Annual ReportFiscal Year 2017

1145 Sagamore AvenuePortsmouth, NH 03801

NONPROFIT ORG. U.S. POSTAGE PAID

PERMIT NO. 226 PORTSMOUTH, NH

03801

MissionFounded in 1963, the mission of Seacoast Mental Health Center is to provide a broad, comprehensive array of high quality, effective, and accessible services to residents of the eastern half of Rockingham County. Seacoast Mental Health Center (SMHC) is one of ten NH state-designated community mental health centers. Communities included in our catchment area are Brentwood, Deerfield, East Kingston, Epping, Exeter, Fremont, Greenland, Hampton, Hampton Falls, Kensington, Kingston, Newcastle, Newfields, Newington, Newmarket, North Hampton, Northwood, Nottingham, Portsmouth, Raymond, Rye, Seabrook, South Hampton, and Stratham.

ServicesSeacoast Mental Health Center provides comprehensive mental health services to children, adolescents, adults, and their families. Depending on the clinical diagnosis, severity of impairment and age of the client, available services range from 24 hour emergency services to individual and group therapy, couples and family therapy, outpatient substance use disorder treatment, including medication assisted treatment, psychiatric services, psychological and neurological assessment and testing, to home and community-based services, residential care, case management and employment support services. All our services are designed to help the client manage their symptoms so that they can lead more productive lives in their own community. In FY 2017, the Center provided services to 5628 individuals and their families.

Annual Report to the CommunityBoard of Directors

Jason D. Coleman, PresidentMonica Kieser, Vice PresidentPaul Sorli, TreasurerSusan Craig, Secretary

Timothy BlackKathleen DwyerSandi HennequinKimberly Hyer, MDLindsay JosephsErin Lawson

Ed MillerJohn T. PendletonNed RaynoldsNike SpeltzRobert StomieroskyTammy Strain

Senior ManagementJay Couture, MHA, Executive Director

Wassfy M. Hanna, MD, Medical DirectorLinda Every, BS, Associate Director

Offices1145 Sagamore Avenue Portsmouth, NH603-431-5078

30 Prospect AvenueExeter, NH603-772-2710www.smhc-nh.org Like us on Facebookwww.facebook.com/smhcnh/

Medicaid plan – the New Hampshire Health Protection Program. At both the state and federal level, we continue to advocate for continuation of this benefit as it has increased access to care and undoubtedly saved lives.

During the year we expanded our co-location capacity in community sites such as schools and primary care practices for Child, Adolescent and Family Services (CAFS) Therapists. Our CAFS staff were selected for training in The Modular Approach to Therapy for Children with Anxiety, Depression, Trauma or Conduct Problems (MATCH). This will add another evidence based practice to the skill set of our clinical staff. Training across all programs, and the implementation of evidence based and evidence informed practices continues to be a priority for the Center. Partnerships with other stakeholders continued to expand and strengthen, as we have continued our efforts to be active participants in the Integrated Delivery Network for Region 6 covering the eastern half of Rockingham and all of Strafford County. Implementation and expansion of collaborative, integrated care projects are anticipated to improve outcomes for some of our most vulnerable clients. We have also had the opportunity to be at the table of the Governor’s Workgroup on Mental Health Reform. Our challenges still exist, including workforce shortages, administrative burdens and a Medicaid Fee schedule that has not seen an increase in more than a decade. These challenges can only be overcome with constant attention and efforts to effect meaningful change. Having the opportunity to participate in the Governor’s Workgroup allows the voice of Seacoast and the clients we serve to be heard at the highest levels. As we face the future, we believe the Center is positioned to continue to provide high quality, effective and accessible mental health services to the residents of the eastern half of Rockingham County. This will only be possible if we have adequate funding and policies that allow for us to succeed. We will continue to advocate at the local, state, and national levels for the funding and policy support that we need to have in place to allow us to meet our mission. Our deepest gratitude goes out to all our donors, sponsors, board members, volunteers and staff who have supported the Center and the work we do.

