Montana
University of Montana launches Montana’s first public occupational therapy program
MISSOULA — Kim McKearnan grew up in Great Falls and dreamed of becoming an occupational therapist. But the program wasn’t offered in Montana, so she wound up leaving Big Sky Country for over 20 years to pursue her calling.
Now she’s back home as founding director of the new Occupational Therapy Doctorate Program at the University of Montana. It’s the first such program in state history offered at a public institution of higher learning.
The new OTD program was approved to become a candidate for accreditation in April. It started accepting applications this summer, and the first occupational therapy students will start at UM in fall semester 2025.
“We’re planning to have 25 students in our first cohort,” McKearnan said. “We are starting a bit smaller as we fine-tune our processes and curriculum. Our intention is to grow to have 35 to 40 spots in the coming years.”
Occupational therapy is a wide-ranging career field that helps patients of all ages overcome challenges completing everyday tasks or activities.
Occupational therapists often work with patients with cognitive, physical, developmental or psychosocial disabilities. They work in hospitals, clinics, schools, homes, assisted-living or long-term care facilities, and a variety of other settings such as community centers or shelters
“OTDs can work with premature babies all the way up to older adults recovering from a stroke,” McKearnan said. “We literally care for people from birth to death.”
Montana has a significant need for more OTDs. According to state data from 2022, 12 Montana counties had no licensed occupational therapists. Data from 2023 said seven OT positions at Montana schools had gone unfilled or faced severely limited candidate pools.
The 2022 Montana Post-Secondary Workforce Report suggests 33 additional occupational therapy graduates will be needed annually through 2030.
To help address this need, the state’s Behavioral Health System for Future Generations Commission supported a $3.2 million investment to launch public OTD and physician associate programs at UM. (The first PA students will start on campus in fall 2026.)
“There is just an incredible need for occupational therapy services in Montana right now,” McKearnan said. “We’ve heard here in Missoula and across the state of wait lists for kids of six months or longer because there aren’t enough therapists to go around. That’s a period of development that you can’t get back, so you need to be able to get in and get those interventions. If you can’t get services, you don’t get to make up time in that really critical period.”
According to U.S. News and World Report, occupational therapists earn about $93,000 on average nationally. UM’s clinical doctorate program will take three years to complete, with the first graduates hitting the job market in 2028. It’s a graduate program, so applicants need to have earned a bachelor’s degree.
The OTD program also requires select prerequisite courses such as human anatomy and physiology, abnormal psychology and medical terminology. UM has readied pre-OTD advising for undergraduates to prep for the graduate program.
Speaking from her office UM’s Skaggs Building, McKearnan seems to revel in the challenge of launching a new UM graduate offering from scratch. OTD will be part of UM’s College of Health — specifically its School of Speech, Language, Hearing and Occupational Sciences.
OTD currently has two employees: McKearnan and Janna Smith, an assistant professor who serves as the new unit’s academic fieldwork coordinator. They expect to hire two to three additional OTD faculty members before next fall.
Smith, who also was forced to leave the state for her occupational therapy training, said Montana now has some OTD offerings from private colleges. However, UM intends to offer a more competitive price and take advantage of being nested among a larger university’s established programs.
“We are very fortunate to be situated in the College of Health, where we can do a lot of interprofessional education and clinical experiences,” Smith said. “We have the advantage of working with physical therapy, speech-language pathology, athletic training, social work, psychology and pharmacy. Working with those other departments is already planned as part of our curriculum.”
She said the first two years of the OTD program are largely in the classroom with shorter clinical experiences. After that, Smith will help arrange six months of supervised clinical experiences for students and then they will participate in a capstone experience.
These final capstones are tailored to the individual and could include everything from working at a neonatal intensive care unit to research or an advocacy project.
Historically, one could become an occupational therapist with a bachelor’s degree, and many programs later upgraded that requirement to a master’s. Now the industry standard is a clinical doctorate.
McKearnan said UM already offers an online pathway for working OTs wishing to upgrade their current degree to a doctorate.
“In school districts, you often can earn a wage increase by obtaining additional education or higher degrees,” she said. “You also might want the doctorate if you want to work in academia.”
McKearnan said it’s a competitive process to earn a spot in the University’s first OT class, and the tentative deadline is Nov. 1 to apply for one of the coveted 25 spots. She’s heard again and again from students who have waited years for such an opportunity.
One of those is Jennifer Malotte, a 2020 UM graduate in health and human performance, who works at Desmet Public School in Missoula.
“I heard that starting a UM Occupational Therapy program might happen back in 2020, and I’ve been working since then to get everything as ready as possible to apply,” she said. “I had considered moving or going out of state but decided to stay in Missoula when I realized they were going to start a program here.”
Malotte said she feels a calling to the profession.
