Continuum of Care for Substance Use Disorders

Our Vision:  "We envision that the people of Carroll County, NH understand addiction as an illness of the mind, body and spirit; are free from the stigma associated with addiction; and actively support prevention, intervention, treatment and recovery. "

The NH Department of Health and Human Services/Bureau of Drug and Alcohol Services (DHHS/BDAS) has determined that the best way to prevent and/or decrease the damage that substance misuse causes to individuals, families, and communities is to develop a robust, effective and well-coordinated continuum of care in each region of the state, and to address barriers to awareness and access to services. Regional continuum of care development work is carried out within Regional Public Health Networks by a full time Continuum of Care Facilitator. This work is guided by and documented through the deliverables as outlined by the Regional Public Health Network contract with the BDAS. For more information go to

Carroll County Coalition for Public Health(C3PH) provides leadership and coordination to develop a comprehensive, effective, and well-coordinated Continuum of Care (CoC) for substance use disorders. This work includes convening subject matter experts and stakeholders to identify assets and gaps and to develop regional plans that initiate cooperative actions that increase awareness of current services, remove barriers to accessing services, increase capacity of existing services, and develop new services to fill gaps.

C3PH has completed an asset and gaps scan to identify resources, gaps and barriers that impact regional capacity and can help or hinder the achievement of the region’s statement for continuum of care development. The process for identifying regional assets and gaps included one-on-one meetings, community meetings and events, focus groups, key informant interviews and staff research. There were a significant number of gaps and barriers identified, as well as some various needs related to communication and collaboration across the continuum. Assets were identified using the Carroll County Substance Misuse Treatment Program Resource Guide, Carroll County Resources Directory website, the website, and through significant community knowledge and input. For more information please refer to the Continuum of Care Development Plan

The role of the Continuum of Care Facilitator is to bridge the components of the Substance Use Disorder (SUD) Continuum of Care in their respective networks, including health promotion, prevention, early identification and intervention, treatment, recovery supports and coordination with primary health and behavioral health care. The role of the COC facilitators is achieved through the following activities:

  • Ongoing community organization and relationship building among stakeholders representing the full continuum of care within the region
  • Convening, facilitating and attending opportunities for collaboration (meetings, events) with regional SUD experts and service providers
  • Providing information and resources (including information such as stigma reduction strategies and skills such as evaluation and grant-writing) in service to improve systems of care and integration of behavioral and medical healthcare


  1. To increase awareness of and access to services
  2. To improve communication and build collaboration among service providers
  3. To build the capacity of and expand the delivery of services in the region

The Continuum of Care Workgroup meets the 1st Tuesday of every other month from 11:00am-12:30pm at the Cook Memorial Library in Tamworth, NH. This meeting takes place immediately following the Prevention Leadership Team Meeting in the same location.

Meetings/Agendas Minutes
June 5, 2018  
April 3, 2018

April 3, 2018

March 6, 2018

March 6, 2018 (rescheduled from February 2018)

December 5, 2017

December 2017

October 3, 2017

October 2017

August 1, 2017 no meeting


Continuum of Care 2017 1-Pager

Continuum of Care High Priorities & Actions


For additional information, please contact

Catalina Kirsch, Continuum of Care Facilitator,

by email at or

by phone at (603)301-1252 x303.

The Carroll County region has identified Access to Comprehensive Behavioral Health Services and Substance Misuse & Addiction as two of the six health priorities in its Community Health Improvement Plan (CHIP), entitled Carroll County Promise 2020. The Access to Comprehensive Behavioral Health Services CHIP priority area is a key component of the Continuum of Care initiative.

Improve access to a comprehensive, coordinated continuum of behavioral healthcare services in Carroll County by 2020.


  1. Increase awareness and decrease stigma of behavioral health issues.
  2. Increase collaboration and education with agencies, businesses, individuals and the general public to address specific issues, including: suicide, depression and feelings of hopelessness and isolation.
  3. Reduce rate of suicide deaths and suicide attempts by adolescents each year (NH SHIP).
  4. Reduce number of hospital emergency department visits for mental health.
  5. Improve access to mental health screening, prevention, and early intervention for residents through primary care settings.
  6. Increase access to affordable health insurance coverage.



Tri-County Community Action Program

Memorial Hospital

Huggins Hospital

Saco River Medical Group

White Mountain Community Health Center

T. Murray Wellness Center

Tamworth Community Nurse Association

Visiting Nurse Homecare and Hospice

Central NH Visiting Nurse Association

Service Link of Carroll County

Northern Human Services

Governor Wentworth Regional School District

Moultonborough School District



Children Unlimited-Carroll County Family Resource Center



Integrated Delivery Network: Region 7

Resource Guide for Addiction and Mental Health Consumers-pdf

Quick Guide to Getting Help and Coverage-one-pager

1115 Medicaid Transformation Waiver/DSRIP Program-website

Substance Use Disorder and Behavioral Health Insurance Coverage Information-website

NAMI NH (Mental Illness and Suicide Prevention, Post-intervention, Survivor Resources)