Grand Peaks is a Federally Qualified Health Center (FQHC) that began as a small medical clinic in the Upper Valley in 2007. In 2009 we expanded our services to include a dental clinic in St. Anthony. Medical services were added in Rexburg in 2015 followed by dental services a year later also in Rexburg. Expansion continued and in the summer of 2017 Behavioral Health services were added in a newly constructed building on our St. Anthony campus. In the spring of 2020, Behavioral Health services were also added at the Rexburg location with the conclusion of a large renovation. With continued growth came a need for a new medical building in St. Anthony, which was completed and opened in the summer of 2020. This new building facilitated the addition of a full service pharmacy.

As a non-profit Community Health Center, Grand Peaks is committed to providing affordable, quality medical, dental, behavioral health and pharmacy services to our patients. Whether they are insured, self-pay, under-insured, or low-income, we offer affordable rates. These rates may also be discounted on a sliding-fee scale, which is based on documentation of patient/family household size and income.

Our focus is the health and safety of our patients and their families. We want to create a personal relationship with our patients and improve the overall health of our community. Grand Peaks has received PCMH Recognition by the National Committee for Quality Assurance. This model of care uses a team-based approach to provide patients with efficient and comprehensive healthcare. Grand Peaks has received Level 3 Recognition by the National Committee for Quality Assurance at its St. Anthony Medical location. Recognition of this type demonstrates our commitment to providing the best possible healthcare to you and your family. As your Medical Home Grand Peaks provides:

This is to notify you that under Federal law relating to the operation of community health centers, the Federal Tort Claims Act (FTCA), (See 28 U.S.C. 1346 (b), 2671-80), provides the exclusive remedy for damage from personal injury, including death, resulting from performance of medical, surgical, dental, or related functions by any Upper Valley Community Health Services, DBA Grand Peaks Medical, Dental or Behavioral Health practitioner, who the Department of Health and Human Services has deemed to be an employee of the Public Health Service. This FTCA Medical Malpractice coverage applies to deemed Healthcare Practitioners who have provided a required or authorized service under Title XIX of the Social Security Act (i.e. Medicaid Program) at Upper Valley Community Health Services, Inc. DBA Grand Peaks Medical, Dental & Behavioral Health site or through offsite programs or events carried out by Upper Valley Community Health Services, DBA Grand Peaks Medical, Dental & Behavioral Health (see 42 U.S.C. 233(a), (o)).

This health center receives HHS funding and has Federal Public Health Service deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and for its covered individuals

Upper Valley Community Health Services, Inc. DBA Grand Peaks Medical Dental Behavioral Health and Pharmacy is a 501(c)3 nonprofit organization. Grand Peaks complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Anti-discrimination Notice. Call (208) 356-4900.

Upper Valley Community Health Services, Inc. DBA Grand Peaks Medical, Dental, Behavioral Health and Pharmacy es una organizacin sin nimo de lucro tipo 501(c)3. Grand Peaks cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Llame al (208) 356-4900.

Grand Peaks has employed local Providers who live in and love the Upper Valley. Our highly trained Providers work hard to keep up with the latest healthcare trends and training for the benefit of our patients.

Dr. Jacob K. Curtis joined the Grand Peaks Medical Team in June 2016. Prior to joining Grand Peaks, Dr. Curtis provided Family Medicine and Obstetrics in Preston, Idaho for 8 years. He comes highly trained and experienced in Family Medicine as well as Obstetrics. Dr. Jacob K. Curtis provides an extensive variety of primary care

Andy Brower, PA-C joined the Grand Peaks Medical Team in May 2015. Andy previously worked at Upper Valley Family Medicine in Rigby for 4 years where he provided care for a broad spectrum of illnesses, diseases, and chronic conditions. Andy also previously worked as a Radiology Technician for 5 years, which brings valuable clinical experience

Bryant Hansen PA-C joined the Grand Peaks Medical Team in October 2013. He remains excited about the opportunity to serve in this community for years to come. Bryant Hansen was born and raised in Rexburg, Idaho. After graduating from Madison High School he served a 2 year mission for the LDS Church in Londrina, Brazil.

