New Hampshire Alcohol & Drug Abuse Counselors Association

Dedicated to Advancing Addiction Professionals in New Hampshire


  • 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:

  • 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:

  • May 23, 2019 4:14 PM | Anonymous

    HRSA NHSC logo


    Photography images of mental and behavioral health care providers interacting with patients.

    Up to $100,000 in Loan Repayment for Rural Substance Use Disorder Clinicians

    Accepting applications through
    Thursday, July 18 at 7:30 p.m. ET

    A new National Health Service Corps (NHSC) program, the Rural Community Loan Repayment Program, will award up to $100,000 in student loan repayment to primary care and behavioral health clinicians providing substance use disorder (SUD) treatment in rural communities nationwide. In exchange, participants commit to serve for three years at rural health care sites.

    Key Program Highlights

    • Priority Funding: Applicants employed at an NHSC-approved site that is also participating in the Rural Community Opioid Response Program (RCORP), an initiative of the Federal Office of Rural Health Policy, will be given priority.
    • Expanded Disciplines: Nurse anesthetists, pharmacists, registered nurses, and SUD counselors are eligible.
    • Flexibility: Applicants can apply under either the mental health or primary care Health Professional Shortage Area (HPSA) score of their site – whichever is higher.
    • Support for all treatment team members: Providers offering general SUD services to medication assisted treatment are eligible to apply.

    Visit the NHSC Rural Community Loan Repayment Program webpage to learn more.

    Initial Check – Employer Eligibility

    Visit the Health Workforce Connector to see if an organization is NHSC-approved, making their staff eligible to apply for loan repayment.

    Apply Now

    Application Help

    Computer Screen

    NHSC Rural Community Loan Repayment Program Application Webinar
    June 13 1:00 – 2:30 p.m. ET
    Access Link
    Dial-in number: 800-857-1286
    Passcode: 4667956

    Comment Graphics

    NHSC Rural Community Loan Repayment Program Application Online Q & A Sessions
    June 27 & July 11 & 16
    9:00 a.m. – 5:00 p.m. ET
    Access Link

    Be on the lookout for helpful application tips about what documents you need to provide when applying such as eligible sites, loan information, HPSA scores, and more!

    For questions, call 1-800-221-9393 (TTY: 1-877-897-9910) Monday through Friday (except federal holidays) 8:00 a.m. to 8:00 p.m. ET.

    health resources and services administration


    Have Questions?

    Call 1-800-221-9393

    (TTY: 1-877-897-9910)

    Mon - Fri 8am - 8pm ET

    (Except Federal Holidays)

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  • May 23, 2019 10:55 AM | Anonymous

    On June 11 at 6 pm, New Hampshire Gives day begins. This is a day to celebrate nonprofits across the state and the vital work they do. We need your support!

    Share your pride for what we do on social media and please consider donating to support our work. NHADACA works for you; please help us in all the work we do to create a healthier New Hampshire.

    Visit our NH Gives page and sign up to give or help us fundraise. Thank you for your support!

  • May 09, 2019 11:27 AM | Anonymous

    Meeting recording and slides now available!

     Action Collaborative on
    Countering the U.S. Opioid Epidemic

    April 30, 2019


    Watch the webinar recording

    This public meeting of the Action Collaborative on Countering the U.S. Opioid Epidemic included an open, public session on Tuesday, April 30 from 9am – 1pm. The session included a keynote presentation and updates from the four working groups of the Action Collaborative. 

    Watch the recording and view the presentations here >>

    Every day, an estimated 130 Americans die from an opioid overdose – a grim statistic that has devastated families and communities across the nation. Due to its complex and urgent nature, reversing the opioid crisis will require a multi-sectoral and multi-pronged response; no organization, government agency, or sector can solve this crisis on its own. Within the past year alone, numerous initiatives, reports, guidelines, and recommendations have been developed to address the epidemic across the public and private sectors. With so much activity underway, strong mechanisms to support better coordination, information-sharing, and evidence-based practice are needed.

