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ASPIRE

ASPIRE: Analysis of Cerebrospinal Fluid Using Rheology

Supported by: Department

Principal Investigator at BMC: James Holsapple, MD

Primary Research Contact: Brandon Finn, BA (617-638-8600)

 

A New Reality for Beauty Standards: How Selfies and Filters Affect Body Image

December 31, 1969

For More Information, Contact:
Jessica Lyons
Office of Communications
617-638-6838
[email protected]

(Boston) – With the spread of photo-editing technology through applications like Snapchat and Facetune, the level of physical “perfection” previously seen only on celebrity or beauty magazines is now all over social media. As these images become the norm, people’s perceptions of beauty worldwide are changing, which can take a toll on a person’s self-esteem and can trigger body dysmorphic disorder , argue Boston Medical Center (BMC) researchers in a JAMA Facial Plastic Surgery Viewpoint.

Body dysmorphic disorder (BDD) is an excessive preoccupation with a perceived flaw in appearance, often characterized by people going to great – and at times unhealthy – lengths to hide their imperfections. This can include engaging in repetitive behaviors like skin picking, and visiting dermatologists or plastic surgeons hoping to change their appearance. The disorder affects around 2 percent of the population, and is classified on the obsessive-compulsive spectrum.

The viewpoint authors reference studies that show teen girls who manipulated their photos were more concerned with their body appearance, and those with dysmorphic body image seek out social media as a means of validation. Additional research has shown 55 percent of plastic surgeons report seeing patients who want to improve their appearance in selfies.

“A new phenomenon called ‘Snapchat dysmorphia’ has popped up,” said Neelam Vashi, MD, director of the Ethnic Skin Center at BMC and Boston University School of Medicine, “where patients are seeking out surgery to help them appear like the filtered versions of themselves.”

According to the authors, surgery is not the best course of action in these cases, because it will not improve, and may worsen underlying BDD. They recommend psychological interventions such as cognitive behavioral therapy and management of the disorder in an empathetic and non-judgmental way.

“Filtered selfies can make people lose touch with reality, creating the expectation that we are supposed to look perfectly primped all the time,” said Vashi. “This can be especially harmful for teens and those with BDD, and it is important for providers to understand the implications of social media on body image to better treat and counsel our patients.”

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BMC Selects 10 Communities to Strengthen Trauma-Informed Early Childhood Systems and Promote Child Wellbeing

December 31, 1969

For More Information, Contact:
Jenny Eriksen Leary
Office of Communications
617-638-6841
[email protected]

Boston – Boston Medical Center’s (BMC) Vital Village Network is working with communities across the country to expand their model of community building to promote child health and opportunity. Through a $2.2M grant supported by the Robert Wood Johnson Foundation (RWJF), Vital Village has selected ten local communities to form the Networks of Opportunity for Child Wellbeing (NOW) Learning Community to address barriers and develop innovative community partnerships aimed at improving the early childhood experience.

The Vital Village Network at BMC fosters critical partnerships between BMC, community-based organizations, providers, and local residents to maximize child, family, and community wellbeing in Boston neighborhoods.  

Launched in 2016, NOW builds on Vital Village’s network approach to build the capacity of other local communities and coalitions across the country working to: promote child wellbeing; align systems of care and education in early childhood; and improve neighborhood opportunity structures that promote optimal wellbeing and reduce inequities in child health and education – all through a trauma informed lens. The NOW initiative is a part of the RWJF-funded HOPE (Harnessing Opportunity for Positive, Equitable Early Childhood Development) Consortium that includes Nemours Children's Health System and the BUILD Initiative. 

The Vital Village model invests in leadership development for community residents, increases civic engagement, and rapidly scales and spreads innovations to improve community wellbeing. This has led to community-led innovations, such as: a local breastfeeding coalition to support mothers who want to breastfeed; drop-in support groups; and a volunteer-led social justice mediation program to train members in the community about conflict resolution techniques that they can use at work and at home.

Over the next 18 months, the NOW Learning Community will support the selected communities to build a robust set of knowledge, skills, and tools to scale and sustain equitable transformation of early childhood, education, and health systems in their neighborhood, city, or county. Each recipient will receive in-depth, and tailored technical assistance in key capacity-building areas – such as utilizing equity tools and frameworks; mobilizing community leaders; using data and storytelling tools; and communicating with diverse stakeholders – in order to build a strong and healthy foundation for all children and families. The learning community will also be supported through the NOW Online Forum, which will promote learning and networking across the country among recipients. The communities will be able to share toolkits, stories, and model innovations with the other sites.

“It is clear that adverse social environments and experiences in early childhood are key drivers of inequities in health and development and have a durable impact on wellbeing and life chances,” said Renee Boynton-Jarrett, MD, ScD, founder of Vital Village and a pediatrician at BMC. “Communities across the country are responding by identifying how systemic inequities, institutional racism, and historical and community trauma harm health, but also cultivating community-based solutions and developing sustainable neighborhood opportunity structures to promote child wellbeing, which is transformative.”

Key partners include: the National League of Cities Institute for Youth, Education and Families; Children’s Health Watch; The Brazelton Touchpoints Center; and Reaching Our Sisters Everywhere (ROSE).  Six community coalitions were invited to serve as Mentors-in-Residence, including The California Consortium for Equity in Early Care and Education (California); The Consortium for Resilient Young Children (Ohio and Kentucky); Opportunity Knocks for Middletown’s Young Children Community Collaborative (Connecticut); Smart Beginnings Southside Families-Greater Emporia (Virginia); Somerville Community Cabinet – SomerBaby (Massachusetts); and West Philadelphia Action for Early Learning & Partners: Drexel University, Health Federation and Public Citizens for Children and Youth (Pennsylvania). The Vital Village Network is one of three partner organizations in the HOPE Consortium, which includes the BUILD Initiative and the Nemours Children’s Health System, who are engaging with state-level early childhood leaders, to support the development of tools and strategies to promote communication, partnership and alignment between city, county, and community coalitions and state leaders.

“NOW allows us to create a meta-network for shared learning and to refine measures to better capture the community capacities that promote success,” said Boynton-Jarrett. “Through our combined efforts we can identify effective strategies that build the capacity of local communities to support the strongest, most successful start for children and contribute to culture of health that reduces inequities.”

Finalists were selected through a rigorous, multi-part review process and from a robust pool of 139 applicants from across the country. Participants in the NOW Learning Community include:

United Way of Metro Chicago’s Austin Neighborhood Network
Austin Coming Together
Chicago, Illinois

Berkeley Early Education and Care Collective
Berkeley County First Steps
Berkeley County, South Carolina

Community Outreach and Patient Empowerment
Community Outreach and Patient Empowerment
Navajo Nation

Essex County Council for Young Children
Programs for Parents, Inc
Newark, New Jersey

Family Engagement Network
First Things First
Pima County, Arizona

Generations Forward Children's Collaborative
The Opportunity Council and the Whatcom County Health Department
Whatcom County, Washington

Moving Ahead, Adelante!
Colorado Statewide Parent Coalition and Jefferson County Public Health
Jefferson County, Colorado

The New York Immigration Coalition
The New York Immigration Coalition
New York City, New York

Voices and Choices for Children Coalition
Children’s Defense Fund-Minnesota
Minneapolis-Saint Paul, Minnesota

Young Child Wellness Council
Child Development Resources, The University of Alabama
Tuscaloosa, Alabama

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About Vital Village Community Engagement Network
The Vital Village Network is committed to maximizing child, family, and community wellbeing.  Since 2010, Vital Village has fostered partnerships between residents and organizations aimed at improving the capacity of three Boston communities to promote child wellbeing and prevent early life adversities.  The Network uses a trauma-informed lens to support systems alignment and collaboration across community-based early childhood health and education efforts.  Our focus areas include promoting family strengths and social connections during the preconception and prenatal period, peer-to-peer advocacy aimed at addressing social and material hardships, and innovations in early childhood education. For more information about Vital Village, visit http://www.vitalvillage.org/.