The Care Team Dr. Trevor Wilde joined the Grand Peaks Medical Team in June 2018.Prior to joining Grand Peaks, Dr. Wilde had provided Family Medicine and Obstetrical care, to both English and Spanish speaking patients, in the Rexburg area starting in 2015. He has always known that he wanted to practice medicine and become a

The Care Team Joshua Gilgen, PA-C joined the Grand Peaks Medical Team in March 2020. He has a love for Idaho and the people that make it home. He is excited to serve in this special community. Joshua Gilgen was born and raised in Ammon, Idaho. He graduated from Hillcrest High School where he met

The Care Team Whittney Miller grew up in Teton, Idaho, and graduated from South Fremont High School. She went on to receive her RN degree from Brigham Young University Idaho in 2011. She then worked as a Registered Nurse at Madison Memorial Hospital for 2 years. While working as an RN, she continued her education

The Care Team Arleigh Nash grew up and attended school in Ashton, Idaho. While in high school, she was interested in the medical field and received her CNA training. She worked as a CNA for five years as she finished high school. Arleigh then attended college at BYU-Idaho where she received her Nursing degree. She

The Care Team Dr. Kent Beesley is a native of the Upper Valley, growing up in Rigby, Idaho. He graduated from Rigby High School and went on to complete his undergraduate degree at Idaho State University. He then attended dental school in Seattle at the University of Washington School of Dentistry; graduating in 2008. After

The Care Team Dr. Taylor Jardine is a native of Southeast Idaho, growing up in Idaho Falls. He graduated from Hillcrest High School as a Valedictorian of his class. After attending Ricks College for a year, he served a Spanish speaking mission in Santiago, Chile. Dr. Jardine received an undergraduate Bachelors Degree from at BYU.

Behavioral Health Director The Care Team Larry Bradley, LCSW, joined the Grand Peaks Team as the Director of Behavioral and Mental Health Services in fall of 2017. With his arrival, Grand Peaks was able to open the St. Anthony behavioral health clinic and offer mental health services. Prior to joining Grand Peaks, Larry provided a wide array of

The Care Team Alice Manwaring, LCSW, joined the Grand Peaks Team as a mental health counselor in the spring of 2018. Prior to joining Grand Peaks, Alice provided a wide array of mental health services for area treatment facilities and state contractors. With experience in a variety of mental and behavioral health treatments, Alice is

The Care Team Amy Ohs, LCSW, joined the Grand Peaks Behavioral Health team in December of 2019. Amy received her Masters Degree in Social work from Walla Walla College in Washington and Idaho Licensure in 2005. In 2009 she became a Licensed Clinical Social Worker (LCSW). She started her career working for the Idaho Department

The Care Team Brittaini Milner, LMSW, joined the Grand Peaks Behavioral Health and Wellness team in late summer of 2019. She received her Masters Degree in Social Work from Northwest Nazarene University and passed the Idaho Licensure Exam in 2018 to become a Licensed Master Social Worker. Brittaini has been involved in the mental health

The Care Team Kavi Branham joined the Grand Peaks Behavioral Health and Wellness team in August of 2020. He has been involved with behavioral health for over 11 years, providing case management and youth mentoring services, wraparound counseling, and as a Licensed Professional Counselor for the past 5 years. Kavi has a degree in Advanced

The Care Team Mindy Jensen joined the Grand Peaks Wellness Center team in summer 2018. As a native to the St. Anthony area she enjoys the outdoors and spending time with family. Mindy earned her Bachelors Degree in Social Work, from Brigham Young University Idaho. She then went on to receive her Masters Degree

The Care Team Spencer Webb, LCSW, joined Grand Peaks Behavioral Health in February 2020. He earned hisBachelor of Science Degree, majoring in Sociology from Brigham Young University Idaho in2003. He then went on to complete his Master of Social work degree from Eastern WashingtonUniversity in Cheney, Washington, in 2006. Spencer has since practiced as