Sincerely,

Jason D. Coleman Jay Couture, MHAPresident, Board of Directors Executive Director

Message from the Board President and the Executive Director

Seacoast Mental Health Center stood strong in a year filled with major political happenings. Though uncertainty about the future of the Affordable Care Act and the NH Health Protection Program was a top concern, we continued to expand services to better meet our clients’ needs. In the summer of 2016, we launched our new Substance Use Disorder Program. Given the increased deaths due to overdoses in our region, we expanded the scope of our services to assist in meeting this community need. Many of the individuals treated in this program are covered by New Hampshire’s expanded

Child, Adolescent, and Family Services

Child, Adolescent, and Family Services are provided to children ages 3-18 and their families in a variety of settings that include: at the Center; in their homes; in the community; at their schools and healthcare offices. With supports available for the entire family system, the Center believes that the family can gain a better understanding of the youth’s needs while utilizing strategies to strengthen the family system. Learning and Attention Disorder Services are provided to children and their families who are coping with learning, attention, or behavior problems in the home, at school, or at the workplace. Services are also provided to children with a diagnosis on the Autism Spectrum. Staff work with the children and their families in developing emotional regulation skills, social skills, and coping skills as well as with functional communication and other augmentative and alternative communication strategies. In order to be more accessible, clinical staff are co-located in the Portsmouth, Seabrook, Exeter, Raymond, Epping, Northwood, Rye, Newington, Brentwood, Newmarket and Hampton Public Schools. Additionally, staff are co-located at Lamprey Health Care in Newmarket and Raymond, Core Pediatrics in Epping and Exeter and at Families First Health and Support Center in Portsmouth.

1,508 children, adolescents and their families were provided services in Fiscal Year 2017.

Meet David

David, a sophomore in high school who struggles with anger management, just got his first job mowing lawns, landscaping and doing physical labor. He receives individual therapy at the Center and participates in our Rehabilitation, Empowerment, Natural Supports, Education and Work (RENEW) program. A year ago David was failing all his classes, defiant in school and in jeopardy of being kicked off the football team. With support from his RENEW Family Outreach Specialist, at Progress Meetings and IEP Meetings at school and in helping him access transportation, food, and clothing, so many doors have been opened for him! He got all passing grades, was invited to join the football team and he is better able to control his anger and aggressive behaviors

at school and at home….. all while working 25 hours a week to help support himself and his mother who is physicallyhandicapped. His mom has seen the positive outcomes of his participation in RENEW and other services at the Center. “From his job he is learning responsibility and that by engaging in physical activities he has been able to decrease his anger and aggression.” David himself acknowledges that his Family Outreach Specialist “has helped me in school, helped me maintain my grades and has helped me build positive peer relations. She’s helped me access help I couldn’t achieve on my own.” He now knows he can work on getting a non-driver’s license identification card, join the Police Explorers, pass drivers education before winter as right now his only transportation is his bike and open a bank account to budget money so he can buy a car. Most importantly, he is graduating high school!

The Rehabilitation for Empowerment, Natural Supports, Education, & Work (RENEW) Coordinator and two facilitators embarked on a new project. Strafford Learning Center was awarded a state contract to develop supports for transition aged youth, specifically focusing on their vocational needs. Staff developed a 10 week curriculum that was delivered to groups of youth at the Epping and Newmarket High Schools, introducing the concepts of RENEW. It was an opportunity for the youth to begin exploring their long-term goals.

We know that in New Hampshire, 1 in 4 children live with a diagnosable mental illness and that suicide is the second leading cause of death of youth 10-24 years of age. Further, the Opioid crisis is creating changes in many family systems. Many children are experiencing anxiety, depression or behavioral challenges due to family system challenges, their increased concern for their parents, caregivers, and their siblings who may be affected by this crisis.

New Initiatives:

A Collaboration with Seacoast Learning Center

This past spring nine master’s degreed Child, Adolescent, and Family Services clinicians attended a five - day MATCH training provided by the Judge Baker Children’s Center, an Affiliate of Harvard Medical School. Unlike most treatment approaches that focus on single disorders, this evidenced based practice is designed to treat children ages 6-15 with clinically diagnosed anxiety, depression, trauma, and compliance issues. This model combines the Modular Approach to Therapy for Children with Anxiety, Depression, Trauma or Conduct Problems (MATCH), with a child progress and outcome monitoring system called Treatment Response Assessment for Children

MATCH

(TRAC). MATCH is comprised of 33 modules (e.g., safety planning, relaxation practices, understanding symptoms, praise, rewards, etc.) representing treatment components that are frequently included in cognitive behavioral therapy protocols for depression, anxiety including post-traumatic stress, and behavioral parent training for disruptive behavior. Based on the child's primary concern, treatment is sequentially organized and flexible in order to tailor treatment to each child's specific characteristics and needs.

The Annual Art of Recovery ‘Seacoast Seen’ Art Auction

The Art of Recovery provides our clients the opportunity to work as equal partners with professional artists to create original works of art. The culmination of this year’s work was celebrated with a sold out crowd at the Art of Recovery ‘Seacoast Seen’ Art Auction on June 1st at the Atlantic Grill in Rye, NH. Emmy Award winning ABC photo journalist and local Portsmouth artist Jay Schadler was the Emcee. Music was provided by Classical guitarist Alan Lee Wilson. Auctioneer, Bill Burns auctioned off six (6) pieces of art. Forty- six (46) pieces of art were sold in the Silent Auction.

The Art of Recovery is so much more than just the art and the celebration event. It is about the incredible journey our participants enjoy. Each piece of art has its own story.

Special thanks goes to all our participating artists, our Corporate Partners, those who attended, those who bought art as well as those who made a donation in lieu of attending and of course our Event Planning Committee: Susan Craig, Jodi Frechette, Elena Maltese, Barb Miller, Katherine Plouffe, Nike Speltz, and Tammy Strain. Net proceeds from this year’s event were nearly $28,000!

Over the past six years, the Art of Recovery has raised just over $107,000 to help provide mental health services to those with limited financial resources.

The Cogswell Conference

The 17th Cogswell Conference was held on October 21, 2016 at the Harbor Events and Conference Center in Portsmouth.

Karin and Ed Cogswell helped to establish the Erik Cogswell Memorial Conference in memory of their son Erik who died by suicide in November 1999 as a result of bipolar disorder. Their goal was to educate, support, and provide resources to people living with and recovering from bipolar disorder and their families, friends and the community at large.

Each year mental health clinicians, psychiatrists, psychologists, consumers, and their families attend this daylong event.

Keynote Speaker was Kevin Hines a mental health advocate, award-winning global speaker, bestselling author and documentary filmmaker who reaches audiences with his story of an unlikely survival and his strong will to live. Two years after he was diagnosed with bipolar disorder, he attempted to take his life by jumping from the Golden Gate Bridge. He is one of only thirty-four (less than 1%) to survive the fall and he is the only Golden Gate Bridge jump survivor who is actively spreading the message of living mentally healthy internationally.

Erik Cogswell Memorial AwardThe Erik Cogswell Memorial Award is given annually to recognize an individual for his or her outstanding contribution to improving the lives of those individuals with a mental illness. Prior recipients have meaningfully contributed to providing “Hope, Education, and Support” to those living with a mental illness, their families, their caregivers and our community at large. Tara Holmes Ball- founder of Connor’s Climb Foundation was the 2016 recipient.

Adult Services Our Adult Services staff provide comprehensive mental health services to adults, ages 18 and older. Depending on the clinical diagnosis, severity of impairment, and age of the client, our services range from psychotherapy and clinical/psychiatric rehabilitation to home and community support services that include: case management, supportive housing, employment support, family support, and education through support groups to adults and their families. These resources are designed to help each client manage his or her symptoms and to enable them to lead more productive lives in their community. Our wellness program InSHAPE® works with our clients in the areas of exercise, nutrition counseling and education, smoking cessation support and encouragement and support for receiving regular medical check-ups and active management of chronic health conditions.

2,942 Adults and their families were provided services last fiscal year.

Seacoast Mental Health Center now offers treatment for adults with Substance Use Disorders (SUD) and those with co-occurring disorders, including Medication Assisted Treatment. As a community mental health center we seek to provide services that meet client needs and to collaborate with local organizations to improve the delivery of a continuum of mental health care services. The Substance Use Disorders Program offers outpatient individual and group therapy, Medication Assisted Treatment, and access to Community Recovery Services. Also available is an Integrated Treatment modality for those with Co-Occurring Disorders. Clinical staff develop integrated treatment plans, and treat both a client’s serious mental illnesses and his/her substance misuse.

