10 Ferry Street, Suite 309, Concord, NH 03301

(603) 229-1982

The Association for New Hampshire's Ten Area Agencies

Intensive Treatment Services (ITS)



Intensive Treatment Services in New Hampshire provide person-centered assessment, coordination and treatment, necessary to meet the needs of individuals who demonstrate complex and high-risk behaviors. This allows greater opportunities for individuals to lead safer and more fulfilling lives by becoming responsible, accountable, and productive citizens. The guiding principles for this service include a focus on Evidence Based Practices, Rehabilitation, and Systems Coordination across treatment needs.

In the service delivery system of the State of New Hampshire, an “Intensive Treatment Service (ITS) Program” is a program that serves individuals with histories of high risk behaviors, i.e. having a history of or currently demonstrating offending behaviors (such as fire setting, sexual offending, problematic sexual behavior, or violence) or extensive involvement in the criminal justice system. ITS programs provide a combination of intensive treatment, enhanced supervision, and environmental modifications designed to minimize risk, and provide individualized, state-of-the-art treatment. These combine in a comprehensive and coordinated effort to assist individuals in overcoming their high risk behaviors, so they can lead richer and more fulfilling lives as non-offenders.

ITS programs are a cooperative effort between vendors, area agencies, BDS and other support providers within the state. Programs are designed to serve those individuals who are eligible for services under Medicaid’s Home and Community Based Care Waiver, and meet certain admission criteria.

For more information on ITS programs, please email Marissa Berg at mberg@csni.org

Training Opportunities


Training Calendar for High Risk Supports

Upcoming training opportunities for those supporting individuals with high risk behaviors in New Hampshire. 

Documents and Clinical Resources


Statewide Documents and Clinical Resources List

Downloadable documents used in ITS and High Risk Programs, as well as current clinical resources in list format. 

Recommended Links and Other Resources

  • Link to NH Bureau of Developmental Services’ ITS page, where you can find additional resources and information.

                   NH Bureau of Developmental Services: ITS Programs

  • NH Center for START Services, University of NH IOD/UCED. For more information on utilization of the program within the Area Agency system, please contact Barb Drotos, bdrotos@communitybridgesnh.org          

                   Center for START Services

  • Association for the Treatment of Sexual Abusers (ATSA) website, along with a link to the ATSA Guide on the Assessment, Treatment, and Supervision of Individuals with Intellectual Disabilities and Problematic Sexual Behaviors. 

                  Association for the Treatment of Sexual Abusers 

                  ATSA IDPSB Guide

  • National Association of State Directors of Developmental Disabilities Services, Offender Treatment and Rehabilitation link. Provides multiple national papers on offending and treatment of high-risk behaviors. 

                 NASDDDS Resources