Embracing the

Growing Years

Lakes Region Mental Health

CenterAnnuAl report

2018

Being a part of something special

Do we ever stop growing?The words “growing years” may illicit for some the question: “Do we ever stop growing?” Given that this is our 52nd year, Lakes Region Mental Health Center has not stopped growing. We have seen incredible growth in the past decade; in revenues, in staffing, in programming and in our community partnerships. The Board and staff of this organization had a vision for the future – one where we are providing innovative, state-of-the-art services in collaboration with our community partners in a facility that is designed to improve the experience and health outcomes for our patients. Today, we celebrate the attainment of that goal and the continued growth of this organization in serving the needs of our communities.

Peer support is one area that has seen slow and steady growth over many years. We were participants in three state-lead initiatives which this year included a technical assistance grant from SAMSHA that will assist NH in aligning mental health and substance use disorder peer services by way of definition, rules and Medicaid reimbursement. The Community Mental Health Association pushed the peer agenda with its inclusion of peer support on our Assertive Community Team which has been readily embraced here. LRMHC pioneered peers in wellness programming when including it in our integrated care service, “One Health.” We continue to train and support a peer support workforce including access to such, for all our adult clinical teams this year. We look forward to its expansion to families and youth.

LRMHC understands the growth of the organization is dependent upon the growth of our staff. We are investing more each year in the professional development of the employees. Last year we spent $24,896 dollars in tuition reimbursement alone. Our new facility has hosted 103 trainings since our relocation on January 1st. The investment in creating a conference and training center that is equipped with audio/visual technology has supported our efforts to offer more open educational events to our community partners and the public at large. Required trainings for licensure of clinicians are now offered on-site as well. Our physicians and nurse practitioners are offering “Lunch and Learn training

sessions,” keeping staff well informed on subject matters like diagnostics, clinical formulation and psychopharmacology.

We continue to implement and expand evidence based practices. The education of patients and their families and support of systems are key in all these practices. Our list of these include Illness Management Recovery, Supportive Employment, Assertive Community Treatment, InSHAPE, Trauma Focused Cognitive Behavioral Therapy, Cognitive Behavioral Therapy, Trauma Informed Therapy and Dialectical Behavioral Therapy. This year we introduced MATCH (Modular Approach Treatment for Children and Adolescents), an evidenced based practice specifically designed for children and their families, who are diagnosed with anxiety, depression, trauma, and conduct-related disorders. We look forward to the expansion of our integrated practice models including sustaining OneHealth, improving health outcomes and growing our collaborative efforts with primary care and substance use disorder providers through our 1115 waiver work with Community Health Services Network (CHSN).

Our success in growing has been recognized twice this year. Belknap Economic Development Council recognized us for our economic development impact on the region. We received the 2018 Merit Award for Excellence from the NH Architect and Plan NH in recognition of our contribution toward creating a sustainable community through utilization and renovation of an existing building. We know we will never stop growing. We appreciate and embrace the opportunities created for the communities and people we serve through our growing spirit. Society embraces the need for healthy growing children as do we; that said this community mental health center will stay health-focused and will continue to grow for many years to come.

Thank you all for your support and friendship.

Margaret M. Pritchard Deborah A. Pendergast

Executive Director President, Board of Directors

Mission

Leadership

Our Mission:Lakes Region Mental Health Center’s mission is to provide integrated mental and physical health care for people with mental illness while creating wellness and understanding in our communities.

Our Vision:Lakes Region Mental Health Center is the community leader providing quality, accessible and integrated mental and physical health services, delivered with dedication and compassion.

Our Values:R espect We conduct our business and provide services with respect and professionalism. A dvocacy We advocate for those we serve through enhanced collaborations, community relations and political actions.

I ntegrity We work with integrity and transparency, setting a moral compass for the agency. S tewardship We are effective stewards of our resources for our clients and our agency’s health. E xcellence We are committed to excellence in all programming and services.

