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11th C. Everett Koop New Hampshire Addiction Medicine Symposium:


Harm Reduction in an Opioid Era:

Promoting the Health & Dignity of Affected Individuals & Communities


January 18th, 2018, 8:30 am - 4:00 pm

Arthur D. Kehas Criminal Justice Training Facility, 17 Institute Drive, Concord, NH 03301


Offered by:

Dartmouth-Hitchcock Substance Use & Mental Health Initiative

(a program of the Dartmouth-Hitchcock Health System)



AdCare Educational Institute of New England

 (formerly New England Institute of Addiction Studies)


 C. Everett Koop Institute



New Hampshire Harm Reduction Coalition

New Hampshire Police Standards & Training Council

New Hampshire Training Institute on Addictive Disorders


Intended Audiences:

Healthcare professionals, safety personnel, law and justice personnel, behavioral health clinicians, educators, legislators and other policy makers, business leaders, community members, all with interest in the topic.



To register, complete the "Attendee Info" and "Attendee Selections", and submit via the orange "Complete and Finalize Registration" button at the bottom of this web page.

Program Agenda:

8:00-8:30 Registration and continental breakfast

8:30-8:40 Welcome, Opening Contents, Foundational Framework for Day's Content

8:40 - 8:50 Opening Comments, New Hampshire Governor Chris Sununu

8:50-9:20  The Principles of Harm Reduction,  Kevin Irwin, NH Harm Reduction Coalition 

9:20-10:30  Innovations in Accessing Medications for Opioid Use Disorders

  • Rationale, medication options, outcomes, Charles Brackett MD; Department of General Internal Medicine, Dartmouth-Hitchcock
  • Treatment initiation in diverse settings - emergency rooms, inpatient settings,  Sarah Wakeman, MD; Medical Director, Mass General Hospital Substance Use Initiative
  • Challenges to pharmacologic treatment of opioid use disorders in correctional settings, Jeffrey Fetter, MD; Chief Medical Officer, NH Department of Corrections

10:30 - 10:45 Break

10:45 - 11:45 Syringe Service Programs: Protecting Individual & Public Health

  • Rationale & New Hampshire implementation,  Kevin Irwin; NH Harm Reduction Coalition 
  • Law enforcement and public safety perspective,  Andrew Shagoury; Chief of Police, Tuftonborough NH & President NH Association of Chiefs of Police
  • Regional examples: Claremont - Geisel School of Medicine students; Seacoast NH
  • Resources to expand access in New Hampshire

11:45 - 12:00 Facilitated Discussion

12:00-1:00  Lunch, exhibits and networking

1:00 - 2:00 Preventing Opioid Deaths

  • Naloxone, overdose intervention, supervised Injection,  Sharon Stancliff, MD; Medical Director, Harm Reduction Coalition, NY, NY
  • Preventing opioid deaths in New Hampshire, naloxone and other options, John Drury; Chief of Police, Farmington NH 

2:00 - 3:00 Initiating Conversations  to Reduce Harm Across Care Settings

  • Healthcare opportunities,  Kerry Nolte, APRN, PhD, UNH College of HHS 
  • Law enforcement opportunities,  David Goldstein PhD, Chief of Police, Franklin NH
  • Peer to peer messaging,  Dean Lemire, NH Harm Reduction Coalition 

3:00 - 4:00 Action Planning to Reduce Harm in New Hampshire

We hope to see you on January 18th for some great presentations and discussion about how we can all work together to reduce harm in the midst of our current opioid challenges!  


Kevin Irwin - Founding Member, New Hampshire Harm Reduction Coalition; Director of Operations, Region Six of the NH Integrated Delivery Network

Charles Brackett, MD, MPH - Department of Medicine, Dartmouth Hitchcock; Assistant Professor of Medicine, Geisel School of Medicine

Sarah Wakeman, MD - Medical Director, Massachusetts General Hospital Substance Use Disorders Initiative; Director, Addiction Medicine Fellowship; Assistant Professor, Harvard Medical School

Jeffrey Fetter, MD - Chief Medical Officer, NH Department of Corrections

Sharon Stancliff, MD - Medical Director, Harm Reduction Coalition Coalition, New York City

Andrew Shagoury - Chief of Police, Tuftonboro, NH; President, New Hampshire Association of Chiefs of Police

Kerry Nolte, PhD, APRN - Assistant Professor UNH College of Health & Human Services

John Drury - Chief of Police, Farmington, NH

David Goldstein, PhD - Chief of Police, Franklin, NH

Dean Lemire - New Hampshire Harm Reduction Coalition

Seddon Savage, MD, MS - Advisor, Dartmouth Hitchcock Mental Health & Substance Use Initiative; Adjunct Associate Professor, Geisel School of Medicine

Learning Objectives:

As a result of attending this symposium, participants will be able to: 

  1.  Articulate the rationale for and principles of evidence-based harm reduction strategies.
  2. Identify two policies that incorporate harm reduction principles and practices.
  3. Describe three harm reduction interventions that will effectively integrate harm reduction approaches into the healthcare continuum or the community. 

Continuing Education Hours and Accreditation:

  • 6.25 contact hours will be offered for substance use disorder counselors.
  • Application is being made for 6 professional contact hours for social workers. For a status update, check this web page or contact or 207-621-2549.
  • Accreditation Information for Physician CME credits and Non-Physician Contact Hours:
    • The University of New England College of Osteopathic Medicine (UNE COM) is accredited by the American Osteopathic Association (AOA) and the Maine Medical Association’s Council on Continuing Medical Education and Accreditation (MMA CCMEA) to provide continuing medical education for physicians.  UNE COM has requested that the AOA Council on Continuing Medical Education approve this program for a maximum of 6.25 hours of AOA Category 2A CME credits.  Approval is currently pending. 
    •  UNE COM designates this educational activity for a maximum of 6.25 AMA PRA Category 1 Credit(s)TM and 6.25 University of New England contact hours for non-physicians.  Contact hours may be submitted by non-physician, non-PA health professionals for continuing education credits.
    •  Physicians and other attendees should only claim credit commensurate with the extent of their participation in this activity.  The University of New England College of Osteopathic Medicine will submit the osteopathic credits to the AOA, upon receipt of attendance by the activity organizer.
    •   This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of University of New England College of Osteopathic Medicine (UNE COM) and Adcare Educational Institute of New England.  UNE COM is accredited by the Maine Medical Association Council on Continuing Medical Education and Accreditation to provide continuing medical education for physicians.


Includes lunch, continental breakfast and breaks:

  • $85 - General Symposium Registration
  • $0 - New Hampshire State, County, or Municipal Law Enforcement Officer Registration
  • $0 - Dartmouth-Hitchcock Staff Registration
  • $0 - New Hampshire Legislator
  • $0 - Student Registration (Must show student ID)
  • $0 - Scholarship Registration Requested (If payment is a barrier to attendance, please email with the title "Symposium Scholarship Request" with a brief scholarship request, including (1) statement of barrier to attending; and (2) how you expect to use the material.)


Please contact us at 207-621-2549 or


Exhibits and Resource Sharing:
There will be an opportunity to display and/or distribute informational materials and resources at the upcoming Harm Reduction conference January 18th. We would be delighted to share information relevant to SUD harm reduction, prevention or treatment.  
  • No charge for non-profits and public agencies, please let Denise Adams at of your interest.
  • For-profit entities please contact Karen Borgstrom to discuss to determine arrangements. 


Click here to register for the program. 

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