New Hampshire
The weight of caregiving in NH. Why we need SB 608: Sirrine
Recently, I met with a husband who had been caring for his wife since her Alzheimer’s diagnosis. Her needs were escalating quickly — appointments, medications, meals, personal care — and he was determined to keep her at home. But the cost to his own wellbeing was undeniable. He was sleep‑deprived, depressed, and beginning to experience cognitive decline himself.
As director of the Referral Education Assistance & Prevention (REAP) program at Seacoast Mental Health Center, which supports older adults and caregivers across New Hampshire in partnership with the CMHC’s across the state, I hear stories like his every week. And his experience is far from unique.
Across the country, 24% of adults are family caregivers. Here in New Hampshire, 281,000 adults provide this essential care, often with little preparation or support. Only 11% receive any formal training to manage personal care tasks — yet they are the backbone of our long‑term care system, helping aging parents, spouses, and loved ones remain safely at home. (AARP, 2025)
REAP provides short‑term counseling, education, and support for older adults, caregivers, and the professionals who support them. We address concerns around mental health, substance use and cognitive functioning. After 21 years working with caregivers, I have seen how inadequate support directly harms families. Caregiving takes a serious toll — emotionally, physically, socially and financially. Many experience depression, chronic stress, and increased risk of alcohol or medication misuse.
In REAP’s own data from 2024:
- 50% of caregivers reported moderate to severe depression
- 29% reported suicidal ideation in the past two weeks
- 25% screened positive for at‑risk drinking
Their responsibilities go far beyond tasks like medication management and meal preparation. They interpret moods, manage behavioral changes, ease emotional triggers, and create meaningful engagement for the person they love. Their world revolves around the care recipient — often leading to isolation, loss of identity, guilt, and ongoing grief.
The statistics reflect what I see every week. Nearly one in four caregivers feels socially isolated. Forty‑three percent experience moderate to high emotional stress. And 31% receive no outside help at all.
Compare that to healthcare workers, who work in teams, receive breaks, have coworkers who step in when overwhelmed, and are trained and compensated for their work. Even with these supports, burnout is common. Caregivers receive none of these protections yet are expected to shoulder the same level of responsibility — alone, unpaid, and unrecognized.
Senate Bill 608 in New Hampshire would finally begin to fill these gaps. The bill provides access to counseling, peer support, training, and caregiver assessment for family caregivers of individuals enrolled in two Medicaid waiver programs: Acquired Brain Disorder (ABD) and Choices for Independence (CFI). These services would address the very needs I see daily.
Professional counseling helps caregivers process the complex emotions of watching a loved one decline or manage the stress that comes with it. Peer support connects them with others navigating similar challenges. Caregiver assessment identifies individual needs before families reach crisis.
When caregivers receive the right support, everyone benefits. The care recipient receives safer, more compassionate care. The caregiver’s health stabilizes instead of deteriorating from chronic stress and neglect. And costly options, which many older adults want to avoid, are delayed or prevented.
There is a direct and measurable link between caregiver training and caregiver wellbeing. The spouse I mentioned earlier is proof. Through REAP, he received education about his wife’s diagnosis, guidance on communication and behavior, and strategies to manage his own stress. Within weeks, his depression decreased from moderate to mild without medication. He was sleeping through the night and thinking more clearly. His frustration with his wife dropped significantly because he finally understood what she was experiencing and how to respond compassionately.
The real question before lawmakers is not whether we can afford SB 608. It is whether we can afford to continue ignoring the needs of those who hold our care system together. In 1970, we had 31 caregivers for every one person needing care. By 2010, that ratio dropped to 7:1. By 2030, it is projected to be 4:1. Our caregiver supply is shrinking while needs continue to grow. Without meaningful support, our systems — healthcare, long‑term care, and community supports — cannot function. (AARP, 2013)
Caregivers don’t ask for much. They want to keep their loved ones safe, comfortable, and at home. They want to stay healthy enough to continue providing care. SB 608 gives them the tools to do exactly that.
I urge New Hampshire lawmakers to support SB 608 and stand with the 281,000 residents who are quietly holding our care system together. We cannot keep waiting until caregivers collapse to offer help. We must provide the support they need now — before the burden becomes too heavy to bear.
Anne Marie Sirrine, LICSW, CDP is a staff therapist and the director of the REAP (Referral Education Assistance & Prevention) program at Seacoast Mental Health Center.
New Hampshire
Missing Berlin Motorcyclist Found Dead After Route 2 Crash: New Hampshire State Police Roundup
06/19/2026 02:16, EAST KINGSTON, BOLDUC, NATHAN RICHARD (22); ASHFORD, CONNECTICUT, 635:1,I (BURGLARY-NIGHT / HOME / WEAPON), 635:1,V (BURGLARY TOOLS-POSSESSION), 637:7 (RECV STOLEN PROP; $1501+), 637:7 (RECV STOLEN PROP; $1501+), 634:2,II (CRIMINAL MISCHIEF).
06/15/2026 19:49, RAYMOND, KETCHEN, DANA CANNEY (63); BROOKLINE, 265-A:2,I(A) (DUI-IMPAIRMENT), 264:25 (CONDUCT AFTER ACCIDENT), 265-A:2,I(B) (DUI; ADULT>.08; MINOR>.02), 172-B:3 (PROTECTIVE CUSTODY-ALCOHOL), 265-A:44 (TRANSPORTING ALCOHOLIC BEVERAGES OR MARIJUANA).
