1 washingtonpost.com Medical Boards Let Physicians Practice Despite Drug Abuse By Cheryl W. Thompson Washington Post Staff Writer Sunday, April 10, 2005; Page A01 First of three articles Over the past 20 years, John F. Pholeric Jr. struggled on and off with cocaine addiction, cycled in and out of rehab and was convicted of a felony. During that time, he also practiced medicine. Pholeric, 55, an ear, nose and throat specialist in Fairfax and Loudoun counties, admitted snorting cocaine "three to four times per week" in his office in He stole drugs from hospitals where he worked and wrote more than 40 fraudulent prescriptions for his own use, according to Virginia and District medical board records. Several times, the Virginia Board of Medicine took up Pholeric's case. But it never took away his license to practice. Pholeric, who retired last month after he was questioned by a Washington Post reporter about his substance abuse, is not alone. Virginia Board of Medicine records show that an Arlington ophthalmologist who performed cataract surgery under the influence, his hands shaking and his speech slurred, still has his license. So does a Loudoun County gastroenterologist who deprived his colonoscopy patients of painkillers and injected himself with the drugs between operations. Scores of physicians in the area and across the country have been given repeated chances to practice, despite well documented drug and alcohol problems, a Post investigation has found. They have stayed in business with the permission of state medical boards and hospitals, even when many have relapsed multiple times and posed a danger to patients, records show. When physicians were disciplined, the process sometimes was so slow that they moved to another state and became licensed before a paper trail surfaced detailing their transgressions. According to a review of medical board records, 74 doctors in the District, Maryland and Virginia were disciplined for substance abuse from 1999 through In five other cases, the boards found that doctors violated the law by abusing drugs or alcohol but took no action despite the doctors' repeated substance abuse. In nine other cases, the physicians surrendered their licenses for the time being to avoid investigation and possible punishment, according to board records. In the 74 cases in which doctors were disciplined, most had their licenses suspended temporarily. Ten doctors were reprimanded and five others were placed on probation, but their licenses were not suspended. Seven of the disciplined doctors have been convicted of felony drug crimes. One doctor who was convicted in Virginia and served time in prison once again has a license to practice in the state.
2 Of the 74 physicians, 53 percent have been disciplined more than once for alcohol or drug use during their medical careers. Nine were sanctioned at least three times by the same board. The District and Maryland boards do not permanently revoke doctors' licenses. In Virginia, where a license can be permanently taken away only with a doctor's agreement, just one was revoked for substance abuse from 1999 to 2004, records show. Critics say lenient treatment of substance abusing physicians flows from a seriously flawed national system of disciplining doctors. At its heart is a network of state medical boards made up primarily of physicians who, critics argue, are unwilling to exact strict punishment on their colleagues. A federal data bank designed to track problem doctors has critical loopholes and is closed to the public. Malpractice lawsuits often end in sealed settlements, adding to a cloak of secrecy that keeps patients from learning a doctor's full history. Patient advocacy groups say bad doctors are also coddled by hospitals and other employers as part of a culture of clemency and second chances. "Medicine tolerates behavior that in any other industry would be unacceptable," said Lucian Leape, a physician and expert on patient safety who teaches at the Harvard School of Public Health. "There are patients' lives at stake... and that's more important than a doctor's career." Charles B. Inlander, president of the People's Medical Society, an Allentown, Pa. based nonprofit consumer health advocacy group, said doctors who are drug addicts are often given too much leeway. "If a pilot gets caught, they're out. If an engineer gets caught, they're out," Inlander said. "Why does a doctor get special treatment?" Hospitals and other employers can discipline physicians. But when it comes to a doctor's license, the authority rests with state boards of medicine, which usually are appointed by governors. In the District, board members are mayoral appointees. The panels also grant licenses and investigate complaints. Although their meetings are usually open to the public, physician discipline is typically discussed behind closed doors. Many boards prefer not to take away a doctor's license to practice. "Regulators believe that many problems can be resolved with probation and by putting restrictions on a physician's license," according to a release from the Federation of State Medical Boards. William L. Harp, a physician and executive director of the Virginia Board of Medicine, said he could not comment on specific cases but defended his panel's record. If the Virginia board is aware of an impaired doctor, he said, it moves swiftly to take action. "The practice of medicine is on the honor system," he said. "Once you get your license... the board assumes that you're out there taking good care of patients until we hear otherwise." But Harp acknowledged that the system has flaws. "You can't catch every single thing."
