b'GREATER MONADNOCK COMMUNITY HEALTH IMPROVEMENT PLAN 2015-2018 \x01Persons with serious mental illness face numerous challenges tobasedindividualpsychotherapyratherthanlong-termcare achievingandsustainingfitnessandweightloss,includingtheservices.However, there is a distinction between the population metaboliceffectsofpsychoactivemedications,theimpactofbeing served by the private system of insurance and that being symptomsonmotivation,poordiet,difficultyaffordinghealthyserved via the Medicaid program. 8foods, physical inactivity, and inadequate access to safe, affordable and supported options for physical exercise.As a result, rates of\x01The aging of the population will have significant implications for obesityinpersonswithseriousmentalillnessarenearlytwicethe system of mental health services and both the state and county thoseinthegeneralpopulation,contributingtoreducedlifebudgets.The elderly account for a significant share of Medicaid expectancyinthisgrouplargelyasaresultofcardiovascularfunded mental health services.Over $100 million in mental health disease.expenditures - or 38% of all Medicaid mental health expenditures - were provided to those over the age of 60.One third of these Economic Impacts expenditureswereforAlzheimerspatientsbeingservedina nursing home. 9\x01In2006,NHspent$126percapitaonmentalhealthagency services($166million),whichaccountedfor3.7%oftotalstateWhat Can Be Done? spending.Since this time, funding for mental health services in NH has been significantly reduced. Asindividualpathstorecoverydifferandthearrayanddegreeof mentalandbehavioraldisordersaresignificantlyvaried,prevention \x0144% of all Medicaid enrolled adults accessed services for a mentalandtreatmentatthecommunitylevelshouldbeinherently illnessin2005atacostof$162million,whichaccountedforinterdisciplinary and draw on a variety of different strategies.Similar almostone-thirdofthetotalnon-pharmacyMedicaidmedicalto the other health priorities addressed in this document, behavioral expendituresforadults.Muchofthecareprovidedthroughhealth strategies involve a combination of clinical care treatment and Medicaidisdesignedtoprovidelongterm-careservicestotheprevention options, community based policy and program changes, and severe and persistently mentally ill through community based careactionsthatmightinfluencesocioeconomicandenvironmental options,communitymentalhealthclinics,and-forthosewithconditions.Alzheimers disease - nursing homes throughout the state. 7 While there are some resources available within the Region to address \x01In total, in 2005, there were approximately $43 million in paymentsbehavioralhealthneeds,publicbehavioralhealthprogramsand formentalhealthservicesprovidedtoprivatelyinsuredadults. serviceshaveexperiencedsignificantchallengeswithinrecentyears Whereasindividualsinthepublicmentalhealthsystemarethatimpacttheirabilitytomeetthegrowingdemandforservices.receivingservicesthroughmultiplesystemsofcare,thePrimary challenges include decreasing financial support and Medicaid expenditures for the private system were predominately for office-8NH Center for Public Policy Studies.2008. Mental Health and Adults: Aging Will Drive the 7 System.NH Center for Public Policy Studies.2008. Mental Health and Adults: Aging Will Drive the9 NH Center for Public Policy Studies.2008. Mental Health and Adults: Aging Will Drive the System. System.21'