NH Behavioral Health Summit

Save the Date JPEG




10:00 am to 11:30 am Session A


Behavioral Health Parity: Areas of Progress and Opportunity

Parity has been a hot topic for healthcare providers for the last few years.  Like any sweeping legislation, parity implantation has taken some time to review, interpret, and act on.  There have been a number of initiatives in New Hampshire, including the publication of the Resource Guide and the development of the NH Insurance Department’s Commissioners Behavioral Health Advisory Committee.  This panel discussion will highlight some of the work that has been done in New Hampshire, but will also focus on areas of opportunities for behavioral health providers.

Presented by Lucy Hodder, JD, Suki Norris, JD, Michele Merritt, MPA, JD, Jennifer Patterson, JD


What is the Future of Our Behavioral Health Workforce? Creating Career Pathways in Behavioral Health

The behavioral health workforce has in increased focus on outcomes, integrating with primary care and education, and family/youth driven services. The workforce continues to experience challenges, however, characterized by high staff turnover rates and gaps in utilization of recruitment and staff retention strategies.  This session will focus on a collaborative effort to create pathways so that individuals from non-traditional groups can pursue careers in behavioral health. The presenters will discuss the need, the strategies used to create collaboration and several projects designed to support participants beginning in high school.

Presented by Joanne Malloy, PhD., MSW, Amy Parece-Grogan, MEd., & Paula Smith, MA


The New Hampshire MATCH Learning Collaborative: Statewide Implementation of a Leading Evidence-based Practice for Children and Adolescents
This workshop will describe a learning collaborative to implement a leading evidence-based practice for children and adolescents in all NH Community Mental Health Centers (CMHC), the Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, or Conduct Problems (MATCH-ADTC). To address interests of the breadth of disciplines and systems represented at the conference, special attention will be paid to methods for identifying and screening potential referrals to MATCH services from a variety of settings (e.g., school, primary care, substance abuse treatment), as well as possible applications of MATCH in these settings. We will also discuss efforts to integrate stakeholders from the broader communities of participating CMHCs in implementation efforts to increase awareness of and access to services.
Presented by Mason Haber PhD., & Dan Cheron, PhD


Navigating the NH Board of Licensing for Alcohol and Other Drug Use Professionals 300 and 400 Administrative Rules
This workshop will provide an overview of the administrative rules adopted and proposed by the NH Board of Licensing for Alcohol & Other Drug Use Professionals.  These rules describe credentialing requirements for Certified Recovery Support Workers, Licensed Alcohol & Drug Counselors and Master Licensed Alcohol & Drug Counselors as well as Licensed Clinical Supervisors.   Initial application requirements within the 300 rules as well as any new re-licensure/re-certification requirements in 400 rules will be reviewed.  Upon completion of this workshop participants will be able to access the administrative rules online and reference the sections pertaining to individual credentials.  They will be able to describe the role of the International Credentialing & Reciprocity Consortium for New Hampshire licensure.  Participants will also have an increased confidence in being able to answer questions about credentialing for both the people they supervise toward the credentials or in their own pursuit of a credential.  Updates of any potential legislative changes or administrative rule changes that are in process will also be provided.
Presented by Dianne Pepin, MEd., MLADC


The Voices of New Hampshire’s Young Adults: Strategic Planning Across the Continuum of Care

Guided by the data collected during a rapid cycle assessment process, this workshop will embark on a highly interactive discussion about how to engage young adults and use the assessment data to inform policies and strategic planning invites the young adults to be part of the solution. Participants in this workshop will recognize the factors that influence substance use behaviors of young adults from their unique perspective; understand the challenges of engaging and including this hard to reach population in prevention policy and intervention strategy development; and learn how to best use assessment findings to make data driven decisions for prevention and early intervention efforts across the continuum of care.