3 He said medical boards should become more proactive in assessing doctors and patient safety instead of using the current system, which primarily reacts to complaints. The Virginia board did not discipline Herman A. Garrett, an anesthesiologist licensed in Virginia. Garrett has struggled with drugs and alcohol off and on since he was a resident at Georgetown University, according to Kentucky medical board records. In 1991, Georgetown officials placed him on leave for his "chemical dependency," the records show. In 1992, he pleaded guilty to driving under the influence in Georgia and received a suspended sentence and fine, according to the records. "Physicians are no different than any other individual," Garrett said in an interview. "I was just a person who liked to change the way I feel through using chemicals. It may be illegal, but I didn't perceive it as wrong." Garrett, who injected himself with drugs up to 10 times a day, admitted stealing drugs while working at a Kentucky hospital, medical board records show. His abuse of fentanyl, a synthetic morphine, was the "crescendo" that prompted him in 2001 to surrender his Kentucky license in lieu of revocation, he said in the interview. He has been in rehab twice. The Virginia board stated in a 2003 order that he was in a "well established recovery monitoring program." Garrett, 42, argued that he and other physicians have a right to return to medicine despite relapses. "Do we as a society want to say that because you've had this problem, you're no longer eligible to participate in the capacity that you're trained in?" he asked. "There are some stunningly good professionals in recovery." Suit Over Drugs Nancy Rodriguez, a Loudoun County mother of four, claimed in a 2001 lawsuit that gastroenterologist Joseph Shaw Jones used drugs meant for her. Rodriguez had gone to Jones for a colonoscopy in 1998 on the recommendation of her doctor. When she arrived at Loudoun Hospital Center for the procedure, Jones asked the nurse to go and change the music piped into the room, Rodriguez recalled in an interview. "That's when he changed the drugs," she said. "That was the only time I was alone with him. That was the only time he could have done it." Rodriguez was awake during the procedure and told Jones she felt sharp pain, she said. "He said, 'We're almost finished.' I told him it hurt." She later found out through media reports that Jones had tampered with drugs meant for patients. Nurses reported that "they heard a number of his patients screaming during procedures," according to Virginia medical board records. Hospital staff members also reported that Jones had glassy eyes on one occasion and slurred speech on another.
4 The Virginia medical board gave Jones several chances. Even though he was battling drug and alcohol addiction in 1989, the board gave him a license to practice. In 1993, the board found that he had violated specific terms of a 1992 order to abstain from drugs and alcohol. And in 1999, after he used drugs meant for patients while performing colonoscopies and endoscopies, board members reprimanded him and fined him $10,000. Still, they let him keep practicing. "It never even occurred to me that a doctor would be allowed to continue practicing if he had any drug history," Rodriguez said. "If a more serious penalty or punishment would have come down on him sooner, perhaps he wouldn't have continued" practicing. Jones, 51, settled the case with Rodriguez for an undisclosed amount. The Virginia medical board suspended him only after he pleaded guilty to drug possession charges in federal court in Virginia, was sentenced in July 2001 to 30 months in federal prison and ordered by the court to surrender his medical license for three years. But in September 2003 two years and two months after he was sentenced the Virginia board gave Jones his license back. After the incidents at Loudoun Hospital Center, Jones received support from the group that oversees physicians with substance abuse problems and from a hospital official, records show. In an Oct. 4, 1999, letter to the medical board, Walter M. O'Brien, president of the hospital's medical staff, said he was "familiar with the current events involving Dr. Jones' drug use... and he fully supports his return to practice," according to Virginia board records. Jones declined several requests for an interview. "My natural instinct is to use your forum to set the record straight," Jones wrote in an e mail. "As you know, the events that led to my last meeting with the Virginia Board of Medicine occurred... six years ago. Since then, my family and I have moved past the painful fallout of those times and do not wish to revisit them in a public forum." Jones declined to say whether he is practicing medicine, and the Virginia medical board does not keep track of who is actively practicing, said Karen W. Perrine, the board's deputy executive director of discipline. In the case of Arlington ophthalmologist Kenneth D. Hansen, 58, Virginia medical board records say that in January 1997, he showed up at Arlington Hospital, now Virginia Hospital Center, late for surgery, "unshaven, his hair was uncombed... his eyes were glassy, his speech was slurred and his face and hands appeared swollen." His hands trembled while performing cataract surgery, and "Patient A," according to the board records, "incurred excessive bleeding," prompting the hospital to suspend Hansen's privileges. The hospital reinstated him less than a month later. A year earlier, he had been suspended from performing surgery at the hospital until he completed treatment for a prescription drug problem. Then in March 1997, after the cataract surgery, he was back in rehab, according to board records. His Virginia license was suspended, then reinstated on probation in He currently has an unrestricted license.