Services are provided by clinicians whose backgrounds are in the areas of both addiction services and mental health services, Board certified psychiatrists, registered nurses and certified medical assistants.

A Transportation Services Fund was created to provide Adult Services clients transportation to treatment services at the Center. Transportation services are available to adult clients, who would not otherwise have access to Substance Use Disorder Services and Co-Occurring Treatment Services for those diagnosed with both a mental health illness and an addiction disorder, and those with a mental illness who do not drive or hold a valid driver’s license due to their diagnosis. Transportation can be a barrier to accessing treatment. As a result, even getting to the Center for the initial intake interview can be a challenge. We know that when an individual decides to take the initiative to seek help, timing can be the key to accessing and continuing treatment.

New Initiatives:

Members of the Exeter Chamber join us in celebrating of the expansion of Substance Use Disorder Treatment Services to our Exeter office at 30 Prospect Avenue!

Meet Mark:

Mark had been experiencing homelessness for over 5 years until June when Dana connected him with a local landlord that was willing to accept his Section 8 voucher and he moved into his own apartment.For two years, Dana helped Mark, a man in his 50’s experiencing homelessness get connected to mental health services for his depression. Mark started seeing a Seacoast Mental Health Center therapist on a weekly basis as well as a case manager to assist him with his goals. Mark identified an interest in working and was connected with a supported employment specialist. At the same time Dana helped him apply for social security benefits, Section 8 public housing and connected him with resources for a security deposit, electric assistance, household needs and a local food pantry.

After two years with the support of his SMHC treatment team Mark was able to transition from his campsite in Portsmouth to a new town with affordable and sustainable housing. He continues to work with his treatment team at SMHC.“My experience with Seacoast Mental Health has been exceptional. I feel they have gone above and beyond with their services, with a very professional and friendly attitude. With their help, I was able to move ahead in life, and am now residing in a nice clean apartment, with a great landlord, with everything I need to make a new start.” – Mark

Fairweather Lodge Gets an UpliftFairweather Lodge is a 24/7 staffed eight-bed group home for adults with severe mental illness who have transitioned back into the community from the NH State Hospital. This past Spring, SunLife chose The Lodge as their Spring United Way project. SunLife staff spent the day planting the resident’s vegetable and the herb gardens as well as potting all the window boxes.

Hats off to one of our InShapePartners: The Exeter Area YMCAPictured left to right: Robert McGregor, Executive DirectorDeanna Graham, Health and Wellness DirectorMatt Peaco, Inshape® Outreach SpecialistDavid Smith, Manager of Evidenced-based Practices

Celebrating the Generosity and Loyalty of Our Donors

Rec

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We are very appreciative of the support we receive from all our funders. They ensure we are able to ‘provide hope and promote recovery’ to the children, adolescents, adults, and their families that we serve each year.

Philanthropic ContributionsBarbara AlbertDave & Catherine AndersonJames and Terry AndritzAnthony AndronacoAnonymous, 2Anonymous PPGFAnonymous Liberty Mutual, 8Anonymous, John Hancock Anonymous, UPSAnonymous, Pratt and WhitneyAnonymous, SNHUAnonymous,UWAnonymous, Baker, Newman, Noyes LLCAnonymous, ShawsAnonymous, LindtDan and Jane BarrettMalcolm Beaudett, M.D.Robert G. BelisleJennifer BellRichard A. BoisvertAndrew J. and Joan Corsiglia BreenCarl P. BrigadaLindsay BroadDavid H. BryanThomas J. and Carole L. BuntingBrian W. BuonamanoBill BurnsJudy ByronC. Wesley Gardner Jr. Rev. TrustCamille WeeteJ.F. Carilli and C.A. CarilliChandra CarsonShane M. CasimiroCGI Business SolutionsEarl and Lori G. ChabotCharlie and Kim SeefriedCandace CimonDee Cleary

