Annual ReportFiscal Year 2016

stren

gth hope recovery community wellness encouragement help goals support health motivation recovery strength hope support health wellness goals community m

otivati

on ho

pe re

cove

ry en

cour

agem

ent g

oals

1145 Sagamore AvenuePortsmouth, NH 03801

NONPROFIT ORG. U.S. POSTAGE PAID

PERMIT NO. 226 PORTSMOUTH, NH

03801

From the Board President and the Executive Director

recovery health help com

munity strength encourage

men

t hop

e

Jason D. Coleman, PresidentBoard of Directors

Jay Couture, MHAExecutive Director

As we face the future we believe our 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 level 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 who have supported the Center and the work we do.

Seacoast Mental Health Center had a busy year filled with both challenges and opportunities. We saw more and more attention focused on the Opiate Crisis as the number of overdose deaths continued to climb. In response, we saw more attention directed toward crafting solutions to expand services and other resources to those experiencing substance use disorders. While the increased flow of funding for expanded services will not be seen until FY2017, Seacoast Mental Health Center submitted a grant to the Bureau of Drug and Alcohol Services in February 2016 and received a notice of award in the late spring. With this grant the Center will be able to expand sustance use disorder services to residents of our catchment area, including the addition of Medically Assisted Treatment.

The statewide mental health system continues to struggle to meet demand. There was not a day in FY2016 that New Hampshire Hospital did not have someone, often many people, waiting for a bed at New Hampshire Hospital. This lack of appropriate inpatient capacity creates additional strains on the community based system of care. In response, SMHC has added positions and offered continued training opportunities for staff including Motivational Interviewing, Collaborative Documentation and Integrated Treatment for Co-occurring Disorders to make us a more efficient provider with the best trained staff possible. The dedication and commitment of our staff and our volunteer Board of Directors to meet consumer needs has been unwavering.

Annual Report to the Community

Jason D. Coleman, President Monica Kieser, Vice PresidentTammy Strain, TreasurerPaul Sorli, Secretary

Timothy BlackSusan CraigKathleen DwyerKimberly HyerLindsay Josephs

Senior ManagementJay Couture, MHA, Executive Director

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

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 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, conjoint and family therapy, substance use disorder 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 our clients manage their symptoms, so that they can lead more productive lives in their own community. Seacoast Mental Health Center provided prevention and treatment services to 5,263 individuals last year.

Lillian Kirkland KannErin LawsonEd MillerJohn PendletonNed RaynoldsRobert Stomierosky

Board of Directors

Portsmouth Office:1145 Sagamore Ave.Portsmouth, NH 03801603-431-6703

Exeter Office:30 Prospect Ave.Exeter, NH 03833603-772-2710

Visit us online at www.smhc-nh.org

Celebrating the Generosity Re

ceiv

ed b

etw

een

July

1,

2015

and

Jun

e 30

, 20

16

Philanthropic ContributionsThe Agnes M. Lindsay TrustMatthew J. AnctilDavid A. and Catherine AndersonJames and Terry AndritzThe Annie E. Casey FoundationAnonymous (2)Anonymous, Dartmouth-Hitchcock Manchester (1)Anonymous, Liberty Mutual (12)Anonymous, Pratt and Whitney (2)Anonymous,UPS (1)Beverly BarneyDan and Jane BarrettMalcolm Beaudett M.D.Robert G. BelisleRobert BerganMark and Susan BermanTimothy BlackSharon Bottner-NaimarkAndrew J. and Joan Corsiglia BreenDavid and Kathleen BrownLisa and Ashley J. BrownThomas J. and Carole L. BuntingBurns, Bryant, Cox, Rockefeller & DurkinSteven J. BushC. Wesley Gardner Jr. Earl and Lori G. ChabotThomas P. Clairmont M.D.Deirdre A. ClearyBurton J. CohenJason and Mindy ColemanJay CoutureRichard and Joyce Cowern Susan E. CraigKerry CromwellDiane CyrHannah DahlgrenDan and Blythe Brown Foundation of the New Hampshire Charitable FoundationDarcy E. Davidson and Robert M. Snover Daystar Computer ServicesJudy DeChelloScott R DeckerPaul and Karen Desmarais

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.

