b'GREATER MONADNOCK COMMUNITY HEALTH IMPROVEMENT PLAN 2015-2018 87% increase in adults served over the past seven years, growing fromHealth Impacts 457 adults in 2007 to 1046 in 2014.However, budget cuts in recent years to mental health services and lack of public understanding and\x01Mental disorders are among the leading causes of disability and awareness of the impact of serious mental illness is on families andpremature mortality in the United States, accounting for 25% of all communities,hassignificantlyimpactedtheRegionsabilitytoyears of life lost to disability and premature mortality. 6 adequately support behavioral and mental health needs.According to Healthy Monadnock 2020, the percentage of the Regions population\x01Behavioralandphysicalhealtharecloselyconnected.Mental experiencing frequent mental health distress, which is defined as 14 ordisorderscanaffectapersonsabilitytoparticipateinhealth-more poor mental health days per month, increased from an estimatedpromoting behaviors.In turn, problems with physical health, such 8% of the population in 2005 to 13.7% of the population in 2010.Theas chronic diseases, can have a serious impact on behavioral health NH Department of Health and Human Services Hospital Discharge Dataanddecreaseapersonsabilitytoparticipateintreatmentand Collection System reported that the Region experienced significantlyrecovery.higher mental health discharges than the state overall in 2009. \x01Behavioral,mentalandsubstanceuseconditionsareheavily implicatedinandadverselyaffectthecourseandtreatmentof illnesses such as diabetes, heart disease and cancer.Specifically, People Experiencing Frequent Mental Health Distress depression is linked to coronary heart disease, stroke, colorectal cancer, back pain, irritable bowel syndrome, multiple sclerosis, and possibly type 2 diabetes.\x01Mental illness is associated with increased occurrence of chronic diseases such as cardiovascular disease, diabetes, obesity, asthma, epilepsy and cancer.Of the 3,655 clients served by CMC/DHK in 2014 with a behavioral health diagnosis, 88% have at least one or twochronicdiseasesinadditiontotheirbehavioralhealth diagnosis; 84% have hypertension, 58% are smokers, and 28% have diabetes.Baseduponaninternalsurveyofhealthrisks,itwas found that more than half of adults served by MFS with severe and persistentmentalillnesssmokecigarettes,obesityispresentin 42.7%andanother15%haveaBMIthatclassifiesthemas overweight,28.9%havesignificantdentalproblems,only12.4% get regular exercise, and 10% get no primary health care.Source: NH Behavioral Risk Factor Surveillance Survey 6Healthy People 2020 http://www.healthypeople.gov/2020/topics-objectives/topic/mental-health-and-mental-disorders20'