Skip to main content SAMHSA News - SAMHSA's Award Winning Newsletter SAMHSA News - SAMHSA's Award Winning Newsletter
SAMHSA’s Award-Winning Newsletter
November/December 2008, Volume 16, Number 6 

Medication-Assisted Treatment: TIP 43

Keeping staff well informed and “on the same page” is often a challenge for treatment providers and clinic supervisors. To help, SAMHSA regularly releases training manuals based on Treatment Improvement Protocols (TIPs).

Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs Inservice Training is based on TIP 43.

cover of Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs Inservice Training Based on TIP 43 – click to view pub

The training manual discusses the many aspects of medication-assisted treatment for opioid addiction.

Topics include the pharmacology of medications, initial screening and admission procedures, phases of treatment, approaches to comprehensive care and patient retention, associated medical problems, treatment of multiple substance use and co-occurring disorders, and how treatment could affect pregnancy.

The 12 modules are designed to last 45 to 60 minutes and can be delivered either as stand-alone sessions or as parts of a larger training program.

Activities follow a three-step approach:

  • Explanation includes a brief overview of the learning objective and the means for accomplishing the task.
  • Initiation involves detailed instructions and start of the activity.
  • Debriefing provides the trainer with an opportunity to review the activity and clarify and reinforce the key learning points.

For details on TIP 43, read “TIP 43: Opioid Treatment” in SAMHSA News online, November/December 2005.

What Is a TIP?

The manuals in the Treatment Improvement Protocol (TIP) series are best-practice guidelines for substance abuse treatment. The Division of Services Improvement at SAMHSA’s Center for Substance Abuse Treatment (CSAT) draws on the experience and knowledge of clinical, research, and administrative experts to produce the manuals, which are distributed to facilities and individuals across the country.

The manuals are part of CSAT’s Knowledge Application Program.

Ordering Information

To order this training manual free of charge, contact SAMHSA’s Health Information Network at 1-877-SAMHSA-7 (1-877-726-4727). Request inventory number SMA08-4341.

This and other substance abuse trainings are available for free download on CSAT’s Knowledge Application Program Web site at

  Women, Addiction, & Recovery  
image of women holding children

Conference Coverage & Related Stories

  Returning Veterans  
image of a woman in the military

Women in the Military: Overcoming Challenges

From mental health issues to sexual harassment—what’s being done to help.

image of a military person silhouetted in front of the American flag

Veterans & Major Depressive Episode: New Data

Last year, more than 300,000 veterans experienced MDEs.

  Suicide Prevention  
image of 5 cartoon-like characters

New Media Increase Options

Virtual suicide prevention efforts are helping.

image of a male on the telephone

Lifeline Answers One Millionth Call

Milestone for SAMHSA’s National Suicide Prevention Lifeline.

  Training Manuals  
TIP 45 image


This Treatment Improvement Protocol training manual offers basics on successful detox.

TIP 43 image

Medication-Assisted Treatment

This Treatment Improvement Protocol training manual discusses treatment for opioid addiction.

  Data on Youth  
image of a young man holding his neck

Inhalant Use & Depression

Some adolescents are three times as likely to start using inhalants—find out why.

Mental Health Settings: New Data

Do young people get mental health services at school more often than at specialty treatment centers?

image of a young man

Out-of-Home Treatment

Effective treatment options for young people.

  Also in This Issue  
logo for SAMHSA's Science and Service Awards

2008 Science & Service Award Winners

For best practices, 29 organizations honored.

Grant Updates

Awards announced.

Staff in the News logo

Advisory Councils

Five new members for SAMHSA’s Advisory Councils.

Treatment Line Gets National Attention

Oprah promotes SAMHSA’s substance abuse treatment line as a resource.

The Voice Awards logo

Voice Award Nominations

You have until March 2009 to cast your vote.

Primary Care Settings

Mental health may improve with treatment location.

Join the eNetwork Sign up for email alerts! New publications, eNetwork archives, Observances and Campaigns

SAMHSA’s eNetwork is your personal link to the latest news about our grants, publications, campaigns, programs, statistics, data reports, and more.

Join the eNetwork

Substance Abuse & Mental Health Services Administration – 1 Choke Cherry Road - Rockville, MD 20857
AdobeTM PDF and MS OfficeTM formatted files require software viewer programs to properly read them.
Click here to download these FREE programs now.