Mandy Manak MD, ABAM, ISAM, CSAM, MRO 

Dr. Manak is the Medical Director of the Interior Chemical Dependency Office, located in Kamloops, BC; her area of expertise is in dual diagnosis chronic pain and addiction, treating patients in an integrated manner with respect to mental health, addiction, and pain.  She is a medical consultant at Phoenix Detox Centre, as well as with the Sexual Assault Forensic Team at Royal Inland Hospital. She is a fellow of the American Society of Addiction Medicine, board certified with the American Board of Addiction Medicine, exam certified with the International Society of Addiction Medicine and a certificant of the Canadian Society of Addiction Medicine. She is a certified review officer with the American Association of Review Officers and previously served as an MRO for Driver Check. 

As an expert in occupational addiction medicine, she provides independent medical evaluations and medical monitoring services to substance dependent patients in safety sensitive positions through Interior Medical Monitoring.  Along with her clinical work, she is a current member of the Prescription Review Committee with the College of Physicians and Surgeons of BC and a past member of the Methadone Maintenance Panel. Since 2015, she has represented British Columbia on the Board of Directors with the Canadian Society of Addiction Medicine.  As a recognized expert on the subject of buprenorphine/naloxone, she is a frequent presenter at workshops, seminars and conferences, at a local, national, and international level on topics related to substance use disorders as well as concurrent pain and addiction disorders.


Brett Baumback BSc. Pharm

Brett Baumback is a clinical pharmacist who has spent much of his career practicing in Edmonton, Alberta’s inner city, sharing his time between the dispensary and various interdisciplinary sites in the community.  In 2013, Brett received his Opioid Dependence Treatment certificate from the Centre for Addiction and Mental Health (CAMH) in Toronto, Ontario, and has been involved extensively in educating health professionals about substance use disorders through various initiatives.  Brett graduated from the Faculty of Pharmacy at the University of Alberta in 2007.


George Budd Pharm. D, B.Sc. (Pharm), R.PEBC, R.Ph

George P. Budd, a practicing pharmacist since 1992, obtained his Doctor of Pharmacy degree in 2011 from Idaho State University. He has experience in many different practice settings within the profession such as hospital pharmacy residency, community pharmacy and pharmacy manager.  Former Senior Investigator for the College of Pharmacists of BC (CPBC), and currently a Professional Conduct Review Consultant/Policy Liaison with the College of Registered Nurses of BC (CRNBC).

Dr. Budd is currently on the Board of Directors of the Canadian Society of Addiction Medicine (CSAM) and is currently a public representative to the Methadone Panel at the College of Physicians and Surgeons of BC.

Additionally, he has been a representative on national and provincial advisory committees such as CCSA National Dialogue on Prescription Drug Misuse, Opioid Substitution Treatment Psychosocial Service Framework and many others.

Dr. Budd is dedicated to establishing best practices in the area of addiction medicine and has worked closely with addiction physicians and other disciplines with a strong belief that collaboration is key to achieving desired health outcomes.


Jim Ketch MD

Dr. Jim Ketch is a Family Physician who continues to practice full service Family Medicine. He also, as part of his practice, works in Detox, is the the Lead Physician for Out Reach Urban Health,  a low barrier Street Clinic, and prescribes methadone and Suboxone.  He sees the longitudinal relationship with his patients, who are struggling with the Concurrent Disorders of Addictions and Mental Health, as a valuable tool in their recovery and support.

Dr. Ketch continues to do Obstetrics as part of his practice and has a special focus on addicted pregnant women and finds the longitudinal relationship with the women antepartum, intrapartum and postpartum rewarding and challenging. He is a strong advocate for his vulnerable patients when they are dealing with MCFD and other Ministries.

He is involved with the Child and Youth Mental Health and Substance Use Collaborative as a Provincial Faculty Member.

Dr. Ketch is a Assistant Clinical Professor of Medicine with UBC, is the local Behavioural Medicine Faculty and teaches Family Practice Residents and Medical Students.

He also teaches the Adult and Child and Youth Mental Health Practice Support Modules.


Debbie Rustand RN

Debbie is the Detox Supervisor at the Phoenix Centre in Kamloops, BC. She has been with the Phoenix Centre for the past 9 years, initially as a staff nurse followed by her current leadership role of Detox Supervisor. Debbie’s clinical competency spans from addictions and mental health, adult acute care, neurology and geriatrics.  She received her Diploma in nursing at the Vancouver General Hospital in 1988. Debbie is a both a tobacco cessation educator and a Take Home Naloxone prescriber and trainer. Debbie is passionate about nursing and committed to a nursing culture of excellence, the value of professionalism and collaborative practice with client centered care.


Rob Tanguay BSc (Hons), MD, FRCPC, CISAM, CCSAM

Dr. Tanguay completed his B.Sc. (Hons.) in Neuroscience at the University of Lethbridge and he attended medical school at the University of Calgary where he continued on to complete his residency in Psychiatry. Dr. Tanguay completed fellowships in Addictions Medicine with the department of psychiatry, certified with the International Society for Addiction’s Medicine (ISAM), and Pain Medicine with the department of anesthesia, making him one of the few Pain and Addiction Specialists and Psychiatrist. He is currently the Medical Lead of the Transitional Pain Program at Caleo Health’s Spinal Program. He initiated the first publicly funded Opioid Taper Program for Chronic Non-Cancer Pain at the Opioid Dependency Program in Calgary. He is an authority in opioid prescribing, the effects of opioids on functioning, opioid tapering in chronic non-cancer pain (CNCP), opioid addiction, and medical marijuana. His interests focus on: evidence-based pharmacological and psychological treatments of CNCP; the interaction of psychiatric co-morbidity on CNPC; identifying and treating personality diatheses in CNPC and addition patients; psychological understandings of CNPC and addiction patients; evaluation of impairment secondary to pain, addictions, or psychiatric disorders; and work place disability. Dr. Tanguay has been invited to be a keynote, plenary, and panel speaker at national and international conferences, as well as for local events, and is a Clinical Lecturer at the University of Calgary for the Department of Psychiatry.