Two Days of Powerful Talks
The NH Behavioral Health Summit is the EXCLUSIVE statewide event in NH for behavioral healthcare providers and organizations, including mental health and substance use disorders. There is no better opportunity for companies to gain access to a many professionals.
Provide opportunities for policy makers to interact with service providers, so that this interaction may inform and provide direction for the policy needs and address policy barriers to service provision;
Provide educational opportunities that address the behavioral health policy and service needs of children and adolescents, adults, and the elderly;
Provide educational opportunities that help participants understand the changing substance use, mental health, and primary health landscape;
Provide educational opportunities that encourage expansion of the workforce relative to health promotion, prevention, early identification and intervention, treatment and recovery supports;
Provide opportunities that increase familiarity of the various disciplines and systems in order to promote collaboration and enhance care coordination; and
Support the provision of evidenced based practices.
What is the NHBHS?
In 2017 & 2018, The NH Community Behavioral Health Association (CBHA), The NH Alcohol and Other Drug Service Providers Association (NHPA) and the NH Alcohol and Drug Abuse Counselors Association (NHADACA) partnered to host the Behavioral Health Conference & Public Policy Summit, focused on setting the public policy stage for key legislative and agency initiatives, integration and building capacity for mental health and substance use. After much discussion, the hosts of the event decided it would be prudent to collaborate and co-host an innovative and unified conference again in 2019. This annual Summit is designed to bring together non-profit leaders, health care providers, clinical staffs, licensed professionals and public policy advocates in the mental health and substance use disorder community. The goal is to bring the behavioral health community together in a single forum where shared public policy goals, professional development and meaningful networking can occur.
Speakers & Presentations
December 16 Day 1
10:30am to 12:00pm Session A
A1 Community Wide Levels of Care System: A Collaborative Approach Between Primary Care and Community Mental Health
Presented by Dave Carroll & Kristen Cherry
This session will discuss the collaboration between a large primary care organization and a community mental health center. The workshop will describe the recent collaboration between Dartmouth Hitchcock and The Mental Health Center of Greater Manchester as they have worked to align their respective integration enhancement projects. Topics of discussion will include: relationship building, shared workflows, shared care planning, closed loop referrals, interdisciplinary trainings, managing transitions, case studies, successes and challenges. Specific attention will be given to the concept of developing a cross-agency “levels of behavioral health care” system for patients with complex medical, behavioral health, and social determinant risks, streamlining transitions to and from distinct primary care and specialty mental health organizations that are not fully integrated within one system.
A2 If It’s So Great Why Isn’t Everyone Doing It? How Implementation Science Can Help Sustain Evidence-Based Practices
Presented by JoAnne Malloy, PhD.; & Kathryn Francoeur, MEd.
This workshop will provide an overview of the key elements of strategies and tools that have been proven to result in sustained implementation of evidence-based practices. At the conclusion of this session, participants will be able to articulate the primary functions addressed by the Implementation Science framework; describe the Stages of Implementation and why they are important to effective practice selection and adoption; describe how to develop and use a practice profile, and describe the importance of ongoing technical assistance and quality improvement for effective and sustained implementation.
A3 Occupational Therapy A Missing Piece in Integrated Primary Care Behavioral Health
Presented by Alexa Trolley-Hanson, MS, OTR/L
The field of occupational therapy has a rich history in helping with people with mental, behavioral and physical health needs engage in meaningful and necessary activities of life. Although widely recognized as rehabilitation providers, occupational therapists empower clients to solve problems and develop new habits and routines in the areas of self-care, work and leisure that support behavioral change and lead to increased health and wellness. This presentation will describe the work of graduate level occupational therapy students who are participating in an interprofessional federal grant program through the University of New Hampshire. It will highlight the ways that occupational therapy students are working as part of integrated care teams to address client issues including: addressing chronic pain, lifestyle redesign, adaptation to disability, development of independent life and vocational skills, and promotion of healthy families. The presentation will end with a discussion exploring further opportunities for OTs as part of integrated care and the challenges of sustainability.
