New Hampshire

States - Big Screen

The motto of the Granite State is "Live Free Or Die," a message that aligns well with New Hampshire's efforts to expand real jobs at real wages for workers with disabilities.

2014 State Population.
0.25%
Change from
2013 to 2014
1,326,813
2014 Number of people with disabilities (all disabilities, ages 18-64).
-5.62%
Change from
2013 to 2014
81,485
2014 Number of people with disabilities who are employed (all disabilities, ages 18-64).
-10.35%
Change from
2013 to 2014
32,622
2014 Percentage of working age people who are employed (all disabilities).
-4.5%
Change from
2013 to 2014
40.03%
2014 Percentage of working age people who are employed (NO disabilities).
1.25%
Change from
2013 to 2014
81.31%

General

2012 2013 2014
Population. 1,320,718 1,323,459 1,326,813
Number of people with disabilities (all disabilities, ages 18-64). 80,481 86,064 81,485
Number of people with disabilities who are employed (all disabilities, ages 18-64). 30,492 36,000 32,622
Number of people without disabilities who are employed (ages 18-64). 615,232 607,623 619,658
Percentage of working age people who are employed (all disabilities). 37.89% 41.83% 40.03%
Percentage of working age people who are employed (NO disabilities). 80.52% 80.29% 81.31%
Overall unemployment rate. 5.50% 5.10% 4.30%
Poverty Rate (all disabilities). 18.90% 16.60% 15.60%
Poverty Rate (NO disabilities). 8.80% 7.50% 8.30%
Number of males with disabilities (all ages). 76,896 82,920 80,736
Number of females with disabilities (all ages). 76,967 83,338 79,653
Number of Caucasians with disabilities (all ages). 146,456 158,049 152,430
Number of African Americans with disabilities (all ages). 1,913 1,946 1,399
Number of Hispanic/Latinos with disabilities (all ages). 3,758 3,961 4,214
Number of American Indians/Alaska Natives with disabilities (all ages). 922 N/A 540
Number of Asians with disabilities (all ages). 1,485 1,816 1,220
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A N/A N/A
Number of with multiple races disabilities (all ages). 2,672 3,104 3,970
Number of others with disabilities (all ages). N/A 844 670

 

SSA OUTCOMES

2012 2013 2014
Number of SSI recipients with disabilities who work. 1,248 1,294 1,329
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 6.70% 6.80% 7.00%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 47,094 48,139 48,139

 

MENTAL HEALTH OUTCOMES

2012 2013 2014
Number of mental health services consumers who are employed. 8,501 8,000 9,302
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 17,250 16,515 17,322
Number of adults served who have a known employment status. 25,978 25,106 24,650
Percentage of all state mental health agency consumers served in the community who are employed. 32.70% 31.90% 37.70%
Percentage of supported employment services evidence based practices (EBP). 12.10% 11.40% 11.30%
Percentage of supported housing services evidence based practices (EBP). N/A N/A N/A
Percentage of assertive community treatment services evidence based practices (EBP). 2.80% 2.40% 7.10%
Percentage of medications management evidence based practices (EBP). N/A N/A N/A
Number of evidence based practices (EBP) supported employment services. 1,331 1,244 1,218
Number of evidence based practices (EBP) supported housing services. N/A N/A N/A
Number of evidence based practices (EBP) assertive community treatment services. 308 263 772
Number of evidence based practices (EBP) medications management. N/A N/A N/A

 

WAGNER PEYSER OUTCOMES

2012 2013 2014
Number of registered job seekers with a disability. 2,783 2,397 2,070
Proportion of registered job seekers with a disability. 0.04 0.04 0.05

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2011 2012 2013
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 17 15 12
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 8 8 7
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 47.00% 53.00% 58.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 0.61 0.61 0.53

 

VR OUTCOMES

2013 2014 2015
Total Number of people served under VR.
2,077
N/A
N/A
Number of people with visual impairments served under VR. 119 N/A N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. 427 N/A N/A
Number of people with physical impairments served under VR. 419 N/A N/A
Number of people cognitive impairments served under VR. 525 N/A N/A
Number of people psychosocial impairments served under VR. 412 N/A N/A
Number of people with mental impairments served under VR. 175 N/A N/A
Percentage of overall closures into employment under VR. 36.00% N/A N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. N/A 4,099 4,064
Number of eligible ticket to work beneficiaries. N/A 64,503 64,912
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). 32 N/A N/A
Total number of ID competitive labor market closures. 61 N/A N/A

 

IDD OUTCOMES

2011 2012 2013
Dollars spent on day/employment services for integrated employment funding. $6,541,000 $15,504,000 $26,068,000
Dollars spent on day/employment services for facility-based work funding. $0 $0 $0
Dollars spent on day/employment services for facility-based non-work funding. $0 $0 $0
Dollars spent on day/employment services for community based non-work funding. $59,919,000 $59,057,000 $50,540
Percentage of people served in integrated employment. 49.00% 41.00% 38.00%
Number of people served in community based non-work. 1,197 1,723 2,350
Number of people served in facility based work. 83 25 0
Number of people served in facility based non-work. N/A 0 0
Number supported in integrated employment per 100,000 individuals in the general state population. 97.10 90.60 103.70

 

EDUCATION OUTCOMES

2011 2012 2013
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 73.73% 73.23% 72.85%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 8.32% 8.01% 7.97%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 2.60% 2.48% 2.61%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 94.20% 100.00% 60.48%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 40.30% 47.40% 39.56%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 62.70% 69.90% 63.11%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 79.70% 82.80% 77.78%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 22.40% 22.49% 23.55%

 

Data Not Available

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2014 2015
Number of 14(c) certificate-holding private businesses. 0 0
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 0 0
Number of 14(c) certificate holding patient workers. N/A 0
Total Number of 14(c) certificate holding entities. N/A 0
Reported number of people with disabilities working under 14(c) certificate holding private businesses. N/A 0
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). N/A 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). N/A 0
Reported number of people with disabilities working under 14(c) certificate holding patient workers. N/A 0
Total reported number of people with disabilities working under 14(c) certificate holding entities. N/A 0

 


New Hampshire ABLE Legislation (Senate Bill 265) - 03/21/2016

Achieving a Better Life Experience Act of 2014” means the federal Achieving a Better Life Experience (ABLE) Act of 2014 which allows individuals with disabilities to establish tax-free 529-A savings accounts to save for medical, housing, transportation, employment training, education and other quality of life expenses.

Systems
  • Other
Topics
  • Asset Development / Financial Capability

New Hampshire Senate Bill 47 (subminimum wage 14(c) legislation) - 05/11/2015

“This bill prohibits employers from employing individuals with disabilities at an hourly rate lower than the federal minimum wage except for practical experience or training programs and family businesses. This bill is a request of the committee to study the payment of subminimum wages to persons with disabilities, established in HB 1174 (2014, 50).”

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • 14(c)/Income Security

New Hampshire HB 1174 - 05/28/2014

“This bill establishes a committee to identify and recommend changes to New Hampshire laws and rules on the payment of subminimum wages to persons with disabilities.”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • 14(c)/Income Security

Executive Order 2002-9 (Establishing a Governor's Task Force on Employment) - 12/04/2002

“An order establishing the Governor's Task Force on Employment and Economic Opportunity for Persons with Disabilities”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

New Hampshire Department of Vocational Rehabilitation Policy Manual - 05/01/2015

The New Hampshire Vocational Rehabilitation agency assists eligible individuals with physical and mental impairments to achieve or maintain employment. Employment means entering or retaining full-time employment, or part-time competitive employment in the integrated labor market (including supported employment), the practice of a profession, self-employment, homemaking, farm or family work (including work for which payment is in kind rather than in cash), telecommuting, home-based employment, or other gainful work. The VR process is based upon an Individualized Plan for Employment which is oriented to the achievement of a suitable employment outcome.

 A suitable employment outcome is one which will enable a person with a disability to secure employment that is consistent with his or her unique strengths, resources, priorities, concerns, abilities, capabilities, interests, and informed choice. Services provided to individuals with disabilities must be necessary to overcome the vocational impediment and must be provided in a cost effective manner, utilizing comparable benefits whenever practicable. Reasonable accommodation will be made for all applicants to maximize each person's access to services that will enable the individual to achieve an employment outcome.

 
Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment

Sector-based Training Models: Project Search

Sector based training models are different from conventional training due to a targeted specific industry that involves strategic partnerships amongst the industry, school/college, and community-based organizations and includes training strategies that benefit both employers and workers that promote positive changes to benefit both employer and worker. As a result of sector-based training with people who have disabilities, many businesses in the private and public sector now recognize the competitive edge this has brought to their corporate world. Project SEARCH is an example of a successful sector-based training model that has been used in the United States and abroad.

In New Hampshire, Project SEARCH is a one year, high school transition healthcare program that provides training and education that may lead to employment for individuals with disabilities. Project SEARCH serves as an alternative for students in their last year high school eligibility. The cornerstone of Project SEARCH is total immersion in a large business. Students report to the host business five days a week, where they learn employability skills in the classroom and job skills while participating in a variety of internships/experiences.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement

Employment Position Statement For New Hampshire’s Regional Service System

We believe that employment, with its powerful and irreplaceable opportunities for autonomy, earned income, self-esteem development, social contacts, structured  activity and life satisfaction, is an import ant ingredient of a fulfilling and valued life for adults in our society. We also recognize that the capacity of adults with any type or degree of developmental disability or acquired brain disorder to participate in employment, in the right setting and with the proper supports, has been amply demonstrated.   
Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

NH Granite State Employment Project 5 Year Strategic Plan (2008-2012)

The mission of the Granite State Employment Project is to improve employment opportunities for New Hampshire citizens with disabilities so that they may fully participate in and better contribute to their communities.    The vision of the Granite State Employment Project is that:  There is a statewide infrastructure -including well trained staff- that provides high quality employment supports to individuals with disabilities; New Hampshire’s business community is a key partner in creating and improving employment opportunities for individuals with disabilities and meeting the State’s workforce needs;  Schools offer effective secondary transition services that result in employment or post-secondary education that leads to employment for students with disabilities;  Policies, rules and reimbursement regarding employment services are in accord with employment best practices and desired outcomes Goal #1: Create working partnerships between businesses and employment service providers -at both a local and state level- so that individuals with disabilities have access to and retain the jobs that they want. Goal #2: Increase school and community capacity to effectively prepare and support students with disabilities for entrance and mobility in the workforce Goal #3: Develop and use a variety of resources to ensure that employment service provider agency staff are well oriented and trained to assist individuals with disabilities to achieve better employment outcomes, including increasing the number of individuals with jobs Goal #4: Develop and employ a sustainable data system to track employment outcomes; to facilitate decision-making, policy development, and management of resources; and to improve quality of services.  Goal #5: Remove policy, regulation and payment related barriers to creating successful employment outcomes for individuals with disabilities  

 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement

Community Support Network - 06/15/1995

There are 10 Area Agencies that are divided into geographical regions throughout New Hampshire to provide services to individuals with developmental disabilities, people with acquired brain disorder, and their families. Each Area Agency is designated by the State to provide services in their respective region. Combined they serve in excess of 10,000 individuals and families.

Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

NH Transition Manual – Helping parents prepare students for employment (p. 19)

This "manual" has been compiled with the intent of providing you with enough general information for you to build a framework for creating and achieving goals. There will be sections of this manual that may not apply to your particular situation. All the information enclosed is purely for your reference in the event you may need it at some point. This is not a step-by-step guide, but rather a point of reference with which you can fashion your own plan. It will hopefully give you some direction and spark questions you may have.

Systems
  • Department of Rehabilitation Services
Topics
  • School-to-Work Transition

NH Employment Community of Practice

The Mission of the NH Employment Community of Practice is to promote economic independence and high quality competitive employment opportunities for people withdisabilities through information sharing and the development and dissemination of best practices among all community partners.  

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)

Employment for All

“The Area Agency of Greater Nashua (AA-GN) will be the lead agency for the cross-disability Employment for All Consortium. With its strong track record and sterling reputation, State funders have tapped AA-GN to field test and sustain a variety of innovative programs and initiatives, including: self-directed community supports; individual career accounts; legislative outreach; minority outreach; the Southern NH Time Exchange, a project promoting community connections and inclusion; self-advocacy; Personal Care Services in the workplace; and the first Enhanced Family Care model for persons served under the ECI waiver.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Other
Topics
  • Customized Employment
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

ND Department of Vocational Rehabilitation & Department of Education

“Vocational Rehabilitation has a long history of providing direct and indirect services to youth with disabilities as they transition from school to work. The services provided have enabled many students to obtain successful employment. This agency is committed to increasing access and improving the overall quality of services offered to school age youth.”

 
Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

New Hampshire Governor's Commission on Disability

The Governor’s Commission on Disability provides information about the many services, laws, and regulations that affect citizens with disabilities.

 

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Education
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Institute on Disability/UCEDD - University of New Hampshire

“Trains students, self-advocates, families and professionals through coursework, seminars, workshops and conferences; Provides technical assistance to organizations and individuals to improve their capacity to include all citizens. Disseminates information to families, consumers, community members and professionals via books, monographs, articles, videos, newsletters, the internet and newspapers and consumer forums; engages in collaborative activities and

joint projects with organizations that share common goals. 

 
Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

New Hampshire Council on Developmental Disabilities (NHCDD) Five Year Plan (2016-2021)

Goal 2. Quality of Life: Individuals with developmental disabilities living in New Hampshire will have greater opportunities for inclusion through meaningful competitive employment, friendships and relationships, recreation and choice of social activities, increased choice with housing options, and increased transportation options.

Objective 1. Increased opportunities and awareness for vocational training, competitive employment, expanded work hours and increased career options by:

(1) improving vocational programs, policies and practices through support of promising local or statewide initiatives and

(2) advocating for positive work activities

Objective 2. The Council, in collaboration with disability, aging and other organizations, will support the development or improvement of a minimum of 12 community-based programs, policies or practices that promote inclusion of people with developmental disabilities in all aspects of community life including:

(1) inclusive emergency preparedness and management,

(2) social integration, meaningful relationships and acceptance of differences

(3) and transportation, housing and infrastructure.

 

Objective 3. The NH Council on Developmental Disabilities will collaborate and support local and statewide initiatives that offer choice for the education and support of individuals and their families regarding relationship building and retention of those relationships. Including but not limited to friendships, relationships and family dynamics

 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

New Hampshire Council on Developmental Disabilities

“The purpose of State Councils is to ’engage in advocacy, capacity building, and systemic change activities that are consistent with the purpose of the DD Act and; contribute to a coordinated, consumer and family-centered, consumer and family-directed, comprehensive system of community services, individualized supports and other forms of assistance that enable individuals with developmental disabilities to exercise self-determination, be independent, be productive and be integrated and included in all facets of community life.’”

 
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

NH Granite State Employment Project

“The mission of the Granite State Employment Project is to improve the employment for people with disabilities in New Hampshire by establishing two pilot demonstration models that will create leadership, collaboration with the community, outreach to employers, businesses, and school systems, build capacity for training and staff development, and support the information technology and employment database needs of the projects.”

Partners include the Governor's Task Force for Employment & Economic Opportunities, NH Division of Vocational Rehabilitation, NH Employment Security, NH Department of Education, DHHS/Bureau of Behavioral Health, and Bureau of Developmental Services.

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Mental Health
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

New Hampshire Balancing Incentives Program - 12/30/2011

“The New Hampshire Department of Health and Human Services (DHHS), in partnership with community organizations throughout the state, proposes to leverage the Balancing Incentive Payment Program to further develop the systems of community-based care that serve individuals with behavioral health needs, physical and/or intellectual disabilities. The intent of the New Hampshire project is to realize the long term goal of increasing the percentage of expenditures for long term supports and services (LTSS) that are provided in community settings to equal or exceed the expenditures for facility-based LTSS”. 

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

New Hampshire Medicaid Infrastructure Grant - 10/12/2007

“The Medicaid Infrastructure Grant (MIG) awarded by the Centers for Medicare and Medicaid Services (CMS) has been awarded to approximately 30 states across the country and is the source of funding for NH Granite State Employment Project. This 11-year initiative, which New Hampshire began in 2001, is to create the infrastructure needed to help support competitive employment opportunities for people with disabilities by addressing barriers to employment, access to health care services, and integrate the linkages between Medicaid and other employment-related service agencies that will lead to statewide comprehensive employment opportunities (CEO) systems changes.”

 
Systems
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Sector-based Training Models: Project Search

Sector based training models are different from conventional training due to a targeted specific industry that involves strategic partnerships amongst the industry, school/college, and community-based organizations and includes training strategies that benefit both employers and workers that promote positive changes to benefit both employer and worker. As a result of sector-based training with people who have disabilities, many businesses in the private and public sector now recognize the competitive edge this has brought to their corporate world. Project SEARCH is an example of a successful sector-based training model that has been used in the United States and abroad.