Ed and Karin CogswellJason and Mindy ColemanNatalie Rotman CoteJay CoutureRichard and Joyce CowernSusan E. CraigDan CroninDiane CyrThe David Barrows Adventure FundDarcy E. Davidson and Robert M. SnoverScott R. DeckerRobert E. DitmanVirgina DoverPatty Driscoll and Michael UhlarikTed Drummond & Amy FeitelsonDavid J. and Janet R. DugganDwyer, Donovan & Reis P.A.Kathleen DwyerStephen and Nancy EamesEbsco PublishingSusan EisermanJackie EllisLinda EveryExeter Health Resources, Inc.Fabulous FindSara FechnerDr.Henry Ferrell and Gwen EnglishJoseph E. FlahertyBarbara FranzosoJocelyn FrechetteFred C. Church Insurance, Inc.C. Wesley Gardner, Jr.Rosemary and John GardnerScott & Ashley Anne GarnettSteven and Gail GoldbergMilton GrantGreat Bay Spa & SaunaMichelle Grennon

Marc and Beth GriffinDouglas E. GroutMatt GunnAnn HaggartDr. and Mrs. Wassfy HannaTerrie HarmonCassandra M. HennequinLucius T. Hill Jr.Sara Treacy HillSherry and Art HoffmanKenneth HooperHouse of AcquinnahFrank S. and Kimberly Ann HyerKatrina IsermanDavid and Nancy ItkinJohn Hancock Financial ServicesE. William and Reiko JohnsonRosalie JohnsonMark and Lindsay JosephsKristen E. JurusJoseph KaffkoJames T. KaneAndrew Kaplan, D.O.Jim and April KatesTimothy G. KeenanDonald J. KieserMonica KieserSusan J. KinkelaarJennifer KinseyLeonard Korn, M.D.Maria LabrieParthemia LagassaMargot LakeBenjamin and Jane LannonDenise R. LaundisErin LawsonChris & Christopher LeCompteLaurie LegardRobert LegroBarbara LevensonDana and Shaula LevensonLiberty MutualPaul D. LidstromSarah M. LinscottKathleen LoganJodie L LubarskyKathleen MacLeod

Susan JG MacWilliamsLisa and John MaharJason R. MahoskyDebora J. MarathonJody McAteerSusanne McCarthy and Sharon DeGrootHarry J. and Virginia T. McKennaMelissa C. McLaughlinMedtronic FoundationRobert M. and Susan MennelTimothy R. MetzgerKim and David MeuseMergim MiftariEmad R. and Marie M. MiladEd and Barbara B. MillerJohn J and Deborah l. MillerJennifer MitchellPaul and Sharon MorrillAndrew and Elizabeth MorrisMaxine MorseDeborah L. NelsonNess/Rodenberg Family FoundationChristopher F. and Eileen A. NevinsNew Hampshire Charitable FoundationLaurin Noel & James BuyakNorth Church of Portsmouth, NHLilianne and Henry OuimetOxford NetworksLisa OzanaP. Gagnon & Son, Inc. George and Maria PappasVincent PascucciElizabeth PeckJohn and Sarah PendletonJohn B. Pendleton & Betsy CurruthersJulie PendletonLiz PitzerKatherine M. PlouffeLinda D. PontbriandPrecision ResearchKelly S. PreisendorferKenneth and Rona PurdyNed RaynoldsErin ReisRichardson's RealtyMarion and Bruce RinesChrista and David RiversThomas Rogers

Benefits to our Community beyond Direct Care Mental Health Services

Mental Health First Aid training is available for community groups, schools and colleges, law enforcement and others interested in learning the signs of a mental illness. The internationally known training program has proven effective in educating the general public in ways to identify, understand, and respond to the signs of mental illness and substance use disorders. Participants learn how to recognize the signs and symptoms of mental health problems and to provide initial aid before guiding a person toward appropriate professional help. Trainings have included nursing students, as well as the Administrative staff and the Security staff at Great Bay Community College, the Portsmouth Housing Authority, US Coast Guard, and the Exeter Hospital administrative staff.

The Child, Adolescent, and Family Services staff provide free trainings as requested by community members on a variety of topics including, but not limited to: child development, parenting, Autism Spectrum Disorders, self-injurious behaviors, managing disruptive behaviors and mental illnesses commonly seen in children.

