This is our annual Community Needs Assessment - a survey we use to understand the mental health needs across the communities we serve and to guide how we plan, improve, and deliver care. Community responses help us identify gaps, strengthen what's working, and make sure local services reflect what people across our region actually need. It only takes a few minutes, and every voice helps build stronger mental health support for the whole community.
About You
Town you live or work in
*
Which county are you responding from?
*
Coös
Carroll
Grafton
Other
Which best describes you?
*
Resident
Current or former client
Family member/caregiver
Health or social-service provider
Educator/school staff
First responder
Employer/business owner
Local government or community organization
Other
Needs in your community
What are the biggest behavioral health concerns in your community?
*
depression
anxiety
trauma/PTSD
substance use
alcohol misuse
suicide/self-harm
youth behavioral health
family stress
housing instability
loneliness/isolation
crisis response
access to psychiatry
access to therapy
other
Which populations have the hardest time getting help?
*
children
teens
young adults
older adults
families
veterans
people with co-occurring needs
people without transportation
people experiencing homelessness
people involved with the justice system
people with Medicaid
uninsured people
rural residents
other
Overall, how serious are mental health and substance use needs in your community?
*
Not serious
Somewhat serious
Serious
Very serious
Not sure
Access to care
How would you rate the following in your community?
Finding mental health care
*
Very easy
Easy
Hard
Very hard
Not sure
Finding substance use treatment or recovery support
*
Very easy
Easy
Hard
Very hard
Not sure
Getting urgent help quickly
*
Very easy
Easy
Hard
Very hard
Not sure
Getting follow-up after a hospital or crisis visit
*
Very easy
Easy
Hard
Very hard
Not sure
What are the biggest barriers to getting care?
*
long wait times
not enough providers
transportation
cost
insurance
not knowing where to go
stigma
childcare
work schedule
language
services too far
lack of crisis response
limited psychiatry
limited SUD services
other
What would make care easier to use?
*
evening hours
weekend hours
same-day/walk-in
telehealth/video
phone visits
services closer to home
services at a school or community site
transportation help
services in another language
other
Have cultural factors, beliefs, language, or experiences of discrimination made it harder to get care?
Yes
No
Not sure
If yes, briefly describe.
Priorities
Which services need the most improvement in your area?
*
crisis response
therapy/counseling
psychiatry/medication
SUD treatment
recovery support
youth/family services
case management
care coordination
primary care/behavioral health coordination
peer support
veteran supports
transportation help
other
If you could change one thing to improve behavioral health access here, what would it be?
*
About Northern Human Services (optional)
How familiar are you with Northern Human Services (known in some areas as White Mountain Mental Health)?
Never heard of it
Heard the name
Somewhat familiar
Very familiar
Anything else you’d like us to know about behavioral health needs in your community?
Have you experienced any of these while trying to get help?
long wait
didn’t know who to call
too far to travel
couldn’t find psychiatry
couldn’t find therapy
couldn’t find SUD help
no follow-up after a crisis/hospital stay
insurance/cost
none of these
other
Are there physical health needs that are hard to coordinate with behavioral health care?
Yes
No
Not sure
What would have made it easier to get help earlier, before reaching a crisis?
What needs are increasing most among the people you serve?
Which evidence-based or specialized services are most needed but hard to access?
MAT/MOUD
trauma-focused therapy
evidence-based youth/family programs
crisis stabilization
co-occurring MH/SUD treatment
psychiatric medication management
peer/recovery support
other
Where do referrals or care coordination break down most often?
Are mental health or substance use concerns affecting your workforce or community?
Not at all
Somewhat
Significantly
Not sure
What are you seeing most?
stress/burnout
substance use
family stress
attendance issues
crisis events
difficulty finding help
other
Would you be willing to share behavioral health resources with employees in the future?
Yes
No
Maybe
About you (optional demographics)
Age group
Under 18
18–24
25–44
45–64
65+
Race and/or ethnicity
American Indian/Alaska Native
Asian
Black/African American
Hispanic/Latino(a)
Middle Eastern/North African
Native Hawaiian/Pacific Islander
White
Another race/ethnicity
Prefer not to say
Primary language spoken at home
English
Spanish
French
Other (specify)
Have you or someone close to you tried to access mental health or substance use services in the past two years?
Yes
No
Prefer not to say