Contents

• What Is a TIP?
• Consensus Panel
• KAP Expert Panel and Federal Government Participants
• Foreword
• Executive Summary
• 1 Introduction
  • Overview
  • The Purpose of This TIP
  • Key Definitions
  • Audience for This TIP
  • Contents of This TIP
• 2 Screening and Assessment
  • Overview
  • Selection and Implementation of Instruments
  • Screening and Assessment Considerations for Specific Populations
  • Integrated Screening and Assessment—Sample Approaches
  • Conclusions and Recommendations
• 3 Triage and Placement in Treatment Services
  • Overview
  • Treatment Levels and Components
  • Potential Barriers to Triage and Placement
  • Creating a Triage and Placement System
  • Compiling Information To Guide Triage and Placement Decisions
  • Conclusions and Recommendations
• 4 Substance Abuse Treatment Planning
  • Overview
  • Assessing the Severity of Substance Use Disorders
  • Assessing the Severity of Co-Occurring Disorders
  • Criminality and Psychopathy
  • Client Motivation and Readiness for Change
  • Implementing an Effective Treatment Planning Process
  • Conclusions and Recommendations
• 5 Major Treatment Issues and Approaches
  • Overview
  • Clinical Strategies
  • Program Components and Strategies
  • Conclusions and Recommendations
• 6 Adapting Offender Treatment for Specific Populations
  • Overview
  • Treatment Issues Related to Cultural Minorities
  • Women's Treatment Issues
  • Men's Treatment Issues
  • Working With Violent Offenders
  • Treatment Issues Based on Client's Sexual Orientation
  • Treatment Issues Based on the Client's Cognitive/Learning, Physical, and Sensory Disabilities
  • Treatment Issues for Older Adults
  • Treatment Issues for Clients From Rural Areas
  • Treatment Issues for People With Co-Occurring Substance Use and Mental Disorders
  • People With Infectious Diseases
  • Sex Offenders
  • Conclusions and Recommendations
• 7 Treatment Issues in Pretrial and Diversion Settings
  • Overview
  • Introduction
  • Characteristics of the Population
  • Treatment Services in the Pretrial Justice System
  • Trial and Postverdict Periods
  • Diversion to Treatment
  • What Treatment Services Can Reasonably Be Provided in the Pretrial Setting?
  • Treatment Issues
  • Developing Pretrial Treatment Services
  • Resources
  • Conclusions and Recommendations
• 8 Treatment Issues Specific to Jails
  • Overview
  • Definitions
  • Trends
  • Treatment Services in Jails
  • Description of the Population
  • Key Issues Related to Treatment
  • What Treatment Services Can Reasonably Be Provided in a Jail Setting?
  • Coordination of Jail Treatment Services
  • Examples of Jail Treatment Programs
  • Research Related to Jail Treatment
  • Recommendations for Treatment Providers
• 9 Treatment Issues Specific to Prisons
  • Overview
  • Description of the Population
  • Treatment Services in Prisons
  • Key Issues Affecting Treatment in Prison Settings
  • What Treatment Services Can Reasonably Be Provided in the Prison Setting?
  • In-Prison Therapeutic Communities
  • Specific Populations in Prisons
  • Systems Issues
  • Recommendations and Further Research
• 10 Treatment for Offenders Under Community Supervision
  • Overview
  • The Population
  • Levels of Supervision
  • Treatment Levels and Treatment Components
  • What Treatment Services Can Reasonably Be Provided for People Under Community Supervision?
  • Treatment Issues for People Under Community Supervision
  • Treatment Issues Specific to People on Parole
  • Treatment Issues Specific to Probationers
  • Strategies for Improving System Collaboration
  • Sample Programs
  • Conclusions and Recommendations
• 11 Key Issues Related To Program Development
  • Overview
  • Reconciling Public Safety and Public Health Interests
  • Interdependence of Criminal Justice and Treatment Systems
  • Program-Level Coordination
  • Research and Evaluation
  • Cost Issues
  • Key Goals of SAMHSA
  • Conclusions
• Appendix A: Bibliography
• Appendix B: Glossary
• Appendix C: Screening and Assessment Instruments
• Appendix D: Resource Panel
• Appendix E: Cultural Competency and Diversity Network Participants
• Appendix F: Special Consultants
• Appendix G: Field Reviewers
• Appendix H—Acknowledgments
• SAMHSA TIPs and Publications Based on TIPs

This publication was prepared under contract numbers 270-99-7072 and 270-04-7049 by the Knowledge Application Program, a Joint Venture of The CDM Group, Inc. and JBS International, Inc., for the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (HHS). Christina Currier served as the Government Project Officer.

Suggested citation:

Center for Substance Abuse Treatment. Substance Abuse Treatment for Adults in the Criminal Justice System. Treatment Improvement Protocol (TIP) Series 44. HHS Publication No. (SMA) 13-4056. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2005.

The views, opinions, and content expressed herein are those of the authors and do not necessarily reflect the views, opinions, or policies of SAMHSA or HHS.