PROFESSIONAL STAFF SUBSTANCE ABUSE

I. Extent and Character of the Substance Abuse Problem at the Cleveland Clinic Foundation

A. The toll exacted by chemical substance abuse on the American society and on individuals within the society in both social and economic contexts is both appalling and enormous.

B. Governments in the United States commit an enormous amount of public resources ù financial, human, and physical ù to fighting the country's substance abuse problem.

C. In spite of all of these efforts, and in the face of claims of great success by the Drug Enforcement Agency, however, the substance abuse problem appears to be intractable in the greater society.

D. Health professionals, although they daily witness the manifestations of chemical substance abuse in patients, are not immune to such behavior.

E. Substance abuse among health professionals has been found to be five times that of the general population, although health professionals, as a group, are not in the higher levels of user groups.

F. Some researchers attribute the high incidence of substance abuse among health professionals to the stressful character of the responsibilities of the health professions.

G. Thus, effective support and intervention programs for health professionals are required.

H. Almost one-half of the professional staff at the Cleveland Clinic Foundation report having experiences with one or more impaired

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holds that behavior is learned through a process of social interaction with others. Q. The objective of treatment programs based on this theory is to replace deviant behavior with pro-social behaviors through a learning process. R. Successful treatment programs based on the social learning theory have several features in common, such as authority structures that clearly identify (1) rules and sanctions, (2) anti-criminal modeling, (3) pro-social behaviors, (4) pragmatic problem-solving assistance, and (5) open communications between program participants and therapists. S. A Duke University program that incorporated stringent control over access to operating room medications, as well as enhanced education related to substance abuse, failed to reduce the frequency of substance abuse among anesthesiologists. T. A program implemented by the Official Medical College of Barcelona (COMB) in Spain recorded high-levels of success in reducing the rate of substance abuse among physicians. The program incorporated (1) enhanced detection of substance-abusing physicians, (2) effective procedures to assure that substance-abusing physicians received all necessary treatment, and (3) coordinated follow-up procedures. U. A successful treatme
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Approximate Word count = 1794
Approximate Pages = 7 (250 words per page)

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