-- SAMHSA/CSAT Treatment Improvement Protocols -- NCBI Bookshelf

About these Reports
TIP 50 Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment: Treatment Improvement Protocol (TIP) Series 50
- Consensus Panel
- What Is a TIP?
- Foreword
- How This TIP Is Organized
- Part 1, Chapter 1, Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment: Information You Need To Know
- Part 1, Chapter 2, Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment: Clinical Vignettes Demonstrating How To Apply the Information
- Part 2, Chapter 1, Addressing Suicidal Thoughts and Behaviors: An Implementation Guide for Administrators
- Part 2, Chapter 2, Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment: Building a Suicide Prevention- and Intervention-Capable Agency
- Part 3, Section 1, Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment: A Review of the Literature
- Part 3, Section 2, Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment: Annotated Bibliography
- Part 3, Section 3, Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment: General Bibliography
- Appendix A—Biblography
- Appendix B—Advisory Meeting Panel
- Appendix C—Stakeholders Meeting Participants
- Appendix D—Field Reviewers
- Appendix E—Acknowledgments
TIP 49 Incorporating Alcohol Pharmacotherapies Into Medical Practice: Treatment Improvement Protocol (TIP) Series 49
- Consensus Panel
- Expert Advisory Board
- What Is a TIP?
- Foreword
- Chapter 1—Introduction
- Chapter 2—Acamprosate
- Chapter 3—Disulfiram
- Chapter 4—Oral Naltrexone
- Chapter 5—Extended-Release Injectable Naltrexone
- Chapter 6—Patient Management
- Appendix A—Bibliography
- Appendix B—NIAAA's A Pocket Guide for Alcohol Screening and Brief Intervention
- Appendix C—Excerpts From Quick Guide for Clinicians Based on TIP 45, Detoxification and Substance Abuse Treatment
- Appendix D—Excerpts From Quick Guide for Clinicians Based on TIP 24, A Guide to Substance Abuse Services for Primary Care Clinicians
- Appendix E—Resource Panel
- Appendix F—Field Reviewers
- Appendix G—Acknowledgments
TIP 48 Managing Depressive Symptoms in Substance Abuse Clients During Early Recovery: Treatment Improvement Protocol (TIP) Series 48
- Foreword
- How This TIP Is Organized
- Part 1, Chapter 1, Managing Depressive Symptoms in Substance Abuse Clients During Early Recovery
- Part 1, Chapter 2, Managing Depressive Symptoms in Substance Abuse Clients During Early Recovery
- Part 2, Chapter 1, Managing Depressive Symptoms: An Implementation Guide for Administrators
- Part 2, Chapter 2, Managing Depressive Symptoms: An Implementation Guide for Administrators
- Part 3, Managing Depressive Symptoms: A Review of the Literature, Section 1—A Review of the Literature
- Part 3, Managing Depressive Symptoms: A Review of the Literature, Section 2—Annotated Bibliography
- Part 3, Managing Depressive Symptoms: A Review of the Literature, Section 3—General Bibliography
- Appendix A—Bibliography
- Appendix B—Center for Epidemiologic Studies Depression Scale (CES-D)
- Appendix C—Fidelity Checklists
- Appendix D—DSM-IV-TR Mood Disorders
- Appendix E—Advisory Meeting Panel
- Appendix F—Field Reviewers
TIP 47 Substance Abuse: Clinical Issues in Intensive Outpatient Treatment: Treatment Improvement Protocol (TIP) Series 47
- Consensus Panel
- Foreword
- Executive Summary
- Chapter 1. Introduction
- Chapter 2. Principles of Intensive Outpatient Treatment
- Chapter 3. Intensive Outpatient Treatment and the Continuum of Care
- Chapter 4. Services in Intensive Outpatient Treatment Programs
- Chapter 5. Treatment Entry and Engagement
- Chapter 6. Family-Based Services
- Chapter 7. Clinical Issues, Challenges, and Strategies in Intensive Outpatient Treatment
- Chapter 8. Intensive Outpatient Treatment Approaches
- Chapter 9. Adapting Intensive Outpatient Treatment for Specific Populations
- Chapter 10. Addressing Diverse Populations in Intensive Outpatient Treatment
- Appendix A. Bibliography
- Appendix B. Urine Collection and Testing Procedures and Alternative Methods for Monitoring Drug Use
- Appendix C. Resource Panel
- Appendix D. Cultural Competency and Diversity Network Participants
- Appendix E. Field Reviewers
TIP 46 Substance Abuse: Administrative Issues in Outpatient Treatment: Treatment Improvement Protocol (TIP) Series 46
- Consensus Panel
- KAP Expert Panel and Federal Government Participants
- Foreword
- Executive Summary
- Chapter 1. Introduction
- Chapter 2. Management Issues
- Chapter 3. Managing Human Resources
- Chapter 4. Preparing a Program To Treat Diverse Clients
- Chapter 5. Outpatient Treatment Financing Options and Strategies
- Chapter 6. Performance Improvement and Outcomes Monitoring
- Appendix A—Bibliography
- Appendix B—Resource Panel
- Appendix C—Cultural Competency and Diversity Network Participants
- Appendix D—Field Reviewers
TIP 45 Detoxification and Substance Abuse Treatment: Treatment Improvement Protocol (TIP) Series 45
- Consensus Panel
