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The Multi-Specialty Team at Integrated Treatment Solutions

Occupational Health and Environmental Toxicology Consultant, Dr. Marilyn Howarth and Behavior Therapist and Addiction Specialist, Paula Tropiano, LPC, CCDP-D serves as the core team for the Comprehensive Assessment and Referral Program.

Marilyn V. Howarth, MD, FACOEM, Occupational Medicine Specialist

Marilyn V. Howarth, MD, FACOEM, Occupational Medicine SpecialistDr. Howarth is a residency-trained, board-certified internist with specialty training by the Centers for Disease Control in occupational and environmental medicine. She has a long and distinguished career in workplace health and productivity, involving regulation, workplace accommodation, disability management, program development and implementation. She has expertise in clinical occupational medicine, toxicology, regulatory compliance, risk assessment, medical record review and analysis, and medical case management. She also has extensive experience as a Medical Review Officer managing drug and alcohol testing programs and evaluating return to work timing and conditions for patients recovering from substance abuse.

Dr. Howarth serves as the lead medical professional in the Comprehensive Assessment and Referral Program, conducting occupational health examinations and related medical activities. She works collaboratively with clients and other members of the multidisciplinary team in the prevention and or further development of health concerns and untoward responses to work-environment stressors. She coordinates care for identified medical problems with participant’s treating physicians and coordinates return to work accommodation and follow up.

She has served as the Consulting Medical Director for Exelon in Philadelphia, and currently serves as the Medical Director for Employee Disability for the City of Philadelphia. She is actively engaged in her own consulting firm through which she continues to see patients. She has held several leadership positions with organization’s including Penn Executive Health, WorkWell, an Occupational Medicine practice of Penn Medicine, and Cooper Hospital University Medical Center. She is an Adjunct Associate Professor at the University of Pennsylvania where she teaches currently.

Dr. Howarth is a noted speaker and has published widely in the areas of occupational and environmental medicine . She is a past president of the Pennsylvania Occupational and Environmental Medical Society and a former member of the Board of Directors of the American College of Occupational and Environmental Medicine. She is currently a member of the PHILAPOSH Technical Advisory Board which advises unions with concerns about exposures on the job. She continues to teach at the University of Pennsylvania and provides educational programs on Occupational Health topics to employee groups.

Paula G. Tropiano, M.A., LPC, CCDP-Diplomate, Behavior Therapist

Paula Tropiano, Licensed Professional Counselor and Certified Co Occurring Disorders Professional DiplomateMs. Tropiano is a seasoned behavioral health clinician with several years of diverse cross-functional experience working within behavioral health and addictions treatment, learning and development and management. As a clinician, she specializes in working with clinical health matters, which involve medical and psychological dimensions, chronic conditions, and maladaptive personality traits. She is adept in working with licensed professionals within the healthcare and legal industries, as well as other professionals whose careers involve high demand and accountability for the safety, productivity and well-being of others.

She is a Licensed Professional Counselor specializing in co-occurring disorders — substance abuse and psychiatric issues. She is highly skilled at working with complex behavioral presentations whereby standard means of intervention have not been effective. Ms. Tropiano is certified at the Diplomate level through the State of Pennsylvania and holds a Master’s Degree in Counseling Psychology.

Ms. Tropiano serves as the lead behavioral health professional in the Comprehensive Assessment and Referral Program and conducts the comprehensive psychosocial evaluation and related screening assessments. She works collaboratively with clients and other members of the multidisciplinary team in to ensure that presenting or compounding behavioral or addictions issues are identified, treated and managed to prevent risks and untoward responses to work-environment stressors.

Integrated Treatment Solutions operates through its collaborative network of consultants and experts operating as a multi-specialty team, including:

  • Occupational Health Physicians
  • Board-Certified Psychiatrists and Addiction Psychiatrists
  • Licensed and Certified Behavioral Health and Addictions Professionals
  • Licensed Psychologists and Neuropsychologists
  • Medical Review Officer