5 Hansen, who has a private practice in Arlington, declined to discuss his history. "I've done everything I can to the satisfaction of the board," he said in a brief phone conversation. "Sometimes you have to move on." Incident in Loudoun Kim Gardiner, a former patient of physician John Pholeric, said state medical boards and hospitals should bar drug abusing doctors from the medical field. "That just angers me," she said. "Nothing is really done about it." Gardiner knew nothing of Pholeric's history when she went to his Loudoun County office in 1995 on the recommendation of her HMO. She needed surgery for hearing loss in her left ear, a procedure that involved wiring a tiny hammer into her ear drum. "He had performed it before not once or twice, but several times," said Gardiner, now 42 and a mother of three in suburban Atlanta. But she emerged from the surgery at Reston Hospital Center with a dislocated jaw. "My face hurt, and I had an excruciating headache, like a migraine, and it kept getting worse," she recalled in an interview. She said she was unable to chew and had to sip liquids through a straw for three weeks. Gardiner sued Pholeric and the hospital, but it was the hospital that settled with her for an undisclosed amount, she said. When Gardiner went to Pholeric, he was already known to the Virginia medical board for stealing and using drugs in the 1980s. He went to a residential treatment program in 1984 and the next year was convicted in federal court in the District for writing 42 false prescriptions for his personal use. The court placed him on probation and banned him from prescribing certain drugs for two years but did not order him to stop practicing. The Virginia medical board also allowed him to keep practicing, despite a law requiring that it suspend or revoke the license of anyone convicted of a felony. After Gardiner sued Pholeric, the Virginia medical board concluded in 2002 that he had stolen cocaine solutions meant for his patients at Countryside Ambulatory Surgery Center and Loudoun Hospital Center. The state board put him on probation but let him keep practicing. He entered inpatient drug treatment again in 2001, and his license was fully reinstated in The medical board placed him on probation last year after his urine tested positive for marijuana, records show. Pholeric told the board he was "exposed to secondhand marijuana smoke" the night before his drug screen. Before his retirement last month, Pholeric said in several lengthy e mails to The Post that drug addiction is an "occupational hazard" that should not end a physician's career. "Do you throw these people away, or do you treat them, monitor them and assure public safety?" Pholeric wrote.
6 Pholeric said he was sober for 17 years, from 1983 through late 2000, but 1987 Virginia medical board records show he failed a drug screen, and 1999 records show the cocaine theft. He blamed a "long and difficult" schedule for his relapses but said he has been drug free since September "I am no longer trying to prove a thing," he said in an e mail. "If patients don't think I am doing a good job, they should go somewhere else." But Pholeric decided to retire March 7, in part because of the Post investigation, he said in a brief phone conversation. "Your help in getting me to retire has been excellent, thank you," he said before hanging up. Relapses Paul H. Earley, medical director of the Impaired Professionals Program at the Ridgeview Institute in Smyrna, Ga., said it is common for doctors with substance abuse problems to relapse. One in 10 doctors do so within two years, he said. Others, he said, are in and out of rehab for years. "There are people who can't stay sober... and they shouldn't practice medicine," he said. From 1999 to 2004, nearly 1,400 physicians across the country were disciplined for substance abuse and reported to the National Practitioner Data Bank, a federal clearinghouse for disciplinary action and medical malpractice payments against doctors. Of those, many were repeat offenders: 259 physicians were reported twice; 58 had three reports; and two physicians had six reports, according to data bank records. The controversy over whether medical boards should treat prolonged substance abuse as a career ending offense is partially rooted in a much broader debate over whether addiction is an illness or a crime. The same question has come up in other arenas, from the judicial system to disability policy. Arthur Caplan, chairman of the Department of Medical Ethics at the University of Pennsylvania School of Medicine, said it is common for the medical community to let doctors with a history of substance abuse continue to care for patients. "Treating impaired doctors with kid gloves has been true since I was on the New York state licensing board in the '70s, and it hasn't changed," Caplan said. "I'm all for rehabilitation, but when you have multiple violations of drug abuse, you can't be near a prescription pad." James T. Birch Jr., 50, a family practitioner who practiced for years in Norfolk, contends that a doctor with a drug or alcohol problem should be given as many chances as a doctor who is physically ill. "Suppose you have a diabetic surgeon whose blood sugar drops and he's in the middle of a procedure," he said in an interview. "How many chances do you give him?"