(Revised & Approved by the Board of Directors, 9/15/2015)

MeMbers at LargeLori Boelig, Laconia Gail Mears, Holderness Carol Pierce, Laconia Seifu Ragassa, Gilford Cinda Shepard, Meredith Kim Sperry, Meredith James Stapp, Holderness Susan Stearns, Sanbornton Kelley White, MD, Laconia Rev. Judith Wright, Laconia Rick Wyman, Laconia

board of directorsPresident Deborah Pendergast, Gilford

Vice President Joe Driscoll, Laconia

Co-Treasurers Ed McFarland, Laconia Matt Soza, Laconia

Secretary Jannine Sutcliffe, Holderness

■ Salaries .....................................................63%■ Benefits & Taxes ....................................19%■ Other Expenses ...................................... 5%■ Occupancy ............................................... 4%■ Depreciation ............................................2%■ Supplies ..................................................... 1%■ Insurance .................................................. 1%■ Communications ....................................2%■ Professional Fees ....................................2%■ Provider Recruitment/Advertising ... 1%

■ Medicaid..................................................68%■ Private Insurance .................................... 5%■ Medicare ................................................... 5%■ Self-Pay ...................................................... 1%■ Community-Based Contracts .............8% ■ BBH .............................................................2%■ Donations & Contributions ................. 1%■ Grants & Public Support ......................8%■ County & Town Funds .......................... 1%■ Other Revenues ...................................... 1%

Accountability

reVeNUe

eXPeNses

ServiceWe would like to thank the following Municipalities for their continued support:

Town of Alexandria • Town of Alton • Town of Ashland • Town of Belmont • Town of Bristol Town of Campton • Town of Center Harbor • Town of Gilford • Town of Gilmanton • Town of Groton Town of Hebron • Town of Holderness • City of Laconia • Town of Meredith • Town of New Hampton

Town of Plymouth • Town of Rumney • Town of Thornton • Town of Tilton • Town of Wentworth Grafton County

It is easier to build strong children than to repair broken adults. ~ F. Douglas

donors*Everett Allen*Lucille Amaro Chmura*David Ball*Ray and Lori Boelig

Dennis Bothamley*David and Beth Bouchard*Pamela and David Brown*Terri and Mike Brown*Kim Bruneau*Joseph Capuchino*Donald and Brenda Carey Dorinda Carpenter*Carrie and Howard Chandler*Martha Chandler*Doris Citron*Jim and Beverly Clements*Martha Copithorne*Dennis and Phyllis Corrigan*Michael Coughlin and Zuka Sladek*William Crangle and Lee Webster*William Cutillo*Hali Dearborn and James Caldwell*Scott and Jennifer Desmond*Gary and Lisan DiMartino Garyn Dionne Michael Andrew Dipietro and Christina Bortz*Joe Driscoll*Sue and Rob Drolet*Edward Drury Timothy Dunleavy*Mark Edelstein*Tammy Emery*Joel Fisher*Sunshine Fisk*Jerry and Sharon Fleischman*Gary Francke *Michael Garner*Judith Genre*Celia Gibbs*Thomas and Kim Giles Patricia Goguen

*Linda and Rick Hagan David Hart*Sally Hatch*Marshall and Robin Hatch*Dr Richard and Mary Hattan Katie Hedberg*Marilyn Henderson*Janet Heslam*Jeremy and Nicole Hogan*Cathy Howard*Dr Jim Hundrieser*Bob and Arlene Ilgenfritz*Jennifer Jackes*Patricia Jamison*Dr. Vladimir Jelnov and Liliya Rameteva*Marge and Tim Kerns*Dawn and David Lacroix*Elizabeth Lapham E. Devitt and Gary Liptak*Rev Miller and Ginny Lovett*Willard “Bud” Martin*Ed and Brenda McFarland*Betsy McNamara and Dan Habib*Gail and David Mears*Rae Mello-Andrews*Elizabeth Merry*Kate Miller*Alida and Peter Millham*Peter Minkow and Teresa Mahoney Mullen*Dr Merrit J Mishcon*Don and Sandra Morrissey*Larry and Sandra Mosbrucker*Stuart and Sue Needleman*Ann Nichols*Margaret Nighswander*Ken Norton and Lauren Noether*Joyce Palmer and George DeWolf

It takes courage to grow up and become who you really are. ~ E.E. Cummings

Support*Wendy Palmquist*Andrew Parker*Andrew Patterson*Lynne and Geof Pederson*Deborah and Dana Pendergast*Carol Pierce*James and Sally Pisciotta*Maggie Pritchard*Cathy Pritchard Hollow*Dr Paul and Margo Racicot*Judith and James Reever*Seifu Regassa Joanne Reynolds*John P. Rogers*Micheline Roy*Peter Russell*Cinda and Tom Shepard*Chris Slater*Susan and David Smith*Ed and Kim Sperry*Susan Stearns Jean Stevens*Walter and Shirley Strauch*Scott and Allison Sullivan*Jannine and George Sutcliffe Jr. Barbara Thomas Paul Tierney*Angela and Chad Vaillancourt*Cinde Warmington and William Christie Kent and Mary Alice Warner*CJ Warren*Martha Webb Chandler*Robin White*Dr. Kelley White*David Williams*Richard and Wendy Wilson*Ellen Wolff*Rev Judith Wright*David Wunsch *Richard and Sally Wyman

