Adult Services

 Road to Recovery

 "The longest journey begins with the first step"

~Chinese proverb

Mental illnesses can affect persons of any age, race, religion or income.  Mental illnesses are not the result of personal weakness, lack of character or poor upbringing. 

Mental illnesses are treatable.  Most people diagnosed with a serious mental illness can experience relief from their symptoms by actively participating in an individual treatment plan.



Adult Case Management

ACM program is designed to fit the needs of seriously mentally ill individuals who are reluctant to seek the more traditional therapeutic programs available. Intensive case management is a supportive community-based service which seeks to maximize an individual's personal abilities and enable growth in some or all aspects of the person's vocational, residential, social, and health related environments.

This program is provided throughout the 13 county area, using the "Brokerage Model."  To find local resources for food, clothing, shelter and other basic needs, click here.  

Adult Therapeutic Aides

A service for adults with severe disabling mental illness who demonstrate a need for additional supportive living services. They provide outreach and follow-up when a seriously ill client drops out of treatment and intervention when conditions deteriorate at home. Aides may assist the client with their daily living functions such as grocery shopping and housekeeping in order to help maintain the client in the community. This services is offered throughout the 13 county area.


Anger Management

Century Anger Management model utilizes an educational and cognitive approach to helping clients learn concrete skills in a variety of areas. The model is based on 8 anger control tools:  Dealing with Stress   •    Developing Empathy   •    Respond instead of React   •  Change Self-Talk   •    Assertive Communication    •    Adjust Expectations    •    Forgive but Don’t Forget   •  Retreat & Think Things Over.


Community Based Psychiatric Rehabilitation & Support (CBPRS)

Teaching skills and assisting with every day needs such as grocery shopping, budgeting, symptom management, coping strategies, assistance in attending appointments, health and exercise, socialization skills, and recreational skills in either group or individual settings.


Community Recovery Center (formerly known as Adult Day Treatment)

Provides a broad spectrum of therapeutic and rehabilitative services to adults in need of long-term care. It is designed to provide a therapeutic program, which teaches living, social and work adjustment skills. Clients are taught a variety of job skills, personal hygiene and social interaction including recreational activities.  A hot meal is offered weekdays for a nominal fee.  Community Recovery Centers are located in Browning, Great Falls, Havre and Helena.


Dialectical Behavioral Therapy (DBT)

DBT is a system of therapy originally developed by Marsha M. Linehan, a psychology researcher at the University of Washington, to treat people with borderline personality disorder (BPD) .  DBT combines standard cognitive-behavioral techniques for emotion regulation and reality-testing with concepts of distress tolerance, acceptance, and mindful awareness largely derived from meditative practice.  DBT may be the first therapy that has been experimentally demonstrated to be generally effective in treating BPD. Research indicates that DBT is also effective in treating patients who present varied symptoms and behaviors associated with mood disorders, including self-injury.  Recent work suggests its effectiveness with sexual abuse survivors and chemical dependency.


Domestic Violence Intervention

Our Batterer Intervention Program is based on the Duluth Model "Creating a Process of Change for Men Who Batter."  This is educational and cognitive approach is designed to assist in changing beliefs that men who batter have about intimate relationships. It is constructed in a manner that challenges participants to think critically and reflectively about their lives, the partner(s) they have assaulted, and the impact of battering on their children. Groups consist of 8 themes:   Non-Violence   •    Non-Threatening Behavior   •    Respect    •    Trust & Support   •    Honesty & Accountability   •    Sexual Respect    •   Partnership   •    Negotiation & Fairness.


Expressions Group

Montana House in Helena started a great new group in the Opportunities Program called Expressions.  The group feature items they have made at craft shows and the Farmer's Market. 
Expressions is in need of lace, doilies, ribbon, knitting needles, crochet needles, thread, wood craft items, craft paints and anything else we might be able to use.  A lot of yarn and fabric scraps already has been donated. 
We also are looking for people who can teach any classes and give us ideas!  Please contact the Montana House staff for details 406.443.7151.

Evaluation & Diagnosis

Mental illnesses are medical conditions that disrupt a person’s thinking, feeling, mood, ability to relate to others and daily functioning.  Just as diabetes is a disorder of the pancreas, mental illnesses are medical conditions of the brain that often result in a diminished capacity for coping with the ordinary demands of life.  Co-Occurring or Dual Diagnosis involves both mental health and substance abuse disorders. 


Grief Group

Grief group is a support group for those who have suffered losses like a loved one, a home, a job or some other life-altering experience.  Contact New Directions for details 406.761.2104. 


Group Home Residential Living

A community based residential program where clients are provided room and board in a therapeutic environment. Client participation in residential and other services offered by the Center prepares them for more independent living at a later time. The Center currently operates five residential facilities in Great Falls and two in Helena.  Group homes typically accommodate 8-10 clients at any given time.


Illness Management and Recovery (IMR)

Illness Management and Recovery (IMR) is a curriculum that a specially trained mental health practitioner or specially trained peer specialist uses to help people to develop personal strategies for coping with mental illness and moving forward with their life. IMR has been identified as an evidence-based practice, which means that researchers have studied IMR and found that it truly works to help people manage mental illness and advance in recovery. IMR practitioners use a combination of motivational, educational, and cognitive-behavioral techniques. IMR was developed with considerable consumer input and is compatible with consumer-led recovery programs.


Inpatient Hospitalization

24-hour, inpatient care and treatment under the medical direction of a physician. When episodic patients are removed from the stresses and pressures of daily life and receive short-term intensive treatment in local hospitals they will, in most cases, not need long-term treatment at Montana State Hospital in Warm Springs.  Inpatient services are provided by our staff psychiatrists through a contract at Benefis Health System's behavioral health unit in Great Falls.  Horizon Healthcare operates the behavioral health unit at St. Peter's Hospital in Helena.  C4MH only provides outpatient treatment recovery programs.


Interactive Play for Adults Group

This group is for adults with substance abuse, or co-occurring; depression, anxiety, bi-polar, schizophrenia, and/or borderline personality.   The focus is to provide opportunities to experience and learn self-care and stress reduction through creative expression in a supportive social environment.  The group will address
  • Physical:  body awareness, self-care, and stress reduction
  • Emotional: awareness, expression
  • Spiritual: reconnection, integration
The group will involve movement and awareness of the body, creative exercises, mindfulness, and other play.  The group is about unlearning self-imposed barriers and relearning passion for inspiration to regain the instinctual urge to play. 


Medication Monitoring

Psychiatric nurses provide medications established by a physician at the Community Recovery Centers (day treatment facilities) and group homes.  This is a service for seriously disabled mentally ill (SDMI) adults in Great Falls, Havre and Helena.


Moral Reconation Therapy (MRT)

MRT is used for more resistant residents in jails, prisons, community corrections, halfway houses, parole and probation, and drug courts. The program has 16 Steps and 12 are typically completed in group sessions. MRT addresses all of the issues related to criminal thinking and criminal needs.


Supported Employment

Supported employment is a process where a job coach goes into the community and finds a job placement in competitive employment and then matches an individual to the job.  Job coaches work with clients at the job site until the client is able to perform the job alone.



PACT Team "Mobile Hospitals"

One of the primary goals of PACT is to prevent hospitalization.  PACT Teams offer a multi-disciplinary approach to help people with severe mental illness live successfully in the community.  This may include assistance with employment, self-care, medications, or other individualized treatment services.  PACT is available only in Great Falls and Helena.

Peer Support

The Center employs peer specialists who use their personal experience to mentor others through a mental health crisis.   New in 2007, this program served as a demonstration project for the state. This pioneering group called themselves "The Corps of Recovery."  Peers are specially trained to help people one-on-one and also in groups such as WRAP classes.  Need peer support?  Call their Warmline 406.727.0425. 


Recovery Homes

(formerly known as Adult Foster Care)

Recovery Homes are private family homes that provide both housing and support to disabled mentally ill adults. Some individuals need the emotional support that a recovery home provides, others need additional help in learning the basics of community services.  Recovery Homes complement other services including case management, psychiatric services, day treatment, etc. to provide a stable living environment for the individual. The Center currently has numerous Recovery Homes in Great Falls, Havre and Helena.


Recovery Library

New Directions has a Recovery Library of books for all audiences.  The library also needs books on tape.  Please contact 761-2104 for more information. 




Substance Abuse/Addiction Counseling

Licensed Addictions Counselor to provide addiction counseling intensive outpatient care: crisis intervention, assessment, individual counseling, family counseling, group counseling, chemical dependency education, referral services, client follow up and in home counseling options.
ACT (Assessment, Course, Treatment): a three part process designed to assess, educate and to recommend treatment placement as appropriate for persons convicted of driving under the influence of intoxicating substances.

Stabilization Facility

A non-secure (unlocked) short-term voluntary program designed to assist adults who are experiencing increased symptoms of mental illness and do not meet the criteria for inpatient psychiatric care.  The program is also designed to meet the needs of adults who have co-occurring (chemical use and mental health) treatment needs.  Individual and group services based upon a psycho-social rehabilitation model are provided in order to allow individuals to return home as soon as possible. 

Transitional Living

Center West is a 1-9 month transitional living program is a structured therapeutic residential program for people to obtain permanent housing.   Center West staff provide support and supervision 24-hours, seven days a week in a safe, nurturing environment.

Veterans Services

The Center salutes all military service members and the people who love them.  Veterans Affairs (VA) partners with us to treat PTSD post-traumatic stress disorder and an array of other psychiatric services.  Contact your local VA office for a referral.   

Wellness Recovery Action Plans (WRAP)

WRAP Plans are “A system for monitoring, reducing and eliminating uncomfortable or dangerous physical symptoms and emotional feelings.” ~ Mary Ellen Copeland, PhD

Hope • Education • Recovery • Self-Advocacy • Support • Personal Responsibility

A WRAP plan is an individualized "toolbox" of planned responses which help reduce, modify or eliminate those symptoms. It also includes plans for responses from others when symptoms have made it impossible to continue to make decisions safely.  WRAP is taught at the Center by certified instructors of the Copeland Center. 


 "The clock is running. Make the most of today. Time waits for no man.

Yesterday is history. Tomorrow is a mystery.

Today is a gift.

That's why it is called the present."

~Alice Morse Earle (1902)





Gentlest Touch:  Equine-Assisted Healing

Equine-assisted healing challenges clients in a non-threatening manner, rapidly breaks down defense barriers, provides immediate cause and effect situations, captivates and holds attention, and promotes change from dysfunctional patterns to successful ones.  Horses are large and powerful, which creates a natural opportunity to overcome fear and develop confidence.  Equine therapy is available through grant-funded partnerships with Eagle Mount (Great Falls) and Spirit Horses (Helena).