The Care Team Leif Sorensen, LCSW, is an Idaho native. Born and raised in South Eastern Idaho, he moved to the Upper Valley in 1994 with his family and has called the area home ever since. Leif has provided mental health service in several different capacities since coming here, including outpatient, inpatient, psychosocial rehabilitation, case

The Care Team Megan Thompson, LMSW, joined the Grand Peaks Team September of 2021. She earned her Bachelor of Social Work from Brigham Young University-Idaho and went on to Boise State to complete her Master of Social Work. It was her opportunity to work with the Idaho Falls Assertive Community Treatment team. That experience helped

Pharmacy Director The Care Team Scott Webster, Pharm.D. joined the Grand Peaks team in March of 2020. Scott grew up in Saint Anthony and graduated from South Fremont High School. He then served an LDS mission in Alabama where he learned to work hard and serve others. Upon returning, he attended Ricks College and graduated with an

The Care Team Curt Remington, PharmD joined the Grand Peaks Pharmacy team in June 2020. Curt graduated Magna Cum Laude from Idaho State University, Pocatello ID. Previously, Curt Remington attended BYU-Idaho and obtained a bachelors degree in exercise physiology. He grew up in Southeast Idaho and graduated from Madison Sr. High School in 2009. He

My name is Dr. Jacob Curtis Im a physician at Grand Peaks Medical. I practice in the realm of family medicine with an emphasis in obstetrics. I also serve as the medical director at our organization. Were excited to share with you in this patient education video some tips and tricks that can help to improve your sleep.

As you can see from my cover slide, this is taken from my high school days when Bon Jovi came out with an album called Ill sleep when Im dead. Its a popular expression many of us are perhaps guilty of using and weve likely heard throughout our lives. Unfortunately we falsely believe this.The purpose of the few moments we have together is to review why sleep is so important, and some things that we can do to help us to improve in our sleep hygiene. The disclaimer is that this is not to take place of advice given to you by your healthcare provider. If youre having emergent or concerning symptoms youre instructed to follow up with them and or go to the emergency room.

Benjamin Franklin perhaps said it best nearly 300 years ago when he coined the phrase which is popular still today Early to bed, Early to rise makes a man healthy, wealthy, and wise. Little did Mr. Franklin know nearly 300 years ago, all the scientific data that would support his claim. The challenge is most of us as Americans do not have great success in achieving what he encouraged us to do. There are a lot of complications of insomnia or inadequate rest just to outline a few. It can decrease our performance in whatever our activities might be. It also delays our reaction time. There have been several studies that show 24 hours of sleep deprivation is comparable to being legally intoxicated. It also can increase our risk of getting colds, other viruses, and it can compromise our immune system. Lack of rest also increases our risk for certain mood disorders and other factors that can affect our mental health such as depression and anxiety.

Furthermore, lack of sleep can increase other comorbidities or other complications such as increase our risk of obesity. This could be due to metabolic changes that occur within our body, or as in my case make you more likely to eat things that you might not otherwise and in in higher quantities. This can secondarily lead to high blood pressure, diabetes, and other disorders including heart disease.Over the last 50 years several tragedies have had their root cause in sleep deprivation. The top left reminds us of the hundreds of American lives lost each day in car accidents. Oftentimes inadequate rest is a common factor that can play a leading role in causing the accidents. The top right is a reminder the Chernobyl accident. As they studied that they realized that sleep deprivation was at the root cause of a mistake that was made. The middle slides remind us of something some of us experienced in the 80s when the challenger shuttle exploded into space. The bottom left the Exxon Valdez oil spill was also a result of sleep deprivation. The consequences of sleep deprivation can be large and small. The point is its so important for us to get adequate rest in order to be our best.

During those six to eight hours we spend sleeping theres so much restructuring pf modeling in our brains. Much like shutting our computer off at night and updating it. Sleep helps us to heal and to regenerate things that have otherwise been damaged and injured in the course of our daily activities. Here are some of the things that we can and should do to help improve our sleep.

First its important to create a bedroom environment thats relaxing, oftentimes making it colder than what we might be accustomed to. When our body temperatures warmer its hard to get adequate rest in most cases.

