on his round face. On the day I met him, he wore a plaid shirt that pulled tightly across his chest and a camouflaged ball cap with his TV show’s logo on it. West explained that he had started out hunting for meat — deer and elk, mainly — and made his first foray into trophy hunting in the 1990s with black bears and grizzlies in Alaska. Part of what had made bears so attractive was the risk. “Grizzlies are hunted because they’re a challenge,” he said.

West was a connoisseur of charismatic megafauna, and had bumped off beasts around the world. Oryx in Namibia. Water buffalo in Australia. Musk ox in Canada. Exotic glass-eyed trophies decorated the wood-paneled walls of his office.

“Stalking a grizzly bear is completely different than going after anything else,” West observed as we moved through the halls. “There’s the man-versus-bear thing that comes into play. Yeah, I’ve got a rifle or a bow, I’m holding an advantage of weaponry, but there’s still an element of danger.”

West told me he supported a mix of management approaches to brown bears. He thought there should be places off-limits to hunters, like Brooks Falls in Alaska, where thousands of tourists can watch brown bears fish for salmon from wooden viewing platforms. At the same time, bear hunting is permitted in other parts of the state. “Alaska is the perfect compromise,” he said. I asked West whether he would hunt in the Yellowstone ecosystem given the chance. Without a pause, he replied:

“I’ll buy the first tag.” 

“Grizzlies are hunted because they’re a challenge.”

IN 2017, following years of highly contentious meetings, the Yellowstone grizzly population lost federal protections for a second time. Then-Department of Interior Secretary Ryan Zinke called the delisting “one of America’s great conservation successes, the culmination of decades of hard work.” Less than a year later, Wyoming and Idaho announced trophy hunts. The two states held lotteries for a total of 23 tags, each of which would enable the winner to bag a bear. 

More than 8,000 people entered the lotteries, each paying a fee of less than $20. A few hunters gleefully anticipated killing the region’s best-known bear, Grizzly 399, who was often photographed ambling along park roads with two or three cubs in tow. World-renowned wildlife photographer Thomas Mangelsen entered the lottery, hoping to spare a bear’s life by winning a tag and then shooting with his camera instead of a gun. Miraculously, Mangelsen won a tag; Steve West did not.

Following the announcement of the grizzly’s second delisting, environmental groups and the Northern Cheyenne tribe sued the government, challenging the decision to remove protections from the isolated Yellowstone grizzly population rather than prioritize reconnecting populations across the West. Another lawsuit, filed by the Crow, Crow Creek Sioux and Standing Rock Sioux tribes and the Piikani Nation alongside other tribal leaders and societies, alleged that the federal government ignored legal requirements to consult with tribes about the decision. Since 2016, more than 100 Indigenous nations have signed the Grizzly Treaty, committing them to the restoration and revitalization of grizzly bear populations throughout North America.

“Our people have been separated from the grizzly since we were forced onto reservations, but we have not forgotten,” then-Crow Creek Sioux Tribe Chairman Brandon Sazue wrote to me. “In our genesis, it was the great grizzly that taught the people the ability for healing and curing practices, so the grizzly is perceived as the first ‘medicine person.’ … It is no coincidence that the spiritual reawakening of Native people on this continent has coincided with the modest recovery of the grizzly since the 1970s — a recovery that will end with delisting and trophy hunting in a return to the frontier mentality of the 1870s.”

Just before the trophy hunt was scheduled to begin, the judge presiding over the environmental groups’ lawsuit brought down the gavel. He ruled that the federal agency had exceeded its legal authority when it removed protections from the Yellowstone grizzly. The judge wrote in his decision that it would be “simplistic at best and disingenuous at worst” to not take into account the five other populations of grizzlies outside of Yellowstone. With the bears so close to closing the gap, losing protections would be an enormous setback for the subspecies. If the Fish and Wildlife Service was going to succeed in delisting the iconic bears, it would need to rejoin these island populations, creating genetic linkages that would ensure long-term survival. The trophy hunt was canceled, and protections were restored.

