{"id":32217,"date":"2025-04-10T17:11:46","date_gmt":"2025-04-10T17:11:46","guid":{"rendered":"https:\/\/caseyfamilyv2.wpengine.com\/soc-profile-newhampshire\/"},"modified":"2026-07-13T16:19:18","modified_gmt":"2026-07-13T16:19:18","slug":"soc-profile-newhampshire","status":"publish","type":"post","link":"https:\/\/www.casey.org\/es\/soc-profile-newhampshire\/","title":{"rendered":"\u00bfC\u00f3mo ayuda el sistema de atenci\u00f3n de Nuevo Hampshire a las familias involucradas en el bienestar infantil?"},"content":{"rendered":"<div class=\"content-section light fresh-text single container wp-block-fresh-text backgrounds-and-margins-aware-block back-warm-ceramic margin-top margin-bottom padding-top padding-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p>This jurisdictional profile of New Hampshire<a href=\"#footnotes\"><sup>1<\/sup><\/a>\u00a0was developed by the\u00a0<a href=\"https:\/\/www.chcs.org\/\">Center for Health Care Strategies<\/a>, in partnership with Casey Family Programs. It is one of a six-part series on the system of care approach, which includes an\u00a0<a href=\"https:\/\/www.casey.org\/soc-issue-brief\">issue brief<\/a>, a\u00a0<a href=\"https:\/\/www.casey.org\/soc-strategy-brief\">strategy brief<\/a>, and similar jurisdictional profiles of\u00a0<a href=\"https:\/\/www.casey.org\/soc-profile-newjersey\">New Jersey<\/a>,\u00a0<a href=\"https:\/\/www.casey.org\/soc-profile-ohio\">Ohio<\/a>, and\u00a0<a href=\"https:\/\/www.casey.org\/soc-profile-oklahoma\">Oklahoma<\/a>.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>Background<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p>For nearly 15 years, New Hampshire has sought to create a comprehensive, coordinated network of behavioral health services and supports for children and families, focusing on improving access and ensuring that care is coordinated across child-serving systems. In 2010, New Hampshire established a Children\u2019s Behavioral Health Collaborative of more than 50 organizations, including child welfare-focused entities, that were committed to developing a comprehensive, integrated approach to supporting children with behavioral health needs. Early on, members of the collaborative focused on the system of care values that they wanted reflected in their approach, which would inform future work in critical ways. Those values included: child- and family-driven; community-based; culturally and linguistically competent; and trauma-informed.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text 3060 is-style-3060 wp-block-fresh-text backgrounds-and-margins-aware-block back-warm-ceramic margin-top margin-bottom padding-top padding-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>Key facts<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><ul>\n<li><strong>Child population (under 18):<\/strong> 252,050*<\/li>\n<li><strong>Child welfare administration by state or county:<\/strong> State<\/li>\n<li><strong>System of care lead agencies:<\/strong> Department of Health and Human Services and Department of Education<\/li>\n<li><strong>Year system of care was implemented statewide:<\/strong> 2012<\/li>\n<\/ul>\n<p class=\"note\"><strong>*Source:<\/strong>\u00a0<a href=\"https:\/\/datacenter.aecf.org\/\">The Annie E. Casey Foundation, Kids Count Data Center<\/a><\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:paragraph --><\/p>\n<p>In 2012, the New Hampshire Department of Health and Human Services (DHHS) received a grant from the federal Substance Abuse and Mental Health Services Administration (SAMHSA) to operationalize the previously articulated values and develop <a href=\"https:\/\/www.dhhs.nh.gov\/sites\/g\/files\/ehbemt476\/files\/documents2\/system-of-care-year-4-report.pdf\" target=\"_blank\" rel=\"noopener\">a child- and family-driven system of care<\/a> throughout the state. That funding supported <a href=\"https:\/\/www.dhhs.nh.gov\/programs-services\/health-care\/childrens-behavioral-health\/fast-forward-new-hampshire-wraparound\">Families and Systems Together (FAST) Forward<\/a>, an intensive care coordination program for children and older youth ages 5 to 21 with behavioral health needs and their families that are served by multiple systems (juvenile justice, child welfare, behavioral health). FAST Forward operationalized system of care guiding principles and values, led to the adoption of the <a href=\"https:\/\/nwi.pdx.edu\/wraparound-basics\/\">high fidelity wraparound<\/a> practice model, and provided the structure for delivering and coordinating services.