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In Holyoke, a radical approach to mental health care offers respite to a community under siege – The Boston Globe

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In Holyoke, a radical approach to mental health care offers respite to a community under siege – The Boston Globe


Five of the seven gathered in that kitchen were, like Grady, trans; all had experienced their own mental health challenges.

Grady is among the first guests at Anemoni, a new LGBTQ-focused residential home in Holyoke offering support for people in mental health crisis from trained personnel with similar experiences. Fewer than 40 programs nationwide operate such centers, called peer respite homes, as alternatives to inpatient psychiatric care, according to the National Empowerment Center, a mental health support organization. Anemoni, which also welcomes people recovering from gender-affirming surgeries, is the only home in the country, perhaps in the world, exclusively run by and for trans and queer people, experts said.

Planning for Anemoni began almost three years ago, but it opened in late April amid an all-out assault on the transgender rights movement by the Trump administration. On his first day in office, President Trump invalidated the concept of gender identity and ordered the government to recognize only two sexes. The administration has since terminated scores of medical research grants aimed at improving the health of trans and queer populations and has sought to ban gender-affirming care in minors and adults. And, the nation’s 988 National Suicide & Crisis Lifeline are soon expected to stop providing support specifically tailored to the LGBTQ+ community, a population that reports higher rates of anxiety, depression, trauma, and suicidality.

“It’s [expletive] terrifying in the world right now,” said Juniper Holt, Anemoni’s assistant director.

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Wildflower Alliance employees, from left, Ephraim Akiva, Alex Campanario Araica, Juniper Holt, Jennifer Cauldron, and Jordan Fairchild talk at the peer respite house in Holyoke.
Brett Phelps for The Boston Globe

Anemoni, operated by The Wildflower Alliance, a Western Massachusetts-based national peer support and training organization, offers a haven within the somewhat protective bubble of Massachusetts. The state’s progressive politics and healthcare policies have helped draw people who identify as LGBTQ+ from across the country, increasing the state’s LGBTQ+ population to 9 percent of all adults in 2022, from about 7 percent in 2016, according to the Fenway Institute. That migration is likely to increase as the population increasingly feels besieged nationwide.

“We’re probably going to get more people asking to come here,” said Holt. “It makes us more necessary.”

In Holyoke, Anemoni is virtually indistinguishable from the other three-story residential homes on its block. Inside, the walls are painted in soothing pastels, with morning sunlight casting gentle shadows. Two bedrooms are still being furnished on the second floor, which smells like new paint. Three bedrooms downstairs are ready and available.

Reese Boucher was the first person to stay at the home. For years, the 29-year-old had listened with growing disgust as his friends used slurs for the queer community and people with disabilities. The Agawam man never felt he could tell them he is pansexual — a term that describes those who are romantically attracted to people regardless of their sex or gender. He is on the autism spectrum and has been treated for anxiety and depression, which led to periods of inpatient care.

In March, he finally cut those friends off, but feelings of isolation and depression became overwhelming. He learned of Anemoni through a contact.

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“It’s a beautiful experience [to meet people] I can trust being myself around,” he said.

People stay for up to two weeks in the respite home. The Wildflower Alliance also runs a mobile peer respite support team. The services are fully covered by a $903,000, one-year contract with the state Department of Mental Health. Despite pressure from the Trump administration to kill gender-related programs, state support feels stable for now, said Sera Davidow, the Wildflower Alliance’s director.

Anemoni is “a significant addition to DMH services,” the agency’s commissioner, Brooke Doyle, said, “serving a community that often faces isolation, depression, threats, violence, and related trauma.”

Respite takes different forms for different guests; for Boucher, that means late-night walks to clear his mind.

He contrasted his welcoming stay at Anemoni with conventional psychiatric facilities, where “your freedom is immediately stripped from you.”

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Anemoni staff who have had experience with inpatient care described medications and policies that can be ineffective, administered forcibly, dehumanizing, or cause terrible side effects; such treatments can be particularly difficult for transgender people who may find their identities negated, they said.

“People get misgendered, dead named [identified by a name used before they transitioned], harassed in inpatient units all the time, including by staff,” said Jordan Fairchild, director of the Wildflower Alliance’s social justice network. “We have our hormones taken away from us.”