The Team

Boston Medical Center | Boston Senior Home Care | Central Boston Elder Services | Ethos

The BMC Brief, Volume 7, Issue 7

December 31, 1969

Finding Home: A Refugee’s Story

"I said to my son, ‘Just be careful next time,’ but actually I was very scared.”

After Mustafa’s son told Mustafa two men tried to lure him into their car during a routine trip to the store, the father of five quickly realized it was a kidnapping attempt and knew it was becoming more dangerous for his family to live in Iraq. Mustafa had been working with an organization advocating for humanitarian efforts and freedoms. As a result, he and his family encountered threats to their safety and well-being. “Some people didn’t like freedom,” he explains. “They don’t know how to love other people.”

Mustafa and his family made the difficult decision to leave their home in Iraq, and set their sights on the Boston area where his brother lived. “A big reason I came to the United States was to be sure my family would be safe,” says Mustafa. However, it was not without its struggles. “When you move to a new place, you leave many things behind you, like your history, friends, family. Everything,” he adds. “I faced many challenges.”

There to help Mustafa and his family was the Immigrant and Refugee Health Program at Boston Medical Center, where Internist Sarah Kimball, M.D., is the medical director. “We see our program as a place where people can have both their health care needs met and a whole host of social needs, like immigration navigation and medical case management,” notes Kimball. “We put in place the pieces we know are particularly challenging for our immigrant and refugee patients so they can be as healthy as any of the rest of us in Boston.”

One of Kimball’s first steps in caring for Mustafa was to perform an examination to assess his overall health. It was then Kimball discovered Mustafa had high blood pressure and diabetes. “I was surprised and I was scared,” Mustafa recalls. While medication was needed to treat Mustafa’s conditions, Kimball knew it was not as simple as writing a prescription for someone who is still acculturating to life in a new country. A core component of the program is to factor how all aspects of a patient’s life could impact disease management. “It can be hard for patients to worry about the silent conditions when they’re worried about safety, their jobs, being able to understand people in their community,” she explains. “You can’t just look through a biomedical lens.”

While addressing Mustafa’s chronic conditions from a medical standpoint was important, it was just one piece of his care. Kimball also looked at Mustafa’s life from a broader perspective, like employment and housing, as they are all connected to one’s health. “Often, we have to think outside of the box in terms of what else has to be in place in order to take care of something that could be fairly straightforward, like high blood pressure,” she notes. “We often say immigration status is a social determinant of health and it’s really predictive of what services patients can access, what their experience is…We can’t just focus on medical issues. We have to focus on people’s abilities to acculturate, like their comfort in their neighborhood and sense of safety.”

The wraparound care approach came as a welcome surprise to Mustafa. “When you hear of BMC, you think of a center that takes care of medical things. But I found out they take care of everything around you,” he says. To facilitate the family’s adjustment to a new area, the program assisted them with learning English, applying for green cards, teaching them about services throughout the hospital and community, navigating the education system and even providing career advice to Mustafa’s college-aged daughters. Their medical team also helped with the tough New England winters by providing Mustafa’s children with warm winter coats—having arrived in January, the family was not yet prepared for the cold temperatures. One instance which struck Mustafa was when his son’s pediatrician asked if he needed a bicycle, to ensure he was playing outside.

As Mustafa and his family continue to deepen their roots in the United States, it feels more like home each day and they are hopeful for what lies ahead—something Mustafa says would not have been possible without BMC. “BMC does not just take care of our health,” he concludes. “They are taking care of my family’s future.”

You can hear more about Mustafa and his story here.

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In Their Words

BMC frequently receives letters from patients sharing their experiences with the hospital. This is an excerpt from a letter that was sent to Kate Walsh, president and CEO.

Dear Ms. Kate Walsh,

I’ve never written to a C.E.O. before. I don’t know how to address you with the respect you and your hospital truly deserve. I also don’t know proper protocol. So respect is in, and protocol is out.

I recently had major surgery at BMC. Dr. [Jennifer] Tseng removed a growth on my pancreas the size of a small apple. Operation went very smoothly – quick recovery and minimal pain. I believe only Tylenol was needed. As good as that sounds, it’s not why I’m writing this letter. I’m writing because of the people working at BMC. I’m talking about the people parking my car. I’m talking about the people cleaning my room. I’m talking about everybody I came into contact with. I even got a hug from my surgeon (totally cool!).

Kate, here’s where protocol goes out the window and I inject some humor.

Kate,
Guess what. You have black people, white people, and 30 shades in-between. All working together.

Kate,
Guess what else. You have different religions working together. There’s Christians, Muslims, Jews, and every other religion working together.

Hey Kate,
Guess what else. They all get along. All these different colors, all these different religions, they all get along. I could see the kindness and respect they had for each other. That kindness and respect was given to me and everyone else.

Kate,
The diversity at your hospital is awe-inspiring. It gives me hope that we as humans can someday live in the same harmony as your small city of people at BMC.

With all my respect,
Al
Three Rivers, MA

P.S. Kate, one last thing. BMC could “teach the world to sing!” I give all my heart to everyone at BMC. There isn’t enough paper for me to express the goodness I feel about everyone at BMC. So I won’t, but it will always be in me.

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Five Things You Might Not Know About BMC HealthNet Plan

With the launch of MassHealth ACO program in March, you may have been hearing more about BMC HealthNet Plan and how we are working even closer together as an integrated health system. Working together as a system is critical for us to be successful in the MassHealth ACO program and moving forward will allow us to better care for and serve our patients.  While some of you may work regularly with colleagues at BMC HealthNet Plan, we know that there are likely others who have questions about what exactly the plan, also known as BMCHP, is and how we work together. The BMC Brief is here to help, with five things you might not know about BMCHP.

BMCHP is part of the BMC Health System.

While you might think of only the hospital when you hear “BMC,” this is only one way we help care for patients. Boston Medical Center and BMCHP, along with 14 community health centers, are part of the broader BMC Health System that helps care for patients across Massachusetts in a number of ways.

Another important organization within our system is Boston Accountable Care Organization (BACO). a network of providers that serves BMC and community health center primary care patients, including those covered by some commercial payors and the MassHealth ACO program. BMCHP partnered with BACO to participate in the State’s MassHealth ACO program with the goal of improving patient outcomes by promoting healthy behaviors, developing population health management programs, improving data exchange, and promoting

BMCHP has a long history of serving BMC patients and others in New England.

BMCHP was established in 1997 by BMC to support the mission of the hospital, making it one of the state’s original managed care organizations. At the time, Massachusetts was considering other ways to offer coverage to low-income families and individuals, and BMC saw an opportunity to help serve its patients who use MassHealth, the state’s Medicaid program, by creating its own managed care organization. Under the MassHealth program, people get a choice of plans for insurance coverage – BMCHP is one of those choices.

BMCHP takes a population health management approach to help members stay healthy.

Instead of just paying for basic medical care, BMCHP develops plans to help improve the health outcomes of their members. They do this by assessing members’ physical, social, and emotional health, as well as the health and needs of members’ communities. With this information, BMCHP is able to help address social determinants of health, such as housing and food insecurity, including collaborating with physicians to ensure patient needs are met. They also set up complex care management and disease-specific management programs that provide members with personalized care. These programs all contribute to improving health outcomes and lowering costs.

BMCHP operates across Massachusetts and New Hampshire.

BMCHP is one of the largest managed care organizations in Massachusetts. It serves over 400,000 members in Massachusetts and New Hampshire, including approximately 240,000 MassHealth members and 70,000 Medicaid members in New Hampshire (where it’s known as WellSense Health Plan). BMCHP also serves approximately 88,000 members through a commercial health plan available on Massachusetts’ Health Connector. BMCHP has members in nearly every county in both Massachusetts and New Hampshire.