The ruling was a victory for the environmental groups and tribes who had fought hard to keep the animal protected indefinitely. For others living in close proximity to America’s growing grizzly population, it was anything but.

“Our people have been separated from the grizzly since we were forced onto reservations, but we have not forgotten.”

BLACK BART is the only bear Trina Jo Bradley doesn’t mind having around. The enormous jet-black grizzly, pushing 900 pounds, has lived on her ranch on Birch Creek for close to six years. He’s well-behaved, Bradley said, and keeps his brethren out: “Normally, we get bears coming through here pretty thick in March, heading out from the mountains down to the prairie. Since he’s been here, we’ve seen way fewer bears.”

Ranching is in Bradley’s blood. She was raised on a cattle operation some 16 miles south, near Dupuyer Creek in Montana. Her father was a hired rancher, which meant that Bradley and her brothers were put to work at a young age. They rode horses and herded cows. Any free time was spent mucking around outside — but always within shouting distance of the house, and with a guard dog. There were bears near Dupuyer, she said, even back then, in the 1980s and 1990s. Glacier National Park wasn’t too far away, and occasionally a grizzly from the Northern Continental Divide population would wander out and kill one of their cows.

Bradley went south to Casper, Wyoming, for college, where she studied agribusiness. At 22, a car accident forced her to return home to Montana, where, while recuperating, she met her husband. Instead of going back to school like she’d planned, she moved onto his family ranch, where she’s raised three daughters along with Angus cattle and quarter horses. When her father-in-law bought the Birch Creek land back in 1956, there were very few grizzlies in the area, she said. The first livestock loss happened in the 1990s when a bear killed a calf. Authorities promptly trapped and removed it. “That was the last bear they saw until I moved here. I’m pretty sure the bears followed me from Dupuyer,” she said.

As Montana’s bears grow in numbers and expand their range, they are spending more time on private land, leading to more encounters with humans and domestic animals. In 2019, for example, the state made more payments —$261,000 — to ranchers for livestock killed by predators than in any previous year, with nearly twice as many animals suspected to have been killed by grizzlies than wolves. In 2021, when ranchers reported 78 kills by wolves and 119 by grizzlies, payouts topped $340,000.

As Montana’s bears grow in numbers and expand their range, they are spending more time on private land, leading to more encounters with humans and domestic animals.

Bradley’s sage-green farmhouse is surrounded by some 3,500 acres of hayfield and private pasture, where she and her husband run about 250 cows. The house’s living-room window looks out over rolling hayfields, toward the snowcapped perimeter of the Rocky Mountains. From this vantage point, Bradley often watches the bears go by. “Grizzly bears are super cool, and I love seeing them,” she said. “But I don’t love seeing them in my yard or in my cows.”

Though grizzlies are around nearly every month of the year, her ranch hasn’t lost many of its domesticated animals to bears. Perhaps she has Black Bart to thank, or perhaps, she said, “our cows are just mean.” A neighbor less than a mile away, she said, loses between 15 and 20 calves to bears annually.

A few years ago, Bradley was appointed to Montana’s Grizzly Bear Advisory Council, a state-run initiative with the aim of “listening to Montanans” and “following their interests while also conserving bears.” She was passionate about protecting agriculture, and wanted to ensure that farmers and ranchers got the assistance they needed to cope with the grizzlies in their midst. “Pretty much everybody here is just tired. We’re tired of grizzly bears. We’re tired of conflicts. We’re tired of not letting our kids play outside. We’re tired of having to sacrifice our paychecks for the public’s wildlife.” This was one of the most common arguments I heard from livestock producers: Liberal urbanites want predators back on the landscape, but they aren’t suffering the consequences of a grizzly in the backyard. “It’s not like camping or backpacking,” Bradley said. “We don’t have a choice. We have to go outside. We have to take care of our cows. And there’s probably going to be a bear there.”

