Montana Professional Assistance Program (MPAP) has the stated purpose of addressing the problems of the distressed healthcare professional whose ability to practice is diminished due to substance use, psychiatric illness, disruptive behavior, sexual misconduct or problems associated with the process of aging. MPAP is a nonprofit corporation located in Billings, Montana and is under contract with the Montana Department of Labor and Industry to administer an assistance program on behalf of the Montana Board of Medical Examiners, Board of Nursing, Board of Pharmacy, and the Board of Dentistry. Funding comes from a special assessment on professional license fees.


Michael J. Ramirez, M.S. Clinical Director

Since 1995, Mike has played a vital role in helping to pave the way for MPAP’s continued success. He holds a Master of Science in Rehabilitation Counseling. He is a member of the Federation of State Physician Health Programs and serves as a Board Member and Western Regional Representative, Chair of the Performance Enhancement and Effectiveness Review (PEER) Committee, and is member of the Public Policy Committee.

Mikhail Joutovsky, D.O. Medical Director

Dr. Joutovsky feels fortunate to call Montana his home. He graduated from New York College of Osteopathic Medicine and completed both a General Surgery Residency and a Critical Care Fellowship at St. Barnabas Hospital in New York. After five years of working as Trauma and Acute Care Surgeon in New York, he relocated to Butte, Montana. He operated at both St. James HealthCare and Summit Surgery Center.

Then he found his calling in helping other physicians who found themselves in the state of possible impairment and addiction. He completed fellowship training in Addiction Medicine at the University of Florida College of Medicine and currently serves as Medical Director for the Montana Professional Assistance Program.