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TREATMENT IMPROVEMENT PROTOCOLS (TIPs)

Browse the materials listed below and jot down the title and quantity you would like to order.  Then go to the order form and fill in the information requested.  If you would like to view the materials online, click on the title of the material.
Please note: Availability of publications is subject to change due to fluctuation of inventory.

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Printable List of TAP & TIP Series Titles
 

TIP #

TIP Title

TIP 50

Addressing-Suicidal Thoughts and Behaviors in Substance Abuse Treatment
Research consistently shows a high prevalence of suicidal thoughts and suicide attempts among persons with substance abuse problems who are in treatment. TIP 50, Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment is designed to assist substance abuse counselors in working with adult clents who may be suicidal, and will help clinical supervisors and administrators support the work of substance abuse counselors. Part I, for counselors, provides the "what" and the "why" and the "how" of working with clients in substance abuse treatment with suicidal thoughts and behaviors. It covers background information about suicide and substance use disorders, including risk factors and warning signs for suicide and a four-step process for addressing suicidal thoughts and behaviors. Part 2, for administrators, clarifies why program administrators should be concerned about this clinical issue. Part 3 is for clinical supervisors, interested counselors, and administrators and consists of three sections: an analysis of the available literature, an annotated bibliography and a general bibliography.

TIP 49 Incorporating Alcohol Pharmacotherapies Into Medical Practice
This TIP provides clinical guidelines for the proper use of medications in the treatment of alcohol use disorders. The underlying objective is to expand access to information about the effective use of these medications, not only in specialty substance abuse treatment programs but through physicians offices and other general medical care settings. The TIP includes discussions of medications approved for treating alcohol use disorders by the Food and Drug Administration: acamprosate, disulfiram, oral naltrexone, and extended- release injectable naltrexone. The TIP describes each medication's history, the reasons for its use, how to use it, who should use it, and other clinical information about medication.

 

 

TIP 48 Managing Depressive Symptoms in Substance Abuse Clients During Early Recovery
This TIP is divided into 3 parts.
Part 1, Managing Depressive Symptoms in Substance Abuse Clients During Early Recovery.
Part 2 Managing Depressive Symptoms: An Implementatoin Guide for Administrators.
Part 3, Managing Depressive Symptoms: A Review of the LIterature.

Part 1 provides substance abuse counselors the "what," "why," and "how-to" of working with clients with depressive symptoms and substance use disorders, covering topics such as counseling approaches, clinical settings, cultural concerns, counselor roles and responsibilities, screening and assessment, treatment planning and processes, and continuing care.

Part 2 provides administrators information about incorporating the management of depressive symptoms into their substance abuse programs, complete with a systematic approach to designing and implementing a supportive infrastructure.

Part 3 synthesizes the most current knowledge and scientific findings on the topic and is only available online at www.kap.samhsa.gov.

TIP 47
 

Substance Abuse: Clinical Issues in Intensive Outpatient Treatment
This Treatment Improvement Protocol (TIP), Substance Abuse: Clinical Issues in Intensive Outpatient Treatment, addresses the practical needs of treatment providers as they design and implement IOT programs. The TIP provides specific information on the principles of intensive outpatient treatment; services and treatment models; modifications for distinct population groups; culturally competent treatment; screening and patient placement criteria; counseling methods and techniques, including involvement of families; and the continuum of care. The TIP also covers such important issues as how to improve early retention, provide the appropriate length and intensity of services, provide the most promising mix of wrap-around services for positive client outcomes, and arrange ongoing care in the community

TIP 46
 

Substance Abuse: Administrative Issues in Outpatient Treatment
This Treatment Improvement Protocol (TIP), Substance Abuse: Administrative Issues in Outpatient Treatment, was written to help administrators address the changing environment in which outpatient treatment programs operate. The TIP provides basic information about running an outpatient treatment program, including strategic planning, working with a board of directors, relationships with strategic partners, hiring and retaining employees, staff supervision, continuing education and training, performance improvement, outcomes monitoring, and promotion of the program to potential clients, funding agencies, and government officials. More specialized sections address challenges that have emerged and gathered importance in the last decade: preparing a program to provide culturally competent treatment to an increasingly diverse client population and succeeding in a managed care-dominated world by diversifying the funding sources a program draws on.