7 From 1990 to 2001, Birch tested positive for alcohol, marijuana or cocaine seven times and went to four drug treatment centers, one financed by taxpayer dollars, according to Birch and state records. The Virginia medical board suspended his license four times but each time gave it back. "I think the board was very fair to me," said Birch, who said he has been drug free for nearly four years. "I was given five chances. I think the board understands and recognizes addiction as a disease and not some type of moral turpitude." Drug use, he said, "never prevented me from staying focused on my work." But he said he became reckless with money, stayed up all night and was always "bone dead tired." Still, no one at Norfolk Community Hospital knew about his drug use, and "nothing was ever documented" that he harmed a patient, he said. After he tested positive for drugs in 1990, the Virginia medical board suspended his license for the first time. But it immediately set aside the order, allowing him to keep practicing. If he relapsed, the board could enforce the suspension. In 1993, a medical board inspector approached him during his 12 hour shift at Norfolk Community Hospital's emergency room and ordered him to stop practicing medicine immediately, Birch said. His license was suspended, she told him, because he had tested positive for cocaine. "There were people around," Birch recalled. "That was the most humiliating experience of my life." The cycle continued, with Birch testing positive, losing his license and then regaining it. Birch obtained a Missouri license in 2003 and is on a medical fellowship in the state. One Chance in Ohio Some states are less tolerant than others. In Ohio, for example, "everybody has one chance to screw up," said Lauren Lubow, the senior executive staff attorney for the Ohio Medical Board. If doctors are impaired, they are evaluated, offered treatment and then allowed to return to practice "without interference from the board," she said. If a relapse occurs, the board takes action, usually a consent agreement immediately removing the doctor from practice, she said. The doctor must meet certain guidelines, including 28 days of treatment, before applying for license reinstatement. "There is an end to [the board's] patience," Lubow said. "It comes at a point where they are convinced this is not a person who will be able to recover and safely return to practice." In Massachusetts, an impaired doctor who relapses twice or more must demonstrate at least a year of sobriety before being allowed to return to medicine, according to Nancy Achin Audesse, executive director of the Massachusetts Board of Registration in Medicine. "We give people a
8 couple of chances to get themselves together," she said. "But our primary goal is patient protection." Maryland, Virginia and the District are more tolerant. Alexandria psychiatrist Luanne Ruona has been hospitalized for alcohol dependency and been in drug rehab at least nine times since 1991, records show. By her own admission, Ruona relapsed at least 12 times during that period and once tampered with her urine sample so that those who monitored her couldn't detect alcohol, according to Virginia medical board records. She also has treated patients while under the influence, records show. In March 1999, a patient arrived appearing "distressed" for an afternoon appointment at her home office and was greeted by Ruona at the door, according to records. She suggested that he lie on her couch, then she sat beside him on the floor and held his hands near her face to relax him. At one point, Ruona excused herself and told him she was going upstairs to phone in a prescription. When she didn't return, the man said, he went upstairs and found her in "lounging attire" asleep across the bed, according to records. He left and reported the incident to another doctor the next day. Five months passed before the board acted, suspending her license for two years, records show. It was the first time the Virginia medical board took away her license, even though it knew about her alcohol abuse for more than a decade, medical board records show. In 2001, a physician familiar with her history recommended that the Virginia board allow her to practice again. Another doctor said he "very strongly" recommended reinstatement because "this time, she surrendered to her illness," records show. The board reinstated her license in October She has relapsed at least three times since then, according to board records. "I probably over drank," Ruona, 63, said in an interview. "But I didn't feel like it interfered with my work that much. And it wasn't like I would get up and drink." After 11 relapses, she was put out of Virginia's Health Practitioners' Intervention Program, which oversees impaired doctors, in March She surrendered her license in the fall after another relapse and said the board told her that it would return her license in 2006 if she does not drink again. "They said the ball was in my court this time and told me to come up with a good treatment plan, and if I stayed clean I could get my license back in 18 months," Ruona said. "It's a big relief. I was satisfied and I think the board was, and we all shook hands." Staff researcher Bobbye Pratt contributed to this report The Washington Post Company
Juvenile Court Mock Trial CAST: One of the Judges of the juvenile court will preside. Defense Attorney: Attorney court tour guide. Prosecutor: Attorney court tour guide. A student selected by the teacher.
