Substance-abusing physicians: Monitoring and twelve-step-based treatment

American Journal on Addictions

Volumn 16, Issue 2, 2007, Pages 117-123

  Galanter, Marc ^a,d   Dermatis, Helen ^a   Mansky, Peter ^b   McIntyre, John ^c   Perez Fuentes, Gabriela ^a  

^a NEW YORK UNIVERSITY MEDICAL CENTER   (United States)

^b Committee on Physicians Health ^*  (United States)

^c UNITY HEALTH SYSTEM   (United States)

^d NEW YORK UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ALCOHOL; CANNABIS; COCAINE; OPIATE;

ABSTINENCE; ADULT; ALCOHOLISM; ARTICLE; BIOLOGICAL MONITORING; CANNABIS ADDICTION; COCAINE DEPENDENCE; DRUG DEPENDENCE TREATMENT; FEMALE; HOSPITAL ADMISSION; HUMAN; LOGISTIC REGRESSION ANALYSIS; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD; OPIATE ADDICTION; PHYSICIAN; RANDOMIZATION; RELAPSE; SUBSTANCE ABUSE; TREATMENT PLANNING; URINALYSIS; WORKPLACE;

ADULT; CONVALESCENCE; FEMALE; HUMANS; MALE; MENTAL HEALTH SERVICES; MONITORING, AMBULATORY; PATIENT COMPLIANCE; PHYSICIANS; QUESTIONNAIRES; RECURRENCE; SUBSTANCE-RELATED DISORDERS; WORKPLACE;

EID: 34247343221     PISSN: 10550496     EISSN: 15210391     Source Type: Journal    
DOI: 10.1080/10550490601184456     Document Type: Article

References (31)

1. American Medical Association Council on Mental Health. The sick physician: impairment by psychiatric disorders including alcoholism and drug dependence. JAMA. 1973;223:684-687.
2. Brewster JM. Prevalence of alcohol and other drug problems among physicians. JAMA. 1986;255:1913-1920.
3. Gold MS, Dennis DM, Morey TE, Melker R. Exposure to narcotics in the operating room poses occupational hazard for anesthesiologists. Psychiatr Ann. 2004;34:794-797.
4. McAuliffe WE, Rohman M, Santangelo S, et al. Psychoactive drug use among practicing physicians and medical students. N Engl J Med. 1986;315:805-810.
5. Myers T, Weiss E. Substance use by interns and residents: an analysis of personal, social and professional differences. Br J Addict. 1987;82:1091-1099.
6. Talbott GD, Gallegos KV, Wilson PO, Porter TL. The medical association of Georgia's impaired physicians program. Review of the first 1000 physicians: analysis of specialty. JAMA. 1987;257:2927-2930.
7. Domino KB, Hornbein TF, Polissar NL, et al. Risk factors for relapse in health care professionals with substance use disorder. JAMA. 2005;293:1453-1460.
8. Mansky PA. Issues in the recovery of physicians from addictive illnesses. Psychiatr Q. 1999;70:107-122.
9. Hughes PH, Brandenburg NA, Baldwin DC, et al. Prevalence of substance use among US physicians. JAMA. 1992;267:2333-2339.
10. Gallegos KV, Lubin BG, Bowers C, Blerins JW, Talbott GD, Wilson PO. Relapse and recovery: five to ten year follow-up study of chemically dependent physicians: the Georgia experience. Md Med. 1992;41:315-319.
11. Ganley OH, Pendergast WJ, Wilkerson MW, Mattingly DE. Outcome study of substance impaired physicians and physician assistants under contract with North Carolina physicians health program for the period 1995-2000. J Addict Dis. 2005;24:1-38.
12. Galanter M, Talbott G, Gallegos K, Rubenstone E. Combined alcoholics anonymous and professional care for addicted physicians. Am J Psychiatry. 1990;147:64-68.
13. Project MATCH Research Group. Matching alcoholism treatments to client heterogeneity: Project MATCH three-year drinking outcomes. Alcohol Clin Exp Res. 1998;22:1300-1311.
14. Bohigian GM, Bondurant R, Croughan JL. The impaired and disruptive physician: the Missouri physician's health program - an update. J Addict Dis. 2005;24:13-23.
15. Ikeda R, Pelton C. Diversion programs for impaired physicians. (Special issue: addiction medicine) West J Med. 1990;152:617-621.
16. Angres D, Delisi S, Alam D, Williams BW. A programmatic approach to treating physicians with a dual diagnosis. Psychiatr Ann. 2004;34:776-780.
17. Herrington RE, Benzer DG, Jacobson GR, Hawkins MX. Treating substance use disorders among physicians. JAMA. 1982;247:2253-2257.
18. Flowers WM. Sometimes doctors need help too - The Mississippi recovering physicians program. J Miss State Med Assoc. 1999;40:252-255.
19. Wall JH. The results of hospital treatment of addiction in physicians. Fed Bull/Fed State Medical Boards US. 1958;45:144-152.
20. Jones RE. A study of 100 physician psychiatric inpatients. Am J Psychiatry. 1977;134:1119-1123.
21. Prochaska JO, DiClemente CC. Toward a comprehensive model of change. In: Miller WR, Healther N, eds. Treating Addictive Behaviors: Processes of Change. New York: Plenum Press;1986:3-27.
22. Johnson RP, Connelly JC. Addicted physicians. A closer look. JAMA. 1981;245:253-257.
23. Institute of Medicine. To Err Is Human: Building a Safer Health System. Washington DC: National Academy Press; 2000.
24. Blendon RJ, DesRoches CM, Brodie M, et al. Patient safety: views of practicing physicians and the public on medical errors. N Engl J Med. 2002;347:24.
25. Smith P, Smith D. Treatment outcomes of impaired physicians in Oklahoma. J Okla State Med Assoc. 1991;84:599-603.
26. McLellan AT, Lewis DC, O'Brien CP, Kleber HD. Drug dependence, a chronic medical illness: implications for treatment, insurance, and outcomes evaluation. JAMA. 2000;284:1689-1695.
27. Cooney NL, Babor TF, Litt MD. Matching clients to alcoholism treatment based on severity of alcohol dependence. In: Longabaugh E, Wirtz PW, eds. Project MATCH Hypotheses: Results and Causal Chain Analyses. Vol. 8. Bethesda Md.: National Institute on Alcohol Abuse and Alcoholism, Project MATCH Monograph Series; 2001.
28. Galanter M, Egelko S, Edwards H. Rational recovery: alternative to AA for addiction? Am J Drug Alcohol Abuse. 1993;19:499-510.
29. Bosch X. First impaired physicians therapy program appears to be successful in Spain. JAMA. 2000;283:3186-3187.
30. Gossop M, Stephens S, Stewart D, Marshall J, Bearn J, Strang J. Health care professionals referred for treatment of alcohol and drug problems. Alcohol Alcohol. 2001;36:160-164.
31. Shore J. The Oregon experience with impaired physicians on probation. JAMA. 1987;257:2931-2934.