Mental Health f All












CLM has been serving the Greater Derry region for 57 years providing the most comprehensive array of mental health and substance use services of any other provider in the region Annually, our organization proudly serves more than 6,000 children, adolescents, adults and seniors Collaborating with them on their path to resiliency, recovery and greater well-being
We continue to experience soaring demand for mental health services here and across the nation as was anticipated as we came out of the pandemic This places particular pressure on our ability to meet need while balancing the real strain of workforce recruitment and retention in a highly competitive healthcare environment. We met this challenge with continual and persistent improvements with Access to Care and our ability to connect people to services in as timely a manner as possible. Additionally, we continued the use of Telehealth services as an option even as we returned to more in person care. Finally, increased Access To Care coupled with the increase in volume of services and clients served has also resulted in consistent year over year financial growth and viability
One of the most significant statewide changes to our system of care was the launch of the NH Rapid Response 24/7 mobile crisis outreach program in January 2022 We are proud to share that our leadership and Acute Care Services team embraced and adopted the Mobile Crisis Response model at the beginning of the pandemic This truly prepared us well for the statewide launch which included the addition of Peer Specialists as part of the team. Additionally, our efforts to enhance partnership with law enforcement throughout our region with a focus on safety has resulted in the strongest collaboration in our organization’s history. Outreach focused on explaining the changes in crisis service availability and the need for close collaboration given the weight on law enforcement to handle and intervene on a multitude of issues such as domestic violence, addiction, mental illness, homelessness, and other concerns
2023-2024 Board Officers
MariaGudinas,MPA, Chairperson
DavidHebert,MBA, ViceChairperson
JosephCrawford,MEd, Secretary
MichaelDelahanty,EdD, Treasurer
2024-2025 Board Members
Adam Burch, DC, MPH
Susan Davis, BA
Chris Kotulak, DC
Ron Lague, CPA, CVA
Rebecca Sanborn, JD
Captain Vernon Thomas
Vic Topo, MSW, President & CEO
2025 Board Officers
JosephCrawford,MEd, Chairperson
RebeccaSanborn,JD, ViceChairperson
CaptainVernonThomas, Secretary
MichaelDelahanty,EdD, Treasurer
2025 New Board Members
Maria Bertolone
Stephanie Savard, MSW, LICSW
Across all programs and services, we continue with our vision of a wholeperson approach to care to prevent premature death of people who experience mental illness and substance use disorders. Perhaps the most notable example is what began several years ago with a successful partnership with Lamprey Health Care to provide primary medical care onsite at CLM. This past year we made significant strides in further developing our Integrated Care Program and the scope of services provided
Maria Gudinas Chairperson Board of Directors
To promote the health and wellbeing of individuals, families and organizations. We accomplish this through professional, caring and comprehensive behavioral health care services and by partnering with other organizations that share our philosophy.
As CLM’s President and CEO, I’m proudly in my 25th year serving, steering and leading with the knowledge of how much this organization does for the community. Every day, at every level of our organization our Board of Directors, management team and dedicated staff make the difference in sustaining our mission and caring for those in the community we serve.
Each and every year, it’s an honor to look back and review what has been accomplished But also, we keep our focus on the future and the vision of how much more we aim to accomplish for the well-being of those we serve
Together, we can evolve from being primarily a treatment focused behavioral health organization to one that values whole health and wellness
Sincerely,
Vic Topo, President & CEO
Maria Gudinas, Chairperson, Board of Directors
Foster creativity and initiative through freedom of expression, action and risk taking Promote teamwork, clear communication and cooperation throughout CLM. Promote leadership at all levels regardless of position and/or title.