“I see many kids who would benefit from occupational therapy – there is a big need for this profession,” she said. “I’ve talked with OTs, and they tell me about their high caseloads. I’ve always wanted to pursue a fulfilling career where I get to help people. I believe occupational therapy can truly improve a person’s quality of life, and I am looking forward to applying and hope it becomes my future career.”
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Montana
Montana cowboys help build trauma ranch for Israeli soldiers
The hills of the northern Judean Desert will soon turn yellow and dry. For now, they are covered in green bloom, dotted with bursts of purple and yellow wildflowers, butterflies hovering above them. From a hilltop in the Binyamin region, where Ruthy and Haim Mann run their therapeutic horse ranch, the view opens wide: the Moab Mountains to the east, the Binyamin hills to the north, Wadi Qelt plunging dramatically toward the Jordan Valley and the northern Dead Sea. At moments, when the haze lifts, Herod’s winter palace can be seen in the distance on the other side of the wadi.
Biblical history feels at home here. Philistines and Crusaders, Babylonians and Hasmoneans, Assyrians, Byzantines and Seleucids all passed through. Joshua, Saul and Jonathan fought nearby. David hid in these hills. On one of the mountains opposite us, the Good Samaritan once passed, refusing to ignore a wounded man lying by the roadside and bandaging his injuries.
The desert has seen much. But a band of real-life cowboys from Montana, pointed boots, wide-brimmed hats and oversized belt buckles, is new even for this landscape. But a band of cowboys who wear Tzitzit (fringed ritual garment), bless bread with the Hebrew “hamotzi,” keep Shabbat and study the weekly Torah portion, though they are devout Christians, is new for me as well.
They define themselves as Christian Zionists. Not an official denomination, more a small, independent current on the margins. They have no church of their own. “But it’s growing,” said Zach Strain.
When I ask Yoss, short for Yosef, Strain and Jedidiah Ellis why they wear blue Tzitzit attached to their belts, Yoss quotes the Book of Numbers, Chapter 15, Verse 39. “That’s the longest I’ve heard him speak since they got here,” Haim Mann jokes.
4 View gallery
Ruthy and Haim Mann, the ranch owners
(Photo: Alex Kolomoisky)
On a recent Monday morning, the small group of five men and three women is already at work. Bethany Strain and Lily Plucker haul wheelbarrows of stones, Lily’s three-month-old son, Jethro, strapped to her chest. Her husband, John Plucker, the group’s unofficial leader, builds the wooden ceiling of what will soon become a resilience and support center for soldiers coping with PTSD at the edge of the ranch.
Yoss and Jedidiah work on the stone wall of the riding arena. Promise Strain washes laundry by hand facing the desert view. Eliora Ellis saws a wooden beam. Zach, who stands nearly 6-foot-7, reinforces the stable fence. They work in near silence, focused, as if fulfilling a commandment.
By profession, Zach trains horses and riders for the film industry, primarily for Westerns, and has appeared in some of them himself. He worked on the TV series “Yellowstone.” When I try to draw him into Hollywood gossip about Kevin Costner, but since there is a biblical injunction against gossip, all I can get out of him is that the horses on the series were the finest and most expensive available. They are reserved, almost shy. They speak sparingly. They appear unaccustomed to social company. Montana is about 18 times the size of Israel with roughly one-tenth its population. The nearest neighbor can be miles away. In the photos they show me, each home looks like it could have stepped straight out of the cast of “Little House on the Prairie”, except for one detail: a giant Star of David mounted on the Strain family home.
All of them are related. Zach, Yoss and Promise Strain are siblings (the fourth brother, Ezekiel, left yesterday). Jedidiah and Eliora are married. Yoss is married to Bethany, John Plucker’s sister. Plucker is married to Lily. It is their last day in Israel, and they seem determined, more than anything, to make the most of every remaining moment. This is their last day, though not their first visit. For most of them, it is their fourth or fifth trip, and never a vacation. They come to work.
Ruthy and Haim Mann, the ranch owners, are Israeli cowboys in their own right. Boots, hats and wide brims included. Haim, a lawyer by training, also carries a handgun. They live in the settlement of Alon, part of a cluster of three Jewish communities northeast of Jerusalem, which includes mixed, religious and secular residents living side by side. “It works beautifully,” Haim says. The population is largely middle-class.
Indeed, although several flashpoints of the Israeli-Palestinian conflict, including Khan al-Ahmar, lie not far from here, this specific area, located in Area C of the West Bank, is quiet and calm. Not quite Montana, but they manage with what they have.
