New Hampshire Alcohol & Drug Abuse Counselors Association

Dedicated to Advancing Addiction Professionals in New Hampshire

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  • July 16, 2019 1:35 PM | Anonymous

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    Treating Addiction Together
    ECHO®


    Learn and apply American Society of Addiction Medicine (ASAM) Criteria with an expert team! 

    DO YOU WANT TO...

    • Increase your knowledge and skills to utilize ASAM criteria? 
    • Have access to an expert multidisciplinary team of SUD treatment providers? 
    • Develop a learning community of SUD treatment providers throughout NH? 
    • Utilize ongoing case-based discussions of participant-identified patients using ASAM criteria? 

    Learning community participants will include various professionals working in substance use disorder treatment settings and looking to improve their practice using ASAM criteria. 

    • Eight-month initiative
    • October 2019 - June 2020
    • Every other week 
    • Noon for 1 hour 
    • No cost for participants! 

    Interested in participating? 
    Space is limited! Apply soon! Responses are reviewed on a rolling basis. 
     

    APPLY HERE

    Note: Continuing education credits will be applied for based on the licensure needs of selected participants. 

    Questions? Contact the NH Center for Excellence:
    nhcenterforexcellence@jsi.com

    Copyright © 2019 NH Center for Excellence, All rights reserved.
    You are receiving this email because you have previously worked with the NH Center for Excellence.

    Our mailing address is:

    NH Center for Excellence

    501 South St # 2

    Bow, NH 03304-3416


    Add us to your address book


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  • July 16, 2019 11:02 AM | Anonymous

    “This is a landmark moment in our fight to hold drug companies responsible for their role in the opioid crisis,” Virginia Attorney General Mark Herring said in a news release. “We will not allow anyone to put profits over people, or to exacerbate or exploit the opioid crisis for their own benefit. The Virginia Medicaid Fraud Control Unit’s expertise, capacity, and diligent investigation, combined with strong relationships with local, state, and federal partners, helped make this resolution possible.”


    To review the full article, please click below: 

    https://www.behavioral.net/article/reckitt-benckiser-agrees-pay-14-billion-record-setting-settlement-over-suboxone-marketing?utm_campaign=Enews&utm_source=hs_email&utm_medium=email&utm_content=74654942&_hsenc=p2ANqtz-_Z6GHXKxc2mYjFHFpponokm2DYq3vBDT5CDxF2FB8SDnN2YwxN0h53GZhogsX98k6vPb_UlbFHuqkvPel1I3py-xEIlQ&_hsmi=74654942

  • July 16, 2019 10:55 AM | Anonymous

    IC&RC is looking for volunteers to assist with the maintenance of its Clinical Supervisor (CS) program.

    This volunteer position gives individuals the opportunity to provide direct input on what content should be tested on IC&RC’s Clinical Supervisor examination. It is an excellent opportunity for professional growth and networking. CEs are also awarded for participation.

    We have one activity scheduled in August:

    Purpose: To review the newest version of the IC&RC CS examination to ensure content is correct, no questions are duplicative in content, and no items answer each other.

    Dates:

    September 16th Webinar from 10am -2pm ET

    September 30th Webinar from 10am -2pm ET

    In addition to the webinars above, an independent review of the examination will also be required. The review material will be available from Aug. 12-Sep. 9. The review must be completed to participate in the webinars.

    Requirements:

    • Passed the IC&RC Clinical Supervisor Examination
    • Actively providing clinical supervision
    • No more than 10 years of experience as a Clinical Supervisor
    • Intermediate computer skills
    • Ability to complete self-directed, independent assignments

    As an individual who recently passed the IC&RC Clinical Supervisor examination, I invite you to apply for this opportunity.

    Application: https://form.jotform.com/rrwitmer/cs-application

    Please note, a resume is required to apply.

    The application deadline is July 31st.

     

    Regards,

    Rachel R. Witmer

    Assistant Director

    Rachel@internationalcredentialing.org

    717-540-4457 Ext. 105

    www.internationalcredentialing.org

  • July 15, 2019 9:01 AM | Anonymous

    New analysis of Medicaid plans reveals that 40 states still require prior authorization on OUD Meds:

    Report highlights findings and recommends

    Medicaid adopt Medicare model

    As the opioid-related overdose epidemic continues to escalate in our country, timely access to FDA-approved medications for the treatment of opioid use disorder (OUD) is more important than ever. An analysis by the Legal Action Center shows that 40 state Medicaid programs still have prior authorization requirements on some or all buprenorphine-naloxone medications covered on their preferred drug list. As Medicaid provides health coverage for 40% of non-elderly adults with OUD, expanding access to these life-saving medications is critical. 

