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SAMHSA’s Award-Winning Newsletter
January/February 2009, Volume 17, Number 1 

TIP 48: Managing Depressive Symptoms

Attention substance abuse treatment counselors—a new resource is now available from SAMHSA to help you work with clients who are experiencing depressive symptoms.

Treatment Improvement Protocol (TIP) 48, Managing Depressive Symptoms in Substance Abuse Clients During Early Recovery, provides the “what,” “why,” and “how-to” of working with clients with depressive symptoms and substance use disorders. Depressive symptoms can interfere with your clients’ recovery and ability to participate in treatment.

cover of TIP 48 - Managing Depressive Symptoms in Substance Abuse Clients During Early Recovery

Topics covered include counseling approaches, clinical settings, cultural concerns, counselor roles and responsibilities, screening and assessment, treatment planning and processes, and continuing care.

Organized in three parts, the TIP provides vignettes of counseling sessions, descriptions of specific techniques, and an online-only literature review. The online version of TIP 48 and the literature review will be available soon—check SAMHSA’s Knowledge Application Program (KAP) Web site for updates.

Administrators also will find information about incorporating the management of depressive symptoms into substance abuse programs, complete with a systematic approach to designing and operating a supportive infrastructure.

To order print copies of TIP 48, call SAMHSA’s Health Information Network at 1-877-SAMHSA-7.

What Are Typical Depressive Symptoms?

TIP 48 offers a snapshot of the most common depressive symptoms:

  • Jumping to conclusions. People with depressive symptoms tend to jump to negative conclusions easily.
  • Emotional reasoning. These patients may assume their emotions give them an accurate view of the world and do not “test” further.
  • Discounting the positive. They may focus on what they don’t have, rather than what they do, leaving them feeling deprived or disappointed.
  • Disbelieving others. People with depression often believe that others are being nice only because they want something—that they are manipulative.
  • Black-and-white thinking. Depression makes it harder to think about life in complex ways—everything is “either/or.”

New Format for TIPs

Beginning with TIP 48, SAMHSA’s Center for Substance Abuse Treatment (CSAT) is introducing a new approach to TIPs. Short and concise, the new TIPs focus on how to perform relevant activities and target specific needs of substance abuse treatment counselors, program administrators, and clinical supervisors.

This allows for the materials in the TIP to be reviewed, discussed, and used as a training tool over a short period of time and with few or no additional resources. The goal is to improve the delivery of substance abuse treatment services.

For more information about Treatment Improvement Protocols (TIPs), visit SAMHSA’s KAP Web site. TIPs are listed by topic and by number.

Other TIPs

Treatment providers may find other Treatment Improvement Protocols helpful. They include:

See the full list of available TIPs from SAMHSA’s Knowledge Application Program.

Other available products include KAP Keys. Based on specific TIPs, these are handy, durable tools. Keys may include assessment or screening instruments, checklists, and summaries of treatment phases.

They are fastened with a key ring and can be kept within reach and consulted frequently. KAP Keys enable you to locate information easily and to use this information to enhance treatment services.

From the SAMHSA News Archives: Read a description of these useful “quick access tools” -- KAP keys and quick guides.




  New Tools for the Field  
Drug-Free Workplaces: Cost-Effective Help

Drug-Free Workplaces: Cost-Effective Help

Fourteen new informational briefs can help employers address substance use problems.

Helping People with Mental Illness Live in the Community

Helping People with Mental Illness Live in the Community

Build and strengthen an Assertive Community Treatment team using a new toolkit.

TIP 48: Managing Depressive Symptoms

Managing Depressive Symptoms

Depressive symptoms can interfere with your clients’ recovery and ability to participate in treatment.


  Special Populations  
Older Adults & Substance Abuse

Older Adults & Substance Abuse

Think drug abuse is just a problem among adolescents and college kids? Many adults age 50 and older report substance abuse.


  Suicide Prevention  
Substance Abuse & Suicide: Connection Explored

Substance Abuse & Suicide: Connection Explored

Substance abuse is a major risk factor for suicide. Experts weigh in on how to address the problem.

Lifeline Partners with YouTube

Lifeline Partners with YouTube

What do you do if you think someone on YouTube may be at risk for suicide?

Dr. Phil Promotes Lifeline on YouTube

SAMHSA’s National Suicide Prevention Lifeline took center stage when it was promoted as a resource on “Dr. Phil.”


  Recovery  
2009’s Recovery Month Web Site Launched

2009’s Recovery Month Web Site Launched

Recovery Month celebrates its 20th year in September!


  Trends and Data  
Youth & Substance Abuse: 5-Year Changes

Youth & Substance Abuse: 5-Year Changes

Youth show declines in cigarette, alcohol, and illicit drug use from 2002 to 2007.

Marijuana & Adolescents

Marijuana & Adolescents

There’s a connection between use of marijuana by young people and their perceptions of how risky that use may be.

Serious Psychological Distress

Serious Psychological Distress

In 2007, 24.3 million adults age 18 or older experienced past-year serious psychological distress.


  Also In This Issue  
Web 2.0 & Homelessness Resource Center

Web 2.0 & Homelessness Resource Center

Tune in to the new monthly Webcast series and share your opinions about things you read.

Introducing Our Print Redesign

Introducing Our Print Redesign

SAMHSA News in print has a whole new look! Find out what we changed and why.



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Substance Abuse & Mental Health Services Administration – 1 Choke Cherry Road - Rockville, MD 20857
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