10th Annual C. Everett Koop Addiction Medicine Symposium:

Reducing Behavioral Health Stigma in Healthcare Systems and Communities

December 8, 2016, Dartmouth-Hitchcock Medical Center, Lebanon, NH

Thank you for your participation in this year’s symposium!

We would like your feedback on your experience with the 9th annual Addiction Medicine Symposium hosted by the Dartmouth-Hitchcock Substance Use & Mental Health Initiative and the New England Institute of Addiction Studies. We use your feedback in the development of future sessions, so they will meet your expectations and continuing education needs.

Your feedback is so important to us and to our accrediting bodies that we are asked to require you to complete this evaluation form before your certificate is awarded.

We thank you for training with us, and for participating in the evaluation. We will carefully consider your comments and suggestions.

Please note we ask for your name or unique identifier on the survey only to ensure confirmation of your evaluation participation and release of your certificate. Survey results will be analyzed without participant names attached.

* 1. Please tell us about yourself:

* 2. Profession:

* 3. Work Setting:

* 4. Licensures:

* 5. Educational Degrees:

* 6. State/Province:

* 7. Ethnicity

* 8. Please indicate below by which of the following method(s) you learned about this activity:

* 9. Please complete the following statements by selecting the word(s) that describes your evaluation.

Introduction to Understanding the Challenges - Seddon Savage, MD, MS, Dartmouth-Hitchcock Medical Center SUMHI Advisor, James Vara, JD, NH Governor's Advisor on Addiction and Behavioral Health, Will Torrey, MD, Dartmouth-Hitchcock Medical Center Vice-Chair for Clinical Services, Department of Psychiatry, and SUMHI Clinical Champion

  Strongly Disagree Disagree Agree Strongly Agree N/A
This presenter's delivery was effective.
The presenter is knowledgable about the topic.

* 10. Please complete the following statements by selecting the word(s) that describes your evaluation.

The Experience of Stigma - Panel with lived experience of stigma - Panel of persons with lived experience of stigma including: Angie Raymond-LeDuc, Jim Matthews, Karen Borgstrom JD, Hon. Joe Hannon DPM. Facilitated by Will Torrey, MD

  Strongly Disagree Disagree Agree Strongly Agree N/A
This presenter's delivery was effective.
The presenter is knowledgable about the topic.

* 11. Please complete the following statements by selecting the word(s) that describes your evaluation.

Missed Opportunities in Behavioral Healthcare for Vulnerable Populations: Community Perspectives on Stigma - Elizabeth Carpenter - Song, PhD, Dartmouth Departments of Anthropology and Community and Family Medicine

  Strongly Disagree Disagree Agree Strongly Agree N/A
The panel presenters' delivery was effective.
The presenters on this panel are knowledgable about the topic.

* 12. Please complete the following statements by selecting the word(s) that describes your evaluation.

Words Matter: How Language Reinforces Stigma

  Strongly Disagree Disagree Agree Strongly Agree N/A
This presenter's delivery was effective.
The presenter is knowledgable about the topic.

* 13. Please complete the following statements by selecting the word(s) that describes your evaluation.

Identifying and Addressing Stigma in Healthcare Systems - Gretchen Grappone, MSW

  Strongly Disagree Disagree Agree Strongly Agree N/A
This presenter's delivery was effective.
The presenter is knowledgable about the topic.

* 14. Please complete the following statements by selecting the word(s) that describes your evaluation.

Understanding the Challenges: Discussion of Identified Challenges - Panel of Morning Presenters - Facilitated by Seddon Savage, MD, MS

  Strongly Disagree Disagree Agree Strongly Agree N/A
This presenter's delivery was effective.
The presenter is knowledgable about the topic.

* 15. Please complete the following statements by selecting the word(s) that describes your evaluation.

Building a Peer Recovery Support System in New Hampshire - Joseph Harding, Director, New Hampshire Bureau of Drug and Alcohol Services

  Strongly Disagree Disagree Agree Strongly Agree N/A
This presenter's delivery was effective.
The presenter is knowledgable about the topic.

* 16. Please complete the following statements by selecting the word(s) that describes your evaluation.

Stigma in Recovery: Impact on Disclosure - Marty Boldin, LICSW, MLADC, Co-Chair, New Hampshire Governors Commission on AOD Recovery Task Force

  Strongly Disagree Disagree Agree Strongly Agree N/A
This presenter's delivery was effective.
The presenter is knowledgable about the topic.

* 17. Please complete the following statements by selecting the word(s) that describes your evaluation.

The Change Directions - Five Signs Campaign in New Hampshire: Engaging health systems - Chief Justice John Broderick

  Strongly Disagree Disagree Agree Strongly Agree N/A
This presenter's delivery was effective.
The presenter is knowledgable about the topic.

* 18. Please complete the following statements by selecting the word(s) that describes your evaluation.

Reducing Stigma in Healthcare Settings: Creating Welcoming Healthcare Environments - Panel facilitated by Aita Romain, MPH. Panelists include:

Nurse: Maureen Gardella, RN, BSN, MPA, Unit Nurse Manager, Inpatient Psychiatry, Lebanon, NH
Case Manager: Kristen Cherry, BSW, Family Support Specialist, General Internal Medicine, Manchester, NH
Leadership: Karen F. Clements, RN, FACHE, Chief Nursing Officer, Dartmouth - Hitchcock, Lebanon, NH
Physician: Mark Horton, MD, Physician, Pain Clinic, Cheshire Medical Center, Keene, NH

  Strongly Disagree Disagree Agree Strongly Agree N/A
This presenter's delivery was effective.
The presenter is knowledgable about the topic.

* 19. Please complete the following statements by selecting the word(s) that describes your evaluation.

Summary of next steps to change the culture, drawn from the day's experience - Panel of all presenters, facilitated by Seddon Savage, MD, MS, Dartmouth-Hitchcock Medical Center, SUMHI Advisor

  Strongly Disagree Disagree Agree Strongly Agree N/A
This presenter's delivery was effective.
The presenter is knowledgable about the topic.

* 20. Please complete the following statements by selecting the word(s) that describes your evaluation.

  Strongly Disagree Disagree Agree Strongly Agree N/A
As a result of attending this training, I can: Explain the impact of behavioral health stigma on health and healthcare of persons with behavioral health challenges.
As a reult of attending this training, I can: Identify common personal and institutional reflexes that risk stigmatizing others.
As a reult of attending this training, I can: Explain the impact of behavioral health stigma on health and healthcare of persons with behavioral health challenges.
Overall, the specific presentation objectives were relevant to the program activity's goals/purposes.
Overall, my personal learning objectives were met.
The teaching strategies/resources were effective.
The organization, format and time frame for completing the activity was appropriate.
The content was presented without any type of bias - i.e., commercial product, drug, book, self-promotion, or any other bias. if you do not agree, please comment with details below.
Prior to the program, NEIAS staff communication (telephone, email, website registration process, etc.) was effective.
At the program, customer service from onsite NEIAS staff support was effective.
I was satisfied with this program.

* 21. Suggested Topics for Future Addiction Medicine Symposium:

* 22. What would you like most to see changed about this program?

* 23. What was most helpful about this program?

* 24. What changes, if any, do you expect in your day-to-day work as a result of having attended this program?

* 25. Additional Comments:

Thank you for your feedback! This information will be incorporated into future planning. We appreciate you interest in the Addiction Medicine program.

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