A4 How to Stay Ahead of Key Compliance Pitfalls for Behavioral Health Providers
Presented by Lucy Hodder, JD; Jason Gregoire, JD; & Laurie Beth Pliakos, JD
Three lawyers, one who provides technical assistance in key policy areas, one in private practice and one in a hospital compliance department, will share key strategies and pitfalls for behavioral health professionals and administrators in the changing regulatory environment. The workshop will include didactic instruction on basic compliance goals that can be shaped to support the developing integrated models of care so that professionals and administrators can be prepared for compliance problem solving and planning now. The discussion will focus on: identifying key compliance challenges arising out of practicing in an integrated setting; outlining compliance tips and lessons learned in the compliance/ethics areas of fraud and abuse, contract compliance, billing, privacy and scope of practice, through examples; sharing compliance tools that support sustainability. Each presenter will provide a brief didactic overview of risk areas, discuss real case examples, and share best practice tips.
A5 Recognize, Connect! Understanding and Responding to Suicide Risk
Presented by Elaine DeMello, LCSW
Providers across the spectrum of health care, behavioral health care and substance misuse come into contact with people at risk for suicide on a regular basis. It is critical to be able to identify this risk, know how to intervene and utilize best practices to ensure a compassionate and comprehensive response, that reduces risk and increases engagement in both services and supports. This workshop will cover risk factors, warning signs, data and best practices about suicide prevention for any audience, as well as risk formulation and safety planning process for providers who conduct comprehensive suicide risk assessments.
1:00pm – 2:30pm Session B
B1 Part 1: Confidentiality and Ethical Communication for Substance Use Disorder and Other Behavioral Health Providers Working with Interdisciplinary Teams in Drug Courts and Other Corrections Settings
Presented by Jacqui Abikoff, LICSW, MLADC
This is Part 1 of a 2-part workshop. The growing emphasis on integrated health care necessitates that a variety of providers and organizations from different aspects of the healthcare system work together on a level that has not been common in the past. This is particularly evident in the criminal justice system where the growing understanding that punishment alone will not reduce recidivism among offenders has resulted in increasing collaborations among the diverse stakeholders working with this high risk/high need population. This brings together professionals with different roles, responsibilities, ethical codes and perspectives. It requires that all stakeholders develop strategies for cooperation and all members of teams such as Drug Court Teams understand the roles of all partners, how they relate to each other, and where their goals and priorities intersect. This workshop will engender discussion of what we know about each other, how we define our own and each other’s place in the treatment and supervision system, how we define and prioritize the roles of confidentiality, client empowerment, responsibility to offender supervision and public safety. It will address the confidentiality protections established by HIPAA and 42 C.F.R. Part 2, to whom they pertain, how they impact the ways in which we communicate with each other and with our clients. It will identify the diverse priorities of each stakeholder on a Drug Court Team and where they intersect so as to minimize barriers to communication within criminal justice system programs and enhance effective collaboration that balances client care, the fostering of client responsibility and autonomy, and the imperatives of offender supervision and public safety. This session will examine the laws governing confidentiality, HIPAA, 42 CFR Part 2, and NH State Law and how they apply to Drug Courts, jail-based treatment programs and relationships with Probation/Parole and the Courts. It will focus on how to effectively communicate about clients with substance use and co-occurring mental health disorders without violating the confidentiality requirements and how to use confidentiality as a tool for client education and empowerment.
B2 Creative Collaboration to Support Youth with Emotional & Behavioral Challenges
Presented by Kathryn Francoeur, MEd.; Shelby Barron; & Nicole Quinn
This session will highlight a blueprint for integrating community mental health within a school’s continuum of supports, and bring creative collaboration around Tier 3 interventions. Utilizing expertise from multiple perspectives helps in system-level planning for an intensive Tier 3 intervention. Strategies, tools, and examples from the field will be shared. At the conclusion of the workshop, participants will be able to describe a structured school to career transition planning process; list key features necessary to develop a cross agency tertiary team; and describe the benefits of cross-system problem solving using data to support, monitor and address the youth’s needs and goals.
