In the last twenty years, it has been recognized that professionals may have alcohol, other drug, emotional, marital, family or physical problems that impair their ability to practice their profession. This article traces the history of programs for impaired and distressed professionals; reviews types of program models; describes the New Jersey Impaired Dentists Program as an example of an impaired professionals program; and reviews literature on the effectiveness of treatment for impaired professionals.
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References
1.
American Psychiatric Association1987Diagnostic and statistical manual of mental disorders (3rd ed., revised). Washington, D.C.: American Psychiatric Association.
2.
AranaG.W.1982The impaired physician: A medical and social dilemma. General Hospital Psychiatry4:147–153.
3.
BissellL.HabermanP.W.1984Alcoholism in the professions. Oxford: Oxford University Press.
4.
CunnickW.R.MarchesiniE.P.1977The program for alcoholism at Metropolitan Life. In SchrammC.J. (ed.), Alcoholism and its treatment in industry: 82–90, Baltimore: Johns Hopkins University Press.
5.
EdwardsG.1975The alcoholic doctor. A case of neglect. Lancet: 1297–1298.
6.
FooteA.ErfurtJ.C.StrauchP.A.GuzzardoT.L.1978Cost-effectiveness of occupational employee programs; Test of an evaluation method. Ann Arbor: University of Michigan Institute of Labor and Industrial Relations.
7.
GlickI.D.BorusJ.F.Unpub- Marital and family therapy for troubled physicians and their families. lished
8.
GualtieriA.C.CosentinoJ.P.BeckerJ.S.1983The California experience with a diversion program for impaired physicians. Journal of the American Medical Association294:226–229.
9.
HerringtonR.E.BenzerD.G.JacobsonG.R.HawkinsM.K.1982Treating substance-use disorders among physicians. Journal of the American Medical Association247:2253–2257.
JonesD.1983Performance benchmarks for the comprehensive Employee Assistance Program. Center City, MN: Hazelden Foundation.
12.
KilburgR.R.NathanP.E.ThoresonR.W.1986Professionals in distress. Issues, syndromes, and solutions in psychology. Washington, D.C.: American Psychological Association.
McCradyB.S.1985The Impaired Dentists Program. Journal of the New Jersey Dental Association: 52–54.
15.
MilgramG.G.McCradyB.S.1986Employee assistance: Policies and programs. New Brunswick, NJ: Alcohol Research Documentation, Inc.
16.
MorseR.M.MartinM.A.SwensonW.M.NivenR.G.1984Prognosis for physicians treated for alcoholism and drug dependence. Journal of the American Medical Association251:743–746.
17.
PearsonM.M.1982Psychiatric treatment of 250 physicians. Psychiatric Annals12:194–206.
18.
ShoreJ.H.1982The impaired physician. Four years after probation. Journal of the American Medical Association248:3127–3130.
19.
TriceH.M.BeyerJ.M.1982A study of union-management cooperation in a long-standing alcoholism program. Contemporary Drug Problems: 295–316.
20.
TriceH.M.RomanP.M.1978Spirits and demons at work; Alcohol and other drugs on the job (Second Edition). IRL Paperback No. 11, Ithaca, NY: Cornell University, New York State School of Industrial Relations.
21.
TriceH.M.SonnenstuhlW.J.1987Alcohol and mental health programs in the workplace: Organizational and occupational dimensions of employee assistance programs. In GreenleyJames R. (ed.) Mental Disorders in Social Context: Social Problems Perspectives: Detroit, Mich: Wayne State Press.