As long as grizzlies remain under the wing of the Endangered Species Act, state wildlife managers are unable to relocate or euthanize bears that kill livestock without first consulting the federal government. Ranchers believe this limits their ability to get rid of the bears causing problems. (Environmental groups and scientists have long questioned whether grizzlies are responsible for as many livestock deaths as states allege.) State and federal officials have discussed removing protections from the Northern Continental Divide bears, but perhaps chastened by the Yellowstone debacle, the Fish and Wildlife Service recommended in 2021 that all grizzlies in the Lower 48 remain listed as threatened under the Endangered Species Act.

“Grizzly bears are super cool, and I love seeing them. But I don’t love seeing them in my yard or in my cows.”

Bradley disagreed with this assessment. “Grizzly bears no longer need to be protected. They’re not unicorns,” she said.

“How many bears do you think is enough, in an ideal world?” I asked.

“I think when the grizzly bears were put on the Endangered Species Act — there were only like (300 to) 400 bears in the entire state then — that was enough.”

Many ranchers want tougher punishments for encroaching bears. They want them removed from the population right away, not given multiple chances to redeem themselves after attacking livestock. They want more funding for conflict prevention measures. (In 2021 and 2022, Fish and Wildlife provided a total of $40,000 for grizzly-deterrent fencing, with the state chipping in $5,000.) Bradley had set up an electric fence around the chickens and goats in the yard, but it wasn’t feasible to put an electric fence around the entire ranch. For now, she’d have to rely on Black Bart to scare off the others.

“He’s the best guard bear there is.”


CHRIS SERVHEEN
first laid eyes on a grizzly in the Scapegoat Wilderness, near Helena, Montana. He was in his early 20s, backpacking with college friends, when they entered a meadow and caught sight of a bear tearing up a huge stump, looking for insects. “We stayed there for a while, just watching him from the trees,” he said. “Grizzlies have this ability to burn into your memory so that you remember everything that was happening when you saw them. It’s really amazing how much you can remember, even years later. … That’s the magic of grizzly bears.”

Servheen is arguably the foremost grizzly expert in the United States, having served as the Fish and Wildlife Service national grizzly bear recovery coordinator for 35 years until his retirement in 2016. He was the guy in charge of making sure bears didn’t disappear from the Lower 48, and evidently, he did a decent job of it.

Servheen grew up on the East Coast, but, inspired by the National Geographic wildlife specials that captivated him as a child, he moved to Montana to study wildlife biology. He began by researching eagles under the mentorship of famed biologist and conservationist John Craighead. Servheen pivoted to grizzly bears for his Ph.D., three years after the subspecies landed on the endangered species list. After finishing his doctorate in 1981, he accepted the newly created position of grizzly bear recovery coordinator, but he wasn’t optimistic about the bear’s prospects: There were only about 30 breeding females left in the Yellowstone population. “It’s important to recognize we were really close to losing grizzly bears at that point,” he said.

For more than three decades, Servheen was a constant presence at bear meetings. Whether in Yellowstone, the North Cascades or the Cabinet-Yaak, his nearly bald head stood out among the Stetsons. In 2015, still working at the agency, he maintained that the Yellowstone population, and possibly even the Northern Continental Divide population, should be delisted. The grizzly group had met its ecological recovery goals, and, provided the population was managed carefully after delisting, the bears were guaranteed to be around for a long time.

“The objective of the Endangered Species Act is to get a species to the point where protection is no longer required,” Servheen told me at the time. “The purpose is to fix the problem.” In the case of the Yellowstone grizzly, he believed it had been.

During Servheen’s final years as the grizzly recovery coordinator, he began to worry that the federal government was bending to the will of the states rather than serving the grizzly’s best interests. As the agency prepared for the second delisting, Servheen had written some guidance on how best to manage grizzly deaths once the population lost protections, essentially putting safeguards in place that would stem any future population decline. If too many bears died, for example, these measures would ensure that the population regained protections. But his document came back with such safeguards removed. This, he felt, eroded the credibility of the recovery program and made delisting “biologically incredible and legally indefensible.” Knowing it would be up to him to defend such a plan in the face of a lawsuit — which was all but guaranteed — “I quit.”