    The report, authored by LAC’s Vice President of Health Initiatives, Ellen Weber, and LAC's 2019 Liman Fellow, Arka Gupta, builds upon SAMHSA’s 2018 report and details the gaps in coverage and prior authorization barriers to buprenorphine medications in all state Medicaid programs. The report also highlights new research from RTI International that examines how Medicare plans have eliminated such barriers based on guidance from the Centers for Medicare and Medicaid Services (CMS) and serves as a model for Medicaid to follow.

    With an estimated 130 Americans losing their lives each day to opioid-related overdose, it is absolutely crucial that we break down barriers to OUD medications, which have been proven to cut a patient’s risk of death in half.  

    "Clear guidance from CMS could immediately and significantly reduce barriers in the Medicaid program," says Ellen. "The imperative to increase access to care is clear and pressing."

    ***

    About the Legal Action Center: Established in 1973, the Legal Action Center is the only non-profit law and policy organization in the United States whose sole mission is to fight discrimination against people with histories of addiction, HIV/AIDS, and/or criminal records, and to advocate for sound public policies in these areas. 

     WHO WE ARE   WHAT WE DO  NEWSROOM  DONATE   CONTACT

      

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  • July 15, 2019 8:53 AM | Anonymous

    www.lac.org

    Missed one of our live webinars...

    but still need training on 42 CFR Part 2?

    Gain access to one of our webinars today and watch them

    at your convenience!

    Purchase unlimited 24-hour or 48-hour access to the Legal Action Center’s highly-acclaimed webinars and learn from leading experts on 42 CFR Part 2. Includes all downloadable handouts required to take the course.

    Introduction to Confidentiality:

    42 CFR Part 2 & HIPAA

    A Comprehensive, 3-Hour Course

    BUY NOW

    Taught by attorneys Anita Marton & Jacqueline Seitz

    Join LAC for a video course providing a basic introduction to the federal laws governing privacy of substance use disorder (SUD) treatment records: 42 CFR Part 2 and HIPAA. The video covers three hours of material, in two segments. Each segment covers fundamental aspects of these laws and how they apply to real world situations. The course reflects the 2017 and 2018 amendments to 42 CFR Part 2, while also covering longstanding provisions.

    Only $109 – 48 hours of UNLIMITED access!

    42 CFR PART 2: What changed under the Final Rules in 2017 and 2018?

    A Comprehensive, 2-Hour Course

    BUY NOW

    Taught by attorneys Sally Friedman & Jacqueline Seitz

    Join LAC for a video course covering the recent changes to federal privacy law for substance use disorder patient records, 42 CFR Part 2. In 2017 and 2018, the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration (SAMHSA) published two Final Rules amending 42 CFR Part 2. Substance use disorder treatment programs covered by 42 CFR Part 2, as well as people and organizations who receive information from such programs, are required to comply with the new amendments to the regulations. This video course is designed to educate participants about the 2017 and 2018 Final Rules, and to help substance use disorder treatment programs comply with the new requirements.

    Only $79 – 24 hours of UNLIMITED access!

    Questions about our 42 CFR Part 2 products can be sent to: Alisha Scott at ascott@lac.org.

     WHO WE ARE  WHAT WE DO  NEWSROOM  DONATE  CONTACT


  • July 09, 2019 1:31 PM | Anonymous

    https://nam.edu/initiatives/clinician-resilience-and-well-being/

    Clinician well-being is essential for safe, high-quality patient care.

    Brought to you by your NHADACA Ethics Committee.

    However, clinicians of all kinds, across all specialties and care settings, are experiencing alarming rates of burnout. Among the most telling of statistics, more than 50 percent of U.S. physicians report significant symptoms. Burnout is a syndrome characterized by a high degree of emotional exhaustion and depersonalization (i.e., cynicism), and a low sense of personal accomplishment at work.

    Clinician burnout can have serious, wide-ranging consequences, from reduced job performance and high turnover rates to—in the most extreme cases—medical error and clinician suicide. On the other hand, clinician well-being supports improved patient-clinician relationships, a high-functioning care team, and an engaged and effective workforce. In other words, when we invest in clinician well-being, everyone wins.

    Supporting clinician well-being requires sustained attention and action at organizational, state, and national levels, as well as investment in research and information-sharing to advance evidence-based solutions. 

    Browse or click below to learn more about the Action Collaborative.