Elizabeth DonovanPatricia Driscoll and Michael UhlarikEdward Drummond M.D.David J. and Janet R. DugganDwyer, Donovan & Pendleton P.A.Kathleen DwyerChristine DwyerStephen and Nancy EamesEastern Bank Charitable FoundationEmad R. Milad M.D. PLLCBarbara W. and Fred EngelbachLinda EverySara FechnerLynne Braley FedorowichHenry H. Ferrell and Gwen EnglishStephen and Elaine FinkLauren O. FitzgibbonBarry and Suzanne FoleyJocelyn FrechetteThe Fuller Foundation Inc.Carl W. and Anne C. GabelRosemary GardnerAndrea M. GleasonLarry and Patti GormleyMilton and Gail GrantGreat Bay Spa & SaunaPeter GriffinWassfy and Lynn HannaElizabeth HartnettBenjamin R. HetzerRobert W. and Patricia Burke HickeyLucius T. Hill Jr.Carol N. HollisScott A. HughesFrank S. and Kimberly Ann HyerDavid and Nancy ItkinJudith JellinekE. William and Reiko JohnsonMark and Lindsay JosephsJames T. KaneLillian and Gregory KannAndrew Kaplan D.O.Jim and April KatesAmy and Timothy KeaveneyDonald J. Kieser

of Our Donors

In-kind DonorsBank's Rock LLCChildren's Museum of NHColwen ManagementPortsmouth and Exeter YMCAGoodwill Industries of Northern New EnglandRSP StudioRobert StomieroskySunLife Target

Jane M. KieserMonica KieserJennifer KinseyLeonard Korn M.D.Denise R. LaundisErin LawsonBarbara LevensonDana and Shaula LevensonRob Levey Liberty MutualPaul D. Lidstrom M.D.Sarah M. LinscottKathleen LoganKathleen MacLeodJason R. MahoskyKelly J. MarcianoEdward A. and Joan C. McAbee Jr.Dee McEneaneyHarry J. and Virginia T. McKennaSusan B. McLaneRobert M. and Susan MennelMental Health Access for AllTimothy R. MetzgerKim and David MeuseMergim MiftariEd and Barbara B. MillerJohn J. and Deborah I. MillerJennifer MitchellPaul and Sharon MorrillAndrew B. and Elizabeth MorrisChristopher F. and Eileen A. NevinsLaurin Noel and Jim BuyakVincent PascucciJohn and Sarah PendletonJohn Pendleton and Betsy CarruthersJulie PendletonClaire E. PfisterKatherine M. PlouffeLinda D. PontbriandKenneth and Rona PurdyNed RaynoldsMeegan ReisAlison RicciardoneJoan S. RiceBasil and Louise RichardsonDouglas W. RobertsJim and Gail H. SandersJanet B. ScottWilliam G. Scott

Anna N. SimicWinthrop D. and Claire De Tarr SmithRobert C. and Mary Jane SolomonGina M. SorgePaul SorliBradley M. StevensPeter and Ann StrachanTammy StrainArron and Michele SturgisGordon B. SylvesterHelen B. TaftLorina C. TrefethenLee and Peter VandermarkMichele WhitehouseRoger F. and Elaine M. Wood

BequestsEstate of Albert D’Antonio

Municipal and Public SupportMunicipal Contributions: Brentwood, Deerfield, East Kingston, Exeter, Fremont, Hampton, Hampton Falls, Kingston, Newcastle, Newfields, Newington, Newmarket, North Hampton, Northwood, Nottingham, Portsmouth, Raymond, Rye, Seabrook, South Hampton, and Stratham.Other Public Sources:NH Bureau of Behavioral HealthNH Bureau of Drug & Alcohol ServicesNH Bureau of Elderly and Adult ServicesNH Department of JusticeNH Division of Children, Youth and FamiliesNH Housing Finance AuthorityPATH Grant (Projects for Assistance in Transition from Homelessness)US Dept of Housing and Urban Development

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.

The 16th Annual Erik Cogswell Memorial Conference was held on October 29, 2015 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. Keynote speaker Mark McGovern Ph.D. shared with the audience his perspectives on “Integrated Services for Persons with Co-Occurring Substance Use and Mental Health Problems.” Despite awareness of the fact that mental health and substance use problems typically co-exist, treatment systems have been challenged to provide integrated services for many reasons. This creates a health care disparity for individuals and families who suffer from co-occurring disorders, in that access to evidence-based practices are not widely available. His presentation highlighted this issue and described several innovative approaches to bring integrated services to scale.

