What is the Indiana State Nurses Assistance Program (ISNAP)?
ISNAP was created by the Indiana General Assembly to provide a program to protect the public and to assist in the rehabilitation of registered and licensed practical nurses who are affected by the use of alcohol or other drugs.
The Program is designed to be confidential, non-punitive and therapeutic. ISNAP supports nurses who seek rehabilitation before their impairment from a substance use disorder harms a patient or damages their career or to help nurses whose licenses have been disciplined by the Board of Nursing due to substance use.
ISNAP is administered by the Indiana State Nurses Association through a contract with the Indiana Professional Licensing Agency.
How does ISNAP work?
ISNAP is a caring and supportive program that encourages recovery and rehabilitation.
The Recovery Monitoring Agreement (RMA) is an individualized monitoring program which actively monitors the progress of each nurse’s recovery. The nurse is responsible for his/her compliance to the RMA and is accountable to ISNAP.
What is the ISNAP process?
Intake: During the intake process, a nurse is referred to a treatment provider for a substance use assessment. Nurses are referred to ISNAP via self-report, co-worker referral, employer referral, from the Indiana State Attorney General’s office, or the Indiana State Board of Nursing.
Referral: The nurse is directed to a qualified substance abuse counselor or addictionist for an assessment.
Assessment: The substance use disorder or addictions specialist makes a diagnosis and recommendations.
Recovery Monitoring Agreement: The clinical team meets, reviews the assessment, and creates a monitoring agreement for the nurse. Monitoring agreements include random urine drug screens, restrictions on the individual’s nursing practice if indicated, reports from therapists and nursing managers, and attendance at 12 step meetings.
Completion: In order for a nurse to successfully complete a monitoring program, he/she must comply with the requirements of the monitoring agreement. The nurse must have letters of support from his/her nursing manager, and other significant people involved in his/ her recovery. The nurse must also send ISNAP a healthy living plan prior to completion.
Who pays for ISNAP?
All Indiana nurses pay for the administrative and case monitoring costs of the ISNAP program through a portion of their license renewal fees. ISNAP participants or their health care insurers pay for the costs of the substance use disorder assessment, treatment, randomized drug tests and other services. Many treatment providers have sliding fee scales for clients who are uninsured.
What are the benefits of ISNAP?
Substance use disorders or addictions ARE treatable. ISNAP can minimize the negative impact of the disease by providing nurses the opportunity to obtain treatment, begin recovery and return to work safely. Studies indicate that monitoring reduces the incidence of relapse in nurses by 45 %.
ISNAP is a confidential program.
If a nurse self-reports and remains compliant with his/ her RMA, ISNAP is not required to report to the attorney general’s office or the Board of Nursing that the nurse is in monitoring with ISNAP.