TIP 44: Substance Abuse Treatment
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Transcript of TIP 44: Substance Abuse Treatment
TIP 44: Substance Abuse TIP 44: Substance Abuse TreatmentTreatment
For Adults in the Criminal Justice For Adults in the Criminal Justice System: System:
Executive Summary and CH 1Executive Summary and CH 1
Ways Contact with Criminal Ways Contact with Criminal Justice Can BenefitJustice Can Benefit
• 1st time to identify substance use disorder
• Legal incentive sometimes motivates recovery– Sometimes more intensive help is needed
Screening and AssessmentScreening 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?
Screening and Assessment- cont’dScreening 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
Other Considerations for Other Considerations for PlacementPlacement
• Risk for criminal recidivism
• Motivation and readiness to change
• Length of Sentence
• History of previous treatment
• Violence potential
Effective Treatment ProgramsEffective Treatment Programs
• Comprehensive assessment capability
• Smooth communication with other agencies
• Computer (MIS) based records
• Records carefully kept confidential
Effective Treatment Programs- Effective Treatment Programs- cont’dcont’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.
Treatment IssuesTreatment Issues
• Diversion Programs Moore County DayReportingDART-Cherry– ISSUE: Follow-up (3 months) “Community
Treatment”?
• Pre-trial– Assessment by private services– Due process considered
• Jails– Need professionals Jail article on suicide
Treatment Issues- ContinuedTreatment Issues- Continued
Community Supervision
• Parole• Conditional release – follows incarceration
• Probation– Supervision instead of incarceration
• Services– Surveillance and Treatment– TASC
ResearchResearch
• Comprehensive treatment reduces recidivism
• Is Cost Effective ($1 saves $7)
TreatmentTreatment
NC Drug Courts
Need vs. Availability
• Though more treatment is available, the number of offenders has risen, also.
• <15% receive services in prison
DefinitionsDefinitionsSubstance 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.
Definitions- cont’dDefinitions- cont’dTreatment• 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.