NH Substance Use Disorder Treatment and Other Service Capacity Report Understanding the capacity of practitioners and service delivery systems in New Hampshire to identify, treat and support recovery from substance use disorders is an important objective for state and community stakeholders to ensure that its residents and citizens have access to care in an effort to limit the progression of a disease that is widespread, progressive, costly and fatal. An assessment of substance use disorder (SUD) services was conducted between May and July of 2014 and included the surveying of licensed substance use and mental health professionals and representatives from organizations within major service delivery systems relative to current and anticipated capacity to identify, treat, and support recovery from substance use disorders. This assessment report provides important context for the state and stakeholders to use in developing and directing leadership, resources, and activities such as technical assistance and training to expand the service capacity of licensed professionals and service delivery systems.
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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