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Trillium official outlines regional services, local caseloads and retires after decades of service

Dare County Board of Commissioners · June 9, 2026
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Summary

Dave Peterson of Trillium Health Resources told commissioners Trillium serves 46 counties and reported 103,556 individuals served in FY24–25; he described the tailored‑plan model for very high‑need individuals, local initiatives in Dare County and announced his pending retirement after years of regional service.

Dave Peterson, regional vice president for Trillium Health Resources, told the Dare County Board of Commissioners that his agency now covers 46 counties and served 103,556 people in fiscal year 2024‑25 across mental‑health, intellectual‑developmental‑disability and substance‑use populations.

Peterson described Trillium’s role as a manager of very high‑need individuals under the state’s tailored‑plan model and outlined recent system changes — including planned consolidations of managed‑care organizations and a December 2025 statewide move of foster‑care oversight to a single plan. He said Trillium serves the most acute population (people in psychiatric hospitals or experiencing homelessness) while standard plans manage lower‑risk members.

Turning to Dare County, Peterson summarized local caseload counts and projects and said the region benefits from stakeholder engagement, re‑entry simulations and distribution of Narcan kits. He emphasized local partnerships with county officials and behavioral‑health providers, and described fraud‑prevention steps and a compliance office to review misuse of funds.

Peterson also announced he is preparing to retire, thanked county commissioners and local partners for years of collaboration, and noted an incoming regional vice president will present at future meetings. Commissioners thanked Peterson for decades of service and praised Trillium’s local partnerships.

Why it matters: The presentation framed local behavioral‑health needs within a broader regional managed‑care structure, highlighting who manages different populations, the county’s share of services, and how state‑level consolidation affects local access and oversight. Peterson’s retirement also signals an upcoming leadership transition.

Provenance: Trillium presentation and Q&A (SEG 551–929).