Services/care provided at all times in a confidential and respectful manner. Ideal system of care is recovery focused, integrated in the mainstream community, and holistic Commit to providing highest quality of services/care including new innovative solutions
Withashortageoflow-incomehousingoptionsandnosheltersinthearea,ourregionpresents significant challenges for homeless individuals and families CLM has made significant strides through community outreach and collaboration with other community resources to meet the needs of the homeless mentally ill in the community. With a long established and innovative approach, CLM has helped improve access to housing and treatment for homeless adults with mentalillnessthroughavarietyofHUDandSAMSAfundedprogramsfortreatmentandsupported housingincludingtheShelterCarePlusprogramwhichlastyearmarked20yearsbeingprovided atCLM.In2024ourHomelessandHousingprogramserved###individualsandworkedwith### arealandlordstosupportcontinuedsuccessfulhousingofpeoplewithmentalillnesswhowere homeless or at risk of becoming so This often times faceless and forgotten population has benefittedsignificantlyfromthisimportantoutreachwork
Jean’sPlace,asix-bedsupportivehousingprogramforadultsinneedofsupportfortheirmental healthcare,welcomeditsfirstguestinSpringof2022.LocatedinSalem,thegoaloftheprogram istoreducetheneedforhospitalizationandpeoplebacktotheirlivesinthecommunityJean’s Placeprovidedatimelimited,supportedapartmentprogramthatpromoteswellnessandrecovery skillstoempowergueststoremaininthecommunitywiththegoalofsecuringpermanentand stablehousing.
OverthepastseveralyearsourIntegratedCareProgramhascontinuedtoexpandthescopeof servicesprovided.Formanyindividualslivingwithmentalillness,accesstoprimarymedicalcareis limitedandoften“notagoodfit”inhelpingaddresstheirmentalandphysicalhealthcareneeds. CLM’s Integrated Care Program is focused on improving health outcomes as well as life expectancyforthosewithmentalillness InpartnershipwithLampreyHealthCare,theHealthy TogetherprogramonsiteatCLMDerrygivesclientsaconvenient,one-stopplaceforwholeperson care.HealthyTogether,markeditsfourthanniversarythisyear,servingadultsandalsoexpanding to include adolescents ages 12 and older Additionally, the Integrated Care Program has incorporatedcasemanagement,communitysupportformedicalneeds,behavioralhealthvisiting nurseservices,integratedillnessmanagementandrecovery,andNEWYou(Nutrition,Exerciseand Wellness)wellnessandcoachingsupport.
ThestatewideNHRapidResponseprogramwaslaunchedinJanuary2022toprovide24/7access tocrisissupportincludingMobileCrisisResponseteams Atthattime,CLMhadalreadyembraced utilizingmobiletelehealthtechnologytoproviderealtime,inthemomentresponsetoindividuals experiencing a behavioral health crisis. With the adoption of the NH Rapid Response model serviceswerefurtherenhancedwithmobilecrisisresponseandtheadditionofpeersupportand casemanagementalongacutecarecliniciansasapartoftheACSteam
ACSserviceshavefurtherexpandedtoincludeWalk-InCrisisAssessmentsthatarenowavailable dailyfrom7:00a.m.to8:00p.m.atourmainofficeinDerry.
CLMoffersawidearrayofcomprehensiveclinical,medical,therapyandsupportservicestoadults 18andolderlivingwithseriousmentalillness.Ourapproachisevidence-basedandgoal-directed. Yourwellbeingisourpriority,andwe’reheretosupportyoueverystepofthewaytoyouroptimal healthandwellbeing
Comprehensive services include: Individual and Group Therapy, Medication Services, Case Management, Functional Support Services (FSS), Assertive Community Treatment, Critical Time Intervention, Dialectical Behavior Therapy, Illness Management and Recovery, Integrated Dual Diagnosis Treatment (Mental Illness/Substance Use), NEW You Program and Supported Employment.
CLMprovidesourregion’smostcomprehensiveandspecializedclinicalservicesandmentalhealth careforchildren,adolescents,youngadultsandtheirfamilies.Ourspecialistsworkwithchildren experiencingseriousemotionaldifficultiessuchasdepression,attentiondeficitandhyperactivity disorder, autism, disruptive behaviors, substance use disorders, and trauma associated with emotional, physical or sexual abuse. CLM is committed to a community-based approach that providesmanyservicestochildrenintheirhome,atschoolorinothercommunitysettings.
