Federation of State Physician Health Programs

FSPHP Homepage About the FSPHP State Programs Meetings Publications Contact Us	Maine Demographics and staff - member Program Name: Maine Physician Health Program Maine Medical Association Address: P.O. Box 190, Manchester, ME 04351 Telephone:  (207) 623-9266 Fax:  (207) 622-3332 E-mail:   dsimmons@mainemed.com Staff: David Simmons, MD, Clinical Director Cathryn Stratton, Program Coordinator Program structure The program is operated by: State medical society, Maine Medical Association Do you have a formal contractual relationship with the state medical board? Yes Protocol Program services Types of disease, illness, or conditions monitored: Chemical dependency Full range of conditions including mental and physical health Services provided to which populations: Physicians - MD Physicians - DO Dentists Residents Physician assistants Dental hygienist Pharmacists Funding Please indicate the primary sources of funding for your program: funding comes from all professional associations and boards served (ie Medicine, Osteopathy, Dentistry, Pharmacy), as well as medical staff contributions and private contributions. Monitoring requirements Chemical dependency Length of contract: 5 years Random urine drug screen frequency: Year 1: 2 times per week Year 2: 1 time per month Support (self help) group requirements: AA Caduceus Professionally facilitated Support (self help) group frequency: Year 1: 2 times per week Year 2: 2 times per week Year 3: 2 times per week Year 4: 2 times per week Year 5: 2 times per week Therapy or treatment requirement: Individual Work or practice monitor requirement: Yes Other provisions: