Substance abuse issues are far too common among nurses. The stress of the job combined with relatively easy access to addictive prescription drugs, can be a dangerous and potentially deadly combination.
Nurses whose licenses are in jeopardy because of addiction and drug-related actions can participate in recovery programs to regain their right to practice. However, not all addiction recovery programs are the same.
What some nurses are saying
California nurses have complained repeatedly and publicly that an addiction recovery program managed by the state’s licensing board and presented as an alternative to stricter punishments is unreasonably expensive. Mandatory drug testing can cost them thousands of dollars.
Further, some claim, they’re often prohibited from working, even when their drug tests are consistently negative, and they have to deal with changing requirements. One called it a “living hell.” Some feel they have no choice but to leave the profession to be able to earn a living.
Doctors and addiction recovery programs
Meanwhile, doctors dealing with addiction issues are working to get a recovery program that would be independent of their licensing board (unlike the nurses’ program), less punitive and more confidential. This kind of program is offered in other states.
According to the nonprofit organization CalMatters, “California is one of few states without a recovery program — commonly called physician health programs — that offers doctors the chance to seek treatment and help while monitoring them for sobriety.”
A dangerous consequence of board-affiliated addiction recovery programs having such a negative reputation in California is that more medical professionals are attempting to hide their addictions rather than get the help they need. This puts them (and patients) at risk.
It’s crucial for any California nurse who is facing the loss of their license (and potentially criminal consequences) because of substance abuse issues to protect their rights. Getting the right legal guidance as early as possible can help a nurse find the best path forward for them.

