Discover how the Early Childhood Region 4 in New Hampshire aims to enhance services for children and families, as part of a broader effort to improve early childhood care and education statewide. Initiatives in Greater Manchester and Greater Derry focus on preparing children for academic success, nurturing healthy families, and promoting social-emotional well-being. EARLY CHILDHOOD REGION 4 Supporting Families for Brighter Futures What is Early Childhood Region 4? The purpose of the Regional Early Childhood Structure is to bring together and improve services for kids and families in New Hampshire. It's part of a bigger plan to make early childhood care and education better in the state. The aim is to create a system that prepares children for kindergarten and academic achievement; fosters safe, healthy, and engaged families; and promotes social and emotional health and well-being. The Early Childhood Region 4 is led by the LAUNCH Region 4 Leadership Team who helps support initiatives addressing early childhood in Greater Manchester and Greater Derry. Amoskeag Health and Granite United Way co-lead the LAUNCH Region 4 Leadership Team, with additional participation from several local organizations. Region 4 encompasses Manchester, Derry, and 15 other communities, serving a population of approximately 278,000 people. The LAUNCH Region 4 Leadership Team works closely with both the Manchester LAUNCH and the Greater Derry LAUNCH. These groups consist of advisory committees, collaboratives, and workgroups dedicated to improving early childhood education and support systems. They focus on understanding what the community needs, connecting with partners, and sharing training. Who is the LAUNCH Region 4 Leadership Team? If you have any questions about the LAUNCH Regional 4 Leadership Team, please email CommunityInitiatives@AmoskeagHealth.org . Vision: Young children and their families flourish in a coordinated system of supports and services. Mission: Promote and support a fair and sustainable early childhood system that improves outcomes for young children and their families. What is the vision and mission of the Region 4 Leadership Team? Accessible Early Childhood System: Make sure all families can easily use early childhood services. Engagement and Relationship Building Across Sectors: Make partnerships stronger between the different groups that work with young kids. Communication and Coordination: Share information better between people involved in early childhood services to make things work smoother. Read More About Region 4 Strategic Plan What are the key priorities for Region 4? Manchester Early Learning Collaborative: Second Tuesday of each month at 11:00 am via Teams. Derry Early Learning Collaborative: Third Tuesday of each month at 10:00 am via Teams. Manchester LAUNCH Family Wellness Collaborative: First Thursday every other month from 9:00-10:30 am in person or via Teams. Community Wide Pyramid Model Leadership team: Third Thursday every other month from 11-12 via Teams. The Pyramid Model is a guide based on evidence-based practices that helps young children learn social and emotional skills. It works with a program's existing lessons instead of being a separate curriculum. This guide is useful for teachers, early childhood special education staff, early intervention workers, and families. Have a question? Please email CommunityInitiatives@AmoskeagHealth.org . Regional Meetings

Stay up-to-date with the latest news and updates from Amoskeag Health. Find information on new services, health tips, community events, and more to keep you informed about what’s happening at our organization. NEWS You can sign up for one (or both!) of our quarterly eNewsletters below. To read our latest news articles and organization updates, click on "Amoskeag Health News." Stay Connected to Amoskeag Health The Advisor In "The Advisor," our quarterly Patient eNewsletter, you'll receive seasonal health tips, important facility information, and articles written by our doctors. Sign up for the Patient Newsletter The Insider In "The Insider," our quarterly Stakeholder eNewsletter, you'll receive donor spotlights, organization-wide updates, and patient impact stories. Sign up for the Stakeholder Newsletter Amoskeag Health News Read recently published news articles and organization updates about the work we do.

Amoskeag Health provides primary and mental health care in addition to prenatal care, medication assisted treatment, and additional specialty services across Manchester, NH. Exceptional Care and Services That Are Accessible to ALL Donate PATIENT PORTAL Attend your Virtual Appointments Access Lab and Test Results Request Appointments Send Secure Notes to your Provider and View Referrals Sign Up Today! Primary Care Services Primary Health Mental Health Sexual & Reproductive Health Women's Health Pregnancy & Delivery Healthcare in Schools Four Manchester Locations Hollis Street 145 Hollis Street Manchester, NH 03101 603-626-9500 Hours The Dr. Selma Deitch Center for Children and Teens 1245 Elm Street Manchester, NH 03101 603-626-9500 Hours Tarrytown Road 184 Tarrytown Road Manchester, NH 03103 603-626-9500 Hours ProHealth 2 Wall Street Manchester, NH 03102 603-626-9500 Hours Coming September 2026! Amoskeag Health at the Mark Stebbins Community Center 306 Kimball Street Manchester, NH 03102 What Our Patients Are Saying "I’ve been going to Amoskeag Health for a few years, and I couldn’t be happier with my experience with their providers. I was grateful for how quickly I was able to be seen and for how seriously my concerns were taken. It was a really nice feeling after months of trying to get appropriate care elsewhere to have someone who both listened to and genuinely cared about my concerns."

