NCSAM Elections July 2012

Presidential Candidates

Paul Martin, MD DABFM, DABAM

Addiction Medicine has been a passion of mine for over 30 years during which time I have served in multiple arenas including academics, research, private practice, public health, community leadership and health management for self-insured companies. Since coming to NC in 1982 I have been a faculty member at UNC-CH and the MAHEC Family Practice Residency Program predominately focusing on behavioral health / Addiction Medicine. In 1990 I left full-time practice with UNC/MAHEC to complete a training program in Occupational Medicine and set up a consulting practice that assists companies in addressing the spectrum of job related problems including behavioral health/chronic pain/addiction. For the past two years I have worked as the Chief Medical Officer for a health management company that provides self-insured companies a range of services including TPA, pre-certification, utilization review, health plan development, and pharmacy benefit management.

Caring for the indigent/uninsured has played a major role in my career. Since 1983 I have been medical director of the local nonhospital medical detox and crisis stabilization facility – a 16 bed unit that serves those without insurance. I have cared for over 25,000 patients during my tenure, arguably providing me with more experience than most in the field.  I have served for many years as a consultant to the regional methadone program and was the first physician in the Carolinas to receive a buprenorphine license. From 1987-2007 I was medical director of the St. Joseph’s Addiction Recovery Program which grew to be the largest provider of outpatient services in the state.

Prior leadership roles include Chairman of the Board of Health, Vice Chief of Staff of Mission Hospitals, multiple committee roles in the NC Academy of Family Physicians, President of the County Medical Society, MAHEC Board of Directors, and 26 years as member/chairman for the health system Pharmacy and Therapeutics Committee. I am currently Chairman of Buncombe County Drug Commission – a coalition of police, sheriff, public schools, courts, DA, treatment providers, religious community, DSS, & EMS.

2012 health care is in a whirlwind of change providing incredible opportunity for Addiction Medicine. The Mental Health Parity and Addiction Equity Act leveled the playing field for those with insurance to access mental health services and treatment for addiction. The Patient Protection and Affordable Care Act will bring an additional 400,000 individuals to the Medicaid system in NC over the next two years, and requires treatment for addiction to be a covered service in all insurance policies.  The Affordable Care Act also actualized Accountable Care Organizations which will be reimbursed with respect to efficiency and efficacy in managing population health.  Addiction Medicine finally has the opportunity to provide fully reimbursable services critical to managing the health of our public. It is incumbent upon our membership to take this window of opportunity to promote the discipline of Addiction Medicine, to promote our practices, and to promote our expertise in providing essential services.  The NC Society of Addiction Medicine must sit at the table in planning the future of health care in our state. We must increase or membership, participate in key decisions that take place in the development of delivery systems (ACOs, HIEs, etc), and promote our specialty to the public and to our legislators.
My experience in private medicine, academic medicine, medical leadership, community health, and most recently the insurance world, brings the skill set necessary to lead our members during this changing time.

Roy Stein, MD

A native of Montgomery, AL, I obtained my BS from the University of Massachusetts-Amherst and MD at Duke.  After internship in Medicine at Dartmouth-Hitchcock Medical Center in New Hampshire, I completed residency in Psychiatry at Duke, followed by three years of private practice.  My experience as consultant at Durham County Alcoholism Treatment Clinic during this period catalyzed my engagement with the addiction field.  I joined the Psychiatry staff at the Durham VA Medical Center in 1988, and since 1990 have directed substance abuse services there.  I am board-certified in Psychiatry (1987) and Addiction Psychiatry (1993/2003), and led the VA/Duke addiction fellowship program from 1994-2002.  As Assistant Professor of Psychiatry at Duke I provide didactics and clinical supervision in addiction treatment for medical students and residents and served for 10 years as director of medical student education in psychiatry.   I’ve been involved with the Governor’s Institute on Substance Abuse since the early ‘90’s, as a fellow in medical curriculum development, board member, board chair, and currently as Advisory Council member.  I qualified as a motivational interviewing (MI) trainer in 2003, and presently serve as a consultant in a national initiative to train VA clinicians in MI.  My work in addictions is continually challenging, meaningful and rewarding. My commitment to collaboration across medical specialty and institutional boundaries is heightened by 30 years of marriage to Jeannette Stein, M.D., a general internist and graduate of UNC Med.

If elected, my goals would be to: (1) maintain NCSAM’s current strengths, particularly the highly successful annual Addiction Medicine conference; (2) seek a better understanding of how the organization can meet the needs of its members and reach out to potential new members; (3) strengthen the sense of collegiality and community among members; and (4) expand collaborations between NCSAM and other organizations and groups in advocating for the needs of North Carolina’s patients and families affected by substance use disorders.  I view the assumption of a leadership position in NCSAM as an opportunity for service, both to our professional community and to the broader society of North Carolina.

Treasurer Candidate

Elizabeth (Bess) Stanton MD, MBA, FAPA

I graduated from the University of Mississippi School of Medicine. I completed my Residency in General Adult Psychiatry, and my Fellowship in Child and Adolescent Psychiatry at Duke University Medical Center, where I was Chief Administrative Resident. I am Board certified in General Adult Psychiatry, Child and Adolescent Psychiatry, and Addiction Medicine.

I have practiced in North Carolina in Durham, Burlington, and Asheville where I have lived since 2003.   Currently I am the Medical Director at Mountain Health Solutions, Asheville, NC, an OTP, and at Parkway Behavioral Health, a NC endorsed CAHBA, treating adults with Addiction Disorders and Major Psychiatric Disorders.

I am interested in serving NCSAM in the position of Treasurer. I hope to focus on increasing the membership of NCSAM by fostering communication and collaboration with NC Academy of Addiction Psychiatry, and NC Academy of Family Physicians.

A Project of the Governor's Institute on Alcohol & Substance Abuse and the North Carolina Society of Addiction Medicine.
Funded wholly or in part by the federal Substance Abuse Prevention and Treatment Block Grant Fund (CFDA #93.959) as a project of the NC Division of Mental Health, Developmental Disabilities & Substance Abuse Services.