MESSENGER - Marworth Treatment Center

Support the Gift of Hope
Scholarship Endowment!
(please see reverse)
About the Gift of Hope Scholarship Endowment
• Provides scholarships to individuals who do not
have the financial resources to access care.
• Aids as many as 25 deserving individuals annually.
• Donations can be made online at
www.geisingerfoundation.org or by submitting this
tear-off form.
• Ask your employer about matching gifts to double
the impact of your donation.
A new perspective on philanthropy
Continued from inside
Ripple effect
Marworth’s outreach counselor, Michelle Kwiec, LCSW, CADC, also has a unique
vantage point on the important work being done at Marworth. Twenty-five years
ago, Kwiec was a patient at Marworth. Ten years after becoming sober, she began
working at the treatment center.
“I give with deep gratitude for all I've received from Marworth: first, the priceless
gift of recovery and second, a meaningful and rewarding position with a first-rate
treatment facility,” says Kwiec of her decision to contribute to the Gift of Hope
Scholarship Endowment through a multi-year, payroll deduction pledge. “I've been
given so many opportunities to help others and to grow professionally."
As both an alumna and an addiction treatment counselor, she knows the
exponential value of recovery.
“For every person who recovers, many other lives get better,” explains Kwiec. “Our
families’ lives improve and we are able to go out and help other people. It’s a huge
ripple effect.”
As an employee, Kwiec also sees firsthand how philanthropic gifts toward the
physical plant of the treatment center can improve patient care. Recent examples
include the addition of the dietary wing in 2012 and the counseling wing in 2008.
“In my time here I’ve seen how renovations made on campus improve working
conditions for staff,” she notes. “In turn, it allows us to deliver a higher quality of
care to our patients.”
If you are interested in joining the many alumni and employees who are supporting
Marworth, simply complete and submit the attached form. You may also contact
Cheryl Connolly, Senior Director of Advancement, Northeast, Geisinger Health
System Foundation, at 570-808-7868 or caconnolly@marworth.org, to discuss
giving options. More information about Geisinger’s Centennial Campaign is
available at geisingerfoundation.org.
In memoriam: Governor William Scranton
July 19, 1917–July 28, 2013
Governor William Warren Scranton,
along with his wife, Mary, was among
the most influential people in the
founding of Marworth and a longtime friend of Geisinger Health
System.
Geisinger received 27 acres of the
family estate from the Scrantons
through a gift/purchase arrangement
in 1981, and Marworth Alcohol and
Chemical Dependency Treatment
Center officially opened in 1982.
Remaining an active member of the Marworth
family, Governor Scranton participated in the
“We are deeply saddened by
Governor Scranton’s passing,” says ribbon cutting ceremony for the Marworth
counseling wing in 2008. From left, Geisinger
Frank Trembulak, executive vice
executive
vice president and chief operating
president and chief operating officer,
Geisinger Health System. “We gain officer Frank Trembulak; Marworth founder and
comfort in knowing his legacy will advisory board chairman Larry Stetler;
carry on in the lives of those whose Marworth founder Governor William Scranton;
recovery is made possible every day and Marworth vice president James Dougherty.
at Marworth.”
Governor Scranton’s philanthropy in helping establish Marworth is just one example
of generosity from a lifetime committed to making our community a better place. His
career as a public servant included a celebrated term as Pennsylvania Governor from
1963-67, as well as serving as a Congressman and an Ambassador to the United
Nations. Locally, Governor Scranton was a proponent of economic development in
Lackawanna County and supported many charitable organizations and programs.
MESSENGER
MARWORTH
A wise investment
By James Dougherty, Vice President
With each edition of the Messenger,
there is never any shortage of
exciting news to share with you.
New programs like acupuncture
and newly appointed leaders like
our director of nursing
demonstrate that we are always
moving forward, always
enhancing the care we provide.
That movement does not go unnoticed. Our parent
organization, Geisinger Health System, continually looks
to Marworth to help advance delivery of healthcare on a
variety of fronts, as illustrated by the training our staff
provided for a new pain pharmacy program. Our leaders
on the Marworth campus are also leaders on the national
stage, as evidenced by Dr. Jarvis’ new role with the
American Society of Addiction Medicine.
Most inspiring, however, is the value our own employees
place on the life-changing work happening here each day
as they choose to donate to Marworth and the Gift of
Hope Scholarship Endowment. Above and beyond the
time and energy spent working at Marworth and the
other healthcare facilities within Geisinger, they are also
giving back financially.
