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Subject: On PNAP/PHMP "Life Arrest"


Author:
PhilaSophie
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Date Posted: Wed, Jan 28 2015, 9:41:55

Hi Everyone

I found this forum by googling something like "PNAP support". I am a critical care RN with 20 years of experience before going to rehab in March 2013. I was reported to PHMP (Professional Health Monitoring Programs)by the hospital and self-reported to PNAP (Pennsylvania Nurse Peer Assistance Program) from rehab. Their motto is "Reaching Nurses with Help". Ha! I filled out the initial paperwork for both agencies while in rehab. No brownie points there.

PHMP is the ultimate authority here. My case manager is a CCJP. PNAP and my therapist don't know what that is; nearest acronym that makes sense is Certified Criminal Justice Professional and she also has an MS, a Masters in Something. I only have a PO Box for her, and can only communicate by mail.

Most of the requirements are handled through my PNAP case manager who is an RN. I can email her one way (they do not answer via email) or I can call. Monthly reports are sent to her. She has communication with my assigned therapist (Livengrin Foundation) that I am not privy too.

My first full year was uneventful as I did everything I was told. My mother passed away December 28, 2013 and everyone was pleased that I did not drink during her funeral. I zoned out on the fact that my mother was dead, and carried on with my weekly general outpatient program (GOP) which was one group session and one individual session per week. My only aunt passed away April 6, 2014, two days after I returned from visiting her in Chicago. I returned to Chicago to arrange her funeral and handle her estate. (I now only have one blood relative, a sister in Texas). PNAP demanded proof that my aunt died (prior to the funeral), and did not care that I sobbed during this phone call. No one in the entire network of professionals said "sorry for your loss". I cracked and drank, and stupidly reported myself to PNAP for drinking.

I crashed to the point where I repeated rehab. The focus was on the fact that I drank. The fact that I lost two out of three relatives in 13 weeks was sidebarred. I drank!!! PHMP added 9 months to my original 3 year sentence, and upped my random drug screens from twice a month to three times per month.

I towed the party line and dealt with the grief on my own. Meanwhile I have been unemployed since March 2013, and am coping with the loss of income, loss of identity as an RN, and loss of my military family and identity (I retired early after 10 years of Reserve service which includes a one year deployment to Iraq). My untreated depression got worse despite talking about it in my weekly sessions and those loathsome mandatory 12-Step meetings (3 per week). By December 2014 I was routinely using terms like "hopelessness" and "dark", and was no longer going to activities that I loved (yoga, zumba, jiu jitsu).I showed up for group with greasy hair and other clear signs of depression. No matter...drinking is my sin, crime, and moral defect.

I finally dragged myself to my primary care physician in January and started on Lexapro. Great news: I am responding to medication and have restored hope and function. Bad news: I drank one day that will live in infamy, January 8. Unfortunately, my live-in boyfriend of 14 years insisted we do the right thing and I reported this one time lapse.

The recommendation by Livengrin was that I repeat rehab, IOP, and whatever else they say. I signed a PHMP contract that says I will basically do what the therapist says until the therapist says I'm done. But the Lexapro kicked in and I refused this ridiculous plan. I wrote letters to all agencies and await the final verdict from PHMP.

The PNAP approved proposal now is that I agree to two individual sessions per week, one group therapy per week,and a psychiatric evaluation by someone in the Livengrin racket. I am free to see another psychiatrist but the evaluation must be done within 30 days, and I cannot get an appointment in that time,so I will see their quack. The "therapy" (that I so desperately needed in April; crashing and burning may have been avoided) is open-ended. They will release me from three hours of therapy per week when they say I'm done.

PNAP says PHMP does not routinely allow anyone to "jump from provider to provider". I have yet to jump once. I have until Friday to agree. My other option is to run my my license and my degrees (including MSN) through the shredder and be done with it. However, I would like to survive this because I would like to be an adult Nurse Practitioner. They can stop me from taking clinical courses, but not the academic portions. I've taken two so far. I have no intention of returning to hospital nursing. Teaching is my only other nursing interest at this point.

Thanks for creating this forum and taking the time to read this lengthy post. I have read almost all the posts and I feel for everyone and their pain!!

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Replies:
Subject Author Date
Re: On PNAP/PHMP "Life Arrest"CatmomFri, Jan 30 2015, 20:57:17

Re: On PNAP/PHMP "Life Arrest"Dagnus284Wed, Feb 17 2016, 11:48:58


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