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SAMHSA News - July/August 2005, Volume 13, Number 4

Treatment Guide Focuses on Adult Offenders in Criminal Justice System

cover of Treatment Improvement Protocol TIP 44 - click to view guideSAMHSA recently published a guide for substance abuse treatment counselors and administrators who work with clients in the criminal justice system.

Substance Abuse Treatment for Adults in the Criminal Justice System, SAMHSA's Treatment Improvement Protocol 44 (TIP 44), presents clinical guidelines to help substance abuse treatment counselors address issues that arise from their clients' status in the criminal justice system. In addition, it will aid personnel in the criminal justice system in understanding and addressing the challenges of working with offenders with substance use disorders.

The goals of this TIP are to provide relevant information that will enable treatment providers to be more effective in their approach to offender and ex-offender populations; help people in community treatment understand the criminal justice system and how it works with their treatment services; and encourage collaboration between the criminal justice and substance abuse treatment communities.

TIP 44 also presents multiple perspectives: public safety, public health, substance abuse treatment, and corrections. Differing client needs, issues of culture and society, and characteristics of the local criminal justice system are also discussed.

The TIP is organized into 11 chapters:

  • Chapter 1: Introduction provides an overview of the purpose of the TIP and key definitions for language used in the text.

  • Chapter 2: Screening and Assessment includes information about relevant domains for screening and assessment and a discussion of special concerns (e.g., gender and sexual orientation, literacy, a client's primary language, and learning disabilities) and specific populations.

  • Chapter 3: Triage and Placement in Treatment Services reviews the complex area of treatment matching. Because no single treatment has been shown to be effective for all offenders, effective matching of services to an individual's needs improves the likelihood that the client will successfully complete treatment.

  • Chapter 4: Substance Abuse Treatment Planning discusses the available treatment options in the criminal justice system. It also presents guidelines for developing treatment plans.

  • Chapter 5: Major Treatment Issues and Approaches addresses the issues for offenders with substance use disorders, including engagement and retention, stigma and shame, the client-counselor relationship, and treatment levels (e.g., residential, non-residential, outpatient, community supervised, and self-help and other ancillary services).

  • Chapter 6: Adapting Offender Treatment for Specific Populations describes treatment issues and approaches for specific populations who might require modifications in treatment: people of ethnic and racial minorities, women, violent offenders, people with disabilities, older inmates, people with co-occurring substance use and mental disorders, and sex offenders, among others.

  • Chapters 7 through 10 describe the specific treatment needs and strategies for individuals in four particular criminal justice settings: pretrial and diversion settings, jails, prisons, and community supervision settings.

  • Chapter 11: Key Issues Related to Program Development discusses the issues that frame effective programming and coordination. For example, Federal, state, and local policies have a tremendous effect on the quality and availability of substance abuse treatment for offenders, as do policies and procedures within individual programs.

To obtain TIP 44, Substance Abuse Treatment for Adults in the Criminal Justice System, contact SAMHSA's National Clearinghouse for Alcohol and Drug Information at P.O. Box 2345, Rockville, MD 20847-2345. Telephone: 1 (800) 729-6686 (English and Spanish) or 1 (800) 487-4889 (TDD). Ask for NCADI No. BKD526. End of Article

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To Find TIPs Online

For information and online links to other Treatment Improvement Protocol (TIP) publications, visit www.kap.
. You can review the entire TIP series by topic or by number.

Upcoming TIPs include TIP 43: Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs to be released this fall. End of Article

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SAMHSA News - September/October 2005, Volume 13, Number 5

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