The State of Montana received a federal HRSA grant in September 2018 to expand access to pediatric psychiatry. The Montana Access to Pediatric Psychiatry Network (MAPP-Net) grant strives to support primary care providers and behavioral health specialists in serving children and youth in their communities with mental healthcare needs through education and consultation. Two activities will help us meet this goal: Project ECHO and the toll-free Access Line.


MAPP-Net serves rural health care providers across Montana through our outreach visits and other services. If you’d like to schedule a site visit, please complete our online site visit request form. To join the list of communities taking advantage of our other services including the Access Line for care providers and Project ECHO Clinics, please complete our online MAPP-Net enrollment application.

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Project ECHO

Project ECHO is a hub-and-spoke model out of the University of New Mexico. Billings Clinic is the contracted “hub” for this program and began Project ECHO Pediatric Mental Health sessions in March 2019. An expert hub team consisting of a Child and Adolescent Psychiatrist, Psychiatric Pharmacist, Psychotherapist and Resource Specialist meet twice per month with primary care providers across the state utilizing the online platform Zoom. A member of the hub team delivers a 25-minute didactic. Then, participants can present de-identified cases to review. The hub panel and spoke sites offer feedback and suggestions on the presented cases. This collaboration among peers helps to support the presenter’s care for their pediatric patients with mental health care needs and provides an opportunity for increased knowledge for everyone listening. ECHO clinics are grant-funded and there is no cost participate.

Access Line

1-844-922-MAPP (1-844-922-6277)
A toll-free access line was established in 2019 for primary care providers to call and consult with a Child and Adolescent Psychiatrist during daytime business hours. Consultations are with Billings Clinic Child and Adolescent Psychiatrists. This is a provider-to-provider call, and patients do not participate. There is no cost for primary care providers to participate in this service.

MAPP-Net Partner Agencies

The following agencies are working together to support the mission of MAPP-Net, providing expert consultation, resources, training and support to hep you care for pediatric patients in their own communities when possible.

Project ECHO

Project ECHO (Extension for Community Healthcare Outcomes) is a collaborative model of medical education and care management that empowers clinicians everywhere to provide better care to more people, right where they live. The ECHO model dramatically increases access to specialty treatment in rural and underserved areas by providing front-line clinicians with the knowledge and support they need to manage patients with complex conditions by engaging clinicians in a continuous learning system and partnering them with specialist mentors at an academic medical center or hub.

Billings Clinic

Based in Billings, Montana, Billings Clinic is Montana’s largest health care organization and serves a vast region covering much of Montana, northern Wyoming and the western Dakotas. Billings Clinic is a physician-led, integrated multi-specialty group practice with a 304-bed hospital and a Level II trauma center. Billings Clinic has thirteen regional partnerships and conducts approximately 120 specialty care clinics per month at twenty different regional locations for residents of rural Montana, Wyoming and North Dakota. Billings Clinic is a member of the Mayo Clinic Care Network and is consistently recognized nationally for excellent performance in patient quality, safety and service.

Public Health in the 406 CSHS

Children’s Special Health Services works to help children and families in Montana receive the healthcare and supportive services they need to live happy, healthy lives in their communities. We do this through programs that help educate families and providers, connect families to needed resources, and provide care for children and youth (0-21 years of age) throughout the state.

Rural Institute University of Montana

Rural Institute is committed to creating better lives for rural people with disabilities and their families. With innovative services, training and research, RI strives to improve independence and participation of people with disabilities in everyday activities and all aspects of the community.