* denotes Capital Campaign Supporter

Support organizations*All Metals Industries Inc*Anonymous Donors*CADY, Inc. *Christopher P. Williams Architects, PLLC *Conneston Construction, INC*Genoa, A QoL Healthcare Company*Harvard Pilgrim Health Care*John H. Lyman & Sons, Inc.*Martin, Lord, & Osman, PA*NE Delta Dental*Normandin Cheney & O'Neil PLLC*Penny Pitou and Milo Pike Charitable Fund*Pike Industries *Robert Ayer Family Irrecovable Trust of 2002*Rice Law Office PLLC*Starr King Unitarian Universalist Fellowship*Stewart Associates Architects LLC*Temple B'Nai Israel*Unitarian Universalist Society Anonymous Donor Boston Medical Center HealthNet Plan CADY, Inc. Central NH VNA & Hospice Congregational Church of Laconia Curt's Caterers Gilford Community Church Granite United Way Hampshire Hospitality Holdings, Inc. Hannafords Plymouth Harrington Analytics & Consulting LLC Harvard Pilgrim Healthcare IPG Employee Benefits Specialists Irwin Automotive Group Kittell Branagan & Sargent Lakes Region Community College Lakes Region Community Services Maxfield Real Estate Meredith Village Savings Bank Mid-State Health Mill Falls Minkow & Mahoney Mullen, PA Nami NH NE Wealth Advisors NH Healthy Families Paquette Signs Partnership for Public Health Plymouth State University Plymouth United Methodist Church Women's Fellowship Protection For a Purpose Speare Memorial Hospital

Staff of NH Mutual BancorpSteele Hill ResortsTaylor Comminity USI New EnglandWell Sense Health Plan

* denotes Capital Campaign Supporter

financing PartnersCommunity Development Finance Authority (CDFA)Meredith Village Savings BankNew Hampshire Health and Education Authority (HEFA)

in Kind donorsAll My Life JewelersRay and Lori BoeligMichael FerroMarshall HatchIan Raymond PhotographyJellystone ParkLaconia Village BakeryLRGHealthcareMack's Apples104.9 The Hawk98.3 LNHShooter's TavernBoys and Girls Club of Central NH

Thank you to our Capital Campaign Major Sponsors for Supporting our Mission!

PLatiNUMMeredith Village Savings BankHampshire Hospitality Holdings, Inc.AutoServ of Tilton

goLdUSDA Rural DevelopmentCJ Graham Family and FriendsCinde Warmington and William ChristieCogswell Benevolent TrustThe Richard A. Dearborn FamilyAnonymous

siLVerBelknap Landscape Company, LLCFranklin Savings BankIPG Employee Benefit SpecialistsNorthway BankMadelaine G. Von Weber TrustThe Family of Dr. George "Pete" Harris

broNZeNortheast Delta DentalBank of New HampshireRay and Lori BoeligConneston Construction, Inc.

coPPerPike Industries, IncRev. Miller and Ginny LovettMargaret M. PritchardLiz MerryDr. Jim HundreiserPenny Pitou and Milo Pike Charitable Fund

Legacy in Honor & Memory of In Memory of Dr. George "Pete" Harris*Donald Dolben*Barbara Harris *Anne and Perry Onion*Meredith Village Savings Bank*Dr. Kelley White

In Honor of Michael Novotny*Linda Nichols

In Memory of Fr. Rocco Memolo*Jane Wood

In Honor of Liz Merry*Golda Schohan

In Honor of Maggie Pritchard*Kristen and Michael Welch

In Honor of Family and Friends*Margaret Eddy

In Honor of Marshall Hatch*Linda and Scot Degraf

In Honor of Katie Baker*Tom and Peggy Lacey

In Memory of Richard Plummer*Linda Hagan

In Honor of Mary Crowley*Dr John and Martha Richards

In Memory of Miller Lovett*Patrick Miller and Pamela Andruszkiewicz*Allan R. Clark

