Continuum of Care


The Upper Valley substance misuse continuum of care is a substance misuse harm reduction collaboration working to ensure evidence-based prevention, early intervention, appropriate referrals, knowledgeable case management, improved treatment access, and recovery supports to community members.

Upper Valley Continuum of Care Facilitator: Bridget Aliaga, 603-653-6821,



In the summer of 2015, during a substance misuse continuum of care focus group, Substance Use Treatment Providers and Prevention Specialists expressed a desire to have their colleagues meet up more regularly. The first Networking Lunch was scheduled in October 2015 with 19 attendees. Since they began, there have been 5 networking lunches (November 2015- 21 attendees, December 2015- 37 attendees, March 2016-27 attendees, and May 2016-25 attendees). There have been over 70 unique attendees with 30 people attending more than one lunch. We gather to put faces to names, make connections, highlight resources, and share announcements. Thanks to the sponsorship of Dartmouth-Hitchcock’s Community Health Department, lunches are free to attendees. Contact Aita Romain at to get on the mailing list for these events.

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Continuum of Care Resources and Weblinks

Implementing Trauma Informed Approaches in Access to Recovery Programs (pdf)

Women and Addiction: A Trauma Informed Approach (pdf)

SAHMSA’s Concept of Trauma and Guidance for a Trauma Informed Approach (pdf)

Trauma-Informed Approach and Trauma-Specific Interventions (website)

Medication Assisted Treatment with Buprenorphine: Assessing the Evidence (pdf)

Medication Assisted Treatment with Methadone: Assessing the Evidence (pdf)

TIP 51: Substance Abuse Treatment: Addressing the Specific Needs of Women (pdf)

Recovery Housing: Assessing the Evidence (pdf)

NH Drug Monitoring Initiative June 2016 (pdf)

NH Drug Monitoring Initiative January 2016 (pdf)

NH Drug Monitoring Initiative December 2015 (pdf)

Maternal substance use and integrated treatment programs for women with substance abuse issues and their children (pdf)

Funding Family Centered Treatment for Women with Substance Use Disorder (pdf)

Family Centered Treatment for Women with Substance Use Disorder (pdf)

Information to order “Racism of the Well-Intended” the movie (docx)

Access To Recovery Approaches to ROSC (pdf)

Working Definition of Recovery (pdf)

Recovery Oriented Systems of Care (pdf)

Evidence Based Practices for Substance Use Disorder (pdf)

The Continuum of Care Slides from NH State Webinar (ppt)

NH Substance Use Disorder Treatment Capacity (pdf)

The Evidence for Drug Dependence as a Chronic Mental Illness (pdf)

Treatment Improvement Protocols (TIPS): Downloadable pdfs. Benefit: Many different TIPS and most are tailored to specific sub populations. Challenge: No one document has all that is important and they are very long.

What Works For Health: Searchable database. Benefit: Easy to understand evidence based rankings and results. Challenge: Missing policies and practices that have not be researched extensively.

NREPP: National Registry of Evidence Based Programs and Practices. Benefit: Have a lot of programs and practices listed. Challenge: Primarily for prevention and more programs are focused on youth than adults.