THE LAW AND YOU 15-1 Each state has particular laws that deal with acts usually committed by young people. Just because someone is under the age of 17 (considered a juvenile) does not mean that laws do
Ohio Nurse Practice Act By: Raymond Lengel, CNP, MSN, RN Purpose: Provide an overview of the Ohio Nurse Practice Act to help nurses in Ohio practice in accordance with the law. Objectives 1. Demonstrate
Final Order No. DOH-I I -2297-6%6A FILED DATE 'actk Department of Health STATE OF FLORIDA DEPARTMENT OF HEALTH Deputy Agency Clerk In Re: Emergency Suspension of the License of ORDER OF EMERGENCY SUSPENSION
Attorney General Medical Board Pharmacy Board Medicaid Health Department CMS DEA FBI Medicare OIG security You re A Target. We Can Help. Health care providers face more scrutiny than ever before. Government
STATE OF FLORIDA DEPARTMENT OF HEALTH Final Order No. DOH- I 1-1686- FILED DATE - Department of Health By:TALVUL Pdate" Deputy Agency Clerk In Re: Emergency Suspension of the License of ORDER OF EMERGENCY
PLATTSBURGH MENTAL HEALTH COURT PARTICIPANT CONTRACT I, have pled guilty to the crime of and will be sentenced to three years on Probation. [OR have admitted Violation of Probation OR have been charged
Page 1 of 7 You and the Drinking Driving Laws WHY ARE PENALTIES FOR DRINKING AND DRIVING SO STRICT? Drinking and driving is a hazardous combination. CONSIDER THESE FACTS: One third of the fatalities in
Solutions that end addiction. Helping the Addict or Alcoholic Begin the Journey to Recovery through Intervention: It can be challenging to help a loved one struggling with alcoholism or drug addiction.
DUI (Driving Under the Influence) Driving Under the Influence (DUI) In Illinois, a person is considered to be driving under the influence when: The driver has an alcohol concentration on the breath of.08
osition Official Title and Summary Prepared by the Attorney General Requires drug and alcohol testing of doctors and reporting of positive test to the California Medical Board. Requires Board to suspend
The House Committee on Health and Human Services offers the following substitute to HB 972: A BILL TO BE ENTITLED AN ACT 1 2 3 4 5 6 7 8 9 10 11 12 13 To amend Chapter 34 of Title 43 of the Official Code
complain.qxp 4/16/2008 10:16 AM Page 7 Complaints Against Lawyers When you hire a lawyer to handle a particular matter, you are a consumer of legal services, and as in any consumer relationship, you and
-tiw~~ "'~ "" NORTH CAROLIN i;;" of. ~ BEFORE THE WAKE COUNTY 1:::::, c! P 201.@IS~'L1NARY HEARING COMMISSION ~ v~ji..s,=-= OF THE ~ DJ.jC D N J TH CAROLINA STATE BAR,~\ ~ 09 DHC 5 >?1/ 11 /?,., l C\ c:,,;/,
STATE OF MICHIGAN DEPARTMENT OF CONSUMER AND INDUSTRY SERVICES BUREAU OF HEARINGS In the matter of Kathleen Ann Dils, RN, Petitioner v Bureau of Health Services, Respondent / Docket No. 2000-1864 Agency
Sample Patient Agreement Forms Introduction This resource includes two sample patient agreement forms that can be used with patients who are beginning long-term treatment with opioid analgesics or other
CHAPTER 19 THE INTERVENTION PROJECT FOR NURSES (IPN) SUBSTANCE ABUSE, REHABILITATION AND DISCIPLINE I. INTRODUCTION Nurses and other medical professionals are constantly faced with high-stress situations.