EventsThe Fifth Annual Art of Recovery Dinner and Art Auction was held on June 2, 2016 at the Portsmouth Harbor Events Center. Thanks to the generosity of our participating artists and a nearly sellout crowd, this year’s event raised $21,460. The Art of Recovery pairs a Seacoast Mental Health Center client artist with a professional artist from the community and together they create works of art for the evening’s silent auction. Attendees not only see the art, which is collaboratively produced, they meet the artists and hear the stories of recovery behind each piece. This year’s Silent Auction featured 30 pieces of art including

watercolors, oils, acrylics, photography, charcoal and ink drawings and collages. Included in the Live Auction were a watercolor by Doris Rice, two pieces of glass art by Michele Sturgis, and a photo on canvas of the four Moran tugs by Debra Obertanec. The end-result is that over the past five years nearly $80,000 has been raised to help provide mental health services to those with limited financial resources.

Each year 135 mental health clinicians, psychiatrists, psychologists, consumers, and their families attend this daylong event.

A highlight of the event is the recognition of an individual in the profession who has distinguishedthemself by providing “hope, education and/or support” for those living with mental illness. The 2015 honoree was Peter Jannelle – former President/CEO, The Mental Health Center of Greater Manchester.

Jay Couture with Peter Janelle

Finance Statement of Income and Expenses as of June 30, 2016

Medicaid67%

Medicare5%

Other Third Party Insurance

9%

Client Fees3%

Public Support6%

Federal Funding2%

Bureau of Behavioral Health

6%

Other Revenues2%

Medicaid

Medicare

Other Third Party Insurance

Client Fees

Public Support

Federal Funding

Bureau of Behavioral Health

Other Revenues

8,048,825

602,806

1,041,488

336,943

682,418

189,290

740,374

279,820

Total Revenues 11,921,965

Sources of RevenuesFiscal Year 2016

Salary & Benefits81%

Professional Fees4%

Occupancy Costs5%

Operating Costs5%

Travel3%

Insurance1%

Other Expenses1%

Salary & Benefits

Professional Fees

Occupancy Costs

Operating Costs

Travel

Insurance

Other Expenses

9,353,435

429,289

599,507

554,076

296,015

140,217

135,613

Statement Of ExpensesFiscal Year 2016

Total Expenses 11,508,152

Child, Adolescent, and Family Services (CAFS) are provided to children ages 3-18 and their families in a variety of settings that include our Portsmouth and Exeter offices, in their homes, in the community, at their

schools and primary 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, 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. Nearly 1400 children and families were provided services this past year.

New Initiative:Two of the clinical teams attended a two-day training on ‘Motivational

Interviewing’. ‘Motivational Interviewing’ is a collaborative, goal-oriented style of communication with particular attention to the language of change. It strengthens the personal motivation for and commitment to a specific goal by eliciting and exploring the person’s own reasons for change within an atmosphere of acceptance and compassion.” This practice will better enable the CAFS staff to explore the reasons why the youth and his or her family are entering treatment. This method of communication between the client and the clinician provides for better listening for change language and thus, enabling the clinician and the client to work towards an agreed upon plan for change. It is a practice method that stresses compassion, patience, and true empathy. It will assist staff with approaching treatment from a more client-centered perspective while also recognizing when someone might not be ready to make the needed changes.

Annie is just one example of the new beginnings we help our clients achieve. She graduated from high school in June and is off to pursue her dream goal of attending the Johnson and Wales culinary school. Annie has a learning disability and various mental health diagnoses. She received individual therapy at the Center and participated in our Rehabilitation, Empowerment, Natural Supports, Education and Work (RENEW) program. Her RENEW Coordinator and her Case Manager were there to help her access the support services she needed in order to move forward including transportation, housing, food, and clothing, while simultaneously helping her learn to advocate for herself. Even though Annie’s family was only able to provide limited support to her, Annie excelled in school, remained consistently employed, at times working two jobs in order to support herself, and was able to successfully manage her mental health issues and her learning disabilities. Annie’s message to others is “Even though I had struggles and bad things happened to me in life, I still have goals that I want to achieve. Going through these struggles will not stop me from working towards these goals and one day achieving them.”