Second, and this is huge. In 2020 were just too plugged in. Were using our electronic devices too much and for too long. One of the worst things that we can do that really disrupt our circadian rhythm is using electronic devices in our bed. Many of us use our phones, watch tv, have computers open in bed. Wereally need a high yield activitythat we can engage in,especially if were having challenges and difficulties falling asleep or staying asleep. That can make a profound difference!Many studies have shown that if you turn off electronics an hour before bed thats going to help your body to wind down more effectively. So no electronics in bed and even try to avoid those an hour prior!

Another huge area of guilt for many of us where we have opportunities for improvement is our caffeine consumption. Caffeine is referred to as a methylxanthine also known as a diuretic. Its not just the stimulant effects that can stay in our body six to eight hours after consumption but as many of us know who consume caffeine it can act as a diuretic and cause you to have to get up in the night to use the restroom more often than you otherwise would.

As a reiteration from the bullet point on electronics, really try to use your bed only for sleep. for those who are students not doing homework in bed, not studying things thatll stimulate our brain. Our brain is so incredibly amazing and it gets confused if we try to encourage us to stay alert in the same setting that we then encourage it to fall asleep. So try to separate those activities locations. Keep pets and I might also add young children off your bed. I know that sometimes, especially when our children are small, your bed can become the family bed. But that can really disrupt us and them!

Another strategy thats helped many who have a difficult time falling asleep is wearing sleep clothing. what Im referring to by this is, oftentimes people and their motivation to have better health might say Im going to hit the gym tomorrow and to prepare me for that Im going to wear my gym clothes tonight. but that can really mess up your sleep cycle! Having something that your body knows that when you put on its time for bed can really help. It could be shorts, a nightgown if youre so inclined. That its going to help us to be classically conditioned to fall asleep more effectively.

Other bedtime ritual factors that can help us fall asleep are taking a hot bath, finding and reading a book, warm milk or a chamomile tea. Lastly for those who have an exceptionally busy mind and just cant quite shut it off writing those things down can help you have some element of closure. For some, prayer, reflection, or meditation can also help with that.

This slide is a little bit comedic, but also true. I dont want to sleep like a baby, I just want to sleep my like my husband. I think my wife could attest that the truth of that in our household. For children the tips are similar again, bedtime rituals, and enough time to sleep. This is a reminder of the ages of our children or grandchildren and how much sleep their body really requires. Having the regular sleep and awake times, and systematic ignoring can help as well. I deliver a fair number of babies and take care of those babies in the office, and I see a lot of young first-time moms who feel guilty about allowing their baby to cry to sleep. They worry that theyre going to cause some type of repressed negative emotions as they get older. Its just not true, if our child is fed, if theyre changed, its okay to let them cry for a period of time. If it goes on for a long time give them a brief hug, but let them getting back to that systematic ignoring. I know its tough to do, there might be some tears and some hand holding with your spouse to get through that but it really can help to train them and us.

Positive reinforcement for the good behaviors, especially that toddler whos trying to learn how to sleep in their big girl or big boy bed. Encourage them with a sticker chart or other things as they have positive experiences and success even in smaller areas. Sleeping in their own beds is another reiterated point. White noise, were a huge fan of white noise in my house. kind of drown out some of the other sounds that might otherwise disrupt them. Its interesting, night lights can be helpful for kids, but less so for adults.

The question is When is it necessary to see your health care provider? If youre still having a difficult time falling asleep within 30 minutes, or staying asleep throughout the night after incorporating these sleep hygiene measures Its time to visit your healthcare provider. For some individuals they might be suffering from chronic pain thats prohibiting them from falling asleep. Id encourage following up with your health care provider to address that as well. Others might have a really difficult time turning off their mind, there might be some less well-controlled symptoms of anxiety and or depression. I encourage you to talk to your health care provider about that too. For others there might be excessive nighttime urination, there might be metabolic or underlying endocrine or other medical disorders that can be corrected and adjusted. Just putting a plug for following up with your healthcare provider.