- KAP Expert Panel and Federal Government Participants
- Consulting Members
- Foreword
- Executive Summary
- 1 Overview, Essential Concepts, and Definitions in Detoxification
- 2 Settings, Levels of Care, and Patient Placement
- 3 An Overview of Psychosocial and Biomedical Issues During Detoxification
- 4 Physical Detoxification Services for Withdrawal From Specific Substances
- 5 Co-Occurring Medical and Psychiatric Conditions
- 6 Financing and Organizational Issues
- Appendix A: Bibliography
- Appendix B: Common Drug Intoxication Signs and Withdrawal Symptoms
- Appendix C: Screening and Assessment Instruments
- Appendix D: Resource Panel
- Appendix E: Field Reviewers
TIP 44 Substance Abuse Treatment for Adults in the Criminal Justice System: Treatment Improvement Protocol (TIP) Series 44
- Consensus Panel
- Foreword
- Executive Summary
- 1 Introduction
- 2 Screening and Assessment
- 3 Triage and Placement in Treatment Services
- 4 Substance Abuse Treatment Planning
- 5 Major Treatment Issues and Approaches
- 6 Adapting Offender Treatment for Specific Populations
- 7 Treatment Issues in Pretrial and Diversion Settings
- 8 Treatment Issues Specific to Jails
- 9 Treatment Issues Specific to Prisons
- 10 Treatment for Offenders Under Community Supervision
- 11 Key Issues Related to Program Development
- 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
TIP 43 Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs: Treatment Improvement Protocol (TIP) Series 43
- Consensus Panel
- Editorial Advisory Board
- Consensus Panelists
- KAP Expert Panel and Federal Government Participants
- Foreword
- Executive Summary
- Chapter 1. Introduction
- Chapter 2. History of Medication-Assisted Treatment for Opioid Addiction
- Chapter 3. Pharmacology of Medications Used To Treat Opioid Addiction
- Chapter 4. Initial Screening, Admission Procedures, and Assessment Techniques
- Appendix 4-A. Example of Standard Consent to Opioid Maintenance Treatment
- Chapter 5. Clinical Pharmacotherapy
- Chapter 6. Patient-Treatment Matching: Types of Services and Levels of Care
- Chapter 7. Phases of Treatment
- Chapter 8. Approaches to Providing Comprehensive Care and Maximizing Patient Retention
- Chapter 9. Drug Testing as a Tool
- Chapter 10. Associated Medical Problems in Patients Who Are Opioid Addicted
- Chapter 11. Treatment of Multiple Substance Use
- Chapter 12. Treatment of Co-Occurring Disorders
- Appendix 12-A. Internet Resources for Accessing Psychiatric Instruments
- Chapter 13. Medication-Assisted Treatment for Opioid Addiction During Pregnancy
- Chapter 14. Administrative Considerations
- Appendix A: Bibliography
- Appendix B: Abbreviations and Acronyms
- Appendix C: Glossary
- Appendix D: Ethical Considerations in MAT
- Appendix E: Resource Panel
- Appendix F: Field Reviewers
TIP 42 Substance Abuse Treatment for Persons With Co-Occurring Disorders: Treatment Improvement Protocol (TIP) Series 42
- Consensus Panel
- KAP Expert Panel and Federal Government Participants
- Foreword
- Executive Summary
- 1 Introduction
- 2 Definitions, Terms, and Classification Systems for Co-Occurring Disorders
- 3 Keys to Successful Programming
- 4 Assessment
- 5 Strategies for Working With Clients With Co-Occurring Disorders
- 6 Traditional Settings and Models
- 7 Special Settings and Specific Populations
- 8 A Brief Overview of Specific Mental Disorders and Cross-Cutting Issues
- 9 Substance-Induced Disorders
- Appendix A: Bibliography
- Appendix B: Acronyms
- Appendix C: Glossary of Terms
- Appendix D: Specific Mental Disorders: Additional Guidance for the Counselor
- Appendix E: Emerging Models
- Appendix F: Common Medications for Disorders
- Appendix G: Screening and Assessment Instruments
- Appendix H: Screening Instruments
- Appendix I: Selected Sources of Training
- Appendix J: Dual Recovery Mutual Self-Help Programs and Other Resources for Consumers and Providers
- Appendix K: Confidentiality
- Appendix L: Resource Panel
- Appendix M: Cultural Competency and Diversity Network Participants
- Appendix N: Field Reviewers
TIP 41 Substance Abuse Treatment: Group Therapy: Treatment Improvement Protocol (TIP) Series 41
- Consensus Panel
- KAP Expert Panel and Federal Government Participants
- Foreword
- Executive Summary
- 1 Groups and Substance Abuse Treatment
- 2 Types of Groups Commonly Used in Substance Abuse Treatment
- 3 Criteria for the Placement of Clients in Groups
- 4 Group Development and Phase‐Specific Tasks
- 5 Stages of Treatment
- 6 Group Leadership, Concepts, and Techniques
- 7 Training and Supervision
- Appendix A: Bibliography
- Appendix B: Adult Patient Placement Criteria
- Appendix C: Sample Group Agreement
- Appendix D: Glossary
- Appendix E: Association for Specialists in Group Work Best Practice Guidelines
- Appendix F: Resource Panel
- Appendix G: Cultural Competency and Diversity Network Participants
- Appendix H: Field Reviewers
