In an effort to better address the needs of at-risk youth, SMHC’s Child, Adolescent and Family Services (CAFS) department began using the RENEW (Rehabilitation for Empowerment, Natural Supports, Education and Work) model in FY11.

According to CAFS Director Jodie Lubarsky, RENEW’s primary focus is “to improve educational and community outcomes for at-risk youth identified with an emotional or behavioral disorder who are at-risk of dropping out or being expelled from high school.”

CAFS has experienced tremendous success with the model so far with staff currently providing RENEW services to high schools in seven communities. SMHC has also been accepted as one of six Community Mental Health Centers to provide these services to at-risk youth in collaboration with the Institute on Disability.

Noting that youth themselves “drive the services and develop goals using futures mapping,” Lubarsky says SMHC’s role as provider within the RENEW model is to promote each child’s success not just within the school setting, but in the community as well.

“We actively collaborate with the school, family and other community members to support and meet all the needs of these youth,” she says. “It’s important we connect them with their larger social environment.”

Lubarsky says appropriate youth for the program include those aged 15 years and older, struggling academically and/or socially, or who lack future orientated goals.

Adding that youth must also be willing to participate in these services, she says anecdotal feedback from the program’s first participants indicate the model is working.

“Youth have reported that they feel heard and their goals matter--it has given them a sense of control over their lives they have never felt before,” she says.

Goals include but may not be limited to: completing high school, obtaining a job, transitioning into post-secondary education or training programs and transitioning into independent adult living.

As for the future, Lubarsky says she hopes to place staff in at least two more school districts and train 5 additional staff in RENEW with implementation to begin by November 2011.

For more information about the RENEW model, visit www.smhc-nh.org.

SEACOAST MENTAL HEALTH CENTER, INC.1145 Sagamore AvenuePortsmouth, NH 03801 www.smhc-nh.org

2 0 1 1 A n n u a l R e p o r t

Mental Health

Seacoast

Center

“RENEW”ing Children’s Lives Inc.

Serving 1,415 clients in FY11, highlights for Child, Adolescent, & Family Services (CAFS) include the successful implementation of the RENEW (Rehabilitation for Empowerment, Natural Supports, Education and Work) model to address the needs of at-risk youth at schools in seven communities.

In addition to training two staff in RENEW facilitation, six additional staff attended the Helping the Noncompliant Child training. The model works actively with both the parent(s) and child(ren) to teach methods to better manage behaviors and evoke compliance while attending to wanted behaviors.

Serving 856 elder clients in FY11, including 459 through the Referral Education Assistance and Prevention (REAP) Program, longtime Director Lucille Karatzas said Elder Services saw a 30% increase in outside referrals in the last half of the fiscal year. She attributes the increase to a continued emphasis on community outreach and the aging of the Baby Boomer generation.

The program’s mission is to help older adults and their caregivers lead rich, fulfilling and productive lives.

Serving 919 clients in FY11, the Community Support Program’s (CSP) mission is to support each individual’s (and family’s) recovery from mental illness so each person can lead a contributing, integrated and self-directed life.

Using grant funds from the Bureau of Justice Assistance, the Rockingham County Drug Court Program began in March 2011. In partnership with representatives from Rockingham county’s legal community, CSP facilitates the intensive outpatient treatment component of this program. To date, the program has addressed the substance abuse treatment needs of 8 individuals who would otherwise have been incarcerated.

Providing phone and face-to-face assessment, crisis intervention, stabilization and referral services 24 hours/7 days a week, Emergency Services addresses the needs of anyone in an active crisis situation.

In FY11, Emergency Services took 2,380 crisis calls and saw 1,222 people, including 898 at the Exeter Hospital Emergency Room and 178 clients at the Portsmouth Hospital Emergency Room. In addition, there were 363 psychiatric admissions; 190 were voluntary and 173 were involuntary.

Department Highlights

Community Support Program

Child Adolescent and Family Services

Elder Services

Emergency Services

Letter from the CEO and Board

Board of Directors

Nike Speltz, President

John Pendleton, Vice President

Jason Coleman, Treasurer

Paul Sorli, Secretary

Carole Bunting

William Davis

Stephen Dunfey

Tim Graff

Kimberly Hyer

Patricia Schwartz

William Scott

C.G. Shaffer

Robert Stomierosky

Fiscal Year 2011 was a year where community mental health centers and nonprofits came together to advocate for the needs of individuals and families statewide. Together, we made sure our voices were heard.