     

    In 2017, the National Academy of Medicine launched the Action Collaborative on Clinician Well-Being and Resilience, a network of more than 60 organizations committed to reversing trends in clinician burnout. The Collaborative has three goals:

    1. Raise the visibility of clinician anxiety, burnout, depression, stress, and suicide
    2. Improve baseline understanding of challenges to clinician well-being
    3. Advance evidence-based, multidisciplinary solutions to improve patient care by caring for the caregiver. 

    The Action Collaborative is composed of five working groups that will meet over the course of four years to identify evidence-based strategies to improve clinician well-being at both the individual and systems levels. Products and activities of these five working groups include an online knowledge hub, a series of NAM Perspectives discussion papers, and an all-encompassing conceptual model that reflects the domains affecting clinician well-being. 

    Download our one-pager to share >>

     

    Action Collaborative Leadership
    Victor Dzau, chair
    Darrell Kirch, co-chair

    Thomas Nasca, co-chair

    Action Collaborative Staff
    Charlee Alexander, Program Officer
    Ivory Clarke, Associate Program Officer
    Marc Meisnere, Associate Program Officer
    Mariana Zindel, Research Associate
    Imani Rickerby, Senior Program Assistant
    Kyra Cappelucci, Communications Officer
    Sharyl Nass, Board Director

    Action Collaborative Working Groups
    Please click here to view members of our five working groups. 

     

    Gender-Based Differences in Burnout: Issues Faced by Women Physicians 

    Women now account for an increasingly large percentage of medical school students and practicing physicians, yet there is still a scarcity of research on how gender-related differences can affect clinician burnout and well-being. Recognizing gender-related differences is critical in designing effective strategies to improve clinician well-being and to identify, treat, and prevent burnout. This recently-released discussion paper examines how gender-related differences can manifest, and some strategies for ensuring well-being for all health professionals. Read more >>

    Expressions of Clinician Well-Being 

    The National Academy of Medicine recently called on artists of all skills and abilities to explore what clinician burnout, clinician well-being, and clinician resilience looks, feels and sounds like to people across the country. 100 pieces of artwork were selected by a panel of reviewers to be displayed in a digital gallery. Explore the digital art gallery >>

    Clinician Well-Being Knowledge Hub is Live!

    The Action Collaborative on Clinician Well-Being and Resilience is proud to announce the launch of the Clinician Well-Being Knowledge Hub, a comprehensive resource repository for those seeking to promote clinician well-being at their organizations and in their personal lives. Visit the knowledge hub>>

    Help us share the knowledge hub by clicking here.

    Establishing Clinician Well-Being as a National Priority, Meeting 5 | May 28-29, 2019

    The Action Collaborative hosted a public meeting on May 28-29, 2019 in Chicago, IL. Recorded videos and slide sets will be posted soon. Please check back. Event page >>

    Establishing Clinician Well-Being as a National Priority, Meeting 4 | October 4-5, 2018

    The Action Collaborative hosted a closed working meeting on October 4-5, 2018 in Washington, DC.  Event page >>

    Establishing Clinician Well-Being as a National Priority, Meeting 3  |  May 2, 2018

    The third meeting of the Action Collaborative on Clinician Well-Being and Resilience was held in Washington, DC on May 2, 2018. Event page >>

  • June 28, 2019 3:46 PM | Anonymous

    LOOKING FOR WORK AS A CRSW? (CERTIFIED RECOVERY SUPPORT WORKER)

    NH WORKS FOR RECOVERY

    What is the NH Works for Recovery Program?

    The NH Works for Recovery program provides comprehensive and individualized employment services to individuals who have been directly or indirectly affected by the opioid crisis.  Eligible participants will have an opportunity to receive job training and support services to help them successfully compete for many of the in-demand occupations located throughout New Hampshire. 

    What is the CRSW offering and how does it work?

    The state of NH is experiencing a statewide shortage of qualified recovery support workers. The NH Works for Recovery program provides funding for training and employment services to individuals interested in entering this field. In order to address this shortage, the NH Works for Recovery program has created an offering that specifically addresses the need to train and place Certified Recovery Support Works (CRSW) into the workplace.

    The offering provides funding (tuition, OJT, support services, reimbursement for exam fees) for eligible candidates to obtain the classroom training and facilitates job placement where they will can be paid for the 500 hours of supervision required for certification. The objective is to place at least 40 recovery support workers into the workplace within the grant period.

    What services are provided?

    ·        Individual Training services in the form of required CRSW coursework

    ·        Other Occupational Skills Training under the NH Works for Recovery program

    ·        Job search assistance and access to a network of employers that are seeking CRSW’s or CRSW’s-in-training

    ·        On-The-Job Training (OJT) with an eligible employer

    ·        Case Management Services

    ·        Support Services (exam fees, CRSW application fees, child care reimbursement, travel reimbursement, emergency services such as car repair, rental or housing/utilities assistance, etc.).

