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 01 Northern Human Services 1.81 1.80 9.75 0.00 13.36 1.20 16.37 1.20 02 West Central Behavioral Health 0.70 1.20 3.70 0.50 6.10 0.50 6.10 0.50 03 Lakes Region Mental Health Center 1.00 2.00 2.50 1.00 6.50 0.75 7.00 0.75 04 Riverbend Community Mental Health Center 0.50 2.00 8.00 0.00 10.50 0.50 10.50 0.50 05 Monadnock Family Services 2.00 2.25 3.50 1.10 8.85 0.65 8.85 0.65 06 Greater Nashua Mental Health 1 1.00 1.00 5.00 1.00 8.00 0.25 6.50 0.25 06 Greater Nashua Mental Health 2 1.00 1.00 5.00 1.00 8.00 0.25 7.50 0.25 07 Mental Health Center of Greater Manchester-CTT 1.00 11.00 5.25 1.00 18.25 0.91 18.25 0.91 07 Mental Health Center of Greater Manchester-MCST 1.00 8.00 7.25 1.00 17.25 0.91 16.25 0.91 08 Seacoast Mental Health Center 1.00 2.10 5.00 1.00 9.10 0.60 9.10 0.60 09 Community Partners 0.25 2.00 6.95 0.00 9.20 0.70 11.05 0.63 10 Center for Life Management 1.00 2.00 4.30 1.00 8.30 0.40 8.55 0.40 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 01 Northern Human Services 3.55 2.55 8.75 10.75 1.00 1.50 02 West Central Behavioral Health 0.20 0.20 4.10 4.10 0.60 0.60 03 Lakes Region Mental Health Center 1.00 1.00 5.50 6.00 2.00 2.00 04 Riverbend Community Mental Health Center 1.50 1.50 9.50 9.50 0.50 0.50 05 Monadnock Family Services 1.40 1.40 2.00 2.00 1.00 1.00 06 Greater Nashua Mental Health 1 4.25 4.25 6.25 6.25 1.00 1.00 06 Greater Nashua Mental Health 2 5.25 5.25 7.00 7.00 0.00 0.00 07 Mental Health Center of Greater Manchester-CCT 10.91 10.91 13.75 13.75 2.00 2.00 07 Mental Health Center of Greater Manchester-MCST 5.91 5.91 12.75 11.75 2.00 2.00 08 Seacoast Mental Health Center 2.00 2.00 5.00 5.00 2.00 2.00 09 Community Partners 2.70 2.63 5.05 5.05 0.38 0.68 10 Center for Life Management 3.00 3.00 7.00 7.00 0.30 0.30 Total 41.67 40.60 86.65 88.15 12.78 14.58 Revisions to Prior Period: None. Data Source: Bureau of Mental Health CMHC ACT Staffing Census Based on CMHC self...
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 Supported Employment Clients Total Eligible Clients Penetration Rate 01 Northern Human Services 157 1,312 12.0% 14.2% 02 West Central Behavioral Health 144 592 24.3% 22.2% 03 Lakes Region Mental Health Center 296 1,376 21.5% 15.9% 04 Riverbend Community Mental Health Center 301 1,867 16.1% 16.2% 05 Monadnock Family Services 53 1,106 4.8% 7.3% 06 Greater Nashua Mental Health 243 1,814 13.4% 15.1% 07 Mental Health Center of Greater Manchester 1,566 3,656 42.8% 41.7% 08 Seacoast Mental Health Center 723 2,007 36.0% 39.0% 09 Community Partners 90 803 11.2% 11.7% 10 Center for Life Management 175 1,185 14.8% 16.4% Total Unique Clients 3,743 15,497 24.2% 23.7% Revisions to Prior Period: None. Data Source: NH Phoenix 2. Notes: Data extracted 07/17/2020
Community Mental Health Center Services. Assertive Community Treatment – Reasons Not Accepted to ACT at New Hampshire Hospital Discharge Referral Reason Not Accepted at Discharge October - December 2020 July - September 2020 Not Available in Individual’s Town of Residence 0 0 Individual Declined 0 0 Individual’s Insurance Does Not Cover ACT Services 0 1 Individual’s Clinical Need Does Not Meet ACT Criteria 0 0 Individual Placed on ACT Waitlist 0 1 Individual Awaiting CMHC Determination for ACT 6 14 Total Unique Clients 6 16
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 Total ACT Screening 9,022 101 12 9,183 113 9 Data Source: NH Phoenix 2 and CMHC self-reported ACT screening records. ACT screenings submitted through Phoenix capture ACT screenings provided to clients found eligible for state mental health services. Phoenix does not capture data for non-eligible clients; three CMHCs submit this data through Phoenix. Seven CMHCs self-report. All such screenings, excluding individuals who are already on ACT, are contained in this table.
