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Wyoming Substance Abuse News
Jackson, Wyoming doctor's license revoked CHEYENNE, Wyoming -- The Wyoming Board of Medicine has revoked the license of former Jackson, Wyoming family practitioner Ronald L. Gooder on allegations that he had sexual relationships with two patients, used drugs with them, and wrongfully treated and prescribed drugs for a third.

After a hearing in Jackson, Wyoming in June, a hearing panel found "clear and convincing evidence" that Gooder violated six Wyoming state laws regulating doctors.

The violations included two counts of sexually exploiting patients, three counts of negligence or malpractice in treating and prescribing drugs for patients, and one count of unprofessional or dishonorable conduct by using controlled substances.

On Aug. 13, the Wyoming Board of Medicine formally adopted the hearing panel's recommendation that Gooder's license be revoked and that he pay a $5,000 fine and half the costs of the hearing.

Gooder closed his practice in Jackson, Wyoming in August 2002 and has since moved to Casper, Wyoming where the only medical work he has done has been administering paramedical examinations for insurance companies.

One patient, referred to in Board of Medicine documents as Patient A, testified that she was a patient of Gooder's from 1987 to 2002.

The documents state that she said she lived with Gooder in Wyoming for six months during that period, during which time they had "sexual relations" on two occasions.

"On one such occasion, (Gooder) had supplied the drug ecstasy to her and then took her into his bedroom and had sex with her while she was under the influence of such drug," the board's documents state.

The Wyoming woman testified that she and Gooder smoked marijuana about every other night while they lived together.

Another Wyoming witness, Patient B, testified that she became Gooder's patient in spring 2000 for arthritis treatment.

The Wyoming documents state that the woman said she and Gooder started dating in February 2001, had a sexual relationship, and smoked marijuana together. She became Gooder's employee in March 2002 for about six months.

Regarding the third patient, Patient C, also a female, Gooder "failed to make and maintain a record of the care he provided for her and the prescribing of controlled substances for her," the Wyoming documents state.

Gooder, a Casper, Wyoming native, got his license to practice medicine in Wyoming in 1981 after graduating in 1978 from the University of California School of Medicine in San Francisco and completing an internship and residency in family practice at St. Michael Hospital in Milwaukee.


Wyoming Treatment Facts

  • During 2000, of the 4,241 individuals entering substance abuse treatment in Alabama, 96 were for cocaine .
  • During 2000, of the 4,241 individuals entering substance abuse treatment in Alabama, 744 were for marijuana .
  • During 2000, of the 4,241 individuals entering substance abuse treatment in Alabama, 23 were for heroin .
  • During 2000, of the 4,241 individuals entering substance abuse treatment in Alabama, 437 were for meth .


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If you or someone you care for has a substance abuse problem and needs treatment, it is important to know that no single treatment approach is appropriate for all individuals. Finding the right substance abuse treatment program involves careful consideration of such things as the setting, length of care, philosophical approach and your or your loved one's needs.

  • Effective treatment must attend to the multiple needs of the individual, not just the drug use.
  • Remaining in substance abuse treatment for an adequate period of time is critical for treatment effectiveness and positive change.
  • Each person is different and the amount of time in treatment will depend on his or her problems and needs. Research shows that for most individuals, the beginning of improvement begins at about 3 months into treatment. After this time, there is usually further progress toward recovery.
  • Counseling (individual and/or group) and other behavioral therapies are critical components of effective treatment.
  • In treatment, individuals look at issues of motivation, build skills to resist drug use, replace drug-using activities with constructive and rewarding behaviors, and improve problem-solving skills. Behavioral therapy also facilitates interpersonal relationships and the individual's ability to function in the home and community.
  • Detoxification is only the first stage of substance abuse treatment and by itself does little to change long-term drug use.
  • Detoxification safely manages the acute physical symptoms of withdrawal associated with stopping substance use. While detoxification alone is rarely sufficient to help addicts achieve long-term abstinence, for some individuals it is a strongly indicated precursor to effective drug addiction treatment.
  • Strong motivation can facilitate the treatment process. Support from family and friends can increase significantly both treatment entry and retention rates and the success of drug treatment interventions.
  • It is important to match treatment settings, interventions, and services to each individual's particular problems and needs. This is critical to his or her ultimate success in returning to healthy functioning in the family, school, work and society.

Patients who stay in substance abuse treatment longer than 3 months usually have better outcomes than those who stay less time. Patients who go through medically assisted withdrawal to minimize discomfort but do not receive any further treatment, perform about the same in terms of their substance use as those who were never treated. Over the last 25 years, studies have shown that treatment works to reduce drug intake and crimes committed by drug-dependent people. Researchers also have found that drug abusers who have been through treatment are more likely to have jobs.

The ultimate goal of all substance abuse treatment is to enable the individual to achieve lasting abstinence. The immediate goals are to reduce drug use, improve the patient's ability to function, and minimize the medical and social complications of drug abuse. Nearly all addicted individuals believe in the beginning that they can stop using drugs on their own, and most try to stop without treatment. However, most of these attempts result in failure to achieve long-term abstinence. Research has shown that long-term substance abuse results in significant changes in brain function that persist long after the individual stops using drugs. These drug-induced changes in brain function may have many behavioral consequences including the compulsion to use drugs despite adverse consequences, the defining characteristic of addiction.

Understanding that addiction has such an important biological component may help explain an individual's difficulty in achieving and maintaining abstinence without treatment. Psychological stress from work or family problems, social cues (such as meeting individuals from one's drug-using past), or the environment (such as encountering streets, objects, or even smells associated with substance abuse) can interact with biological factors to hinder attainment of sustained abstinence and make relapse more likely. Research studies indicate that even the most severely addicted individuals can participate actively in treatment and that active participation is essential to good outcomes.

Wyoming Facts

  • Wyoming was the first state to give women the right to vote.


  • Wyoming leads the country in coal production in 1994 with 3 million tons per week

  • Wyoming has the lowest population of all 50 United States.

  • The majority of Yellowstone Park lies within the boundaries of Wyoming.