06/15/2026 21:05, GILFORD, SEXTON, JALEN R. (26); ALTON, 263:64,VI (DRIVE AFTER REV/SUS-SUBSQT), 263:64,IV (DRIVE AFTER REVOCATION/SUSPENSION; RECKLESS DRIVING), 263:1,II (LICENSE REQD; OP W/EXPIRED LICENSE W/IN 12 MONTHS OF EXPIRATION), 265:60 (SPEEDING 25 MPH OVER LIMIT OF 55 OR LESS).
06/16/2026 02:40, PORTSMOUTH, LANE, MICHAEL CORY (29); HUBBARDSTON, MA, 631:3 (RECKLESS CONDUCT), 265-A:2,I(A) (DUI-IMPAIRMENT), 265:79,I (RECKLESS OPERATION).
06/16/2026 17:16, GILFORD, COSTARELLI, ROBERT L. (55); EAST BRIDGEWATER, MA, 631:2-B,I(A) (DV; SIMPLE ASSAULT; BODILY INJURY OR PHYSICAL CONTACT), 634:2,III (CRIMINAL MISCHIEF).
New Hampshire
Concord City Manager Receives ‘Satisfactory’ Review, 2.5% Raise, But Sabbatical Request Gets Trimmed
Schultz said she “highly respects” Aspell, too, but there was a “dissonance between reality” when eyeing what the public and city employees were earning.
Ward 6 City Council Aislinn Kalob, too, would not be voting for the increase, saying it had been “heavily on my mind since we’ve had our nonpublic sessions,” which lasted about six hours of work. She appreciated Kretovic clearly outlining the job of city manager. But people were frustrated with the city manager, and she saw that in the comments in online forums.
“I do feel, after really digging into this, and learning about his job,” she said, “and thinking toward the future when, eventually, at some point, somebody new will be sitting in that seat, we are the ones who direct policy and he is the one that implements it… there is anger out there that should be directed more toward us.”
Kalob said, too, a room full of firefighters, upset about their contract, also made voting for the wage increase something she could not consider.
Michele Horne of Ward 2 echoed similar concerns to Schultz, saying there was significant “wage disparity” between the public and staff and the city manager. She also agreed with Kalob’s point that previous councils created this contract.
Sunflowers are my absolute FAVORITE flowers. I truly feel like they have magical uplifting abilities. Hence, why I’ve always kept fresh sunflowers in my house, brightening up my kitchen table or even my TV stand.
Obviously, it was a dream of mine to have my maternity photos taken in a sunflower field. They reflect sunshine and exude happiness.
Not to mention, one of my favorite quotes is about sunflowers! “Keep your face to the sunshine and you cannot see the shadow. It’s what sunflowers do.” Helen Keller
A beautiful reminder to keep an optimistic outlook on life and not dwell on the negative.
So, you can imagine the joy I felt when I learned that New Hampshire had its very own Sunflower Festival at Coppal House Farm in Lee!
About the Sunflower Festival:
During the summer, the farm transforms into a sea of golden blooms, giving visitors the chance to wander through thousands of sunflowers, snap photos, enjoy local food vendors, artisan crafts, listen to live music, and experience one of New Hampshire’s most beautiful summer traditions.
Other unique activities on the itinerary? Sip-n-snip! Guests can enjoy a cocktail or mocktail of their choice and cut their own fresh bouquet of flowers.
Or maybe you’re a yoga fan? You can join a 60-minute sweat session from Lee, New Hampshire yoga instructors right in the heart of the flower field.
And because the farm grows oilseed sunflowers for culinary oil (which they harvest in the fall months), the flowers only stay at their peak for a brief window, making the festival a limited-time experience, according to the festival organizers…
What makes this event even more special is the reason behind it. The festival started as a way to share the beauty of the sunflower fields, but it has grown into something much bigger. Organizers say the event has raised more than $90,000 for Make-A-Wish New Hampshire over the years and now shares a portion of its proceeds with several local nonprofit organizations serving the Seacoast community.
Anyone who knows me knows that paying it forward is something that’s incredibly important to me. It’s right up there with my love of sunflowers because both fill my cup in the best way. So, when I found out this festival celebrates my favorite flower and gives back to the community, I knew I had to share it.
Sunflower Festival Details:
This festival only runs from Saturday, July 25th until Sunday, August 2nd. You can get the full list of activities and more on the Coppal Farm website.
Daily Field Hours
10:00 AM – 6:30 PM
(last admission at 6PM because fields close at 6:30)
Weekend Tickets (prepurchased online – day before)
$12 per person ages 13 & older
$10 per person ages 5-12
$10 per person Seniors (65+) & Military
4 yrs & under are always free
Weekend Tickets (purchased day of – online or at farm):
$16 per person ages 13 & older
$14 per person ages 5-12
$14 per person Seniors (65+) & Military
4 yrs & under are always free
includes: access to sunflower fields, craft fair, food vending area, tented shade area, picnic area, farm animals, & live music
Weekday Tickets (prepurchased online – day before)
$8 per person ages 13 & older
$6 per person ages 5-12
$6 per person Seniors (65+) & Military
4 yrs & under are always free
Weekday Tickets (purchased day of – online or at farm)
$12 per person ages 13 & older
$10 per person ages 5-12
$10 per person Seniors (65+) & Military
4 yrs & under are always free
What tickets include:
Access to sunflower fields, food vending area, tented shade area, picnic area, and farm animals
READ MORE: A Classic Fairy Tale Comes To Life At Portsmouth’s Prescott Park This Summer
This festival might just leave you smiling long after you leave the fields!
What Flowers Thrive in New England
See what flowers thrive in New England weather: Maine, Massachusetts, and New Hampshire.
Gallery Credit: Logan
14 of the Best New Hampshire Farms Offering Locally Grown Strawberries
14 of the Best New Hampshire Farms Offering PYO Strawberries
Gallery Credit: Sarah Sullivan
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