The Wildflower Alliance’s peer respite house opened its doors in April of this year and has served 13 people so far.Brett Phelps for The Boston Globe

Inpatient care also often involves severing virtually all outside ties, said Gail Hornstein, professor emeritus of psychology at Mount Holyoke College. Such isolation can cost people their jobs or housing, she said.

Practioners of peer respite believe people in crisis still have insight into what they need and can form important, therapeutic connections with others who have lived with mental illness.

Ephraim Akiva, senior director of peer respite for the Wildflower Alliance, dislikes the term mental illness for the people at the home. He sees a community suffering primarily from society’s mistreatment of trans and queer people.

“I am living with a lot of trauma in a world that is incredibly hostile to me and people like me,” he said.

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Anemoni is a voluntary program. Forced medication is not allowed, restraints are never used, and the doors are not locked to prevent people from leaving. Guests are asked not to use drugs or drink on the property, but won’t be evicted if they aren’t sober.

Most decisions, from basics such as meal and bed times, to taking medications, are left up to the visitors, who are called guests, not residents or patients. If a guest wants to keep going to work, see a familiar therapist, or visit somewhere that calms them, they can.

“All of those things are possible in a peer respite because no one is not only restraining, but controlling or dictating what it is that’s going to be helpful to that person,” Hornstein said.

Bevin Croft, a researcher for the Human Services Research Institute, a Cambridge nonprofit that analyzes health and social service programs, studied a peer respite home in California from 2010 to 2015, and found that people in crisis who had one stay at a peer respite home were 70 percent less likely than those who did not to need subsequent inpatient or emergency services.

“People are just kind of given space and they can kind of do their own thing and that looks different for everybody,” she said.

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As of March, DMH reported 718 people occupying beds in the state’s inpatient psychiatric facilities, 16 more than the facilities are supposed to house. But one strength of the peer respite model — a small, intimate setting — also makes it difficult to scale up. The Massachusetts legislature is considering bills to establish peer respite facilities in every county, along with another home solely for the LGBTQ community and two for nonwhite people.

For Grady, one of the most damaging consequences of her recent trauma was the deepening sense of loneliness.

“I’d like some semblance of not being so alone in the big, great, wide,” said Grady, who is from Northhampton.

At Anemoni, she found empathy.

A week at Anemoni didn’t heal Grady or take away the pain, but it did give relief.

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“It makes me feel less weak, less alone, less afraid,” she said.


Jason Laughlin can be reached at jason.laughlin@globe.com. Follow him @jasmlaughlin.





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Massachusetts

Healey signs $2.3 billion law to close out Massachusetts’ 2025 fiscal year

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Healey signs .3 billion law to close out Massachusetts’ 2025 fiscal year


Massachusetts Gov. Maura Healey on Tuesday signed a $2.31 billion spending bill to settle the books at MassHealth and steer funding to former Steward Health Care hospitals and the program that covers some care costs for uninsured and underinsured patients.

The Legislature shipped the spending package to Healey’s desk last Wednesday, which was the last day of formal sessions for the year. Spokesperson Karissa Hand told the News Service Tuesday afternoon that Healey signed the closeout.

The package allocates $1.67 billion for MassHealth, $374 million for Steward hospital payments, $10 million in hosting costs tied to next year’s World Cup games, $18.3 million for student financial aid and $10 million for “operational and technical enhancements” at the Department of Transitional Assistance.

Ahead of the FIFA World Cup next year, local organizers say Massachusetts has yet to keep its end of the deal to help fund certain services.

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The law closing the books on fiscal 2025 also increases an assessment on hospital to generate more money for the Health Safety Net program and authorizes a $50 million transfer into the account from the Commonwealth Care Trust Fund.

Lawmakers opted to withhold the majority of appropriations sought by sheriffs to settle county budgets, as they wait on the inspector general to file an interim report by the end of February.



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E-bike crash that killed boy, 13, spurs safety talk on Beacon Hill

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E-bike crash that killed boy, 13, spurs safety talk on Beacon Hill


As officials investigate the crash that killed a teenager on an electric dirt bike in Stoneham, Massachusetts, last week, House Speaker Ron Mariano on Monday expressed an interest in beefing up enforcement and potentially installing new licensing requirements.

A 13-year-old boy struck a Toyota Corolla on Friday afternoon as the car was making a left turn, according to Middlesex District Attorney Marian Ryan’s office. The boy was taken to Massachusetts General Hospital, where he was pronounced dead.