“Grizzlies have this ability to burn into your memory so that you remember everything that was happening when you saw them. It’s really amazing how much you can remember, even years later. … That’s the magic of grizzly bears.”

It wasn’t the triumphant ending to his career that Servheen had imagined. “The grizzly bear recovery program is one of the most successful stories in the Endangered Species Act. They’re a challenging species to recover, and we did it,” he told me, “but all the political bullshit that happened right at the end kind of spoiled it.” Now, rather than spending his retirement fishing, Servheen had made it his mission to bring attention to the risks confronting grizzlies. I asked him if he thought grizzlies should still lose federal protections.

The answer was a decisive no. “For years, I was an advocate for delisting,” he said. He believed that the agency had gotten Yellowstone’s bears to the point where protections were no longer needed. And he hoped states would take on this responsibility with maturity and grace. But lately, “the actions of Montana’s Legislature have proven that the states are no longer able to be trusted when it comes to managing large carnivores.” Servheen pointed to a disconcerting trend in the West that he dubbed “anti-predator hysteria.” The Montana Legislature, for example, had approved a spring hound hunting season for the state’s black bears — a practice that had been banned in Montana for a century. Servheen perceived this as the state sliding backwards into a Manifest Destiny mindset. “It’s really horrifying to me to see this. If they weren’t still (federally) protected, one can only imagine what Montana would do to grizzlies.”

I asked Servheen how many grizzlies he thought the United States could feasibly handle. Some conservation advocates believed we could happily live with as many as 6,000, and lobbied for the bears to be returned to California, the Grand Canyon and the Southern Rockies. Then there were people like Trina Jo Bradley, who wanted far fewer bears than there were now. Most people weren’t willing to give a numerical answer, focusing instead on the genetic health and connectivity of the populations. However, Servheen — the scientist — was ready with an answer: 3,000 to 3,400 grizzlies, at least 1,000 more than estimated to now be living in the Lower 48.

The Yellowstone ecosystem and Northern Continental Divide, he explained, could support 2,000. The Bitterroot could hold 300 to 400. The Selkirks and Cabinet-Yaak could take another 150 bears. And the North Cascades could support up to 400 bears — though there were none present at the moment. But Servheen warned that, amid anti-predator sentiment, we could begin to see an overall population decline, not an increase. “Grizzly bears are special animals,” Servheen said. “They have low resilience. They live in special, remote places. And if we’re going to maintain grizzly bears, we have to behave and treat them in a special way.”

In February 2023, the U.S. Fish and Wildlife Service announced it would again review whether to remove federal protections from the grizzly bears in both Greater Yellowstone and the Northern Continental Divide ecosystems. Whether or not grizzlies continue to grow their numbers in the Lower 48 — and, eventually, close the gaps that exist between populations — depends now on our behavior and our politics.

Excerpted from EIGHT BEARS: Mythic Past and Imperiled Future, available July 11 from W.W. Norton.

Author Gloria Dickie, a former High Country News intern, is a climate and environment correspondent for Reuters. We welcome reader letters. Email High Country News at editor@hcn.org or submit a letter to the editor. See our letters to the editor policy.

Copyright © 2023 by Gloria Dickie. Used by permission of Gloria Dickie, care of The Strothman Agency LLC. All rights reserved.

Judge dismisses suit over sales tax, tribe agrees

A federal judge in May dismissed the Sauk-Suiattle Tribe’s lawsuit against the state over the collection of an online sales tax after the state informed the tribe of the existing tax reimbursement process.

Filed in U.S. District Court in Seattle in December, the tribe argued tribal members should be exempt from the collection of 6.5 percent sales tax in online purchases, in addition to exemptions for in-person purchases on the reservation.

In June, Jack Fiander, the tribe’s general counsel, said the lawsuit was rendered “unnecessary” upon further investigation. There is an existing process for reimbursement from the state, and tribal members can notify online retailers of their tribal status before the payment is made and have the tax removed.