4 View gallery
Riding against the backdrop of the new treatment center
(Photo: Alex Kolomoisky)
Both are remarried. Together they have two daughters, along with four children from Haim’s previous marriage and two from Ruthy’s, and they are grandparents to five grandchildren. Thirteen years ago, they founded a small therapeutic horse ranch. (“We’ve always loved horses,” they say). Ruthy handles treatment, working with teens with autism, motor and social challenges and trauma. Haim manages the horses. Five years ago, they were told to evacuate their original site. “We gave service to the whole community and got a punch in the stomach in return,” Ruthy said. With assistance from the Settlement Division, they relocated to the current hilltop. Haim closed his law office, Ruthy left her job at the Biblical Zoo in Jerusalem, and they committed fully to the ranch, which officially opened to the public about six months ago. Five dunams, 13 horses and a sweeping biblical landscape. Beyond routine therapy for local youth, the ranch increasingly served teens who had left the ultra-Orthodox community, including girls who were victims of sexual abuse, “even at ages 12 and 13”, sometimes within their own families.
About two years ago, they began hosting a joint Passover Seder for dozens of such teens. “The at-risk girls,” Ruthy says, “taught us a great deal about treating trauma.” That knowledge, regrettably, soon became urgently necessary. When war broke out after the October 7’s Hamas massacre, activity at the ranch halted. Ruthy began treating evacuees from southern Israel housed in Dead Sea hotels. “Everything there was terrible,” she says. At first, the therapy sessions were held in the hotels, without horses, using smaller animals instead. Over time, families began coming to the ranch to ride. “We started with 20 families. Within a month, 150 were coming,” she said.
Soon after, soldiers began arriving, some physically wounded, others psychologically scarred. “It started with soldiers who rode with us as kids,” Haim said. “They enlisted, went to fight and were injured. They came back to us to rehabilitate, to regain control over their lives.”
The need, they say, is immense while the supply is limited. Many soldiers from the West Bank have been killed or wounded, disproportionately to their share of the population. “But in all of the West Bank,” Ruthy says, “there isn’t a single ranch like this. There is a resilience center in Binyamin, but not everyone is suited to sitting in a closed room talking to a therapist about their feelings. It’s also a community that is less inclined to ask for help. Still, many people need precisely this kind of therapy, with horses, out in nature.”
4 View gallery
Building a wooden ceiling on their last day in Israel
(Photo: Alex Kolomoisky)
Demand is surging. “We feel the shockwaves of the psychological injuries from the war starting to hit with tremendous force,” Ruthy said. “It’s not just ripples. It’s a tsunami.” Everything mental health experts warned about during the war, that once it ended and there was no longer anything to suppress or conserve strength for, a major wave of psychological casualties would follow, is unfolding before the Manns’ eyes. “You feel it everywhere,” Haim adds. “In rising divorce rates, in pent-up violence. We know that what isn’t treated today will worsen tomorrow. The country has to confront this by building more resilience centers, otherwise we’ll be carrying it for years. “And it’s not like the trauma of October 7 is going to disappear anytime soon. We’ll be living with it for years.”
“There are other injuries that aren’t being talked about enough,” Ruthy says. “For instance, girls who were already in very difficult circumstances before October 7 and had just started to rebuild their lives, only for the war to shift attention elsewhere and leave them sidelined.” There are also many patients with older wounds and traumas that resurfaced, but there isn’t enough time, enough therapists or enough resources to reach them.” The sound of a bell rings out to announce lunch. The group gathers in the ranch’s main building for a modest meal of white rice and a tough steak. They recite a blessing over the food and eat in silence.
Word of the group’s arrival reached Haim as well. “I wanted to thank them, in my name and on behalf of the Jewish people. I offered them a day of horseback riding in the area. They came here and fell in love. We fell in love with them, too.” The group stayed at the ranch for three months, building everything by hand. “They were like a miracle for us,” Haim says. “We didn’t have a dime.” This latest visit, about a month long, focused entirely on constructing the new center.
Zach first visited Israel in 2014. This is his fourth trip. “It was very important for me to come help, to build and strengthen Israel,” he said. “Israel is the light of the world, maybe even the foundation of the world. I don’t know how to explain it, but when you’re here, you feel it.”
What does it mean to be a Christian Zionist?
“Some people call us that. Maybe it’s accurate,” he said. “We don’t have definitions.”
How do you define yourself?
“We don’t spend much time defining it. We’re somewhat different. We just go by the Bible. We’re not part of any church. It’s not really a movement. Nobody knows us. It started with our family, and people joined.”
I watch a video of a Shabbat meal at the family home in Montana: Kiddush over wine, Sabbath songs and a reading of the weekly Torah portion. They look a bit like the Amish. “We are not evangelicals”, he insisted. “We’re not trying to convert anyone. And I don’t even understand why I would need to convert anyone.” “We’re not evangelicals,” Bethany says as well, “but we’re fairly close to that.”