Mariano called the crash a “tragedy.”

“But we have begun to look at making sure that the rules that are in place are enforced, and if they have to be expanded or training has to be insisted upon, then we begin to do that — to license these folks that ride these bicycles,” Mariano said. “Because if you drive around the City of Boston, I’m sure you’ve been cut off or you’ve been frightened by these folks who are trying to make deliveries and pay very little attention to the traffic pattern or the traffic laws.”

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Certain categories of e-bikes do not currently require rider licenses, according to MassBike.

Ryan’s office said its investigation includes the Stoneham Police Department, the State Police Crime Scene Services Section and the Massachusetts State Police Collision Analysis and Reconstruction Section.

“We want to get to the bottom of it,” Mariano said. “We want to look at ways to make it safer and make sure that folks follow the laws that we have on the books.”



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How chambers, retail association advocate for business in Massachusetts

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How chambers, retail association advocate for business in Massachusetts


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  • The rising cost of health insurance is a major concern for small and large businesses in Massachusetts.
  • A UMass Donahue Institute survey found 63% of small business owners believe they pay higher health insurance premiums than larger companies.
  • The Taunton Area Chamber of Commerce created its Government Affairs Council to help local businesses communicate with legislators.
  • Business groups like the Retailers Association of Massachusetts are urging their members to directly contact state legislators about their concerns.

Elizabeth LaBrecque says the Taunton Area Chamber of Commerce created its Government Affairs Council for a very good reason.

“The idea is for legislators to help local businesses,” said LeBrecque, whose job description at the TACC is Director of Member Development.

LaBrecque, says the cost of health insurance continues to be a major concern among small and large businesses.

“Health insurance is always a major factor,” she said.

A survey of 635 small businesses in the Bay State, conducted in October 2024 by the UMass Donahue Institute in Amherst, found that 63% of respondent business owners – who offer employee health insurance and employ up to 50 full-time workers – strongly agreed with the statement that small businesses and employees in the commonwealth “have to pay higher health insurance premiums than big businesses and government.”

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That sentiment was echoed by John Hurst, president of the Retailers Association of Massachusetts.

“Health insurance has gone through the roof,” said Hurst, who has been president of the statewide business association for 35 years.

Hurst said that he and his retailers association regularly communicate with state legislators to make their concerns heard.

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“And more importantly we urge our members to do that,” he said. “They are the small employers and voters in the legislators’ districts.”

The 4,000-member group also has an online “advocacy center” that connects members with legislators.

The Retailers Association of Massachusetts requested that UMass Donahue Institute conduct its survey, which included 635 respondents. The final report based on the survey results was completed in March of 2025.

Hurst also says that as of Jan. 1, 2025, the cost of health insurance for small businesses in the state had increased 13% since 2020.

LaBrecque said the TACC and its seven-member Government Affairs Council is also concerned about cost increases for other types of insurance coverage, which can include workers compensation, general liability and business owner’s policy.

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It’s been three and a half years since LeBrecque came on board with the Taunton Area Chamber of Commerce – which also represents the interests of member business owners in the towns of Raynham, Dighton and Berkley. She says the TACC this past year reached a goal of 450 active members as compared to 250 when she was hired to her part-time position.

Some of those newer members, she said, also belong to other commerce chambers representing businesses in cities and towns like Fall River, New Bedford, Bridgewater and Easton.

The TACC, she said, continues to work closely with Taunton-based nonprofit SEED (South Eastern Economic Development Corporation), which provides low-interest business loans, as well as SCORE (Service Corps of Retired Executives), a nonprofit sponsored by the U.S. Small Business Association that holds workshops and provides counseling to budding entrepreneurs.

The chamber’s website also lists a number of state and federal business resources and includes a City of Taunton Business and Development Guide created by Southeastern Regional Planning and Economic Development District (SRPEDD) as well as a Town of Dighton Business Guide.

LaBrecque said trade tariffs imposed this year by the administration of President Donald Trump initially created concern among local beauty salon proprietors. But those fears of paying higher prices for certain products, she said, have since been allayed.

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“There’s been a lot of uncertainty this year. It’s been a rocky economy,” LaBrecque said, adding that “we’re telling all our new businesses to spend wisely.”



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