In New Hampshire, Project SEARCH is a one year, high school transition healthcare program that provides training and education that may lead to employment for individuals with disabilities. Project SEARCH serves as an alternative for students in their last year high school eligibility. The cornerstone of Project SEARCH is total immersion in a large business. Students report to the host business five days a week, where they learn employability skills in the classroom and job skills while participating in a variety of internships/experiences.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement

NH Granite State Employment Project 5 Year Strategic Plan (2008-2012)

The mission of the Granite State Employment Project is to improve employment opportunities for New Hampshire citizens with disabilities so that they may fully participate in and better contribute to their communities.    The vision of the Granite State Employment Project is that:  There is a statewide infrastructure -including well trained staff- that provides high quality employment supports to individuals with disabilities; New Hampshire’s business community is a key partner in creating and improving employment opportunities for individuals with disabilities and meeting the State’s workforce needs;  Schools offer effective secondary transition services that result in employment or post-secondary education that leads to employment for students with disabilities;  Policies, rules and reimbursement regarding employment services are in accord with employment best practices and desired outcomes Goal #1: Create working partnerships between businesses and employment service providers -at both a local and state level- so that individuals with disabilities have access to and retain the jobs that they want. Goal #2: Increase school and community capacity to effectively prepare and support students with disabilities for entrance and mobility in the workforce Goal #3: Develop and use a variety of resources to ensure that employment service provider agency staff are well oriented and trained to assist individuals with disabilities to achieve better employment outcomes, including increasing the number of individuals with jobs Goal #4: Develop and employ a sustainable data system to track employment outcomes; to facilitate decision-making, policy development, and management of resources; and to improve quality of services.  Goal #5: Remove policy, regulation and payment related barriers to creating successful employment outcomes for individuals with disabilities

 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement

New Hampshire SAMHSA Employment Development Initiative (EDI) - 2011

‘In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI)”.

 
Systems
  • Department of Mental Health
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

New Hampshire Money Follows the Person

“The New Hampshire Community Passport Program (NHCPP) is a nursing home transition initiative made possible through the Centers for Medicare and Medicaid Services, Money Follows The Person (MFP) Rebalancing Demonstration Grant. This program is designed and implemented to reflect a person-centered approach to service planning and delivery and providing greater opportunities for individuals to direct their own care to the extent that they choose. These are also the values inherent in the State's long term care vision statement”.

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

New Hampshire Benefits Planning Manual

The New Hampshire Benefits Planning Manual provides more in-depth information about the major programs affecting income and benefits for individuals with disabilities in New Hampshire.  The Manual is divided into four sections:

1. New Hampshire Adult Assistance Programs

2. Social Security Disability Insurance

3. Supplemental Security Income

4. Medicare

Systems
  • Other
Topics
  • Asset Development / Financial Capability

Indicator 13 Training 2015-2016 Powerpoint

This powerpoint provides information to help special education professionals best help their students plan and set goals for post-secondary transition.

 
Systems
  • Department of Education
Topics
  • School-to-Work Transition

NH Bureau of Vocational Rehabilitation - VR Counselor Training and Resources

VR Counselor Training and Resources.

Systems
  • Department of Rehabilitation Services

WorkReadyNH

Work ReadyNH is a tuition-free workforce development program tailored to meet the needs of job seekers and career builders as well as provide training in the specific skills employers are seeking in their current and future employees.

 

The WorkReadyNH program provides assessment, instruction and credentialing in key skill areas, identified by employers as essential to workplace success. Graduates earn two nationally recognized credentials to add to their resume.

 

Systems
  • Department of Workforce Development
Topics
  • Employer Engagement
Citations

Southern New Hampshire Services Workplace Success Program

 Workplace Success is a partnership between the Department of Health and Human Services-Division of Family Assistance, SNHS, and the other New Hampshire Community Action Agencies. The goal of the program is to prepare participants to  enter a volunteer  Work Experience position within a nonprofit, business, or local/state government host site for 20-30 hours per week until they obtain full-time paid employment.

Systems
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Southern New Hampshire Services Employment and Training Program

An employment and training program funded by the U.S. Department of Labor to help Dislocated Workers and other Eligible Adults access the tools they need to manage their careers through information and high quality services, and to help U.S. companies find skilled workers.

Systems
  • Department of Workforce Development
Topics
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Employer Engagement

NH Department of Education - Secondary Transition Statewide Training

Foundations in Transition - Person Centered Strategies for Students with Disabilities Making the Transition to Adult Life. A NH RESPONDS Grant sponsored a four part training series that included training in practices that have been shown to improve the self determination skills and education outcomes for young people with disabilities.

Systems
  • Department of Education
Topics
  • School-to-Work Transition

New Hampshire Vocational Rehabilitation Guide

This tool-kit includes a description of the vocational rehabilitation process and overview of the entire NHVR process, from application to post-employment services.
Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Mental Health

New Hampshire Medicaid Infrastructure Grant Five Year Plan (2008-2012)

• MIG funds were used during 2002 and 2003 to provide the 13 New Hampshire Employment Security One-Stops with equipment and resource materials (e.g., screen readers, audio “how to” tapes) to make them more accessible to individuals with disabilities. In addition, training was provided to the staff of One-Stops regarding use of the purchased equipment and resource materials. This initiative with the One-Stops also included staff trainings on disability awareness issues and creation of a resource guide called “Disability Etiquette.”

• MIG was instrumental in the development of towo tool kits. The first, a ready-to work toolkit is a curriculum on personal futures planning, resume writing, self-directed job searching techniques, employment interviewing skills, and negotiating workplace culture, politics, and related skills. It’s currently being used by the independent living center’s 6 peer groups. The second, an employer tool kit, was developed to provide information and guidance to employers regarding reasonable workplace accommodations, tax credits, where to get technical assistance, the ticket-to-work program, and the values and benefits of hiring people with disabilities.  
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
Topics
  • Employer Engagement

Amanda D., et al. v. Hassan, et al. Settlement Fact Sheet

The United States Department of Justice, a coalition of private plaintiff organizations, and the State of New Hampshire, have entered into a comprehensive Settlement Agreement that will transform New Hampshire’s mental health system by significantly expanding and enhancing mental health service capacity in integrated community settings. The Agreement will enable a class of adults with serious mental illness to receive needed services in the community, which will foster their independence and enable them to participate more fully in community life. The expanded and enhanced community services will significantly reduce visits to hospital emergency rooms and will avoid unnecessary institutionalization at State mental health facilities, including New Hampshire Hospital (“NHH”) (the State’s only psychiatric hospital) and the Glencliff Home (a State-owned and -operated nursing facility for people with mental illness). The Agreement requires the State to expand and enhance community services over the next six years. …

For the first time, the State will deliver supported employment services in accordance with the Dartmouth evidence-based model. These services will help enable individuals to obtain and maintain paid, competitive employment in integrated community settings. Over the life of the Agreement, this provision will impact thousands of people.
Systems
  • Department of Mental Health
Topics
  • Mental Health
  • Segregated Day & Employment Services

New Hampshire Delivery System Reform Incentive Payment (DSRIP) Waiver Program - 01/05/2016

“On January 5, 2016 the Centers for Medicare and Medicaid Services (CMS) approved New Hampshire's Section 1115 Research and Demonstration Transformation Waiver, #11-W-00301/1 to access new federal funding to help transform its behavioral health delivery system. The Transformation Waiver has four main targets:

Deliver integrated physical and behavioral health care that better addresses the full range of individuals' needs Expand capacity to address emerging and ongoing behavioral health needs in an appropriate setting Reduce gaps in care during transitions across care settings by improving coordination across providers and linking patients with community supports. Move fifty percent of Medicaid reimbursement to alternative payment models by the end of the demonstration period”
Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

New Hampshire ESEA Flexibility Approval - 06/26/2013

The New Hampshire Department of Education's ESEA flexibility request was approved on June 26, 2013.

Systems
  • Department of Education
Topics
  • Home and Community Based Services (HCBS)

NH Balancing Incentives Program - 12/30/2011

The New Hampshire Department of Health and Human Services (DHHS), in partnership with community organizations throughout the state, proposes to leverage the Balancing Incentive Payment Program to further develop the systems of community-based care that serve individuals with behavioral health needs, physical and/or intellectual disabilities. The intent of the New Hampshire project is to realize the long term goal of increasing the percentage of expenditures for long term supports and services (LTSS) that are provided in community settings to equal or exceed the expenditures for facility-based LTSS.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Medicaid Infrastructure Grant - 10/12/2007

The Medicaid Infrastructure Grant Research Assistance to States (MIG-RATS) Center launched a website to provide resources and support to states implementing MIGs. The website is designed to help staff find research reports and resources, learn about MIG-RATS activities and initiatives, and connect with MIG researchers. The website includes info on topics such as Medicaid Buy-In programs, outreach and marketing, and youth in transition and also provides links to tools and a calendar of events.

Systems
  • Medicaid Agencies

Medicare Beneficiaries Savings Program

“The Medicare Beneficiaries Savings Program assists low-income elderly or disabled individuals who are eligible for Medicare (available through the Social Security Administration) by paying for some or all of the associated costs of Medicare, specifically the Medicare Insurance Premiums and deductibles. The Medicare Beneficiaries Savings Program is also referred to as the Buy-In program….

The Qualified Disabled and Working Individuals (QDWI) program provides payment of Medicare Part A premiums for eligible working individuals with disabilities who are entitled to enroll in Medicare Part A, but who have lost Medicare Part A coverage due to earnings. Individuals eligible for QDWI may not otherwise be eligible for Medicaid.”

Systems
  • Medicaid Agencies
Topics
  • 14(c)/Income Security

NH BDS Developmental Services (0053.R05.00)

Provides day services, residential hab/personal care, respite, service coordination, supported employment, assistive technology support, community support, crisis response, environmental and vehicle mods, participant directed and managed services, specialty services for individuals w/autism, DD and ID from 0 - no max age.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

New Hampshire HCBS Transition Plan

In January 2014, the Center for Medicaid and Medicare Services (CMS) finalized regulations that require Medicaid-funded Home and Community Based Services (HCBS) possess particular qualities in residential and nonresidential settings.  All states are required to demonstrate how their HCBS programs comply with the new federal HCBS rules. The purpose of this draft Transition Framework is to ensure that in New Hampshire individuals receiving HCBS are integrated in and have access to supports in the community, including opportunities to seek employment, work in competitive integrated settings, engage in community life, and control personal resources. Overall, the Transition Plan provides  a roadmap for how the State will assure that individuals receiving HCBS have the same degree of access as individuals not receiving Medicaid HCBS.    This Transition Plan outlines the proposed process that New Hampshire will be utilizing to ensure alignment with the HCBS requirements.  
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

NH Money Follows the Person

The New Hampshire Community Passport Program (NHCPP) is a… transition initiative made possible through the Centers for Medicare and Medicaid Services, Money Follows The Person (MFP) Rebalancing Demonstration Grant. This program is designed and implemented to reflect a person-centered approach to service planning and delivery and providing greater opportunities for individuals to direct their own care to the extent that they choose. These are also the values inherent in the State's long term care vision statement.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

States - Large Tablet

Snapshot

The motto of the Granite State is "Live Free Or Die," a message that aligns well with New Hampshire's efforts to expand real jobs at real wages for workers with disabilities.

2014 State Population.
0.25%
Change from
2013 to 2014
1,326,813
2014 Number of people with disabilities (all disabilities, ages 18-64).
-5.62%
Change from
2013 to 2014
81,485
2014 Number of people with disabilities who are employed (all disabilities, ages 18-64).
-10.35%
Change from
2013 to 2014
32,622
2014 Percentage of working age people who are employed (all disabilities).
-4.5%
Change from
2013 to 2014
40.03%
2014 Percentage of working age people who are employed (NO disabilities).
1.25%
Change from
2013 to 2014
81.31%

State Data

General

2012 2013 2014
Population. 1,320,718 1,323,459 1,326,813
Number of people with disabilities (all disabilities, ages 18-64). 80,481 86,064 81,485
Number of people with disabilities who are employed (all disabilities, ages 18-64). 30,492 36,000 32,622
Number of people without disabilities who are employed (ages 18-64). 615,232 607,623 619,658
Percentage of working age people who are employed (all disabilities). 37.89% 41.83% 40.03%
Percentage of working age people who are employed (NO disabilities). 80.52% 80.29% 81.31%
Overall unemployment rate. 5.50% 5.10% 4.30%
Poverty Rate (all disabilities). 18.90% 16.60% 15.60%
Poverty Rate (NO disabilities). 8.80% 7.50% 8.30%
Number of males with disabilities (all ages). 76,896 82,920 80,736
Number of females with disabilities (all ages). 76,967 83,338 79,653
Number of Caucasians with disabilities (all ages). 146,456 158,049 152,430
Number of African Americans with disabilities (all ages). 1,913 1,946 1,399
Number of Hispanic/Latinos with disabilities (all ages). 3,758 3,961 4,214
Number of American Indians/Alaska Natives with disabilities (all ages). 922 N/A 540
Number of Asians with disabilities (all ages). 1,485 1,816 1,220
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A N/A N/A
Number of with multiple races disabilities (all ages). 2,672 3,104 3,970
Number of others with disabilities (all ages). N/A 844 670

 

SSA OUTCOMES

2012 2013 2014
Number of SSI recipients with disabilities who work. 1,248 1,294 1,329
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 6.70% 6.80% 7.00%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 47,094 48,139 48,139

 

MENTAL HEALTH OUTCOMES

2012 2013 2014
Number of mental health services consumers who are employed. 8,501 8,000 9,302
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 17,250 16,515 17,322
Number of adults served who have a known employment status. 25,978 25,106 24,650
Percentage of all state mental health agency consumers served in the community who are employed. 32.70% 31.90% 37.70%
Percentage of supported employment services evidence based practices (EBP). 12.10% 11.40% 11.30%
Percentage of supported housing services evidence based practices (EBP). N/A N/A N/A
Percentage of assertive community treatment services evidence based practices (EBP). 2.80% 2.40% 7.10%
Percentage of medications management evidence based practices (EBP). N/A N/A N/A
Number of evidence based practices (EBP) supported employment services. 1,331 1,244 1,218
Number of evidence based practices (EBP) supported housing services. N/A N/A N/A
Number of evidence based practices (EBP) assertive community treatment services. 308 263 772
Number of evidence based practices (EBP) medications management. N/A N/A N/A

 

WAGNER PEYSER OUTCOMES

2012 2013 2014
Number of registered job seekers with a disability. 2,783 2,397 2,070
Proportion of registered job seekers with a disability. 0.04 0.04 0.05

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2011 2012 2013
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 17 15 12
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 8 8 7
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 47.00% 53.00% 58.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 0.61 0.61 0.53

 

VR OUTCOMES

2013 2014 2015
Total Number of people served under VR.
2,077
N/A
N/A
Number of people with visual impairments served under VR. 119 N/A N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. 427 N/A N/A
Number of people with physical impairments served under VR. 419 N/A N/A
Number of people cognitive impairments served under VR. 525 N/A N/A
Number of people psychosocial impairments served under VR. 412 N/A N/A
Number of people with mental impairments served under VR. 175 N/A N/A
Percentage of overall closures into employment under VR. 36.00% N/A N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. N/A 4,099 4,064
Number of eligible ticket to work beneficiaries. N/A 64,503 64,912
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). 32 N/A N/A
Total number of ID competitive labor market closures. 61 N/A N/A

 

IDD OUTCOMES

2011 2012 2013
Dollars spent on day/employment services for integrated employment funding. $6,541,000 $15,504,000 $26,068,000
Dollars spent on day/employment services for facility-based work funding. $0 $0 $0
Dollars spent on day/employment services for facility-based non-work funding. $0 $0 $0
Dollars spent on day/employment services for community based non-work funding. $59,919,000 $59,057,000 $50,540
Percentage of people served in integrated employment. 49.00% 41.00% 38.00%
Number of people served in community based non-work. 1,197 1,723 2,350
Number of people served in facility based work. 83 25 0
Number of people served in facility based non-work. N/A 0 0
Number supported in integrated employment per 100,000 individuals in the general state population. 97.10 90.60 103.70

 

EDUCATION OUTCOMES

2011 2012 2013
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 73.73% 73.23% 72.85%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 8.32% 8.01% 7.97%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 2.60% 2.48% 2.61%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 94.20% 100.00% 60.48%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 40.30% 47.40% 39.56%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 62.70% 69.90% 63.11%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 79.70% 82.80% 77.78%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 22.40% 22.49% 23.55%

 

Data Not Available

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2014 2015
Number of 14(c) certificate-holding private businesses. 0 0
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 0 0
Number of 14(c) certificate holding patient workers. N/A 0
Total Number of 14(c) certificate holding entities. N/A 0
Reported number of people with disabilities working under 14(c) certificate holding private businesses. N/A 0
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). N/A 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). N/A 0
Reported number of people with disabilities working under 14(c) certificate holding patient workers. N/A 0
Total reported number of people with disabilities working under 14(c) certificate holding entities. N/A 0

 

Legislation


New Hampshire ABLE Legislation (Senate Bill 265) - 03/21/2016

Achieving a Better Life Experience Act of 2014” means the federal Achieving a Better Life Experience (ABLE) Act of 2014 which allows individuals with disabilities to establish tax-free 529-A savings accounts to save for medical, housing, transportation, employment training, education and other quality of life expenses.

