Substance Use Disorder Continuum of Care

The Substance Use Disorder Continuum of Care (SUDCoC) represents the ideal integrated framework that covers Prevention, Promotion, Intervention, Treatment and Recovery. This framework is based on the Resiliency and Recovery Oriented System of Care model which depicts synergy, collaboration, and communication with key stakeholders within the Greater Nashua Public Health Region. It “encourages communities to support resiliency and recovery and to lay the foundation for public health regions to begin to address the gaps in the continuum over time” (Bureau of Drug and Alcohol Services (BDAS), 2016).  Whole-person and whole-community support is vital for the SUDCoC’s success in promoting health, preventing the misuse of substance and overdoses, assuring access to patient-centered and individualized  treatment, and helping those suffering from Substance Use Disorder (SUD) achieve supported, long term recovery.

Substance Use Disorder Continuum of Care Facilitator 

Throughout this public health crisis New Hampshire has seen a significant rise in substance use, followed by an increase in demand for SUD services. This increase in demand for services exposed major gaps and barriers within the network of services and the SUDCoC. In response to identifying and acknowledging these gaps in access, BDAS created a position with the main commitment to “developing comprehensive, effective, and accessible continuum of care in every region of the state that includes prevention identification and early intervention, treatment, and recovery supports, and integrated with primary and behavioral health” (BDAS, 2016).

Every public health region in New Hampshire now has a Substance Use Disorder Continuum of Care Facilitator. In addition to engaging and networking within the region, the SUDCoC Facilitator is tasked with increasing awareness and access to services, increasing communication and collaboration among regional partners, and to build capacity and the delivery of services within the region.

Additional Resources 


  1. Elyssa Clairmont

    Substance Misuse Continuum Facilitator
    Phone: 603-589-4511