BMCHP also offers a Senior Care Option program.

In January 2016, BMCHP began participating in the Massachusetts Senior Care Options (SCO) program. Through this program, BMCHP provides comprehensive, integrated care for seniors who are 65 and older, are eligible for MassHealth Standard and who may also be enrolled in Medicare. BMCHP offers a model of care that coordinates and promotes coverage of specialized geriatric services that helps them better meet the specific needs of seniors, including through social support services, while reducing the cost of care. Currently, BMCHP serves members in five Massachusetts counties under this program: Barnstable, Bristol, Hampden, Plymouth, and Suffolk. They hope to expand across the state.

To learn more about BMC HealthNet Plan, visit their website.

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What do you do, Internal Medicine Education Administration Team?

Q: What does your department do?
A: We are the administration team that oversees the internal medicine (IM) residency training program and the IM student clerkship experience. On the student education side, we’re responsible for the medicine 1 and 2 clerkships, the sub-internship and advanced acting internship experiences, and internal medicine bootcamp. Bootcamp is a relatively new program for fourth year students. It’s a two-week intensive experience designed to prepare students for internship through a series of simulation exercises.  

On the residency program side, we’re responsible for all the operations of the internal medicine residency program, which includes primary care, categorical and preliminary tracks, as well as six individualized pathway options for specialized training in global health, HIV, quality improvement and patient safety, urban health, research through the Framingham Heart Study, and medical education. We are the largest graduate medical education training program at BMC. Altogether our student and resident education programs impact over 400 trainees in BU and BMC annually.

Part of our responsibilities is making sure that all these programs are compliant with ACGME and LCME regulations, which are the national governing bodies that oversee resident education and medical schools, respectively. We’re required to collect and submit data routinely to ensure compliance and maintain accreditation.

We also work with a large group of core faculty to help improve skills by providing them with feedback on their teaching from all levels of trainees. We’re very involved in faculty development programs, such as our annual medical education and leadership retreats.

Q: What’s a typical day like for your department?
A: There’s no typical day for us, but that’s part of what makes our jobs fun. Our focus changes a lot depending on the time of year it is. We might be focused on recruiting a new intern class or orientation and onboarding or administering in-training exams.

We’re very customer service-focused. We spend a lot of time responding to the needs of our customers, who are our students, residents, and faculty. We respond to a steady flow of inquiries via phone, email and/or in person. We also do a lot of troubleshooting!

For example, right now we’re prepping for recruitment season. We’re also working to improve our evaluation process, soliciting grand rounds speakers, updating our research database, working on our website, and planning a major alumni event. 

Q: We’ve heard you have a lot of team spirit! How do you keep that going?
A: Team spirit is the core of who we are and what we do here. We really embrace the diversity of our team and value that quality in our training program. That diversity contributes to our team spirit. We’re always looking for ways we can be there for our trainees.

We always try to have fun. We work really hard in this office, but for most people, this is more than just a job. We’re extremely passionate about the work we do here. It all stems back to people’s commitment to the mission of BMC and their passion for medical education. That really unites us as a team.

And it’s important for our wellness as a group to be able to have a little fun. These jobs can be stressful at times, so we do try to bring that team spirit.

Q: What’s one thing you want staff to know about the Internal Medicine Education Administration team?
A: People might not realize what it takes to enroll 50 new interns each year. We review over 4,000 applications to the program and interview about 400 candidates. We don’t conduct the interviews ourselves, but we organize all of the logistics involved in interviewing approximately 20 applicants per day. It requires the entire team and many, many faculty members to make this happen. It takes a village to recruit and train an intern, and we coordinate that village.

Also, because we’re a large operation in terms of our training programs, that gives us the opportunity to seek out and develop a diverse set of skills amongst individual team members.  Each administrator on our team has specific areas of expertise.  This is unique as compared to some of the smaller training programs at BU/BMC. We have seven administrators total – five focus on resident education and two focus on student education.

Q: What do the core values mean to your team?
A: As a team, we embrace BMC’s core values to the fullest. With respect to “many faces create our greatness,” our team member’s heritages represent various U.S. locations, Colombia, the UK, and Uganda. Recruiting a very diverse intern class every year is an important part of our operations. We also strive to embrace the diversity of our trainees in the program and find ways to support them. It’s really at the heart and soul of what we do here.

We’re a team that also moves mountains every day. We’re very skilled at problem-solving and figuring out how to make things happen and how to make improvements for our training programs.

For example, in our onboarding process, we bring on 50 new interns each year. The onboarding process is a huge endeavor that involves many, many people at BUSM and BMC. We work very closely with the graduate medical education office and the faculty here. We also have to ensure that all interns are fully credentialed and troubleshoot any issues that arise in the process. We coordinate all of those moving parts to ensure that new interns have a smooth experience and can start seeing patients on day one. It takes the entire team to make that happen.

Our team also embodies the mission of BMC beyond their routine responsibilities. For example, we have employees who volunteer at the Pine Street Inn, the Outreach Van Project and with the Refugee Clinic. We touch BMC in many ways that go beyond the expectations of our positions.

Q: What does your department like most about being part of BMC?
A: The best thing is being able to see evidence of the quality experience our trainees receive. We love seeing them thrive and working closely with them to make that happen. The whole broad team we work with is great, from our team members to faculty, residents, and other administrators.

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News of Note

Sebastian Hamilton Appointed Member of MA Board of Registration in Pharmacy

Sebastian Hamilton, director of outpatient pharmacy, has been appointed to the Massachusetts Board of Registration in Pharmacy for a term beginning August 1. The board tracks, provides codes for, and sets quality standards for pharmacists, pharmacy interns, and pharmacy technicians.

Department of Pathology and Laboratory Medicine Accredited

The Department of Pathology and Laboratory Medicine has been accredited by the Accreditation Committee of the College of American Pathologists after a recent on-site inspection. Both Anatomic Pathology and Laboratory Medicine passed the inspection with a less than one percent deficiency rate.

Xinning Li Voted into American Shoulder and Elbow Society

Xinning, Li, MD, an orthopedist at BMC, was voted into the American Shoulder and Elbow Society. The American Shoulder and Elbow Surgeons (ASES) is a society made up of leading national and international orthopaedic surgeons who are experts and specialize in the surgery of the shoulder and elbow. It has only 250 worldwide members, including approximately five in Massachusetts.

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Boston Medical Center Addresses Violence in the Community


Dr. Tejal Brahmbhatt 

July 25, 2018

When trauma surgeon Tejal Brahmbhatt, MD, enters the operating room, he knows that seconds matter. He is also confident in the team by his side.

"They're like a NASCAR pit crew," said Dr. Brahmbhatt. "Everybody has an assigned role, and they do a specific thing at the same time."

Emergency Departments Can Be an Effective Venue for Hepatitis C Virus Testing

December 31, 1969

For More Information, Contact:
Tim Viall
Office of Communications
617.638.6857
[email protected]

(Boston) - Boston Medical Center has shown that testing for the Hepatitis C Virus (HCV) outside the typical high-risk population can be successfully implemented in an emergency department setting, resulting in more patients being screened, diagnosed and treated who might not have been otherwise. The new study, published in Academic Emergency Medicine, is the first report of a large scale emergency department program, which increased the monthly rate of HCV screening by more than 6,000 percent by testing regardless of patients’ perceived risk for the disease.                                                                                                  

In 2012, the Centers for Disease Control and Prevention endorsed guidance for routine one-time HCV screening for individuals born between 1945 and 1965, as well as the continued targeted testing for drug users and others at high risk for HCV infection. However, that guidance has had little impact on those born after 1965, and since 2011, the steady, significant increase in new HCV infections nationally is attributable to the opioid epidemic and associated injection drug use.

“Our findings indicate that if we had only tested the high risk birth cohort, there would have been 268 missed cases and 155 missed active infections,” said Elissa Perkins, MD, MPH, the study’s lead author and an emergency medicine physician at Boston Medical Center. “Physicians and patients should consider screening for HCV outside of the typical high-risk groups to ensure appropriate HCV diagnosis.” 

HCV is a condition that is easily transmissible by contact with blood or through sharing needles with an infected person. Over time, it can cause liver inflammation and lead to liver failure. There are effective treatments available, but many patients are unaware that they have the infection. 

The researchers collected data from a three month period, between November 2016 and January 2017, and found that HCV tests were performed in BMC’s emergency department on 3,808 patients, an average of 1,269 per month. That was a 6,950 percent increase from the 2015 to 2016 monthly average of 18 HCV screenings per month. Patients had to be at least 13 years old, were already undergoing blood testing for clinical purposes, and gave authorization for HCV antibody and reflex confirmatory RNA tests. 

Thirteen percent (504 cases) of the initial HCV tests were positive, and of those, 97 percent (493) had a follow up RNA test performed. Active infections were confirmed positive for 292 cases for an overall HCV positivity rate of almost 8 percent. Of those with an active infection, 155 cases, or 4 percent of all individuals tested, fell outside of the Center for Disease Control and Prevention’s birth cohort for increased risk for HCV.

Perkins and her team used a Best Practice Advisory to alert providers in the emergency department about the program and generate order labels. Information technology allowed them to build documentation of verbal informed consent into patients’ electronic medical records and make the HCV screening streamlined and efficient for the emergency department staff.

The study also attempted to link patients with active infections to follow up care; appointments were scheduled for 102 patients (approximately 35 percent), and ultimately, 66 patients made a care visit (22 percent of all active infection patients).

“Those 66 patients that were connected to care through our program demonstrate the importance of increasing screening rates for HCV infection,” said Perkins.

Funding for the testing program was provided by a grant from Gilead Science, Inc.’s FOCUS Program, the Providence/Boston Center for AIDS Research, and by the Center for Health Economics.

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Cogeneration Power Plant

Boston Medical Center Installs $15 Million Cogeneration Plant to Increase Energy Efficiency and Resiliency

2018 Grayken Center for Addiction Young Adult Summit

2018 Grayken Center for Addiction Young Adult Summit

Date: October 26th, 2018

Location: Boston Medical Center, Boston MA: Hiebert Lounge, 72 E Concord Street, Floor 14, L Building

7:30 am – 8:00 am: Breakfast and Registration

7:50 am – 8:00 am: Welcome 

8:00 am – 8:10 am: Introduction 

  • Sarah Bagley, MD, MSc; Assistant Professor of Medicine and Pediatrics at Boston University School of Medicine; Medical Director for the CATALYST Clinic; Faculty, Grayken Center for Addiction at Boston Medical Center
  • Scott Hadland, MD, MPH, MS; Assistant Professor of Pediatrics at Boston University School of Medicine; Director of the Urban Health and Advocacy Track for Boston Children's Hospital and Boston Medical Center Combined Residency Program in Pediatrics at Boston Medical Center; Faculty, Grayken Center for Addiction at Boston Medical Center

8:10 am – 8:30 am: Personal Narrative from a Young Adult in Recovery 

8:30 am – 9:15 am: Keynote Panel – Developing Principles of Care for Young Adults with SUDs
Moderator: 

Panelists: 

  • Zev Schuman Olivier, MD; Executive Director and Research Director, Cambridge Health Alliance Center for Mindfulness and Compassion; Instructor of Psychiatry, Harvard Medical School; Faculty and Investigator for the Center for Technology and Behavioral Health at Dartmouth
  • Jon Zibbell PhD; Senior Public Health Scientist, Behavioral Health Program, RTI International
  • Sharon Levy, MD, MPH; Director, Adolescent Substance Use and Addiction Program, Division of Developmental Medicine, Boston Children's Hospital 
  • Carolyn Castro-Donlan, PhD; President and CEO, Castro-Donlan Consulting LLC

9:15 am – 9:30 am: Break (Refreshments Provided) 

9:30 am – 11:00 am: Break Out Session 1 

Group A: Intersection of Emerging Adults and the Criminal Justice System

Group B: Evidence-Based Treatment for Young Adults, Including with Medications 

Group C: Addressing Co-occurring Depression, Anxiety and PTSD

  • Lisa Fortuna, MD, MPH, MDiv; Director of Child and Adolescent Psychiatry, Boston University School of Medicine; Faculty, Grayken Center for Addiction at Boston Medical Center
  • Sarah Valentine, PhD; Assistant Professor in Psychiatry, Boston University School of Medicine; Faculty, Grayken Center for Addiction at Boston Medical Center

11:30 am – 12:00 pm: Defining Success for Young Adults with SUDs

12:00 pm – 1:00 pm: Lunch and Lightning Sessions (Lunch Provided) 

12:00 pm – 12:15 pm Lightning Session – Involuntary Treatment 

  • Leo Beletsky, JD, MPH; Associate Professor of Law and Health Sciences, Northeastern University School of Law

12:15 pm – 12:30 pm Lightning Session – Trafficked Populations

1:00 pm – 2:30 pm: Break Out Session 2

Group A: Engaging Families in Intervention and Treatment

  • Sarah Bagley, MD, MSc; Assistant Professor of Medicine and Pediatrics at Boston University School of Medicine; Medical Director for the CATALYST Clinic; Faculty, Grayken Center for Addiction at Boston Medical Center
  • Fred Muench, PhD; President and CEO, Partnership for Drug Free Kids

Group B: Harm and Risk Reduction 

  • Daniel Raymond; Policy Director, The Harm Reduction Coalition 
  • Jessica Gaeta, MD; Chief Medical Officer, Boston Health Care for the Homeless; Assistant Professor of Medicine, Boston University School of Medicine 

Group C: Role of Young Adult Support Services 

  • Tim Rabolt; Executive Director, Association of Recovery in Higher Education (ARHE)
  • Scott Strode; National Executive Director and Founder of The Phoenix

2:30 pm – 3:00 pm Break (Refreshments Provided) 

3:00 pm – 4:30 pm: Synthesizing Insights from the Breakout Sessions

Facilitator:

  • Joshua Sharfstein, MD; Professor, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health

4:30 pm – 5:00 pm: Concluding Remarks


Michael Botticelli, Executive Director, Grayken Center for Addiction at Boston Medical Center

Michael Botticelli, MEd

Executive Director, Grayken Center for Addiction at Boston Medical Center

Michael Botticelli is one of the nation's leading addiction experts, and served as the Director of National Drug Control Policy at the White House under President Obama. He was the first person to hold the position who was also in long-term recovery from a substance use disorder and who came from a public health background.

This marks a return to Boston for him, where he previously served as Director of the Bureau of Substance Abuse Services at the Massachusetts Department of Public Health, working closely with many BMC experts and others to extend successful models of care developed at BMC across the state and the nation. He has served in a variety of leadership roles for the National Association of State Alcohol and Drug Abuse Directors. He was a member of the Advisory Committee for the Substance Abuse and Mental Health Services Administration's Center for Substance Abuse Prevention and the National Action Alliance for Suicide Prevention. He has also co-authored many peer-reviewed articles that have significantly contributed to the field. Born in Upstate New York, Mr. Botticelli holds a Bachelor of Arts degree from Siena College and a Master of Education degree from St. Lawrence University.

Contact: [email protected]


Sarah Bagley, MD, MSc

Sarah Bagley, MD, MSc

Assistant Professor of Medicine and Pediatrics at Boston University School of Medicine, Medical Director for the CATALYST Clinic;
The Grayken Center for Addiction at Boston Medical Center

Sarah Bagley is the founder and director of the BMC program for adolescents and young adults with substance use disorders called CATALYST (Center for Addiction Treatment for AdoLescent/Young adults who use SubsTances). She also serves as an attending physician on the Inpatient Addiction Medicine Consult Service team at BMC and is an assistant professor of medicine and pediatrics at BUSM. Prior to her appointment at BMC, Bagley trained in a combined internal medicine-pediatrics program at Brown University. Her research focuses on the engagement of adolescent and young adults in substance use disorder treatment and involving family in addiction treatment.

Contact: [email protected]


Scott Hadland, MD, MPH, MS

Scott Hadland, MD, MPH, MS

Assistant Professor of Pediatrics at Boston University School of Medicine,
Director of the Urban Health and Advocacy Track for Boston Children's Hospital and Boston Medical Center Combined Residency Program in Pediatrics at Boston Medical Center;
The Grayken Center for Addiction at Boston Medical Center

Scott Hadland is pediatrician and addiction specialist at Boston Medical Center and Boston University School of Medicine. Dr. Hadland's clinical and research interests focus on youth substance use and improving care for young people who use heroin and prescription opioids. His work has been published in leading journals, including The Lancet, JAMA Pediatrics, JAMA Internal Medicine, Pediatrics, and Addiction. Dr. Hadland was the 2016 recipient of the New Investigator Award from the Society for Adolescent Health and Medicine and has received funding from the Thrasher Research Fund, Society for Adolescent Health and Medicine, Academic Pediatric Association, and National Institute on Drug Abuse.

Contact: [email protected]


Keynote Panel – Developing Principles of Care for Young Adults with SUDs

Zev Schuman Olivier, MD

Zev Schuman Olivier, MD

Executive Director and Research Director, Cambridge Health Alliance (CHA) Center for Mindfulness and Compassion, Cambridge Health Alliance
Instructor of Psychiatry at Harvard Medical School,
Faculty Member and Investigator at the Center for Technology and Behavioral Health at Dartmouth

Zev Schuman-Olivier is Medical Director for Addiction Services at Cambridge Health Alliance (CHA), the Executive Director and Research Director of the CHA Center for Mindfulness and Compassion, Instructor of Psychiatry at Harvard Medical School, as well as a Faculty Member and Investigator at the Center for Technology and Behavioral Health at Dartmouth Medical School. As a board-certified Addiction Psychiatrist, he has been involved with research and clinical care of patients with addiction and mental illness. He has conducted several studies focused on opioid use disorder among young adults. He currently has several NIH-funded grants focused on innovative treatments for treating substance use disorders, promoting behavior change, and improving self-regulation.

Contact: [email protected]


John Zibbell, PhD

Jon Zibbell, PhD

Senior Public Health Scientist
Behavioral Health Program
RTI International

Jon E. Zibbell, PhD is a senior public health scientist in the Behavioral Health Program at the RTI International where he conducts community-based, epidemiological research on risk factors and health outcomes associated with the opioid epidemic and injection drug use. Jon is a medical anthropologist with two decades of field experience in the areas of injection drug use, opioid use disorder, drug overdose and injection-related infectious disease. Before coming to RTI, Dr. Zibbell worked as a CDC behavioral health scientist in the Divisions of Viral Hepatitis and Unintentional Injury Prevention conducting epidemiological and surveillance research on viral hepatitis and drug overdose while assisting States in responding to injuries and infections caused by illicit drug use. In 2015, he served on the White House Heroin Task Force and helped develop the Obama Administration's response to the illicit opioid epidemic. Beyond research, Dr. Zibbell has conducted rapid ethnographic assessments for community-based syringe service and overdose prevention programs and continues to assist states and community organizations to develop evidence-based approaches to reduce morbidity and mortality associated with the opioid epidemic. His work has appeared in both academic and professional, peer-reviewed journals and he holds a joint, adjunct appointment in the Center for the Study of Human Health and the Department of Anthropology at Emory University.

Contact: [email protected]


Sharon Levy, MD, MPH

Sharon Levy, MD, MPH

Director, Adolescent Substance Use and Addiction Program
Division of Developmental Medicine
Boston Children's Hospital

Sharon Levy, MD, MPH is a board certified Developmental-Behavioral Pediatrician and an Associate Professor of Pediatrics at Harvard Medical School. She is the Director of the Adolescent Substance use and Addiction Program (ASAP) in the Division of Developmental Medicine at Boston Children's Hospital. She has evaluated and treated thousands of adolescents with substance use disorders, and has taught national curricula and published extensively on the outpatient management of substance use disorders in adolescents, including screening and brief advice in primary care, the use of drug testing and the outpatient management of opioid dependent adolescents. She is the a past chair of the American Academy of Pediatrics Committee on Substance Use and Prevention, the President of the Association for Medical Education and Research in Substance Abuse (AMERSA) and serves on the board of directors of the Addiction Medicine Fellowship Director's Association.

Contact: [email protected]


Carolyn Castro-Donlan, PhD

Carolyn Castro-Donlan, PhD

President and CEO of Castro-Donlan Consulting LLC

Carolyn Castro-Donlan PhD is currently President and CEO of Castro-Donlan Consulting, LLC in Ashburn, VA. She brings over 30 years of public and private experience in health and human services. This includes experience in strategic planning, program development and implementation, cross systems collaboration and strategic community mobilization. She has working knowledge of federal, state and local government processes as well as that of community based non-profit organizations. Dr. Castro-Donlan has extensive experience with strategic planning among diverse settings and disciplines including specific race/ethnic and tribal populations. Current consulting focus include development of federal and state proposal documents and related service planning specific to Medication Assisted Treatment Services (MAT) for Opioid Use Disorders and Adolescent and Young Adult State Infrastructure Initiatives. In addition to strategic planning with state and local government leadership; program and agency executive coaching with a focus on strategic decision making; implementation of process improvement strategies and the integration of behavioral health and primary care services at the community level.

Ms. Castro-Donlan established and served as the Director of the Office of Youth and Young Adult Services with the Massachusetts Department of Public Health, Bureau of Substance Abuse Services. In this role, she provided direction and oversight to the development of innovative youth centric substance use programs focused on improving outcomes among this population and their families. Prior to this position, Ms. Castro-Donlan served as the Deputy Director for the Massachusetts Bureau of Substance Abuse Services and has held other key leadership positions in the Massachusetts Department of Public Health.

As a service provider, she has been a Program Director for community based residential and outpatient substance abuse services and started her career out as a Licensed Practical Nurse.  She holds a Doctor of Philosophy degree for Social Policy and Management from Brandeis University and a master's degree in psychology from Harvard University, a bachelor's degree in Psychology and Addiction Studies from University of Florida. She also served on various boards including as President of the Board for the New England Institute of Addiction Studies.

Contact: [email protected]


Breakout Session 1

Group A: Intersection of Emerging Adults and the Criminal Justice System

Selen Perker, Esq., LLM

Selen Perker, Esq., LLM

Senior Research Associate
The Justice Lab at Columbia University

Selen Siringil Perker is a Senior Research Associate with the Emerging Adult Project at The Justice Lab, Columbia University. Her work aims to bridge academic research on emerging/young adult justice with cross-sectoral policies and practices at all stages, from research design to implementation and dissemination. As an international attorney and justice reform specialist, she works closely with government officials, justice leaders and international organizations, including the World Bank and United Nations, to assist local efforts to measure and drive criminal justice reform in the United States and abroad. Previously, Selen was a Research Fellow with the Program in Criminal Justice Policy and Management at Harvard Kennedy School for the Indicators for Development: Safety and Justice project. She holds an LL.M. degree from Harvard Law School, and a Master's in International and European Law from the University of Paris I (Panthéon – Sorbonne).

Contact: [email protected]


Lael Chester

Lael E. H. Chester, Esq.

Research Fellow
The Justice Lab at Columbia University

Lael Elizabeth Hiam Chester is an attorney who has focused her career on juvenile, criminal and civil rights law and policy. After graduating from Barnard College and Harvard Law School, she was the Albert Martin Sacks Clinical Fellow at the Criminal Justice Institute at Harvard and then joined the Civil Rights Division of the Massachusetts Attorney General's Office. For 12 years, she served as Executive Director of Citizens for Juvenile Justice (CfJJ), a statewide non-profit dedicated to improving the juvenile justice system. Lael led the successful Justice for Kids Campaign, ending the practice in Massachusetts of automatically prosecuting and sentencing all 17 year olds as adults, regardless of the severity of the offense. Expertise on other issues includes: school-to-prison pipeline, parent-child privilege, racial disparities and over-use of secure confinement. As a Research Fellow at the Program in Criminal Justice Policy and Management at the Harvard Kennedy School, Lael focused her research on emerging adult justice (ages 18 – 25), and now continues this work as the Director of the Emerging Adult Project at the newly created Justice Lab at Columbia University.

Contact: [email protected]


Group B: Treatment with Medications

Brandon Marshall, PhD

Brandon Marshall, PhD

Associate Professor
Department of Epidemiology
Brown University School of Public Health

Brandon Marshall is an Associate Professor of Epidemiology at the Brown University School of Public Health. He received a PhD in epidemiology from the School of Population and Public Health at the University of British Columbia. In 2011 he completed postdoctoral training at the Columbia University Mailman School of Public Health.

His research interests focus on infectious disease epidemiology, substance use, and the social, environmental, and structural determinants of health of vulnerable populations. He has published more than 150 scientific publications, including articles in JAMA, BMJ, and The Lancet. He is the Principal Investigator of multiple NIH-funded studies investigating the determinants of HIV, hepatitis C, and overdose among people who use drugs. He works closely with the Rhode Island Department of Health on the state's overdose epidemic efforts and directs www.PreventOverdoseRI.org, a CDC-funded statewide online surveillance system. He also serves as an expert advisor to the Governor's Overdose Prevention and Intervention Task Force. He has received numerous accolades and awards for his research, including the Henry Merrit Wriston Fellowship from Brown University in 2015, and the 2016 Brian MacMahon Early Career Award from the Society for Epidemiologic Research.

Contact: [email protected]


Group C: Dealing with Concurrent Mental Health Issues and Trauma

Lisa Fortuna, MD, MPH, MDiv

Lisa Fortuna, MD, MPH, MDiv

Director of Child and Adolescent Psychiatry
Boston University School of Medicine
The Grayken Center for Addiction at Boston Medical Center

Lisa Fortuna is the Director for Child and Adolescent Psychiatry at BMC, and Co-Director of Transforming and Expanding Access to Mental Health in Urban Pediatrics –TEAM UP for Children, a 4 year behavioral health integration project in pediatrics at three community health centers. TEAM UP is supported by the Richard and Susan Smith Family Foundation. Her clinical career has focused on treating a range of childhood psychiatric disorders with a particular focus on Post-Traumatic Stress Disorder, and mental health services, access to care, and quality of treatment for underserved and vulnerable populations including children, immigrants and refugees. These areas of clinical practice and research have resulted in her engagement in many rewarding projects which include: being a cofounder of a refugee immigrant mental health clinic in Boston, and being an investigator in national and international studies of immigrant mental health and addictions which have contributed to the field's understanding of treatment needs and interventions for these populations. She has published in peer reviewed journals on the topics of Latino mental health, PTSD, improving access to mental health services for Latinos and other U.S. underserved minorities. She has also worked on developing mental health interventions and services for unaccompanied refugee minors from Latin America and in promoting integrated mental health interventions in pediatric primary care. Fortuna's book "Mindfulness-Based CBT for Adolescent PTSD and Addictions" was published by New Harbinger Press in October 2015 and is a product of a five-year National Institute of Drug Abuse research grant during which she developed and tested an effective intervention for adolescents with co-occurring traumatic stress and addictions.

Contact: [email protected]


Sarah Valentine, PhD

Sarah Valentine, PhD

Assistant Professor, Psychiatry
Boston University School of Medicine
The Grayken Center for Addiction at Boston Medical Center

Sarah Valentine is an Assistant Professor in Psychiatry at BUSM and Psychologist at BMC. She received her PhD in Clinical Psychology from Suffolk University, and completed her predoctoral internship and postdoctoral research fellowship in the Department of Psychiatry at Massachusetts General Hospital/Harvard Medical School. Dr. Valentine's research focuses on the implementation of evidence-based treatments for posttraumatic stress disorder (PTSD) and co-occurring disorders among underserved populations, including racial and ethnic minorities, immigrants and refugees, sexual orientation and gender minority populations, and criminal justice involved youth. Her clinical research projects focus on reducing health disparities through the development, implementation, and dissemination of treatments that dually address minority stress factors (e.g., discrimination, stigma, and access barriers) and mental health symptoms. Dr. Valentine recently received an NIMH-funded K23 grant that aims to optimize a brief cognitive behavioral therapy for PTSD for use in primary care.

Contact: [email protected]


Defining Success for Young Adults with SUDs

Sarah Valentine, PhD

Kathleen Meyers, PhD

Deputy Project Director, SAMHSA National Evaluation of the State Targeted Response to the Opioid Crisis Grants program
Subject Matter Expert, Adolescents and Emerging Adults
JBS International

Dr. Meyers has 34 years of experience and is the current technical expert lead to SAMHSA's DSI Clinical TA Adolescent program, where she uses research- and practice-based knowledge to develop service plans and provide TA to 37 adolescent grant programs. She is best known for developing the Comprehensive Adolescent Severity Inventory (CASI), an adolescent-specific multidimensional assessment that examines adolescent functioning across 10 life areas. She is a technical expert lead for SAMHSA's Clinical Research Project, creating research tools and delivering high-impact TA to state and tribal treatment initiatives for adolescents. She previously served as senior research scientist for the Center on Families and Adolescents at the Treatment Research Institute (TRI) where she conceptualized, designed, and implemented short- and long-term mixed methods research projects and translated the findings into usable products that enhance clinical treatment.

Contact: [email protected]


Lightning Session - Involuntary Treatment

Leo Beletsky, JD, MPH

Leo Beletsky, JD, MPH

Associate Professor of Law and Health Sciences
Northeastern University School of Law

Professor Beletsky holds a joint appointment with the School of Law and Bouvé College of Health Sciences. His expertise is in the public health impact of laws and their enforcement, with special focus on drug overdose, infectious disease transmission and the role of the criminal justice system as a structural determinant of health. One of the nation's preeminent experts on North America's opioid crisis, Professor Beletsky is a frequent media commentator on drug policy, health equity and criminal justice issues. Those issues define the project portfolio of the School of Law's Health in Justice Action Lab, which he directs.

Throughout his career, Professor Beletsky has applied his skills and expertise in service to governmental agencies and non-governmental organizations, including the United Nations, US Department of Justice and the City of New York. Prior to joining the Northeastern community, Professor Beletsky was on the faculty of the Division of Global Public Health at the University of California, San Diego School of Medicine, where he retains an adjunct appointment. He received his undergraduate training in geography from Vassar College and Oxford University, a master's in public health from Brown University, his law degree from Temple University School of Law and his post-doctoral training at the Yale University Center for Interdisciplinary Research on AIDS. He is a member of the New York State Bar.

Contact: [email protected]


Lightning Session - Trafficked Populations

Audrey Morrissey

Audrey Morrissey

Associate Director, My Life My Choice

Audrey Morrissey is the Associate Director of My Life My Choice, a program of Justice Resource Institute. Since 2002, My Life My Choice has offered a unique continuum of survivor-led services aimed at preventing the commercial sexual exploitation of children. As a local and national leader in the field of exploitation, Ms. Morrissey most recently has served as Co-Chair of the Victim Services Committee of the Massachusetts Task Force on Human Trafficking. Ms. Morrissey has also served as a primary consultant to the Massachusetts Administrative Office of the Trial Court's "Redesigning the Court's Response to Prostitution" project. Drawing from her personal experience in "the Life", Ms. Morrissey seeks to help vulnerable girls avoid being recruited into the commercial sex industry and/ or leave exploitation behind them. To this end, Ms. Morrissey facilitates My Life My Choice exploitation prevention groups throughout Greater Boston, as well as trains service providers in Massachusetts and nationally on recognizing the signs of exploitation and helping girls exit. In addition, she works individually mentoring girls who are victims of CSEC or are deemed high risk. Ms. Morrissey is a 2008 recipient of the prestigious Petra Foundation Fellowship and a 2012 recipient of The Philanthropic Initiative's Boston Neighborhood Fellows Award.

Contact: [email protected]


Break Out Session 2

Group A: Engaging Families in Intervention and Treatment

Fred Muench, PhD

Fred Muench, PhD

President and CEO, Partnership for Drug Free Kids

Fred Muench is the president and CEO of the Partnership for Drug-Free Kids, a national nonprofit that supports families in addressing their children's substance use. He is a clinical psychologist with extensive knowledge and understanding of substance use disorders, as well as a leader in leveraging digital platforms to help ensure that families who are dealing with substance use disorders have better outcomes. Muench has been the PI on grants from NIAAA, NIDA, and the RWJF Pioneer Portfolio among others to improve health outcomes via the intersection of technology and specialist and peer support. Muench holds a doctorate in clinical psychology from Fordham University.

Contact: [email protected]


Group B: Harm and Risk Reduction

Daniel Raymond

Daniel Raymond

Policy Director The Harm Reduction Coalition

Daniel Raymond has worked in the field of harm reduction for over two and a half decades. Daniel joined Harm Reduction Coalition in 2003 and became Policy Director in 2005. In his capacity as Harm Reduction Coalition's Policy Director, Daniel works with federal and state officials, advocates, and providers to expand critical drug user health interventions, including overdose education and naloxone distribution, syringe access programs, medication-assisted treatment, HIV and hepatitis C care and treatment, and quality health care for people who use drugs. He chairs the Injection Drug Users Health Alliance and the Washington Heights CORNER Project Board of Trustees, and formerly chaired the National Viral Hepatitis Roundtable Steering Committee. Daniel has served on Governor Cuomo's Heroin and Opioid Task Force, the Food and Drugs Administration's Antiviral Drug Advisory Committee, the American Medical Association Physician Consortium for Performance Improvement Hepatitis C Workgroup, and the AASLD/IDSA Hepatitis C Guidance Panel.

Contact: [email protected]


Jessica Gaeta, MD

Jessica Gaeta, MD

Chief Medical Officer for the Boston Health Care for the Homeless
Assistant Professor of Medicine, Boston University School of Medicine

Jessie M. Gaeta, MD is the Chief Medical Officer of Boston Health Care for the Homeless Program, where she has practiced Internal Medicine since 2002. She oversees the clinical practice of this unique community health center that serves 12,000 people annually across dozens of clinical sites including homeless shelters, the street, and one of the first medical respite programs in the country. Dually board certified in Internal Medicine and Addiction Medicine, Dr. Gaeta graduated from the University Of Maryland School Of Medicine in 1998, trained in Internal Medicine at Boston University Medical Center, and served as Chief Resident in 2002. She completed a Physician Advocacy fellowship at Columbia College of Physicians and Surgeons in 2007.

Dr. Gaeta has a long history of advocating for the needs of individuals experiencing homelessness. She has been published and spoken widely on the intersection of homelessness and health and she directs BHCHP's Institute for Research, Quality, and Policy in Homeless Health. She has led BHCHP's efforts to respond to the opioid overdose crisis, which has been magnified among people experiencing homelessness in Boston. Her passions include ending homelessness and bending the curve on overdose deaths.

Contact: [email protected]


Group C: Role of Young Adult Support Services

Tim Rabolt

Tim Rabolt

Executive Director, Association of Recovery in Higher Education (ARHE)

JTim Rabolt is the Executive Director for the Association of Recovery in Higher Education (ARHE). In his role with ARHE, Tim oversees membership, events, external relations, and all other operations. Prior to joining ARHE, Tim worked in the DC area as a Project Manager with Altarum, a public health research and consulting organization. Tim graduated from The George Washington University in 2015 with his Bachelor's in Business Administration, and then again in 2017 with his Master's of Arts in Education and Human Development. He's been in recovery since April of 2011 during his senior year of high school in Wilmington, DE. He currently resides in Minneapolis, Minnesota.

Contact: [email protected]


Scott Strode

Scott Strode

National Executive Director and Founder of The Phoenix

Scott is the founder and national executive director of The Phoenix. Phoenix offers a unique approach to combat addiction by fostering a sober, supportive, physically active community for individuals in recovery from substance use disorder. Phoenix is based on Scott's own experience and discovery that a healthy, active lifestyle has a transformative effect on long-term sobriety. Scott also realized the critical component of surrounding oneself with a new sober supportive network of friends who are walking the same path. Nurturing human connections in mental, physical and spiritual fitness is a powerful way to rebuild wounded bodies and spirits and restore hope. Phoenix is unique in that its programs are free to anyone who has at least 48 hours of continuous sobriety. This removes any financial barrier that might prevent someone from taking part. Free programs include yoga, climbing, cycling, running, CrossFit, boxing, hiking, and socials. Since 2007, Phoenix has served over 26,000 individuals in 12 cities and 10 states with plans to expand into several new communities in the near future. Scott was named a Top 10 CNN Hero in 2012, received the "Advocates for Action Award" from the White House Office of National Drug Control Policy, and was a TEDxMileHigh speaker in 2016. Scott's passion in life is to help others rise from the ashes of their addiction and live a full life of sobriety in long term recovery.

Contact:  [email protected]


Synthesizing Insights from the Breakout Sessions

Joshua Sharfstein, MD

Joshua Sharfstein, MD

Professor of the Practice
Department of Health Policy and Management
Johns Hopkins Bloomberg School of Public Health

Dr. Joshua M. Sharfstein is Director of the Bloomberg American Health Initiative, Vice Dean for Public Health Practice and Community Engagement, and Professor of the Practice in Health Policy and Management at the Johns Hopkins Bloomberg School of Public Health. He is the author of the Public Health Crisis Survival Guide: Leadership and Management in Trying Times, published in 2018 by Oxford University Press.  Previously, Dr. Sharfstein served as Secretary of the Maryland Department of Health and Mental Hygiene, as Principal Deputy Commissioner of the U.S. Food and Drug Administration, and as Commissioner of Health for Baltimore City. From July 2001 to December 2005, he served as as minority professional staff and health policy advisor for Congressman Henry A. Waxman. A pediatrician, Dr. Sharfstein and his family live in Baltimore, Maryland.

