PNAP Case workers — Do Not Trust Them

Medical professionals or their employers call PNAP case workers and intake administrators for numerous reasons.  The initial complaint call against the licensee  generates the “Letter of Concern.”  It is the response call from the licensee to PHMP/PNAP/SARPH/PAP that starts the proverbial ball rolling.  Here are several important facts each licensee should be aware of before calling PNAP.

PNAP/PAP/PHMP caseworkers are told to not tell inquiring licensees the truth. PNAP and PHMP caseworkers are instructed to emphasize the worst possible legal and licensing consequences if there is no cooperation.  PNAP/PHMP caseworkers are instructed to intimidate and scare licensees into the program. PNAP caseworkers are instructed to tell licensees about the costs of the Mental and Physical Evaluation and court fees.  PNAP caseworkers are instructed provide the minimum legal information possible.

PNAP caseworkers do not know the law.  PNAP/PHMP/PAP case workers are not trained in the several health care boards’ regulations.  PHMP/PNAP/PAP case workers do not understand the legal implications of the wrong advice they give. PNAP case workers do not know how to tell the truth.  Some PNAP caseworkers may be in the program too.


For every medical professional, agreeing to the initial PNAP assessment is the worst thing you can do. Current conflicts between the DSM-IV and DSM V alcohol use disorder – mild, moderate, or severe – are creating significant issues in determinations of impairment for PNAP assessors.  I have learned that the PNAP assessors could be  calling the PNAP caseworker and managers, who help the assessor diagnosis an impairment. This is improper.

PNAP and PHMP assessments should be performed independently, by appropriately trained medical professionals. PNAP and PHMP supervisors (Simpson and Knipe) should not be consulted on diagnosis. This type of diagnosis cooperation smacks of a pre-ordained determination of an impairment to insure medical professionals go in the program.  Please understand the above is not an anecdote or a hypothetical scenario. I have been told about PNAP supervisors providing supplemental questions and facts to assessors to insure a determination of impairment and a conclusion that the monitoring program is required.  Ethically, any assessor/PNAP consultation is improper.

This tells me that the system of initial communication with PNAP (in which they lie to you) and the read assessment process renders this entire program unacceptable. Be careful.  Call me.

One Response to PNAP Case workers — Do Not Trust Them

  1. Angela K. says:

    I, as well as many others, are uninformed of this entire PNAP process. I was sent an intimidating letter that led me to believe that it was required, from the nursing board, to participate in this program. At first I wasn’t worried at all. It was my first DUI, with only minimal property damage (parked car/unattended). No prior arrests or convictions of any kind. No substance/alcohol treatments ever. Never in trouble EVER at work. Just a single mother of 3 with 2 grandkids. And I know I don’t have a drinking problem, so I figured I would be evaluated, and they would see the truth, and all would be good. Well, that’s my foolish mistake. In this process they kept digging for information that would be bad on my character. I continually told them I don’t have a drinking problem, I had 5 letters sent to them on behalf of my character as a person without a drinking problem; 1 was my old supervisor of 7 years, and another 1 from my current supervisor. I even see my PCP frequently, and he could attest to the same. They never acknowledged any good qualities in me, instead just kept insisting I had a problem. When asked If I would goto a meeting, I replied, “If that’s what is required of me by the board, but I find it ridiculous to do any sort of therapy in regards to being an alcoholic when I am absolutely not one. Never was, and currently not one as well”. Her reply was, “that’s what they all say.” As I saw myself losing this battle I contacted Mr. Hark. I emailed him while working a night shift, and he called by back that morning. I was impressed. He was very familiar with this program and the destructiveness it causes to people. He informed me that no truth could come from them. He offered me counsel, but instructed me to just end the communication with PNAP and all those associated, and see what comes about. I could just hire him later if needed. He also gave me his number in case I had further questions. All for free.

    By the way, their final recommendation was for full treatment that included me no longer working. This is the biggest scam I have ever encountered. It’s failure to nurses, and others, is unfathomable. They should be called out and have every one of their cases reviewed. I can only imagine how many innocent people’s lives have been ruined. I know they tried, and currently still are trying to ruin mine. I only have my income, therefore not working would cause me to move back to my parents in another county, children move school districts, possibly lose my job forever, be delinquent on loans, credit cards and such which would ruin my credit. All because they misdiagnosed me with a drinking problem. Also, the treatment center that assessed me was Greenbriar in New Kensington. They should be embarrassed of themselves. I will fight this and fight them! I hope change will occur so no others go through this illegitimate “rehab” and program.

    Sorry for the length of my blog. I hope it helps someone.

    And I want to say THANK YOU Mr. Hark!!!! And please continue to fight for us as I’ve seen you do thus far.

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