B3 Behavioral Health Clinical Learning Collaborative: Standardization of Suicide Risk Screening and Assessment using Columbia-Suicide Severity Rating Scale
Presented by Nancy Fennell, MA; & Patrick Miller, MPH
This workshop will give a brief overview of the creation and major works of the Behavioral Health Clinical Learning Collaborative (BHCLC); a multi-disciplinary group of stakeholders seeking to improve and streamline standards of behavioral health care in New Hampshire Emergency Department (ED) settings, including addressing the well-known “ED Boarding Crisis.” Priority will be given to a review and panel discussion of the BHLC’s primary aim for 2019: developing and implementing a model for universal adoption of the Columbia-Suicide Severity Rating Scale in NH Emergency Departments and Community Mental Health Centers. Discussion will include sharing how standardized treatment protocols were developed using relevant clinical assessments and algorithms.
B4 Continuous Development of Recovery Support Workers: An Inclusive Approach
Presented by Zachary Palmer, MA
This interactive workshop discusses the importance of agency-driven continuous development of the Recovery Support Worker and offers methods to create and deliver effective learning opportunities. This workshop uses group activity to engage participants in conversation about the professional development of Recovery Support Workers in order to continue to augment the New Hampshire treatment and recovery communities.
B5 Medication Assisted Treatment for Opioid Use Disorder: Delivering Best Practice Care in New Hampshire
Presented by Peter Mason, MD; Rekha Sreedhara, MPH; & Anna Ghosh, MPH
Over the last eight years, New Hampshire has worked to increase its capacity to deliver medication assisted treatment (MAT) for individuals with opioid use disorder (OUD) due to the challenges experienced with opioids among NH individuals, communities and its public health system. The provision of medication assisted treatment has been proven effective in the treatment of OUD. NH has had an increase in providers who are waivered to prescribe buprenorphine and many programs have been initiated within diverse settings. Developing a program to deliver best practice care to individuals with OUD can be rewarding as well as challenging. In an effort to ensure that MAT is delivered safely and supports the recovery of individuals, NH is encouraging MAT programs to utilize specific standards of care. This session will provide an overview of the standards that are considered best practices and will provide resources to help diverse health care settings develop their MAT programs. Utilizing an interactive format, participants will explore the extent to which each of the best practices have been developed across the state and how best practices can be implemented in their settings. Participants will also gain tips and tools to develop their MAT programs. The session will be facilitated by a physician who is a long-time prescriber and champion of MAT and two technical assistance consultants who have been actively involved in NH’s implementation of MAT.
3:00pm – 4:30pm Session C
C1 Part 2: Confidentiality and Ethical Communication for Substance Use Disorder and Other Behavioral Health Providers Working with Interdisciplinary Teams in Drug Courts and Other Corrections Settings
Presented by Jacqui Abikoff, LICSW, MLADC
This is Part 2 of a 2-part workshop. This 2nd session will examine the priorities and needs for information about clients/offenders of diverse stakeholders in the supervision and treatment of offenders with substance use and co-occurring disorders. It will look at the different roles of the members of Drug Court teams, their responsibilities to confidentiality, supervision, offender rehabilitation and public safety. It will focus on the similarities in these priorities vs. the potential conflicts. It will also examine how the different members of a Drug Court team can effectively operate as a team, including the responsibility each has to building team trust as well as ensuring confidentiality for the clients in their programs.
C2 Young Adults Paving the Way for the Future: Helping Persons at Risk for Suicide, Substance Misuse and Mental Health
Presented by Debbie Baird
Young adults play a crucial role in prevention. Despite the support systems and safety nets provided for this group, the first line of defense in successful prevention efforts are young adults themselves, who often turn to their friends for help and understanding of mental health, substance misuse and suicide risk. In conducting the NAMI NH Young Adult prevention training, young adult leaders clearly demonstrate that they are best poised to relate to their peers’ cultural sensitivity, engagement, and connectedness to community resources. This workshop explores the role of young adults in the community as critical to cultural and social barriers that often prevent reaching out for help.