The Adult Services staff provide training in an array of areas. This past year the Hampton Falls Police and Fire Departments both participated in a training aimed at increasing the awareness of suicide risk and how it might manifest on the job, among their coworkers and in the community.

Community Access to Recovery is a collaboration that identifies ways our community can better address the heroin/opioid epidemic. We were part of the core group that implemented the first Community Care Team, which identifies people who utilize our local Emergency Departments for reasons that are not emergent. This enables all the providers to develop better treatment plans and ensure access to other services so that that the needs of these individuals are met appropriately.

The Center also participates in the Seacoast Public Health Network, whose mission is to engage regional prevention, treatment, and recovery providers in establishing a coordinated continuum of care. In Fiscal Year 2017, we provided $512,028 in uncompensated care for direct services including some provided by our 24/7 Emergency Services Department and Assertive Community Treatment (ACT) Team who are available 7 days a week to those adults experiencing severe and persistent mental illnesses.

Community Benefits

Summary of Clients ServedEmergency Services were provided to 1,011 individuals including 115 from outside our catchment areaPsychiatric Services were provided to 2,951 children, adolescents, and adultsThe Adult Services Department provided services to 2,942 individualsThe Child, Adolescent, and Family Services Department provided services to 1,508 youth and their families

We make every effort to recognize all our donors accurately and apologize for any unintentional errors or omissions. Please contact the Development Office at 603-957-5743 so that we may correct our records.

Rosamond Thaxter FoundationThe Schleyer FoundationWilliam G. ScottSeacoast Women's Giving CircleChristopher ShultzAnna N. SimicWinthrop D. and Claire De Tarr SmithRobert C. and Mary Jane SolomonGina M. SorgePaul SorliDavid and Nike SpeltzLaurie and John SpigenerLynn StacyBradley M. StevensRobert StomieroskyPeter and Ann StrachanTammy StrainSusan StudleyStrider SulleyLisa Zack Swasey and Dexter SwaseySystems EngineeringHelen B. TaftUma M. ThangavelThomas W. Haas Fund at the NH Charitable FoundationNicholas and Linda ToumpasLorina C. TrefethenUNH College of Health and Human ServicesUnited Way of the Gretaer SeacoastMichael UrbanoLee and Peter VandermarkShirley VarneyPaul and Rosalie VlahutinMark and Marguerite L. WagelingRick WallisElizabeth WeaverMelissa Anne WeeksSusan Yakutis

City of PortsmouthTown of NorthwoodTown of South HamptonTown of BrentwoodTown of DeerfieldTown of East KingstonTown of ExeterTown of HamptonTown of Hampton FallsTown of KingstonTown of NewcastleTown of NewfieldsTown of NewingtonTown of NewmarketTown of NottinghamTown of RaymondTown of RyeTown of SeabrookTown of Stratham

Municipal Contributions

In Memory of Colleen HinesJ. F. CarilliMarion RinesIn Memory of Melissa WeeksP.Gagnon & Son,INC.Susan EisermanTerrie HarmonSusan J. KinkelaarDebora J. MarathonSusanne McCarthyLisa Zack SwaseyPaul Vlahutin

Gifts in Memory of

Statement of Income and Expenses as of June 30, 2017

Medicaid66%

Medicare4%

Other Third Party Insurance

9%

Client Fees4%

Public Support5%

Federal Funding4%

Bureau of Mental Health Services

6%

Other Revenues2%

Medicaid

Medicare

Other Third Party Insurance

Client Fees

Public Support

Federal Funding

Bureau of Mental Health Services

Other Revenues

Salary & Benefits81%

Professional Fees4%

Occupancy Costs6%

Operating Costs4% Travel

2%

Insurance1%

Other Expenses2%

Salary & Benefits

Professional Fees

Occupancy Costs

Operating Costs

Travel

Insurance

Other Expenses

Fiscal Year 2017 Sources of Revenues

Fiscal Year 2017 Statement of Expenses

Total Revenues 13,002,285

Medicaid 8,610,117 Medicare 554,186 Other Third Party Insurance 1,096,199 Client Fees 549,908 Public Support 686,400 Federal Funding 493,850 Bureau of Mental Health Services 745,964 Other Revenues 265,660

