Participants Entering the Diversion Program
Upon entering the Diversion Program/Alternative to Discipline, nurses are required to complete a History and Assessment form and a Diversion Program Response Checklist before scheduling their intake interview. This process ensures smooth entry into the program.
History and Assessment Form
Nurses are asked to provide a brief history of the events leading to their Diversion Program referral, including any family history of substance use disorder and other relevant factors contributing to relapse. This helps tailor support to their specific needs.
Diversion Program Response Checklist
Nurses complete a Diversion Program Response Checklist, admitting to a substance use disorder and expressing their willingness to enter voluntary practice monitoring. This allows them to personally explain their reasons for joining the alternative to discipline program.
Diversion Program Contract
We have provided a draft copy of the five-year Diversion Program contract for your review.
New Participant Entry Process
Please complete the following Forms and Submit
History and Assessment Form
Diversion Program Response Checklist
Please review Information
· Nursing Practice Act
· DP five-year Contract (Sample)
· Diversion Program Brochure
RecoveryTrek
RecoveryTrek is the NM BON third-party administrator for the Diversion Program. It provides operational services, such as a case management program and drug testing collection services. This program was specially designed to help you keep track of your journey through recovery in the Diversion Program.
Upon enrolling in the 5-year Diversion Program, you will receive an email with detailed, step-by-step instructions on accessing your secure nurse portal and setting up the mobile app for testing and documenting your meetings. Also, you will receive your temporary password and user name-make sure you note this information.
Significant numbers for RecoveryTrek:
Success Manager Erica Knappenberger 757-290-4181 erica@recoverytrek.com www.recoverytrek.com
Billing 1-757-943-9800 Ext 1
Instructions: