After closely monitoring the coronavirus (COVID-19) developments and careful consideration by the Billings Clinic Project ECHO leadership team, our current Project ECHO Clinics until be postponed until June 2020.

This is due to the local and regional staffing issues related to the COVID-19 as we prepare for and treat patients during this crucial time. Many Project ECHO members are on the front lines of this rapidly evolving public health crisis. Thanks to each of you for your efforts. Our Project ECHO team is working with urgency to implement measures to keep patients and staff healthy.

With our commitment to mental health, if you have a complex case arise please email me. Our expert panel will review the case to provide guidance and patient recommendations.

I appreciate your cooperation, patience and understanding as we continue to closely monitor the situation. If you have questions, please don’t hesitate to reach out to me.

Thank you for your ongoing and valued support of Project ECHO.

Clinical training and case review sessions submitted by rural and remote providers

Pediatric Mental Health ECHO Clinics · 12:00pm – 1:30pm · 2nd & 4th Wednesdays of each month

How To Participate

To participate in Project ECHO Clinics, please register.

After receiving your registration, you will receive an email to confirm your registration. If your computer has a built-in camera, or is connected to a webcam, you can join by video and audio. You can also join by audio only, using your phone or computer.

If you have a de-identified case you would like to submit for review or for more information on Project ECHO Clinics, please contact:

Kim Hart
Phone: 406-435-4556

Project ECHO Clinics support primary care clinicians serving children and adolescents with mental healthcare needs and empower providers to deliver quality care through building new skills and competencies. ECHO clinics are grant-funded and there is no cost to participate. Billings Clinic Project ECHO is open to all clinicians.

Clinic sessions start with a 25-minute lesson, delivered by the expert team, focusing on a relevant clinical topic. Following the didactic session, primary care sites are invited to present challenging clinical cases that will be staffed with the network. Case discussions will be facilitated by the multidisciplinary team, collecting clinical recommendations that reflect clinical guidelines and best practices.

Project ECHO benefits rural and remote providers by providing:

  • A community of practice and learning to otherwise regionally isolated clinicians
  • Knowledge of new skills and competencies
  • Better access for rural and underserved communities
  • Better quality and safety
  • Consistency in care and practice
  • Case-based learning to master complexity
  • Reduced disparities in ability to provide expert mental health care
  • Rapid dissemination of best practices
  • Greater efficiency and access to scarce resources through technology

The PEDS ECHO clinical team includes:

  • Board Certified Child Psychiatrist
  • Expert Psychotherapist
  • Psychiatric Pharmacist
  • Resource Specialist

Photo of Eric Arzubi MD

Adrienne Coopey, DO

Dr. Coopey is a board certified general and child/adolescent psychiatrist. She completed medical school at West Virginia School of Osteopathic Medicine and psychiatry residency and child and adolescent psychiatry fellowship at the Medical University of South Carolina. She is directing the Early Psychosis Intervention Clinic (EPIC MT), the first of its kind in the state, where the goal is to take a person-centered team-based approach at providing coordinated services to patients experiencing a first episode of psychosis. She has worked in integrated rural child and adolescent telepsychiatry and emergency telepsychiatry developing treatment algorithms and population management strategies to improve care for patients in rural areas. She is passionate about teaching especially related to building resilience in patients with adverse childhood experiences.

Photo of Eric Arzubi MD

Mariela Herrera, MD

Dr. Herrera is board certified in general psychiatry and child/adolescent psychiatry. She is Medical Director of our youth inpatient psychiatric service and our youth consultation/liaison service. Dr. Herrera was born and raised in Costa Rica, where she completed medical school and the first part of her post-graduate psychiatry training. She then joined the Cleveland Clinic to complete a general psychiatry residency and a child/adolescent psychiatry fellowship. During her time there, she earned several honors, including resident of the year and a chief resident appointment. At Billings Clinic, Dr. Herrera has continued to teach and mentor medical students, PA students, and APRN trainees. She is especially passionate about implementing best practices.

Photo of Michelle Reinhardt

Michelle Reinhardt, BA, PharmD, BCPP

Michelle Reinhardt, BA, PharmD, BCPP is a Board Certified Clinical Pharmacist Specialist in Psychiatry. She received her Bachelor of Arts in Criminal Justice Pre-Law at the University of Nevada, Reno and graduated with her Doctor of Pharmacy from Roseman University in Henderson, Nevada. She completed a PGY1 residency in Clinical Pharmacy at Billings Clinic and a PGY2 residency in Psychiatric Pharmacy at The University of Texas, Austin.

After completing residency, she joined Billings Clinic in August 2014. She works collaboratively with psychiatric providers to develop evidenced-based, patient specific medication regimens for adults, adolescents and children with mental illness and chemical dependency on the inpatient psychiatric units, psychiatric stabilization unit and psychiatry consult liaison service. She has been part of Project ECHO Billings Clinic since its inception and participates in the Integrated Addictions and Psychiatry ECHO clinic and the Department of Corrections Mental Health and Addictions ECHO clinic. She enjoys interdisciplinary teaching and is actively involved in clinical education of pharmacy residents and pharmacy, medical, physician assistant and nurse practitioner students. She is a clinical instructor for the University of Washington Psychiatry Residency Program – Montana Track and provides clinical supervision to the psychiatry residents.

Ryan Tolleson Knee, Ph.D.

Dr. Tolleson Knee has more than 30 years of experience in social service and mental health workforce development, statewide prevention and intervention system development, educational leadership, and systems management. His areas of expertise include curriculum design/
development, team leadership and management, rural behavioral health, designing and implementing rural and tribal community school-based substance abuse, mental health, and suicide prevention programs (e.g., PAX Good Behavior Game, Zero Suicide), rural and tribal mental health and social service system workforce improvement, and research and data management. Dr. Tolleson Knee serves as the co-director of the National Rural School Mental Health Center in partnership with the University of Missouri and University of Virginia developing and testing school-based behavioral health prevention and intervention programs.

Stephanie Melmer, LCSW