Ensure The Highest Possible Recovery Rates!

Monitoring Programs

Addictions treatment research is pretty clear – treatment works. But addictions are chronic and, like other chronic diseases such as diabetes and hypertension, we know it takes long-term vigilance to achieve long-term success. Initial treatment of substance dependence, either inpatient or outpatient, will only provide a foundation for the much slower process of building a stable recovery.

Why do so many people fail to stay clean and sober after treatment, yet in certain groups such as substance dependent physicians, we see recovery rates of over 80%? It turns out that what happens after initial treatment is even more important than what happens in the treatment centre.

Contingency behavioral management is perhaps the most important motivational technique currently available to increase the likelihood of sustained remission for people with addictions. Using this approach, Medical Monitoring is used to verify that the recovering person is participating fully in a comprehensive recovery program.

Adherence to a detailed relapse prevention agreement results in tangible benefits, while non-compliance may result in consequences.

In order to match those high rates of recovery we achieve with recovering doctors, Medical Monitoring should continue for at least two years following appropriate primary treatment of the addictive disorder(s). Because Medical Monitoring is so important, we at Alliance Medical Monitoring have made it our goal to set the standard of excellence in Canada for Medical Monitoring.



Alliance Medical Monitoring
Medical Monitoring is unique in several ways:

cases are overseen by two Addiction Medicine Physicians who act as Medical Directors for Alliance
cases of critical non-compliance or non-negative test results are promptly reviewed by one of our Medical Directors
all cases of non-compliance are reviewed weekly by our clinical team, including our Medical Directors
we use a variety of newer testing technologies including oral fluids, ethyl glucuronide, hair analysis, blood enzyme analysis and, when appropriate, cognitive fitness screening
program durations of 2 to 10 years
we coordinate workplace behavioral monitoring when required

In addition to our Signature Medical Monitoring Program, Alliance has developed programs for persons whose diagnosis is uncertain but who are returning to safety-sensitive or highly responsible positions at work as well as for individuals who are not yet stable in their recovery or who may have experienced a lapse in their abstinence. We also have a program suited to individuals in non-safety sensitive positions.

 
Basic Medical Monitoring

This program is for individuals working in non-safety sensitive positions and those without co-occurring or complex diagnoses. With an employer's waiver, an employee in a safety sensitive position may be enrolled.

An Independent Medical Evaluation is not a requirement for enrollment into the Basic Monitoring program, nor is a confirmed diagnosis of Substance Dependence required. Participants may or may not have attended primary treatment, however they must be considered to be in stable abstinent remission at time of enrollment.

Regular monitoring sessions with a clinical monitor
Random biological testing
Quarterly Pharmanet reviews
Quarterly progress reporting



Signature Medical Monitoring

This program is for individuals working in non-safety sensitive positions and those without co-occurring or complex diagnoses. With an employer's waiver, an employee in a safety sensitive position may be enrolled.

An Independent Medical Evaluation is not a requirement for enrollment into the Basic Monitoring program, nor is a confirmed diagnosis of Substance Dependence required. Participants may or may not have attended primary treatment, however they must be considered to be in stable abstinent remission at time of enrollment.

Regular monitoring sessions with a clinical monitor
Random biological testing
Quarterly Pharmanet reviews
Quarterly progress reporting



Stabilization Program

This program is for individuals working in non-safety sensitive positions and those without co-occurring or complex diagnoses. With an employer's waiver, an employee in a safety sensitive position may be enrolled.

An Independent Medical Evaluation is not a requirement for enrollment into the Basic Monitoring program, nor is a confirmed diagnosis of Substance Dependence required. Participants may or may not have attended primary treatment, however they must be considered to be in stable abstinent remission at time of enrollment.

Regular monitoring sessions with a clinical monitor
Random biological testing
Quarterly Pharmanet reviews
Quarterly progress reporting