Evidence-basedPracticesaremodelsoftreatmentorbestpracticesproveneffectiveattreating mentalillnessandimprovingclinicaloutcomes Ourchildren’sspecialistsaretrainedinnumerous Evidenced-basedPracticesincluding:Trauma-FocusedCognitiveBehavioralTherapy,ChildParent Psychotherapy,HelpingtheNon-CompliantChild,IntensiveFamilySupport/AssertiveCommunity Treatment,MATCH(ModularApproachtoTherapyforChildren)andRENEW(Rehabilitationfor EmpowermentNaturalSupportsEducationandWork)
OurTMSprograminoperationfor13yearsnow,hasreachedthebenchmarkofbeingoneofthe highestvolumeNeuroStartreatmentpracticesintheregion WhenfirstofferedatCLM,TMSwas aninnovative,non-medicationtherapyforthetreatmentofmajordepressioninadults.Recently, TMS treatment has been FDA-cleared for the treatment of adults with obsessive-compulsive disorderaswellasadolescentdepressionofferingnewhopeforthenearly1in5USadolescents experiencingamajordepressiveepisode
The Continuum of Collaborative Care is a specialized treatment model and person-centered approachtoworkingwithindividualswithco-occurringMentalHealthneedsandIntellectualand DevelopmentalDisabilities,AcquiredBrainInjuriesand/orAutism Themodelwasdevelopedina collaborativeeffortbytheCenterforLifeManagementandCommunityCrossroads.In2021,The model was deemed by the NH Bureau of Behavioral Health and Department of Development Disabilitiesasabest-practicetreatmentmodelthatisbeingimplementedatcommunitymental healthcentersanddevelopmentaldisabilitiesagenciesthroughouttheNHsystemofcare
Mentalhealthandaddictionstreatmentorganizationsmustgearuptomeettheincreaseddemand forservicesknowingit’snecessarytoavoidwaitlistsandoffertimelyappointmentswhenpeople needthem.Thatdividebetweenmeetingdemandforserviceandaveryrealstrainoncapacityisa challenging one Much attention has been focused on improving operational efficiencies and redesigning our intake process for more timely access to care The Access to Care team was expanded to allow for more live calls, process flows were streamlined to identify and reduce barriers to access. All callers are assessed for their level of acuity which allows for immediate scheduling of critical care intakes and reduced wait times for regularly scheduled intake appointments We’ve seen that quick access to care reduces the rate of missed appointments, improvescontinuityandmorequicklyengagesclientsintheirtreatmentandrecovery.
CLM, like community mental health centers across the state, faces workforce challenges as demandforservicesstrainsasystemthatisalreadyhighlycompetitiveforstaffing.CLMhasa deeply rooted philosophy that cultivates a positive work culture and highly values our “people power” CLM’s Human Resources team led the way in implementing assertive recruitment and retentionstrategies TheseeffortshaveresultedinCLMfillingvacanciesinashorteramountof timeandminimizingturnoverthatcangreatlyimpactcontinuityofserviceprovision.
Withanemphasisonworkforcedevelopment,recruitmentandretention,CLMisofferingexciting andinnovativeeducationalopportunitiesforeligiblestaff ThatincludesCLMpartneringwithNew EnglandCollegetoofferaMaster’sofScienceCounseling(MS)degreetoeligiblestaffaswellas partneringwiththestatewideWorkforceDevelopmentCooperativeahighereducationprogram designedtodevelopBachelor’slevelstaffandbetterpreparethemforworkincommunitymental healthpositions
Photo: Maker’s Market
The Annual Maker’s Market is a delightful marketplace hosted by CLM’s Supported Employment (SE) team The Maker’s Market celebrates the talents, creativity, hard work and entrepreneurial spirit of our supported employment clients
Photos: November 2024 Difference
We walked as Team Center for Life Management to support the NAMI NH Walks NH Mental Health and Suicide Awareness Event as well as at the ABLE NH Disability Justice Parade and Festival.
