Mental Health Center Inc.
2 0 0 9
A n n u a l
R e p o r t
he mission of Seacoast Mental Health Center is to provide a broad, comprehensive array of high quality, effective and accessible mental health services to residents of the Seacoast area.
Some of these services seek to promote positive mental well-being and prevent occurrences of mental illness, while others address problematic emotional functioning and treating those directly or indirectly affected by mental illness. All of our services strive to care for and improve the quality of lives for all Seacoast residents.
Letter from the CEO and Board FY09 presented us with significant challenges to our nation, including the most severe economic recession since the Great Depression. Locally, Seacoast Mental Health Center saw a ten percent increase in the number of individuals receiving treatment or prevention services and an increase in the number of clients who did not have the ability to pay. Despite these fiscal pressures, we did not waiver from our commitment to provide high quality, effective and accessible mental health and prevention services. Highlights from FY09 include: • Continued participation in the Portsmouth Wellness Court. • SMHC Therapists were co-located in each of the region’s Community Health Centers, while our Psychiatry staff provided consultation and staff education to primary care providers at each of the health centers.
• Staff from the Child, Adolescent and Family Services Program were co-located in several schools and provided prevention services in Seabrook through the Adolescent Substance Abuse Program (ASAP). • Staff from our Emergency Services Department and New Heights program became active members in the Portsmouth Suicide Prevention Council. Within all of these efforts, we have contined to ensure the consumer is always first in our decision-making process because of the dedication of our experienced staff and the support of the entire Seacoast community. We thank you for your collective efforts, because your support is crucial as we strive to achieve our mission everyday. Sincerely, Jay Couture, MHA Executive Director
Nike Speltz Board President
SMHC Board Members Nike Speltz, President John Pendleton, Vice President Jason Coleman, Treasurer Paul Sorli, Secretary
Carole Bunting William Davis Stephen Dunfey Tim Graff
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Kimberly Hyer Patricia Schwartz William Scott Robert Stomeriosky
FY2009 Sources of Revenue Travel Operating Costs 3% 3% Occupancy Costs 6%
Other Expenses 2%
Professional Fees 2%
Salary & Benefits 82%
Medicaid Medicare Other Insurance Client Fees Public Support Federal Funding Bureau of Behav. Health Other Revenues
6,873,061 298,417 1,216,920 519,553 1,110,521 133,013 32,001 323,238
FY2009 Statement of Expenses
Salary & Benefits Professional Fees Occupancy Costs Operating Costs Travel Insurance Other Expenses Total Expenses
8,691,823 234,310 618,474 312,346 302,997 192,379 169,549
Other Insurance 12%
Client Fees 5%
Public Support 11%
Federal Funding 1% Bureau of Behav. Health 0%
10,521,878 Medicaid 68%
Clients Seen in Fiscal Year 2009 Between July 1, 2008 and June 30, 2009, SMHC provided clinical and prevention services to 5,417 Seacoast residents. CAFS Adults Elders Total
1,287 3,421 1,234 5,942
Elders - 21%
Children - 21%
Adults - 58%
2009 Annual Report 2
SMHC Departmental Highlights Child, Adolescent & Family Services In FY09, Child, Adolescent & Family Services (CAFS) served 1,198 clients. In service of its mission to support families in times of crisis and transition with an array of services to meet their needs, CAFS continued to partner with outside agencies, incuding Lamprey Health, Families First, A Safe Place, Seacoast Youth Services, and Chase Home. Additionally, four therapists were trained in trauma focused-cognitive based therapy.
New Heights Serving more than 500 Seacoast youth through its afterschool and summer programming in FY09, New Heights continued to build upon the demonstrated success of its Mentor Program and develop new programming opportunities for FY10. New Heights also secured several significant grants with new funders, including Seacoast Women’s Giving Circle, Ronald McDonald Charities of Eastern New England, Inc. and The International Women’s Club of New England.
