Meeting 12 April 2018
Recorder: Marilyn Bedell

Once again there  was a light dusting of snow this morning. Will Spring ever come?

Program — April 12, 2018, at 7:00

Cheri Bryer, Recovery Coach Trainer at DHMC 


Betsy Coble, Proposed Opioid District Grant Review 

Cheri Bryer provided an overview of the reestablishment of the Recovery Coach Program at DHMC.  Cheri has a long history of understanding addiction as a person in  very long term recovery, and now helping many mothers find a path the recovery.  She has worked with mothers at DHMC and at Second Growth. 

Cheri was asked to speak today about the new Recovery Coach Program that our club would like to support with a Rotary Foundation District Grant. Cheri let us know that her position with this new program at DHMC which has been at times part-time; then volunteer; then part-time as a contract employee is now being posted as an official DHMC position. The job posting goes live today.  Her hope is that now that the position will be a formal part of DHMC, there will be even more opportunities for the position to grow and develop.

Cheri Bryer

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The recovery coaches (12 to 15) will be assigned to the emergency department.  A coach will be assigned to work with anyone dealing with an alcohol or drug issue.  The goal will be to work with the individual for 10 hours and then transfer the patient to a community based coach.  The coaches will work to help the individual find the resources they need to begin steps to recovery.
Cheri outlined the 5 stages of recovery:
  • Pre-Contemplation Stage
  • Contemplation Stage
  • Preparation Stage 
  • Action Stage
  • Maintenance and Relapse Prevention Stage
Cheri then went on to describe the various parts of the curriculum for a recovery coach to be certified.  The course focuses on understanding the stigma of addiction; the issues of power and privilege; peer to peer mentoring; meeting the person where they are, and not where you want them to be; ethics and confidentiality; setting boundaries; and understanding available resource.
One a person is certified, then the service can be billed through insurance.  This will make the program sustainable for the long haul.
Following Cheri's presentation, Betsy Coble described the District Grant (if approved, the grant money will come from our Clubs and the Rotary Foundation) that is being proposed to help support this program.
From the draft of the Grant Application:

Please describe the project.  How will it meet the needs of the community? 

This project will provide scholarships for twelve additional substance abuse counselors at the Dartmouth Hitchcock Hospital to complete required training for certification. These counselors will connect patients from the DHMC emergency room with community resources and recovery programs that the patient might otherwise not be aware of.  The scholarships will provide services for future years. This is an important investment that will produce more productive community members and could actually save lives.


Vermont Dept. of Health records show about 3300 people were treated for addiction in 2017 with 101 deaths. There were 476 overdose deaths in NH in 2017

The States of NH and VT are each experiencing serious public health crises driven by sharp increases in opioid use and potency of available opioids.  New Hampshire has the third highest rate of incidence in the country. Increase in opioid use is contributing to severe increases in overdose deaths; stressing emergency services systems; increasing opioid-affected births; and exceeding state capacities for foster care placements. 

Helping persons with opioid use disorders in the Emergency Department engage in appropriate treatment services is one way in which D-H can contribute toward a multi-sector, statewide approach to reducing the burden of opioid-driven crisis in our communities.


What, specifically, will the grant money be used for?

Specifically the money will be used for scholarships for twelve additional qualified Substance Use Recovery Coaches and for dedicated Chromebook notebook computers to record patient information and related treatment plan data to assure continuity of treatment and confidential case information

$5,800 will provide scholarships to recovery coaches for certification and will purchase Chromebook computers for twelve new coaches. The courses are given generally over a period of four to six months with multiple sections using the scholarship funds of $5,800. The training is provided in sections by multiple entities. The participants have no control over the timing of the section presentation.

For Counselors to be certified they must have 500 hours of paid or volunteer work experience as described in certification guidelines and 46 hours of education covering the 12 core functions (in four domains: advocacy, ethical responsibility, mentoring and education, recovery & wellness support) further to include AT LEAST:

1) 16 hours of education in Ethics related to substance use counseling;

2) 6 hours of education in Suicide Prevention; and

3) 6 hours of education in HIV and AIDS.  

The Grant Proposal was discussed by the club members present.  The members voted to support the grant request. If approved, $3,000 will come from our clubs and $3,000 will be matched by the Rotary Foundation for a total of $6,000. In addition we approved spending and additional $500 in 2019-20 and 2020-21 to education one additional coach each year if they are needed for program growth or due to attrition. 

Kudos to the members of the Grants Committee who quickly assessed which community needs that could be met by a Rotary District Grant in 2019/20.   

  • Our lunch meeting on May 3, 2018 will be at the Kilton Library at 12 noon.  Anticipate this being a brown bag luncheon.
  • April 17, 2018 at 5:30 PM — Combined Lebanon and Lebanon-Riverside Board Meeting at Steve Whitman's Conference Room in the Whitman Building in Lebanon. 
  • April 19, 2018 at 5:30 PM — Great American Pie Buffet Meeting at Tim Gauraldi's Nationwide Office in Lebanon.
  • April 30, 2018 — Charter Ceremony for the the Lebanon High School Interact Club.  Members encouraged to come and support this new clubs.  Food will be served.  Cost to determined.
Other News
We have identified three students who would like to go the the Rotary Leadership Award (RYLA) Conference at Lyndon State.  Volunteers needed to interview the students.  If you are interested, contact Susan Donnelly.
Some of our Interact Students would like to come to the District Summit at the Mt. Washington Hotel on Saturday, May 5, 2018.  Drivers needed to help get the students to the conference.  Let Sue Donnelly know if you can help with this task.
This morning the book that went to the Kilton Library's Children's Collection was Anything But Ordinary Addie

Happy Dollars
Anniversary, Birthday and OtherCelebrations:
  • Ernst is celebrating his 45th wedding anniversary1
  • Suellen's Mom turns 89 year old!
  • Jenn's Dad celebrated his 80th birthday with 70 in attendance.  She also noted this was the day of her husband's first kiss 10 years ago.
  • Bob Gasser is celebrating his 54th anniversary...note they only fight over the thermostat
  • Jim D's mom is 91 year old
  • Marilyn reflected on doing a Rotary make-up at the Rotary Club of Nashville.  It was the 50th anniversary week of Martin Luther Kings death.  Actor Barry Scott did a historical review of Dr. King's sermons.  When quoting Dr. King, Scott sounded just like Martin Luther King.  From his bio: An authority on the life and works of Dr. Martin Luther King, Jr., Scott wrote and starred in Ain't Got Long to Stay Here as a tribute to Dr. King and to teach a generation of students about one of America's most violent and inspiring times, and the man who literally changed the entire nation. Scott is so convincing in his portrayal of Dr. King, that Coretta Scott King once cornered him between acts of a play to compliment him on his realistic and honest depiction of her late husband. An amazing Rotary Program! We won't have had an opportunity to hear him without Rotary.
  • Steve reflected on accompanying the Dartmouth Gospel Choir to Chicago.  He reported behavior isn't a problem with this group as the report to a higher power.  Steve is off to North Carolina and the Outer Banks tomorrow.  Looking forward to having the sun back winter out of him.
  • Jim is headed to Florida.  No Hockey
  • Don reports that his daughter is moving back to NH.  He will have his kids in state once again.
  • Joe is headed to Gaspé, Quebec.  He reported that he and Jane traveled to Buffalo so Jane could compete in a prestigious weight lifting competition (Jane set three national records)...snow, high winds and whiteouts make the journey difficult.
  • Steve was in Ithaca, NY for a cousins reunion...He is the elder cousin of the group.
  • Ron reflected on touring Oak Ridge, Tennessee.  This was one of the three primary location for the Manhattan Project during WWII.  This is the place where the uranium was produced for the first atomic bomb that was dropped on Hiroshima, named Little Boy.  The second bomb, Fat Boy” was produced with plutonium which was produced in Hanford Washington.
Other News:
  • Dean reflected on making the meatloaf dinner at Listen last week.
  • Bob let us know his daughter is taking him on another cruise to Havana.  For his daughter it is work, an inspection tour.  He also reflected in 1968 he was nominated to run for Congress...a scary time in US history.
  • Bruce attended a Mascoma Interact meeting where they were planning how to complete the fundraising for there 10,000 Meal event.
  • Willy reported his son has been accepted at the University of Virgina's School of Business.  When his Mom asked him about cost, he informed her she didn't have to worry about nice!
  • Michelle just reported she is happy!

Card Raffle — Ron Bedell pulled the 7 of Diamonds
Car Wash — Was won by Bob Gasser

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