I have been enrolled in the VRP since being discharged from 10 weeks of inpatient rehab earlier this year (alcohol and Ambien addiction). I voluntarily entered rehab, I had no legal issues which forced me there. Fortunately for me, a lot of the paperwork and hassle with the VRP took place while I was an inpatient, so I was only out of work for about a month after discharge. It took a lot of paperwork and phone calls between my employer, myself, the rehab center and the VRP, but I just kept at it and am back to work full-time. My caseworker at VRP was never pleasant, helpful or caring, but I just kept going in spite of her. Being enrolled in the VRP is certainly not a pleasant experience, but I was able to return to work. I cannot prescribe controlled substances for 3 years, but otherwise my license as a family nurse practitioner is unrestricted. I am mandated to attend regular AA meetings, continue in counseling for my addiction, am subject to random urine drug screens and have mandated quarterly meetings with my employer's medical director. Unlike you, I was not falsely accused of anything, so it may be less frustrating for me, as well I recognize that I truly have an addiction problem and need all the support I can get. Many people are shocked when they realize the VRP is not their advocate; they exist to protect the public from unsafe providers. This came as a huge shock to me. Physician's have the PHP program, which is an advocacy program which is paid for by physicians. I am not aware of any such advocacy program for nurses in Pennsylvania. From my personal experience, I have found it best to just bite my tongue, jump through the hoops when they ask you to jump and just keep reminding myself that in 3 years I will hopefully be released from the VRP and enjoy a lifetime of sobriety. I would like to add that many areas (especially those around larger medical centers) will have an AA group known as Caduceus. This is an AA group for medical professionals, originally for physicians but most groups welcome all health care providers. This is a great place to network with other health care professionals with similar issues. Most of the participants have been exposed to the licensing issues discussed here. They are a great source of information and support. In Pennsylvania, there is a listing of professional support meetings such as Caduceus on the VRP website.