I am confident that our founder and champion, the late
Governor William Scranton, would be proud of the
advancements being made at Marworth and would agree
that what is being given philanthropically is a wise
investment in the people who seek treatment here.
Thank you for your continued support of our mission at
Marworth. Enjoy a safe and happy holiday season.
CHARTING THE COURSE FOR ALCOHOL & CHEMIC AL DEPENDENCY TREATMENT
IN THIS ISSUE:
Acupuncture now offered
for detox support
Use of anti-craving
medication grows
Fellowship profile:
Tyler Bouland, MD
A new perspective
on philanthropy
Marworth regularly integrates
new techniques that may aid
addicted individuals on the road
to recovery. One such
worthwhile technique is
acupuncture, and a program is
underway at the treatment
center to give patients the
opportunity to complement
their detoxification phase of
treatment with acupuncture.
Most commonly used as a form of pain management
for a wide variety of conditions (headaches, joint
pain, muscle pain, nausea, etc.), acupuncture is
increasingly used in treatment programs for substance
abuse. At Marworth, the sessions follow the National
Acupuncture Detoxification Association (NADA) ear
acupuncture protocol which was specifically
developed to be used in addiction treatment settings.
Training pain pharmacists
at Marworth
Recent studies1,2 of the NADA ear protocol have
shown that patients who add acupuncture to their
treatment plan do better than those with only a
traditional treatment plan.
Margaret Jarvis, MD,
elected to ASAM
leadership role
How it works
A wise investment
75543-1-6/13-TP/DS
Acupuncture now offered for detox support
New director of
nursing announced
In memoriam: Governor
William Scranton
MARWORTH
WINTER 2013
Performed by naturopathic doctor and licensed
acupuncturist Maria Wansacz, ND, LAc, the NADA
ear acupuncture protocol uses 10 needles—five in
each ear. Each wire-thin, stainless steel, sterilized
needle is placed in a key spot on the patient’s outer
ear where nerve endings correspond with important
organs that are negatively affected by substance
abuse, such as the kidneys, liver and lungs. The
procedure also releases hormones, including
endorphins and cortisol, which can aid in pain relief
and stress reduction.
The procedure is nearly painless. Most people just
experience a quick pick when the needle is inserted.
Many even feel a sense of calm during the procedure.
Continued on page 2
Meet Maria Wansacz, ND, LAc
Education:
Bachelor of Science in Biology
Wilkes University, Wilkes-Barre, Pa.
Doctor of Naturopathic Medicine
Bastyr University, Seattle, Wash.
Master of Science in Acupuncture
Tri-State College of Acupuncture, New York City, N.Y.
Acupuncture Experience:
Northeastern Rehabilitation Associates, Scranton, Pa.
Everything Natural, Clarks Summit, Pa.
1 Carter, K.O., Olshan-Perlmutter, M., Norton, H.J. & Smith, M.O. (2011) NADA
acupuncture prospective trial in patients with substance use disorders and seven common
health symptoms. Medical Acupuncture. 23(3), 131-135. doi:10.1089/acu.2010.0784.
2 Chang, B.H., Sommers, E., Hertz, L. (2010). Acupuncture and relaxation response for
substance use disorder recovery. Journal of Substance Use. 15(6), 390-401.
New director of nursing announced
Marworth nurse Michelle Krutulis, RN,
CARN, was recently promoted to
director of nursing at the treatment
center. She fills the role previously held
by Noelle Tollok, RN, who retired
earlier in 2013.
medications, therapies and techniques to improve patient
care,” says Krutulis. “We learn much from the physicians
and physician assistants at Marworth, and we are also
utilizing web-based training programs.”
Krutulis earned a Bachelor of Science degree in Nursing
from Wilkes University, Wilkes-Barre, Pa., in 1980 and
In her new position, Krutulis leads a
began her professional career that same year as a float
team of 26 nurses to provide round-the- nurse at Mercy Hospital, Scranton, Pa. She then worked
clock medical care for Marworth patients. She is already in the psychiatric unit at Marian Community Hospital,
working to enhance a variety of programs at Marworth,
Carbondale, Pa., before joining Community Medical
including working with the clinical department to
Center, Scranton, where she worked on a variety of units
increase the use of anti-craving medication, as well as
and became nursing supervisor.
working with the counseling department on a special
After joining the Marworth team in 2007, Krutulis earned
program for young adult patients.
the certified addiction registered nurse (CARN)
A proponent of continuing education, Krutulis is
designation in 2012.
dedicated to providing additional education
Krutulis also served as a clinical instructor for nine years
opportunities for the nursing team at Marworth.
in the nursing programs at Marywood University and the
“Addiction nursing is a challenging specialty, and it is
University of Scranton, both in Scranton.
critical for us to stay on the leading edge of new
Acupuncture now offered for detox support
Patients interested in adding acupuncture to their detox plan can
attend up to three sessions per week. The sessions are in a small group
setting on campus with Dr. Wansacz and last between 30 to 45
minutes.
