Building Futures Together NH Logo


This program is designed to prepare paraprofessionals in healthcare and school settings to provide specialized enhanced care coordination to children, youth, and their caregivers impacted by opioid use disorders (OUD) and other substance use disorders (SUD).

Building Futures Together is a U.S. Department of Labor apprenticeship program. Each trainee will receive a stipend of up to $12,500 to defray the costs of program participation and program graduates will receive a certificate from the University of New Hampshire and a nationally recognized Department of Labor Certificate in Behavioral Health.

Program Elements

Level 1: Academic Training

Time to Complete: approx. 8 months

  1. Level 1 trainees receive a stipend of $5,000 that can be used to defray the costs of participation in the program.
  2. $3,000 is set aside for each trainee to use for tuition, books, and fees as prescribed by the program.
  3. Level 1 “didactic” training will be primarily online, focused on the topics below, and combined with 40 hours of field experience.
    1. In-depth knowledge of substance use disorders with specific training on how alcohol, cannabis, opioids, and stimulants impact the brain, how dependency occurs, behavior changes, medication assisted treatments and other research-based therapies and treatments. This topic will include information about the differential impacts on pregnant women and their babies, infants, children, and adolescents versus adults and elders and co-occurring mental health disorders (genetic predispositions, mood disorders, and psychotic disorders, for example, and links to depression). Includes the Certified Recovery Support Worker course at NHTI, Concord’s Community College. This module will include training on the American Society of Addiction Medicine (ASAM) Levels of Care and how to assess each child/youth for risk.
    2. Family systems, how substance misuse impacts family members, including issues of race, ethnicity, socioeconomic status, access to care, and other cultural differences. This module includes exposure to child development models including typical child development, developmental trauma disorder, generational impacts, and family systems therapy. Trainees will also learn about cultural differences, language access, and trauma-based care.
    3. Enhanced Care Coordination (ECC), including effective interdisciplinary teaming, engagement techniques (Motivational interviewing), how to plan and collaborate with families or caregivers, effective planning with adolescents/youth, goal setting, benchmarking using data to continuously monitor progress, advocacy and negotiating strategies, facilitating meetings with providers and natural supports, community outreach, and developing collaborative relationships with community providers. Trainees will also learn how to support transition-age youth, using youth-driven person-centered planning, career development, issues related to benefits changes, and post-secondary education and training programs.
  4. A seminar once a month on Saturdays, during which trainees come together and use case studies and course materials to gain greater depth of knowledge.
  5. Trainees will have 40 hours of field experience (which can be their job) that is defined by an agreement shortly after enrollment. The trainees will complete a capstone project that incorporates the course content and a project at their field site.
  6. Trainees who complete the above will receive a certificate from the University of New Hampshire.

Level 2: On the Job Training

Time to Complete: approx. 12–14 months

  1. Level 1 course work must be completed first before starting Level 2 On the Job Training.
  2. Level 2 programming includes training from their employer through a Department of Labor sanctioned apprenticeship. This phase requires 2,000 hours of on-the-job training.
  3. Each trainee will receive a $7,500 stipend that they may use to defray the cost of program participation.
  4. Employers will agree to supervise and mentor trainees, who must be in paid employment during this phase. Mentors can only mentor one trainee at a time according to DOL rules. Trainees must be full-time on the job.
  5. The project will provide financial and training support to employers to cover the additional costs of supporting trainees, estimated at approximately $1,000 per mentor per mentee.