Elder Services In FY09, Elder Services served 1,076 clients, which included 305 persons through Referral Education and Assistance Program (REAP) counseling, 175 people through REAP’s education sessions, and 248 through REAP technical assistance. “The staff work together to assist our clients in meeting the many challenges of growing older in today’s society, which include social, emotional, physical, economic and mental changes. For most people, a number of these changes occur simultaneously, depleting reserves of energy and leading to depression and anxiety...We are very proud of the work our clients have done to increase their sense of independence, learn new coping skills, and to make the most of their current situations.” Lucille Karatzas, LICSW, Elder Services Director
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Assessment and Crisis Team The Assessment and Crisis Team is composed of staff with both Masters and Doctoral level degrees. These licensed clinicians provide phone and face-to-face assessment, crisis intervention, stabilization and referral services 24 hours/7 days a week.
In FY 2009, the Team took 3,231 crisis calls and saw a total of 1,627 people, including 889 people at the Exeter Hospital Emergency Room and 270 clients at the Portsmouth Regional Hospital Emergency Room. In addition, 399 clients were admitted to psychiatric units, 184 were voluntary, and 215 were involuntary admissions. Noted trends in FY09 included an increase in the number of people without insurance and a decrease in the availability of psychiatric hospital beds for voluntary admissions.
Adult Outpatient Program In FY09, the Adult Outpatient Department (AOP) provided 299 intakes, 5,270 hours of psychotherapy, and 259 hours of psychological testing to 759 different individuals between the ages of 18 and 60. Supported by the United Way of the Greater Seacoast and constituent town monies, AOP provided an additional 394 hours of psychotherapy to the uninsured or under-insured population. “Our highly trained and seasoned licensed clinicians and those trainees whom we teach and supervise provide critical psychotherapy and assessment services to those in our community who are not of the psychiatrically eligible populations. We treat the parents of the children seen in CAFS, the daughters and sons of those treated in the Elder department, and the family members of those seen in CSP and partner with Psychiatry to provide integrated mental health care.” Karen Pearson, EdD., AOP Director
Community Support Program
The Community Support Program (CSP) served 837 clients in FY09 , including 17 clients within Portsmouth’s Wellness Court program. The CSP Director also joined the Criminal Justice System Education Sub-Committee to: 1) help develop statewide training programs that ensure law enforcement personnel effectively respond to incidents involving people with mental illness, and 2) provide training for all disciplines involved in the criminal justice system.
2009 Annual Report 4
Thank you to our Corporate Donors A.A.& M. Inc. Addiction Recovery Services Agave Ambit Engineering Ambrosia Gardens Anneke Jans Anthony L. Hoginski, CPA Ballet New England Bellman’s Jewelers BG’s Boathouse Bicycle Bob’s Bill Walton BioSpray Blue Ribbon Dry Cleaners Bob’s Clam Hut Boston Celtics Bottomline Technologies Boynton, Waldron, Doleac, Woodman & Scott, P.A. Brox Industries Centrix Bank and Trust Chipotle Choate, Hall & Stewart cMarket Comcast Conproco Corp. Crotched Mountain Golf Club
Daystar Computer Services Direct Capital D.F. Richard Dwight Davis Evergreen Investments Exeter Emergency Physicians Exeter Flower Shop Exeter Health Resources Exeter Hospital Exeter Jewelers Fairpoint Communications Face, Body, & Spirit Fast Signs Frechette Family Gerald W. Howe Trust Give with Liberty Donations Glaxosmithkline Foundation Global Partners Golf & Ski Warehouse Hayden Enterprises Helms & Company Henry M. Frechette Fund Identity Irene Crosby Trus
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Jodi Frechette Julie Cyr Maine Lobster Outlet Marple and James Masiello Group/ Dwight Davis Group Moe’s Italian Sandwiches NH Charitable Foundation New England Homes Newcastle Fire Department Nike and David Speltz NitroSecurity Northeast Credit Union Northern Utilities Nurse Audit, Inc. Ocean Properties On the Vine Marketplace People’s United/Ocean National Patriot Advisory Group Perfecta Wine Company Philbrick’s Fresh Market Pike Industries Portsmouth Chevrolet/ Key Auto Portsmouth Kayak Adventures
