Treatment Guide Focuses on Adult Offenders in Criminal Justice System
 SAMHSA
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. 
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To Find TIPs Online
For information and online links to other Treatment
Improvement Protocol (TIP) publications, visit
www.kap.
samhsa.gov/products/manuals/tips/numerical.htm.
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.
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