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Comparing Substance Use Monitoring and Treatment Variations among Physician Health Programs.

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Title: Comparing Substance Use Monitoring and Treatment Variations among Physician Health Programs.
Authors: Brooks, Elizabeth (AUTHOR), Early, Sarah R. (AUTHOR), Gundersen, Doris C. (AUTHOR), Shore, Jay H. (AUTHOR), Gendel, Michael H. (AUTHOR)
Source: American Journal on Addictions. Jul/Aug2012, Vol. 21 Issue 4, p327-334. 8p. 4 Charts, 1 Graph.
Subjects: Health programs, Physicians -- Diseases, Substance abuse treatment, Drug monitoring
Geographic Terms: Colorado
Abstract: There is growing evidence that physician health programs (PHPs) are an important component in physicians' recovery from substance disorders, although we do not know how variations in treatment and monitoring affect physician recovery. This study was designed to understand how programmatic differences impact clients' overall program completion. This study was part of a larger investigation, the Blueprint Project, which evaluated outcomes for clients enrolled in PHPs nationally. Here we compared physicians presenting to a Colorado-based PHP for substance use to a nationally based referent, contrasting treatment, monitoring, and outcomes (Colorado n = 72, National n = 730). The samples were similar demographically although more Colorado physicians were polysubstance users. We found variations in treatment and monitoring patterns with Colorado physicians participating in more types of primary treatment and monitoring services and were allowed to work more at some point during monitoring. There was greater relapse among Colorado physicians, but these differences disappeared when we controlled for prior treatment. The great majority of clients in both samples showed successful recovery. This data provides a foundation on which to understand population characteristics, contractual differences, and outcome variations among PHPs and serves to inform internal PHP programmatic structures and regulatory agencies. (Am J Addict 2012;00:1-8) [ABSTRACT FROM AUTHOR]
Copyright of American Journal on Addictions is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Comparing Substance Use Monitoring and Treatment Variations among Physician Health Programs.
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  Data: <searchLink fieldCode="AR" term="%22Brooks%2C+Elizabeth%22">Brooks, Elizabeth</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Early%2C+Sarah+R%2E%22">Early, Sarah R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gundersen%2C+Doris+C%2E%22">Gundersen, Doris C.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shore%2C+Jay+H%2E%22">Shore, Jay H.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gendel%2C+Michael+H%2E%22">Gendel, Michael H.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+on+Addictions%22">American Journal on Addictions</searchLink>. Jul/Aug2012, Vol. 21 Issue 4, p327-334. 8p. 4 Charts, 1 Graph.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22Health+programs%22">Health programs</searchLink><br /><searchLink fieldCode="DE" term="%22Physicians+--+Diseases%22">Physicians -- Diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse+treatment%22">Substance abuse treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+monitoring%22">Drug monitoring</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Colorado%22">Colorado</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: There is growing evidence that physician health programs (PHPs) are an important component in physicians' recovery from substance disorders, although we do not know how variations in treatment and monitoring affect physician recovery. This study was designed to understand how programmatic differences impact clients' overall program completion. This study was part of a larger investigation, the Blueprint Project, which evaluated outcomes for clients enrolled in PHPs nationally. Here we compared physicians presenting to a Colorado-based PHP for substance use to a nationally based referent, contrasting treatment, monitoring, and outcomes (Colorado n = 72, National n = 730). The samples were similar demographically although more Colorado physicians were polysubstance users. We found variations in treatment and monitoring patterns with Colorado physicians participating in more types of primary treatment and monitoring services and were allowed to work more at some point during monitoring. There was greater relapse among Colorado physicians, but these differences disappeared when we controlled for prior treatment. The great majority of clients in both samples showed successful recovery. This data provides a foundation on which to understand population characteristics, contractual differences, and outcome variations among PHPs and serves to inform internal PHP programmatic structures and regulatory agencies. (Am J Addict 2012;00:1-8) [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of American Journal on Addictions is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/j.1521-0391.2012.00239.x
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        Text: English
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      – SubjectFull: Substance abuse treatment
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      – SubjectFull: Drug monitoring
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              Text: Jul/Aug2012
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