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TIP 44: Substance Abuse Treatment

TIP 44: Substance Abuse Treatment. For Adults in the Criminal Justice System: Executive Summary and CH 1. Ways Contact with Criminal Justice Can Benefit. 1st time to identify substance use disorder Legal incentive sometimes motivates recovery Sometimes more intensive help is needed.

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TIP 44: Substance Abuse Treatment

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  1. TIP 44: Substance Abuse Treatment For Adults in the Criminal Justice System: Executive Summary and CH 1

  2. Ways Contact with Criminal Justice Can Benefit • 1st time to identify substance use disorder • Legal incentive sometimes motivates recovery • Sometimes more intensive help is needed

  3. Screening and Assessment • Screening • Identifying who needs treatment • Determining if eligible for services • Assessment and Treatment Planning • To what extent is treatment needed? • At what level of intensity? • Available resources?

  4. Screening and Assessment- cont’d • Information gathering • Self-report may be limited • Drug test results, clinical records help • Assessment leads to referral • Complexity • Psychological disorders common • Histories of trauma, abuse

  5. Other Considerations for Placement • Risk for criminal recidivism • Motivation and readiness to change • Length of Sentence • History of previous treatment • Violence potential

  6. Effective Treatment Programs • Comprehensive assessment capability • Smooth communication with other agencies • Computer (MIS) based records • Records carefully kept confidential

  7. Effective Treatment Programs- cont’d • Consider need for criminal-specific interventions • Teach basic problem-solving skills • Address criminal thinking • Program is culturally relevant • To minorities, women, dually diagnosed, elders etc.

  8. Treatment Issues • Diversion Programs Moore County DayReporting DART-Cherry • ISSUE: Follow-up (3 months) “Community Treatment”? • Pre-trial • Assessment by private services • Due process considered • Jails • Need professionalsJail article on suicide

  9. Treatment Issues- Continued Community Supervision • Parole • Conditional release – follows incarceration • Probation • Supervision instead of incarceration • Services • Surveillance and Treatment • TASC

  10. Research • Comprehensive treatment reduces recidivism • Is Cost Effective ($1 saves $7)

  11. Treatment NC Drug Courts Need vs. Availability • Though more treatment is available, the number of offenders has risen, also. • <15% receive services in prison

  12. Definitions Substance Abuse – generic use in the TIP • Substance Abuse DSM IV TR • Substance Dependence- DSM IV TR Offender • Arrested, charged with a crime or convicted and under the supervision of the criminal justice system.

  13. Definitions- cont’d Treatment • Broad range of services, including: • Identification, brief intervention, assessment, diagnosis • Counseling, medical, psychiatric and psychological services • Social services and follow-up • Overall goal: • Reduce or eliminate drug/alcohol use as a contributing factor to…dysfunction AND retard or reverse any associated problems.

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