1- HCP Substance Abuse Flashcards
What are the general signs of an abuse problem? (5)
Substitution, preoccupation, isolation, compulsion, denial
What general sign of an abuse problem is defined as giving up important activities?
Substitution
What general sign of an abuse problem is defined as drinking or using regularly?
Preoccupation
What general sign of an abuse problem is defined avoiding people in order to abuse the substance?
Isolation
What general sign of an abuse problem is defined as legal, family, or health consequences associated with use?
Compulsion
What general sign of an abuse problem is defined as distortion of thinking?
Denial
What are the risk factors for substance abuse in the general population?
Family hx, childhood abuse, age of first use, drug of choice
What are the risk factors for substance abuse in health care providers?
High standards, pressure, access to controlled substances, self tx, chronic stress, conduct in profession training
What are the treatment options for substance abuse? (4)
In-patient, out-patient residential, out-patient, therapy
What is involved with in-patient treatment for substance abuse?
Detox (hospital) and rehab (14 days- 3 mos)
What is involved with out-patient residential treatment for substance abuse?
1/2 way house
What is involved with out-patient treatment for substance abuse?
Rehab (intensive)
What is involved with therapy treatment for substance abuse?
Individual counseling and group therapy (12 step model)
Your SP is caught using office’s controlled substances. What should you do?
Mandatory reporting to the board (self-referral strongly encouraged)
If you suspect a colleague of substance abuse, what should you do after informal discussion with colleague, f/u with another colleague? (3)
Enlist expert, report (chief of staff, dept chair, med supervisor), final complaint with state board
What should you do if you get a DUI as a healthcare provider?
Mandatory reporting to board
If chemical dependency is found during board investigation, what is required?
Treatment (as prescribed by additictionist)
What additional substance abuse rehabilitation program is available for HCP?
Monitored Aftercare Program
What are a majority of board actions due to?
Improper prescribing or dispensing of controlled substances
Unprofessional conduct/ violations of code may result in what type of recourse from the board? (6)
Warning, advisory letter, letter of reprimand, decree of censure, license suspension, license revocation
How is substance abuse in HCP the same/different from general public?
Increased risk factors but same prevelance