Systems
  • Other
Topics
  • Asset Development / Financial Capability

New Hampshire Senate Bill 47 (subminimum wage 14(c) legislation) - 05/11/2015

“This bill prohibits employers from employing individuals with disabilities at an hourly rate lower than the federal minimum wage except for practical experience or training programs and family businesses. This bill is a request of the committee to study the payment of subminimum wages to persons with disabilities, established in HB 1174 (2014, 50).”

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • 14(c)/Income Security

New Hampshire HB 1174 - 05/28/2014

“This bill establishes a committee to identify and recommend changes to New Hampshire laws and rules on the payment of subminimum wages to persons with disabilities.”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • 14(c)/Income Security

Executive Orders


Executive Order 2002-9 (Establishing a Governor's Task Force on Employment) - 12/04/2002

“An order establishing the Governor's Task Force on Employment and Economic Opportunity for Persons with Disabilities”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Policy


New Hampshire Department of Vocational Rehabilitation Policy Manual - 05/01/2015

The New Hampshire Vocational Rehabilitation agency assists eligible individuals with physical and mental impairments to achieve or maintain employment. Employment means entering or retaining full-time employment, or part-time competitive employment in the integrated labor market (including supported employment), the practice of a profession, self-employment, homemaking, farm or family work (including work for which payment is in kind rather than in cash), telecommuting, home-based employment, or other gainful work. The VR process is based upon an Individualized Plan for Employment which is oriented to the achievement of a suitable employment outcome.

 A suitable employment outcome is one which will enable a person with a disability to secure employment that is consistent with his or her unique strengths, resources, priorities, concerns, abilities, capabilities, interests, and informed choice. Services provided to individuals with disabilities must be necessary to overcome the vocational impediment and must be provided in a cost effective manner, utilizing comparable benefits whenever practicable. Reasonable accommodation will be made for all applicants to maximize each person's access to services that will enable the individual to achieve an employment outcome.

 
Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment

Sector-based Training Models: Project Search

Sector based training models are different from conventional training due to a targeted specific industry that involves strategic partnerships amongst the industry, school/college, and community-based organizations and includes training strategies that benefit both employers and workers that promote positive changes to benefit both employer and worker. As a result of sector-based training with people who have disabilities, many businesses in the private and public sector now recognize the competitive edge this has brought to their corporate world. Project SEARCH is an example of a successful sector-based training model that has been used in the United States and abroad.

In New Hampshire, Project SEARCH is a one year, high school transition healthcare program that provides training and education that may lead to employment for individuals with disabilities. Project SEARCH serves as an alternative for students in their last year high school eligibility. The cornerstone of Project SEARCH is total immersion in a large business. Students report to the host business five days a week, where they learn employability skills in the classroom and job skills while participating in a variety of internships/experiences.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement

Employment Position Statement For New Hampshire’s Regional Service System

We believe that employment, with its powerful and irreplaceable opportunities for autonomy, earned income, self-esteem development, social contacts, structured  activity and life satisfaction, is an import ant ingredient of a fulfilling and valued life for adults in our society. We also recognize that the capacity of adults with any type or degree of developmental disability or acquired brain disorder to participate in employment, in the right setting and with the proper supports, has been amply demonstrated.   
Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

NH Granite State Employment Project 5 Year Strategic Plan (2008-2012)

The mission of the Granite State Employment Project is to improve employment opportunities for New Hampshire citizens with disabilities so that they may fully participate in and better contribute to their communities.    The vision of the Granite State Employment Project is that:  There is a statewide infrastructure -including well trained staff- that provides high quality employment supports to individuals with disabilities; New Hampshire’s business community is a key partner in creating and improving employment opportunities for individuals with disabilities and meeting the State’s workforce needs;  Schools offer effective secondary transition services that result in employment or post-secondary education that leads to employment for students with disabilities;  Policies, rules and reimbursement regarding employment services are in accord with employment best practices and desired outcomes Goal #1: Create working partnerships between businesses and employment service providers -at both a local and state level- so that individuals with disabilities have access to and retain the jobs that they want. Goal #2: Increase school and community capacity to effectively prepare and support students with disabilities for entrance and mobility in the workforce Goal #3: Develop and use a variety of resources to ensure that employment service provider agency staff are well oriented and trained to assist individuals with disabilities to achieve better employment outcomes, including increasing the number of individuals with jobs Goal #4: Develop and employ a sustainable data system to track employment outcomes; to facilitate decision-making, policy development, and management of resources; and to improve quality of services.  Goal #5: Remove policy, regulation and payment related barriers to creating successful employment outcomes for individuals with disabilities  

 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement

Partnerships


Community Support Network - 06/15/1995

There are 10 Area Agencies that are divided into geographical regions throughout New Hampshire to provide services to individuals with developmental disabilities, people with acquired brain disorder, and their families. Each Area Agency is designated by the State to provide services in their respective region. Combined they serve in excess of 10,000 individuals and families.

Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

NH Transition Manual – Helping parents prepare students for employment (p. 19)

This "manual" has been compiled with the intent of providing you with enough general information for you to build a framework for creating and achieving goals. There will be sections of this manual that may not apply to your particular situation. All the information enclosed is purely for your reference in the event you may need it at some point. This is not a step-by-step guide, but rather a point of reference with which you can fashion your own plan. It will hopefully give you some direction and spark questions you may have.

Systems
  • Department of Rehabilitation Services
Topics
  • School-to-Work Transition

NH Employment Community of Practice

The Mission of the NH Employment Community of Practice is to promote economic independence and high quality competitive employment opportunities for people withdisabilities through information sharing and the development and dissemination of best practices among all community partners.  

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)

Employment for All

“The Area Agency of Greater Nashua (AA-GN) will be the lead agency for the cross-disability Employment for All Consortium. With its strong track record and sterling reputation, State funders have tapped AA-GN to field test and sustain a variety of innovative programs and initiatives, including: self-directed community supports; individual career accounts; legislative outreach; minority outreach; the Southern NH Time Exchange, a project promoting community connections and inclusion; self-advocacy; Personal Care Services in the workplace; and the first Enhanced Family Care model for persons served under the ECI waiver.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Other
Topics
  • Customized Employment
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

ND Department of Vocational Rehabilitation & Department of Education

“Vocational Rehabilitation has a long history of providing direct and indirect services to youth with disabilities as they transition from school to work. The services provided have enabled many students to obtain successful employment. This agency is committed to increasing access and improving the overall quality of services offered to school age youth.”

 
Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

New Hampshire Governor's Commission on Disability

The Governor’s Commission on Disability provides information about the many services, laws, and regulations that affect citizens with disabilities.

 

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Education
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Institute on Disability/UCEDD - University of New Hampshire

“Trains students, self-advocates, families and professionals through coursework, seminars, workshops and conferences; Provides technical assistance to organizations and individuals to improve their capacity to include all citizens. Disseminates information to families, consumers, community members and professionals via books, monographs, articles, videos, newsletters, the internet and newspapers and consumer forums; engages in collaborative activities and

joint projects with organizations that share common goals. 

 
Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

New Hampshire Council on Developmental Disabilities (NHCDD) Five Year Plan (2016-2021)

Goal 2. Quality of Life: Individuals with developmental disabilities living in New Hampshire will have greater opportunities for inclusion through meaningful competitive employment, friendships and relationships, recreation and choice of social activities, increased choice with housing options, and increased transportation options.

Objective 1. Increased opportunities and awareness for vocational training, competitive employment, expanded work hours and increased career options by:

(1) improving vocational programs, policies and practices through support of promising local or statewide initiatives and

(2) advocating for positive work activities

Objective 2. The Council, in collaboration with disability, aging and other organizations, will support the development or improvement of a minimum of 12 community-based programs, policies or practices that promote inclusion of people with developmental disabilities in all aspects of community life including:

(1) inclusive emergency preparedness and management,

(2) social integration, meaningful relationships and acceptance of differences

(3) and transportation, housing and infrastructure.

 

Objective 3. The NH Council on Developmental Disabilities will collaborate and support local and statewide initiatives that offer choice for the education and support of individuals and their families regarding relationship building and retention of those relationships. Including but not limited to friendships, relationships and family dynamics

 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

New Hampshire Council on Developmental Disabilities

“The purpose of State Councils is to ’engage in advocacy, capacity building, and systemic change activities that are consistent with the purpose of the DD Act and; contribute to a coordinated, consumer and family-centered, consumer and family-directed, comprehensive system of community services, individualized supports and other forms of assistance that enable individuals with developmental disabilities to exercise self-determination, be independent, be productive and be integrated and included in all facets of community life.’”

 
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

NH Granite State Employment Project

“The mission of the Granite State Employment Project is to improve the employment for people with disabilities in New Hampshire by establishing two pilot demonstration models that will create leadership, collaboration with the community, outreach to employers, businesses, and school systems, build capacity for training and staff development, and support the information technology and employment database needs of the projects.”

Partners include the Governor's Task Force for Employment & Economic Opportunities, NH Division of Vocational Rehabilitation, NH Employment Security, NH Department of Education, DHHS/Bureau of Behavioral Health, and Bureau of Developmental Services.

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Mental Health
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Systems-Change Funding


New Hampshire Balancing Incentives Program - 12/30/2011

“The New Hampshire Department of Health and Human Services (DHHS), in partnership with community organizations throughout the state, proposes to leverage the Balancing Incentive Payment Program to further develop the systems of community-based care that serve individuals with behavioral health needs, physical and/or intellectual disabilities. The intent of the New Hampshire project is to realize the long term goal of increasing the percentage of expenditures for long term supports and services (LTSS) that are provided in community settings to equal or exceed the expenditures for facility-based LTSS”. 

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

New Hampshire Medicaid Infrastructure Grant - 10/12/2007

“The Medicaid Infrastructure Grant (MIG) awarded by the Centers for Medicare and Medicaid Services (CMS) has been awarded to approximately 30 states across the country and is the source of funding for NH Granite State Employment Project. This 11-year initiative, which New Hampshire began in 2001, is to create the infrastructure needed to help support competitive employment opportunities for people with disabilities by addressing barriers to employment, access to health care services, and integrate the linkages between Medicaid and other employment-related service agencies that will lead to statewide comprehensive employment opportunities (CEO) systems changes.”

 
Systems
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Sector-based Training Models: Project Search

Sector based training models are different from conventional training due to a targeted specific industry that involves strategic partnerships amongst the industry, school/college, and community-based organizations and includes training strategies that benefit both employers and workers that promote positive changes to benefit both employer and worker. As a result of sector-based training with people who have disabilities, many businesses in the private and public sector now recognize the competitive edge this has brought to their corporate world. Project SEARCH is an example of a successful sector-based training model that has been used in the United States and abroad.

In New Hampshire, Project SEARCH is a one year, high school transition healthcare program that provides training and education that may lead to employment for individuals with disabilities. Project SEARCH serves as an alternative for students in their last year high school eligibility. The cornerstone of Project SEARCH is total immersion in a large business. Students report to the host business five days a week, where they learn employability skills in the classroom and job skills while participating in a variety of internships/experiences.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement

NH Granite State Employment Project 5 Year Strategic Plan (2008-2012)

The mission of the Granite State Employment Project is to improve employment opportunities for New Hampshire citizens with disabilities so that they may fully participate in and better contribute to their communities.    The vision of the Granite State Employment Project is that:  There is a statewide infrastructure -including well trained staff- that provides high quality employment supports to individuals with disabilities; New Hampshire’s business community is a key partner in creating and improving employment opportunities for individuals with disabilities and meeting the State’s workforce needs;  Schools offer effective secondary transition services that result in employment or post-secondary education that leads to employment for students with disabilities;  Policies, rules and reimbursement regarding employment services are in accord with employment best practices and desired outcomes Goal #1: Create working partnerships between businesses and employment service providers -at both a local and state level- so that individuals with disabilities have access to and retain the jobs that they want. Goal #2: Increase school and community capacity to effectively prepare and support students with disabilities for entrance and mobility in the workforce Goal #3: Develop and use a variety of resources to ensure that employment service provider agency staff are well oriented and trained to assist individuals with disabilities to achieve better employment outcomes, including increasing the number of individuals with jobs Goal #4: Develop and employ a sustainable data system to track employment outcomes; to facilitate decision-making, policy development, and management of resources; and to improve quality of services.  Goal #5: Remove policy, regulation and payment related barriers to creating successful employment outcomes for individuals with disabilities

 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement

New Hampshire SAMHSA Employment Development Initiative (EDI) - 2011

‘In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI)”.

 
Systems
  • Department of Mental Health
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

New Hampshire Money Follows the Person

“The New Hampshire Community Passport Program (NHCPP) is a nursing home transition initiative made possible through the Centers for Medicare and Medicaid Services, Money Follows The Person (MFP) Rebalancing Demonstration Grant. This program is designed and implemented to reflect a person-centered approach to service planning and delivery and providing greater opportunities for individuals to direct their own care to the extent that they choose. These are also the values inherent in the State's long term care vision statement”.

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Training/Capacity Building


New Hampshire Benefits Planning Manual

The New Hampshire Benefits Planning Manual provides more in-depth information about the major programs affecting income and benefits for individuals with disabilities in New Hampshire.  The Manual is divided into four sections:

1. New Hampshire Adult Assistance Programs

2. Social Security Disability Insurance

3. Supplemental Security Income

4. Medicare

Systems
  • Other
Topics
  • Asset Development / Financial Capability

Indicator 13 Training 2015-2016 Powerpoint

This powerpoint provides information to help special education professionals best help their students plan and set goals for post-secondary transition.

 
Systems
  • Department of Education
Topics
  • School-to-Work Transition

NH Bureau of Vocational Rehabilitation - VR Counselor Training and Resources

VR Counselor Training and Resources.

Systems
  • Department of Rehabilitation Services

WorkReadyNH

Work ReadyNH is a tuition-free workforce development program tailored to meet the needs of job seekers and career builders as well as provide training in the specific skills employers are seeking in their current and future employees.

 

The WorkReadyNH program provides assessment, instruction and credentialing in key skill areas, identified by employers as essential to workplace success. Graduates earn two nationally recognized credentials to add to their resume.

 

Systems
  • Department of Workforce Development
Topics
  • Employer Engagement
Citations

Southern New Hampshire Services Workplace Success Program

 Workplace Success is a partnership between the Department of Health and Human Services-Division of Family Assistance, SNHS, and the other New Hampshire Community Action Agencies. The goal of the program is to prepare participants to  enter a volunteer  Work Experience position within a nonprofit, business, or local/state government host site for 20-30 hours per week until they obtain full-time paid employment.

Systems
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Southern New Hampshire Services Employment and Training Program

An employment and training program funded by the U.S. Department of Labor to help Dislocated Workers and other Eligible Adults access the tools they need to manage their careers through information and high quality services, and to help U.S. companies find skilled workers.

Systems
  • Department of Workforce Development
Topics
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Employer Engagement

NH Department of Education - Secondary Transition Statewide Training

Foundations in Transition - Person Centered Strategies for Students with Disabilities Making the Transition to Adult Life. A NH RESPONDS Grant sponsored a four part training series that included training in practices that have been shown to improve the self determination skills and education outcomes for young people with disabilities.

Systems
  • Department of Education
Topics
  • School-to-Work Transition

New Hampshire Vocational Rehabilitation Guide

This tool-kit includes a description of the vocational rehabilitation process and overview of the entire NHVR process, from application to post-employment services.
Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Mental Health

New Hampshire Medicaid Infrastructure Grant Five Year Plan (2008-2012)

• MIG funds were used during 2002 and 2003 to provide the 13 New Hampshire Employment Security One-Stops with equipment and resource materials (e.g., screen readers, audio “how to” tapes) to make them more accessible to individuals with disabilities. In addition, training was provided to the staff of One-Stops regarding use of the purchased equipment and resource materials. This initiative with the One-Stops also included staff trainings on disability awareness issues and creation of a resource guide called “Disability Etiquette.”