As a result of these advocacy efforts, the most extensive of the proposed funding cuts, which would have eliminated services for 1,700 next fiscal year, was removed from the final budget. While we did not face the severe cuts passed by

the House, we still remain a system that is inadequately funded.

However, we continue to move forward as an agency to meet our mission to provide the most effective and accessible services for diverse populations in multiple settings. Serving more than 5,000 consumers, we attribute the increase in numbers served this past fiscal year to the dedication and commitment of our staff whose efforts serve as a source of continued inspiration.

In addition to our efforts at advocacy, we selected a vendor for an electronic health record we expect to fully implement by January 2012. Working with four other New Hampshire Community Mental Health Centers implementing the same system, we are creating a collaborative learning environment for staff that will ultimately benefit those we serve in five regions across the state. Benefits from implementation include the ability of our staff to access up-to-the-minute clinical information as well as the ability for our physicians to utilize e-prescribing to communicate directly with pharmacies to more efficiently meet consumer needs.

Along with the substantial progress we have already made and will continue to make in the implementation of an electronic health record, we will continue to make our voices heard in light of what has taken place this past fiscal year in both the NH House and Senate. Through advocacy, we can make a difference, which is why we ask you to join us in continuing to support community mental health services as a critical part of our health care services system. Thank you for your support.

Founded in 1963, the 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 eastern half of Rockingham County.

Some of these services seek to promote positive mental well-being and prevent occurrences of mental illness. Some of these services endeavor to address problematic emotional functioning, treating those directly or indirectly affected by mental illness. Other services strive to care for and improve the quality of lives for all Seacoast residents.

Jay Couture and Nike Speltz Salary & Benefits 7,564,765 Professional Fees 233,493 Occupancy Costs 513,676 Operating Costs 300,086 Travel 225,168 Insurance 139,880 Other Expenses 114,620 Total Expenses 9,091,687

Municipal Funding

BrentwoodDeerfieldEast KingstonExeterFremontGreenlandHamptonHampton FallsKensingtonKingstonNew CastleNewfieldsNewingtonNewmarketNorth HamptonNorthwoodNottinghamPortsmouthRaymondRye SeabrookStratham

State of New Hampshire

NH Bureau of Behavioral HealthNH Bureau of Developmental ServicesNH Bureau of Elderly and Adult ServicesNH Department of JusticeNH Division of Children, Youth and FamiliesNH Department of Public Health ServicesNH Housing Finance Authority

Federal GovernmentPATH Grant (Projects for Assistance in Transition from Homelessness)US Dept of Housing and Urban Development

Corporate/FoundationSupport

Goodwill Good Neighbor Program

Greater Portsmouth Rehabilitation Center Fund c/o New Hampshire

Charitable Fund

Portsmouth Rotary

Rite Aid

United Way of the Greater Seacoast

FY 2011 Statement of Expenses

CAFS 1,415Adults 2,745Elders 856Total 5,016

Between July 1, 2010 and June 30, 2011, SMHC provided clinical and prevention services to 5,016 Seacoast residents.

Government Support

We would like to acknowledge and thank these and our many other contributors for their generous support of Seacoast Mental Health Center during FY11.

Financial support in the form of grants, state contracts, corporate and individual donations help fill critical gaps, so we can continue to address the mental health needs of residents in our catchment area.

Elders - 17%

Adults - 58%

Children - 25%

Our Mission Funding Sources FY 2011 Sources of Revenue

Medicaid 6,526,514 Medicare 360,990 Other Insurance 1,084,204 Client Fees 433,820 Public Support 530,639 Federal Funding 136,781 Bur. of Beh. Health 33,000 Other Revenues 187,839

Total Revenues 9,293,788 Medicare

4%

Other Insurance12%

Public Support6%

Federal Funding1%

Bureau of Behavioral Health

1% Other Revenues

2%

Client Fees5%

Medicaid69%

Professional Fees3%

Occupancy Costs6%

Operating Costs3% Travel

2%

Salary & Benefits83%

Insurance2%

Other Expenses1%