TIP 40 Clinical Guidelines for the Use of Buprenorphine in the Treatment of Opioid Addiction: Treatment Improvement Protocol (TIP) Series 40 Laura McNicholas, Consensus Panel Chair
- Consensus Panel
- Panelists
- Buprenorphine Expert Panel
- Foreword
- Executive Summary
- 1 Introduction
- 2 Pharmacology
- 3 Patient Assessment
- 4 Treatment Protocols
- 5 Special Populations
- 6 Policies and Procedures
- Appendix A. Bibliography
- Appendix B Assessment and Screening Instruments
- Appendix C DSM‐IV‐TR Material
- Appendix D Consent to Release of Information Under Title 42, Part 2, Code of Federal Regulations
- Appendix E Clinical Toolbox: Chapter 3 Supplemental Information
- Appendix F Federation of State Medical Boards—Model Policy Guidelines for Opioid Addiction Treatment in the Medical Office
- Appendix G Stages of Change
- Appendix H Sample Treatment Agreement/Contract
- Appendix I Glossary
- Appendix J Field Reviewers
TIP 39 Substance Abuse Treatment and Family Therapy: Treatment Improvement Protocol (TIP) Series 39
- Consensus Panel
- KAP Expert Panel and Federal Government Participants
- Foreword
- Executive Summary
- Chapter 1 Substance Abuse Treatment and Family Therapy
- Chapter 2 Impact of Substance Abuse on Families
- Chapter 3 Approaches to Therapy
- Chapter 4 Integrated Models for Treating Family Members
- Chapter 5 Specific Populations
- Chapter 6 Policy and Program Issues
- Appendix A: Bibliography
- Appendix B: Glossary
- Appendix C: Guidelines for Assessing Violence
- Appendix D: Resources
- Appendix E: Resource Panel
- Appendix F: Cultural Competency and Diversity Network Participants
- Appendix G: Field Reviewers
TIP 38 Integrating Substance Abuse Treatment and Vocational Services: Treatment Improvement Protocol (TIP) Series 38
- Editorial Advisory Board
- Consensus Panel
- Foreword
- Executive Summary and Recommendations
- Chapter 1—The Need for Vocational Services
- Chapter 2—Vocational Programming And Resources
- Chapter 3—Clinical Issues Related to Integrating Vocational Services
- Chapter 4—Integrating Onsite Vocational Services
- Chapter 5—Effective Referrals and Collaborations
- Chapter 6 --Funding and Policy Issues
- Chapter 7—Legal Issues
- Chapter 8—Working With the Ex-Offender
- Appendix A -- Bibliography
- Appendix B --Resources: Tools and Instruments
- Appendix C—Published Resource Materials
- Appendix D—Addiction Severity Index
- Appendix E—State Employment Agencies
- Appendix F—Federal Funding Sources
- Appendix G—Sample Individualized Written Rehabilitation Program
- Appendix H—Resource Panel
- Appendix I—Field Reviewers
- Figure 1-1: Challenges to Employment
- Figure 1-2: Strategies for Promoting Employment
- Figure 2-1: Vocational Services Provided to a Residential Treatment Facility
- Figure 2-2: Vocational Information From Initial Screen
- Figure 2-3: Assessment Tools
- Figure 2-4: Prevocational Counseling Activities
- Figure 2-5: Job Search Resources: America's Job Bank on the Internet
- Figure 2-6: Vocational Opportunities of Cherokee, Inc.: Rehabilitation Facility Providing Primarily Onsite Services
- Figure 2-7: The Michigan Drug Addiction and Alcoholism Referral and Monitoring Agency: A Case Management Model
- Figure 2-8: Combating Alcohol and Drugs Through Rehabilitation and Education (CADRE)
- Figure 2-9: The Texas Workforce Commission: Project RIO (Re-Integration of Offenders)
- Figure 2-10: Basic Materials for a Vocational Reference Library
- Figure 3-1: Early-Stage Vocational Issues and Approaches
- Figure 3-2: Answering Questions Related to Substance Use History-A Sample Scenario
- Figure 4-1: Steps for Planning an Integrated Program
- Figure 4-2: Job Clubs
- Figure 4-3: Focus on Client Outcomes: The Future for Substance Abuse Treatment Providers
- Figure 5-1: Data-Matching Software
- Figure 5-2: Steps for Establishing an Authentically Connected Network
- Figure 5-3: Characteristics of Authentically Connected Referral Networks
- Figure 6-1: Agency Self-Assessment Categories
- Figure 7-1: Americans With Disabilities Act and Rehabilitation Act Protections
- Figure 7-2: Services Provided Under the Workforce Investment Act of 1996
- Figure 7-3: Sample Consent Form
- Figure 7-4: Making a Referral to a Vocational or Training Program
- Figure 8-1: A Program That Addresses Women's Issues
- Figure 8-2: Summary of Program Examples
- Figure F-1: Federal Funding Sources
- Figure F-2: Federal Sources of Discretionary, Time-Limited Project Grants
TIP 37 Substance Abuse Treatment for Persons with HIV/AIDS: Treatment Improvement Protocol (TIP) Series 37
- Editorial Advisory Board
- Consensus Panel
- Foreword
- Executive Summary and Recommendations
- Chapter 1-- Introduction to HIV/AIDS
- Chapter 2—Medical Assessment and Treatment
- Chapter 3—Mental Health Treatment
- Chapter 4—Primary and Secondary HIV Prevention
- Chapter 5—Integrating Treatment Services
- Chapter 6—Accessing and Obtaining Needed Services
- Chapter 7—Counseling Clients With HIV And Substance Abuse Disorders
- Chapter 8—Ethical Issues
- Chapter 9—Legal Issues
