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Tribal BEAR Project

State Office

RiverStone Health is one of two Ryan White Part C grantees in Montana and it operates the Part C RiverStone Health Clinic in Billings. RiverStone Health also has a contract with the Montana Department of Public Health and Human Services to provide Part B services in eastern Montana, including the AIDS Drug Assistance Program (ADAP). Other services include: advocacy, case management services, HIV counseling, testing, and referral services. 

As an umbrella organization, RiverStone Health has many community roles including the Yellowstone City-County Health Department; RiverStone Home Care and Hospice Services; Montana Family Medicine Residency Program; and Eastern Montana Area Health Education Center. It also operates four medical and dental clinics and a school-based health center and provides case management services and a medication assistance program.  Serving the Yellowstone County and south-central Montana community for over three decades, Health, Education, Leadership and Protection (HELP) is the foundation of the organization’s work.  


  • Customized clinical training on a variety of HIV/AIDS related topics
  • Capacity building assistance
  • Practice transformation coaching
  • Clinical consultation
  • Workforce education
  • Technical assistance
  • Educational and resource materials
Tribal BEAR Project
Tribal BEAR Project

Tribal BEAR Project – Building Effective AIDS Response

Since 2005, the Tribal BEAR Project's purpose is to build the capacity of tribal health clinics, Indian Health Service (IHS) and/or regional care facilities to respond to American Indians living with HIV/AIDS in their communities. The Tribal BEAR Project provides culturally sensitive training to tribal and non-tribal health care providers so that American Indians living with HIV/AIDS can receive comprehensive health care. Project staff work to link key resources, both on and off the reservation. By building bridges between tribal and non-tribal agencies, American Indians living with HIV/AIDS will have the freedom to make choices that best meet their individual needs. The Tribal BEAR Project training services are available throughout the ten-state Mountain West AETC region. 


  • Assess HIV training needs
  • Develop and coordinate clinic-specific HIV training
  • Coordinate regional conferences (Public Health Training Conference 2017, Health & Healing by the Waters 2016, Pieces of the Puzzle 2012-2015, and Infected Now What! 2008-2010)
  • Provide HIV-expert trainers, clinical consultations and technical assistance
  • Provide HIV/STD Basic 101 training for clinical support staff
  • Cosponsor trainings with the Montana Department of Public Health and Human Services on HIV Counseling and/or Testing and Referral Services 
  • Provide support for establishing a rapid HIV screening program
  • Develop American Indian-specific HIV training materials
  • Provide technical assistance to develop or revise policies and procedures related to HIV/AIDS with specific attention to American Indian populations at clinics and treatment centers which are also Practice Transformation sites 
  • Promote free preceptorships (mini-residencies)* at HIV specialty clinics for health care professionals and case managers  

    *Mountain West AETC preceptorship program may cover most of the travel expenses for eligible participants.