A 35-year-old physician with opioid dependence

JAMA

Volumn 292, Issue 11, 2004, Pages 1351-1357

  Knight, John R ^a,b,c  

^a HARVARD MEDICAL SCHOOL   (United States)

^b Massachusetts Medical Society   (United States)

^c BOSTON CHILDREN S HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIDEPRESSANT AGENT; ANTITUSSIVE AGENT; HYDROCODONE; OPIATE; TETRAHYDROCANNABINOL;

ADULT; CASE REPORT; CONFERENCE PAPER; DEPRESSION; DRUG USE; HEALTH CARE QUALITY; HEALTH INSURANCE; HEALTH PROGRAM; HUMAN; MALE; MEDICAL PRACTICE; OPIATE ADDICTION; PATIENT CARE; PHYSICIAN; PRIORITY JOURNAL; SELF MEDICATION; STRESS; SUBSTANCE ABUSE; UPPER RESPIRATORY TRACT INFECTION; WITHDRAWAL SYNDROME; ARTICLE; CLINICAL OBSERVATION; CLINICAL STUDY; DIAGNOSIS; DRUG DEPENDENCE TREATMENT; GENERAL PRACTICE; MALPRACTICE; PHYSICIAN ATTITUDE;

ADULT; FAMILY PRACTICE; HUMANS; HYDROCODONE; MALE; OPIOID-RELATED DISORDERS; PHYSICIAN IMPAIRMENT; PHYSICIAN'S ROLE; SELF MEDICATION; SUBSTANCE ABUSE TREATMENT CENTERS;

EID: 4544370264     PISSN: 00987484     EISSN: None     Source Type: Journal    
DOI: 10.1001/jama.292.11.1351     Document Type: Conference Paper

References (47)

