Our Adult Services staff provides comprehensive mental health care to adults in our region age 18 and older. Depending on the clinical diagnosis, severity of impairment, and age of the client, our services range from psychotherapy and clinical/psychiatric rehabilitation to home and community-based services, residential care, and employment support services. These resources are designed to help each patient manage his or her symptoms and to enable them to lead more productive lives in the community.
We provide the following services:
Assertive Community Treatment Team is available 7 days a week to provide services to those adults experiencing severe and persistent mental illnesses. Service can be provided in the client’s home, in the community or here at SMHC. For these clients we are often a “hospital without walls.” Clinical specialties include: Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Cognitive Processing Therapy (CPT), and Eye Movement desensitization and Reprocessing Therapy EMDR).
Individual, Family, and Group Therapy is provided by Masters level clinical staff at both offices and in the home, if needed. Clinicians are trained in a variety of therapeutic modalities, including Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Family Therapy and Motivational Interviewing.
Referral Education Assistance & Prevention Program (REAP) provides free preventative home and community-based counseling and education services to people over the age of 60, who have problems with alcohol, drugs, mental health problems, or other life changes. We also work with caregivers of “at risk” elders to educate them on how to intervene if an elder becomes unable or unwilling to accept help. We administer this program statewide and contract with the other nine New Hampshire community mental health centers to carry out this service in their regions.
Substance Use Disorder Treatment services include the evidenced-base practice of Integrated Treatment for Co-Occurring Disorders (ITCOD), and an outpatient Medication Assisted Treatment program. Services are available to individuals in our catchment area.
Community Support Services provide case management, supportive housing, employment support, family support, and education through support groups to adults and their families who are experiencing a disabling mental illness.
Targeted Case Management is a comprehensive assessment of the client to determine the need for medical, educational, social or other services; the development of a comprehensive care plan based on the needs identified in the assessment; making referrals and other related activities to help the client obtain needed services; monitoring and follow-up activities which may include contact with other service providers to ensure the effective implementation of the care plan; and modifying the plan as needed.
Illness Management and Recovery (IMR) is an evidence-based practice that helps facilitate the client’s pursuit of their life goals beyond their disability or illness. While consumers are provided education, support, and encouragement in this model, they are active participants in this service. IMR embraces the concepts of recovery, hope, and personal empowerment.
Supported Employment is an evidence-based practice designed to help individuals with severe and persistent mental illness to find and keep competitive jobs. Because work can be an essential step on the path to well- being and recovery, our Vocational Specialists help clients find work and stay employed. They help the client assess their skills and vocational interests, search for a job, prepare for the interview and provide ongoing support and guidance to help the client remain employed. In some instances, family members or a significant other may be part of the support team.
InSHAPE™ is an innovative wellness program that brings together a broad range of community organizations such as: YMCA of the Seacoast, Exeter Area YMCA, Spinnaker Point Recreation Center, Seacoast Pathways, Seacoast Connections(consumer alliance), and others who are concerned with health, exercise, and nutrition to provide our clients:
· Personal health mentors
· Access to fitness activities provided by program partners
· Nutrition counseling and education
· Smoking cessation support
· Medical liaison support
· Encouragement and support for receiving regular medical check-ups and active management of chronic health conditions
Fairweather Lodge is an eight-bed group home for adults with severe mental illness that is staffed 24/7. The SMHC staff also help clients find affordable housing in the community.
Services for the Homeless – We are able to provide services to any individual/family experiencing homelessness or in danger of becoming homeless who may be living with a mental illness, experiencing similar symptoms, and/or suffering with substance abuse. Our Projects for Assistance in Transition from Homelessness (PATH) program has been able to connect homeless persons suffering from serious mental illness and/or co-occurring substance-use disorders with services in the community. The PATH worker helps clients secure all available benefits and services, which could include Emergency Food Stamps, Medicaid, Social Security benefits, mental health care, and physical care, etc. Follow-up to ensure the individual/family is able to easily access these services and achieve their goals is a vital part of what we provide. Additional services include referrals for primary care, job training, education, transportation, and relevant housing services. These services are provided at Cross Roads House as well as at the common gathering areas of the unsheltered homeless. As a result of symptom stabilization, substance use curtailment, assurances of safety and familiarity with mental health supports, and connections to needed financial, medical, transportation, vocational, and other community supports, participants are able to increase their access to permanent housing.