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. Acronyms Used in this Report 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. 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 02 West Central Behavioral Health 8 7 6 21 3 2 1 6 07 Mental Health Center of Greater Manchester 7 5 4 16 8 7 4 19 10 Center for Life Management 2 2 1 5 0 1 0 1 Total New ACT Clients 30 26 27 83 29 27 14 70 Revisions to Prior Period: None. Data Source: NH Phoenix 2. Notes: Data extracted 07/17/2020; New ACT Clients are defined as individuals who were not already on ACT within 90 days prior who then began receiving ACT services. This information is not limited to the individuals that received an ACT screening within the previous 90-day period, and may include individuals transitioning from a higher or lower level of care into ACT.
Community Mental Health Center Services. Unique Count of Adult Assertive Community Treatment Clients Community Mental Health Center October 2020 November 2020 December 2020 Unique Clients in Quarter Unique Clients in Prior Quarter 01 Northern Human Services 121 126 121 133 127 02 West Central Behavioral Health 47 44 44 54 55 03 Lakes Region Mental Health Center 54 56 55 58 57 04 Riverbend Community Mental Health Center 102 96 97 109 104 05 Monadnock Family Services 44 45 45 45 51 06 Greater Nashua Mental Health 113 105 131 133 115 07 Mental Health Center of Greater Manchester 257 253 261 276 279 08 Seacoast Mental Health Center 75 77 80 81 75 09 Community Partners 69 69 63 73 77 10 Center for Life Management 45 44 46 47 53 Total Unique Clients 927 914 941 1,007 990 Unique Clients Receiving ACT Services 1/1/2020 to 12/31/2020: 1,236 Revisions to Prior Period: None. Data Source: NH Phoenix 2. Notes: Data extracted 03/24/2021; clients are counted only one time regardless of how many services they receive.
Community Mental Health Center Services. Assertive Community Treatment New Hampshire Hospital Admission and Discharge Data Relative to ACT Community Mental Health Center January March 2021 October December 2020 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 Yes No Yes No Yes No Yes No Yes No Yes No Total 37 71 21 50 11 10 40 71 20 51 14 6 Revisions to Prior Period: None Data Source: New Hampshire Hospital. Notes: Data compiled 06/28/2021.
Community Mental Health Center Services. New Assertive Community Treatment Clients Community Mental Health Center January – March 2022 October – December 2021 January 2022 New ACT Clients February 2022 New ACT Clients March 2022 New ACT Clients Total New ACT Clients October 2021 New ACT Clients November 2021 New ACT Clients December 2021 New ACT Clients Total New ACT Clients 07 Mental Health Center of Greater Manchester 9 11 8 28 4 2 9 15 08 Seacoast Mental Health Center 1 1 3 5 0 2 1 3 Total New ACT Clients 23 24 25 72 21 22 24 67 Revisions to Prior Period: None Data Source: NH Phoenix 2. Notes: Data extracted 04/28/2022; New ACT Clients are defined as individuals who were not already on ACT within 90 days prior who then began receiving ACT services. This information is not limited to the individuals that received an ACT screening within the previous 90-day period, and may include individuals transitioning from a higher or lower level of care into ACT.
Community Mental Health Center Services. Assertive Community Treatment – Reasons Not Accepted to ACT at New Hampshire Hospital Discharge Referral now includes supplemental notes to reflect additional information collected to document resolution occurred. • Tables 5a-f. Designated Receiving Facilities (DRF) – Some DRF sites made temporary adjustments to capacity to comply with CDC guidelines regarding COVID-19. Xxxxxx adjusted its DRF bed allocations as needed. For example, the Geriatric Psychiatric Unit capacity was reduced and the Pathways adult unit admitted up to 4 geriatric patients. Cypress Center’s reduced its capacity to enable single-occupancy.