- Chapter 10—Funding and Policy Considerations
- Appendix A -- Bibliography
- Appendix B—Glossary
- Appendix C—1993 Revised Classification System For HIV Infection and Expanded AIDS Surveillance Case Definition For Adolescents and Adults
- Appendix D --Screening Instruments
- Appendix E—Sample Codes of Ethics
- Appendix F—AIDS-Related Web Sites
- Appendix G—State and Territorial Health Agencies/Offices of AIDS
- Appendix H—Mini Mental State Examination (MMSE)
- Appendix I—Standards of Care: Client Assessment/Treatment Protocol
- Appendix J -- Resource Panel
- Appendix K—Field Reviewers
TIP 36 Substance Abuse Treatment for Persons with Child Abuse and Neglect Issues: Treatment Improvement Protocol (TIP) Series 36
- Editorial Advisory Board
- Consensus Panel
- Foreword
- Executive Summary and Recommendations
- Chapter 1—Working With Child Abuse and Neglect Issues
- Chapter 2—Screening and Assessing Adults For Childhood Abuse and Neglect
- Chapter 3—Comprehensive Treatment for Adult Survivors of Child Abuse and Neglect
- Chapter 4—Therapeutic Issues for Counselors
- Chapter 5—Breaking the Cycle: The Substance-Dependent Client as Parent/Caregiver
- Chapter 6—Legal Responsibilities and Recourse
- Chapter 7—Emerging and Continuing Issues
- Appendix A --Bibliography
- Appendix B --Protecting Clients' Privacy
- Appendix C --Implications of Recent Federal Legislation for Clients in Treatment
- Appendix D—Obtaining Screening and Assessment Tools
- Appendix E --Resources Related to Childhood Trauma Among Adults
- Appendix F --Resource Panelists
- Appendix G—Field Reviewers
TIP 35 Enhancing Motivation for Change in Substance Abuse Treatment: Treatment Improvement Protocol (TIP) Series 35
- Editorial Advisory Board
- Consensus Panel
- Foreword
- Executive Summary and Recommendations
- Chapter 1-- Conceptualizing Motivation And Change
- Chapter 2—Motivation and Intervention
- Chapter 3—Motivational Interviewing as a Counseling Style
- Chapter 4—From Precontemplation to Contemplation: Building Readiness
- Chapter 5—From Contemplation to Preparation: Increasing Commitment
- Chapter 6—From Preparation to Action: Getting Started
- Chapter 7—From Action to Maintenance: Stabilizing Change
- Chapter 8—Measuring Components of Client Motivation
- Chapter 9—Integrating Motivational Approaches Into Treatment Programs
- Chapter 10—Directions for Future Research
- Appendix A -- Bibliography
- Appendix B—Screening and Assessment Instruments
- Appendix C—Ordering Information for Assessment Instruments
- Appendix D—Resource Panel
- Appendix E --Field Reviewers
TIP 34 Brief Interventions and Brief Therapies for Substance Abuse: Treatment Improvement Protocol (TIP) Series 34
- Editorial Advisory Board
- Consensus Panel
- Foreword
- Executive Summary and Recommendations
- Chapter 1—Introduction to Brief Interventions and Therapies
- Chapter 2—Brief Interventions in Substance Abuse Treatment
- Chapter 3—Brief Therapy in Substance Abuse Treatment
- Chapter 4—Brief Cognitive-Behavioral Therapy
- Chapter 5—Brief Strategic/Interactional Therapies
- Chapter 6 --Brief Humanistic and Existential Therapies
- Chapter 7—Brief Psychodynamic Therapy
- Chapter 8—Brief Family Therapy
- Chapter 9—Time-Limited Group Therapy
- Appendices
TIP 33 Treatment for Stimulant Use Disorders: Treatment Improvement Protocol (TIP) Series 33
- Editorial Advisory Board
- Consensus Panel
- Foreword
- Executive Summary and Recommendations
- Chapter 1—Introduction
- Chapter 2—How Stimulants Affect the Brain and Behavior
- Chapter 3—Approaches to Treatment
- Chapter 4—Practical Application of Treatment Strategies
- Chapter 5—Medical Aspects of Stimulant Use Disorders
- Chapter 6—Treatment Issues for Special Groups and Settings
- Appendices
TIP 32 Treatment of Adolescents with Substance Use Disorders: Treatment Improvement Protocol (TIP) Series 32
- Editorial Advisory Board
- Consensus Panel
- Foreword
- Executive Summary and Recommendations
- Chapter 1--Substance Use Among Adolescents
- Chapter 2—Tailoring Treatment to the Adolescent's Problem
- Chapter 3—General Program Characteristics
- Chapter 4—Twelve-Step-Based Programs
- Chapter 5—Therapeutic Communities
- Chapter 6—Family Therapy
- Chapter 7—Youths With Distinctive Treatment Needs
- Chapter 8—Legal and Ethical Issues
- Appendix A -- Bibliography
- Appendix B —Medical Management of Drug Intoxication and Withdrawal
- Appendix C --Field Reviewers
TIP 31 Screening and Assessing Adolescents for Substance Use Disorders: Treatment Improvement Protocol (TIP) Series 31
- Editorial Advisory Board
- Consensus Panel
- Foreword
- Executive Summary and Recommendations
- Chapter 1-- Introduction
- Chapter 2—Preliminary Screening of Adolescents
- Chapter 3—Comprehensive Assessment of Adolescents for Referral and Treatment
- Chapter 4 --Legal Issues in the Screening And Assessment of Adolescents
- Chapter 5—Screening and Assessment of Adolescents in Juvenile Justice Settings
- Appendix A--Bibliography
