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|Welcome to TPAPN|
Texas Peer Assistance Program for Nurses (TPAPN)
A Program of the Texas Nurses Foundation/Association | In Cooperation with the Texas Board of Nursing
TPAPN promotes, facilitates, and supports recovery* from behavioral health (substance use and mental health) conditions to help nurses (APRNs, RNs, and LVNs) of Texas maintain, and/or regain, safe nursing practice by providing:
*The Substance Abuse and Mental Health Services Administration (SAMHSA) defines recovery as “A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.” (https://blog.samhsa.gov/2012/03/23/defintion-of-recovery-updated)
Reporting of nurses who are impaired or suspected of being impaired is required
Reporting may facilitate nurses getting help sooner than they might have otherwise. Reporting also helps protect the public. The Texas Nursing Practice Act (www.bon.texas.gov) requires nurses who are impaired, or suspected of being impaired, by chemical dependency or diminished mental capacity to be reported. If the impaired nurse is believed to have committed a Nursing Practice Act violation the nurse must be reported to the BON; otherwise the nurse must be reported to either TPAPN, to a nursing peer review committee (if available), or to the BON. Concurrent reporting to both TPAPN and the BON, and self-reporting are encouraged. A TPAPN Referral Form can be found here. BON Complaint Forms can be found here.
Initiating TPAPN Participation
Participation in TPAPN is initiated using a TPAPN Referral Form and/or a BON Complaint Form. Referrals are received from three sources: 1) Oneself (self-referral), 2) a 3rd-Party (employer, healthcare provider, coworker etc.), and/or 3) the BON. All 3rd-Party referrals are reviewed with the BON. A TPAPN Referral Form can be found here. BON Complaint Forms can be found here.
Enrolling in TPAPN (Becoming a participant)
Nurses referred, or Ordered by the BON, to TPAPN, if eligible, are offered the opportunity to participate. Participation is voluntary and potentially an alternative to BON discipline. Eligibility is based on a number of factors including but not limited to the number of previous participations, the referral reason and details, direction from the BON, etc. Eligible nurses are sent an initial letter with basic enrollment instructions including the instruction to call their assigned Case Manager within ten days of the date of the initial letter. The enrollment process, definitive track placement, and detailed individualized participation requirements are determined, in most cases, after the completion a comprehensive behavioral health (substance use and mental health) evolution by a TPAPN approved evaluator. TPAPN Case Managers help potential participants identify an appropriate evaluator. Additionally, diagnostic toxicology testing (drug tests) may also be required as part of the evaluation process.
Enrollment Time Limits
Nurses referred by third-parties (employer, healthcare provider, coworker, etc.) have 30 days from the date of the enrollment letter to enroll. Nurses Ordered by the BON have 90 days to enroll.
TPAPN Participation Requirements
TPAPN-specific participation requirements are determined by a participant’s case manager in collaboration with the participant’s provider(s)/evaluator(s), treatment provider(s), employer, the BON, etc. TPAPN participation requirements are individualized and based on, and/or adjusted per, a number of factors including but not limited to referral details, participant’s evaluation(s), diagnosis and diagnostic severity, the need for nursing practice monitoring, BON direction, TPAPN participation adherence, recovery progress, etc.
Participation Goals (Vary for each participant)
TPAPN Track Descriptions
Consequences of behavior inconsistent with recovery and/or non-adherence with TPAPN participation requirements
TPAPN participants demonstrating behavior inconsistent with recovery, and/or who are non-adherent with TPAPN participation requirements, may be required to, or subject to some, or all the following:
Communicating with TPAPN
TPAPN can be reached Monday-Friday 8 a.m. - 5 p.m. at 512.467.7027 or by email at firstname.lastname@example.org. The preferred way for participants to communicate with their TPAPN Case Manager is through TPAPN’s participant portal.
Drug Testing (random) Toxicology (drug) Screening, Random Drug Testing Program
Randomized toxicology screens (drug tests) are required for most TPAPN participants. Drug testing is useful to deter the inappropriate use of alcohol, mood-altering or controlled substances and/or to facilitate the maintenance, demonstration, and documentation of sobriety.
TPAPN Advocates (Volunteer nurse peer support)
TPAPN Advocates are nurse volunteers that provide peer support to nurses participating in TPAPN’s Substance Use and Mental Health Programs. Advocates are an integral part of TPAPN, TPAPN’s recovery support services, and TPAPN participants’ recovery. Advocates may also serve as educational resources to employers and schools of nursing.
TPAPN Contact Information
Texas Peer Assistance Program for Nurses