Help! Advice needed HPRP Michigan

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I need some advice! I have been told that I am most likely going to be offered a monitoring agreement after a dui conviction( 1st offense) last year. I am wondering if it is worth getting the second opinion and meeting with the addictionologist??? Also wondering if anyone has met with one which one they met with or who they would recommend and what to expect. I am so worried about entering an agreement with all the stipulations that I might lose my job. I want to do everything possible to make sure that doesn’t happen. I have no history of any substance abuse and I do not have any issues with alcoholism, it was a one time mistake that I have definitely paid for. Any advice would we welcomed!!

Specializes in Psych.
Nurselee22 said:

Be direct and factual when calling hprp. Let them know why you're calling without going into details. For example, when I called I said, "I'm dealing with an investigation involving LARA, and my attorney advised me to contact you.” No need to explain further, let them guide the process. it's either mental health or substance. 

Here's what to expect:

  • You'll complete an intake ( mainly a history of your meds, be honest about your prescription history and when you last took any medications. Basically, your MAPs. You can't lie or leave anything out. The evaluator will get your MAPs report, and everything you say during the intake will be cross-referenced with that. After the evaluation, the provider will submit a written report ( mine was pages long) with their assessment and recommendation. If your story doesn't match across the board, it's a red flag, so make sure everything lines up.)
  • You'll be entered into their system ( check-ins daily) 
  • you'll sign tons of ROI (too many people end up knowing more about you than you'd ever want a stranger to know.) 
  • Weekly drug testing will begin (until the final decision if you're eligible to enter the program) 
  • You'll choose one evaluator from a list of three they provide. (the evaluator is the one who can make or break you, they hold a lot of power in determining your path with hprp. Their report carries serious weight in the final decision) 
  • You'll also be asked to provide three personal references for the evaluator to contact, people who can speak to your character and behavior. 
  • After the evaluation, they'll determine whether hprp monitoring is necessary.

If you haven't already: stop all THC use immediately and be ready to explain what led to the positive result ( edible at a party, using for sleep, etc.). But again, keep the explanation factual and let the evaluator decide how to interpret it. Don't feel like you have to fill the silence with words.

They don't care if you've lost all desire to use, to them, you're just part of their daily routine. My advice? Don't stress. If I had to go through this process again, I wouldn't waste so much energy on anxiety, trying to prove I was a good person. The truth is, they don't care. For them, it's just another day, another case. feel free to message me on private. good luck. 

I can't message privately on here yet unfortunately. Only medication I was prescribed was after a surgery in like 2013 which I didn't use. I haven't touched THC since the incident nor drink. Would it be helpful to get a drug test like nail follicle that can show long term abstinence to bring to evaluation.

 

CDW said:

I can't message privately on here yet unfortunately. Only medication I was prescribed was after a surgery in like 2013 which I didn't use. I haven't touched THC since the incident nor drink. Would it be helpful to get a drug test like nail follicle that can show long term abstinence to bring to evaluation.

 

I would also suggest you get a lawyer right away too. I'm only telling you what I did and went through.  You can do all the extra things on the side, and they might help, if your case ever ends up in front of a judge. A judge could take those efforts into consideration.....but when it comes to the BON, their process is their process. BON has no-one above them, so if they say jump; you have to jump!! BON can override or disregard a judge's recommendation (that is why I say please get a lawyer, you don't want to deal with BON alone, they are intimidating and will break you.) 

Once they refer you for an evaluation, the decision is essentially made, you have to call them and go through the evaluation. There's no way around it. nothing you do on the side matters to them. 

What matters most to the BON is your evaluator's report and the drug testing you will be going through in pre decision for eligibility. That's what they base their decision on, not your intentions, not your words. The evaluator holds a lot of weight in how your case is handled.