“The process already existed, but it seems to me ideally it should have been on the state to send out a notice to various online retailers that tribes at these locations are tax exempt,” Fiander said.

The federal law exempting enrolled tribal citizens from paying sales tax states the goods are exempt if “delivered to or the sale is made in the tribe or enrolled tribal member’s Indian country.”

Fiander argued that those requirements created an unnecessary hardship due to the remoteness of the 315-citizen tribe.

Located 30 miles up Highway 530, the reservation is near only a handful of brick-and-mortar retailers. The closest town is Darrington with a population of 1,400. Forcing members to pay for a 100-mile round trip delivery of an item from Seattle, Fiander explained, was not worth the tax exemption.

The suit also alleged the sales tax was a form of discrimination against the tribe. Tribal Council Chairman Nino Maltos Jr. called the tax exemption a sovereignty issue.

But in February, John Ryser, then-acting director of the state Department of Revenue, filed a motion to dismiss the case.

In an 18-page document, Ryser argued the tribe failed to state a claim for which relief can be granted. The motion also outlined the mechanism already available to refund the sales tax and explained how to work directly with online vendors to remove the tax preemptively.

Ryser’s motion to dismiss argued the “Tribe has failed to allege facts or law that support a preemption claim for declaratory or injunctive relief.” Ryser’s motion also stated the tribe’s allegations are “insufficient” to show intentional discrimination based on race, as the lawsuit alleged.

In May, U.S. District Court Judge Ricardo S. Martinez tossed the case, stating the tribe failed to properly state a claim.

With the case dismissed, Fiander said the tribe plans to “work directly with online vendors” in the future.

“The problem with the refund policy is you have to wait,” Fiander said. “The easiest way to (remove the sales tax) will be between the consumer and retailer — to contact the internet seller and provide them proper documentation and tribal ID.”

A spokesperson for the state Department of Revenue told the Herald that the department “appreciates the court’s decision and is awaiting further developments, if any, in the case.”

Kayla J. Dunn: 425-339-3449; kayla.dunn@heraldnet.com; Twitter: @KaylaJ_Dunn.

This article was published via AP Storyshare. 

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Fentanyl use in Montana driving spike in overdose deaths

Fentanyl use in Montana driving spike in overdose deaths

Deaths by drug overdose in Montana continue to rise. 

Nearly 200 people in Montana died due to drug overdoses in 2021, the last year that comprehensive data is available, according to the state’s health department. That’s nearly 40 more lives lost than in 2020 and 80 more than in 2017. 

Yellowstone County, the state’s most populous, had the highest number of fatal overdoses, followed by Missoula County. 

Neither autopsies nor toxicological testing are performed on every person who dies from an overdose, according to Jon Ebelt, a spokesperson from the Montana Department Public Health and Human Services, so even those numbers could be an undercount.     

Health care practitioners, law enforcement agencies and others attribute the increase to the proliferation of fentanyl, a synthetic opioid that, according to the Centers for Disease Control and Prevention, can be up to 50 times more potent than heroin and 100 times stronger than morphine. 

And there’s no sign of the trend slowing. During the first quarter of 2023 year, Yellowstone County reported 41 calls related to opioid overdoses, followed by Missoula County with 32 and Cascade County with 28, according to a report from the state’s emergency medical services. Across the state in 2022, there were 1,041 opioid overdose-related 911 responses by EMS agencies, an average of 87 per month, up from 76 per month the year prior. 

“What’s happening right now is that people are literally walking down that path in the dark. They have no idea what is going to be laced, what is going to be a dose that could kill you.”

Nikki Russell, peer mentor, Montana Peer Network

And Narcan, an over-the-counter nasal spray that reverses overdose effects, has become a household name. Clinics and local health departments around Montana are training the public on its use, and advocates and officials are encouraging people to carry Narcan if they believe they might know someone using opioids.

For years in Montana, methamphetamine has been the drug most gravely impacting communities. A public health department report from August 2020 determined that the number of deaths, hospitalizations and emergency room visits related to methamphetamine had all increased substantially since 2015. Crime related to methamphetamine use also increased.