LEADERSHIP Gavin Muir, MD Chief Medical Officer/Chief Quality Officer "I joined MCHC, now Amoskeag Health, as a staff physician in 1998. It was and is the only job I’ve had after my Family Medicine residency. I came to New Hampshire from Colorado for the mountains, for the opportunity to provide prenatal care and deliver babies as part of my practice and to work somewhere that would help take care of my student loan debt. After my loans were paid off in 2003, I stayed because I really valued making such a difference in so many people’s lives and because I thoroughly enjoyed working collaboratively with the rest of the health center’s staff in an effort to assist our patients to live their best lives." Gavin is a Family Physician who joined Amoskeag Health in 1998. He is from suburban Philadelphia but has lived in New Hampshire for three decades. He got his undergraduate degree from Princeton University in Ecology & Evolutionary Biology in 1991 and his medical degree from Temple University in 1995 and graduated from his residency program at Southern Colorado Family Medicine in Pueblo, Colorado in 1998. He was a staff physician for his first three years and then started taking on a leadership role at Amoskeag Health. He served as its Medical Director for a decade and then stepped down for two years from that role to focus on the work he was doing with the Elliot Hospital Medical Staff. He served as the Chair of the Department of Medicine at Elliot Hospital for two years and then spent a decade leading Elliot’s Multispecialty Review Committee. He became the Chief Medical Officer of Amoskeag Health in 2013 and has continued to serve in that role. He was a Union Leader Forty Under Forty winner in 2007 and in 2013 he was named the Family Physician of the Year by the NH Academy of Family Physicians. In 2019 he received the Stephen A. Tzinabos award for his leadership and dedication to the Elliot Hospital’s Medical Staff. Last year he stopped doing inpatient medicine after delivering a little over 1,000 babies over 27 years at Elliot Hospital. He continues to see patients in the clinic. Back to Leadership

LAUNCH supports caregivers by offering tools, resources, and events that make parenting a little easier. CAREGIVER ENGAGEMENT ABOUT OUR CAREGIVER ENGAGEMENT Caregivers are a child’s first and most important teachers. That’s why our LAUNCH program offers fun and helpful ways for parents, grandparents, and other caregivers to connect, learn, and grow. Amoskeag Health supports families by offering free, family-friendly activities throughout the community. From Parent Cafés to resource fairs and events with local partners like the Manchester Library and the International Institute of New England, we create spaces where parents can connect with each other, learn about child development, and find helpful support and services. These events are designed to build strong relationships and promote healthy growth for children and families. UPCOMING EVENTS August Parent Café Together We Thrive: Summer Learning for Kids and Caregivers! Learn about your child’s development while playing fun games with other parents! Summer treats Outdoor games Bring a blanket to sit on Date: Wednesday, August 20th Time: 10:00 AM to 12:00 PM Location: Stark Park, 650 River Rd, Manchester, NH Register Now CelebrateED 2025 This year, CelebrateED will focus directly on supporting students as they head back to school by offering: Backpack & School Supply Distribution Haircuts & Clothing Support Family Resource Fair School Registration Assistance Date: Thursday, August 21st Time: 4:00 PM to 7:00 PM Location: Victory Park and French Hall, Manchester, NH

Discover primary health care services at Amoskeag Health. Our team provides comprehensive, patient-centered care for a range of health needs, focusing on prevention, treatment, and overall wellness for individuals and families. PRIMARY HEALTH Pediatric care focuses on children newborn to 20 years old and includes their wellness care, immunizations, and development of physical and emotional growth. To support your child, we also can connect parents and caregivers with case management and mental health services if needed. Pediatric Care We focus on treating the whole person and focus on the unique health situations patients between 12 and 20 years old often face. We can screen for depression and anxiety; provide counseling and treatment for substance use; offer information and guidance about appropriate diet and exercise; ensure access to behavioral health therapy; and ensure that all necessary immunizations are up to date. We also offer a full range of education on sexual health including contraception, pregnancy testing, and testing/treatment for sexually transmitted infections (STIs). Adolescent Care Amoskeag Health offers comprehensive, team-based integrated healthcare for adults from all backgrounds and experiences. We address both physical and mental health together! We are considered a Patient Centered Medical Home, which is a model for achieving primary care excellence by providing care in partnership with patients and their families to ensure decisions respect patients’ wants, needs, and preferences. Our goal is to ensure that every single patient has the education and support they need to make decisions and participate in their own care. Adult Primary Care If you are 65 or older, you might experience some extra health challenges! We still want to help you live your best life and can connect you with available senior services and community resources as you age. We offer Chronic Care Management with the help of our dedicated Older Adult Case Managers who perform in-home visits. Through this program, we can help you manage chronic conditions and illnesses, including: Arthritis/Osteoporosis Asthma/COPD Cancer Dementia/Alzheimer's Disease Depression Diabetes Heart Disease High Blood Pressure Older Adult Care Mental Health Women's Health Sexual & Reproductive Health Pregnancy & Delivery School-based Health Other Primary Care Services at Amoskeag Health Medical Providers Medical Providers Pay Your Bill Behavioral Health Clinicians Meet Your Healthcare Team

