supporting Massachusetts dentists since 1980


If you wish to refer a colleague, or if you are in need of help, CDAP strongly encourages you to call us at (800) 468-2004. 

Referrals to CDAP come from colleagues, family members, friends, or patients, and often from the affected dentist. Each referral is treated individually, in a compassionate and confidential manner. Communications with CDAP are confidential under state law, and chemical dependency cases have additional protections under federal law.

Participation with CDAP is voluntary. We do not force our services on any dentist who does not want them. CDAP will strongly urge a doctor who is ill to get help, and we will suggest specific treatment options. We respond to the concerns of families, colleagues, and hospitals by providing coordinated interventions and referrals to treatment.

At the time of the first contact, it is helpful to be able to provide some of the following information:

  • The name of the dentist seeking services
  • The nature of the concern
  • Any history and factors related to the concern
  • Documentation of any previous services or treatment received
  • Documentation of any complaints that may have initiated the contact or may have been made regarding performance

Signs of Concern

Personality Changes
  • Direct statements indicating distress
  • Constant sadness or tearfulness
  • Constant anxiety or irritability
  • Unprovoked anger or hostility
  • Expressions of hopelessness or worthlessness

Behavioral Changes
  • Deterioration in quality of work
  • A negative change in performance
  • Repeated absences from important activities
  • Continual seeking of special accommodations
  • Repeated trouble getting along with others

Physical Changes
  • Deterioration in physical appearance
  • Visible weight changes
  • Excessive fatigue
  • Sleeping much more or much less
  • Coming to work bleary-eyed or smelling of alcohol
  • Needle marks or bandages

Workplace Changes
  • Patient or staff complaints
  • Unusual pattern of prescribing of drugs
  • Inappropriate orders
  • Personal administration of drugs to patients
  • Unreachable when on call

Other Factors to Consider
  • Personal losses (e.g., divorce, deaths)
  • Decreased self-care (e.g., discontinuing exercise)
  • Expression of concern noted by peers
  • A hunch or gut-level feeling on your part that something is wrong