Portsmouth Regional Hospital Prince Communications Robert’s Maine Grill Rochester Country Club Rolling Green Nursery Rudi’s Seaside Vacation Rentals Seatrade International Ship To Shore SmartWool Sprague Energy 3West Provisions The 100 Club The First Tee of New Hampshire The Provident Bank The Ritz The Rosa Restaurant Thursdays with Jerry Vinilandia NH WB Mason Wentworth by the Sea Country Club Wentworth By the Sea Hotel XS Equipment York Golf and Tennis Club Zampa
u r c e s Grants Awarded
Cogswell Benevolent Trust Foundation for Seacoast Health International Women’s Club of New England New Hampshire Charitable Foundation Philbrick Children’s Fund Portsmouth Rotary
Ronald McDonald House Charities of Eastern New England, Inc. Seacoast Women’s Giving Circle The Doris L. Benz Trust United Way of the Greater Seacoast
Brentwood Deerfield East Kingston Exeter Fremont Greenland Hampton Hampton Falls Kensington Kingston New Castle
Portsmouth Raymond Rye Seabrook South Hampton Stratham Newfields Newington Newmarket North Hampton Northwood Nottingham
State of New Hampshire NH Bureau of Behavioral Health NH Bureau of Elderly and Adult Services NH Div. of Public Health Services NH Div. of Children, Youth and Families NH Housing Finance Authority
Federal Government PATH Grant (Projects for Assistance in Transition from Homelessness) US Dept of Housing and Urban Development
e would like to acknowledge and Rockingham County Incentive and thank our many contributors Summer Funds for their generous support of the mission of Seacoast Mental Health Center, Inc. during FY09. We encourage you to support our corporate sponsors and other contributors that continue to actively help us make the Seacoast a better community in which to live, work, and play. 2009 Annual Report 6
Fairweather Lodge: A Case Study For Chris, a longtime client at SMHC, the care he has received through the Community Support Program through the years has meant a great deal to him. Meeting once or twice a week with his Clinical Case Manager, Chris said SMHC’s dedication to his well-being was best exemplified when he needed additional supports. “My eyes had been bad for about 5 months and I was legally blind in my right eye,” he said. “I needed aftercare because I needed so many drops in my eyes each day. I needed help.” Noting the hospital could not provide such aftercare treatment, Vince, the house manager at Fairweather Lodge (FWL), said when a bed became available at FWL that Chris “graciously accepted [SMHC’s] offer” to stay there. “He stayed several weeks, including pre-treatment and post-treatment assistance,” said Vince. “Without Fairweather Lodge, it is unlikely that Chris would have had this surgery.”
not some psychological thing. The workers are for real.” According to Vince, Chris’s experience typifies what he hopes all people experience at the Lodge. “Our mission is to encourage residents to be as independent as possible. “Many SMHC clients who live in public housing were once residents of the Lodge [and] many of them still call on occasion for support.” With his surgery now behind him, Chris still meets with his Clinical Case manager once or twice a week for additional supports. “We go shopping and buy things for his apartment,” she said. “We help him with acquiring new skills to help get him through the day.” Thankful for the service and care he has received in the more than 25 years he has been a client at SMHC, Chris said one of the hardest things he has had to learn has been how to ask for help.
According to Chris, the care he received at the Lodge made him “feel like a king.”
“There is a way of asking for help that I had to learn how to do,” said Chris. “I had to learn to ask the right questions.”
“They made it a real human experience,” said Chris. “They treat me like a regular person—
“The help here is good,” he added. “I really get along with the people here.”
Seacoast Mental Health Center, Inc. 1145 Sagamore Avenue Portsmouth, NH 03801-5585 (603) 431-6703 www.smhc-nh.org