FINAL COPY 295 Ga. 853 S14Y1458. IN THE MATTER OF RAND J. CSEHY. PER CURIAM. Rand J. Csehy (State Bar No. 604410) pled nolo contendere to two counts of possession of controlled substances, OCGA 16-13-30,
CHECKLIST FOR ALL FIRST OFFENSE DRIVING UNDER THE INFLUENCE CASES IMPORTANT: HIRE A LAWYER OR, IF YOU CANNOT AFFORD ONE, APPLY FOR A PUBLIC DEFENDER IMMEDIATELY. YOU MUST MEET INCOME GUIDELINES TO QUALIFY
BEFORE THE DISCIPLINARY BOARD OF THE SUPREME COURT OF PENNSYLVANIA OFFICE OF DISCIPLINARY COUNSEL, : No. 499, Disciplinary Docket Petitioner : No. 3 - Supreme Court : : No. 51 DB 1999 : Disciplinary Board
IN THE COURT OF CRIMINAL APPEALS OF TENNESSEE AT NASHVILLE Assigned on Briefs June 19, 2002 STATE OF TENNESSEE v. DERRICK S. CHANEY Direct Appeal from the Circuit Court for Williamson County No. II-22-201
M ANHATTAN T REATMENT C O U R T Welcome to MTC 3 What is MTC? 4 What s in it for me? 5 MTC Rules 6-8 STEP Phase Description and 9-14 Sanction Schedule Graduation 15 MTC Expectations 16-18 MTC Support Services
ATTORNEYS Sexual Assault of a Child VOIR DIRE QUESTIONS 1. What are your feelings or opinions about criminal defense attorneys? 2. Have you ever had a bad experience with a criminal defense attorney? If
IN RE: WILLIAM E. SCANNELL NO. BD-2011-078 S.J.C. Order of Term Suspension entered by Justice Spina on June 26, 2012. 1 Page Down to View Hearing Panel Report 1 The complete Order of the Court is available
Proposition 5 Nonviolent Offenders. Sentencing, Parole and Rehabilitation. Statute. SUMMARY This measure (1) expands drug treatment diversion programs for criminal offenders, (2) modifies parole supervision
PARTICIPANT CONTRACT, DEKALB COUNTY DRUG/DUI COURT: C.L.E.A.N. PROGRAM (CHOOSING LIFE AND ENDING ABUSE NOW) IN THE CIRCUIT COURT FOR TWENTY-THIRD JUDICIAL CIRCUIT DEKALB COUNTY, ILLINOIS PARTICIPANT CONTRACT
St. Croix County Drug Court Program Participant Handbook Updated: May 2014 To The St. Croix County Drug Court Program. This Handbook is designed to answer your questions and provide overall information
This opinion will be unpublished and may not be cited except as provided by Minn. Stat. 480A.08, subd. 3 (2014). STATE OF MINNESOTA IN COURT OF APPEALS A14-1834 State of Minnesota, Respondent, vs. Hope
10/26/2015 Community Supervision Texas Association of Counties October 2015 Presented by District Judge Todd Blomerth, 421 st Judicial District Court of Caldwell County 1 10/26/2015 2 10/26/2015 Your Possible
PARTICIPANT CONTRACT, DEKALB COUNTY DRUG/DUI COURT: C.L.E.A.N. PROGRAM (CHOOSING LIFE AND ENDING ABUSE NOW) IN THE CIRCUIT COURT FOR THE SIXTEENTH JUDICIAL CIRCUIT DEKALB COUNTY, ILLINOIS PARTICIPANT CONTRACT
Case 1:12-cr-00184-CG Document 12 Filed 10/29/12 Page 1 of 5 AO 245D (Rev. 12/03) Judgment in a Criminal Case for Revocations (11590) UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF ALABAMA UNITED STATES
About D.U.I. (Driving Under the Influence) Published by The Alaska Court System PUB-11 (6/13)(green) Introduction This pamphlet summarizes the penalties for violating several Alaska statutes relating to
You nd The Drinking Driving Laws WHY RE PENLTIES FOR DRINKING ND DRIVING SO STRICT? Drinking and driving is a hazardous combination. One third of the fatalities in New York State involve impaired or intoxicated
CASS COUNTY DWI COURT Participant Manual 1 I ve been charged with a DWI what happens next? Your attorney will be able to determine if you meet the general eligibility requirements for the DWI Court. Basically,
PARENT GUIDE TO THE JUVENILE COURT CHIPS PROCESS INTRODUCTION This booklet has been prepared to help parents gain a better understanding of what to expect in Juvenile Court CHIPS proceedings (Chapter 48
Los Angeles County Department of Mental Health Credentialing Application for Prescribing Practitioners Delivering Services to DCFS Children This application is exclusively for prescribing practitioners
A.B. ASSEMBLY BILL NO. COMMITTEE ON COMMERCE AND LABOR (ON BEHALF OF THE LEGISLATIVE COMMITTEE ON HEALTH CARE) PREFILED DECEMBER, 0 Referred to Committee on Commerce and Labor SUMMARY Revises provisions