C3 Aging Well & NH’s Behavioral Health Care System
Presented by David Ross & Stephen Norton
The twin forces of an aging population and higher levels of behavioral health acuity among the nursing home eligible population is a mounting problem for NH’s geriatric health care system. Across the spectrum of providers and institutions, the amount of dementia and other mental illnesses is rapidly growing. Within today’s nursing home population in NH nearly 90% of all residents have some meaningful level of mental illness. This percentage is well above levels from just 10 years ago. This workshop will offer demographic information, current case studies, and an overview of immediate challenges while caring for an aging population who are suffering from mental illnesses. In addition, this workshop will go beyond identification of concerns and will begin a conversation about how to approach this demographic and financial policy in the long term. Representatives from the hospital health systems and long-term care community will lead this dialogue in hopes of setting the stage for solutions to this long-term care challenge.
C4 Recovery Coaching in Drug Court
Presented by Fred Bush; Jessica Parnell, CRSW; & Julie Christenson-Collins, MSW
This session will discuss the development and integration of a recovery coaching program into the Hillsborough County South Adult Drug Court through a partnership with Revive Recovery, a community-based recovery support organization. The discussion will cover: the rationale for developing a recovery coaching program; an overview of how the program was developed and how the partnership functions; lessons learned; tips for implementing recovery coaching into an existing program; and a Q&A session with the peer recovery coaches who work with drug court participants.
C5 Mental Health Challenges Faced by Transgender and LGBTQ Individuals
Presented by Gerri Cannon
Members of our LGBTQ community face difficult situations every day. Personal acceptance of their situations is often overlooked, misunderstood or rejected. Public acceptance is marginal in many communities, including some churches and places that typically are places of refuge.
During this session we will discuss what mental health professionals need to know when providing services. This workshop explores the work that needs to be done by professionals with compassion and awareness of physical and mental healthcare needs so that members of our LGBTQ community are welcomed as functional members of society.
December 17 Day 2
10:30am – 12:00pm Session D
D1 The Doorway NH: Increasing Access to Care
Presented by Amy Daniels, MSW and a panel of Doorway providers
The Doorway NH, launched at 9 sites throughout the state in January 2019, is designed to fill gaps in the system and increase access to assessment, support, and treatment for alcohol and other drug use disorders. This workshop will be a panel of Doorway providers describing their core services and the vital need for connections with providers in the communities they serve. This workshop seeks to ensure that providers and potential partners understand the Doorways; as well as provide accurate and timely information about the use of the Doorways; and demonstrate the value of Doorway services.
D2 New Hampshire’s System of Care for Children, Youth, and Families: Practice and Policy Implications of Lessons Learned to Date
Presented by James Fauth, PhD; & Megan Edwards, PsyD.
This workshop will present the key findings from a large number of children’s system of care initiatives in community and school settings over the last several years and engage participants in generating practice and policy recommendations. Staff from the Behavioral Health Improvement Institute (BHII) at Keene State College have served as external evaluators for a large number of children’s behavioral health initiatives in community and educational settings over the last several years. This workshop will provide policy makers and practitioners with 1) a high-level overview of the key features, outcomes, and lessons learned from across these initiatives and 2) an opportunity to discuss and generate data-informed policy and practice recommendations based on these lessons learned to date.
D3 First Responders + Project FIRST= Opportunities
Presented by Jeffrey Stewart, NRP, CAI II & Aaron McIntire, NRP, BS
NH Department of Safety was awarded a SAMHSA First Responders Addiction & Recovery Act grant. Thus far, six communities (Concord, Laconia, Hooksett, Dunbarton, Epping and Salem) have been awarded funds for NH Project FIRST, with Concord Fire Department identified as the lead agency. This presentation will provide an overview of NH Project First, with an in-depth focus on Concord’s implementation. Through Project FIRST, Concord Fire is facilitating at-risk individuals into various treatment programs, reducing opioid overdose death, providing education to First Responder and the community at-large, and developing a sustainability framework for continued implementation and expansion. By the end of the workshop, participants will be able to describe at least 2 ways in which a Behavioral Health Provider can collaborate with their local public safety agencies; explain FR-CARA & NH Project FIRST goals; and list 3 characteristics of the First Responder.
