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of different treatment programs are: • Residential Treatment Programs: Specialized substance abuse facility or designated unit within a hospital system; focusing on helping individuals change behavior in a highly structured therapeutic setting. o Short-term residential treatment is most common (28 to 90 days) and focuses on detoxification as well as providing intensive treatment and preparation for the participant’s return to a community-based setting. • Partial Hospitalization Programs (PHPs): Provide a structured treatment program as an alternative to inpatient residential treatment. o Intensive and regular treatment sessions in a therapeutic environment are provided Monday through Friday o PHPs do not require the participant to stay overnight, but some PHPs offer a residential option; an opportunity to live and work in a therapeutic environment • Intensive Outpatient Programs (IOPs): Aim to provide intense treatment with less disruption to work, school, or family schedules; generally consisting of three-hour sessions two to three times per week (SAMHSA, 2016) A continuum of care allows people to enter treatment at the setting most appropriate for the severity of their addiction and permits step-up or step-down adjustments as needed. The choice of setting should be based on treatment needs, patient preferences and clinical characteristics of the patient, but the least restrictive, most appropriate treatment setting provides the opportunity to maximize outcomes while controlling costs. Recovery Material Protected by Copyright Recovery is defined as “an ongoing process of improvement - biologically, psychologically, socially and spiritually; while, attempting to maintain abstinence from alcohol and other drugs.” There are six stages for long-term recovery: • Transition: The time needed for individuals to realize that safe use of alcohol or other drugs is not possible for them • Stabilization: The time the individual experiences physical withdrawal and other medical problems and learns how to separate himself or herself from the people, places and things that promote drug abuse • Early recovery: The time an individual faces the need to establish a substance-free lifestyle and build relationships that support long-term recovery • Middle recovery: The time for developing a balanced lifestyle where repairing past damage is critical • Late recovery: The time when the individual identifies and changes mistaken beliefs (about himself or herself, others, and the world) that cause or promote irrational thinking • Maintenance: The lifelong process of continued growth, development and management of routine life problems. Return to Work Agreements A return to work agreement is a contract among the employer, employee, employee assistance program, union, and/or treatment professionals, delineating the expectations the employer has for the employee, the employee has for the employer, and consequences for failure to meet the expectations. Florida Initiatives When a healthcare worker is suspected of substance use disorder and has been reported to the Florida Department of Health or referred to the Intervention Project for Nurses (IPN); a specific process is put into place to assure that the worker has access to treatment. Mandated by Florida statutes, all treatment programs for impaired healthcare workers must be approved by IPN. IPN does not provide treatment for substance use disorder, but is charged with ascertaining that the treatment providers and facilities are licensed by the state of Florida. Providers apply to IPN and are approved for inclusion on the approved provider list. The Intervention Project for Nurses Established in 1983, the Intervention Project for Nurses (IPN) is meant to enhance public health and improve safety by offering an opportunity for quick intervention/close monitoring and support for nurses whose practice may be weakened from the use, misuse or abuse of alcohol or drugs or a mental/physical condition (Florida Nurse Practice Act, Chapter 455.261). Prior to 1983, the only option the Florida Board of Nursing had was to discipline the impaired nurse and stop them from practicing. Despite the punishment, nurses
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