Health Professionals’ Services
Presented by Dale Kaplan, LCSW-C
(Maryland), MSWAC
Reliant Behavioral Health
The History
• 2007-expose of the Nursing Board occurred after 2
month investigation by the Department of
Administrative Services
• Allegations of protecting impaired nurses
• Legislature determined need for a statewide
consolidated monitoring program to provide
consistency in monitoring programs for impaired
healthcare professionals
• 2009 Oregon Legislature passed HB 2345 established a
new consolidated statewide monitoring program
• DHS given responsibility to contract with outside
vendor to establish a monitoring program
• Program would be a diversion program, outside
of discipline
• Program cannot diagnosis or provide treatment
• Program is statute and administrative rule driven
• Boards may not establish alternative programs
• Program start date 7/1/10
Reliant Behavioral Health
• Privately owned company with 16 years of
experience in behavioral health care
• Expertise in Employee Assistance Programs,
wellness, workplace safety and prevention
• Knowledgeable in case management and
• Strong understanding of the need for community
in the recovery process
– Employers, community support, treatment facilities,
treatment providers , associations
Reliant Behavioral Health
Health Professionals’ Services
• Mission Statement
– Protect public safety while assisting licensees with
mental health and substance abuse problems
continue in their professional careers
• Medical Director and nationally recognized
Psychiatric Consultant
• Agreement Monitors -Master level in behavioral
health and experienced
• Support teams-master and non-master level
Health Professionals’ Services
• Voluntary Participation by Licensing Boards
– Dental
– Medical
– Nursing
– Pharmacy
• Eligibility Requirements:
– Diagnosis of substance abuse disorder, mental
health disorder or both to be eligible for program
– Maintain an active state license
Type of Referrals
• Board Referrals
• Self Referrals
• No “other” Referrals Allowed
Board Referrals
• Board conducts an investigation due to a
• Board requires a third party evaluation for
substance abuse/mental health
• Diversion program- may be in place of discipline
or part of discipline
• Licensee must pay for costs of HPSP program
– Toxicology testing
– Fitness for Duty evaluation
Self Referral
• Licensee contacts HPSP 888-802-2843
• Master level HPSP agreement monitor
explains program
• Personal information is not requested at this
• Releases, Consent to Participate, and Initial
Monitoring Agreement are sent to licensee or
can be viewed and downloaded from website
Self Referral
• Must sign attestation that licensee is not
under investigation by Board
• Has to undergo mental health and substance
abuse evaluation by 3rd party evaluator
• All 3rd party evaluators have to be approved by
participating Boards and HPSP
• Has to undergo a safe practice investigation
Self Referral
• Costs
Safe Practice Investigation
Toxicology testing
Fitness for duty
• Must have a minimum of 24 toxicology tests per
year for a minimum of 2 years for substance
• Must have a minimum of 6 toxicology tests within
first 6 months for mental health disorders
Self Referral
• Why self refer?? Why not wait till Board finds
• Need to admit to substance abuse and mental
health treatment on licensing application and
• There is always the risk that Board may find
out through employer or co-worker report
Why Self Refer
• The Boards recognize the proactive initiative of
licensees who assume responsibility for their
behaviors prior to any Board involvement
• Boards will conduct a cursory investigation at
the very least in every case. If the only issue
presented is being actively addressed with
enrollment in HPSP, and there is no other public
safety concern, the matter is more likely to be
resolved in a shorter time frame and with less
chance of a public order or disciplinary action
• For additional information contact the HPSP at
• Website:
• Dale Kaplan, LCSW-C (Maryland), MSWAC at
503-802-9842 HPSP Program Manager and
Vice President of EAP and Occupational Health

- Oregon State Bar Health Law Section