Medication Assisted Treatment (MAT) Expansion:
In response to the opioid epidemic, NH has executed several addiction prevention, early identification and overdose prevention initiatives. As a companion to these initiatives, the state is making a concerted effort to expand the availability of addiction treatment through investment in and promotion of medication assisted treatment (MAT) for opioid use disorders (OUDs). The NH Department of Health and Human Services (DHHS), Bureau of Drug and Alcohol Services (BDAS) convened a panel of practitioners from health care, behavioral health, substance use disorder specialty treatment services, and the NH Medical Society to review existing practices in NH and other states and identified key components and best practice recommendations from the American Society for Addiction Medicine (ASAM) and other nationally-recognized resources. The goal is to provide expanded capacity to serve more people with OUDs with effective treatment across a variety of settings.
NH Alcohol and Other Drug Treatment Locator This website directory will help you, a friend, a family member, or a healthcare provider locate available services for alcohol and other drug treatment. Although addiction is a challenging health issue, treatment is available and recovery is possible!
Behavioral Health Core Competencies
To increase the capacity of the existing behavioral health profession to treat substance use disorders (SUDs) and co-occurring substance use and mental health disorders (CODs) effectively within practitioners’ scope of practice, the following set of recommended core competencies was created. These competencies are recommended for masters-level licensed behavioral health counselors who treat or plan to treat clients with SUDs or CODs. For more information about the development of these core competencies, please see the cover letter from the NH Governor's Commission on Alcohol and Drug Abuse Prevention, Treatment, and Recovery Supports.
Bureau of Drug & Alcohol Services (BDAS) Treatment Services support community, non-profit, treatment programs for individuals who misuse, abuse or are addicted to alcohol and/or other drugs. Both residential, intensive outpatient and outpatient services are offered. Services are available on a sliding fee scale, based on one's ability to pay. Most individuals access treatment either through a crisis intervention/sobriety maintenance site or through outpatient services where they receive an evaluation to determine the most appropriate level of treatment. The following are brief descriptions of the types of treatment services. Please also see the NH Resource Guide for a complete listing of providers and services.
Outpatient Treatment Services
Outpatient programs serve individuals whose alcohol and drug use affects their daily living and causes family issues, irregular employment, arrest, etc. In many cases, an individual's outpatient counselor provides the first step towards comprehensive treatment. Services are offered on a sliding fee scale, based on ability to pay for services.
Residential Treatment Programs
Short-Term Residential Treatment also referred to as Clinically Managed Medium Intensity Residential Treatment (CMMIRT) is designed to assist individuals who require a more intensive level of service in a structured setting and/or individuals that may be homeless. Admission is on a voluntary basis. Although length of stay is determined by clinical indicators, average length of stay is expected to be approximately 28 days or less.
Long-Term Residential Treatment: long-term, extended care residential treatment services, also referred to as Clinically Managed High Intensity Residential Treatment (CMHIRT), is limited to pregnant and parenting women and their children.
Halfway Houses and Transitional Living: residential substance abuse treatment services, also referred to as Clinically Managed Low Intensity Residential Treatment (CMLIRT), are designed to support individuals in the early stages of recovery that need this residential level of care and/or are homeless. The goal of these programs is to prepare clients to become self-sufficient in the community. Average length of stay is expected to be approximately 90 days or less. Residents typically work in the community and may pay a portion of their room and board.
Private Treatment Programs. There are several private treatment programs, including opiate treatment programs (methadone) and sober housing services available in New Hampshire, which are not supported by public funding. Their fees vary widely. Many accept insurance or other third party payments.
Peer Recovery Support and Recovery Organizations
Peer Recovery Support Services support an individual’s recovery plan that prevents relapse and enhance or remove barriers to recovery. Recovery Support Services include, but are not limited to, guidance in financial management, parenting, vocational training, life management and spiritual counseling as well as transportation and child-care.
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