ATTORNEYS AT LAW What Parents Should Know: Common Criminal Charges & Consequences for Minors WWW.FB-FIRM.COM About the Author: Mark J. Mandell Attorney Mark Mandell has extensive experience in representing
Ignition Interlocks: Every State, For Every Convicted Drunk Driver In 2013, 10,076 people were killed in crashes caused by a drunk driver with a blood alcohol concentration (BAC) of.08 or greater. General
ENROLLED Regular Session, 1997 HOUSE BILL NO. 2412 BY REPRESENTATIVE JACK SMITH AN ACT To enact Chapter 33 of Title 13 of the Louisiana Revised Statutes of 1950, comprised of R.S. 13:5301 through 5304,
Your Health Insurance: Questions and Answers This simple guide will help you understand how to use and keep your health insurance Meet four people with questions about their health insurance: George is
YOUR DEGREE, YOUR CAREER... YOU CAN TAKE CONTROL! Alcohol Violations and Their Effect on Your Employment After Graduation ALC OHOL EDUCATION Table of Contents Introduction... Pennsylvania Law - What You
THE CIRCUIT COURT FOR MONTGOMERY COUNTY, MARYLAND Adult Drug Court Participant Handbook MY DRUG COURT INFORMATION My Case Manager s Name is: My Case Manager s Phone Number is: My Case Manager s Email address
Driving Above the Influence Parenting Tips to Prevent Teen Drunk & Drugged Driving Objectives To understand the unique factors that make a teen vulnerable on the road. To learn statistics regarding risk
IN THE MUNICIPAL COURT OF THE CITY OF SEATTLE THE CITY OF SEATTLE, PLAINTIFF vs, DEFENDANT Statement of Defendant on Plea of Guilty Case # 1. My true name is. 2. My age is. Date of Birth. 3. I went through
Urban Survival Guide: Please Step Out of The Car A Step by Step Guide Through The Los Angeles DUI & DMV Process MR DUI LA Attorney Mark Rosenfeld The Law Office of Mark Rosenfeld 800-9700-DUI (384) MRDUILA.com
Kentucky Board of Medical Licensure Hurstbourne Office Park 310 Whittington Parkway, Suite 1B Louisville, Kentucky 40222 Telephone: 502/429-7150 Fax: 502/429-7158 Website: www.kbml.ky.gov TO: FROM: RE:
Chapter 4 Legal Ethics Yes. You read that right legal ethics. Har de har. Go ahead. Get it out of your system. How about this one? Why do scientists prefer using lawyers over lab rats? There are some things
Wisconsin Operating While Intoxicated Law A Client's Guide to the Language and Procedure BAKKE NORMAN L A W O F F I C E S Welcome Thank you for considering Bakke Norman, S.C. to represent your interests.
Page 1 of 5 Tulare County settles jail suicide lawsuit; Mario Lopez's family to receive $1m Tulare County has settled for $1 million a lawsuit filed by the family of an Ivanhoe man who died in 2010 after
Community Legal Information Association of Prince Edward Island, Inc. Sentencing This pamphlet gives you some information about sentencing in criminal court. If you are charged with a criminal offence,
Figure: 213.33(b). Texas Board of Nursing Disciplinary Matrix In determining the appropriate disciplinary action, including the amount of any administrative penalty to assess, the Board will consider the
JUVENILES AND THE LAW When Are You a Juvenile and When Are You an Adult? The answer to this question is complicated because, under Missouri law, when you are considered an adult and when you are considered
Sober living homes offer hope, support to recovering addicts By MICHELLE BRUNETTI POST Staff Writer Posted: Sunday, February 2, 2014 11:00 pm Samantha was an excellent student who played sports in high
Drug Abuse and Addiction Introduction A drug is a chemical substance that can change how your body and mind work. People may abuse drugs to get high or change how they feel. Addiction is when a drug user
J. S54036/15 NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37 COMMONWEALTH OF PENNSYLVANIA, : IN THE SUPERIOR COURT OF : PENNSYLVANIA Appellee : : v. : : HOLLY SHAUGHNESSY, : : Appellant : No.
Chapter 90B. Social Worker Certification and Licensure Act. 90B-1. Short title. This Chapter shall be known as the "Social Worker Certification and Licensure Act." (1983, c. 495, s. 1; 1999-313, s. 1.)