Presented by Aly McKnight & Rachel Kohn, MSW, MPH


Integrated Care

This panel discussion will examine the core tenets of NH’s 1115 waiver, and attendees will learn about progress to date and what to expect in 2018. In addition, the presentation will look at some of the on the ground developments in two of the seven regions that are deploying innovative solutions.

Presented by Nick Toumpas


1:00pm – 2:30pm Session B


Confidentiality of Substance Use Disorder Records: Compliance with 42 CFR Part 2 in Integrated Care Settings

Practices developing integrated SUD services need to ensure they have a process for implementing the new regulations in a manner that is consistent with good patient care and their integrated care delivery model.  A panel will summarize the essentials of 42 CFR Part 2, discuss implementation in an integrated setting, and highlight a case study of an implementation process.
Presented by Lucy C. Hodder, JD, Jason Gregoire, JD & Jacqui Abikoff, LICSW, MLADC


The International Clubhouse Model of Psychosocial Rehabilitation for Adults Living with Mental Health and Co-Occurring Substance Use Disorders
This workshop combines didactic presentation with short videos created by NH clubhouse members and staff.  Examples will be shared of NH and other states’ utilization of the clubhouse model to successfully integrate behavioral health systems. An experiential activity will also be offered for the audience to understand the model’s effectiveness.  The goal of this workshop is to provide an overview of the Clubhouse Model and its psychosocial rehabilitative core components; to provide background of the two clubhouse programs in NH; to highlight how the non-clinical clubhouse services closely collaborate with community, medical and clinical agencies to meet the social determinants of health for holistic recovery improving overall performance and outcomes; and to describe the innovative practices for meeting the specialized needs of transitioning young adults
Presented by Ann Strachen MA,  & Jacqueline Ellis, MA


HB 400 – Mental Health Plan for NH

This session will offer an in-depth look at the mandate for a new Ten-Year Mental Health Plan, authorized by 2017’s HB 400. The NH Department of Health & Human Services must develop a comprehensive plan for the State’s mental health system, on or before July 1, 2018, including recommendations to ensure statutory and due process rights of patients subject to involuntary emergency admissions who are in hospital emergency rooms; and a plan to remove certain persons from New Hampshire Hospital. The existing Ten-Year Plan was issued in August 2008 and, while not fully realized, offers some recommendations for improving the system that still have merit.

Presented by Senator Jeb Bradley, Katja Fox


Overcoming Stigma: Strategies for Healthcare Staff
The stigma associated with mental illness and substance use disorders represents complex processes involving stereotypes, prejudice and discrimination.  As health professionals we have an ethical mandate to address stigma in our workplace with our clients and within ourselves. This workshop will increase participants’ ability to assess common types of stigma and provide strategies for addressing the negative effects of stigma.
Presented by Nancy Hollinshead, MSW & Kim Meurillon, MA


An Overview of Motivational Interviewing for Adolescents and Young Adults

The strategies of Motivational Interviewing allow a practitioner to use a directive, client centered counseling style for eliciting change by helping clients explore and resolve ambivalence.  Rather than confronting clients about the need to change, it leads them toward self-confrontation as a way to become unstuck from their indecision about change.  This presentation will highlight the application of the Motivational Interviewing practice for use with adolescents and young adults.
Presented by Jack Genakos MEd., MLADC & Danielle Guinesso, MA


3:00pm – 4:30pm Session C


Medicaid in Schools

During the 2016, Advocates worked hard to expand the number of students who are able to access behavioral health services while in school.  SB 235, passed and signed into law last legislative session, allows school to seek Medicaid reimbursement for eligible services.  This panel will talk about the intent of SB 235, its current implementation, and areas of opportunity.

