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If diagnosed with an impairing condition, the PHP will develop a monitoring agreement based on the recommendations of the evaluator.  The purpose of monitoring is to provide advocacy and make sure our participants are able to return to the practice of medicine or dentistry. Monitoring begins either after a participant successfully completes an inpatient treatment program or is actively involved in an outpatient program.


Elements of a Monitoring Agreement

Participant Meeting Attendance: The physician conducts a portion of his or her own monitoring through self-reporting attendance at 12-Step meetings, caduceus meetings, or other appropriate mutual support groups on a monthly basis.

Therapist Reports: If the participant is enrolled in individual or group therapy, the therapist submits quarterly progress reports to the PHP.

Drug Screens: Toxicology testing includes urine, blood, hair, or any other testing that is deemed necessary by PHP. Frequency is based on compliance with monitoring and diagnosed condition.

PHP Monitors: The PHP assigns a peer monitor to participants. These are peers who act as a support to participants in the community and have also participated in PHP monitoring.

Workplace Monitors: The PHP participant must name someone at his/her workplace to serve as a workplace monitor. On a quarterly basis the monitor reports to the PHP about the participant's timeliness, reliability, relationship with patients and office staff, and personal appearance.

PHP Staff Contact: Under the agreement, the participant must maintain monthly personal contact with the PHP. This allows the PHP to evaluate progress and compliance with the agreement and to respond to any indications of difficulty. Noncompliant behavior and/or relapses are dealt with quickly to prevent a return to an impaired condition.