- Appendix B—Instrument Summaries
- Appendix C --Drug Identification and Testing in The Juvenile Justice System
- Appendix D—Field Reviewers
TIP 30 Continuity of Offender Treatment for Substance Use Disorders from Institution to Community: Treatment Improvement Protocol (TIP) Series 30
- Editorial Advisory Board
- Consensus Panel
- Foreword
- Executive Summary and Recommendations
- Chapter 1—Introduction
- Chapter 2—Case Management and Accountability
- Chapter 3—Guidelines for Institution and Community Programs
- Chapter 4—Administrative Guidelines
- Chapter 5—Ancillary Services
- Chapter 6—Special Populations
- Appendix A -- Bibliography
- Appendix B—Instruments
- Appendix C — Resource Panel
- Appendix D—Field Reviewers
- Tables and Figures
TIP 29 Substance Use Disorder Treatment For People With Physical and Cognitive Disabilities: Treatment Improvement Protocol (TIP) Series 29
- Editorial Advisory Board
- Consensus Panel
- Foreword
- Executive Summary and Recommendations
- Chapter1—Overview of Treatment Issues
- Chapter 2—Screening Issues
- Chapter 3—Treatment Planning and Service Delivery
- Chapter 4 --Treatment Planning and the Community: Linkages and Case Management
- Chapter 5—Administrative Tasks
- Appendix A -- Bibliography
- Appendix B—Information Resources
- Appendix C—How To Refer to People With Disabilities
- Appendix D—Alcohol and Drug Programs and The Americans With Disabilities Act
- Appendix E—Resource Panel
- Appendix F—Field Reviewers
TIP 28 Naltrexone And Alcoholism Treatment 28: Treatment Improvement Protocol (TIP) Series 28
- Editorial Advisory Board
- Consensus Panel
- Foreword
- Executive Summary and Recommendations
- Chapter 1 --The Current Situation
- Chapter 2—Pharmacological Management With Naltrexone
- Chapter 3 --Basic Neurobiological and Preclinical Research
- Chapter 4 --Clinical Findings
- Chapter 5 --Clinical Profile
- Appendix A -- Bibliography
- Appendix B--Naltrexone and the Formulary
- Appendix C --Translating Research Into Practice
- Appendix D --Instruments
- Appendix E --Resource Panel
- Appendix F --Field Reviewers
TIP 27 Comprehensive Case Management for Substance Abuse Treatment: Treatment Improvement Protocol (TIP) Series 27
- Editorial Advisory Board
- Consensus Panel
- Foreword
- Executive Summary
- Chapter 1 - Substance Abuse and Case Management: An Introduction
- Chaper 2 - Applying Case Management to Substance Abuse Treatment
- Chapter 3 - Case Management in the Community Context: An Interagency Perspective
- Chapter 4 - Evaluation and Quality Assurance of Case Management Services
- Chapter 5 - Case Management for Clients With Special Needs
- Chapter 6 - Funding Case Management in a Managed Care Environment
- Appendix A - Bibliography
- Appendix B - Practice Dimensions
- Appendix C - Managed Healthcare Organizational Readiness Guide and Checklist: Special Report By James B. Bixler, M.S
- Appendix D - Resource Panel
- Appendix E - Field Reviewers
- Exhibits
TIP 26 Substance Abuse Among Older Adults: Treatment Improvement Protocol (TIP) Series 26
- Editorial Advisory Board
- Consensus Panel
- Foreword
- Executive Summary and Recommendations
- Chapter 1 - Substance Abuse Among Older Adults: An Invisible Epidemic
- Chapter 2 - Alcohol
- Chapter 3 - Use and Abuse of Psychoactive Prescription Drugs and Over-the-Counter Medications
- Chapter 4 - Identification, Screening, and Assessment
- Chapter 5 - Referral and Treatment Approaches
- Chapter 6 - Outcomes and Cost Issues in Alcohol Treatment for Older Adults
- Appendix A - Legal and Ethical Issues
- Appendix B - Tools
- Appendix D - Resource Panel
- Appendix E - Field Reviewers
- Appendix C - Bibliography
TIP 25 Substance Abuse Treatment and Domestic Violence: Treatment Improvement Protocol (TIP) Series 25
- Editorial Advisory Board
- Consensus Panel
- Foreword
- Executive Summary and Recommendations
- Chapter 1—Effects of Domestic Violence on Substance Abuse Treatment
- Chapter 2—Survivors of Domestic Violence: An Overview
- Chapter 3 -- Batterers: An Overview
- Chapter 4—Screening and Referral of Survivors and Batterers in Substance Abuse Treatment Programs
- Chapter 5—Legal Issues
- Chapter 6 -- Linkages: A Coordinated Community Response
- Appendix A -- Bibliography
- Appendix B—Federal Confidentiality Regulations
- Appendix C—Instruments
- Appendix D—Sample Personalized Safety Plan For Domestic Violence Survivors
- Appendix E—Hotlines and Other Resources For Domestic Violence and Related Issues
- Appendix F—Resource Panel
- Appendix G—Field Reviewers
- Tables and Figures
TIP 24 A Guide to Substance Abuse Services for Primary Care Clinicians: Treatment Improvement Protocol (TIP) Series 24
- Editorial Advisory Board
- Consensus Panel
- Foreword
- Executive Summary and Recommendations
- Chapter 1—Substance Abuse and Primary Care
- Chapter 2—Screening for Substance Use Disorders
- Chapter 3—Brief Intervention
- Chapter 4—Assessment
- Chapter 5—Specialized Substance Abuse Treatment Programs
