Studies show that 10%-15% of physicians in the United States go through substance abuse at some point during their career, similar to the rates of substance abuse for the general population. However, physicians are often afraid to ask for help for substance abuse treatment. Some physicians are worried that state health agencies will come hard on them, and some physicians do not like the hassle of being monitored. This metanalysis study confirms what previous studies have proved that the success rate for HCP is much higher. On average, pooled success rates were 72% for abstinence and 77% for work retention after eight years of follow-up. SUD patients show relapse rates over 50% within the first year after treatment initiation in the general population. They remain at increased risk for relapse throughout the early years of recovery. There are some limitations, as pointed out by the authors. The studies were done on highly motivated individuals who had completed the treatment programs. They may not have as much severity. The significant finding here is that the PHP state program monitoring by UDS was more effective than self-report. Take home message: State PHP program works; encourage your fellow physicians to enroll sooner. Record of keeping 77% of the workforce employed after eight years is enviable for any major illness.
Success Rate for Substance Abuse treatment for Health Care Professionals remains High if Monitored