Benefits of acupuncture
The most common benefits associated with acupuncture in addiction
treatment include:
• Decreased cravings
• Decreased headaches
• Decreased depression
• Increased concentration
• Decreased anxiety
• Increased sleep quality
• Decreased anger/irritability
For those interested in continuing acupuncture or beginning a
regimen after inpatient treatment at Marworth, the positive effects
would still apply.
“Acupuncture could help relieve cravings or sleep issues that linger
after treatment,” explains Dr. Wansacz. “Acupuncture has a cumulative
effect. The more you have it done, the longer the relief can last.”
To find an acupuncturist in your area, Dr. Wansacz suggests searching
for a licensed practitioner on the National Certification Commission
for Acupuncture and Oriental Medicine (NCCAOM®) website at
www.nccaom.org.
Use of anti-craving medication grows
While various anti-craving medications
such as acamprosate, disulfrim and oral
naltrexone have been prescribed at
Marworth for several years, there has
been significant growth recently in the
use of naltrexone extended-release
injections. The uptick in use can be
attributed to an increase in awareness
of the medication’s potential benefits
by Marworth staff and patients alike.
Continued from front
the high feeling if they relapse. For
alcohol-dependent patients, naltrexone
decreases the craving for alcohol,
therefore reducing the likelihood of
relapse.
Typically, patients will stay on the
medication for about one year. Each
dose of naltrexone, administered by
injection, lasts 28 days. At Marworth,
when patients are prescribed the
It is important to note that naltrexone,
medication, the first injection is
or any other anti-craving medication, is performed during their stay at the
only effective if used in conjunction
treatment center. As an oil-based
with a comprehensive 12-step addiction liquid, naltrexone must be
treatment program.
administered by a trained and certified
injector. All nurses at Marworth are
“This is not a magic pill,” explains
trained to give the injection.
Director of Nursing Michelle Krutulis,
RN, CARN. “Even with reduced
Outside of inpatient treatment, it can
cravings due to the medication,
be difficult to find an approved
patients still need to work hard and
injector and a pharmacy that can fill
follow their treatment plan to maintain the prescription. Therefore, during the
sobriety.”
discharge planning process, Marworth
staff helps patients make an
Naltrexone injections are most often
appointment to receive their second
prescribed for patients addicted to
dose from an approved injector in an
opiates or alcohol and who have
outpatient setting.
attempted addiction treatment
multiple times previously and relapsed. “As clinicians and counselors at
As with any medication, it is not
Marworth learn more about antiappropriate for everyone–there are
craving medication and see the
contraindications and side effects that benefits it can offer patients, the more
must be considered on an individual
naltrexone injections are being
basis. Additionally, access to the
prescribed here,” says Krutulis, who
medication is often complicated due to has been working to educate staff
insurance restrictions and potential
about the medication and to increase
out-of-pocket costs.
its availability for patients. “And
patients often request to be considered
For opiate-dependent patients,
for it as they see their peers have
naltrexone blocks the effects of the
success with it as part of their
opiates in the Mu opioid receptor of
treatment program.”
the brain so the individual does not get
Fellowship profile: Tyler Bouland, MD
The latest physician to participate in the year-long Addiction
Medicine Fellowship at Marworth is Tyler Bouland, MD.
With a career goal to work in an addiction medicine setting,
Dr. Bouland arrived at Marworth in July 2013, immediately
after completing his residency. He works alongside associate
medical director and fellowship program director David
Withers, MD, as well as medical director Margaret Jarvis, MD.
Dr. Bouland earned his medical degree from Loma Linda
University School of Medicine, Loma Linda, Calif., in 2010.
He completed a residency in internal medicine at Kettering
Medical Center, Kettering, Ohio, in 2013.
His interest zeroed in on addiction medicine during his
third-year psychiatry/addiction rotation in medical school
and grew stronger during addiction rotations in his internship
and residency.
“The medical school I attended put extra emphasis on whole
person care, which included addiction medicine,” says Dr.
Bouland. “I was able to shadow an addictionologist and
thoroughly enjoyed it.”
When looking for fellowship opportunities, Dr. Bouland was
attracted to the reputation of Marworth’s Addiction Medicine
Fellowship program.
“Marworth is one of only a few institutions whose fellowship
program is accredited by the American Society of Addiction
Medicine,” he notes.
As part of his fellowship curriculum, Dr. Bouland is working on
a survey-based research study involving medication obtainment
methods and quality improvement. Also as part of the
curriculum he has been involved with individual and group
therapy techniques, the 12-step program, detoxification
strategies, opioid agonist therapy, process addiction (gambling,
sexual addiction, eating disorders), inpatient and outpatient
psychiatry, special populations (uniformed service professionals,
healthcare professionals, attorneys), medical and legal issues,
and administrative medicine (leadership skills, health insurance
concerns, malpractice issues).
Physicians interested in applying for a one-year fellowship in
addiction medicine at Marworth can learn more at
www.geisinger.edu/Fellowships/addiction/index.html.
Training pain pharmacists at Marworth
With help from Marworth, the Enterprise
Pharmacy Department at Geisinger Health
System recently implemented a program for
patients who are prescribed opioid pain
medications.
The new Pain Pharmacy program requires
patients who are prescribed pain medications by
Geisinger primary care or pain specialty
physicians to meet with a clinical pain
pharmacist. The one-on-one meetings with the
pharmacist are an opportunity for the patients to
learn more about the medications they are
taking, set appropriate pain control
expectations, and put a program in place
to manage any medications with a high
abuse potential.
I would like to support the Gift of Hope
Yes! Scholarship Endowment!
Enclosed is my tax-deductible gift of:
individuals who are addicted to prescription
pain medications, including how to identify
them in the doctor’s office and how to help
them seek treatment.
Training with Marworth physicians Tyler
Bouland, MD, Margaret Jarvis, MD, and David
Withers, MD, as well as talking with Marworth
patients helped the pharmacists better
understand the characteristics of people with
addiction.
“This was an eye-opening, worthwhile
experience,” says Dr. Scarnato of his time at
Marworth. “I feel much more in tune to the
addiction population and what I learned helps
me daily.”
Today, Dr. Scarnato sees patients from the Pain
Before the program began in September 2013,
Medicine clinic at Geisinger South Wilkesclinical pain pharmacists Amanda Dougherty,
Barre*, as well as patients at the Geisinger
PharmD, and Anthony Scarnato, PharmD, spent
primary care clinics in Mt. Pocono, Scranton
a few weeks at Marworth to learn more about
A new perspective on philanthropy
and Tunkhannock. Dr. Dougherty sees patients
at the Geisinger primary care clinics in
Lewistown and State College.
The program helps ensure the safe and effective
treatment of chronic pain patients. When
possible, the program also tries to decrease the
amount of opioid medications patients take and
substitute more non-opioid or adjunctive
medications. It is quickly gaining support from
Geisinger physicians, mid-level practitioners
and nurses as it helps educate them on
appropriate pain medication prescribing and
management.
“The program is a collaborative effort between
the pharmacist and the prescribing doctors to
improve patients’ pain management and to
intervene appropriately if a patient shows signs
of addiction,” explains Dr. Scarnato.
Dr. Jarvis elected to ASAM leadership role
The Centennial Campaign is well underway with many donors
directing their gifts to Marworth programs. In fact, many employees
are contributing to Marworth through the Centennial Campaign as
they are in a unique position to see the benefit of innovative
healthcare and treatment options in our communities and to witness
the positive impact of financial contributions from donors.
During her two-year term as secretary of
ASAM, Dr. Jarvis will be involved in
organizational decision making, reinforcement
of parliamentary rules, tracking meeting
discussions and serving on the executive
council.
“In annual giving, I work with donors who typically make smaller gifts
to the Foundation, and it’s amazing to see all those contributions add
up to something much bigger and be able to help so many people,”
says Hendricks. “It’s easy to see the good these gifts can do.”
When Hendricks decided to contribute to the Centennial Campaign,
she selected programs that give financial aid directly to patients in
need, including Marworth’s Gift of Hope Scholarship Endowment.
“While I don’t have a personal experience with addiction, I realize
rehab is an important first step for people to get back on their feet,”
she says. “I want to help people who wouldn’t otherwise have the
resources to take that step.”