Proposition 46 Drug and Alcohol Testing of Doctors. Medical Negligence Lawsuits. Initiative Statute. Yes/No Statement A YES vote on this measure means: The cap on medical malpractice damages for such things
19 TH JUDICIAL ADULT DRUG COURT REFERRAL INFORMATION Please review the attached Drug Court contract and Authorization to Share Information. Once your case has been set on the adult drug court docket in
The House Committee on Health and Human Services offers the following substitute to SB 368: A BILL TO BE ENTITLED AN ACT 1 2 3 4 5 To amend Chapter 26 of Title 43 of the Official Code of Georgia Annotated,
The Healthy Michigan Plan Handbook Introduction The Healthy Michigan Plan is a health care program through the Michigan Department of Community Health (MDCH). Eligibility for this program will be determined
I just got arrested for a State of South Carolina DUI charge. What happens now? ISSUE ONE: The South Carolina Implied Consent Proceeding: Under South Carolina's implied consent law, a person who drives
Utica College Annual Notice Regarding Drug and Alcohol Abuse Prevention Policies Utica College is required by federal law to provide the following notice to all students and employees. This notice is being
ALCOHOL POLICY, REGULATIONS AND CITATIONS IN STATE OF CALIFORNIA. According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA) Legal drinking age of the United States is 21 years old. 1.
7 Your Michigan Driving Record Alcohol, Drugs and Consequences Michigan maintains a driving record for every driver. The driving record contains information the Secretary of State is required to maintain,
December 18, 2007 Hon. Edmund G. Brown Jr. Attorney General 1300 I Street, 17 th Floor Sacramento, California 95814 Attention: Ms. Krystal Paris Initiative Coordinator Dear Attorney General Brown: Pursuant
NORTH CAROLINA MEDICAL BOARD Attn: Judie Clark PO Box 20007, Raleigh, NC 27619 Complaint Department Telephone Numbers (919) 326-1109 or 1-800 253-9653, Extension 236 or 232 E-mail: firstname.lastname@example.org
CHAPTER 7 - YOUR DRIVING PRIVILEGES Driving in Minnesota is a privilege. You can lose your driving privileges if you break certain laws or fail to meet certain requirements. The Minnesota Department of
Drug Court Handbook Mission Statement Drug Courts in the 7th Judicial District will strive to reduce recidivism of alcohol & drug offenders in the criminal justice system and provide community protection
Final Order No. DOH-I -2295- QA FILED DATE -R AA Department of Health STATE OF FLORIDA DEPARTMENT OF HEALTH In Re: Emergency Suspension of the License of By Deputy Agency Clerk ORDER OF EMERGENCY SUSPENSION
DEPARTMENT OF JUSTICE Remarks of U.S. Attorney General Janet Reno NATIONAL ASSEMBLY Drugs, Alcohol Abuse, and the Criminal Offender P R O C E E D I N G S Wednesday, December 8, 1999 Omin Shoreham Hotel
MIsc. RUles of the RoaD The following are motor vehicle traffic laws that have not been covered in a specific section. It is illegal to: Drive on a bet or wager Engage in drag racing Throw garbage or glass
RULE Office of the Governor Real Estate Appraisers Board Appraisal Management Companies (LAC 46:LXVII.Chapters 301-309) Under the authority of the newly enacted Appraisal Management Company Licensing and
California Public Employees Retirement System Agenda Item 9 ITEM NAME: Proposition 46 Drug and Alcohol Testing of Doctors and Medical Negligence Lawsuits PROGRAM: ITEM TYPE: Legislation State Initiative
An Analysis of Idaho s Kootenai County DUI Court AN ALCOHOL TREATMENT PROGRAM FOR PERSONS ARRESTED FOR THEIR SECOND DUI OFFENSE OR BAC OF 0.20% OR HIGHER Prepared for National Highway Traffic Safety Administration
February 2015 1 Eligibility Requirements for RN Licensure in the State of Texas These requirements listed here are not exclusive. It is the student s responsibility to update themselves with all requirements
VETERANS COURT VETERANS TREATMENT COURT PROGRAM ORIENTATION, PARTICIPANT CONTRACT and CONSENT Name: DOB: Address: Cell No: Cell Provider: Email: Employer: Phone: Emergency Contact: Phone: I have been found
Pierce County Drug Court Established September 2004 Policies and Procedures Updated September 2013 TABLE OF CONTENTS I. Drug Court Team II. Mission Statement III. The Drug Court Model IV. Target Population
DISTRICT OF COLUMBIA OFFICIAL CODE TITLE 44. CHARITABLE AND CURATIVE INSTITUTIONS SUBTITLE I. HEALTH RELATED INSTITUTIONS CHAPTER 12. SUBSTANCE ABUSE TREATMENT AND PREVENTION Current as of November 19,
Interview With A Teen. Great Family. Outstanding Education. Heroine Addict I recently had the incredible opportunity to interview a young man, Gregor, who very quickly fell into a dependent situation with