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.