Federation of State Physician Health Programs

FSPHP Homepage About the FSPHP State Programs Meetings Publications Contact Us	Missouri Demographics and staff - member Program Name: Missouri Physicians Health Program Address: 680 Craig Road, Suite 308, St. Louis, MO 63141 Telephone:  (314) 954-5858, Hotline (800) 274-0933 Fax:  (314) 569-9444 E-mail:   mphp@sbcglobal.net rhbondurant@sbcglobal.net Staff: Jack L. Croughan, MD, Medical Director Robert Bondurant, RN, LCSW, Program Coordinator  (314) 954-5858 Rebecca Mowen, MSW, LCSW, CADC, Assistant Program Coordinator (314) 650-0060 Cathy Hodgson, EdD, Regional Coordinator Jayne Niskey, PhD, Regional Coordinator Tracy Ellman, MSW, Regional Coordinator Martin Dressman, LCSW, Regional Coordinator Rebecca Tivoli, Administrative Assistant Melanie Ziebart, MSW, CADC, Regional Coordinator Nancy Morton, BS, Hospital Services Coordinator Jeremy Duke, LPC, Regional Coordinator Program structure The program is operated by: State medical society Do you have a formal contractual relationship with the state medical board? Yes A mutual agreement in the form of a Memorandum of Understanding Program services Types of disease, illness, or conditions monitored: Chemical dependency Mental health Behavioral health problems Sexual misconduct and/or boundary violations Stress management Services provided to which populations: Physicians - MD Physicians - DO Families of physicians Medical students Residents Funding Please indicate the primary sources of funding for your program: State medical society Hospital and private contributions Participant fees: Required to pay monthly fee Monitoring requirements Chemical dependency Length of contract: 5 years Random urine drug screen frequency: Year 1: 1-2 times per week Year 2: 1-2 times per month Year 3: 1-2 times per month Year 4: 1 time per month Year 5: 1-2 times per month Support (self help) group requirements: AA NA Caduceus Professionally facilitated Support (self help) group frequency: Year 1: 3 times per week Year 2: 3 times per week Year 3: 1-3 times per week Year 4: 1-3 times per week Year 5: 1-3 times per week Therapy or treatment requirement: Based on treatment recommendations Work or practice monitor requirement: Based on impairment and treatment recommendations Other provisions: Family, marital, individual therapy as recommended by treating organization Mental Health Length of contract: 5 years Support (self help) group requirements: based on treatment recommendations Support (self help) group frequency: as recommended Therapy or treatment requirement: Work or practice monitor requirement: Based on impairment and treatment recommendations Other provisions: Please describe any other monitoring services provided: DeNovo is a program composed of support groups offered for the spouses of physicians enrolled in the Missouri Physicians' Health Program. DeNovo is available to the spouse or family member of any Missouri physician Demographics and staff - member Program Name: Missouri Association of Osteopathic Physicians and Surgeons Physicians Health Program Address: 1125 Madison Street Jefferson City, MO  65102 Telephone:  (573) 636-8255 or (573) 632-5560 Fax:  (573) 632-5875 E-mail:   Jwieberg@mail.crmc.org Address: 1432 Southwest Blvd Jefferson City, MO  65101 Telephone:  (573) 634-3415 Fax:  (573) 634-5635 E-mail:   Contact@maops.org Staff: Jeffrey l. Dryden, DO, FACOI, CPE, Medical Director L. David Linsenbardt, DO, Facilitator Neal G. LaPointe, DO, Facilitator Bonnie Bowles, Executive Director James L. Wieberg, LPC, NCC, Program Administrator Program structure The program is operated by: Missouri Association of Osteopathic Physicians & Surgeons with administrative services provided by Capital Region Medical Center Formal Contract with Missouri State Board of Registration for the Healing Arts otherwise known as a Memorandum of Understanding Program services Types of Conditions Monitored: Chemical dependency Mental health Behavioral health problems (Disruptive Behavior Sexual misconduct and/or boundary violations Stress management Services provided to which populations: Health Care Professionals Funding Please indicate the primary sources of funding for your program: Missouri Association of Osteopathic Physicians and Surgeons State Association Capital Region Medical Center Hospital and private contributions Participant fees: Required to pay monthly fee Monitoring requirements Chemical dependency Length of contract 5 years Random Urine Drug Screens: Year 1: 1-4 times per month Year 2: 1-4 times per month Year 3: 1-4 times per month Year 4: 1 time per month  Support (self help) group requirements: AA NA Caduceus Professionally facilitated groups where available Required:  Support groups 3 times per week for first two years; 1 to 3 times per week for final three years.  Treatment required:  A formal, professional evaluation required to enter program.  Treatment recommendations follow the evaluation. Support (self help) group frequency: Year 1: 3 times per week Year 2: 3 times per week Year 3: 1-3 times per week Year 4: 1-3 times per week Year 5: 1-3 times per week Therapy or treatment requirement: A formal, professional evaluation required to enter program.  Treatment recommendations follow from evaluation. Work or practice monitor requirement: Based on impairment and treatment recommendations Other provisions: Marital and Family support Mental Health Length of contract: 5 years Support (self help) group requirements: Based on treatment and evaluation recommendations Support (self help) group frequency: as recommended Therapy or treatment requirement: Work or practice monitor requirement: Based on impairment and treatment recommendations Other provisions: Please describe any other monitoring services provided: