On Wednesday, New Hampshire's executive council will vote on whether Dartmouth Health should permanently take over operations at Hampstead Hospital.
The proposed agreement comes after a particularly difficult stretch for the mental health facility in Hampstead, with a string of violent patient outbursts over the last two years.
Under the proposal, the state would still oversee the hospital, but Dartmouth Health would take over all the services for children and young adults, such as the hospital's residential inpatient psychiatric treatment.