On our way with alternatives-to-discipline for nurses with addictions? Commentary on Monroe T & Kenaga H (2011) Don't ask don't tell: substance abuse and addiction among nurses. Journal of Clinical Nursing 20, 504-509.

The authors comment on the paper "Don't ask don't tell: substance abuse and addiction among nurses," by Todd Monroe and Heidi Kenaga, published in a previous issue. The authors contend that the paper discussed the value of alternative-to-discipline (ATD) strategies and programs for public safety and retention of nurses in the workforce. An issue raised is the trend of shifting away from ATD programs for impaired nurses. The authors call for action on policy and research.