New Hampshire

Mary Hitchcock Memorial Hospital

Project Summary

Focus Areas: Core activities revolve around reducing morbidity and mortality from opioid and other substance use (OUD/SUD) through improving systems of care for pregnant and postpartum women and families, and reducing stigma. Prevention: Providing culturally accessible, stigma-reducing education about the impact of perinatal OUD/SUD on patients/families/communities for healthcare providers, early childhood educators, and community service providers; expanding naloxone distribution and harm reduction training across all maternity care settings; providing access to safe drug disposal programs, and training multidisciplinary maternity care teams in screening intervention, and referral to treatment for SUD/OUD. Screening and Treatment: Enhancing screening and treatment of hepatitis B, C and HIV), and earlier diagnosis and treatment of endocarditis, training multidisciplinary teams to initiate and maintain SUD/OUD treatment; reducing barriers to treatment through coordination with law enforcement, judicial and correctional systems; and optimizing billing and coding to ensure sustainability of services. Recovery: Enhancing discharge coordination through community health worker and recovery coach mentorship; expanding the impact of the peer workforce through programming in hospitals, the justice system, and the community; and supporting the development of recovery communities, recovery coaches, and recovery community organizations through engaging patients and families impacted by OUD/SUD in the planning and implementation of culturally sensitive services which respond to community needs.

Consortium Members

Area Health Education Center/Trustees of Dartmouth College, The Dartmouth Institute at Dartmouth College

1 Medical Center Drive, Lebanon, NH 03756
Sector: Academic program

Dartmouth-Hitchcock/Mary Hitchcock Memorial Hospital

1 Medical Center Drive, Lebanon, NH 03756-1000
Sector: Health Care

Early Childhood Education Association

93 S. Main Street, West Lebanon, NH 03784
Sector: Education

HIV/HCV Resource Center

2 Blacksmith St., Lebanon, NH 03766
Sector: Social services

Public Health Council of the Upper Valley

1 Court St. #378, Lebanon, NH 03766
Sector: Public Health (leadership council)

Intended Audience

Age

Children (0-12)
Adolescents (13-17)
Young Adult (18-24)
Adult (25-64)

Race/Ethnicity

White
Hispanic/Latino/Latinx
Black/African-American
Asian or Pacific Islander
Tribal populations/Native American/American Indian/Alaska Native: We provide services to Indigenous people but no federally recognized nations/tribes are based in our RSA

Health Status

People with/at risk for OUD or SUD
People who inject drugs
People with/at risk for co-occurring conditions as a result of SUD (eg cirrhosis, HIV, hepatitis)
People with/at risk for co-occurring conditions (mental illness, eating disorders, etc.)
People in recovery from OUD/SUD
People living with disabilities
Substance-exposed children and infants

Health Access

Uninsured or underinsured
Medicaid or Medicare recipients
Medically underserved

Economic

Low-Income/Persons Living at or Near Poverty-Level
Unemployed Persons

Special Populations

Racial and Ethnic Minorities
People Experiencing Homelessness
Veterans
Justice-Involved/Incarcerated Persons
LGBTQ+ Populations
People Experiencing Food Insecurity

Other Target Populations

Families of People With OUD/SUD
Healthcare Workers and Providers
Law Enforcement and First Responders
People With Low Health Literacy
Non-English Speakers

Counties Served

Counties Served
Grafton County, NH
Orange County, VT
Sullivan County, NH
Windsor County, VT