Montana also suffers from an alcohol-induced death rate far greater than the national average. The alcohol-induced death rate in 2019 for adults over the age of 25 was 30.9 per 1,000 residents, compared with 17.3 per 1,000 nationally, and 18% of high-school students in Montana reported engaging in binge drinking, 4% higher than their national peers. 

But the arrival of fentanyl, a cheaper and more potent opioid, has created a new crisis. While methamphetamine and alcohol are still more prevalent, the rate of deaths from opioid-related drug overdoses in Montana nearly tripled between 2017-2018 and 2019-2020, according to the state Department of Public Health and Human Services. Nikki Russell, who struggled with substance abuse for nearly a decade and now serves as a peer mentor for Montana Peer Network — a statewide nonprofit that helps people struggling with addiction — said it felt like things changed overnight. 

“It felt quick. I absolutely feel like I turned a corner and there [fentanyl] was,” Russell  said. “I was hearing about one [overdose] after another after another.”  

For example, the Northwest Montana Drug Task Force, responsible for covering six counties, including Lincoln, Lake and Flathead, equaling roughly 17,600 square miles, made 56 fentanyl-related arrests in 2022 and removed more than $2 million in illicit drugs from communities. Throughout Montana, there were 488 opioid seizures by law enforcement in 2021, nearly double the number in 2017, according to the Montana Board of Crime Control. 

Ka Mua, a nurse practitioner at Ideal Option, which operates nine clinics across Montana that provide medication-assisted treatment to treat opioid dependence, said she has seen a significant rise in the use of fentanyl among patients in the last 18 months. 

Among the many risks posed by fentanyl, according to Mua, is that the symptoms of withdrawal — intense nausea, fever or debilitating muscle aches — can start much quicker and be much more intense than with other opioids. 

More than half of patients at Ideal Option clinics across the state test positive for at least two substances, and 24% test positive for three or more. That circumstance, called polysubstance use, often reveals that people don’t know how their drugs are getting cut or mixed. It’s not uncommon, then, for people to think they are taking one drug but to learn later that it was laced by illegal manufacturers with fentanyl, which is partly why the overdose risk is so high, Mua said. 

According to research from the American Journal of Public Health, 61% of fatal overdoses nationally in 2021 that involved methamphetamine also included opioids such as heroin or fentanyl. 

There’s “no way to measure the correct dose of fentanyl as a street drug,” Russell said.

“At the time when I was using substances, it was a dangerous road, but I could kind of see where I was going, even though I was, so to speak, lost,” Russell said. “What’s happening right now is that people are literally walking down that path in the dark. They have no idea what is going to be laced, what is going to be a dose that could kill you.” 

THE ROLE OF LAW ENFORCEMENT

Steve Holton has worked for the Ravalli County Sheriff’s Office for more than 25 years, and he’s been the sheriff for six. While substance use is nothing new in the Bitterroot Valley, he said, the pervasiveness of drugs and the impact substance use is having on the community is notably different. 

“Fentantyl is definitely on the rise, even down here,” Holton said. “We’re seeing a lot of distribution. It’s super easy to get. It’s super pure. There was a time when our problem was methamphetamine labs, and that is simply not the case anymore.”  

Although the number of fatal overdoses in Ravalli County is low — according to the public health department, six people died in 2021 — Holton said those numbers don’t adequately reflect the threat of the drug crisis in the community. 

All deputies in the sheriff’s office carry Narcan, and Holton said access to naloxone — the generic name for the medication — has prevented many overdoses from resulting in death. But he cautions that people shouldn’t assume that low fatalities means overdoses are uncommon. 

“People tend to have a that-can’t-happen-here attitude,” Holton said. “I don’t think people understand just how prevalent the dangerous drugs are in Ravalli County.”