Programs

Meet Annie

New Initiatives:Seacoast Mental Health Center is now participating in a statewide military initiative designed to improve

access to quality mental health care for veterans, active-duty service members, and their families. Adult Services is working to be sure the staff better understand the military culture and are well prepared to provide evidence based practices when treating combat trauma. The NH Department of Health and Human Services, in partnership with NHCarePath is funding this statewide initiative.

Thanks to support from Healthcare Gives, we initiated a medication management program at Crossroads House. Up to two days a week, an Advanced Practice Registered Nurse is at Crossroads House to help residents manage their medications.

Shawn arrived at Cross Roads House, struggling with a misdiagnosed mental illness and very extreme side effects from the medications he was taking. Shawn came up with a plan to end his life. "I had just thrown in the towel. I talked to a Seacoast Mental Health Center homeless outreach person on the phone, gave her my will, she called the police and I was court ordered to the hospital." The partnership between Crossroads House and Seacoast Mental Health Center enabled Shawn to receive psychiatric services at the Center. As Shawn says, "I met this great doctor, who identified that I had something simple that was being misdiagnosed, which was straight up bipolar disorder. My ADHD amplifies all that. The next few months, things were pretty tough but I finally got my medicine changed.” On February 3rd, Shawn moved into his own apartment. “I wouldn't have gotten that apartment without the resources from my case manager." Shawn is working and has a positive outlook for the future and continues his treatment here at the Center. We are able to provide services to any individual/family experiencing homelessness or in danger of becoming homeless who may be living with a mental illness, experiencing similar symptoms, and/or suffering with substance abuse.

Programs

Emergency Services 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 the risk of harm tothemselves 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.

Access Emergency Services by calling the Portsmouth office at (603) 431-6703 or the Exeter office at (603) 772-2710.

Adult Services provides 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.

Meet Shawn

With an eye to the future, we are always striving to make the Seacoast Mental Health Center experience the best it can be for our clients. From identifying emerging needs and creating services to meet those needs, to collaborating with local organizations to improve the delivery of our mental health services, we create an extensive support system for the individuals that we serve.

In order to better meet the community’s needs and our own client’s needs, the Center has expanded its Outpatient Substance Use Disorder Treatment Services and added Medication Assisted Treatment (Suboxone).

Also, to insure clinicians are better able to develop integrated treatment plans and to treat both the client’s serious mental illnesses and their substance use disorders, all adult services clinicians attended three days of training inthe evidence-based practice of Integrated Treatment for Co-Occurring Disorders. David W. Lynde, MSW, LICSW, who is the Training Manager for the West Institute at the New Hampshire-Dartmouth Psychiatric Research Center and a faculty member of Dartmouth Medical School, provided training. Our clients will now have a coordinated treatment plan and just one provider who addresses both illnesses. The launch of this expansion is funded by a grant from the New Hampshire Department of Health and Human Services Bureau of Drug and Alcohol Services.

Similar to traditional First Aid and CPR, Mental Health First Aid is help provided to a person who is developing a mental health problem or who is experiencing a crisis until professional treatment is obtained or the crisis

resolves. The Mental Health First Aid training program teaches participants a five-step action plan to assess a situation, select, and implement interventions, and secure appropriate care for the individual. Participants are introduced to the risk factors and warning signs of mental health problems, ways to better understand their impact, and an overview of common treatments. Mental Health First Aid training is available to individuals, businesses, law enforcement, educators, and others. Thanks to having been selected as one of the beneficiaries of the 2015 Seacoast Half Marathon, Seacoast Mental Health Center is able to make this program available at no cost to the participants. For more information, email Kerry Cromwell at kcromwell@smhc-nh.org.

Fairweather 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 Fairweather Lodge as their Spring United Way project. Sunlife employees spent the day staining the back door steps prepping and planting both the vegetable and the herb garden as well as potting all the window boxes.

is what sets us apartOur Forward Thinking Approach

Community

Sunlife Employees Help Fairweather Lodge Get Ready for Summer

We Gratefully Acknowledge the Support of Our Corporate Sponsors