D4 Peer Recovery Supports: Unleashing Recovery in Criminal Justice
Presented by John Burns, MBA; & Ashley Hurteau, CRSW
In Strafford County SOS Recovery Community Organization has launched one of the most comprehensive and multi-dimensional peer-driven recovery support services within the criminal justice system in NH. This program, titled, “Peer-Strength” utilizes the strengths of an authentic peer recovery community organization working in collaboration with NH Department of Corrections, Probation and Parole in Strafford County as well as with Strafford County Department of Corrections, Community Corrections, and the Strafford County Drug Court. This workshop will identify how the ‘Peer-Strength” program was conceived, how SOS was able to partner through technical assistance grants to build evidence-based offerings. Most importantly this workshop will demonstrate how it has operated to assist individuals who are justice involved receive hope, services, and a pathway to find and maintain recovery.
D5 Finding Self: Identity, Wellbeing, and Recovery as supported by Recreational Therapy
Presented by Ty Thompson, MS; & Cindy Hartman, PhD.
Identity is strongly linked to health and wellness outcomes. Individuals with synthesized identities and positive processes for forming identity are generally more resilient and have fewer instances of high-risk behaviors. Across behavioral healthcare settings, strengths-based and person-centered approaches to care that are part of best practices incorporate an individual’s values, interests, and vision for desired change. This conference session will provide opportunity to explore ways in which identity is related to health and wellness, to understand further how identity is formed and maintained, and to increase familiarity of the role Recreational Therapy in leveraging dynamic functional interventions to support development of synthesized identities and skills that support personal agency, access to social determinants of health and outcomes of increased well-being, quality of life and happiness.
1:00pm – 2:30pm Session E
E1 Part 1: Ethical Concerns in Working with Individuals at Risk for Suicide: Looking Across the Lifespan
Presented by Ann Duckless, MS; & Kenneth Norton, LICSW
This is Part 1 of a 2-part workshop. The issues of suicidality may vary for different age cohorts and cultures. It is critical for behavioral health providers to recognize that their own values and level of acceptance and response to suicidal thought and behaviors may differ - sometimes quite drastically - from that of their clients and families. Response and service to clients must be provided in a competent manner, with recognition of the strengths and needs of the individual and within the context of ethical codes and standards. Through group discussion, this workshop will examine ethical concerns related to working with clients who are dealing with suicidal thoughts and behaviors; and through reflective thinking, behavioral health providers will be more cognizant of how their own values, experiences and belief system impact their work.
E2 Prevention Risk & Protective Factors: Why They Matter Across Systems
Presented by Marissa Carlson, MS, CPS & Julie Yerkes, Ed.M., CPS
This workshop will give participants a grounding or refresher in the ways that prevention initiatives work to influence the risk and protective factors which impact the likelihood of developing a substance use disorder. Discussion will draw connections and explore ways that reducing these risk factors and increasing these protective factors in our communities positively impacts other behavioral health and educational outcomes. At the conclusion of this workshop, participants will be able to identify salient risk and protective factors for substance use disorders and other behavioral health and educational outcomes; and understand how substance use prevention work aligns with a broader range of health and wellness focus areas.
E3 Integrated Community-Based Care
Presented by Delia Cimpean-Hendrick, MD; & Stacie Lucius, MS, LCMHC, MLADC
This workshop will look at a model of integrated mental health and substance use treatment utilizing evidence-based and best practices that lead to long-term recovery and other validated outcomes. The objectives of this session are to identify evidenced based and best practices in treatment for dual-diagnosis populations; recognize the merits of providing comprehensive care-psychiatric, addiction and physical healthcare; demonstrate how participant and family engagement is the foundation to long-term recovery; and examine the outcomes of integrated, comprehensive evidence-based care in residential and community-based care.
E4 NADA Auricular Acupuncture for Prevention, Treatment, and Recovery
Presented by Elizabeth Ropp; Laura Cooley & Jeff Davis
New Hampshire laws allow for widespread use of NADA Auricular Acupuncture by clinicians and lay practitioners to support recovery. This session will educate providers on the value of this protocol and offer suggestions on how to integrate it into a variety of settings, such as Doorways, treatment programs and recovery support programs. Each participant will have a chance to try a NADA auricular acupuncture treatment while learning more about how ear acupuncture is used for substance use disorders and behavioral health.
E5 Moving from PD to Practice: Coaching to Support High Fidelity Implementation of Evidence Based Practices
Presented by Heidi Cloutier, MSW
Coaching paired with timely professional development can result in great outcomes for youth and families. This interactive session will explore essential components for building coaching within and across organizations to support high fidelity implementation of any evidence-based practice. Participants will reflect on how to use existing resources to build capacity for coaching and explore a case study using the RENEW intervention to demonstrate best practices in coaching.
3:00pm – 4:30pm Session F
F1 Part 2: Ethical Concerns in Working with Individuals at Risk for Suicide: Looking Across the Lifespan
Presented by Ann Duckless, MS; & Kenneth Norton, LICSW
This is Part 2 of a 2-part workshop. The issues of suicidality may vary for different age cohorts and cultures. It is critical for behavioral health providers to recognize that their own values and level of acceptance and response to suicidal thought and behaviors may differ - sometimes quite drastically - from that of their clients and families. Response and service to clients must be provided in a competent manner, with recognition of the strengths and needs of the individual and within the context of ethical codes and standards. Through group discussion, this workshop will examine ethical concerns related to working with clients who are dealing with suicidal thoughts and behaviors; and through reflective thinking, behavioral health providers will be more cognizant of how their own values, experiences and belief system impact their work.
F2 Barriers and Facilitators to Providing Integrated Substance Use Treatment Services for Perinatal Women
Presented by Julia Frew, MD; & Daisy Goodman, DNP, MPH, CNM, CARN-AP
This workshop will review best practices for providing comprehensive care for perinatal women with substance use disorders in a variety of settings including integrated maternity-care based MAT programs, specialty addiction treatment settings, residential programs, and primary care settings. National recommendations for providing evidence-based treatment of perinatal women with substance use disorders, attending to medical/obstetric, psychosocial and addiction treatment needs will be reviewed. Ways to support autonomy and avoid paternalism while coordinating care effectively will be discussed, including child protection and criminal justice system involvement.
F3 Engaging the Workforce of Today to Develop the Workforce of Tomorrow
Presented by Bill Rider & Patricia Carty, MS, CCBT
Mindful Leadership is a leadership approach brought on line at The Mental Health Center of Greater Manchester in 2015 that has brought about a higher level of employee engagement, increased percentage of employees working towards advance degrees/credentialing and a low employee turnover rate. To optimize careers and potential of an organization’s workforce, it is incumbent upon leaders at all levels to engage employees so that they feel the connection between their personal “why” and their intrinsic motivation within the organization’s mission and vision. This workshop will explain the core principles of Mindful Leadership and offer discussion on how this leadership model leads to a more resourceful and resilient workforce. Participants will leave the workshop with ideas and methods to engage their staff in the power of a purposeful work life.
F4 Collaborating with People Who Inject Drugs to Reduce Harm
Presented by Kerry Nolte, PhD; & Jason Lucey, DNP
Healthcare providers want to support people who inject drugs in getting into recovery but may not be optimizing their role in this process. This workshop will assist healthcare providers in ways to engage clients with harm reduction strategies and reduce high risk drug use as a critical first step toward change. NH has one of the highest overdose rates in the country and has focused efforts on increasing critically needed treatment resources. Educational opportunities have focused on getting people into treatment with little focus on ‘meeting them where they are at’ to reduce risk. This session will ask participants to reflect on how to integrate harm reduction into their current approaches and seek to improve integration of harm reduction goal setting into clinical care.
F5 Aligning Best Practices of Screening, Brief Intervention and Referral to Treatment (SBIRT) with a Digital Campaign to Increase Maternal Alcohol and Marijuana Awareness and Prevent Use
Presented by Christin D’Ovidio, MFA, CCPH; & Martha Bradley, MS
This workshop will review the research that informed a population-based prevention campaign with NH women of childbearing age. This campaign aimed to raise awareness of women around the health effects of alcohol and marijuana on a developing baby, reduce barriers to having a conversation with their provider on marijuana and alcohol use during pregnancy, and empower women with the facts to make their health decisions. In tandem, JSI developed provider materials to increase and assist in the discussion process between a woman and her health care provider around alcohol and marijuana use during pregnancy. The materials follow best practices for implementing SBIRT in practice settings and include a video of a brief intervention example. After this workshop, participants will be able to understand and implement the SBIRT model for women using alcohol and/or marijuana during pregnancy.