Contact: [email protected]


Alexander Walley, MD, MSc
Associate Professor at Boston University School of Medicine
[email protected]

Alysse Wurcel, MD, MS
Attending Physician at Tufts Medical Center
Assistant Professor of Medicine at Tufts University School of Medicine
[email protected]

Amelia Arria, PhD
Associate Professor of Behavioral and Community Health at the University of Maryland School of Public Health
Director of the Center on Young Adult Health and Development 
Director of the Office of Planning and Evaluation 
[email protected]

Ben Linas, MD
Associate Professor of Medicine at Boston University School of Medicine
Associate Professor of Epidemiology at Boston University School of Public Health, Director of the HIV/HCV core of the Center for Health Economics of Treatment Interventions for Substance Use Disorders, HCV, and HIV (CHERISH);
[email protected]

Benjamin Le Cook, PhD
Assistant Professor of Psychiatry, Cambridge Health Alliance
[email protected]

Bruce Schackman, PhD, MBA
Saul P. Steinberg Distinguished Professor of Healthcare Policy and Research, Weill Cornell Medical College
Director, CHERISH (The Center for Health Economics of Treatment Interventions for Substance Use Disorder, HCV, and HIV)
[email protected]

David Henderson, MD
Chair of the Department of Psychiatry at Boston Medical Center
Professor of Psychiatry at Boston University School of Medicine
[email protected]

Danya Fast, PhD
Research Scientist with the BC Centre on Substance Use
[email protected]

Deanna Wilson, MD, MPH
Assistant Professor of Medicine and Pediatrics at the University of Pittsburgh School of Medicine
[email protected]

Douglas C. Smith, PhD, LCSW
Associate Professor and Director, Center for Prevention Research and Development University of Illinois at Urbana-Champaign, School of Social Work
[email protected]

Doug Tieman
President and CEO of Caron Treatment Centers
[email protected]

Elizabeth M. Pace, MSM, RN, CEAP, FAAN
Chief Executive Officer of Peer Assistance Services
[email protected]

Greg Williams
Co-Founder & Executive Vice President of Facing Addiction
[email protected]

James Hiatt, MSW
Director of Substance Use Initiatives at the Massachusetts League of Community Health Centers
[email protected]

Jeffrey P. Bratberg, PharmD
Clinical Professor of Pharmacy at the University of Rhode Island
[email protected]

Jeffrey Samet, MD, MS, MA
[email protected]

Jenni Watson
[email protected]

Jennifer Tracey, MSW
Director of the Mayor's Office of Recovery Services
[email protected]

Kathryn Cates-Wessel
Chief Executive Officer of the American Academy of Addiction Psychiatry
[email protected]

Kelly Matson, PharmD
Clinical Professor, The University of Rhode Island College of Pharmacy
[email protected]

Laura Grubb, MD, MPH
Adolescent Medicine Specialist, Pediatrician, and Chair of the Women in Medicine and Science Career Development Subcommittee at Tufts Medical Center
[email protected]

Lori Holleran Steiker, PhD, ACSW
Professor of Social Work at the University of Texas at Austin (UT)
Director of Instruction, Engagement, and Wellness for Undergraduate Studies at UT
[email protected]

Lynn Sherman, JD
[email protected]

Marc Fishman, MD
Medical Director of Maryland Treatment Centers
Assistant Professor of Psychiatry at Johns Hopkins University School of Medicine
[email protected]

Margie Skeer, ScD, MPH, MSW
Associate Professor of Public Health and Community Medicine at Tufts University School of Medicine
Adjunct Associate Professor at Brown School of Public Health
[email protected]

Martha T. Kane, PhD
Clinical Director of the Addiction Services Unit at Massachusetts General Hospital
Instructor in Psychiatry at Harvard Medical School
[email protected]

MaryAnn Davis, PhD
Professor of Psychiatry, University of Massachusetts Medical School
Director of the Systems & Psychosocial Advances Research Center, and the Director of the Transitions to Adulthood Center for Research (ACR)
[email protected]

Michael Stein, MD
Professor and Chair of Health Law, Policy and Management at Boston University of School of Public Health
[email protected]

Michele Bohm, MPH
National Center for Injury Prevention and Control at the Centers for Disease Control and Prevention
[email protected]

Nick Motu
Vice President and Chief External Affairs Officer at the Hazelden Betty Ford Foundation;
[email protected]

Norman Stein
Senior Vice President, Chief Development Officer at Boston Medical Center
[email protected]

Rachelle Gardner
COO, Hope Academy
Director of adolescent services at Fairbanks Drug and Alcohol Treatment Center
[email protected]

Rebecca Butler, LCSW
Project Coordinator State Youth Treatment-Implementation SYT-I Initiative
[email protected]

Sara Becker, PhD
Assistant Professor, Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University
[email protected]

Sarah Wakeman, MD
Medical Director of the Substance Use Disorders Initiative at Massachusetts General Hospital
Program Director of the Addiction Medicine Fellowship at Massachusetts General Hospital
Assistant Professor of Medicine at Harvard Medical School
[email protected]

Senator Jason Lewis
State Senator representing the Fifth Middlesex District of Massachusetts
[email protected]

Sheryl Ryan, MD
Chief of Adolescent Medicine at Penn State Health Milton S. Hershey Medical Center
[email protected]

Ted Park, MD
Addiction Psychiatrist at Boston Medical Center
Assistant Professor of Psychiatry at Boston University School of Medicine
The Grayken Center for Addiction at Boston Medical Center
[email protected]

Tim Rabolt
Executive Director, Association of Recovery in Higher Education (ARHE)
[email protected]

Tisha Wiley, MD
Acting Deputy Branch Chief, Services Research Branch, National Institute on Drug Abuse
[email protected]


We'd like to gather your input on principles of care, by Summit session topics, tailored to the needs of young adults in advance of the Summit. These are short statements about how best to address each issue affecting young adults with SUD. We consider "young adult" to be a developmental category, coming after adolescence but before adulthood. However, we recognize that this definition is not universal, and we'd also appreciate your input on how best to define this group.

The principles of care we hope to address are delineated by session topics for the Summit. See Agenda

Some examples of the type of principles of care we're hoping to establish are:

Each text box for a proposed principle of care is limited to 100 words. If you have extra space, please also include potential obstacles to fully enacting the proposed principle of care. Responses to each category are optional. We appreciate your input and look forward to discussing these in detail at the Summit.

 

BMC’s Nonpharmacologic Approach to Neonatal Abstinence Syndrome Wins 2018 Gage Award

December 31, 1969

For More Information, Contact:
Tim Viall
Office of Communications
617.638.6857
[email protected]

(Boston) - Boston Medical Center’s (BMC) efforts to improve treatment for infants with neonatal abstinence syndrome were recognized by America’s Essential Hospitals with their 2018 Gage Award for Quality. The award is presented annually in recognition of a hospital’s activities to improve the quality of care delivered or that eliminate harmful events for individuals or groups of patients.

Led by Elisha Wachman, MD, BMC adopted nonpharmacologic interventions as first line treatment for infants with neonatal abstinence syndrome and altered the medication treatment protocols. Nonpharmacologic interventions include promoting breastfeeding, rooming-in models of care, and parental presence at the infant’s bedside. Wachman and colleagues launched the CALM (Cuddling Assists in Lowering Maternal and infant stress) program in 2016, which promotes skin-to-skin contact to help soothe the infants and utilizes trained volunteers to cuddle them when parents are not present or available. This program has resulted in lower hospital charges and shorter hospital stays for affected infants and is now being replicated and implemented across the country,

“Innovative models of care to better serve our patients and families are a top priority at BMC. This exciting and now proven approach to neonatal abstinence syndrome has resulted in greatly improved care and shorter hospital stays for our smallest, most vulnerable patients,” said Kate Walsh, BMC’s president and CEO. “We are honored to be recognized by America’s Essential Hospitals and hope that these pioneering methods can be a resource for hospitals across the country.”

America's Essential Hospitals, a national trade association that represents more than 325 hospitals committed to caring for the vulnerable and keeping communities healthy, presented the award to Wachman on June 21, 2018 at its annual conference, in San Francisco.

“Essential hospitals are pioneers in a challenging health care landscape,” said America’s Essential Hospitals President and CEO Bruce Siegel, MD, MPH. “Our Gage Award winners show how taking risks with inventive projects not only can improve quality of care within hospitals, but also expand care beyond a hospital’s walls.”

The Gage Awards, named after America’s Essential Hospitals founder Larry Gage, honor and share successful and creative member hospital programs that improve patient care and meet community needs.

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