Through a payroll deduction program, Hendricks is committed to
supporting Gift of Hope with a five-year pledge.
“I’m not in a position to write a huge check, but making a multi-year
pledge allows me to make a larger impact over a longer period of
time,” explains Hendricks.
Continued on back
$
100
My gift is in
$
250
Honor or
$
500
$
Memory of:
Yes, my employer matches my philanthropic
giving. I am employed by:
Please charge my gift to:
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Marworth medical director Margaret Jarvis,
MD, was recently elected secretary of the
American Society of Addiction Medicine
(ASAM).
Lizz Hendricks has worked as an annual giving coordinator in the
Institutional Advancement department at Geisinger for two years. In
her role, she sees firsthand that 100 percent of donations go toward
the donors’ designated programs.
50
* A campus of Geisinger Wyoming Valley Medical Center
Geisinger Health System, in which Marworth is included, will
celebrate its 100th anniversary in September 2015. In anticipation of
this milestone, Geisinger initiated a fundraising campaign with a goal
of $150 million.
Easy to see the good
$
“The members of ASAM are incredibly
dedicated to taking care of a disenfranchised
Margaret Jarvis, MD
population in the very best way possible; they
want to bring science into care, where superstition and stigma have held
sway for way too long,” says Dr. Jarvis. “To me, the American Society of
Addiction Medicine is what being an addiction specialist is all about. I’ve
admired the people in the organization, and it makes me proud to be a
leader in this group.”
Since joining the organization in 1993, Dr. Jarvis has served as a member
of its finance committee, by-laws committee, editorial board for the
Journal of Addiction Medicine, the planning committee for educational
offerings and an at-large director for its board of directors.
Founded in 1954, ASAM is a national medical specialty society of over
3,000 physicians. Its mission is to increase access to and improve the
quality of addiction treatment, to educate physicians and other
healthcare providers and the public, to support research and prevention,
and to promote the appropriate role of the physician in the care of
patients with addictive disorders.
“Marworth has been successfully in the forefront of providing addiction
care for many years and I believe my position with ASAM helps to
support that,” says Dr. Jarvis. “More recently, Marworth has become a
significant educational provider for new physicians. My involvement
with ASAM helps to ensure that we are teaching the most current
addiction medicine practices.”
Signature as it appears on your card
Checks can be made payable to GHSF, or you can
begin your support immediately by donating online
at www.geisingerfoundation.org.
Yes, Marworth is included in my estate plans.
Yes, I would like a Development Officer to contact me
to discuss additional Marworth gift opportunities, including
estate planning.
If you wish not to participate in future fundraising activities of
Geisinger Health System Foundation and its entities, please call
1.800.739.6882.
MM-1213
DISCLOSURE STATEMENT
Geisinger Health System Foundation (“GHSF”) has a 501(c)(3) classification from the Internal Revenue Service
and donations are tax deductible. GHSF is conducting this solicitation on its own behalf and/or on behalf of its
affiliates, with or without the use of paid professional solicitors.
Purpose: GHSF will use the proceeds of this solicitation to support Geisinger’s mission of enhancing the
quality of life through an integrated health service organization based on a balanced program of patient care,
education, research and community service.
For further information regarding the charitable purposes for which this solicitation is being made, or to obtain
a copy of the latest financial report and registrations contact GHSF at its principal place of business: 100 North
Academy Avenue, Danville, PA 17822, 1-800-275-6401, attention Randy Zickgraf, Tax Director. GHSF will
disclose, upon request, the percentage of the funds solicited that are spent on the costs of fundraising. All funds
in excess of the cost of fundraising are used for charitable purposes.
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the New York State Attorney General’s Charities Bureau, Attn: FOIL Officer, 120 Broadway, New York,
NY 10271, a copy of the last annual report filed by GHSF with the attorney general. GHSF will also
provide, upon request, a description of the programs and activities for which it has requested
contributions. GHSF may from time to time make contributions to other charitable organizations and,
upon request, will provide a list of all such organizations which have received contributions from GHSF
during the past twelve months.
Pennsylvania: The official registration and financial information of GHSF may be obtained from the
Pennsylvania Department of State by calling toll-free, within Pennsylvania 1-800-732-0999. Registration does
not imply endorsement.
Virginia: A financial statement for GHSF may be obtained upon request from the Division of Consumer
Affairs, Department of Agriculture and Consumer Services, 1100 Bank Street, Richmond, VA 23219 or by
calling 804-786-2373.