<\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph --><\/p>\n<p>In 2016, a <a href=\"https:\/\/www.gencourt.state.nh.us\/rsa\/html\/x\/135-f\/135-f-mrg.htm\">state law<\/a> built on these efforts and established the purpose, roles, and responsibilities for the System of Care for Children&#8217;s Mental Health in New Hampshire. This statute codified a comprehensive SOC to serve all children and older youth receiving publicly funded behavioral health services in the state including, but not limited to, those involved with the child welfare system. This coincided with the establishment of New Hampshire DHHS\u2019s Bureau for Children\u2019s Behavioral Health.<\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph --><\/p>\n<p>New Hampshire passed <a href=\"https:\/\/legiscan.com\/NH\/text\/SB14\/id\/2012081\">a law<\/a> in June 2019 in response to an assessment of New Hampshire\u2019s child welfare system and the federal <a href=\"https:\/\/www.childwelfare.gov\/resources\/family-first-prevention-services-act-pl-115-123\/\">Family First Prevention Services Act of 2018<\/a> (Family First), among other events. This legislation helped advance the system of care by requiring DHHS to expand support and oversight for the care management entities (CMEs), develop a single statewide behavioral health assessment tool, redesign residential treatment services for children and older youth, expand eligibility for FAST Forward<u>,<\/u> establish children\u2019s mobile crisis services, and more.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>System of care governance<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:paragraph --><\/p>\n<p>DHHS and the state Department of Education are the two entities primarily responsible for the implementation and oversight of New Hampshire\u2019s system of care. The New Hampshire Division for Behavioral Health sits under DHHS and includes the <a href=\"https:\/\/www.dhhs.nh.gov\/programs-services\/health-care\/childrens-behavioral-health\">Bureau for Children&#8217;s Behavioral Health<\/a> (BCBH), which seeks to expand the state\u2019s system of care to serve all children and families in need of publicly funded behavioral health services. BCBH also oversees all child- and family-focused behavioral health services delivered by certified community behavioral health centers and community mental health centers, CMEs, statewide mobile crisis response, and residential treatment facilities.<\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph --><\/p>\n<p>Within the state\u2019s Department of Education is the Bureau of Student Wellness and Nutrition, which houses the Office of Social and Emotional Wellness, which leads the implementation of a statewide <a href=\"https:\/\/www.education.nh.gov\/who-we-are\/division-of-learner-support\/bureau-of-student-wellness\/office-of-social-and-emotional-wellness\/mtssb\">multi-tiered system of supports for behavioral health and wellness<\/a> model, among other key initiatives.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>Strategies to support families involved with child welfare<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:paragraph --><\/p>\n<p>Although the state laws setting up New Hampshire\u2019s system of care addressed behavioral health services for all children and families in need, they specifically identified children involved in the child welfare system. This led to the development of critical services including mobile crisis response and stabilization, and care coordination for children with complex behavioral health needs. The laws also aligned New Hampshire\u2019s system of care with Family First and Medicaid\u2019s <a href=\"https:\/\/www.medicaid.gov\/medicaid\/benefits\/downloads\/epsdt-sho-ltr-overview.pdf\" target=\"_blank\" rel=\"noopener\">Early Periodic Screening Diagnostic and Treatment<\/a> benefit.<\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph --><\/p>\n<p>The state\u2019s CMEs play a particularly critical role in service access and care coordination for children and families involved in the child welfare system who have behavioral health needs. CMEs use an evidence-based, high fidelity wraparound model to assess and connect children and their families to a range of customizable services, including peer support.<\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph --><\/p>\n<p>Community mental health centers, juvenile justice partners, and the CMEs all use the Child and Adolescent Needs Assessment (CANS) to facilitate and support seamless coordination of care and collaboration among all system partners. CANS \u201cis a key element to ensure that we&#8217;re speaking the same language to really help families and tell one story across the continuum of care,\u201d said Daryll Tenney, bureau chief of BCBH.