New Hampshire offers a wide and comprehensive array of substance use disorder treatment services across the state including evaluations, withdrawal management (detoxification), outpatient counseling, residential services, and recovery support services. Prior to accessing treatment, a thorough evaluation should be conducted by a licensed alcohol and drug counselor or a behavioral health specialist who has addiction training.

Below are examples of assessments that may be used to help identify the severity of an alcohol and/or drug problem and some of the many behavioral therapies that can be used to promote behavior change across different populations, gender, ages, and other needs.  For additional information, visit the Substance Abuse and Mental Health Services Administration (SAMHSA) and their National Registry of Evidence-based Programs and Practices (NREPP).

Assessments:

Addictive Severity Index (ASI) – The ASI is an interviewer-administered instrument that assesses severity of alcohol and/or drug problems across several domains among individuals 18 years of age and older. The ASI has been tested extensively and is used widely for initial client assessments and to measure client progress and outcomes. The Teen Addiction Severity Index (T-ASI) has been developed for use with adolescents.

Global Appraisal of Individual Needs (GAIN) – The GAIN is a full biopsychosocial assessment designed to measure the recency, breadth, and frequency of problems and service utilization related to substance use (including diagnosis and course, treatment motivation, and relapse potential), physical health, risk/protective involvement, mental health, environment and vocational situation among individuals 12 years of age and older.

Behavioral Approaches:

Cognitive Behavior Therapy (CBT) – CBT is an action-oriented technique that works to help individuals recognize and modify negative thoughts and behaviors.

Motivational Enhancement Therapy (MET) – MET is a counseling approach that helps individuals build motivation to resolve their ambivalence about engaging in treatment and stopping their use of alcohol and/or drugs.

Seeking SafetyHighly flexible counseling model that addresses both trauma and addiction.

Adolescent Community Reinforcement Approach (A-CRA) – The A-CRA is a behavioral intervention that aims to reduce substance use, increase social stability, improve physical and mental health and improve life satisfaction. Three protocols and guidelines are available to choose from depending on the population served.

Brief Strategic Family Therapy (BSFT) – The BSFT model is a short-term, structured, problem-focused, and practical approach to the treatment of adolescent conduct problems, associations with antisocial peers, drug use and their accompanying maladaptive family interactions.

Resources for Seeking Treatment:

The NH Alcohol and Drug Treatment Locator, (www.nhtreatment.org) is an online directory that allows providers and the general public to locate alcohol and drug treatment and recovery support service providers in New Hampshire. This directory can be searched by location, service type, population/specialties served, and/or payer.

The Statewide Addiction Crisis Line (1-844-711-HELP) is a 24/7 hotline enabling individuals seeking support, information and referral to speak with a NH-based, trained professional to assist with identifying community resources and treatment sites.

The NH Bureau of Drug and Alcohol Services, Resource Guide for Alcohol and Drug Prevention & Treatment Services provides a listing of state-funded alcohol and drug abuse prevention and treatment programs and other resources related to alcohol and other drugs.

Co-Occurring Disorders

A co-occurring disorder is the combination of one or more mental health disorders and one or more substance use disorders. Co-occurring disorders are most effectively treated when interventions are integrated. Examples of integrated interventions include:

  • Integrated screening and assessment processes
  • Dual recovery mutual self-help meetings
  • Dual recovery groups in which recovery skills for both disorders are discussed
  • Motivational enhancement interventions that address issues related to mental health and substance use
  • Group interventions for persons with a triple diagnosis of mental health disorder, substance use disorder, and trauma, or which are designed to meet the needs of persons with co-occurring disorders and another shared problem such as homelessness or criminality
  • Combined psychopharmacological interventions in which an individual receives medication designed to reduce cravings for substances as well as medication for a mental health disorder

Please see co-occurring mental and substance use disorder for more information about treatment.