Community Mental Health Center Services. New Assertive Community Treatment Clients Community Mental Health Center April – June 2020 January – March 2020 April 2020 New ACT Clients May 2020 New ACT Clients June 2020 New ACT Clients Total New ACT Clients January 2020 New ACT Clients February 2020 New ACT Clients March 2020 New ACT Clients Total New ACT Clients Total New ACT Clients 30 26 27 83 29 27 14 70
Community Mental Health Center Services. Annual Adult Supported Employment Penetration Rates for Prior 12-Month Period Community Mental Health Center 12 Month Period Ending June 2020 Penetration Rate for Period Ending March 2020 Total Unique Clients 3,743 15,497 24.2% 23.7%
Community Mental Health Center Services. Assertive Community Treatment Staffing Full Time Equivalents Community Mental Health Center June 2020 March 2020 Nurse Masters Level Clinician/or Equivalent Functional Support Worker Peer Specialist Total (Excluding Psychiatry) Psychiatrist/Nurse Practitioner Total (Excluding Psychiatry) Psychiatrist/Nurse Practitioner Total 12.26 36.35 66.20 8.60 123.41 7.62 127.02 7.55 2b. Community Mental Health Center Services: Assertive Community Treatment Staffing Competencies Community Mental Health Center Substance Use Disorder Treatment Housing Assistance Supported Employment June 2020 March 2020 June 2020 March 2020 June 2020 March 2020 Total 41.67 40.60 86.65 88.15 12.78 14.58
Community Mental Health Center Services. Assertive Community Treatment – Reasons Not Accepted to ACT at New Hampshire Hospital Discharge Referral Reason Not Accepted at Discharge April - June 2020 January - March 2020 Not Available in Individual’s Town of Residence 0 0 Individual Declined 0 0 Individual’s Insurance Does Not Cover ACT Services 1 0 Individual’s Clinical Need Does Not Meet ACT Criteria 0 1 Individual Placed on ACT Waitlist 1* 1 Individual Awaiting CMHC Determination for ACT 14** 15
Community Mental Health Center Services. Assertive Community Treatment Screening and Resultant New ACT Clients Community Mental Health Center January – March 2020 Retrospective Analysis October – December 2019 Retrospective Analysis Unique Clients Screened: Individuals Not Already on ACT* Screening Deemed Appropriate for Further ACTAssessment: Individuals Not Already on ACT New Clients receiving ACT Services within 90 days of Screening Unique Clients Screened: Individuals Not Already on ACT* Screening Deemed Appropriate for Further ACT Assessment: Individuals Not Already on ACT New Clients receiving ACT Services within 90 days of Screening 01 Northern Human Services 1,068 19 4 1,166 21 2 02 West Central Behavioral Health 212 2 2 221 2 2 03 Lakes Region Mental Health Center 733 8 1 906 11 1 04 Riverbend Community Mental Health Center 1,449 0 0 1,342 13 2 05 Monadnock Family Services 664 6 0 576 3 0 06 Greater Nashua Mental Health 833 5 0 726 6 1 07 Mental Health Center of Greater Manchester 1,610 17 3 1,641 7 1 08 Seacoast Mental Health Center 1,368 42 1 1,392 48 0 09 Community Partners 254 1 1 434 0 0 10 Center for Life Management 831 1 0 779 2 0
Community Mental Health Center Services. Unique Count of Adult Assertive Community Treatment Clients Community Mental Health Center July 2019 August 2019 September 2019 Unique Clients in Quarter Unique Clients in Prior Quarter Total Unique Clients 932 928 942 1,022 1,007 Unique Clients Receiving ACT Services 10/1/2018 to 9/30/2019: 1,339
Community Mental Health Center Services. Assertive Community Treatment – New Hampshire Hospital Admission and Discharge Data Relative to ACT Community Mental Health Center July – September 2022 April – June 2022 On ACT at Admission Referred for ACT on Discharge Accepted to ACT at Discharge On ACT at Admission Referred for ACT on Discharge Accepted to ACT at Discharge
Community Mental Health Center Services. Assertive Community Treatment Screening and Resultant New ACT Clients Community Mental Health Center April – June 2021 Retrospective Analysis January – March 2021 Retrospective Analysis Unique Clients Screened: Individuals Not Already on ACT Screening Deemed Appropriate for Further ACT Assessment: Individuals Not Already on ACT New Clients receiving ACT Services within 90 days of Screening Unique Clients Screened: Individuals Not Already on ACT Screening Deemed Appropriate for Further ACT Assessment: Individuals Not Already on ACT New Clients receiving ACT Services within 90 days of Screening Total ACT Screening 10,275 65 8 9,318 81 12
Community Mental Health Center Services. Assertive Community Treatment Staffing (ACT) – A new staff reporting tool was recently implemented to more effectively capture staff capacity. For example, a center’s ACT capacity may be higher with inclusion of overtime hours. Additionally, in this reporting period, staffing levels continue to be impacted by COVID-19 (e.g. mandatory quarantines, individuals on leave related to the pandemic). Table 9a. Housing Bridge Subsidy Program Waitlist: Reason Administratively Removed from Waitlist – This is a new table that reports the reasons why some individuals, awaiting a Housing Bridge subsidy, are administratively removed from the waitlist before being awarded a subsidy. Table 7. NH Mental Health Client Peer Support Agencies: Census Summary – Peer Support Agencies were open with limited on-site capacity due to COVID-19. The Average Daily Visits reported includes the number of individuals participating in groups online and on-site. Tables 11a-c. Mobile Crisis Services and Supports for Adults – Several data elements reported as zero (0), or otherwise lower than normal volume, reflect the direct or indirect impact of the COVID-19 pandemic, such as lack of crisis apartment use due to distancing and quarantine protocols. Table 11c. Mobile Crisis Services and Supports for Adults – Harbor Care. Data reflects the final month of this program, as operated by Harbor Care. The provision of mobile crisis services in Region VI transitioned to Greater Nashua Mental Health (GNMH) on November 1, 2021, however, data reporting is not yet available. The transition of the program includes a phased implementation approach wherein data reporting and crisis apartment services are scheduled to begin in May 2021. ACT: Assertive Community Treatment MCT: Mobile Crisis Team BMHS: Bureau of Mental Health Services NHH: New Hampshire Hospital BQAI: Bureau of Quality Assurance and Improvement NHHFA: New Hampshire Housing Finance Authority CMHA: Community Mental Health Agreement PRA: Project Rental Assistance CMHC: Community Mental Health Center SE: Supported Employment DHHS: Department of Health and Human Services VA: Veterans Benefits Administration DRF: Designated Receiving Facility ED: Emergency Department FTE: Full Time Equivalent HBSP: Housing Bridge Subsidy Program HUD: US Department of Housing and Urban Development
Community Mental Health Center Services. Assertive Community Treatment Reasons Not Accepted to ACT at New Hampshire Hospital Discharge Referral Total Unique Clients 10 6