I went through this too. I had prescribed meds for anxiety but I refilled my RX so very rarely those weren't even damaging for me,  I still wasn't eligible for monitoring because all of my answers matched perfectly with every cross-reference. Your evaluator will communicate with both hprp and the BON, they're all in contact with each other throughout the process (you will sign ROI for all of them to talk to each other.) Everything you say has to line up, because they will compare it all. Everyone's case is different, but the path stays the same once hprp is involved.

try commenting on other threads so you can DM me privately, I'm more than happy to talk one-on-one and help however I can.

Specializes in Psych.
NurseJackie69 said:

Get ANOTHER evaluation from a NON Michigan BON approved SUD evaluator. Why? You then have not 1, but TWO different evaluators saying you don't need monitoring. It's a slam dunk. The BON will back down and ANY Lawyer in America would take your case if...if the BON persisted. If it makes you feel better and you are concerned about whether its "approved by the BON" then get Another evaluation from one of the two remaining Approved BON evaluators. Tell them you already got 1 but you want another just to prove the point and show them your recent evaluation so they don't try any funny business.

Important.....Because you had an OWI, it is STILL 50/50 that the BON makes you do 1 year of monitoring and they can possibly do that. The SECOND evaluator from Another Source is what moves that from a 50/50 call to a 95 to 5 call in Your Favor.

I had a substance use evaluation a few months after my arrest 2 years ago for substance use that stated no monitoring needed and just a diagnosis of cannabis intoxication would be of use as a non board assessment? 

CDW said:

Yes I met with the board and they told me today I need to get the evaluation done. I haven't drank or used any THC since the incident and have no desire to ever again

 

 

OK. 

Ask your lawyer which person to use as your evaluator from the list they give you. Social workers there seem to be more lenient than physicians. Most likely you're looking at 3 rough years of a monitoring agreement but try to get out with nothing. Answer yes, no and I don't know as much as possible. Bruef answers. If you do everything they ask you'll keep your license.  You will get a job in a hospital if you want. 

Don't take benadryl, dxm, nothing.  If you take prescription medication or other meds get them approved.  

These people are super picky about you following their rules. 

If you wanna vacation you have to ask. If you leave the state you must ask. 

It's rough but doable. 

CDW said:

I can't message privately on here yet unfortunately. Only medication I was prescribed was after a surgery in like 2013 which I didn't use. I haven't touched THC since the incident nor drink. Would it be helpful to get a drug test like nail follicle that can show long term abstinence to bring to evaluation.

 

Hsir or nail test if negative can't hutt

Specializes in Psych.
Healer555 said:

OK. 

Ask your lawyer which person to use as your evaluator from the list they give you. Social workers there seem to be more lenient than physicians. Most likely you're looking at 3 rough years of a monitoring agreement but try to get out with nothing. Answer yes, no and I don't know as much as possible. Bruef answers. If you do everything they ask you'll keep your license.  You will get a job in a hospital if you want. 

Don't take benadryl, dxm, nothing.  If you take prescription medication or other meds get them approved.  

These people are super picky about you following their rules. 

If you wanna vacation you have to ask. If you leave the state you must ask. 

It's rough but doable. 

I'm currently working in a hospital I disclosed the conviction to them but haven't mentioned anything about speaking to the board ect. I have to disclose it to them within 10 days. I'm nervous about losing my job although I don't necessarily pass medications but often do to help the floor out. Do people typically lose their job after entering monitoring?

CDW said:

I'm currently working in a hospital I disclosed the conviction to them but haven't mentioned anything about speaking to the board ect. I have to disclose it to them within 10 days. I'm nervous about losing my job although I don't necessarily pass medications but often do to help the floor out. Do people typically lose their job after entering monitoring?

If they know about the conviction they probably know this is coming.  I kept my job.

Are you union at your hospital? That can help. Ultimately if they're at will they could fire you but from what I've read up on most hospitals will work with if your in HPRP. You're being monitored and drug/etoh tested a lot so you're proving your safe to practice 

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