Total Expenses 12,476,697

Salary & Benefits 10,116,343

Professional Fees 432,621

Occupancy Costs 728,339

Operating Costs 502,326

Travel 287,990

Insurance 137,822

Other Expenses 271,255

Integrated Delivery of Care

New Hampshire’s Building Capacity for Transformation 1115 Medicaid Waiver represents an unprecedented and unique opportunity for New Hampshire to strengthen community-based mental health services, combat the opioid crisis, and drive health care delivery system reform. The program is spearheaded by regionally-based networks of organizations-Integrated Delivery Networks (IDNs) that will design and implement projects in a geographic region. IDNs are made up of multiple community-based social service organizations, hospitals, county facilities, primary care providers, and behavioral health providers, who are partnering to design and implement projects to build behavioral health capacity, promote integration of primary care and behavioral health, facilitate smooth transitions in care, and prepare for alternative payment models.

The goals of this initiative are to build greater behavioral health capacity, improve integration of physical and behavioral health, and improve care transitions for Medicaid beneficiaries. The waiver enables the achievement of these goals by allowing IDNs to earn performance-based fiscal incentive payments for achieving specified milestones and clinical outcome metric targets. The IDNs are not designed to replace current providers or Medicaid managed care organizations, but instead to create and implement a plan for an integrated network of services that will improve outcomes and increase efficiency in the delivery of primary care health services, mental health services, and substance abuse services.

Seacoast Mental Health Center has taken an active role in this process of assessing the needs, identifying gaps in services, barriers to accessing services and looking at how technology can assist and what are the barriers to attracting, hiring, and retaining qualified providers. Jay Couture, Executive Director, serves on the Executive Committee for Region 6 and in doing so has a voice in the actual delivery model. The Center’s Chief Information Officer, Director of Adult Services, Director of Child, Adolescent, and Family Services, and the Addiction Services Program Manager each serve on individual task groups assessing gaps and determining more effective services delivery models.

Integrated Delivery Networks- A Collaboration

Providing HopePromoting Recovery

Meet our New Board Member: Sandi HennequinSandi joined Emera Energy in May 2015 as Vice President, U.S. Public Affairs. She serves as the government affairs, public relations, and communications liaison for Emera Energy in the Northeast United States.Prior to joining Emera, Sandi served as the Vice President for the New England Power Generators Association, with responsibility for directing their legislative and educational strategies in New England and as Vice President for Energy Policy in New England for Constellation Energy, representing their commercial interests before the legislative and regulatory bodies in New England, and within the New England Power Pool stakeholder process. She also has a breadth of energy consulting experience focused on development of competitive energy markets in the Northeastern United States. Sandi is a graduate of the George Washington University and holds a Masters of Public Administration from Syracuse University’s Maxwell School of Citizenship and Public Affairs. She is active in her community having served as the President of the Board of Directors of the Prescott Park Arts Festival, chaired the Families First Event Committee and was appointed to the Mayor of Portsmouth’s Blue Ribbon Committee on Sustainable Practices. Sandi lives in Portsmouth with her husband Steve and their two daughters.“I look forward to using my advocacy and communication skills to assist SMHC in advancing its important mission of providing accessible mental health services to the community. In particular, the issues of lingering stigmas about mental illness and the need for continuing education on mental illness are areas in which I hope to make a meaningful difference.”

Meet our Board President: Jason D. Coleman Jason D. Coleman has served as a member of the Seacoast Mental Health Board since 2003. He currently serves as Board President and sits on the Finance and Development Committees. His responsibilities as Board President include the effective action of the board in governing and supporting the organization, and oversees board affairs. “My family has had a battle of mental illness in the past, and I always appreciated the professionalism and compassion of those that work in the mental health field. Being on the board at Seacoast Mental Health Center is a way that I can give back to the field, and the