• MIG was instrumental in the development of towo tool kits. The first, a ready-to work toolkit is a curriculum on personal futures planning, resume writing, self-directed job searching techniques, employment interviewing skills, and negotiating workplace culture, politics, and related skills. It’s currently being used by the independent living center’s 6 peer groups. The second, an employer tool kit, was developed to provide information and guidance to employers regarding reasonable workplace accommodations, tax credits, where to get technical assistance, the ticket-to-work program, and the values and benefits of hiring people with disabilities.  
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
Topics
  • Employer Engagement

Enforcement


Amanda D., et al. v. Hassan, et al. Settlement Fact Sheet

The United States Department of Justice, a coalition of private plaintiff organizations, and the State of New Hampshire, have entered into a comprehensive Settlement Agreement that will transform New Hampshire’s mental health system by significantly expanding and enhancing mental health service capacity in integrated community settings. The Agreement will enable a class of adults with serious mental illness to receive needed services in the community, which will foster their independence and enable them to participate more fully in community life. The expanded and enhanced community services will significantly reduce visits to hospital emergency rooms and will avoid unnecessary institutionalization at State mental health facilities, including New Hampshire Hospital (“NHH”) (the State’s only psychiatric hospital) and the Glencliff Home (a State-owned and -operated nursing facility for people with mental illness). The Agreement requires the State to expand and enhance community services over the next six years. …

For the first time, the State will deliver supported employment services in accordance with the Dartmouth evidence-based model. These services will help enable individuals to obtain and maintain paid, competitive employment in integrated community settings. Over the life of the Agreement, this provision will impact thousands of people.
Systems
  • Department of Mental Health
Topics
  • Mental Health
  • Segregated Day & Employment Services

Medicaid & Employment


New Hampshire Delivery System Reform Incentive Payment (DSRIP) Waiver Program - 01/05/2016

“On January 5, 2016 the Centers for Medicare and Medicaid Services (CMS) approved New Hampshire's Section 1115 Research and Demonstration Transformation Waiver, #11-W-00301/1 to access new federal funding to help transform its behavioral health delivery system. The Transformation Waiver has four main targets:

Deliver integrated physical and behavioral health care that better addresses the full range of individuals' needs Expand capacity to address emerging and ongoing behavioral health needs in an appropriate setting Reduce gaps in care during transitions across care settings by improving coordination across providers and linking patients with community supports. Move fifty percent of Medicaid reimbursement to alternative payment models by the end of the demonstration period”
Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

New Hampshire ESEA Flexibility Approval - 06/26/2013

The New Hampshire Department of Education's ESEA flexibility request was approved on June 26, 2013.

Systems
  • Department of Education
Topics
  • Home and Community Based Services (HCBS)

NH Balancing Incentives Program - 12/30/2011

The New Hampshire Department of Health and Human Services (DHHS), in partnership with community organizations throughout the state, proposes to leverage the Balancing Incentive Payment Program to further develop the systems of community-based care that serve individuals with behavioral health needs, physical and/or intellectual disabilities. The intent of the New Hampshire project is to realize the long term goal of increasing the percentage of expenditures for long term supports and services (LTSS) that are provided in community settings to equal or exceed the expenditures for facility-based LTSS.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Medicaid Infrastructure Grant - 10/12/2007

The Medicaid Infrastructure Grant Research Assistance to States (MIG-RATS) Center launched a website to provide resources and support to states implementing MIGs. The website is designed to help staff find research reports and resources, learn about MIG-RATS activities and initiatives, and connect with MIG researchers. The website includes info on topics such as Medicaid Buy-In programs, outreach and marketing, and youth in transition and also provides links to tools and a calendar of events.

Systems
  • Medicaid Agencies

Medicare Beneficiaries Savings Program

“The Medicare Beneficiaries Savings Program assists low-income elderly or disabled individuals who are eligible for Medicare (available through the Social Security Administration) by paying for some or all of the associated costs of Medicare, specifically the Medicare Insurance Premiums and deductibles. The Medicare Beneficiaries Savings Program is also referred to as the Buy-In program….

The Qualified Disabled and Working Individuals (QDWI) program provides payment of Medicare Part A premiums for eligible working individuals with disabilities who are entitled to enroll in Medicare Part A, but who have lost Medicare Part A coverage due to earnings. Individuals eligible for QDWI may not otherwise be eligible for Medicaid.”

Systems
  • Medicaid Agencies
Topics
  • 14(c)/Income Security

NH BDS Developmental Services (0053.R05.00)

Provides day services, residential hab/personal care, respite, service coordination, supported employment, assistive technology support, community support, crisis response, environmental and vehicle mods, participant directed and managed services, specialty services for individuals w/autism, DD and ID from 0 - no max age.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

New Hampshire HCBS Transition Plan

In January 2014, the Center for Medicaid and Medicare Services (CMS) finalized regulations that require Medicaid-funded Home and Community Based Services (HCBS) possess particular qualities in residential and nonresidential settings.  All states are required to demonstrate how their HCBS programs comply with the new federal HCBS rules. The purpose of this draft Transition Framework is to ensure that in New Hampshire individuals receiving HCBS are integrated in and have access to supports in the community, including opportunities to seek employment, work in competitive integrated settings, engage in community life, and control personal resources. Overall, the Transition Plan provides  a roadmap for how the State will assure that individuals receiving HCBS have the same degree of access as individuals not receiving Medicaid HCBS.    This Transition Plan outlines the proposed process that New Hampshire will be utilizing to ensure alignment with the HCBS requirements.  
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

NH Money Follows the Person

The New Hampshire Community Passport Program (NHCPP) is a… transition initiative made possible through the Centers for Medicare and Medicaid Services, Money Follows The Person (MFP) Rebalancing Demonstration Grant. This program is designed and implemented to reflect a person-centered approach to service planning and delivery and providing greater opportunities for individuals to direct their own care to the extent that they choose. These are also the values inherent in the State's long term care vision statement.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

States - Small Tablet

Snapshot

The motto of the Granite State is "Live Free Or Die," a message that aligns well with New Hampshire's efforts to expand real jobs at real wages for workers with disabilities.

2014 State Population.
0.25%
Change from
2013 to 2014
1,326,813
2014 Number of people with disabilities (all disabilities, ages 18-64).
-5.62%
Change from
2013 to 2014
81,485
2014 Number of people with disabilities who are employed (all disabilities, ages 18-64).
-10.35%
Change from
2013 to 2014
32,622
2014 Percentage of working age people who are employed (all disabilities).
-4.5%
Change from
2013 to 2014
40.03%
2014 Percentage of working age people who are employed (NO disabilities).
1.25%
Change from
2013 to 2014
81.31%

State Data

General

2012 2013 2014
Population. 1,320,718 1,323,459 1,326,813
Number of people with disabilities (all disabilities, ages 18-64). 80,481 86,064 81,485
Number of people with disabilities who are employed (all disabilities, ages 18-64). 30,492 36,000 32,622
Number of people without disabilities who are employed (ages 18-64). 615,232 607,623 619,658
Percentage of working age people who are employed (all disabilities). 37.89% 41.83% 40.03%
Percentage of working age people who are employed (NO disabilities). 80.52% 80.29% 81.31%
Overall unemployment rate. 5.50% 5.10% 4.30%
Poverty Rate (all disabilities). 18.90% 16.60% 15.60%
Poverty Rate (NO disabilities). 8.80% 7.50% 8.30%
Number of males with disabilities (all ages). 76,896 82,920 80,736
Number of females with disabilities (all ages). 76,967 83,338 79,653
Number of Caucasians with disabilities (all ages). 146,456 158,049 152,430
Number of African Americans with disabilities (all ages). 1,913 1,946 1,399
Number of Hispanic/Latinos with disabilities (all ages). 3,758 3,961 4,214
Number of American Indians/Alaska Natives with disabilities (all ages). 922 N/A 540
Number of Asians with disabilities (all ages). 1,485 1,816 1,220
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A N/A N/A
Number of with multiple races disabilities (all ages). 2,672 3,104 3,970
Number of others with disabilities (all ages). N/A 844 670

 

SSA OUTCOMES

2012 2013 2014
Number of SSI recipients with disabilities who work. 1,248 1,294 1,329
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 6.70% 6.80% 7.00%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 47,094 48,139 48,139

 

MENTAL HEALTH OUTCOMES

2012 2013 2014
Number of mental health services consumers who are employed. 8,501 8,000 9,302
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 17,250 16,515 17,322
Number of adults served who have a known employment status. 25,978 25,106 24,650
Percentage of all state mental health agency consumers served in the community who are employed. 32.70% 31.90% 37.70%
Percentage of supported employment services evidence based practices (EBP). 12.10% 11.40% 11.30%
Percentage of supported housing services evidence based practices (EBP). N/A N/A N/A
Percentage of assertive community treatment services evidence based practices (EBP). 2.80% 2.40% 7.10%
Percentage of medications management evidence based practices (EBP). N/A N/A N/A
Number of evidence based practices (EBP) supported employment services. 1,331 1,244 1,218
Number of evidence based practices (EBP) supported housing services. N/A N/A N/A
Number of evidence based practices (EBP) assertive community treatment services. 308 263 772
Number of evidence based practices (EBP) medications management. N/A N/A N/A

 

WAGNER PEYSER OUTCOMES

2012 2013 2014
Number of registered job seekers with a disability. 2,783 2,397 2,070
Proportion of registered job seekers with a disability. 0.04 0.04 0.05

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2011 2012 2013
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 17 15 12
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 8 8 7
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 47.00% 53.00% 58.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 0.61 0.61 0.53

 

VR OUTCOMES

2013 2014 2015
Total Number of people served under VR.
2,077
N/A
N/A
Number of people with visual impairments served under VR. 119 N/A N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. 427 N/A N/A
Number of people with physical impairments served under VR. 419 N/A N/A
Number of people cognitive impairments served under VR. 525 N/A N/A
Number of people psychosocial impairments served under VR. 412 N/A N/A
Number of people with mental impairments served under VR. 175 N/A N/A
Percentage of overall closures into employment under VR. 36.00% N/A N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. N/A 4,099 4,064
Number of eligible ticket to work beneficiaries. N/A 64,503 64,912
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). 32 N/A N/A
Total number of ID competitive labor market closures. 61 N/A N/A

 

IDD OUTCOMES

2011 2012 2013
Dollars spent on day/employment services for integrated employment funding. $6,541,000 $15,504,000 $26,068,000
Dollars spent on day/employment services for facility-based work funding. $0 $0 $0
Dollars spent on day/employment services for facility-based non-work funding. $0 $0 $0
Dollars spent on day/employment services for community based non-work funding. $59,919,000 $59,057,000 $50,540
Percentage of people served in integrated employment. 49.00% 41.00% 38.00%
Number of people served in community based non-work. 1,197 1,723 2,350
Number of people served in facility based work. 83 25 0
Number of people served in facility based non-work. N/A 0 0
Number supported in integrated employment per 100,000 individuals in the general state population. 97.10 90.60 103.70

 

EDUCATION OUTCOMES

2011 2012 2013
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 73.73% 73.23% 72.85%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 8.32% 8.01% 7.97%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 2.60% 2.48% 2.61%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 94.20% 100.00% 60.48%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 40.30% 47.40% 39.56%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 62.70% 69.90% 63.11%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 79.70% 82.80% 77.78%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 22.40% 22.49% 23.55%

 

Data Not Available

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2014 2015
Number of 14(c) certificate-holding private businesses. 0 0
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 0 0
Number of 14(c) certificate holding patient workers. N/A 0
Total Number of 14(c) certificate holding entities. N/A 0
Reported number of people with disabilities working under 14(c) certificate holding private businesses. N/A 0
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). N/A 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). N/A 0
Reported number of people with disabilities working under 14(c) certificate holding patient workers. N/A 0
Total reported number of people with disabilities working under 14(c) certificate holding entities. N/A 0

 

Legislation


New Hampshire ABLE Legislation (Senate Bill 265) - 03/21/2016

Achieving a Better Life Experience Act of 2014” means the federal Achieving a Better Life Experience (ABLE) Act of 2014 which allows individuals with disabilities to establish tax-free 529-A savings accounts to save for medical, housing, transportation, employment training, education and other quality of life expenses.

Systems
  • Other
Topics
  • Asset Development / Financial Capability

New Hampshire Senate Bill 47 (subminimum wage 14(c) legislation) - 05/11/2015

“This bill prohibits employers from employing individuals with disabilities at an hourly rate lower than the federal minimum wage except for practical experience or training programs and family businesses. This bill is a request of the committee to study the payment of subminimum wages to persons with disabilities, established in HB 1174 (2014, 50).”

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • 14(c)/Income Security

New Hampshire HB 1174 - 05/28/2014

“This bill establishes a committee to identify and recommend changes to New Hampshire laws and rules on the payment of subminimum wages to persons with disabilities.”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • 14(c)/Income Security

Executive Orders


Executive Order 2002-9 (Establishing a Governor's Task Force on Employment) - 12/04/2002

“An order establishing the Governor's Task Force on Employment and Economic Opportunity for Persons with Disabilities”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Policy


New Hampshire Department of Vocational Rehabilitation Policy Manual - 05/01/2015

The New Hampshire Vocational Rehabilitation agency assists eligible individuals with physical and mental impairments to achieve or maintain employment. Employment means entering or retaining full-time employment, or part-time competitive employment in the integrated labor market (including supported employment), the practice of a profession, self-employment, homemaking, farm or family work (including work for which payment is in kind rather than in cash), telecommuting, home-based employment, or other gainful work. The VR process is based upon an Individualized Plan for Employment which is oriented to the achievement of a suitable employment outcome.

 A suitable employment outcome is one which will enable a person with a disability to secure employment that is consistent with his or her unique strengths, resources, priorities, concerns, abilities, capabilities, interests, and informed choice. Services provided to individuals with disabilities must be necessary to overcome the vocational impediment and must be provided in a cost effective manner, utilizing comparable benefits whenever practicable. Reasonable accommodation will be made for all applicants to maximize each person's access to services that will enable the individual to achieve an employment outcome.

 
Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment

Sector-based Training Models: Project Search

Sector based training models are different from conventional training due to a targeted specific industry that involves strategic partnerships amongst the industry, school/college, and community-based organizations and includes training strategies that benefit both employers and workers that promote positive changes to benefit both employer and worker. As a result of sector-based training with people who have disabilities, many businesses in the private and public sector now recognize the competitive edge this has brought to their corporate world. Project SEARCH is an example of a successful sector-based training model that has been used in the United States and abroad.

In New Hampshire, Project SEARCH is a one year, high school transition healthcare program that provides training and education that may lead to employment for individuals with disabilities. Project SEARCH serves as an alternative for students in their last year high school eligibility. The cornerstone of Project SEARCH is total immersion in a large business. Students report to the host business five days a week, where they learn employability skills in the classroom and job skills while participating in a variety of internships/experiences.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement

Employment Position Statement For New Hampshire’s Regional Service System

We believe that employment, with its powerful and irreplaceable opportunities for autonomy, earned income, self-esteem development, social contacts, structured  activity and life satisfaction, is an import ant ingredient of a fulfilling and valued life for adults in our society. We also recognize that the capacity of adults with any type or degree of developmental disability or acquired brain disorder to participate in employment, in the right setting and with the proper supports, has been amply demonstrated.   
Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

NH Granite State Employment Project 5 Year Strategic Plan (2008-2012)

The mission of the Granite State Employment Project is to improve employment opportunities for New Hampshire citizens with disabilities so that they may fully participate in and better contribute to their communities.    The vision of the Granite State Employment Project is that:  There is a statewide infrastructure -including well trained staff- that provides high quality employment supports to individuals with disabilities; New Hampshire’s business community is a key partner in creating and improving employment opportunities for individuals with disabilities and meeting the State’s workforce needs;  Schools offer effective secondary transition services that result in employment or post-secondary education that leads to employment for students with disabilities;  Policies, rules and reimbursement regarding employment services are in accord with employment best practices and desired outcomes Goal #1: Create working partnerships between businesses and employment service providers -at both a local and state level- so that individuals with disabilities have access to and retain the jobs that they want. Goal #2: Increase school and community capacity to effectively prepare and support students with disabilities for entrance and mobility in the workforce Goal #3: Develop and use a variety of resources to ensure that employment service provider agency staff are well oriented and trained to assist individuals with disabilities to achieve better employment outcomes, including increasing the number of individuals with jobs Goal #4: Develop and employ a sustainable data system to track employment outcomes; to facilitate decision-making, policy development, and management of resources; and to improve quality of services.  Goal #5: Remove policy, regulation and payment related barriers to creating successful employment outcomes for individuals with disabilities  

 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement

Partnerships


Community Support Network - 06/15/1995

There are 10 Area Agencies that are divided into geographical regions throughout New Hampshire to provide services to individuals with developmental disabilities, people with acquired brain disorder, and their families. Each Area Agency is designated by the State to provide services in their respective region. Combined they serve in excess of 10,000 individuals and families.

Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

NH Transition Manual – Helping parents prepare students for employment (p. 19)

This "manual" has been compiled with the intent of providing you with enough general information for you to build a framework for creating and achieving goals. There will be sections of this manual that may not apply to your particular situation. All the information enclosed is purely for your reference in the event you may need it at some point. This is not a step-by-step guide, but rather a point of reference with which you can fashion your own plan. It will hopefully give you some direction and spark questions you may have.

Systems
  • Department of Rehabilitation Services
Topics
  • School-to-Work Transition

NH Employment Community of Practice

The Mission of the NH Employment Community of Practice is to promote economic independence and high quality competitive employment opportunities for people withdisabilities through information sharing and the development and dissemination of best practices among all community partners.  

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)

Employment for All

“The Area Agency of Greater Nashua (AA-GN) will be the lead agency for the cross-disability Employment for All Consortium. With its strong track record and sterling reputation, State funders have tapped AA-GN to field test and sustain a variety of innovative programs and initiatives, including: self-directed community supports; individual career accounts; legislative outreach; minority outreach; the Southern NH Time Exchange, a project promoting community connections and inclusion; self-advocacy; Personal Care Services in the workplace; and the first Enhanced Family Care model for persons served under the ECI waiver.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Other
Topics
  • Customized Employment
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

ND Department of Vocational Rehabilitation & Department of Education

“Vocational Rehabilitation has a long history of providing direct and indirect services to youth with disabilities as they transition from school to work. The services provided have enabled many students to obtain successful employment. This agency is committed to increasing access and improving the overall quality of services offered to school age youth.”

 
Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

New Hampshire Governor's Commission on Disability

The Governor’s Commission on Disability provides information about the many services, laws, and regulations that affect citizens with disabilities.

 

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Education
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Institute on Disability/UCEDD - University of New Hampshire

“Trains students, self-advocates, families and professionals through coursework, seminars, workshops and conferences; Provides technical assistance to organizations and individuals to improve their capacity to include all citizens. Disseminates information to families, consumers, community members and professionals via books, monographs, articles, videos, newsletters, the internet and newspapers and consumer forums; engages in collaborative activities and

joint projects with organizations that share common goals. 

 
Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

New Hampshire Council on Developmental Disabilities (NHCDD) Five Year Plan (2016-2021)

Goal 2. Quality of Life: Individuals with developmental disabilities living in New Hampshire will have greater opportunities for inclusion through meaningful competitive employment, friendships and relationships, recreation and choice of social activities, increased choice with housing options, and increased transportation options.

Objective 1. Increased opportunities and awareness for vocational training, competitive employment, expanded work hours and increased career options by:

(1) improving vocational programs, policies and practices through support of promising local or statewide initiatives and

(2) advocating for positive work activities

Objective 2. The Council, in collaboration with disability, aging and other organizations, will support the development or improvement of a minimum of 12 community-based programs, policies or practices that promote inclusion of people with developmental disabilities in all aspects of community life including:

(1) inclusive emergency preparedness and management,

(2) social integration, meaningful relationships and acceptance of differences

(3) and transportation, housing and infrastructure.

 

Objective 3. The NH Council on Developmental Disabilities will collaborate and support local and statewide initiatives that offer choice for the education and support of individuals and their families regarding relationship building and retention of those relationships. Including but not limited to friendships, relationships and family dynamics

 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

New Hampshire Council on Developmental Disabilities

“The purpose of State Councils is to ’engage in advocacy, capacity building, and systemic change activities that are consistent with the purpose of the DD Act and; contribute to a coordinated, consumer and family-centered, consumer and family-directed, comprehensive system of community services, individualized supports and other forms of assistance that enable individuals with developmental disabilities to exercise self-determination, be independent, be productive and be integrated and included in all facets of community life.’”

 
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

NH Granite State Employment Project

“The mission of the Granite State Employment Project is to improve the employment for people with disabilities in New Hampshire by establishing two pilot demonstration models that will create leadership, collaboration with the community, outreach to employers, businesses, and school systems, build capacity for training and staff development, and support the information technology and employment database needs of the projects.”

Partners include the Governor's Task Force for Employment & Economic Opportunities, NH Division of Vocational Rehabilitation, NH Employment Security, NH Department of Education, DHHS/Bureau of Behavioral Health, and Bureau of Developmental Services.

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Mental Health
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Systems-Change Funding


New Hampshire Balancing Incentives Program - 12/30/2011

“The New Hampshire Department of Health and Human Services (DHHS), in partnership with community organizations throughout the state, proposes to leverage the Balancing Incentive Payment Program to further develop the systems of community-based care that serve individuals with behavioral health needs, physical and/or intellectual disabilities. The intent of the New Hampshire project is to realize the long term goal of increasing the percentage of expenditures for long term supports and services (LTSS) that are provided in community settings to equal or exceed the expenditures for facility-based LTSS”. 

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

New Hampshire Medicaid Infrastructure Grant - 10/12/2007

“The Medicaid Infrastructure Grant (MIG) awarded by the Centers for Medicare and Medicaid Services (CMS) has been awarded to approximately 30 states across the country and is the source of funding for NH Granite State Employment Project. This 11-year initiative, which New Hampshire began in 2001, is to create the infrastructure needed to help support competitive employment opportunities for people with disabilities by addressing barriers to employment, access to health care services, and integrate the linkages between Medicaid and other employment-related service agencies that will lead to statewide comprehensive employment opportunities (CEO) systems changes.”

 
Systems
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Sector-based Training Models: Project Search

Sector based training models are different from conventional training due to a targeted specific industry that involves strategic partnerships amongst the industry, school/college, and community-based organizations and includes training strategies that benefit both employers and workers that promote positive changes to benefit both employer and worker. As a result of sector-based training with people who have disabilities, many businesses in the private and public sector now recognize the competitive edge this has brought to their corporate world. Project SEARCH is an example of a successful sector-based training model that has been used in the United States and abroad.

In New Hampshire, Project SEARCH is a one year, high school transition healthcare program that provides training and education that may lead to employment for individuals with disabilities. Project SEARCH serves as an alternative for students in their last year high school eligibility. The cornerstone of Project SEARCH is total immersion in a large business. Students report to the host business five days a week, where they learn employability skills in the classroom and job skills while participating in a variety of internships/experiences.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement

NH Granite State Employment Project 5 Year Strategic Plan (2008-2012)

The mission of the Granite State Employment Project is to improve employment opportunities for New Hampshire citizens with disabilities so that they may fully participate in and better contribute to their communities.    The vision of the Granite State Employment Project is that:  There is a statewide infrastructure -including well trained staff- that provides high quality employment supports to individuals with disabilities; New Hampshire’s business community is a key partner in creating and improving employment opportunities for individuals with disabilities and meeting the State’s workforce needs;  Schools offer effective secondary transition services that result in employment or post-secondary education that leads to employment for students with disabilities;  Policies, rules and reimbursement regarding employment services are in accord with employment best practices and desired outcomes Goal #1: Create working partnerships between businesses and employment service providers -at both a local and state level- so that individuals with disabilities have access to and retain the jobs that they want. Goal #2: Increase school and community capacity to effectively prepare and support students with disabilities for entrance and mobility in the workforce Goal #3: Develop and use a variety of resources to ensure that employment service provider agency staff are well oriented and trained to assist individuals with disabilities to achieve better employment outcomes, including increasing the number of individuals with jobs Goal #4: Develop and employ a sustainable data system to track employment outcomes; to facilitate decision-making, policy development, and management of resources; and to improve quality of services.  Goal #5: Remove policy, regulation and payment related barriers to creating successful employment outcomes for individuals with disabilities

 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement

New Hampshire SAMHSA Employment Development Initiative (EDI) - 2011

‘In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI)”.

 
Systems
  • Department of Mental Health
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

New Hampshire Money Follows the Person

“The New Hampshire Community Passport Program (NHCPP) is a nursing home transition initiative made possible through the Centers for Medicare and Medicaid Services, Money Follows The Person (MFP) Rebalancing Demonstration Grant. This program is designed and implemented to reflect a person-centered approach to service planning and delivery and providing greater opportunities for individuals to direct their own care to the extent that they choose. These are also the values inherent in the State's long term care vision statement”.

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Training/Capacity Building


New Hampshire Benefits Planning Manual

The New Hampshire Benefits Planning Manual provides more in-depth information about the major programs affecting income and benefits for individuals with disabilities in New Hampshire.  The Manual is divided into four sections:

1. New Hampshire Adult Assistance Programs

2. Social Security Disability Insurance

3. Supplemental Security Income

4. Medicare

Systems
  • Other
Topics
  • Asset Development / Financial Capability

Indicator 13 Training 2015-2016 Powerpoint

This powerpoint provides information to help special education professionals best help their students plan and set goals for post-secondary transition.

 
Systems
  • Department of Education
Topics
  • School-to-Work Transition

NH Bureau of Vocational Rehabilitation - VR Counselor Training and Resources

VR Counselor Training and Resources.

Systems
  • Department of Rehabilitation Services

WorkReadyNH

Work ReadyNH is a tuition-free workforce development program tailored to meet the needs of job seekers and career builders as well as provide training in the specific skills employers are seeking in their current and future employees.

 

The WorkReadyNH program provides assessment, instruction and credentialing in key skill areas, identified by employers as essential to workplace success. Graduates earn two nationally recognized credentials to add to their resume.

 

Systems
  • Department of Workforce Development
Topics
  • Employer Engagement
Citations

Southern New Hampshire Services Workplace Success Program

 Workplace Success is a partnership between the Department of Health and Human Services-Division of Family Assistance, SNHS, and the other New Hampshire Community Action Agencies. The goal of the program is to prepare participants to  enter a volunteer  Work Experience position within a nonprofit, business, or local/state government host site for 20-30 hours per week until they obtain full-time paid employment.

Systems
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Southern New Hampshire Services Employment and Training Program

An employment and training program funded by the U.S. Department of Labor to help Dislocated Workers and other Eligible Adults access the tools they need to manage their careers through information and high quality services, and to help U.S. companies find skilled workers.

Systems
  • Department of Workforce Development
Topics
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Employer Engagement

NH Department of Education - Secondary Transition Statewide Training

Foundations in Transition - Person Centered Strategies for Students with Disabilities Making the Transition to Adult Life. A NH RESPONDS Grant sponsored a four part training series that included training in practices that have been shown to improve the self determination skills and education outcomes for young people with disabilities.

Systems
  • Department of Education
Topics
  • School-to-Work Transition

New Hampshire Vocational Rehabilitation Guide

This tool-kit includes a description of the vocational rehabilitation process and overview of the entire NHVR process, from application to post-employment services.
Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Mental Health

New Hampshire Medicaid Infrastructure Grant Five Year Plan (2008-2012)

• MIG funds were used during 2002 and 2003 to provide the 13 New Hampshire Employment Security One-Stops with equipment and resource materials (e.g., screen readers, audio “how to” tapes) to make them more accessible to individuals with disabilities. In addition, training was provided to the staff of One-Stops regarding use of the purchased equipment and resource materials. This initiative with the One-Stops also included staff trainings on disability awareness issues and creation of a resource guide called “Disability Etiquette.”

• MIG was instrumental in the development of towo tool kits. The first, a ready-to work toolkit is a curriculum on personal futures planning, resume writing, self-directed job searching techniques, employment interviewing skills, and negotiating workplace culture, politics, and related skills. It’s currently being used by the independent living center’s 6 peer groups. The second, an employer tool kit, was developed to provide information and guidance to employers regarding reasonable workplace accommodations, tax credits, where to get technical assistance, the ticket-to-work program, and the values and benefits of hiring people with disabilities.  
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
Topics
  • Employer Engagement

Enforcement


Amanda D., et al. v. Hassan, et al. Settlement Fact Sheet

The United States Department of Justice, a coalition of private plaintiff organizations, and the State of New Hampshire, have entered into a comprehensive Settlement Agreement that will transform New Hampshire’s mental health system by significantly expanding and enhancing mental health service capacity in integrated community settings. The Agreement will enable a class of adults with serious mental illness to receive needed services in the community, which will foster their independence and enable them to participate more fully in community life. The expanded and enhanced community services will significantly reduce visits to hospital emergency rooms and will avoid unnecessary institutionalization at State mental health facilities, including New Hampshire Hospital (“NHH”) (the State’s only psychiatric hospital) and the Glencliff Home (a State-owned and -operated nursing facility for people with mental illness). The Agreement requires the State to expand and enhance community services over the next six years. …

For the first time, the State will deliver supported employment services in accordance with the Dartmouth evidence-based model. These services will help enable individuals to obtain and maintain paid, competitive employment in integrated community settings. Over the life of the Agreement, this provision will impact thousands of people.
Systems
  • Department of Mental Health
Topics
  • Mental Health
  • Segregated Day & Employment Services

Medicaid & Employment


New Hampshire Delivery System Reform Incentive Payment (DSRIP) Waiver Program - 01/05/2016

“On January 5, 2016 the Centers for Medicare and Medicaid Services (CMS) approved New Hampshire's Section 1115 Research and Demonstration Transformation Waiver, #11-W-00301/1 to access new federal funding to help transform its behavioral health delivery system. The Transformation Waiver has four main targets:

Deliver integrated physical and behavioral health care that better addresses the full range of individuals' needs Expand capacity to address emerging and ongoing behavioral health needs in an appropriate setting Reduce gaps in care during transitions across care settings by improving coordination across providers and linking patients with community supports. Move fifty percent of Medicaid reimbursement to alternative payment models by the end of the demonstration period”
Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

New Hampshire ESEA Flexibility Approval - 06/26/2013

The New Hampshire Department of Education's ESEA flexibility request was approved on June 26, 2013.

Systems
  • Department of Education
Topics
  • Home and Community Based Services (HCBS)

NH Balancing Incentives Program - 12/30/2011

The New Hampshire Department of Health and Human Services (DHHS), in partnership with community organizations throughout the state, proposes to leverage the Balancing Incentive Payment Program to further develop the systems of community-based care that serve individuals with behavioral health needs, physical and/or intellectual disabilities. The intent of the New Hampshire project is to realize the long term goal of increasing the percentage of expenditures for long term supports and services (LTSS) that are provided in community settings to equal or exceed the expenditures for facility-based LTSS.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Medicaid Infrastructure Grant - 10/12/2007

The Medicaid Infrastructure Grant Research Assistance to States (MIG-RATS) Center launched a website to provide resources and support to states implementing MIGs. The website is designed to help staff find research reports and resources, learn about MIG-RATS activities and initiatives, and connect with MIG researchers. The website includes info on topics such as Medicaid Buy-In programs, outreach and marketing, and youth in transition and also provides links to tools and a calendar of events.

Systems
  • Medicaid Agencies

Medicare Beneficiaries Savings Program

“The Medicare Beneficiaries Savings Program assists low-income elderly or disabled individuals who are eligible for Medicare (available through the Social Security Administration) by paying for some or all of the associated costs of Medicare, specifically the Medicare Insurance Premiums and deductibles. The Medicare Beneficiaries Savings Program is also referred to as the Buy-In program….

The Qualified Disabled and Working Individuals (QDWI) program provides payment of Medicare Part A premiums for eligible working individuals with disabilities who are entitled to enroll in Medicare Part A, but who have lost Medicare Part A coverage due to earnings. Individuals eligible for QDWI may not otherwise be eligible for Medicaid.”

Systems
  • Medicaid Agencies
Topics
  • 14(c)/Income Security

NH BDS Developmental Services (0053.R05.00)

Provides day services, residential hab/personal care, respite, service coordination, supported employment, assistive technology support, community support, crisis response, environmental and vehicle mods, participant directed and managed services, specialty services for individuals w/autism, DD and ID from 0 - no max age.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

New Hampshire HCBS Transition Plan

In January 2014, the Center for Medicaid and Medicare Services (CMS) finalized regulations that require Medicaid-funded Home and Community Based Services (HCBS) possess particular qualities in residential and nonresidential settings.  All states are required to demonstrate how their HCBS programs comply with the new federal HCBS rules. The purpose of this draft Transition Framework is to ensure that in New Hampshire individuals receiving HCBS are integrated in and have access to supports in the community, including opportunities to seek employment, work in competitive integrated settings, engage in community life, and control personal resources. Overall, the Transition Plan provides  a roadmap for how the State will assure that individuals receiving HCBS have the same degree of access as individuals not receiving Medicaid HCBS.    This Transition Plan outlines the proposed process that New Hampshire will be utilizing to ensure alignment with the HCBS requirements.  
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

NH Money Follows the Person

The New Hampshire Community Passport Program (NHCPP) is a… transition initiative made possible through the Centers for Medicare and Medicaid Services, Money Follows The Person (MFP) Rebalancing Demonstration Grant. This program is designed and implemented to reflect a person-centered approach to service planning and delivery and providing greater opportunities for individuals to direct their own care to the extent that they choose. These are also the values inherent in the State's long term care vision statement.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

States - Phablet

Snapshot

The motto of the Granite State is "Live Free Or Die," a message that aligns well with New Hampshire's efforts to expand real jobs at real wages for workers with disabilities.