It’s not uncommon for law enforcement officials in Montana to be some of the first on the scene for a drug-related health crisis. Montana comprises more than 147,000 square miles and in 2020 had 1,676 sworn police officers and 103 law enforcement agencies. Some of those agencies work together to serve as part of the state’s six drug task forces

That’s a lot of area to cover with few people. Such remoteness makes responding to possible overdoses or investigating the origin of drugs in the community difficult, Holton said. Emergency calls “are a long ways away from each other, so to get people the help they need, law enforcement is often the answer,” he said. 

REDUCING STIGMA 

A compelling and growing body of research, including from the National Institute of Health, shows that criminalization of drug use prevents people from seeking treatment, which can push people struggling with addiction even further to the margins of society. 

As a result, there has been an increasing effort nationally to reduce the prominence of traditional law enforcement in moments of mental health crises, including for people who may be using drugs. Missoula and Flathead counties, for example, have both created programs within their police departments that pair mental health counselors with law enforcement officers. 

Community organizations are stepping up across the state, too. Safe syringe exchanges, like those offered by Missoula’s Open Aid Alliance, and medication-assisted treatment clinics are becoming more common. Those interventions are considered part of harm-reduction practices, a school of thought that aims to reduce the stigma around drug use. 

“People tend to have a that-can’t-happen-here attitude. I don’t think people understand just how prevalent the dangerous drugs are in Ravalli County.”

Ravalli County Sheriff Steve Holton

Advocates say public health interventions such as needle exchanges reduce some of the potential harm that drug use can cause. People struggling with addiction, they maintain, should feel comfortable seeking treatment and support. Russell added that the stigma around substance abuse, especially in rural communities, often discourages the people she works with from joining support groups, seeking help or taking advantage of existing resources. 

The Montana State Legislature is doing work of its own to reduce the number of opioid-related drug overdoses in the state. A bill signed into law in May exempts fentanyl testing strips from the list of illegal drug paraphernalia so that people can better avoid unknowingly consuming the powerful opiate when they are using other substances. 

Fentanyl’s hold on communities in Montana, experts agree, has forced something of a reckoning in how society can best help drug users prevent overdoses. 

“If somebody’s not alive, how can they recover?” Russell said. 

In-depth, independent reporting on the stories impacting your community from reporters who call it home.

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Hundreds lose Wyoming Medicaid and Kid Care coverage

Hundreds lose Wyoming Medicaid and Kid Care coverage

More than 450 people have so far lost health coverage through Wyoming Medicaid or Kid Care CHIP as the state moves away from pandemic-era measures, the state health department reported at the end of June. Thousands more are expected to lose coverage over the next nine months. 

The largest factors in losing eligibility were age, residency and income, according to Wyoming Department of Health spokesperson Kim Deti. 

The health department has estimated that between 10,000 and 15,000 residents could lose access to Medicaid programs this year as it conducts a yearlong renewal process. Some free medical clinics expect the increase in uninsured residents to further strain resources. 

That annual process was put on hold during the pandemic to ensure coverage for more people in exchange for a temporary increase in federal funding. Starting in April, Wyoming health officials began removing people who no longer qualify, but a more complete picture of these “procedural removals” is expected to come out next month.

Early reports from Montana show more than 70% of those at risk of losing coverage simply didn’t provide requested information to health officials.

Wyoming’s health department started updating people’s contact details back in March, the agency stated, to make sure those who are still eligible get the renewal notice. 

“Because of the pause, our clients have not received these notices by mail over the last three years,” Lee Grossman, state Medicaid agent and senior WDH administrator, said in a March press release. “We know living situations may have changed during that time for many people.”

Income has been one of the largest factors in losing eligibility so far, but thousands of Wyomingites already fall into a “gap” where they make too much to qualify for Medicaid in the state but too little to afford private insurance. To shore up this gap, 41 states have expanded Medicaid, but Wyoming lawmakers have yet to do so, often citing concerns that the federal government won’t hold up its end of the bargain to help pay for it.

The state estimates Medicaid expansion would insure about 19,000 people over two years. 

To ensure they get a renewal notice, Wyoming Medicaid enrollees can update their contact information at www.wesystem.wyo.gov or by calling 1-855-294-2127.