In Memory of Matthew J. and Lucille D. Soza*Matthew Soza

In Memory of Barbara and Bob Partridge*The Partridge Family

In Memory of Her Sister BJ Eckardt

In Memory of Myra T. Adams*Susan Stearns

In Memory of Paul Levesque*Ed & Brenda McFarland

In Honor of Kate Miller*Lisa Dimartino

In Memory of Robert S. Davis Patricia Gavell

In Honor of Jacob Zoeller New Hampshire Mutual Bancorp

In Memory of Donald Lafond Susan and Thomas Heinzmann Aunt Dot and the Simoneau Family Joan Cormier Patricia and Rick Cantin David Cantin Prudence Veysey Stella Roux Terese Veysey

In Memory of CJ Graham*Katie Graham*Linda and Reynold Ilg*David and Karen Gingrich*Cinde Warmington and William Christie*Michael and Lynne Baron*Pamela Fothergill*Doris MacHaffie*Lori and Greg Gallien*Peter Stewart*James and Jane Rollins*Stuart and Wendy Boysen*Derek and Cindy Tomlinson*Faith Rupert*Nan Fay*Jane Fortier*Brad and Daryl Thrompson*Kathryn Lacroix*Robert T. Smith*Rev. Mark and Dru Chatterton*Mary Flinn*Rick and Brenda Nelson*Patricia and Paul Visco*Carolyn Ames*Sara Allen*David and Allison Bergstrom*Dennis and Penelope Franciosi*Joan Stephenson*Marilyn Henderson*Marilyn Goodwin*Rev Michael and Cinde Graham*Hans and Kathryn Dahll*Debra Hastings*Anonymous Donor*Mary Flinn

Partnerscapital campaign tax credit supporters

broNZeNortheast Delta DentalBank of New HampshireRay and Lori BoeligConneston Construction, Inc.

coPPerPike Industries, IncRev. Miller and Ginny LovettMargaret M. PritchardLiz MerryDr. Jim HundreiserPenny Pitou and Milo Pike Charitable Fund

Impact

2018 LAKeS ReGIoN MeNTAL HeALTH CeNTeR STATS

• Total number of Patients Served: 4,067

• Total number of Patients Served by Emergency Services: 1,062

• Total number of Adults Aged 18+ Served: 2,990

• Total number of Children Aged 0-18 Served: 1,077

• Total number of Children Served by Emergency Services: 275

• Total Patient Service Hours: 67,679

• Total Charity Care: $1,220,278

• In 2016, an estimated 2.2 million adolescents aged 12 to 17 in the United States had at least one major depressive episode with severe impairment. This number represented 9.0% of the U.S. population aged 12 to 17.

• Approximately 60% of adolescents with major depres-sive episode did not receive treatment. Approximately 1 in 5 youth aged 13-18 (21.4%) experiences a severe mental disorder at some point during their life. For children aged 8-15, the estimate is 13%.

• 70% of youth in juvenile justice systems have at least one mental health condition and at least 20% live with a serious mental illness.

• Just over half (50.6%) of children with a mental health condition aged 8-15 received mental health services in the previous year

• Over one-third (37%) of students with a mental health condition age 14-21 and older who are served by special education drop out—the highest dropout rate of any disability group

• Suicide is the 10th leading cause of death in the U.S., the 3rd leading cause of death for people aged 10-14 and the 2nd leading cause of death for people aged 15-24.

• More than 90% of children who die by suicide have a mental health condition.

Source: NAMI

Towns Served

Patients Served

Charity Care

alexandria 47 $7,020

alton 113 $32,921

ashland 84 $19,347

barnstead 183 $7,623

belmont 386 $82,130

bridgewater 15 $7,457

bristol 122 $28,450

campton 126 $22,342

center Harbor 24 $4,910

ellsworth 2 $0

gilford 232 $44,782

gilmanton 83 $19,280

groton 9 $488

Hebron 16 $12,779

Holderness 37 $10,698

Laconia 1,408 $564,698

Meredith 270 $76,367

New Hampton 52 $3,227

Plymouth 220 $89,015

rumney 67 $7,844

sanbornton 75 $7,922

thornton 27 $3,541

tilton 182 $35,672

Wentworth 29 $6,521

Woodstock/Lincoln 10 $9,096

out of catchment 348 $116,148

total 4,067 $1,220,278

Being a part of something special makes you special.

Promoting Healthy Minds Since 1966