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>System of care impact and sustainability<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:paragraph -->In addition to high rates of child and family satisfaction, evaluation findings demonstrate that the financial impact of the system of care approach in New Hampshire parallels national outcomes. This includes increased spending on community-based services, fewer psychiatric hospitalizations, and a decrease in emergency room use for enrolled children and older youth. Evaluators found that FAST Forward contributed to a significant reduction in state costs in New Hampshire from 2012 to 2016, with expenditures per enrollee decreased by 28%, or savings of over $115 million in total expenditures.<a href=\"#footnotes\"><sup>2<\/sup><\/a><\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph -->Financing is a critical part of sustainability. New Hampshire has braided funding from several sources to support the implementation of the system of care, including state funds from the Department of Education and DHHS, as well as state general funds and federal sources like Title IV-A, Title IV-B, Title IV-E, SAMHSA, and Medicaid. Katja Fox, director of the division for behavioral health at DHHS, described that while complicated, the agencies do their best to be \u201cpayer agnostic\u201d in their approach, and tease apart payment mechanisms on the back end to make the provision of services seamless for children and families on the front end. Recently, BCBH and Medicaid have been working with the state\u2019s Department of Insurance to develop a system of parity between Medicaid and commercial insurance plans.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\"><div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>Other resources in this series<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"resources-slider wp-block-resources-slider overflow-x-hidden\">\n <div class=\"container mx-auto px-5\">\n <ol data-offset=\"0\">\n  <li class=\"bg-warm-ceramic p-6 rounded-lg grid content-between\">\n  <a href=\"https:\/\/www.casey.org\/soc-issue-brief\/\" target=\"\" class=\"resources-slider__link\">\n  <div class=\"text-2xl print:hidden\">\n <span class=\"icon deliberately-not-an-icon\"><\/span>\n <\/div>\n <div>\n <h5 class=\"mb-0 mt-6\">How can the system of care approach improve outcomes for children and families involved with child welfare?<\/h5>\n <p class=\"text-salt-box mb-0 mt-6\">Understand how the system of care approach brings together an array of partners to support children\u2019s behavioral health needs.<\/p>\n  <span class=\"label-small text-well-read\">Read More<\/span>\n  <\/div>\n  <\/a>\n  <\/li>\n  <li class=\"bg-warm-ceramic p-6 rounded-lg grid content-between\">\n  <a href=\"https:\/\/www.casey.org\/soc-strategy-brief\/\" target=\"\" class=\"resources-slider__link\">\n  <div class=\"text-2xl print:hidden\">\n <span class=\"icon deliberately-not-an-icon\"><\/span>\n <\/div>\n <div>\n <h5 class=\"mb-0 mt-6\">What strategies support effective implementation of the system of care approach?<\/h5>\n <p class=\"text-salt-box mb-0 mt-6\">Learn lessons from implementing a system of care approach across systems to improve behavioral health outcomes for children.<\/p>\n  <span class=\"label-small text-well-read\">Read More<\/span>\n  <\/div>\n  <\/a>\n  <\/li>\n  <li class=\"bg-warm-ceramic p-6 rounded-lg grid content-between\">\n  <a href=\"https:\/\/www.casey.org\/soc-profile-ohio\/\" target=\"\" class=\"resources-slider__link\">\n  <div class=\"text-2xl print:hidden\">\n <span class=\"icon deliberately-not-an-icon\"><\/span>\n <\/div>\n <div>\n <h5 class=\"mb-0 mt-6\">How does Ohio\u2019s system of care approach support families involved with child welfare?<\/h5>\n <p class=\"text-salt-box mb-0 mt-6\">Explore how Ohio uses a system of care approach to support children with behavioral health needs and their families.<\/p>\n  <span class=\"label-small text-well-read\">Read More<\/span>\n  <\/div>\n  <\/a>\n  <\/li>\n  <li class=\"bg-warm-ceramic p-6 rounded-lg grid content-between\">\n  <a href=\"https:\/\/www.casey.org\/soc-profile-newjersey\/\" target=\"\" class=\"resources-slider__link\">\n  <div class=\"text-2xl print:hidden\">\n <span class=\"icon deliberately-not-an-icon\"><\/span>\n <\/div>\n <div>\n <h5 class=\"mb-0 mt-6\">How does New Jersey\u2019s system of care approach support families involved with child welfare?<\/h5>\n <p class=\"text-salt-box mb-0 mt-6\">Explore how New Jersey uses a system of care approach to support children with behavioral health needs and their families.