Zach, have you noticed a change in Israel compared to your previous visits?
“Since the war, I think people have come to see more clearly how deep and destructive evil can be. In America, it’s created a serious division. Many think Israel shouldn’t exist. That’s what’s being taught in schools today. They don’t know what’s happening here.”
That’s what they’re teaching in schools?
“We didn’t attend public schools,” he says. “Our parents pulled us out because they were teaching us lies.”
Zach also refers to John Plucker as the group’s unofficial leader. “I go where John tells me,” he explains. The fact that Plucker is 12 years younger does not seem to matter. The Strain and Plucker families have known each other for years and are closely connected. Two of the Plucker daughters are married to two of the Strain sons.
“‘Unofficial leader’ is a good definition,” agrees John Plucker, 27.
Are you really a cowboy?
“Yes. That’s how I grew up, on a traditional ranch with horses and cattle and everything. Today I’m an independent contractor and run a construction company. There’s not much money in ranching. It’s more of a lifestyle. I want to work a few more years and buy some land.”
Plucker does not define himself as a Christian Zionist. “I’m just a regular Christian,” he says. “But I see Israel the same way they do, and we believe the same things, so maybe I am a Christian Zionist? I don’t know. Honestly, I don’t really care.”
4 View gallery
The cowboys in Montana fields
(Photo: Courtesy)
So why did you come?
“The Strains have been coming for years, and they convinced me. We all love Israel very much. The first time I was here was after COVID, and it was incredible. HaYovel brought us. They believe God gave this place to the Jewish people. Here I learned a lot about redemption. You can see it happening in real time. It’s powerful. You learn much more here than just by reading the Bible.”
The last time he came was in November 2023. “They brought us to work in Shiloh, harvesting olives. The moment I came to the ranch, I fell in love, even though there was nothing here yet. My background is ranching and horses, so this suited me much more than picking olives, which is a pretty strange job, honestly. We didn’t hesitate to return, even though our baby had just been born.
“I see what they’re doing here with the young men and women who come for therapy. They give them purpose. They turn something negative into positive. It really brings redemption into people’s lives. I’m glad to be part of it. I already want to come back again. Staying in one place for a long time, building relationships, that’s a blessing.”
When I ask about politics, the group responds with puzzled looks, as if they had never even heard of Trump.“We’re simple ranchers,” Plucker said. “These things don’t interest us. We’re aligned with conservative views, but I don’t really understand politics. I’m here for the Jewish people. Politics may be important here, but not for us.”
By midday, the horses are released ahead of the afternoon’s therapy sessions. I meet Aviv, Sinai, Negev, Pele, Pazit, Milky and Moshe, a large black horse. I do not ride, but standing beside them, something shifts. A horse is a wonder. Sinai, a horse, or perhaps a mare, I didn’t check, walks toward me and looks straight into my soul. We share a quiet moment.
What is it about horses?
“A horse is a spiritual animal,” Ruthy said from atop Negev. “Every encounter with a horse exposes the soul. The horse immediately senses your frequency. If you’re tense, it’s tense. If you’re calm, it’s calm.”
“What allowed horses to survive for 80 million years is extreme sensitivity,” Haim said. “They are alert to fear, to anxiety. They feel your heartbeat, your breathing. A horse is a perfect mirror for someone living with PTSD. When a person jumps at the sound of a motorcycle and shifts into survival mode, the horse shifts just as quickly. And when you calm down, the horse calms down with you. It forces you to lead, not with force, but with quiet confidence.”
Ruthy sees symbolism as well. “A horse is an open, unburdened space. The entire archetype of the horse is about strength and success, getting back on the horse, being on top of things. That’s also our therapeutic philosophy: to reconnect with that life force, to climb back into the saddle even after the hardest falls. It restores a sense of control to people who have lost all control over their lives.”
Montana
Evacuation orders issued as 5,000-acre wildfire burns near Roundup, Montana
ROUNDUP, Mont. —
The Rehder Creek Fire is burning 16 miles southeast of Roundup has grown to about 5,000 acres, prompting evacuation orders for residents in the Bruner Mountain Area/Subdivision.
The fire started Feb. 26, the cause is unknown and containment was at 0%.
Evacuation orders are in effect for all residents in the Bruner Mountain Area/Subdivision. The Musselshell County Sheriff’s Office is coordinating the evacuation orders, and 911 reverse calls have been sent out to advise people in the area.
A shelter is opening at the Roundup Community Center. Residents were told to contact Musselshell County DES for further information.
Firefighter and public safety remain the top priority. The public is asked to avoid the Fattig Creek and Rehder Road area so emergency personnel can safely and effectively perform their work.
Fire resources assigned to the incident include 40 total personnel, 11 engines, one Type 2 helicopter, three tenders and two dozers.
Montana
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