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A Taste of Sicily in the Mountains of Montana

A Taste of Sicily in the Mountains of Montana

Piccola Cucina has five restaurants: three in New York City, one in Ibiza, Spain, and one in Red Lodge, Montana, population 2,200.

Red Lodge anchors one end of the spectacular Beartooth Highway and is a gateway community for Yellowstone National Park. Visiting the park requires driving through Beartooth Pass, which, at over 10,000 feet, closes for the winter. The town is primarily a summer destination, and Piccola Cucina Ox Pasture (the delineation for the Montana location) is seasonal as well. 

This restaurant outpost is thanks to the urging of guests at a New York City location, residents of Red Lodge who wanted to bring the dining experience to their hometown. Chef Benedetto Bisacquino ventured from the city six years ago to check out the possibilities.

Finding Community — and Diners — in Rural Montana

“We were curious, but weren’t supposed to stay long,” he said about that first visit. “But people really enjoy what we are doing and this town is like home now.”

‘What they’re doing’ is serving deliciously authentic Sicilian and Italian food. Bisacquino is clear — no dishes that aren’t served in Italy. That excludes American favorites like chicken parmesan and fettucine alfredo. At first, almost everything was new and different for patrons, even the lasagna with meat sauce and bechamel. 

Bisacquino has gradually expanded diners’ palates with a different special every night, surprising people with original Italian food like rice balls and raw fish. They often think the octopus appetizer will be chewy, but are surprised by how much they enjoy it.

Now people come to the restaurant expressly for it and it the appetizer is a menu staple. In this way, diners have learned to arrive at Piccola Cucina with a sense of adventure. 

a white man wearing a brown hat and black tshirt with the words piccola cucina stands smiling near a white bowl of prepared food
Chef Bendetto Bisacquino of Piccola Cucina Ox Pasture in Red Lodge, Montana. (Photo provided)

“Last year, all the people in a big group ordered the yellowtail tuna and I couldn’t believe they all liked raw fish,” he said. “After six years, so many people trust what we are doing that they will try all of our plates.”

An Authentic Sicilian Experience at Piccola Cucina

Bisacquino is a stickler for authentic ingredients. For example, Bucatini Cacio E Pepe (bucatini pasta with pecorino cheese and black pepper) has only a few ingredients and relies on the high quality of each one. Since these are hard to find in rural Montana, he imports a lot of things from Europe: octopus, giant wheels of pecorino cheese, artichokes, and yellow tomatoes. It makes the dishes truly Sicilian. He complements them with locally-raised 16 oz. grilled rib eye, since Montana is known for its world-class beef.

Piccola Cucina offers more than a taste of Sicily; it also offers an experience of the culture. The ambience is boisterous, with music and dancing accompanying the food, and the chef and staff – many with an Italian accent – mingling and talking with the guests. It adds to the feel of adventurous dining.

Bisacquino grew up in Sicily and started working in a restaurant kitchen at the age of 13. In the following 29 years, he has worked across Europe and in Egypt, including a stint cooking French food in Switzerland. Ten years ago, he was invited to New York and a return to the cuisine of his heritage at Piccola Cucina. His goal as a chef is to make the best food and make people happy. “This job is hard work, and feeling people love what I am doing makes it worth it,” he said. 

Business is Booming, and Rural Charm Abounds

The arrival of the restaurant was well-timed, catching the cusp of a growth surge in Red Lodge. The beautiful, quiet mountain town was a strong community forged through hard winters. In recent years, the increase in seasonal residents and tourists has generated a hopping summer scene. People spend a couple of days in town while visiting Yellowstone. Guests from Billings, Bozeman, and Cody visit for a long weekend, or drive two to three hours just to eat at Piccola Cucina. In the first year, 13,000 people dined at the restaurant in three months. Two years ago, they served 25,000.

Since the New York locations tend to slow down in the summer, Bisacquino says some of the staff shift to Red Lodge for the season. “New York is beautiful but everything goes so fast there,” he said. “Red Lodge is a break, a chance to enjoy the summer a little bit. It offers a different way to work.”


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