Federation of State Physician Health Programs

FSPHP Homepage About the FSPHP State Programs Meetings Publications Contact Us	North Carolina Demographics and staff - member Program Name: North Carolina Physicians Health Program Address: 220 Horizon Drive, Suite 201 Raleigh, NC 27615-4928 Telephone:  (919) 870-4480 Fax:  (919) 870-4484   (800) 783-6792 Toll-free E-mail:   penderw@ncphp.org Staff: Warren J. Pendergast, MD, Medical Director Joseph Jordan, PhD, Clinical Director    Carsten Thuesen, LCAS, Senior Western Field Coordinator Mike Cox, LCAS, Eastern Field Coordinator Sid Kitchens, CSAC, Central Field Coordinator Mary Agnes Rawlings, LCSW, Field Coordinator/Case Manager Gail Grady, PR Liaison Nicole Trail, Case Management Coordinator Kim McCallie, Director, Program Operations Sandi Curtis, Receptionist Program structure The program is operated by: Independent corporation 501(c)(3) but key directors from both A and B also hosp Association, PA, Academic and financial appointees o you have a formal contractual relationship with the state medical board? Yes Program services Types of disease, illness, or conditions monitored: Chemical dependency Mental health Behavioral health problems Sexual misconduct and/or boundary violations Physical illness Services provided to which populations: Physicians - MD (83%) Physicians - DO (2%) Families of physicians Residents (5%) Physician assistants (8%) Veterinarians/vet techs (2%) Funding Please indicate the primary sources of funding for your program: State medical society (4%) State licensing agency (44%) Malpractice insurance companies (5%) Hospital and private contributions (25%) Participant fees (16%) Other (8%) Monitoring requirements Chemical dependency Length of contract: 5 years Random urine drug screen frequency: Year 1: 2-3 times per month Year 2: 2 times per month Year 3: 1-2 times per month Year 4: 1-2 times every 3 months Year 5: 1 time every 3 months To completion: 1 time every 3 months Support (self help) group requirements: AA NA Caduceus Relapse prevention counseling, if needed Support (self help) group frequency: Year 1: 4 times per week Year 2: 3 times per week Year 3: 3 times per week Year 4: 3 times per week Year 5: 3 times per week Therapy or treatment requirement: If relapse group required - both individual and group Work or practice monitor requirement: Meet with monitor 2 times per month Other provisions: Mental health Length of contract: 1-5 years, depending on diagnosis Support (self help) group requirements: Caduceus Individual therapist Caduceus/Group for dual dx Support (self help) group frequency: Year 1: 4 times per week Year 2: 3 times per week Year 3: 3 times per week Year 4: 3 times per week Year 5: 3 times per week Note: Caduceus/group for dual diagnosis only Therapy or treatment requirement: 3-4 individual sessions per month Work or practice monitor requirement: Therapist may serve as monitor but sometimes separate, independent mentor/work monitor meetings 2 times monthly Other provisions: Please describe any other monitoring services provided: Professional sexual misconduct cases required to see forensic therapist for monitoring