Photo: Dec 2024 Difference
Our Homeless and Housing department coordinated our 2024 Socktober donation drive which collected 4,040 pairs of socks for children and adults The socks were shared with homeless shelters throughout New Hampshire
Photo: Oct 2024 Difference
The Crane Charitable Fund awarded the Center for Life Management Foundation a $5,000 grant to enhance and implement Applied Behavior Analysis (ABA)and provide play-based therapy tools. that will be used to reinforce positive through ABA and improved outcomes for clients diagnosed with autism spectrum disorder.
Photo: October 2024 Difference
In August 2024, CLM was presented a recognition from Governor Chris Sununu at the Executive Council meeting for exceptional work in enhancing the mental health of our community members
Photo: Crowd photo from August 2024
CLM’s 16 th Annual Concert and Auction raised was a raise the roof, sold-out event held at Tupelo Music Hall in Derry. Thanks to the support of our concert goers and generous sponsors, the event raised $##,## to support those in need of mental health services who are un- or underinsured as well as to help eliminate barriers to successful mental health outcomes.
Likemanyrecentgraduates,gettingintotheworkforceinameaningfulwaycanbea challenge Aftergraduatingwitha bachelor’sdegreeindigitalforensicsfrom ChamplainCollegeinVermont,ColinCochranehitaroughpatchashetriedtofigure outwhatthenextstepwouldbeforhimHeacknowledgesthatthiswasaperiodof timethatcreatedsomefrictionbetweenhimandhisparents.Hehadsuccessfully completedhisdegree,butwasstillstrugglingtofindhisway
Someone suggested to Colin’s family he might get some needed help from services with the Center for Life Management Colin was 25 when he first started at CLM He began working with a treatment team that included a mental health clinician, Supported Employment Specialist (SES) and, for a time, a Wellness Coach. Initially diagnosed with anxiety and depression, he was also struggling with symptoms along the autism spectrum that made it harder for him to interact socially with others. Though his symptoms were not severe, they made it harder for him to function successfully without a specific and more repetitive routine
Colin started working with his Supported Employment specialist to determine what his work interests were and what type of employment where he could be productive and successful According to Colin, “This was probably the most helpful service I’ve had at CLM. I got assistance in building a resume and they worked with me to practice my interviewing skills They helped me do those things and got me connected with the local Hannaford store”
Colin interviewed and got a job working 30 hours per week at the bakery “People are nice there and I really enjoy the work environment I’m really proud that I just marked my second anniversary on the job,” says Colin. He also successfully completed the goal of getting his driver’s license. In addition to working with his SES, Colin also worked with a Wellness Coach at CLM who helped him develop a workout schedule and helped him get comfortable going to the gym “At first, I started out going once a week with my Wellness Coach, now I go every day on my own to use the equipment and run on the tread mill.”
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Fiscal Year 2024: July 1, 2023 – June 30, 2024
Fiscal Year 2023: July 1, 2022 - June 30, 2023
Clients Served Child Impact
ACS Unique Clients Total Mobile Crisis Deployment Events
Acute Care Services and Mobile Crisis Response *Excludes
TOWN 2023 2024
Atkinson
Chester
Danville
Derry
Hampstead
Newton
Pelham
Plaistow
Salem
Sandown
$77,369
$91,773
$96,717
$1,325,796
$127,805
$56,400
$86,564
$90,746
$211,320 $1,355,291
$158,919
Windham
Londonderry
Other Towns
TOTAL
$64,576 $220,947 $192,812
$646,707 $165,508 $173,712 $74,878 $122,912
$3,227,897 $3,564,892
*Uncompensated care includes cost of services to individuals who are un-insured or under-insured and in need of treatment This represents dollars absorbed by CLM for which there is no other source of reimbursement
Fiscal Year 2024: July 1, 2023 – June 30, 2024
Fiscal Year 2023: July 1, 2022 – June 30, 2023
Other Assets ASSETS
Current Assets
Cash and Cash Equivalents
Accounts Receivables, net
Other Receivables
Prepaid Expenses
Security Deposit
Current Portion of Operating Lease Right of Use Asset
Current Assets $9,157,954
Marketable Securities
Operating Lease Right of Use Asset, Less Current Portion
Interest Rate Swap Agreement
Total Assets
LIABILITIES AND NET ASSETS
Current Liabilities
Current Portion of Long-Term Debt
Current Portion of Operating Lease Payable
Accounts Payable
Accrued Payroll and Payroll Liabilities
Accrued Vacation
Accrued Expenses Total Current Liabilities
Long-Term Liabilities
PMPM Reserve
Operating Lease Payable, Less Current Portion
Property and Equipment, net 2,851,046 31,936 42,322 $9,901,352 11,211,838 59,309 73,150 Total Long-Term Liabilities Total Liabilities
7,401,624 998,127 1,251,436 191,843 30,949 27,373 6,215,986 956,942 1,709,790 229,176 18,687 27,373 3,276,152 $15,359,410 3,486,795 $14,732,444
Long-Term Debt, Less Current Portion 118,570 20,339 114,623 408,130 614,829 69,254 $1,345,745
Net Assets Without Donor Restrictions With Donor Restrictions
Total Net Assets
Liabilities and Net Assets
18,734
397,919 579,905 117,533 $1,295,109 199,502 25,943 1,672,367 1,897,812 $3,243,557 368,140 46,282 1,790,935 2,205,357 $3,500,466 11,642,892 472,961 $12,115,853 $15,359,410 10,841,440 390,538 $11,231,978 $14,732,444
PUBLIC SUPPORT
Federal
State of NH - BBH
State and Local Funding
Other Public Support
REVENUES
Program Service Fees, net
Other Service Income
Rental Income
Other
Total Public Support
Total Revenues
Total Public Support and Revenues
EXPENSES
BBH Funded Programs:
Children Collaborative Care
Elders
Supportive Employment
Adults Multi Service
Housing / Independent Living
Assertive Community Treatment
Acute Care Services 6,998,091 1,590,386 1,211,258 511,810 7,792,148 3,591,130 895,172 3,043,269 2024 1,351,630 3,117,129 28,400 194,017 $4,691,176 2023 23,616,999 517,678 6,510 50,281 $24,191,468 $28,882,644
Non-BBH Funded Programs
Total Program Expenses
Administrative Expenses Total Expenses Change in Net Assets from Operations
Non-operating Revenue and Expenses:
PPP Loan Forgiveness Loss of Disposal Assets
Interest Income
Investment Income / (Loss)
Fair Value Gain (Loss) on Interest Rate Swap Fraud Loss Change in Net Assets
Net Assets, Beginning of Year Net Assets, End of Year 2,181,357 2,653,273 23,833 243,791 $5,102,254 22,559,656 557,839 5,826 12,648 $23,135,969 $28,238,223 6,757,640 1,439,927 1,172,774 561,766 7,224,022 3,530,181 842,336 2,873,136 $698,896 $26,332,133 $1,868,622 $28,200,755 $681,889 $833,365 $25,235,147 $1,766,971 $27,002,118 $1,236,105136,707 139,208 30,828) (43,101) $883,875 $11,231,978 $12,115,85332,748 85,132 48,939$1,402,924 $9,829,054 $11,231,978
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Carlson Emerson Sockwell
Kim Smith
Melissa Ballard Sullivan
Barbara Thomas
Vern Thomas
Jennifer Troupe
Vic Topo
Patrick Ulmen
Lorraine Welch
Susan West
Andrea Wheeler
Donald Williams
Lisa Williams
Erin Wood
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