1. Federation of State Medical Boards of the United States. Report of the Ad Hoc Committee on Physician Impairment. Available at: http://www.fsmb.org/Policy Documents and White Papers/physician_impairment.html. Accessed January 4, 2004.
2. American College of Physicians Ethics Manual, Third edition. Ann Intern Med. 1992;117:947-960.
3. Pfifferling JH. Managing the unmanageable: the disruptive physician. Fam Pract Manag. 1997;4:76-78, 83, 87-92.
4. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Washington, DC: American Psychiatric Association; 1994.
5. Talbott GD, Gallegos K, Angres DH. Impairment and recovery in physicians and other health professionals. In: Graham AW, Schultz TK, Wilford BB, eds. Principles of Addiction Medicine. 2nd ed. Chevy Chase, Md: American Society on Addiction Medicine; 1998:1263-1280.
6. Bissell L, Haberman P. Alcoholism in the Professions. New York, NY: Oxford University Press; 1984.
7. Markou A, Kosten TR, Koob GF. Neurobiological similarities in depression and drug dependence: a self-medication hypothesis. Neuropsychopharmacology. 1998;18:135-174.
8. Blondell RD. Impaired physicians. Prim Care. 1993;20:209-219.
9. Skipper GE. Treating the chemically dependent health professional. J Addict Dis. 1997;16:67-73.
10. Clare AW. The alcohol problem in universities and the professions. Alcohol Alcohol. 1990;25:277-285.
11. Brewster J. Prevalence of alcohol and other drug problems among physicians. JAMA. 1986;255:1913-1920.
12. McAuliffe WE, Rohman M, Wechsler H. Alcohol, substance use, and other risk-factors of impairment in a sample of physicians-in-training. Adv Alcohol Subst Abuse. 1984;4:67-87.
13. Hughes PH, Brandenburg N, Baldwin DC Jr, et al. Prevalence of substance use among US physicians. JAMA. 1992;267:2333-2339.
14. Physician Health Services 2003 Annual Report. Waltham: Massachusetts Medical Society; 2003.
15. Mansky PA. Physician health programs and the potentially impaired physician with a substance use disorder. Psychiatr Serv. 1996;47:465-467.
16. Hughes PH, Storr CL, Brandenburg NA, Baldwin DC Jr, Anthony JC, Sheehan DV. Physician substance use by medical specialty. J Addict Dis. 1999;18:23-37.
17. Eickelberg SJ, Mayo-Smith MF. Management of sedative-hypnotic intoxication and withdrawal. In: Graham AW, Schultz TK, Wilford BB, eds. Principles of Addiction Medicine. 2nd ed. Chevy Chase, Md: American Society on Addiction Medicine; 1998:441-455.
18. American Medical Association. Federation of State Physician Health Programs. Available at: http://www.fsphp.org. Accessed January 4, 2004.
19. Brooke D, Edwards G, Taylor C. Addiction as an occupational hazard: 144 doctors with drug and alcohol problems. Br J Addict. 1991;86:1011-1016.
20. Knight JR, Sanchez LT, Sherritt L, Bresnahan LR, Silveria JM, Fromson JA. Monitoring physician drug problems: attitudes of participants. J Addict Dis. 2002;21:27-36.
21. Physician Health Services. How to make a referral. Available at: http://www .massmed.org/phs/referral.html. Accessed June 29, 2004.
22. Massachusetts General Laws, chapter 112, §5F.
23. Stoudemire A, Rhoads JM. When the doctor needs a doctor: special considerations for the physician-patient. Ann Intern Med. 1983;98(5 pt 1):654-659.
24. Schorling JB, Buchsbaum D. Screening for alcohol and drug abuse. Med Clin North Am. 1997;81:845-865.
25. Fleming M. Screening, assessment, and intervention for substance use disorders in general health settings. In: Haack MR, Adger H, eds. Strategic Plan for Interdisciplinary Faculty Development: Arming the Nation's Health Professional Workforce for a New Approach to Substance Use Disorders. Providence, RI: Association for Medical Education and Research in Substance Abuse; 2002.
26. Charney DA, Paraherakis AM, Gill KJ. Integrated treatment of comorbid depression and substance use disorders. J Clin Psychiatry. 2001;62:672-677.
27. Bovasso G. The long-term treatment outcomes of depression and anxiety comorbid with substance abuse. J Behav Health Serv Res. 2001;28:42-57.
28. Havassy BE, Alvidrez J, Owen KK. Comparisons of patients with comorbid psychiatric and substance use disorders: implications for treatment and service delivery. Am J Psychiatry. 2004;161:139-145.
29. Mertens JR, Lu YW, Parthasarathy S, Moore C, Weisner CM. Medical and psychiatric conditions of alcohol and drug treatment patients in an HMO: comparison with matched controls. Arch Intern Med. 2003;163:2511-2517.
30. Rosenblum A, Joseph H, Fong C, Kipnis S, Cleland C, Portenoy RK. Prevalence and characteristics of chronic pain among chemically dependent patients in methadone maintenance and residential treatment facilities. JAMA. 2003;289:2370-2378.
31. Angres DH, McGovern MP, Shaw MF, Rawal P. Psychiatric comorbidity and physicians with substance use disorders, a comparison between the 1980s and 1990s. J Addict Dis. 2003;22:79-87.
32. Wijesinghe CP, Dunne F. Substance use and other psychiatric disorders in impaired practitioners. Psychiatr Q. 2001;72:181-189.
33. Vogl WF, ed. Urine Specimen Collection Handbook for Federal Workplace Drug Testing Programs (CSAP Technical Report 12). Rockville, Md: Center for Substance Abuse Prevention, Substance Abuse and Mental Health Services Administration; 1996. DHHS publication (SMA) 96-3114.
34. Vogl WF, Bush DM. Medical Review Officer Manual for Federal Workplace Drug Testing Programs. Rockville, Md: Center for Substance Abuse Prevention, Substance Abuse and Mental Health Services Administration; 1997. DHHS publication (SMA) 97-3164.
35. Smith PC, Smith JD. Treatment outcomes of impaired physicians in Oklahoma. J Okla State Med Assoc. 1991;84:599-603.
36. Carlson HB, Dilts SL, Radcliff S. Physicians with substance abuse problems and their recovery environment: a survey. J Subst Abuse Treat. 1994;11:113-119.
37. Galanter M, Talbott D, Gallegos K, Rubenstone E. Combined Alcoholics Anonymous and professional care for addicted physicians. Am J Psychiatry. 1990;147:64-68.
38. Vogtsberger KN. Treatment outcomes of substance-abusing physicians. Am J Drug Alcohol Abuse. 1984;10:23-37.
39. Gualtieri AC, Consentino JP, Becker JS. The California experience with a diversion program for impaired physicians. JAMA. 1983;249:226-229.
40. Morse RM, Martin MA, Swenson WM, Niven RG. Prognosis of physicians treated for alcoholism and drug dependence. JAMA. 1984;251:743-746.
41. Crowley TJ. Doctors' drug abuse reduced during contingency-contracting treatment. Alcohol Drug Res. 1985-1986;6:299-307.
42. Geyser MR. The impaired physician: the Arizona experience. Fed Bull. 1988;75:77-80.
43. Gallegos KV, Lubin BH, Bowers C, Blevins JW, Talbott GD, Wilson PO. Relapse and recovery: five to ten year follow-up study of chemically dependent physicians - the Georgia experience. Md Med J. 1992;41;315-319.
44. Reading EG. Nine years experience with chemically dependent physicians: the New Jersey experience. Md Med J. 1992;41:325-329.
45. Shore JH. The Oregon experience with impaired physicians on probation. JAMA. 1987;257:2931-2934.
46. Twelve Steps and Twelve Traditions. New York, NY: Alcoholics Anonymous World Services Inc; 1995.
47. Matching alcoholism treatments to client heterogeneity: Project MATCH post-treatment drinking outcomes. J Stud Alcohol. 1997;58:7-29.