Presented by Mary Steady, Michele Merritt, MPA, JD,


Where Policy Meets Practice: Integrated Behavioral Healthcare Policy for Front-Line Providers
To be successful working in the developing field of integrated behavioral health and primary care, practitioners must understand the new and evolving organizational structures through which integrated behavioral health services are delivered.  These structures, which take many forms, alter internal and external organizational relationships and effect direct practice.  This workshop will offer a basic description of these structures and focus closely on how these structures affect day-to-day practice by front-line providers through case examples.
Presented by Will Lusenhop, Ph.D., LICSW


Nonprofit Management 101

Calling all Executive Directors and Board members!  Behavioral health providers and administrators have busy jobs.  Board members often have day jobs.  Participating on a Board and working with Board are time consuming, challenging, but important.  Lee will discuss the roles and responsibilities of a Board of Directors and how to effectively work on and with a Board of Directors.

Presented by TBD


A Suicide Prevention Model for Youth in the Critical Risk Transition From Hospital to Community
The state of NH is moving towards a Zero Suicide approach in health and behavioral health care systems to reduce the incidence of suicide. One key component is working closely with high risk individuals around care transitions, particularly from hospital discharge back into the community. This workshop will examine a project in implementation in NH for youth aged 24 and under who have been hospitalized involuntarily after a suicide attempt and look at the strategies, tools, lessons learned, and successes in the pilot phase of this project. The project has a goal of smooth re-entry into the community with decreased risk of readmission and suicidal behavior among high risk youth at the point of hospitalization.  This workshop discusses engagement of the youth and their family as well as other key support persons in safety planning and education about suicide risk, are essential part of the dialogue prior to discharge into the community, as well as the role of staff liaison that use the safety plan as a blueprint for transition into the community and mobilizes essential supports and education to minimize risk and promote wellness and a healthy recovery after a crisis. This workshop also highlights other best practices in implementation at NHH following a systemic Zero Suicide approach.
Presented by Elaine de Mello, LICSW


Overcoming Barriers to the Care of Patients with Addiction
A brief review of the biology of addiction and how it impacts care and interactions with healthcare staff. The influence of stigma on both patients and providers will be discussed and panelists will provide examples from their extensive practice experience in multiple settings. Updates on workforce initiatives, including current work by the NH Integrated Delivery Networks (IDNs), will be shared. Time will be provided for participants to share their own experiences and discuss strategies for influencing public policy and destigmatizing addiction care in the workplace and their communities.
Presented by Molly Rossignol DO & Peter Mason, MD


Opportunities and Learnings Identified Integrating Behavioral Health within a Reproductive/Sexual Health Care Setting

Planned Parenthood of Northern New England (PPNNE) will identify the types of emergent patient care needs which inform its expanding work in the behavioral health area and share its experience integrating screenings, brief intervention, and referral to treatment (SBIRT) into its health center operations as a standard of care. The workshop will also highlight other successful care coordination efforts with community partners and identify policy opportunities and barriers relative to advancing and optimizing this model of care.  The goals of this workshop are to  highlight behavioral health needs that surface for patients in a reproductive / sexual health care setting; share lessons learned & challenges integrating SBIRT into PPNNE health centers; describe care coordination efforts with community partners; and provide policy recommendations for improving integrated care.

Presented by Donna Burkett, MD, Maura Graff, MPH & Jennifer Frizzell, JD



10:00am – 11:30am Session D


Supporting the Mother-Infant Dyad: Integrated Care for Pregnant and Parenting Women with Substance Use Disorders
This interactive workshop will explore the ethical and practice arguments for improving access to comprehensive care for pregnant and parenting women with opioid use disorders.  The rationale for integrated perinatal treatment models combining medication assisted treatment and maternity care will be explored, and the evolution of one innovative program will be described. Policy opportunities to improve access to integrated care will also be explored.
Presented by Daisy Goodman, CNM, DNP, MPH & Steven Chapman, MD


Strategies for Attracting, Recruiting and Retaining Providers in Today’s Competitive Environment
This presentation reviews factors that impact the ability of organizations to attract, recruit and retain behavioral health and substance use treatment providers as well as information and discussion of best practices to maximize recruitment and retention efforts.  Participants of this workshop will understand the national, regional and local environment and its impact on recruitment and retention in NH,  the importance of staff retention and exposure to best practice tools, and best practices used in attracting and recruiting providers as well as increase knowledge of recruitment tactics that can be applied to enhance current workforce development strategies.