    Who’s eligible for these services?

    ·       Individuals wanting to enter or advance in a profession that is directly associated with supporting individuals struggling with opioid misuse

    What are the specific benefits?

    Job Seeker Benefits:

    ·        CRSW classroom training tuition up to $400 per person through an Individual Training Account (ITA) set up to cover the cost for:

    1)      Recovery Coach Academy – 30 hours

    2)      Ethics for Peer Recovery Supports – 12 hours

    3)      HIV/AIDS for Recovery Support Workers – 6 hours

    4)      Suicide Prevention for non-Clinical Workers – 6 hours

    ·        Support Services up to $1000 per person based on individual needs

    Employer Benefits

    ·        On-The-Job (OJT) – up to $5500 per person benefit in the form of 50% of first 6 months’ salary coverage

    Who are the approved training partners?

    The following organizations have been identified as authorized CRSW training partners for this program:

    ·        NH Recovery Coach Academy (statewide)

    ·        SOS Recovery Center (Dover, Rochester, Hampton)

    ·        Reality Check (Jaffrey)

    ·        Serenity Center (Keene)

    ·        Aware Recovery Care (Bedford)

    ·        Revive Recovery (Nashua)

    ·        NH Alcohol and Drug Addiction Counselor’s Association (NHADACA)

    In order to be considered for program benefits, it is mandatory that prospective job seekers enroll into the NH Works for Recovery prior to a) enrolling in CRSW classroom training and/or b) accepting a job.

    This offer does not support training that is duplicative or would otherwise supplant training that is already being offered either free or through other existing resources.

    The NH Works for Recovery services are offered at each of the twelve NH Works Offices located across the state. Career Navigators located in these offices will work with you to determine eligibility for the program and provide barrier assessments and case management services.

    Please call for an appointment at the NH Works office nearest to you.

    Southern New Hampshire Services is the state-wide service provider of WIOA and is a proud member of the American Job Centers Network and an equal opportunity employer/program and comply with the Americans with Disabilities Act.  Auxiliary aids and services are available upon request.  TDD ACCESS: RELAY NH 1-800-735-2964. The NH Recovery Friendly Services Program is funded by the U.S. Department of Labor through the NH Dept. of Business and Economic Affairs / Office of Workforce Opportunity.


    NH WORKS BERLIN

    151 Pleasant Street

    Berlin, NH 03570-0159

    P: 603. 752. 5500

    F: 603. 752. 5536

    NH WORKS LITTLETON

    646 Union Street, Suite 100

    Littleton, NH 03561-5314

    P: 603. 444. 2971

    F: 603. 444. 6245

    NH WORKS CLAREMONT

    404 Washington Street

    Claremont, NH 03743-2261

    P: 603. 543. 3111

    F: 603. 543. 3113

    NH WORKS MANCHESTER

    300 Hanover Street

    Manchester, NH 03104-4957

    P: 603. 627. 7841

    F: 603. 627. 7982

    NH WORKS CONCORD

    45 South Fruit Street

    Concord, NH 03301-1140

    P: 603. 228. 4100

    F: 603. 229. 4353

    NH WORKS NASHUA

    6 Townsend West

    Nashua, NH 03063-1215

    P: 603. 882. 5177

    F: 603. 880. 5256

    NH WORKS CONWAY

    518 White Mountain Highway

    Conway, NH 03818-4205

    P: 603. 447. 5924

    F: 603. 447. 5985

    NH WORKS PORTSMOUTH

    2000 Lafayette Road

    Portsmouth, NH 03801-5673

    P: 603. 436. 3702

    F: 603. 436. 3754

    NH WORKS KEENE

    149 Emerald Street

    Keene, NH 03431

    P: 603. 352. 1904

    F: 603. 352. 1906

    NH WORKS SALEM

    29 South Broadway

    Salem, NH 03079-3026

    P: 603. 893. 9185

    F: 603. 893. 9212

    NH WORKS LACONIA

    426 Union Avenue, Suite 3

    Laconia, NH 03246-2894

    P: 603. 524. 3960

    F: 603. 524. 3963

    NH WORKS SOMERSWORTH

    6 Marsh Brook Drive

    Somersworth, NH 03878

    P: 603. 742. 3600

    F: 603. 749. 7515

    All office hours: 8 am – 4:30 pm, Monday – Friday

    NH Works for Recovery CRSW Flyer FINAL.docx <-- Print/Download Information. 

