Reports & Presentations


Initiative's Behavioral Health Integration Learning Collaborative Releases Report

New Hampshire residents will benefit from a health care system that integrates behavioral health into primary care, according to a report released by the University of New Hampshire’s Institute for Health Policy and Practice (IHPP) and the New Hampshire Citizens Health Initiative (NHCHI).

The learning collaborative also included the identification and exploration of challenges in payment for substance use disorder screening and treatment. According to the report, the state’s current opiate epidemic highlights the need for better screening for behavioral health issues, prevention and treatment referral in primary care.

The research, conducted in partnership with 60 organizations, is based on a philosophy of shared data and shared learning that emphasizes the importance of transparency across all stakeholder groups.

Twenty-five to 30 percent of visits for primary medical care either originate from or have a significant related behavioral health component. Research also found that depression and anxiety with a co-occurring chronic medical condition increase costs dramatically.

Media Release


NH Behavioral Health Integration Year 2 Opening Session, November 16, 2016

Program Year 2: Looking Ahead

Leading Change in Behavioral Health Integration

Moving Financing for Behavioral Health Services in New Hampshire Forward

Behavioral Health Integration: Making Sense and Moving Forward, September 14, 2016

Symposium Guide

Keynote: Putting NH on the Path to Primary Care and Behavioral Health Integration

Where Are We Now

Break Out: Privacy and Confidentiality in Integrated Behavioral Health

Break Out: Screening and NH's New Opiate Prescribing Guidelines: Guidance for Primary Care and Specialty Practices

Break Out: Understanding Proposed Medicare Physician Fee Schedule for Behavioral Health/Primary Care Integration


NH Citizens Health Initiative Tenth Anniversary




Catalyzing the Integration of New Hampshire's Public Health and Medical Care Systems to Promote and Protect Community Health
Citizens Health Initiative poster presentation at the American Public Health Association Annual Meeting

Northern New England Healthcare Transformation Learning Symposium

NH House Commerce & Consumer Affairs and Health & Human Services Committees

Making the Connections: NH Citizens Health Initiative 2012 Annual Report


New Hampshire Accountable Care Project Advisory Board Meeting, November 19, 2012

Healthcare Transformation Learning Symposium

New Hampshire and Maine stakeholders gathered at the University of New Hampshire on March 14, 2012 to share learning on health system transformation and payment reform strategies and aligning measurement across systems and states. Keynote speaker Jody Hoffer Gittell discussed Relational Coordination and the Transformation of Healthcare.



Amy Dobson, Director, Elliot Provider Network


Fall Forum Presentations

Conference on Health Payment Reform Presentations

Ned Helms, UNH Institute for Health Policy & Practice

Heather Staples, Citizens Health Initiative

Julie Lewis, Dartmouth Institute for Health Policy & Clinical Practice 

Monica Ciolfi, State of NH, Administrator of Risk and Benefits

Elizabeth Mitchell, Former State Legislator, Maine Health Management Coalition

Carl Cooley and Jeanne McAllister, Center for Medical Home Improvement

Don Caruso, Dartmouth Hitchcock Medical Center Keene

Tom Buchanan, Derry Medical Center

Richard Lafleur, MD, Anthem Blue Cross Blue Shield of NH

Kathleen Dunn, Department of Health and Human Services

A Strategic Plan for Health Information Technology & Exchange

By Patrick Miller


HPDP Kenote Presentation

John Higgins-Biddle, Ph.D

John Bunker

George Hacker