    To improve coordination and accelerate the pace of change, the National Academy of Medicine has partnered with the Aspen Institute and more than 55 other organizations to form an Action Collaborative on Countering the U.S. Opioid Epidemic. This one-of-a-kind public-private partnership comprises government, communities, health systems, provider groups, payers, industry, nonprofits, academia, and more – all committed to sharing knowledge, aligning ongoing initiatives, and advancing collective, multisector solutions.  Learn more>>

  • April 24, 2019 8:33 AM | Anonymous

    Opportunity to Participate in Study Regarding Types of Trauma Treatment Provided by SUD Clinicians

    Understanding the depth and spread of the co-occurrence of trauma and substance use disorders within the population, the urgency of the need for treatment by qualified and prepared clinicians cannot be overemphasized.

    This 3-4 minute survey developed by Tom Alexander, PhD, Mary Hoke, PhD, and Karlene Barrett, PhD (Department of Graduate Psychology – Purdue University Global) intends to gain a better understanding of the type of trauma treatment provided for individuals with substance use disorders and the clinicians who treat such individuals.

    Participation is totally voluntary and anonymous; no information will be collected that could possibly identify individual participants; no one at NAADAC will ever know if a member chose to participate or not; and there are no consequences for choosing to participate or not in the study.



  • April 23, 2019 1:32 PM | Anonymous

    April 16, 2019

    Brought to you by your NHADACA Ethics Committee.

    Resilience, the ability to bounce back from difficult situations or circumstances, is often discussed in regard to clients and patients. Rarely is it discussed in regard to those providing care and services to these individuals, it is merely assumed. The mental and emotional well-being of providers in the substance use disorder profession, or indeed, in any type of healthcare, is often overlooked, dismissed, or shrugged off. There seems to be an underlying assumption that providers come into the profession with inborn resilience and that we can move on from difficult experiences without lasting harm.  Burn-out and compassion-fatigue are often seen as weaknesses, rather than a natural consequence of a service that can take a huge emotional toll. We are often more compassionate toward clients and patients than we are toward our employees, supervisees and ourselves. Recently, people have been becoming more aware that pretending the problem of burn-out doesn’t exist, or dismissing those with compassion fatigue as weak, is not making those problems go away, and may in fact be exacerbating them. Like many other problems, we must first be able to openly talk about these issues, without fear of being shamed by supervisors and colleagues, in order to combat them.

    In an effort to help combat the stigma around burn-out and compassion fatigue, the NHADACA Board of Directors, as guided and proposed by the Ethics Committee, submitted a Commitment Statement outlining our commitment to improving provider well-being to the National Academy of Medicine, Action Collaborative on Clinician Well-Being and Resilience (NAM). NAM has requested organizations in the healthcare field submit statements in an effort to foster a national commitment to fight burn-out and fatigue. It is NHADACA’s hope that participating in this effort will help further a conversation about the need to foster provider well-being on both a national and local level.

    Within the coming months, NHADACA will further this effort throughout NH by reaching out to local organizations and invite them to also post organizational commitment statements that support provider well-being.    For more information contact the NHADACA office at 603.225.7060.

  • April 15, 2019 10:12 AM | Anonymous

    Minimizing Risk & Achieving Excellence

    Brought to you by your NHADACA Ethics Committee.

    Check out the most recent data and informative discussion on the topic of Counselor Liability. The purpose of this report is to utilize the CNA claim database over a 10-year period to identify counselor risks, loss patterns and trends.  The report also contains risk control recommendations designed to help mitigate adverse incidents and increase client satisfaction.

    Key findings include:

    ·         $7.8 million paid for counselor malpractice claims over the 5-year study period; $8 million paid during the previous 10 years

    ·         The average total incurred for malpractice claims is $113,642

    ·         Allegations involving sexual/romantic relationships accounted for 43.9% of malpractice allegations.

    ·         $5,454 average license defense cost; up from $3,727 in the 2014 report, a 46.3% increase.

    ·         Deposition assistance and record request matters increased 456% since the 2014 report.

     Click here to access the entire report.


    Click on the below titles to read more on these important topics!

           Counselor Spot Light: BOUNDARIES

           Can we talk?  Three Communication Strategies for Healthcare Providers

           Handling the Angry Patient

           Documentation: An important step in avoiding malpractice

           Counselor Risk Assessment

    This information was taken from the Healthcare Providers Service Organization (HPSO) website on 4/6/2019

  • April 11, 2019 8:50 AM | Anonymous

    Schedule an Appointment Today at 603-915-9202.  For additional information please review the PDF flyer below. 

    Medical Billing Flyer.pdf

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