  • June 11, 2019 10:26 AM | Anonymous

    Brought to you by your NHADACA Ethics Committee.

    The World Health Organization is bringing attention to the problem of work-related stress.

    The group announced this week that it is updating its definition of burnout in the new version of its handbook of diseases, the International Classification of Diseases — ICD-11 —which will go into effect in January 2022.

    The new definition calls it a "syndrome" and specifically ties burnout to "chronic workplace stress that has not been successfully managed."  WHO does not classify the problem as a medical condition. It calls burnout an "occupational phenomenon" and includes it in a chapter on "factors influencing health status or contact with health services."

    According to WHO, burnout is characterized by "feelings of energy depletion or exhaustion; increased mental distance from one's job, or feelings of negativism or cynicism related to one's job; and reduced professional efficacy."

    Click here to listen to the May 28, 2019 Morning Edition

    On 5/29/2019 taken from:

    https://www.npr.org/sections/health-shots/2019/05/28/727637944/who-redefines-burnout-as-a-syndrome-linked-to-chronic-stress-at-work

  • June 10, 2019 2:15 PM | Anonymous

    Brought to you by your NHADACA Ethics Committee.

    8 Tips for Successful Addiction Recovery by Julie Myers, Psy.D., MSCP

    Recent research on the topic of willpower shows that we, as human beings, have limited decision-making capacity. That is, in any given day, we may simply run out of the mental energy that is required to make decisions. Researcher Roy Baumeister, PhD calls this depletion of mental energy “decision fatigue.”

    Every day, we make hundreds of decisions, from large to small. Even something as simple as eating breakfast may entail many decisions, such as what, where, and how much to eat. We need to make decisions about our personal selves, our work, our relationships, how we move about and relate in the world, and how to resist a temptation. The more decisions we must make, the more mental energy we use up. Making decisions, particularly making good decisions, becomes harder over the course of a day as our mental energy wanes.

    Why is this important for recovery from substance misuse? Because the choice to not use is a decision. Much of drinking/using is automatic, that is, we use simply because it is our habit to do so. We step into the house after a long day, we have a drink or we get together with friends, we smoke a joint. It may cross our minds not to use, but to not use requires a decision. To say no, we must think about the consequences. When our mental energy is low, we tend to act impulsively or do nothing different than usual.

    We need to give ourselves the best chance at making good decisions, particularly when we are trying to change our relationship with drugs or alcohol. Baumeister has shown that people with the best self-control set themselves up for success by conserving their mental energy. For example, they may arise at the same time daily, eat the same breakfast, eliminate temptations, and delegate authority. They don’t expend their mental energy on trivial decisions, instead preserving their mental energy for making important decisions.

    If you want to give yourself the best chance of saying no to addictive substances or behaviors, here are eight simple tips to conserve mental energy for decision making success:

    1. Turn-on your brain.
    Become more aware of when and where you are most vulnerable to automatic use or when decisions are needed.

    2. Restore your mental energy with good sleep.
    Make your important decision in the morning, when your mental energy is at its peak.

    3. Fuel your brain.
    Your brain requires energy from food to make decisions. When blood glucose drops, our decision making capacity decreases. Keep your body fueled to increase your mental energy.

    4. Employ relaxation strategies.
    A calm state increases our decision making capacity. Relaxation techniques, such as slow breathing or meditation, will help to decrease the stress response.

    5. Conserve your mental energy.
    Decrease the number of decisions you must make in a day by creating healthy habits. Delegate some decision to trusted others. Reduce situations where you need to make decisions, such as shopping.

    6. Reduce temptations.
    Move temptations out of your reach, when you have the mental energy to do so.

    7. Recharge your mental energy throughout the day.
    Exercise has been shown to increase mental energy. Exercise regularly, on a set schedule. Even 5 minutes of daily exercise will help recharge your mental energy.

    8. Reduce the number of times that you need to say no.


    By planning ahead, you can avoid those situations in which your habit to use requires mental energy to say no. If you know when you are most vulnerable and plan ahead, you will need to make fewer decisions about whether or not to use.

    By employing the strategies above, you will give yourself a better chance for recovery success by reducing your decisions fatigue.

    If you would like to read more about this topic here are two books you might enjoy

    Willpower: Rediscovering the Greatest Human Strength by Roy F. Baumeister and John Tierney (2012).

    The Willpower Instinct: How Self-Control Works, Why It Matters, and What You Can Do To Get More of It by Kelly McGonigal (2011)

    Reprinted with permission from SMART Recovery San Diego

    On 6/1/2019 taken from:  https://www.smartrecovery.org/8-tips-for-successful-addiction-recovery/

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