<\/p>\n  <span class=\"label-small text-well-read\">Read More<\/span>\n  <\/div>\n  <\/a>\n  <\/li>\n  <li class=\"bg-warm-ceramic p-6 rounded-lg grid content-between\">\n  <a href=\"https:\/\/www.casey.org\/soc-profile-oklahoma\/\" target=\"\" class=\"resources-slider__link\">\n  <div class=\"text-2xl print:hidden\">\n <span class=\"icon deliberately-not-an-icon\"><\/span>\n <\/div>\n <div>\n <h5 class=\"mb-0 mt-6\">How does Oklahoma\u2019s system of care approach support families involved with child welfare?<\/h5>\n <p class=\"text-salt-box mb-0 mt-6\">Explore how Oklahoma uses a system of care approach to support children with behavioral health needs and their families.<\/p>\n  <span class=\"label-small text-well-read\">Read More<\/span>\n  <\/div>\n  <\/a>\n  <\/li>\n  <\/ol>\n <\/div>\n  <div class=\"btn-container container mx-auto px-5 text-right pt-9 print:hidden\">\n <button class=\"btn prev-btn icon-Arrows-Normal-Left off\" aria-label=\"previous\"><\/button>\n <button class=\"btn next-btn icon-Arrows-Normal-Right on\" aria-label=\"next\"><\/button>\n <\/div>\n <\/div>\n<\/div><\/div>\n\n\n<div class=\"qff_disclaimer align wp-block-disclaimer content-section\">\n <div class=\"container mx-auto px-0 md:px-5\">\n <div class=\"qff_disclaimer__wrapper text-salt-box text-xs font-sofiapro border-t-2 border-spring-wood\">\n <p>Casey Family Programs consults with individuals and teams across the country to compile research, experiences, and insights about approaches that can safely reduce the need for foster care and ensure the well-being of children and families. We share this information broadly to help child welfare leaders and their partners tackle similar issues in their own communities. For questions about this resource, or if you have other child welfare information needs, please email <a href=\"mailto:kmresources@casey.org\">kmresources@casey.org<\/a>.<\/p>\n\n <\/div>\n <\/div>\n<\/div>\n\n\n\n<div id=\"footnotes\" class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div style=\"height:2px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div><\/div>\n\n\n<div class=\"footnote wp-block-footnote\">\n  <div class=\"container mx-auto px-5 text-3xs text-black-currant\">\n    <p><!-- wp:paragraph {\"className\":\"note\"} --><\/p>\n<p class=\"note\">1 The content of this brief was informed by interviews with Morissa Henn, Deputy Commissioner; Marie Noonan, Interim Director of the Division for Children, Youth and Families,; Daryll Tenney, Bureau Chief, Bureau for Children\u2019s Behavioral Health; and Katja Fox, Director, Division for Behavioral Health, New Hampshire Department of Health and Human Services, August 26. 2024.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"className\":\"note\"} --><\/p>\n<p class=\"note\">2 Fauth, J., Wilson-White, J., &amp; Erdmann, J. (2016). FAST Forward System of Care 2016 Final Interpretive Evaluation. Center for Behavioral Health Innovation, Antioch University New England.<\/p>\n\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of 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hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Was this page useful?<\/span><\/label><div class='gfield_description' id='gfield_description_5_1'><h5>Was this page useful?<\/h5><\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_1'>\n\t\t\t<li class='gchoice gchoice_5_1_0'>\n\t\t\t\t<input name='input_1' type='radio' value='Yes'  id='choice_5_1_0'    \/>\n\t\t\t\t<label for='choice_5_1_0' id='label_5_1_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_1_1'>\n\t\t\t\t<input name='input_1' type='radio' value='No'  id='choice_5_1_1'    \/>\n\t\t\t\t<label for='choice_5_1_1' id='label_5_1_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_2\" class=\"gfield 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https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>System of Care NewHampshire \u2013 Casey Family Programs<\/title>\n<meta name=\"description\" content=\"New Hampshire uses a system of care approach to support children with behavioral health needs and their families.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.casey.org\/es\/soc-profile-newhampshire\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How does New Hampshire\u2019s system of care approach support families involved with child welfare?\" \/>\n<meta property=\"og:description\" content=\"New Hampshire uses a system of care approach to support children with behavioral health needs and their families. 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