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Articles and Publications

Browse WPHP’s archive of selected articles, publications, podcasts, videos, and presentations. Filter by topic or medium below.

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NC Physicians Health Program Offered Help To Hundreds Last Year

Monitoring physician drug problems: attitudes of participants

“The objective of this study was to measure satisfaction with a physician alcohol/drug and behavioral health monitoring program. Participating physicians rated the program’s effectiveness, staff professionalism, monitoring and advocacy, relapse services, and sensitivity to women’s issues. Correlations between satisfaction and successful recovery, source of referral, and legal involvement were computed. Responders’ (N = 87, 82% […]

Prognosis for the recovery of surgeons from chemical dependency: a 5-year outcome study

Anesthesiologists with substance use disorders: a 5-year outcome study from 16 state physician health programs

Background: Anesthesiologists have a higher rate of substance use disorders than other physicians, and their prognoses and advisability to return to anesthesiology practice after treatment remain controversial. Over the past 25 yr, physician health programs (PHPs), created under authority of state medical regulatory boards, have become primary resources for management and monitoring of physicians with substance […]

Getting back on track: a systematic review of the outcomes of remediation and rehabilitation programmes for healthcare professionals with performance concerns

Objective: To provide an overview of the evidence regarding outcomes of remediation and rehabilitation programmes for healthcare professionals with performance concerns, and to explore if outcomes differ for specific concerns and professions.

Setting the standard for recovery: Physicians’ Health Programs

Abstract: “A sample of 904 physicians consecutively admitted to 16 state Physicians’ Health Programs (PHPs) was studied for 5 years or longer to characterize the outcomes of this episode of care and to explore the elements of these programs that could improve the care of other addicted populations. The study consisted of two phases: the […]

The three missing elements in the treatment of substance use disorders: Lessons from the physician health programs

Abstract: “To make recovery, and not relapse, the expected outcome of the treatment of moderate to severe substance use disorders, 3 currently missing elements would need to be emphasized: (1) the definition of long-term recovery as the goal of all treatment and post-treatment interventions; (2) the provision of sustained post-treatment monitoring and professional and peer […]

A new paradigm for long-term recovery

American Society of Addiction Medicine Criteria

ASAM Criteria

Physician Health Programs: The US Model

Physician Mental Health and Well-Being Chapter 12

Physician Wellness and Burnout

Federation of State Medical Boards Report and Recommendations of the Workgroup on Physician Wellness and Burnout View Article  

The Prevalence of Substance Use Disorders in American Physicians.

“There have been few studies on the prevalence of substance use disorders (SUDS) in the physician population at large nor have any studies compared the prevalence of SUDS in American physicians by specialty.”

Burnout and Alcohol Abuse/Dependence Among U.S. Medical Students.

“To explore the relationship between alcohol abuse/dependence with burnout and other forms of distress among a national cohort of medical students.”

Risk Factors Measured During Medical School for Later Hazardous Drinking: A 10-year, Longitudinal, Nationwide Study

“To investigate the prevalence and temporal patterns of hazardous drinking and risk factors during medical school for future hazardous drinking among doctors.”

Prevalence of Alcohol Use Disorders Among American Surgeons

“To determine the point prevalence of alcohol abuse and dependence among practicing surgeons.”

Risk Factors for Relapse in Health Care Professionals with Substance Use Disorders

“Substance use disorders among physicians are important and persistent problems. Considerable debate exists over whether use of major opioids, especially among anesthesiologists, is associated with a higher relapse rate compared with alcohol and nonopioids. Moreover, the risk factors for relapse with current treatment and monitoring strategies are unknown.”

How are Addicted Physicians treated? A National Survey of Physician Health Programs

“Physicians with substance use disorders receive care that is qualitatively different from and reputedly more effective than that offered to the general population, yet there has been no national study of this distinctive approach. To learn more about the national system of Physician Health Programs (PHPs) that manage the care of addicted physicians, we surveyed all 49 state PHP medical directors (86% responded) to characterize their treatment, support, and monitoring regimens.”

Anesthesiologists Recovering From Chemical Dependency: Can They Safely Return to the Operating Room?

Five Year outcomes in a Cohort Study of Physicians Treated for Substance Use Disorders in the United States

“To evaluate the effectiveness of US state physician health programmes in treating physicians with substance use disorders.”

Neurobiologic Advances from the Brain Disease Model of Addiction

This article reviews scientific advances in the prevention and treatment of substance-use disorder and related developments in public policy. In the past two decades, research has increasingly supported the view that addiction is a disease of the brain. Although the brain disease model of addiction has yielded effective preventive measures, treatment interventions, and public health policies to address substance-use disorders, the underlying concept of substance abuse as a brain disease continues to be questioned, perhaps because the aberrant, impulsive, and compulsive behaviors that are characteristic of addiction have not been clearly tied to neurobiology. Here we review recent advances in the neurobiology of addiction to clarify the link between addiction and brain function and to broaden the understanding of addiction as a brain disease. We review findings on the desensitization of reward circuits, which dampens the ability to feel pleasure and the motivation to pursue everyday activities; the increasing strength of conditioned responses and stress reactivity, which results in increased cravings for alcohol and other drugs and negative emotions when these cravings are not sated; and the weakening of the brain regions involved in executive functions such as decision making, inhibitory control, and self-regulation that leads to repeated relapse. We also review the ways in which social environments, developmental stages, and genetics are intimately linked to and influence vulnerability and recovery. We conclude that neuroscience continues to support the brain disease model of addiction. Neuroscience research in this area not only offers new opportunities for the prevention and treatment of substance addictions and related behavioral addictions (e.g., to food, sex, and gambling) but may also improve our understanding of the fundamental biologic processes involved in voluntary behavioral control.

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