PAIMI Program

PAIMI Goals and Priorities: October 1, 2018 – September 30, 2019

DRC-NH receives PAIMI funds to serve adults and children with significant mental illnesses or emotional impairments, as determined by a mental health professional qualified under the laws and regulations of the State. DRC-NH helps with disability related legal issues in the priority areas outlined below.

Protection and Advocacy for Individuals with Mental Illness (PAIMI) Program

Monitor the care of people with mental illness in institutions.

  • Sununu Youth Services Center
  • Secure Psychiatric Unit
  • Glencliff Home
  • New Hampshire Hospital

Investigate significant abuse or death of an individual with mental illness in one or more of these facilities:

  • NH State Prison, including the Residential Treatment Unit and Secure Psychiatric Unit
  • Sununu Youth Services Center
  • Other facilities as needed

Monitor implementation of Amanda D v. Hassan.

  • Individual representation regarding access to services as defined in the Community Mental Health Agreement
  • Mediation or Legal Action to Enforce Settlement Agreement
  • Monitoring of transitions out of Glencliff Home and NH Hospital

Protect DRC-NH’s access authority whenever it is in question.

  • DRC-NH v. Hanks, et al

Provide counseling and advice to eligible people with significant mental illness with problems in the broad areas outlined below: 

  • Conditions in NH’s emergency rooms or institutions
  • Ensure adults with disabilities can access supports and services in their homes and communities
  • Ensure communities and services are accessible to people with disabilities
  • Ensure children with disabilities can access appropriate supports in their least restrictive environment in schools and in the community
  • Ensure people with significant mental illness can access employment
  • Ensure people with significant mental illness are not discriminated against in housing

Provide limited or full representation to eligible people with mental illness in the following areas:

  • Access to services as outlined in the Community Mental Health Agreement
  • Access to appropriate mental health treatment for prisoners or patients with significant mental illness who are at risk of suicide
  • Exclusions from school
  • Restraint and seclusion in school

In accepting cases for limited or full representation, DRC-NH will consider the following:

  • Does the individual meet eligibility criteria?
  • Does the case have legal merit?
  • Do we have the capacity, funding and expertise to provide quality representation?
  • Does the case fit within our priorities?
  • What is the likelihood that our advocacy would make a positive difference to people with disabilities?
  • Would our advocacy result in services being provided in a more integrated setting?

Ensure policy makers are aware of the impact of laws and regulations on the rights of and issues impacting people with mental illness. Major areas of concern include:

  • Impact of long-term commitments and conditional discharges
  • Barriers to housing
  • Services as outlined in the Amanda D v. Hassan settlement agreement
  • Services to individuals in the Secure Psychiatric Unit and state prison
  • Competency to stand trial
  • School discipline
  • Juvenile justice
  • Access to services for children with mental illness
  • Restraint and seclusion, particularly its use on children in schools and facilities
  • Medicaid rates

Ensure the PAIMI Advisory Council provides input into DRC-NH’s work on behalf of people with mental illness.

Communicate to people with mental illness, family members and others regarding the rights of and issues impacting people with mental illness. 

  • Conduct outreach and training with priority given to:
    • Involving Amanda D v. Hassan class members
    • Assisting DRC-NH to reach underserved groups and communities across the state
    • Events in the North Country
  • Communicate via DRC-NH e-news, RAP Sheet, social and traditional media, website, brochures and other written materials. Priority will be given to the development of written materials in areas where we are not providing representation.

Ensure DRC-NH collaborates with other groups and organizations on the rights of and issues impacting people with mental illness via committee work.

  • Children’s Behavioral Health Collaborative
  • NH Bar Association – Mental and Physical Disabilities Law Section
  • Access to Justice
  • Elder Rights Coalition
  • Medical Care Advisory Committee
  • Long Term Care Advisory committee
  • National Association of States United for Aging and Disabilities
  • Incapacitated and Vulnerable Adult Fatality Review Commission