- Chapter 6—Implementation and Recommendation Summary
- Appendix A—Pharmacotherapy
- Appendix B—Legal and Ethical Issues
- Appendix C—Screening and Assessment Instruments
- Appendix D—Substance Abuse Resources for the Primary Care Setting
- Appendix F—Resource Panel
- Appendix G—Field Reviewers
- Tables and Figures*
- Appendix E -- Bibliography
TIP 23 Treatment Drug Courts: Integrating Substance Abuse Treatment With Legal Case Processing: Treatment Improvement Protocol (TIP) Series 23
- Consensus Panel
- Foreword
- Chapter 1—Introduction
- Chapter 2—Key Elements of Treatment Drug Courts
- Chapter 3—Program Planning
- Chapter 4—Designing the Program
- Chapter 5—Implementation
- Chapter 6—Program Evaluation
- Chapter 7—Program Costs and Financing
- Chapter 8—Legal and Ethical Issues
- Appendix A -- Bibliography
- Appendix B—Federal Resource Panel
- Appendix C—Federal Resource Panel
TIP 22 LAAM in the Treatment of Opiate Addiction: Treatment Improvement Protocol (TIP) Series 22
- Consensus Panel
- Foreword
- Chapter 1 - Introduction
- Chapter 2 - Clinical Profile of LAAM
- Chapter 3 - Clinical Application of LAAM Therapy
- Chapter 4 - Treatment Planning
- Chapter 5 - Management and Administrative Issues
- Chapter 6 - Regulatory and Ethical Issues
- Appendix A - Bibliography
- Appendix B - Training Resources
- Appendix C - Federal Resource Panel
- Appendix D - Field Reviewers
TIP 21 Combining Alcohol and Other Drug Abuse Treatment With Diversion for Juveniles in the Justice System: Treatment Improvement Protocol (TIP) Series 21
- Consensus Panel
- Foreword
- Chapter1—Introduction
- Chapter 2 -- Goals of AOD Treatment-Focused Diversion Programs
- Chapter 3—Collaborating on a Diversion Program
- Chapter 4—Planning Juvenile Diversion to AOD Abuse Treatment
- Chapter 5 -- Program Implementation Issues
- Appendix A -- Bibliography
- Appendix B -- Glossary
- Appendix C—CSAT Juvenile Justice Treatment Planning Chart
- Appendix D—Oregon's Department of Human Services Multiagency Release
- Appendix E—Assessment Instruments for Adolescent Populations
- Appendix F—Desktop Guide to Good Juvenile Probation Practice (Legal Rights of Juvenile Offenders)
- Appendix G - "Multicultural Awareness: Developing Cultural Understanding in the Juvenile Justice System[1]
- Appendix H—Prospectus for a Consensus Development Panel
- Appendix I—Federal Resource Panel
- Appendix J—Field Reviewers
TIP 20 Matching Treatment to Patient Needs in Opioid Substitution Therapy: Treatment Improvement Protocol (TIP) Series 20
- Consensus Panel
- Foreword
- Chapter 1 -- Patient Matching: Historical Perspective and Overview
- Chapter 2—Assessing Patient Needs
- Chapter 3—Phases of Treatment
- Chapter 4—Treatment Elements
- Chapter 5—Self-Monitoring and Evaluation
- Chapter 6 -- Cost-Effectiveness of Opioid Substitution Therapy
- Appendix A -- Bibliography
- Appendix B —Massachusetts Methadone Treatment Criteria
- Appendix C -- Methodological Approaches to Cost-Efficiency and Cost-Effectiveness Analyses
- Appendix D—Federal Resource Panel
- Appendix E—Field Reviewers
TIP 19 Detoxification From Alcohol and Other Drugs: Treatment Improvement Protocol (TIP) Series 19
- Consensus Panel
- Foreword
- Chapter 1—Introduction
- Chapter 2—Detoxification Settings and Patient Matching
- Chapter 3—Clinical Detoxification Protocols
- Chapter 4—Special Populations
- Chapter 5—Improving Quality and Measuring Outcomes of AOD Detoxification Services
- Chapter 6—Costs and Current Payment Mechanisms for AOD Detoxification
- Appendix A -- Bibliography
- Appendix B—Glossary
- Appendix C—Resource List
- Appendix D—Acronyms
- Appendix E - Legal and Ethical Issues for Detoxification Programs
- Appendix F—Federal Resource Panel
- Appendix G—Field Reviewers
TIP 18 The Tuberculosis Epidemic: Legal and Ethical Issues for Alcohol and Other Drug Treatment Providers: Treatment Improvement Protocol (TIP) Series 18
- Consensus Panel
- Foreword
- Chapter 1—Introduction
- Chapter 2—Summary of Recommendations
- Chapter 3—The Facts About Tuberculosis
- Chapter 4—AOD Programs and Public Health: Joining Together to Fight the Spread of TB
- Chapter 5—Providing TB-Related Services to Patients
- Chapter 6—Toward a Safe Workplace
- Appendix A—Bibliography
- Appendix B—Legal Questions and Answers Regarding TB-Related Discrimination in the AOD Setting
- Appendix C—Sample Forms
- Appendix D—Massachusetts Policy for TB Control in Substance Abuse Treatment Centers
- Appendix E—A Massachusetts Pamphlet on HIV and TB
- Appendix F—A Massachusetts Pamphlet on the Connection Between Substance Abuse and Certain Communicable Diseases
- Appendix G—New York State OASAS Administrative Bulletin on TB Control In Drug Treatment Programs
- Appendix H—New York City TB/Methadone Registry Match Procedure
- Appendix I—New York State Division Of Substance Abuse Services Tuberculosis Update
- Appendix J—CDC: Essential Components of a TB Prevention and Control Program; and Screening for TB and TB Infection in High-Risk Populations