Presented by Stephanie Pagliuca & Mandi Gingras


Effective Case Management in a School Setting
SAU 7 has developed a program of case management services within their schools.  Presenters will share about the work they do in case management in school settings, sharing details around policies, paperwork, referrals, billing and barriers.  Presenters will describe what has worked in SAU 7 as an example of effective case management in schools.
Presented by Jennifer Noyes, MA and Amy Caron


S-BI-RT in NH: Looking Back – Looking Forward
This workshop will highlight strategies and available resources for sustainability of gains, and possible spread of, S∙BI∙RT practice in NH. A review of the NH Youth S∙BI∙RT Initiative will be highlighted including strategies and available resources for sustainability of gains, and possible spread of, S∙BI∙RT practice in NH.  The onset of alcohol or drug use between ages 12 and 22 is a predictor of later misuse or dependence. Screening-Brief Intervention-Referral to Treatment (S∙BI∙RT) enables providers to screen for high risk use, reinforce healthy behaviors, provide guidance, and refer to treatment those who need it.   This workshop will examine the implementation of the New Hampshire Youth S∙BI∙RT Initiative that was implemented across 24 primary care practice sites over the past three years. Lessons learned from this Initiative will be shared; strategies and resources available for implementation and sustainability of S∙BI∙RT processes will be highlighted.

Presented by Lea Ayers LaFave, PhD., & Martha Bradley, MS


Supporting Clients Who Use Drugs in Setting and Achieving Personal Goals
Health care providers have opportunities to engage and support clients who use drugs in setting and attaining health related goals. This session will first focus on provider acceptance of ‘where a person is at’ as a precursor to supporting client driven goal setting. Practices based in harm reduction are currently applied throughout health care, but negative judgement and low expectations often impede health care providers from effectively engaging these principals when caring for people who use drugs. Personal narratives and cases shared within this session will highlight exemplars of engaged approaches as well as opportunities for improvement. Evidence related to harm reduction approaches and goal setting will be discussed. Harm reduction best practices and current local and national resources will be provided. Participants will consider how goal attainment can be supported with syringe service programs, overdose prevention and treatment, comfort medications, medication assisted therapy, and referrals across health care and community services including peer recovery supports. Participants will learn to train others in overdose prevention and treatment including naloxone administration. This session will engage attendees in collaborative learning, conversation, and case discussion to identify opportunities to engage clients in setting goals.
Presented by Kerry Nolte, PhD., Dean LeMire and Jason Lucey, MSN



1:00pm – 2:30pm Session E



A Chance to Change the Tide- An Examination of Policies and Practices Related to Maternal Substance Abuse and Young Children
This workshop will examine policies from multiple systems related to maternal substance abuse and young children, (Division of Children Youth and Families Child Protective Services, Early Supports and Services, Criminal Justice, Substance Abuse Treatment, and Children’s Behavioral Health).  It will also examine how they impact access to service and available services.  Most commonly, services for parents with substance use disorders and their young children are conceptualized through either a parent treatment lens or a child protective/child development lens, not through a parent-child relational lens.  In this workshop, we will explore services model and evidence based practices from all of these vantage points and the policies what would support them.
Presented by Ellyn Schreiber, LCMHC


Conversation with BDAS to Ensure a Strong SUD Delivery System


Presented by Jamie Powers, Abby Shockley, MPH


Recidivism Rates and Mental Health

How does the rate of misdemeanant and felony recidivism for mentally ill offenders compare to that of non-mentally ill offenders? If the arrest crimes for the two groups are the same, are mentally ill offenders incarcerated for a longer time? Is it possible to predict which mentally ill inmates are more prone to recidivism on the basis of such factors as diagnosis, compliance with community treatment, and domicility? This panel discussion will focus on these questions and more, with specific focus on new programs being developed in NH to address this issue.