2014 State Population.
0.25%
Change from
2013 to 2014
1,326,813
2014 Number of people with disabilities (all disabilities, ages 18-64).
-5.62%
Change from
2013 to 2014
81,485
2014 Number of people with disabilities who are employed (all disabilities, ages 18-64).
-10.35%
Change from
2013 to 2014
32,622
2014 Percentage of working age people who are employed (all disabilities).
-4.5%
Change from
2013 to 2014
40.03%
2014 Percentage of working age people who are employed (NO disabilities).
1.25%
Change from
2013 to 2014
81.31%

State Data

General

2014
Population. 1,326,813
Number of people with disabilities (all disabilities, ages 18-64). 81,485
Number of people with disabilities who are employed (all disabilities, ages 18-64). 32,622
Number of people without disabilities who are employed (ages 18-64). 619,658
Percentage of working age people who are employed (all disabilities). 40.03%
Percentage of working age people who are employed (NO disabilities). 81.31%
Overall unemployment rate. 4.30%
Poverty Rate (all disabilities). 15.60%
Poverty Rate (NO disabilities). 8.30%
Number of males with disabilities (all ages). 80,736
Number of females with disabilities (all ages). 79,653
Number of Caucasians with disabilities (all ages). 152,430
Number of African Americans with disabilities (all ages). 1,399
Number of Hispanic/Latinos with disabilities (all ages). 4,214
Number of American Indians/Alaska Natives with disabilities (all ages). 540
Number of Asians with disabilities (all ages). 1,220
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A
Number of with multiple races disabilities (all ages). 3,970
Number of others with disabilities (all ages). 670

 

SSA OUTCOMES

2014
Number of SSI recipients with disabilities who work. 1,329
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 7.00%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 48,139

 

MENTAL HEALTH OUTCOMES

2014
Number of mental health services consumers who are employed. 9,302
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 17,322
Number of adults served who have a known employment status. 24,650
Percentage of all state mental health agency consumers served in the community who are employed. 37.70%
Percentage of supported employment services evidence based practices (EBP). 11.30%
Percentage of supported housing services evidence based practices (EBP). N/A
Percentage of assertive community treatment services evidence based practices (EBP). 7.10%
Percentage of medications management evidence based practices (EBP). N/A
Number of evidence based practices (EBP) supported employment services. 1,218
Number of evidence based practices (EBP) supported housing services. N/A
Number of evidence based practices (EBP) assertive community treatment services. 772
Number of evidence based practices (EBP) medications management. N/A

 

WAGNER PEYSER OUTCOMES

2014
Number of registered job seekers with a disability. 2,070
Proportion of registered job seekers with a disability. 0.05

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2013
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 12
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 7
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 58.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 0.53

 

VR OUTCOMES

2015
Total Number of people served under VR.
N/A
Number of people with visual impairments served under VR. N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. N/A
Number of people with physical impairments served under VR. N/A
Number of people cognitive impairments served under VR. N/A
Number of people psychosocial impairments served under VR. N/A
Number of people with mental impairments served under VR. N/A
Percentage of overall closures into employment under VR. N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. 4,064
Number of eligible ticket to work beneficiaries. 64,912
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). N/A
Total number of ID competitive labor market closures. N/A

 

IDD OUTCOMES

2013
Dollars spent on day/employment services for integrated employment funding. $26,068,000
Dollars spent on day/employment services for facility-based work funding. $0
Dollars spent on day/employment services for facility-based non-work funding. $0
Dollars spent on day/employment services for community based non-work funding. $50,540
Percentage of people served in integrated employment. 38.00%
Number of people served in community based non-work. 2,350
Number of people served in facility based work. 0
Number of people served in facility based non-work. 0
Number supported in integrated employment per 100,000 individuals in the general state population. 103.70

 

EDUCATION OUTCOMES

2013
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 72.85%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 7.97%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 2.61%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 60.48%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 39.56%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 63.11%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 77.78%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 23.55%

 

Data Not Available

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2015
Number of 14(c) certificate-holding private businesses. 0
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 0
Number of 14(c) certificate holding patient workers. 0
Total Number of 14(c) certificate holding entities. 0
Reported number of people with disabilities working under 14(c) certificate holding private businesses. 0
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). 0
Reported number of people with disabilities working under 14(c) certificate holding patient workers. 0
Total reported number of people with disabilities working under 14(c) certificate holding entities. 0

 

Legislation


New Hampshire ABLE Legislation (Senate Bill 265) - 03/21/2016

Achieving a Better Life Experience Act of 2014” means the federal Achieving a Better Life Experience (ABLE) Act of 2014 which allows individuals with disabilities to establish tax-free 529-A savings accounts to save for medical, housing, transportation, employment training, education and other quality of life expenses.

Systems
  • Other
Topics
  • Asset Development / Financial Capability

New Hampshire Senate Bill 47 (subminimum wage 14(c) legislation) - 05/11/2015

“This bill prohibits employers from employing individuals with disabilities at an hourly rate lower than the federal minimum wage except for practical experience or training programs and family businesses. This bill is a request of the committee to study the payment of subminimum wages to persons with disabilities, established in HB 1174 (2014, 50).”

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • 14(c)/Income Security

New Hampshire HB 1174 - 05/28/2014

“This bill establishes a committee to identify and recommend changes to New Hampshire laws and rules on the payment of subminimum wages to persons with disabilities.”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • 14(c)/Income Security

Executive Orders


Executive Order 2002-9 (Establishing a Governor's Task Force on Employment) - 12/04/2002

“An order establishing the Governor's Task Force on Employment and Economic Opportunity for Persons with Disabilities”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Policy


New Hampshire Department of Vocational Rehabilitation Policy Manual - 05/01/2015

The New Hampshire Vocational Rehabilitation agency assists eligible individuals with physical and mental impairments to achieve or maintain employment. Employment means entering or retaining full-time employment, or part-time competitive employment in the integrated labor market (including supported employment), the practice of a profession, self-employment, homemaking, farm or family work (including work for which payment is in kind rather than in cash), telecommuting, home-based employment, or other gainful work. The VR process is based upon an Individualized Plan for Employment which is oriented to the achievement of a suitable employment outcome.

 A suitable employment outcome is one which will enable a person with a disability to secure employment that is consistent with his or her unique strengths, resources, priorities, concerns, abilities, capabilities, interests, and informed choice. Services provided to individuals with disabilities must be necessary to overcome the vocational impediment and must be provided in a cost effective manner, utilizing comparable benefits whenever practicable. Reasonable accommodation will be made for all applicants to maximize each person's access to services that will enable the individual to achieve an employment outcome.

 
Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment

Sector-based Training Models: Project Search

Sector based training models are different from conventional training due to a targeted specific industry that involves strategic partnerships amongst the industry, school/college, and community-based organizations and includes training strategies that benefit both employers and workers that promote positive changes to benefit both employer and worker. As a result of sector-based training with people who have disabilities, many businesses in the private and public sector now recognize the competitive edge this has brought to their corporate world. Project SEARCH is an example of a successful sector-based training model that has been used in the United States and abroad.

In New Hampshire, Project SEARCH is a one year, high school transition healthcare program that provides training and education that may lead to employment for individuals with disabilities. Project SEARCH serves as an alternative for students in their last year high school eligibility. The cornerstone of Project SEARCH is total immersion in a large business. Students report to the host business five days a week, where they learn employability skills in the classroom and job skills while participating in a variety of internships/experiences.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement

Employment Position Statement For New Hampshire’s Regional Service System

We believe that employment, with its powerful and irreplaceable opportunities for autonomy, earned income, self-esteem development, social contacts, structured  activity and life satisfaction, is an import ant ingredient of a fulfilling and valued life for adults in our society. We also recognize that the capacity of adults with any type or degree of developmental disability or acquired brain disorder to participate in employment, in the right setting and with the proper supports, has been amply demonstrated.   
Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

NH Granite State Employment Project 5 Year Strategic Plan (2008-2012)

The mission of the Granite State Employment Project is to improve employment opportunities for New Hampshire citizens with disabilities so that they may fully participate in and better contribute to their communities.    The vision of the Granite State Employment Project is that:  There is a statewide infrastructure -including well trained staff- that provides high quality employment supports to individuals with disabilities; New Hampshire’s business community is a key partner in creating and improving employment opportunities for individuals with disabilities and meeting the State’s workforce needs;  Schools offer effective secondary transition services that result in employment or post-secondary education that leads to employment for students with disabilities;  Policies, rules and reimbursement regarding employment services are in accord with employment best practices and desired outcomes Goal #1: Create working partnerships between businesses and employment service providers -at both a local and state level- so that individuals with disabilities have access to and retain the jobs that they want. Goal #2: Increase school and community capacity to effectively prepare and support students with disabilities for entrance and mobility in the workforce Goal #3: Develop and use a variety of resources to ensure that employment service provider agency staff are well oriented and trained to assist individuals with disabilities to achieve better employment outcomes, including increasing the number of individuals with jobs Goal #4: Develop and employ a sustainable data system to track employment outcomes; to facilitate decision-making, policy development, and management of resources; and to improve quality of services.  Goal #5: Remove policy, regulation and payment related barriers to creating successful employment outcomes for individuals with disabilities  

 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement

Partnerships


Community Support Network - 06/15/1995

There are 10 Area Agencies that are divided into geographical regions throughout New Hampshire to provide services to individuals with developmental disabilities, people with acquired brain disorder, and their families. Each Area Agency is designated by the State to provide services in their respective region. Combined they serve in excess of 10,000 individuals and families.

Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

NH Transition Manual – Helping parents prepare students for employment (p. 19)

This "manual" has been compiled with the intent of providing you with enough general information for you to build a framework for creating and achieving goals. There will be sections of this manual that may not apply to your particular situation. All the information enclosed is purely for your reference in the event you may need it at some point. This is not a step-by-step guide, but rather a point of reference with which you can fashion your own plan. It will hopefully give you some direction and spark questions you may have.

Systems
  • Department of Rehabilitation Services
Topics
  • School-to-Work Transition

NH Employment Community of Practice

The Mission of the NH Employment Community of Practice is to promote economic independence and high quality competitive employment opportunities for people withdisabilities through information sharing and the development and dissemination of best practices among all community partners.  

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)

Employment for All

“The Area Agency of Greater Nashua (AA-GN) will be the lead agency for the cross-disability Employment for All Consortium. With its strong track record and sterling reputation, State funders have tapped AA-GN to field test and sustain a variety of innovative programs and initiatives, including: self-directed community supports; individual career accounts; legislative outreach; minority outreach; the Southern NH Time Exchange, a project promoting community connections and inclusion; self-advocacy; Personal Care Services in the workplace; and the first Enhanced Family Care model for persons served under the ECI waiver.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Other
Topics
  • Customized Employment
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

ND Department of Vocational Rehabilitation & Department of Education

“Vocational Rehabilitation has a long history of providing direct and indirect services to youth with disabilities as they transition from school to work. The services provided have enabled many students to obtain successful employment. This agency is committed to increasing access and improving the overall quality of services offered to school age youth.”

 
Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

New Hampshire Governor's Commission on Disability

The Governor’s Commission on Disability provides information about the many services, laws, and regulations that affect citizens with disabilities.

 

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Education
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Institute on Disability/UCEDD - University of New Hampshire

“Trains students, self-advocates, families and professionals through coursework, seminars, workshops and conferences; Provides technical assistance to organizations and individuals to improve their capacity to include all citizens. Disseminates information to families, consumers, community members and professionals via books, monographs, articles, videos, newsletters, the internet and newspapers and consumer forums; engages in collaborative activities and

joint projects with organizations that share common goals. 

 
Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

New Hampshire Council on Developmental Disabilities (NHCDD) Five Year Plan (2016-2021)

Goal 2. Quality of Life: Individuals with developmental disabilities living in New Hampshire will have greater opportunities for inclusion through meaningful competitive employment, friendships and relationships, recreation and choice of social activities, increased choice with housing options, and increased transportation options.

Objective 1. Increased opportunities and awareness for vocational training, competitive employment, expanded work hours and increased career options by:

(1) improving vocational programs, policies and practices through support of promising local or statewide initiatives and

(2) advocating for positive work activities

Objective 2. The Council, in collaboration with disability, aging and other organizations, will support the development or improvement of a minimum of 12 community-based programs, policies or practices that promote inclusion of people with developmental disabilities in all aspects of community life including:

(1) inclusive emergency preparedness and management,

(2) social integration, meaningful relationships and acceptance of differences

(3) and transportation, housing and infrastructure.

 

Objective 3. The NH Council on Developmental Disabilities will collaborate and support local and statewide initiatives that offer choice for the education and support of individuals and their families regarding relationship building and retention of those relationships. Including but not limited to friendships, relationships and family dynamics

 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

New Hampshire Council on Developmental Disabilities

“The purpose of State Councils is to ’engage in advocacy, capacity building, and systemic change activities that are consistent with the purpose of the DD Act and; contribute to a coordinated, consumer and family-centered, consumer and family-directed, comprehensive system of community services, individualized supports and other forms of assistance that enable individuals with developmental disabilities to exercise self-determination, be independent, be productive and be integrated and included in all facets of community life.’”

 
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

NH Granite State Employment Project

“The mission of the Granite State Employment Project is to improve the employment for people with disabilities in New Hampshire by establishing two pilot demonstration models that will create leadership, collaboration with the community, outreach to employers, businesses, and school systems, build capacity for training and staff development, and support the information technology and employment database needs of the projects.”

Partners include the Governor's Task Force for Employment & Economic Opportunities, NH Division of Vocational Rehabilitation, NH Employment Security, NH Department of Education, DHHS/Bureau of Behavioral Health, and Bureau of Developmental Services.

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Mental Health
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Systems-Change Funding


New Hampshire Balancing Incentives Program - 12/30/2011

“The New Hampshire Department of Health and Human Services (DHHS), in partnership with community organizations throughout the state, proposes to leverage the Balancing Incentive Payment Program to further develop the systems of community-based care that serve individuals with behavioral health needs, physical and/or intellectual disabilities. The intent of the New Hampshire project is to realize the long term goal of increasing the percentage of expenditures for long term supports and services (LTSS) that are provided in community settings to equal or exceed the expenditures for facility-based LTSS”. 

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

New Hampshire Medicaid Infrastructure Grant - 10/12/2007

“The Medicaid Infrastructure Grant (MIG) awarded by the Centers for Medicare and Medicaid Services (CMS) has been awarded to approximately 30 states across the country and is the source of funding for NH Granite State Employment Project. This 11-year initiative, which New Hampshire began in 2001, is to create the infrastructure needed to help support competitive employment opportunities for people with disabilities by addressing barriers to employment, access to health care services, and integrate the linkages between Medicaid and other employment-related service agencies that will lead to statewide comprehensive employment opportunities (CEO) systems changes.”

 
Systems
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Sector-based Training Models: Project Search

Sector based training models are different from conventional training due to a targeted specific industry that involves strategic partnerships amongst the industry, school/college, and community-based organizations and includes training strategies that benefit both employers and workers that promote positive changes to benefit both employer and worker. As a result of sector-based training with people who have disabilities, many businesses in the private and public sector now recognize the competitive edge this has brought to their corporate world. Project SEARCH is an example of a successful sector-based training model that has been used in the United States and abroad.

In New Hampshire, Project SEARCH is a one year, high school transition healthcare program that provides training and education that may lead to employment for individuals with disabilities. Project SEARCH serves as an alternative for students in their last year high school eligibility. The cornerstone of Project SEARCH is total immersion in a large business. Students report to the host business five days a week, where they learn employability skills in the classroom and job skills while participating in a variety of internships/experiences.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement

NH Granite State Employment Project 5 Year Strategic Plan (2008-2012)

The mission of the Granite State Employment Project is to improve employment opportunities for New Hampshire citizens with disabilities so that they may fully participate in and better contribute to their communities.    The vision of the Granite State Employment Project is that:  There is a statewide infrastructure -including well trained staff- that provides high quality employment supports to individuals with disabilities; New Hampshire’s business community is a key partner in creating and improving employment opportunities for individuals with disabilities and meeting the State’s workforce needs;  Schools offer effective secondary transition services that result in employment or post-secondary education that leads to employment for students with disabilities;  Policies, rules and reimbursement regarding employment services are in accord with employment best practices and desired outcomes Goal #1: Create working partnerships between businesses and employment service providers -at both a local and state level- so that individuals with disabilities have access to and retain the jobs that they want. Goal #2: Increase school and community capacity to effectively prepare and support students with disabilities for entrance and mobility in the workforce Goal #3: Develop and use a variety of resources to ensure that employment service provider agency staff are well oriented and trained to assist individuals with disabilities to achieve better employment outcomes, including increasing the number of individuals with jobs Goal #4: Develop and employ a sustainable data system to track employment outcomes; to facilitate decision-making, policy development, and management of resources; and to improve quality of services.  Goal #5: Remove policy, regulation and payment related barriers to creating successful employment outcomes for individuals with disabilities

 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement

New Hampshire SAMHSA Employment Development Initiative (EDI) - 2011

‘In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI)”.

 
Systems
  • Department of Mental Health
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

New Hampshire Money Follows the Person

“The New Hampshire Community Passport Program (NHCPP) is a nursing home transition initiative made possible through the Centers for Medicare and Medicaid Services, Money Follows The Person (MFP) Rebalancing Demonstration Grant. This program is designed and implemented to reflect a person-centered approach to service planning and delivery and providing greater opportunities for individuals to direct their own care to the extent that they choose. These are also the values inherent in the State's long term care vision statement”.

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Training/Capacity Building


New Hampshire Benefits Planning Manual

The New Hampshire Benefits Planning Manual provides more in-depth information about the major programs affecting income and benefits for individuals with disabilities in New Hampshire.  The Manual is divided into four sections:

1. New Hampshire Adult Assistance Programs

2. Social Security Disability Insurance

3. Supplemental Security Income

4. Medicare

Systems
  • Other
Topics
  • Asset Development / Financial Capability

Indicator 13 Training 2015-2016 Powerpoint

This powerpoint provides information to help special education professionals best help their students plan and set goals for post-secondary transition.

 
Systems
  • Department of Education
Topics
  • School-to-Work Transition

NH Bureau of Vocational Rehabilitation - VR Counselor Training and Resources

VR Counselor Training and Resources.

Systems
  • Department of Rehabilitation Services

WorkReadyNH

Work ReadyNH is a tuition-free workforce development program tailored to meet the needs of job seekers and career builders as well as provide training in the specific skills employers are seeking in their current and future employees.