- Appendix K—Federal Resource Panel
- Appendix L—Field Reviewers
TIP 17 Planning for Alcohol and Other Drug Abuse Treatment for Adults in the Criminal Justice System: Treatment Improvement Protocol (TIP) Series 17
- Consensus Panel
- Foreword
- Chapter 1—Introduction
- Chapter 2—The Effectiveness of AOD Treatment in the Criminal Justice System
- Chapter 3—The AOD-Involved Offender
- Chapter 4—The Criminal Justice Continuum
- Chapter 5—The AOD Abuse Treatment System
- Chapter 6—Collaboration Between Systems
- Chapter 7—Coordinated Training
- Chapter 8—Confidentiality Issues ⁵
- Chapter 9—Evaluation
- Appendix A -- Bibliography
- Appendix B—CSAT Criminal Justice Treatment Planning Chart
- Appendix C—Sample Interagency Agreement
- Appendix D—Federal Resource Panel
- Appendix E—Field Reviewers
TIP 16 Alcohol and Other Drug Screening of Hospitalized Trauma Patients: Treatment Improvement Protocol (TIP) Series 16
- Consensus Panel
- Foreword
- A Note to Readers
- Chapter 1—Introduction
- Chapter 2—Trauma Patients
- Chapter 3 -- Effects of Alcohol and Other Drugs on Trauma Patients
- Chapter 4—Screening and Assessment
- Chapter 5—Cost-Benefit Issues Affecting Implementation of Screening
- Chapter 6—Legal and Ethical Concerns
- Chapter 7—Recordkeeping and Quality Improvement
- Appendix A -- Bibliography
- Appendix B—Glossary of Medical Terms
- Appendix C—Federal Resource Panel
- Appendix D—Field Reviewers
TIP 15 Treatment for HIV-Infected Alcohol and Other Drug Abusers: Treatment Improvement Protocol (TIP) Series 15
- Consensus Panel
- Foreword
- Chapter 1 - The HIV Challenge to AOD Treatment
- Chapter 2—Overview of AOD Treatment Services
- Chapter 3 - Primary Medical Care for HIV-Infected AOD Abuse Patients
- Chapter 4—Mental Health and Counseling Needs of HIV-Infected AOD Abusers
- Chapter 5—Social Services for HIV-Infected AOD Abusers
- Chapter 6—Linkages and Services Integration: Policy and Implementation
- Chapter 7 - Key Legal Issues in HIV/AIDS and AOD Abuse Treatment
- Appendix A -- Bibliography
- Appendix B—Summary of Block Grants: Interim Final Rule (1993)
- Appendix C—Elements of a Needle Exchange Program
- Appendix D—Cultural Proficiency Questionnaire
- Appendix E - Information About the Ryan White Comprehensive AIDS Resources Emergency Act of 1990 (The CARE Act)
- Appendix F—Standards of Care
- Appendix G—National HIV/AIDS Organizations and Hotlines
- Appendix H—Sample Memorandum of Understanding
- Appendix I - Federal Resource Panel
- Appendix J—Field Reviewers
TIP 12 Combining Substance Abuse Treatment with Intermediate Sanctions for Adults in the Criminal Justice System: Treatment Improvement Protocol (TIP) Series 12
- Consensus Panel
- Foreword
- Chapter 1—Introduction and Purpose
- Chapter 2—An Overview of the Criminal Justice System
- Chapter 3—The AOD Abuse Treatment System
- Chapter 4—Combining AOD Abuse Treatment and Intermediate Sanctions
- Chapter 5—Issues in Combining Treatment and Intermediate Sanctions
- Chapter 6—Planning: Approaches for Developing Policy
- Chapter 7 - Ethical and Legal Issues
- Appendix A -- Bibliography
- Appendix B—Costing Issues
- Appendix C—Cultural Competence
- Appendix D—Federal Resource Panel
- Appendix E—Field Reviewers
TIP 11 Simple Screening Instruments for Outreach for Alcohol and Other Drug Abuse and Infectious Diseases: Treatment Improvement Protocol (TIP) Series 11
- Consensus Panel
- Foreword
- Chapter 1 - Introduction
- Chapter 2 - Development of the Simple Screening Instrument For AOD Abuse
- Chapter 3 - Development of the Simple Screening Instrument for Infectious Diseases
- Chapter 4 - Training and Implementation
- Chapter 5 - Legal Issues Surrounding Client Confidentiality
- Appendix A - References
- Appendix B - Sample Curriculum for Outreach Workers
- Appendix C - Cultural Competence
- Appendix D - Federal Resource Panel
- Appendix E - Field Reviewers
TIP 10 Assessment and Treatment Planning for Cocaine-Abusing Methadone-Maintained Patients: Treatment Improvement Protocol (TIP) Series 10
- Consensus Panel
- Foreword
- Note From the Chair
- Chapter 1-Overview
- Chapter 2-Statement of the Problem
- Chapter 3-Screening, Admission, and Assessment Techniques
- Chapter 4-Treatment Interventions and Related Issues
- Chapter 5-Legal and Ethical Issues
- Chapter 6-Evaluating Program Performance
- Chapter 7-Consensus Panel Recommendations for Further Research
- Appendix A - Glossary
- Appendix B - Levels of Care
- Appendix C - Acronyms
- Appendix D - TB/PPD Testing - Sample Forms
- Appendix E - Multidrug Abuse Patterns
- Appendix F - Diagnostic Assessment Instruments
- Appendix G - DSM-IV Criteria for Substance-Related Disorders
- Appendix H - Psychiatric Disorders
- Appendix I - Internal Trigger Questionnaire and External Trigger Questionnaire
- Appendix J - Self-Help Groups
- Appendix K - Federal Resource Panel
- Appendix L - Field Reviewers
- References
