Federation of State Physician Health Programs

FSPHP Homepage About the FSPHP State Programs Meetings Publications Contact Us	Maryland Demographics and staff - member Program Name: Maryland Physician Health Program Address: 1202 Maryland Avenue, 2nd Fl Baltimore, MD 21201-5512 Telephone:  (800) 992-7010 or (410) 962-5580 Fax:  (410) 962-5583 E-mail:   mllufrio@medchi.org tdolan@medchi.org rsprout@medchi.org Web site: www.healthymaryland.org/physician-health-program.php Staff: Michael C. Llufrio, NCAC II, Director Thomas E. Dolan, CAC-AD, Outreach Coordinator Rhonda Sprout, Administrative Assistant Program structure The program is operated by: Administratively under the Center for a Healthy Maryland (a 501C3 charitable/educational entity that is affiliated with the state medical society) Do you have a formal contractual relationship with the state medical board? No We have no current formal relationship with the Maryland State Board of Physicians Program services Types of disease, illness, or conditions monitored: Chemical dependency Mental health Behavioral health problems Sexual misconduct and/or boundary violations Malpractice litigation Stress related illnes Other: Cognitive impairment Services provided to which populations: Physicians - MD Physicians - DO  Medical students Residents  Physician Assistants Funding Please indicate the primary sources of funding for your program: State medical society: subsidizes some program expenses Hospital access fees Participant case management fees Donations Monitoring requirements Chemical dependency Length of contract: 5 years Random urine drug screen frequency: Year 1: 4-12 times per month Year 2: 2-8 times per month Year 3: 2-6 times per month Year 4: 1-4 times per month Year 5: 0-2 times per month Note: Totally variable on case-by-case basis Support group utilization (see note): AA NA Caduceus Professionally facilitated Other: psychotherapy Support group recommended frequency (see note): Year 1: 12-30 times per month Year 2: 8-20 times per month Year 3: 6-20 times per month Year 4: 6-10 times per month Year 5: 6-10 times per month To completion: 6-10 times per month Note: Support group attendance as well as therapy requirements: Inpatient, outpatient, intensive, group and individual therapy are determined on a case-by-case, clinical need basis Work or practice monitor requirements are determined on a case-by-case, clinical need basis and on the basis of administrative need, such as when referred by a hospital or practice Other provisions:  Mental Health Length of contract: 1-5 years Support group  AA NA Other: Alanon, ACOA, DA, SLAA, Naranon, SIA Psychiatric Support groups Other twelve-step and emotional health support groups Support group recommended frequency (see note): Year 1: 2-10 times per month Year 2: 2-10 times per month Year 3: 2-10 times per month Year 4: 2-10 times per month Year 5: 2-10 times per month To completion: 2-10 times per month Therapy or treatment requirement: Inpatient, outpatient and group therapy determined on a case-by-case, clinical need basis Work or practice monitor requirement: determined on a case-by-case, clinical/administrative need basis Other provisions:  Please describe any other monitoring services provided: Monitoring reports come from: therapist, supervisory persons, psychiatric superviors, institutions, monitors, participant self-evaluation, support group fellowship reports