BEHAVIORAL HEALTH CLINICIAN BIOGRAPHY Zachary Marx MLADC, LCISW Behavioral Health Clinician Primary Office Location 1245 Elm Street Year Joined Amoskeag Health 2025 Treatments & Services Mental health counseling, substance use counseling Education Master's of Social Work, University of New Hampshire Bachelor's of Social Work, University of New Hampshire Board Certifications Masters Licensed Alcohol and Drug Counselor (MLADC) Licensed Independent Clinical Social Worker (LICSW) Clinical Interests Older Adults, Co-Occurring Disorders, Cognitive Behavioral Therapy Languages Spoken English Back to Behavioral Health Clinicians

MEDICAL PROVIDER BIOGRAPHY Amy Siemanowicz APRN Nurse Practitioner Primary Office Location 145 Hollis Street Year Joined Amoskeag Health 2023 Treatments & Services Family Medicine Education Masters in Nursing (MSN) Board Certifications FNP-BC in Family Medicine Clinical Interests Family Medicine, From across the life span from birth to death. Languages Spoken English Back to Medical Providers

Explore the Ready, Set, Launch program at Amoskeag Health. This initiative offers resources and support to help parents and caregivers prepare for and navigate key transitions in their family’s journey. Ready, Set, LAUNCH Because it Takes a City to Raise a Baby Home Visiting for All There is no guidebook for bringing home a new baby! Our Ready Set LAUNCH program is for newborns and their families who live in Manchester and give birth at Elliot Hospital. We want to make the first few weeks of caring for newborns a little easier. The Ready Set LAUNCH service is customizable to what YOU need. Newborn Navigators are bilingual Community Health Workers trained to assist families with newborns. They're experts in local resources and can connect you with services like mom's groups, lactation consultants, and childcare scholarships. Your Newborn Navigator can also connect you with free Nutrition and Cooking Classes, support access to SNAP and WIC, or to the local diaper pantry. As parents themselves, they understand how hard the first few months can be and can provide support during those early days at home. About Newborn Navigators Meet a Newborn Navigator Any parent or caregiver of a newborn who resides in Manchester is eligible to receive this FREE, one-time service! You will be introduced to the service at discharge or receive a call from our Newborn Navigator. Our Newborn Navigators will meet you in the hospital and tell you about our service. They will offer to meet you remotely for your visit. Navigators will follow up with you after you leave the hospital and give you a Welcome Baby Bag prior to the visit. How Does Ready, Set LAUNCH Work? Your Newborn Navigator will ask you how your first few weeks have been for you, your child, and your family. Your Navigator will see whether there was anything you wish you had or anything you currently need. Y our Navigator can work with you to make referrals if you'd like them. Your Navigator will determine if you may benefit from, and are eligible for, Enhanced Navigation which provides you with up to five additional home visits to build additional resources and support. Your Navigator will follow up with you after your visit to make sure you and your family are doing well. What Happens During a Home Visit? Since its inception in 2021, the Newborn Navigator has met with 1,433 families at Elliot Hospital, conducted 436 home visits, and referred 482 times to services like Manchester Diaper Pantry, WIC, SNAP, and various food banks. Ninety of these families received services in a language other than English - 80% in Spanish and 20% spread over Dari, French, Nepali, Pashto, Portuguese, and others. About Our Community Impact Interested in learning more about our programs or getting involved with our community impact? Email CommunityInitiatives@AmoskeagHealth.org

MEDICAL PROVIDER BIOGRAPHY Maurene Mugariri APRN-BC Family Practice Primary Office Location 145 Hollis Street Year Joined Amoskeag Health 2024 Treatments & Services Family Nurse Practitioner Education Master of Science in Nursing (MSN), Family Nurse Practitioner (FNP) Board Certifications ANCC Clinical Interests Working with patients of all ages and backgrounds from newborns to elderly adults. Giving more holistic care and general wellness to assist patients in managing and overcoming both acute and chronic health conditions. Languages Spoken English Back to Medical Providers

BEHAVIORAL HEALTH CLINICIAN BIOGRAPHY Anna Sigel MA Behavioral Health Clinician Primary Office Location 1245 Elm Street Year Joined Amoskeag Health 2024 Treatments & Services Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Person Centered, and Solution Focused Education Master's in Clinical Mental Health Counseling, New England College Bachelor of Science in Psychology Clinical Interests Adolescent and young adults, substance use disorder Languages Spoken English Back to Behavioral Health Clinicians

MEDICAL PROVIDER BIOGRAPHY Elizabeth Keane MD Pediatrics Primary Office Location 1245 Elm Street, The Dr. Selma Deitch Center for Children & Teens Role/Year Joined Amoskeag Health Staff Pediatrician, 1993 – 1997; 2006 Treatments & Services Pediatrician Education Bachelor of Arts, College of the Holy Cross, Worcester, MA Doctor of Medicine (M.D.), University of Massachusetts Medical School Post-doctoral training Residency: Children’s Hospital National Medical Center, Washington DC Board Certifications Pediatrics (1990, 1997, 2004) Clinical Interests Adolescent Medicine Developmental Pediatrics International Child Health Languages Spoken English Back to Medical Providers