community that has personally helped my family and myself.”Jason, a native of Portsmouth, currently serves in the New Hampshire Air National Guard as Superintendent, Manpower & Personnel Flight, Pease Air National Guard Base, New Hampshire. He is responsible for advising Airmen on promotions, training, benefits, and making sure the New Hampshire Air National Guard is in compliance with personnel policies, directives, and procedures. Jason is not only active in his community but has been widely recognized professionally. In 2007 he was selected as the New Hampshire Air National Guard Noncommissioned Officer of the year. In 2011, he was selected to attend USAF Senior Noncommissioned Officer Academy in residence program. In 2014, he served as Lead adviser at New Hampshire Air National Guard to the Secretary of the Air Force, Integration of Air Force Component Personnel Management Systems. Senior Master Sergeant Coleman also received the Meritorious Service Medal in 2014. Jason and his wife Mindy are the parents of two daughters, Alexis age 7 and Ashley age 5.

Emergency Services

Access to Emergency Services is available by calling (603) 431-6703 or (603) 772-2710.

Meet CB:

able to help me see that I should return home where I belonged with my husband and two kids. He also helped me schedule an appointment with a therapist. Now that I am seeing my Seacoast Mental Health Center therapist, learning new coping skills and taking the medications the Center’s psychiatrist prescribed I’m able to keep my emotions in check. “Over the past 4 years, I have gone back to work full-time, worked hard on my marriage and have two amazing kids ages 14 and 18 who have seen a change in their mother. Without the Center, I probably would have been hospitalized more than once in a psychiatric facility. It is hard to imagine where I would be without the guidance and help of those at Seacoast Mental Health Center!”

“Too often, I got upset about everything and took my anger out on those closest to me, usually my family. I had stopped taking my medication. Talking to people has never been a strong suit of mine so that delayed my wanting and getting the help I needed. Years earlier, I was diagnosed with Bipolar disorder, severe depression, and suicidal thoughts. During this period, I struggled with my marriage and had a very difficult time raising my oldest daughter. I was unable to work. The thought of trying to work seemed impossible at the time! After a night of sleeping in my car after another argument with my husband, I knew I needed some help! I called the Seacoast Mental Health Center 24-hour Emergency Services number. Their Emergency Services Clinician was

We would like to recognize Beverley Newberry for her thirty seven (37) years of dedicated service as the Seacoast Mental Health Center’s Director of Emergency Services. Bev was an integral player in the growth of the Center over those many years, providing critical emergency services support to many individuals and families. We wish her only the best in retirement!

Special Thanks goes to Beverley Newberry, LICSW

Emergency clinicians and our staff psychiatrists provide care to individuals in crisis through assessment, crisis intervention and stabilization services on an outpatient basis 24 hours a day, seven days a week, 365 days a year. The goal is to reduce the individual’s acute psychiatric symptoms, reduce risk of harm to themselves and/or to others and assist in returning the individual to their pre-crisis level of functioning. After the crisis, the staff work to link the individual to any additional services they or their family may need. Emergency Services are provided regardless of the person’s ability to pay. This past fiscal year 1,011 individuals were treated by our Emergency Service staff.

We Gratefully Acknowledge the Supportof Our Corporate Partners

In Memoriam: Lindsay Josephs

Lindsay focused much of her energy and extraordinary skills on the vulnerable and underserved. She helped start the Portsmouth Prenatal

Clinic for pregnant teenagers and indigent women and served for five years as its Executive Director. Lindsay's passion and vision transformed that small clinic into the now comprehensive community health center, Families First Health and Support Center. She also worked as Executive Director of the Bi-State Primary Care Association and as a consultant to

various non-profits, before spending the last decade of her career as Program Director at the Endowment for Health in Concord. During her tenure at the Endowment, Lindsay's thoughtful leadership and careful grant funding decisions laid the groundwork for changes in oral health policy-not only in New Hampshire, but nationally. In addition, she volunteered her time, expertise, and compassion as an active board member of the Seacoast Consumer Alliance, New Heights, Webster at Rye, and Seacoast Mental Health Center.

Lindsay served as a member of the Center’s Development Committee since its inauguration in 2015 and then as the Chair of the Committee from August 2016 until her death in June 2017. During her tenure on the Committee, charitable giving increased and the Art of Recovery Art Auction event sold out. She and her husband Mark have been avid supporters of community mental health for many years.