Presented by Linda Paquette, Esq. & Ross Cunningham


The Looming Healthcare Issue: Mental Health and Addiction in the Elderly

The boomer generation has begun its movement into old age and will form an increasingly larger segment of the population needing healthcare services over the coming decade. Research data shows that over 20% of the elderly currently meet criteria for mental illness, and deaths due to the misuse of opioids have been increasing.  Obstacles to successful treatment services stem from factors such as lack of knowledge, stigma, and economic constraints. This workshop will address the most prevalent mental health and substance misuse issues of the elderly, consider how those issues should inform the development of treatment programs, and provide the basis for developing a sound rationale for policy making and allocation of resources.

Presented by Margaret Lee Leppanen


Federal Health Care Changes

The Affordable Care Act still faces critical challenges, as the President and Congress continue to attempt to repeal and replace it. The immediate effects of repeal would be on Medicaid, but there would also be a significant impact on parity in coverage for mental health services, which the ACA extended to individual insurance plans via its essential health benefits. This session will focus on what we can expect under a variety of different scenarios in 2018.

Presented by TBD


3:00pm – 4:30pm Session F



ER Boarding

This session will offer an in-depth look at the mandate for a new Ten-Year Mental Health Plan, authorized by 2017’s HB 400. The NH Department of Health & Human Services must develop a comprehensive plan for the State’s mental health system, on or before July 1, 2018, including recommendations to ensure statutory and due process rights of patients subject to involuntary emergency admissions who are in hospital emergency rooms; and a plan to remove certain persons from New Hampshire Hospital. The existing Ten-Year Plan was issued in August 2008 and, while not fully realized, offers some recommendations for improving the system that still have merit.

Presented by Lori Shibinette, Ken Norton


Changing Cannabis Policies: Impact on Individual & Public Health
This interactive workshop will explore the potential and demonstrated risks and benefits of cannabis and cannabinoids in the context of rapidly change public policies and public opinion.  It will assist policy-makers, clinicians, educators and others in becoming better able to critically evaluate and advance cannabis-related practices and policies that support the well being of individuals and the health of the public.

Presented by Seddon Savage, MD, MS & Allen Budney, PhD.


An Integrated Care Model in a Pediatric Primary Care Practice:  Successes, Challenges and Opportunities
This workshop is presentation of an integrated care model in a pediatric primary care practice including successes, opportunities and challenges, and facilitated discussion focused on improving mental health of children and youth by innovating connections between and among existing systems. Participants will learn how the integrated care model currently operates; discuss the value of the integrated care model; discuss opportunities and challenges associated with expansion of the model and consider innovations for future growth; and discuss relevance of model to health policy and behavioral health needs of children and adolescents.

Presented by Julie Balaban, MD, DFAACAP, FAPA & Susan Pullen, MSW, LICSW


Vivitrol: Practical Strategies
This workshop will explain what Vivitrol is, how it works, patient selection, patient induction, patient monitoring, support and psychotherapy.  The participant will be able to: describe the general properties of Vivitrol; list the pros and cons of its use; identify characteristics of individuals who are most likely and least likely to benefit; and list motivational and induction strategies as well as monitoring and psychotherapeutic strategies for optimal outcome.
Presented by Michael McNamara, DO, FACN


First Episode Psychosis Services: The NIMH NAVIGATE Program
The evidence demonstrating the importance of early interventions for young adults who have an early episode of psychosis continues to grow.  We know that nearly 100,000 people in the United States will experience the onset of a mental illness that includes psychotic symptoms each year.  We also now know that when we provide early and evidence-based services to these young adults and their family members, that we can change the course of the illness from disability to ability.  This workshop will provide information and experiential information regarding the NAVIGATE program that was developed as part of the National Institute on Mental Health (NIMH) Recovery After Initial Episode of Schizophrenia (RAISE) program.
Presented by David Lynde, LICSW