Washington Recovery and Monitoring Program (WRAMP)

Yes. WRAMP records are not subject to the normal public disclosure requirements of most state records. No information regarding participants may be disclosed without the participant's written authorization. Authorized disclosures are generally limited to verification of participation in the program and overall compliance.

It depends upon the circumstances of the individual participant. In general, if a participant enters the program through a voluntary self-referral and no legal or investigative action has, or will be taken regarding their credential—the participant's credential will be unaffected. In cases where an administrative legal order has been issued regarding a credential, this is a matter of public record. In such cases, a participant's credential may be listed as "On Probation" or "Under Conditions" pending successful completion of WRAMP.

Yes. In cases where a legal order has been issued regarding a participant's credential, it is in the form of an "agreed order" that the participant has signed agreeing to be evaluated for a monitoring contract through WRAMP—either in lieu of discipline, or as a condition of issuing or reissuing a credential.

Yes. The primary goal of WRAMP is to ensure safe practice by credentialed healthcare providers. Therefore monitoring of a participant's ability to practice with reasonable skill and safety is required via worksite monitoring through employers.

All cases are reviewed individually to determine if a person is suitable for entry into WRAMP. The length of a monitoring contract usually ranges from one to five years but will depend upon the type of credential, severity of the substance use problem, and length of abstinence-recovery. In most cases, if a person can document five or more years of continuous abstinence-recovery, a WRAMP monitoring contract will not be recommended.

A first episode of unauthorized substance use usually results in referral for a substance use evaluation to determine appropriate modifications to the participant's treatment/recovery plan. Monitoring requirements may be modified (i.e., increased drug testing, etc.) as appropriate. A second episode of unauthorized substance use results in termination from the program.

Following unsuccessful termination from WRAMP, a person may reapply. However, after two consecutive unsuccessful terminations, a person will need to wait two years before being considered for readmission. Also, the person will need to document abstinence via random drug testing a minimum of 12 times per year and attendance at community-based, recovery-oriented meetings a minimum of twice per week for two years immediately before readmission.

There are no fees for participation in WRAMP. However, participants are responsible for all costs associated with WRAMP participation not covered by third-party payers (i.e., insurance, etc.). Most participants are required to pay out-of-pocket for drug screens and, if required, for participation in a weekly peer support group (PSG). Routine drug screens cost from $45 to $65 along with a "collection fee" of up to $30. Participants can expect 12 to 24 drug screens per year. Weekly PSGs are about $25 per week, but all PSG facilitators use a sliding fee scale and charge based upon a participant's income. We strongly advise that prospective participants consider their ability to meet the financial obligations of WRAMP before entering the program as inability to meet such obligations is a frequent reason people withdraw prematurely from WRAMP.

Contact WRAMP staff at 360-236-2880 (Option 2) or email us for more information.