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New Hampshire: C

Grading the States 2009 Report Card: New Hampshire

In 2006, New Hampshire’s mental health care system received a grade of D. This came as a surprise to many, who had long considered the state a frontrunner nationally. Three years later, the state receives a C, but budget shortfalls threaten to undo this modest advance. Full narrative (PDF).

Grades by Category Detailed Score Card (PDF)

  1. Health Promotion and Measurement: C 25% of Total Grade
    Basic measures, such as the number of programs delivering evidence-based practices, emergency room wait-times, and the quantity of psychiatric beds by setting.
  2. Financing & Core Treatment/Recovery Services: C 45% of Total Grade
    A variety of financing measures, such as whether Medicaid reimburses providers for all, or part of evidence-based practices; and more.
  3. Consumer & Family Empowerment: D 15% of Total Grade
    Includes measures such as consumer and family access to essential information from the state, promotion of consumer-run programs, and family and peer education and support.
  4. Community Integration and Social Inclusion: D 15% of Total Grade
    Includes activities that require collaboration among state mental health agencies and other state agencies and systems.


  • Telemedicine
  • Statewide planning process based on collaboration and inclusion
  • "In Shape" proactive, preventative self-care model

Urgent Needs

  • Inpatient beds
  • Housing
  • Reduce mental health workforce shortage
  • Jail diversion programs

Additional Information and Resources

Full Narrative (PDF) | Detailed Score Card (PDF) | Full Report | Order Hard Copy

NAMI New Hampshire: Connect with the NAMI nearest you.

Grading the States Online Discussion: Share your comments, reactions, personal stories, and ideas around NAMI's report on the state of America's health care system for serious mental illness.

Grading the States 2006 Report Card: New Hampshire

"My daughter was released from a psychiatric hospital—it was six weeks before she could begin her community-based appointments with psychiatrists and talk therapists. A lot of ground was lost."