TIP 9 Assessment and Treatment of Patients with Coexisting Mental Illness and Alcohol and Other Drug Abuse: Treatment Improvement Protocol (TIP) Series 9
- Consensus Panel
- Foreword
- Chapter 1 --Introduction
- Chapter 2—Dual Disorders: Concepts and Definitions
- Chapter 3 -- Mental Health And Addiction Treatment Systems: Philosophical and Treatment Approach Issues
- Chapter 4—Linkages For Mental Health and AOD Treatment
- Chapter 5—Mood Disorders
- Chapter 6—Anxiety Disorders
- Chapter 7—Personality Disorders
- Chapter 8—Psychotic Disorders
- Chapter 9—Pharmacologic Management
- Appendix A -- Bibliography
- Appendix B—Treatment of Patients With Dual Disorders: Sample Cost Data
- Appendix C—Federal Resource Panel
- Appendix D—Field Reviewers
TIP 8 Intensive Outpatient Treatment for Alcohol and Other Drug Abuse: Treatment Improvement Protocol (TIP) Series 8
- Consensus Panel
- Foreword
- Chapter 1—Introduction
- Chapter 2—Placement Criteria and Expected Treatment Outcomes
- Chapter 3—Components of an Effective IOT Program
- Chapter 4—Staffing Issues and Guidelines
- Chapter 5—The Treatment Needs Of Special Groups
- Chapter 6—Special Fiscal and Administrative Issues
- Chapter 7—Legal Issues for IOT Programs¹
- Appendix A -- References
- Appendix B—Sample IOT Program Schedules
- Appendix C—Federal Resource Panel
- Appendix D—Field Reviewers
TIP 7 Screening and Assessment for Alcohol and Other Drug Abuse Among Adults in the Criminal Justice System: Treatment Improvement Protocol (TIP) Series 7
- Consensus Panel
- Foreword
- Chapter 1—Introduction
- Chapter 2—Criminal Justice and Assessment: An Overview
- Chapter 3—Screening, Assessment, and Readiness for Treatment
- Chapter 4—Treatment Planning And Treatment Progress
- Chapter 5—Special Assessment Issues
- Chapter 6 -- Legal and Ethical Issues
- Appendix A—References and Bibliography
- Appendix B—CSAT Criminal Justice Treatment Planning
- Appendix C—Screening and Assessment Instruments
- Appendix D—Supplementary Instruments Recommended for the Assessment of Life Domains and Problem Areas of Adult Clients
- Appendix E—Federal Resource Panel
- Appendix F—Field Reviewers
TIP 6 Screening for Infectious Diseases Among Substance Abusers: Treatment Improvement Protocol (TIP) Series 6
- Consensus Panel Members
- Foreword
- Definition of the Term "Drug Use"
- Chapter 1 - Introduction
- Chapter 2 - Issues for Counselors
- Chapter 3 - Legal and Ethical Issues
- Chapter 4 - Issues for Treatment Program Administrators: Staff and Community Development and Environmental Safety
- Chapter 5 - The Initial Patient Contact
- Chapter 6 - Summary Statement on Tuberculosis
- Chapter 7 - Tuberculosis
- Chapter 8 - Multidrug-Resistant Tuberculosis
- Chapter 9 - Human Immunodeficiency Virus and the Acquired Immunodeficiency Syndrome
- Chapter 10 - Syphilis
- Chapter 11 - Introduction to Viral Hepatitis
- Chapter 12 - Viral Hepatitis B
- Chapter 13 - Viral Hepatitis C
- Chapter 14 - Viral Hepatitis A
- Chapter 15 - Viral Hepatitis D
- Chapter 16 - Gonorrhea
- Chapter 17 - Chlamydia
- Chapter 18 - Herpes Simplex
- Chapter 19 - Chancroid
- Appendix A - Bibliography
- Appendix B - Federal Resource Panel on Screening for Infectious Diseases Among Substance Abusers
- Appendix C - TIP Field Reviewers
- Appendix D - Resource List
- Appendix E - Program Models and Sample Budgets
- Appendix F - Quality Assurance
- Appendix G - HIV/AIDS Prevention Bulletin
TIP 5 Improving Treatment for Drug-Exposed Infants: Treatment Improvement Protocol (TIP) Series 5
- Consensus Panel
- Chapter 1 - Introduction
- Chapter 2 - Medical Management of The Drug-Exposed Infant
- Chapter 3 - Followup and Aftercare of Drug-Exposed Infants
- Chapter 4 - Psychosocial Services for Drug-Exposed Infants and Their Families
- Chapter 5 - Ethical and Legal Guidelines
- Chapter 6 - Quality Assurance Guidelines
- Appendix A - Resources
- Appendix B - Sample Programs
- Appendix C - Urine toxicology Guidelines
- Appendix D - Description of IDEA
- Appendix E - Family Service Plan
- Appendix F - Medical Glossary
- Appendix G - Cost Factors
- Appendix H - Federal Resource Panel
- Appendix I - Field Reviewers
- References
TIP 2 Pregnant, Substance-Using Women: Treatment Improvement Protocol (TIP) Series 2
- Consensus Panel on Pregnant, Substance-Using Women
- Foreword
- Introduction
- Chapter 1—Alcohol and Other Drug Treatment Guidelines for Pregnant, Substance-Using Women
- Chapter 2—Medical Guidelines for Pregnant, Substance-Using Women
- Chapter 3—Legal and Ethical Guidelines for the Care of Pregnant, Substance-Using Women
- Appendix A—Training Guidelines for Programs
- Appendix B—Assessment Instruments
- Appendix C—Continuum of Care Model Program
- Appendix D—Quality Assurance Monitoring
- Appendix E—Glossary of Terms
- Appendix F—References
- Appendix G—Federal Resource Panel on Pregnant, Substance-Using Women
- Appendix H—Contributors
- Appendix I—Comprehensive Care Flow Charts

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