 

The WorkReadyNH program provides assessment, instruction and credentialing in key skill areas, identified by employers as essential to workplace success. Graduates earn two nationally recognized credentials to add to their resume.

 

Systems
  • Department of Workforce Development
Topics
  • Employer Engagement
Citations

Southern New Hampshire Services Workplace Success Program

 Workplace Success is a partnership between the Department of Health and Human Services-Division of Family Assistance, SNHS, and the other New Hampshire Community Action Agencies. The goal of the program is to prepare participants to  enter a volunteer  Work Experience position within a nonprofit, business, or local/state government host site for 20-30 hours per week until they obtain full-time paid employment.

Systems
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Southern New Hampshire Services Employment and Training Program

An employment and training program funded by the U.S. Department of Labor to help Dislocated Workers and other Eligible Adults access the tools they need to manage their careers through information and high quality services, and to help U.S. companies find skilled workers.

Systems
  • Department of Workforce Development
Topics
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Employer Engagement

NH Department of Education - Secondary Transition Statewide Training

Foundations in Transition - Person Centered Strategies for Students with Disabilities Making the Transition to Adult Life. A NH RESPONDS Grant sponsored a four part training series that included training in practices that have been shown to improve the self determination skills and education outcomes for young people with disabilities.

Systems
  • Department of Education
Topics
  • School-to-Work Transition

New Hampshire Vocational Rehabilitation Guide

This tool-kit includes a description of the vocational rehabilitation process and overview of the entire NHVR process, from application to post-employment services.
Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Mental Health

New Hampshire Medicaid Infrastructure Grant Five Year Plan (2008-2012)

• MIG funds were used during 2002 and 2003 to provide the 13 New Hampshire Employment Security One-Stops with equipment and resource materials (e.g., screen readers, audio “how to” tapes) to make them more accessible to individuals with disabilities. In addition, training was provided to the staff of One-Stops regarding use of the purchased equipment and resource materials. This initiative with the One-Stops also included staff trainings on disability awareness issues and creation of a resource guide called “Disability Etiquette.”

• MIG was instrumental in the development of towo tool kits. The first, a ready-to work toolkit is a curriculum on personal futures planning, resume writing, self-directed job searching techniques, employment interviewing skills, and negotiating workplace culture, politics, and related skills. It’s currently being used by the independent living center’s 6 peer groups. The second, an employer tool kit, was developed to provide information and guidance to employers regarding reasonable workplace accommodations, tax credits, where to get technical assistance, the ticket-to-work program, and the values and benefits of hiring people with disabilities.  
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
Topics
  • Employer Engagement

Enforcement


Amanda D., et al. v. Hassan, et al. Settlement Fact Sheet

The United States Department of Justice, a coalition of private plaintiff organizations, and the State of New Hampshire, have entered into a comprehensive Settlement Agreement that will transform New Hampshire’s mental health system by significantly expanding and enhancing mental health service capacity in integrated community settings. The Agreement will enable a class of adults with serious mental illness to receive needed services in the community, which will foster their independence and enable them to participate more fully in community life. The expanded and enhanced community services will significantly reduce visits to hospital emergency rooms and will avoid unnecessary institutionalization at State mental health facilities, including New Hampshire Hospital (“NHH”) (the State’s only psychiatric hospital) and the Glencliff Home (a State-owned and -operated nursing facility for people with mental illness). The Agreement requires the State to expand and enhance community services over the next six years. …

For the first time, the State will deliver supported employment services in accordance with the Dartmouth evidence-based model. These services will help enable individuals to obtain and maintain paid, competitive employment in integrated community settings. Over the life of the Agreement, this provision will impact thousands of people.
Systems
  • Department of Mental Health
Topics
  • Mental Health
  • Segregated Day & Employment Services

Medicaid & Employment


New Hampshire Delivery System Reform Incentive Payment (DSRIP) Waiver Program - 01/05/2016

“On January 5, 2016 the Centers for Medicare and Medicaid Services (CMS) approved New Hampshire's Section 1115 Research and Demonstration Transformation Waiver, #11-W-00301/1 to access new federal funding to help transform its behavioral health delivery system. The Transformation Waiver has four main targets:

Deliver integrated physical and behavioral health care that better addresses the full range of individuals' needs Expand capacity to address emerging and ongoing behavioral health needs in an appropriate setting Reduce gaps in care during transitions across care settings by improving coordination across providers and linking patients with community supports. Move fifty percent of Medicaid reimbursement to alternative payment models by the end of the demonstration period”
Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

New Hampshire ESEA Flexibility Approval - 06/26/2013

The New Hampshire Department of Education's ESEA flexibility request was approved on June 26, 2013.

Systems
  • Department of Education
Topics
  • Home and Community Based Services (HCBS)

NH Balancing Incentives Program - 12/30/2011

The New Hampshire Department of Health and Human Services (DHHS), in partnership with community organizations throughout the state, proposes to leverage the Balancing Incentive Payment Program to further develop the systems of community-based care that serve individuals with behavioral health needs, physical and/or intellectual disabilities. The intent of the New Hampshire project is to realize the long term goal of increasing the percentage of expenditures for long term supports and services (LTSS) that are provided in community settings to equal or exceed the expenditures for facility-based LTSS.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Medicaid Infrastructure Grant - 10/12/2007

The Medicaid Infrastructure Grant Research Assistance to States (MIG-RATS) Center launched a website to provide resources and support to states implementing MIGs. The website is designed to help staff find research reports and resources, learn about MIG-RATS activities and initiatives, and connect with MIG researchers. The website includes info on topics such as Medicaid Buy-In programs, outreach and marketing, and youth in transition and also provides links to tools and a calendar of events.

Systems
  • Medicaid Agencies

Medicare Beneficiaries Savings Program

“The Medicare Beneficiaries Savings Program assists low-income elderly or disabled individuals who are eligible for Medicare (available through the Social Security Administration) by paying for some or all of the associated costs of Medicare, specifically the Medicare Insurance Premiums and deductibles. The Medicare Beneficiaries Savings Program is also referred to as the Buy-In program….

The Qualified Disabled and Working Individuals (QDWI) program provides payment of Medicare Part A premiums for eligible working individuals with disabilities who are entitled to enroll in Medicare Part A, but who have lost Medicare Part A coverage due to earnings. Individuals eligible for QDWI may not otherwise be eligible for Medicaid.”

Systems
  • Medicaid Agencies
Topics
  • 14(c)/Income Security

NH BDS Developmental Services (0053.R05.00)

Provides day services, residential hab/personal care, respite, service coordination, supported employment, assistive technology support, community support, crisis response, environmental and vehicle mods, participant directed and managed services, specialty services for individuals w/autism, DD and ID from 0 - no max age.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

New Hampshire HCBS Transition Plan

In January 2014, the Center for Medicaid and Medicare Services (CMS) finalized regulations that require Medicaid-funded Home and Community Based Services (HCBS) possess particular qualities in residential and nonresidential settings.  All states are required to demonstrate how their HCBS programs comply with the new federal HCBS rules. The purpose of this draft Transition Framework is to ensure that in New Hampshire individuals receiving HCBS are integrated in and have access to supports in the community, including opportunities to seek employment, work in competitive integrated settings, engage in community life, and control personal resources. Overall, the Transition Plan provides  a roadmap for how the State will assure that individuals receiving HCBS have the same degree of access as individuals not receiving Medicaid HCBS.    This Transition Plan outlines the proposed process that New Hampshire will be utilizing to ensure alignment with the HCBS requirements.  
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

NH Money Follows the Person

The New Hampshire Community Passport Program (NHCPP) is a… transition initiative made possible through the Centers for Medicare and Medicaid Services, Money Follows The Person (MFP) Rebalancing Demonstration Grant. This program is designed and implemented to reflect a person-centered approach to service planning and delivery and providing greater opportunities for individuals to direct their own care to the extent that they choose. These are also the values inherent in the State's long term care vision statement.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

States - Phone

Snapshot

The motto of the Granite State is "Live Free Or Die," a message that aligns well with New Hampshire's efforts to expand real jobs at real wages for workers with disabilities.

2014 State Population.
0.25%
Change from
2013 to 2014
1,326,813
2014 Number of people with disabilities (all disabilities, ages 18-64).
-5.62%
Change from
2013 to 2014
81,485
2014 Number of people with disabilities who are employed (all disabilities, ages 18-64).
-10.35%
Change from
2013 to 2014
32,622
2014 Percentage of working age people who are employed (all disabilities).
-4.5%
Change from
2013 to 2014
40.03%
2014 Percentage of working age people who are employed (NO disabilities).
1.25%
Change from
2013 to 2014
81.31%

State Data

General

2014
Population. 1,326,813
Number of people with disabilities (all disabilities, ages 18-64). 81,485
Number of people with disabilities who are employed (all disabilities, ages 18-64). 32,622
Number of people without disabilities who are employed (ages 18-64). 619,658
Percentage of working age people who are employed (all disabilities). 40.03%
Percentage of working age people who are employed (NO disabilities). 81.31%
Overall unemployment rate. 4.30%
Poverty Rate (all disabilities). 15.60%
Poverty Rate (NO disabilities). 8.30%
Number of males with disabilities (all ages). 80,736
Number of females with disabilities (all ages). 79,653
Number of Caucasians with disabilities (all ages). 152,430
Number of African Americans with disabilities (all ages). 1,399
Number of Hispanic/Latinos with disabilities (all ages). 4,214
Number of American Indians/Alaska Natives with disabilities (all ages). 540
Number of Asians with disabilities (all ages). 1,220
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A
Number of with multiple races disabilities (all ages). 3,970
Number of others with disabilities (all ages). 670

 

SSA OUTCOMES

2014
Number of SSI recipients with disabilities who work. 1,329
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 7.00%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 48,139

 

MENTAL HEALTH OUTCOMES

2014
Number of mental health services consumers who are employed. 9,302
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 17,322
Number of adults served who have a known employment status. 24,650
Percentage of all state mental health agency consumers served in the community who are employed. 37.70%
Percentage of supported employment services evidence based practices (EBP). 11.30%
Percentage of supported housing services evidence based practices (EBP). N/A
Percentage of assertive community treatment services evidence based practices (EBP). 7.10%
Percentage of medications management evidence based practices (EBP). N/A
Number of evidence based practices (EBP) supported employment services. 1,218
Number of evidence based practices (EBP) supported housing services. N/A
Number of evidence based practices (EBP) assertive community treatment services. 772
Number of evidence based practices (EBP) medications management. N/A

 

WAGNER PEYSER OUTCOMES

2014
Number of registered job seekers with a disability. 2,070
Proportion of registered job seekers with a disability. 0.05

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2013
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 12
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 7
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 58.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 0.53

 

VR OUTCOMES

2015
Total Number of people served under VR.
N/A
Number of people with visual impairments served under VR. N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. N/A
Number of people with physical impairments served under VR. N/A
Number of people cognitive impairments served under VR. N/A
Number of people psychosocial impairments served under VR. N/A
Number of people with mental impairments served under VR. N/A
Percentage of overall closures into employment under VR. N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. 4,064
Number of eligible ticket to work beneficiaries. 64,912
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). N/A
Total number of ID competitive labor market closures. N/A

 

IDD OUTCOMES

2013
Dollars spent on day/employment services for integrated employment funding. $26,068,000
Dollars spent on day/employment services for facility-based work funding. $0
Dollars spent on day/employment services for facility-based non-work funding. $0
Dollars spent on day/employment services for community based non-work funding. $50,540
Percentage of people served in integrated employment. 38.00%
Number of people served in community based non-work. 2,350
Number of people served in facility based work. 0
Number of people served in facility based non-work. 0
Number supported in integrated employment per 100,000 individuals in the general state population. 103.70

 

EDUCATION OUTCOMES

2013
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 72.85%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 7.97%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 2.61%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 60.48%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 39.56%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 63.11%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 77.78%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 23.55%

 

Data Not Available

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2015
Number of 14(c) certificate-holding private businesses. 0
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 0
Number of 14(c) certificate holding patient workers. 0
Total Number of 14(c) certificate holding entities. 0
Reported number of people with disabilities working under 14(c) certificate holding private businesses. 0
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). 0
Reported number of people with disabilities working under 14(c) certificate holding patient workers. 0
Total reported number of people with disabilities working under 14(c) certificate holding entities. 0

 

Legislation


New Hampshire ABLE Legislation (Senate Bill 265) - 03/21/2016

Achieving a Better Life Experience Act of 2014” means the federal Achieving a Better Life Experience (ABLE) Act of 2014 which allows individuals with disabilities to establish tax-free 529-A savings accounts to save for medical, housing, transportation, employment training, education and other quality of life expenses.

Systems
  • Other
Topics
  • Asset Development / Financial Capability

New Hampshire Senate Bill 47 (subminimum wage 14(c) legislation) - 05/11/2015

“This bill prohibits employers from employing individuals with disabilities at an hourly rate lower than the federal minimum wage except for practical experience or training programs and family businesses. This bill is a request of the committee to study the payment of subminimum wages to persons with disabilities, established in HB 1174 (2014, 50).”

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • 14(c)/Income Security

New Hampshire HB 1174 - 05/28/2014

“This bill establishes a committee to identify and recommend changes to New Hampshire laws and rules on the payment of subminimum wages to persons with disabilities.”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • 14(c)/Income Security

Executive Orders


Executive Order 2002-9 (Establishing a Governor's Task Force on Employment) - 12/04/2002

“An order establishing the Governor's Task Force on Employment and Economic Opportunity for Persons with Disabilities”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Policy


New Hampshire Department of Vocational Rehabilitation Policy Manual - 05/01/2015

The New Hampshire Vocational Rehabilitation agency assists eligible individuals with physical and mental impairments to achieve or maintain employment. Employment means entering or retaining full-time employment, or part-time competitive employment in the integrated labor market (including supported employment), the practice of a profession, self-employment, homemaking, farm or family work (including work for which payment is in kind rather than in cash), telecommuting, home-based employment, or other gainful work. The VR process is based upon an Individualized Plan for Employment which is oriented to the achievement of a suitable employment outcome.

 A suitable employment outcome is one which will enable a person with a disability to secure employment that is consistent with his or her unique strengths, resources, priorities, concerns, abilities, capabilities, interests, and informed choice. Services provided to individuals with disabilities must be necessary to overcome the vocational impediment and must be provided in a cost effective manner, utilizing comparable benefits whenever practicable. Reasonable accommodation will be made for all applicants to maximize each person's access to services that will enable the individual to achieve an employment outcome.

 
Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment

Sector-based Training Models: Project Search

Sector based training models are different from conventional training due to a targeted specific industry that involves strategic partnerships amongst the industry, school/college, and community-based organizations and includes training strategies that benefit both employers and workers that promote positive changes to benefit both employer and worker. As a result of sector-based training with people who have disabilities, many businesses in the private and public sector now recognize the competitive edge this has brought to their corporate world. Project SEARCH is an example of a successful sector-based training model that has been used in the United States and abroad.

In New Hampshire, Project SEARCH is a one year, high school transition healthcare program that provides training and education that may lead to employment for individuals with disabilities. Project SEARCH serves as an alternative for students in their last year high school eligibility. The cornerstone of Project SEARCH is total immersion in a large business. Students report to the host business five days a week, where they learn employability skills in the classroom and job skills while participating in a variety of internships/experiences.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement

Employment Position Statement For New Hampshire’s Regional Service System

We believe that employment, with its powerful and irreplaceable opportunities for autonomy, earned income, self-esteem development, social contacts, structured  activity and life satisfaction, is an import ant ingredient of a fulfilling and valued life for adults in our society. We also recognize that the capacity of adults with any type or degree of developmental disability or acquired brain disorder to participate in employment, in the right setting and with the proper supports, has been amply demonstrated.   
Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

NH Granite State Employment Project 5 Year Strategic Plan (2008-2012)

The mission of the Granite State Employment Project is to improve employment opportunities for New Hampshire citizens with disabilities so that they may fully participate in and better contribute to their communities.    The vision of the Granite State Employment Project is that:  There is a statewide infrastructure -including well trained staff- that provides high quality employment supports to individuals with disabilities; New Hampshire’s business community is a key partner in creating and improving employment opportunities for individuals with disabilities and meeting the State’s workforce needs;  Schools offer effective secondary transition services that result in employment or post-secondary education that leads to employment for students with disabilities;  Policies, rules and reimbursement regarding employment services are in accord with employment best practices and desired outcomes Goal #1: Create working partnerships between businesses and employment service providers -at both a local and state level- so that individuals with disabilities have access to and retain the jobs that they want. Goal #2: Increase school and community capacity to effectively prepare and support students with disabilities for entrance and mobility in the workforce Goal #3: Develop and use a variety of resources to ensure that employment service provider agency staff are well oriented and trained to assist individuals with disabilities to achieve better employment outcomes, including increasing the number of individuals with jobs Goal #4: Develop and employ a sustainable data system to track employment outcomes; to facilitate decision-making, policy development, and management of resources; and to improve quality of services.  Goal #5: Remove policy, regulation and payment related barriers to creating successful employment outcomes for individuals with disabilities  

 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement

Partnerships


Community Support Network - 06/15/1995

There are 10 Area Agencies that are divided into geographical regions throughout New Hampshire to provide services to individuals with developmental disabilities, people with acquired brain disorder, and their families. Each Area Agency is designated by the State to provide services in their respective region. Combined they serve in excess of 10,000 individuals and families.

Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

NH Transition Manual – Helping parents prepare students for employment (p. 19)

This "manual" has been compiled with the intent of providing you with enough general information for you to build a framework for creating and achieving goals. There will be sections of this manual that may not apply to your particular situation. All the information enclosed is purely for your reference in the event you may need it at some point. This is not a step-by-step guide, but rather a point of reference with which you can fashion your own plan. It will hopefully give you some direction and spark questions you may have.

Systems
  • Department of Rehabilitation Services
Topics
  • School-to-Work Transition

NH Employment Community of Practice

The Mission of the NH Employment Community of Practice is to promote economic independence and high quality competitive employment opportunities for people withdisabilities through information sharing and the development and dissemination of best practices among all community partners.  

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)

Employment for All

“The Area Agency of Greater Nashua (AA-GN) will be the lead agency for the cross-disability Employment for All Consortium. With its strong track record and sterling reputation, State funders have tapped AA-GN to field test and sustain a variety of innovative programs and initiatives, including: self-directed community supports; individual career accounts; legislative outreach; minority outreach; the Southern NH Time Exchange, a project promoting community connections and inclusion; self-advocacy; Personal Care Services in the workplace; and the first Enhanced Family Care model for persons served under the ECI waiver.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Other
Topics
  • Customized Employment
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

ND Department of Vocational Rehabilitation & Department of Education

“Vocational Rehabilitation has a long history of providing direct and indirect services to youth with disabilities as they transition from school to work. The services provided have enabled many students to obtain successful employment. This agency is committed to increasing access and improving the overall quality of services offered to school age youth.”

 
Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

New Hampshire Governor's Commission on Disability

The Governor’s Commission on Disability provides information about the many services, laws, and regulations that affect citizens with disabilities.

 

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Education
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Institute on Disability/UCEDD - University of New Hampshire

“Trains students, self-advocates, families and professionals through coursework, seminars, workshops and conferences; Provides technical assistance to organizations and individuals to improve their capacity to include all citizens. Disseminates information to families, consumers, community members and professionals via books, monographs, articles, videos, newsletters, the internet and newspapers and consumer forums; engages in collaborative activities and

joint projects with organizations that share common goals. 

 
Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

New Hampshire Council on Developmental Disabilities (NHCDD) Five Year Plan (2016-2021)

Goal 2. Quality of Life: Individuals with developmental disabilities living in New Hampshire will have greater opportunities for inclusion through meaningful competitive employment, friendships and relationships, recreation and choice of social activities, increased choice with housing options, and increased transportation options.

Objective 1. Increased opportunities and awareness for vocational training, competitive employment, expanded work hours and increased career options by:

(1) improving vocational programs, policies and practices through support of promising local or statewide initiatives and

(2) advocating for positive work activities

Objective 2. The Council, in collaboration with disability, aging and other organizations, will support the development or improvement of a minimum of 12 community-based programs, policies or practices that promote inclusion of people with developmental disabilities in all aspects of community life including:

(1) inclusive emergency preparedness and management,

(2) social integration, meaningful relationships and acceptance of differences

(3) and transportation, housing and infrastructure.

 

Objective 3. The NH Council on Developmental Disabilities will collaborate and support local and statewide initiatives that offer choice for the education and support of individuals and their families regarding relationship building and retention of those relationships. Including but not limited to friendships, relationships and family dynamics

 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

New Hampshire Council on Developmental Disabilities

“The purpose of State Councils is to ’engage in advocacy, capacity building, and systemic change activities that are consistent with the purpose of the DD Act and; contribute to a coordinated, consumer and family-centered, consumer and family-directed, comprehensive system of community services, individualized supports and other forms of assistance that enable individuals with developmental disabilities to exercise self-determination, be independent, be productive and be integrated and included in all facets of community life.’”

 
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

NH Granite State Employment Project

“The mission of the Granite State Employment Project is to improve the employment for people with disabilities in New Hampshire by establishing two pilot demonstration models that will create leadership, collaboration with the community, outreach to employers, businesses, and school systems, build capacity for training and staff development, and support the information technology and employment database needs of the projects.”

Partners include the Governor's Task Force for Employment & Economic Opportunities, NH Division of Vocational Rehabilitation, NH Employment Security, NH Department of Education, DHHS/Bureau of Behavioral Health, and Bureau of Developmental Services.

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Mental Health
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Systems-Change Funding


New Hampshire Balancing Incentives Program - 12/30/2011

“The New Hampshire Department of Health and Human Services (DHHS), in partnership with community organizations throughout the state, proposes to leverage the Balancing Incentive Payment Program to further develop the systems of community-based care that serve individuals with behavioral health needs, physical and/or intellectual disabilities. The intent of the New Hampshire project is to realize the long term goal of increasing the percentage of expenditures for long term supports and services (LTSS) that are provided in community settings to equal or exceed the expenditures for facility-based LTSS”. 

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

New Hampshire Medicaid Infrastructure Grant - 10/12/2007

“The Medicaid Infrastructure Grant (MIG) awarded by the Centers for Medicare and Medicaid Services (CMS) has been awarded to approximately 30 states across the country and is the source of funding for NH Granite State Employment Project. This 11-year initiative, which New Hampshire began in 2001, is to create the infrastructure needed to help support competitive employment opportunities for people with disabilities by addressing barriers to employment, access to health care services, and integrate the linkages between Medicaid and other employment-related service agencies that will lead to statewide comprehensive employment opportunities (CEO) systems changes.”

 
Systems
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Sector-based Training Models: Project Search

Sector based training models are different from conventional training due to a targeted specific industry that involves strategic partnerships amongst the industry, school/college, and community-based organizations and includes training strategies that benefit both employers and workers that promote positive changes to benefit both employer and worker. As a result of sector-based training with people who have disabilities, many businesses in the private and public sector now recognize the competitive edge this has brought to their corporate world. Project SEARCH is an example of a successful sector-based training model that has been used in the United States and abroad.

In New Hampshire, Project SEARCH is a one year, high school transition healthcare program that provides training and education that may lead to employment for individuals with disabilities. Project SEARCH serves as an alternative for students in their last year high school eligibility. The cornerstone of Project SEARCH is total immersion in a large business. Students report to the host business five days a week, where they learn employability skills in the classroom and job skills while participating in a variety of internships/experiences.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement

NH Granite State Employment Project 5 Year Strategic Plan (2008-2012)

The mission of the Granite State Employment Project is to improve employment opportunities for New Hampshire citizens with disabilities so that they may fully participate in and better contribute to their communities.    The vision of the Granite State Employment Project is that:  There is a statewide infrastructure -including well trained staff- that provides high quality employment supports to individuals with disabilities; New Hampshire’s business community is a key partner in creating and improving employment opportunities for individuals with disabilities and meeting the State’s workforce needs;  Schools offer effective secondary transition services that result in employment or post-secondary education that leads to employment for students with disabilities;  Policies, rules and reimbursement regarding employment services are in accord with employment best practices and desired outcomes Goal #1: Create working partnerships between businesses and employment service providers -at both a local and state level- so that individuals with disabilities have access to and retain the jobs that they want. Goal #2: Increase school and community capacity to effectively prepare and support students with disabilities for entrance and mobility in the workforce Goal #3: Develop and use a variety of resources to ensure that employment service provider agency staff are well oriented and trained to assist individuals with disabilities to achieve better employment outcomes, including increasing the number of individuals with jobs Goal #4: Develop and employ a sustainable data system to track employment outcomes; to facilitate decision-making, policy development, and management of resources; and to improve quality of services.  Goal #5: Remove policy, regulation and payment related barriers to creating successful employment outcomes for individuals with disabilities

 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement

New Hampshire SAMHSA Employment Development Initiative (EDI) - 2011

‘In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI)”.

 
Systems
  • Department of Mental Health
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

New Hampshire Money Follows the Person

“The New Hampshire Community Passport Program (NHCPP) is a nursing home transition initiative made possible through the Centers for Medicare and Medicaid Services, Money Follows The Person (MFP) Rebalancing Demonstration Grant. This program is designed and implemented to reflect a person-centered approach to service planning and delivery and providing greater opportunities for individuals to direct their own care to the extent that they choose. These are also the values inherent in the State's long term care vision statement”.

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Training/Capacity Building


New Hampshire Benefits Planning Manual

The New Hampshire Benefits Planning Manual provides more in-depth information about the major programs affecting income and benefits for individuals with disabilities in New Hampshire.  The Manual is divided into four sections:

1. New Hampshire Adult Assistance Programs

2. Social Security Disability Insurance

3. Supplemental Security Income

4. Medicare

Systems
  • Other
Topics
  • Asset Development / Financial Capability

Indicator 13 Training 2015-2016 Powerpoint

This powerpoint provides information to help special education professionals best help their students plan and set goals for post-secondary transition.

 
Systems
  • Department of Education
Topics
  • School-to-Work Transition

NH Bureau of Vocational Rehabilitation - VR Counselor Training and Resources

VR Counselor Training and Resources.

Systems
  • Department of Rehabilitation Services

WorkReadyNH

Work ReadyNH is a tuition-free workforce development program tailored to meet the needs of job seekers and career builders as well as provide training in the specific skills employers are seeking in their current and future employees.

 

The WorkReadyNH program provides assessment, instruction and credentialing in key skill areas, identified by employers as essential to workplace success. Graduates earn two nationally recognized credentials to add to their resume.

 

Systems
  • Department of Workforce Development
Topics
  • Employer Engagement
Citations

Southern New Hampshire Services Workplace Success Program

 Workplace Success is a partnership between the Department of Health and Human Services-Division of Family Assistance, SNHS, and the other New Hampshire Community Action Agencies. The goal of the program is to prepare participants to  enter a volunteer  Work Experience position within a nonprofit, business, or local/state government host site for 20-30 hours per week until they obtain full-time paid employment.

Systems
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Southern New Hampshire Services Employment and Training Program

An employment and training program funded by the U.S. Department of Labor to help Dislocated Workers and other Eligible Adults access the tools they need to manage their careers through information and high quality services, and to help U.S. companies find skilled workers.

Systems
  • Department of Workforce Development
Topics
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Employer Engagement

NH Department of Education - Secondary Transition Statewide Training

Foundations in Transition - Person Centered Strategies for Students with Disabilities Making the Transition to Adult Life. A NH RESPONDS Grant sponsored a four part training series that included training in practices that have been shown to improve the self determination skills and education outcomes for young people with disabilities.

Systems
  • Department of Education
Topics
  • School-to-Work Transition

New Hampshire Vocational Rehabilitation Guide

This tool-kit includes a description of the vocational rehabilitation process and overview of the entire NHVR process, from application to post-employment services.
Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Mental Health

New Hampshire Medicaid Infrastructure Grant Five Year Plan (2008-2012)

• MIG funds were used during 2002 and 2003 to provide the 13 New Hampshire Employment Security One-Stops with equipment and resource materials (e.g., screen readers, audio “how to” tapes) to make them more accessible to individuals with disabilities. In addition, training was provided to the staff of One-Stops regarding use of the purchased equipment and resource materials. This initiative with the One-Stops also included staff trainings on disability awareness issues and creation of a resource guide called “Disability Etiquette.”

• MIG was instrumental in the development of towo tool kits. The first, a ready-to work toolkit is a curriculum on personal futures planning, resume writing, self-directed job searching techniques, employment interviewing skills, and negotiating workplace culture, politics, and related skills. It’s currently being used by the independent living center’s 6 peer groups. The second, an employer tool kit, was developed to provide information and guidance to employers regarding reasonable workplace accommodations, tax credits, where to get technical assistance, the ticket-to-work program, and the values and benefits of hiring people with disabilities.  
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
Topics
  • Employer Engagement

Enforcement


Amanda D., et al. v. Hassan, et al. Settlement Fact Sheet

The United States Department of Justice, a coalition of private plaintiff organizations, and the State of New Hampshire, have entered into a comprehensive Settlement Agreement that will transform New Hampshire’s mental health system by significantly expanding and enhancing mental health service capacity in integrated community settings. The Agreement will enable a class of adults with serious mental illness to receive needed services in the community, which will foster their independence and enable them to participate more fully in community life. The expanded and enhanced community services will significantly reduce visits to hospital emergency rooms and will avoid unnecessary institutionalization at State mental health facilities, including New Hampshire Hospital (“NHH”) (the State’s only psychiatric hospital) and the Glencliff Home (a State-owned and -operated nursing facility for people with mental illness). The Agreement requires the State to expand and enhance community services over the next six years. …

For the first time, the State will deliver supported employment services in accordance with the Dartmouth evidence-based model. These services will help enable individuals to obtain and maintain paid, competitive employment in integrated community settings. Over the life of the Agreement, this provision will impact thousands of people.
Systems
  • Department of Mental Health
Topics
  • Mental Health
  • Segregated Day & Employment Services

Medicaid & Employment


New Hampshire Delivery System Reform Incentive Payment (DSRIP) Waiver Program - 01/05/2016

“On January 5, 2016 the Centers for Medicare and Medicaid Services (CMS) approved New Hampshire's Section 1115 Research and Demonstration Transformation Waiver, #11-W-00301/1 to access new federal funding to help transform its behavioral health delivery system. The Transformation Waiver has four main targets:

Deliver integrated physical and behavioral health care that better addresses the full range of individuals' needs Expand capacity to address emerging and ongoing behavioral health needs in an appropriate setting Reduce gaps in care during transitions across care settings by improving coordination across providers and linking patients with community supports. Move fifty percent of Medicaid reimbursement to alternative payment models by the end of the demonstration period”
Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

New Hampshire ESEA Flexibility Approval - 06/26/2013

The New Hampshire Department of Education's ESEA flexibility request was approved on June 26, 2013.

Systems
  • Department of Education
Topics
  • Home and Community Based Services (HCBS)

NH Balancing Incentives Program - 12/30/2011

The New Hampshire Department of Health and Human Services (DHHS), in partnership with community organizations throughout the state, proposes to leverage the Balancing Incentive Payment Program to further develop the systems of community-based care that serve individuals with behavioral health needs, physical and/or intellectual disabilities. The intent of the New Hampshire project is to realize the long term goal of increasing the percentage of expenditures for long term supports and services (LTSS) that are provided in community settings to equal or exceed the expenditures for facility-based LTSS.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Medicaid Infrastructure Grant - 10/12/2007

The Medicaid Infrastructure Grant Research Assistance to States (MIG-RATS) Center launched a website to provide resources and support to states implementing MIGs. The website is designed to help staff find research reports and resources, learn about MIG-RATS activities and initiatives, and connect with MIG researchers. The website includes info on topics such as Medicaid Buy-In programs, outreach and marketing, and youth in transition and also provides links to tools and a calendar of events.

Systems
  • Medicaid Agencies

Medicare Beneficiaries Savings Program

“The Medicare Beneficiaries Savings Program assists low-income elderly or disabled individuals who are eligible for Medicare (available through the Social Security Administration) by paying for some or all of the associated costs of Medicare, specifically the Medicare Insurance Premiums and deductibles. The Medicare Beneficiaries Savings Program is also referred to as the Buy-In program….

The Qualified Disabled and Working Individuals (QDWI) program provides payment of Medicare Part A premiums for eligible working individuals with disabilities who are entitled to enroll in Medicare Part A, but who have lost Medicare Part A coverage due to earnings. Individuals eligible for QDWI may not otherwise be eligible for Medicaid.”

Systems
  • Medicaid Agencies
Topics
  • 14(c)/Income Security

NH BDS Developmental Services (0053.R05.00)

Provides day services, residential hab/personal care, respite, service coordination, supported employment, assistive technology support, community support, crisis response, environmental and vehicle mods, participant directed and managed services, specialty services for individuals w/autism, DD and ID from 0 - no max age.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

New Hampshire HCBS Transition Plan

In January 2014, the Center for Medicaid and Medicare Services (CMS) finalized regulations that require Medicaid-funded Home and Community Based Services (HCBS) possess particular qualities in residential and nonresidential settings.  All states are required to demonstrate how their HCBS programs comply with the new federal HCBS rules. The purpose of this draft Transition Framework is to ensure that in New Hampshire individuals receiving HCBS are integrated in and have access to supports in the community, including opportunities to seek employment, work in competitive integrated settings, engage in community life, and control personal resources. Overall, the Transition Plan provides  a roadmap for how the State will assure that individuals receiving HCBS have the same degree of access as individuals not receiving Medicaid HCBS.    This Transition Plan outlines the proposed process that New Hampshire will be utilizing to ensure alignment with the HCBS requirements.  
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

NH Money Follows the Person

The New Hampshire Community Passport Program (NHCPP) is a… transition initiative made possible through the Centers for Medicare and Medicaid Services, Money Follows The Person (MFP) Rebalancing Demonstration Grant. This program is designed and implemented to reflect a person-centered approach to service planning and delivery and providing greater opportunities for individuals to direct their own care to the extent that they choose. These are also the values inherent in the State's long term care vision statement.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)