Tom and Joan Scott Medical Clinic
The Tom and Joan Scott Medical Clinic at the Ranch in Billings is more than a mental health clinic that supports care at our Psychiatric Residential Treatment Facility (PRTF).
It operates as two specialty clinics and serves as a key medical resource for the broader Yellowstone Boys and Girls Ranch (YBGR) community, working alongside Human Resources, Yellowstone Academy, Community-Based Services, and our Therapeutic Group Homes.
Mental Health Care
As a mental health clinic, the Tom and Joan Scott Medical Clinic supports individuals experiencing a range of mental health concerns, including (but not limited to) anxiety, depression, and post-traumatic stress disorder.
Care is provided by psychiatrists and board-certified mental health physician assistants and includes:
- Evaluation and diagnosis of mental health conditions
- Individual, group, and family counseling
- Medication management as part of a comprehensive treatment plan
- Psychiatric rehabilitation services, including support with building a care network, transitioning home or back to school, and developing daily living skills
Primary Care
Mental and physical health are closely connected—each influencing the other. With this in mind, the Primary Care team at the Tom and Joan Scott Medical Clinic provides comprehensive medical care to support overall health and well-being.
Services are delivered by a board-certified family nurse practitioner and a dedicated primary care nurse and include:
- Annual physical examinations
- Laboratory testing
- Health screenings for conditions such as diabetes, high blood pressure, and high cholesterol
- Treatment for mild illnesses, including headaches, coughs, and sore throats
- Care for minor injuries, such as small cuts, scrapes, or burns
- Sexual health, including birth control counseling and referrals to obstetrics and gynecology
- Sports physicals
Clinic Staffing
The clinic is staffed twenty-four hours a day, seven days a week, with at least one Licensed Practical Nurse (LPN) on site at all times. Nursing staff are supported by medication aides, clerical staff, and administrative team members to ensure consistent, coordinated care.
On-Site Testing and Services
To support comprehensive care and informed treatment decisions, the clinic provides on-site testing and diagnostic services.
Laboratory Services
The clinic operates as a federally approved waived laboratory testing site, regulated under national clinical laboratory standards. On-site testing includes:
- Blood glucose monitoring
- Urine testing
- Pregnancy testing
- Fecal occult blood testing
- Drug testing
- Streptococcal testing
- Coronavirus disease testing
Radiology Services
Mobile radiology services are used to provide diagnostic imaging, including:
- Basic imaging of bones and lungs
- Detection of foreign objects
- Ultrasound services for organ evaluation and identification of cysts
Specialty Care Access
When specialized medical care is needed, the clinic coordinates services with providers in the following areas:
- Cardiology
- Dentistry
- Dermatology
- Ear, nose, and throat care
- Gastroenterology
- Gynecology and obstetrics
- Eye care
- Orthopedics
- Physical therapy
- Podiatry
- Urology
Services for YBGR Employees
The Tom and Joan Scott Medical Clinic also offers appointments for YBGR employees, including:
- Primary care services
- Laboratory testing
- Radiology services
- Immunizations
Learn More
For more information about how we support youth at the Ranch in Billings, visit our Residential Care at the Ranch page or continue exploring our on-site therapeutic programming.