Probati tion Unit t } Psychoth therapy } Medical Ev Evaluati - PDF document

9/15/14 ¡ } Contr trolled Substa tances-Absta tain From Use } Alcohol-Absta tain from Use } Biological Fluid Testi ting } Psychiatr tric Ev Evaluati tion Probati tion Unit t } Psychoth therapy } Medical Ev Evaluati tion and Treatm tment t } Suspension - 60 days or more } Ethics Course } Monitoring-Practice/Billing Septe tember 3, 2014 CSAM Work CSAM orkshop shop } Clinical Diagnostic Evaluation } Senate Bill 1441, September 2008 } Uniform Standards for Treating Substance } Notice of Employer/Supervisor Abusing Licensees Information } Incorporated into Regulations } Disciplined for Unprofessional Conduct } Group Support Meetings } Abuse of Drugs and/or Alcohol } Worksite Monitors } Presumed Substance Abusing Licensee } Probation Terms and Conditions without } [Biological Fluid Testing] Deviation } Evaluator’s Determination Provide Names Written Consent } Cease Practice Pending Results Physical Addresses Work Status } Biological Fluid Testing (BFT) Mailing Addresses Performance Two Times per Week Telephone Numbers Monitoring } 30-days Negative BFT Results 1 ¡

9/15/14 ¡ } No Financial, Personal, or Familial } Licensee’s history Relationship } Length of sobriety } Cannot be an Employee or Supervisee } Recommendation of clinical evaluator } Must be a Licensed Physician, Health Care } Scope and pattern of use Professional, or Position of Authority } Treatment history } Face-to-Face Contact } Nature, duration, and } Report within 1 Business Day Suspected severity of substance Substance Abuse abuse } Monthly Report to Board Diversion Program vs. Current Process } BFT on Any Day at Any Time } 52 – 104 random tests per year for 1 st Committee Assessed Physician Physician Undergoes Independent Developed Rehabilitation/Recovery Medical/Psychiatric Evaluation to year of probation Plan Determine Rehabilitation Needs Physician Expected to Comply With Recommendations for Ongoing } 36 – 104 random tests per year for the With Plan Treatment Must be Complied with During Probation duration of probation Failure to Comply with Treatment During Probation is Considered Grounds Failure to Comply with Treatment is a } Positive Test Result – Cease Practice/ for Discipline Violation of Probation and Grounds for further Disciplinary Action Leave Work Place Diversion Staff Monitors Compliance No Referral Made to Enforcement unless Probation Unit Monitors Compliance by: } Notify Employers, Supervisors, and Physician Considered “Unsafe to 1) Quarterly Reports from Treating Practice” Physicians; and 2) Random Biological Worksite Monitor Fluid Testing } Evaluation and treatment made by an independent Biological Fluid Testi ting ¡ medical specialist July 2012-June 2013 ¡ July 2013-June 2014 ¡ Total No. of CA Licensed 104,422 (In-state) 106,610 (In-state) } Non-compliance with treatment can be identified and Physicians 24,219 (Out-of-state) 24,107 (Out-of-state) acted upon quickly rather than waiting until the Total No. of Physicians on practitioner is deemed “unsafe” Probation 498 466 Total No. of Physicians Being Tested* ¡ 137 ¡ 135 ¡ } Positive biological fluid tests can be acted upon quickly ¡ rather than waiting until the practitioner is deemed Cease Practice Orders 3 3 “unsafe” Total No. of Petitions to Revoke based on Positive BFT ¡ 7 7 } The Guidelines authorize issuance of a “cease practice” *Excludes tolled probationers order following a positive test result 2 ¡

9/15/14 ¡ TEST PANEL COST MedPro #1+ EtG/EtS $58.00 EtG Only $30.00 MedPro #4 $33.50 MedPro #4+EtG/EtS $56.00 Blood $262.50-$292.50* Hair Follicle $65.00 - $325.00* *Depends on the test panel. 3 ¡