TIP 45
(replaces TIP 19)
Detoxification and Substance Abuse Treatment
This TIP is a revision of TIP 19, Detoxification From Alcohol and Other Drugs, and was created by a panel of experts with diverse experience in detoxification services-physicians, psychologists, counselors, nurses, and social workers. This revision provides up-to-date information about changes in the role of detoxification in the continuum of services for patients with substance use disorders, increased knowledge of the physiology of withdrawal, pharmacological advances in the management of withdrawal, patient placement procedures, and new issues in the management of detoxification services within comprehensive systems of care. It also expands on the administrative, legal, and ethical issues commonly encountered in the delivery of detoxification services and suggests performance measures for detoxification programs.


TIP 45 for Clinical Supervisors also available
This new curriculum, based on Treatment Improvement Protocol (TIP) 45, is for use by clinical supervisors for training staff members about detoxification services for individuals with substance use disorders. The manual includes information on the physiology of withdrawal, pharmacological management of withdrawal, patient placement, and incorporating detoxification services into comprehensive systems of care. It includes step-by-step instructions for providing inservice training.
TIP 44
(Revises and supersedes TIP 7, TIP 12 and TIP 17 )
Substance Abuse Treatment For Adults in the Criminal Justice System
Research consistently demonstrates a strong connection between criminal activity and substance abuse: research also finds that involvement in substance abuse treatment reduces recidivism for offenders who use drugs. This TIP presents clinical guidelines to assist counselors in dealing with problems that routinely arise because of their clients' status in the criminal justice system.

TIP 43 Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs
Opioid addiction is a problem with high costs to individuals, families, and society. This TIP provides a detailed description of medication-assisted treatment for opioid addiction, including optional approaches such as comprehensive maintenance treatment, detoxification, and medically supervised withdrawal.

Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs Inservice Training
This new training manual is based on Treatment Improvement Protocol (TIP) 43. This new manual provides detailed training information aimed at introducing substance abuse treatment professionals to medication-assisted treatment for opioid addiction in opioid treatment programs. The manual describes opioid use disorders; provides assessment, treatment planning, pharmacology, and dosing information; and presents evidence-based best practices for treatment.

TIP 42
(replaces TIP 9)

Substance Abuse Treatment for Persons with Co-Occurring Disorders
This TIP, Substance Abuse Treatment for Persons With Co-Occurring Disorders, revises TIP 9, Assessment and Treatment of Patients With Coexisting Mental Illness and Alcohol and Other Drug Abuse. The revised TIP provides information about new developments in the rapidly growing field of co-occurring substance use and mental disorders and captures the state-of-the-art in the treatment of people with co-occurring disorders. The TIP focuses on what the substance abuse treatment clinician needs to know and provides that information in an accessible manner. The TIP synthesizes knowledge and grounds it in the practical realities of clinical cases and real situations so the reader will come away with increased knowledge, encouragement, and resourcefulness in working with clients with co-occurring disorders.

Inservice Training based on TIP 42 also Available
The Substance Abuse Treatment for Persons With Co-Occurring Disorders Inservice Training manual is based on Treatment Improvement Protocol (TIP) 42. This inservice training manual introduces substance abuse treatment counselors and other practitioners to state-of-the-art treatment for people with both substance use and mental disorders. Participants will become familiar with the evidence-based knowledge presented in TIP 42 and learn how to apply that knowledge in their treatment practices.

TIP 41 Substance Abuse Treatment: Group Therapy
This TIP, Substance Abuse Treatment: Group Therapy, presents an overview of the role and efficacy of group therapy in substance abuse treatment planning. This TIP offers research and clinical findings and distills them into practical guidelines for practitioners of group therapy modalities in the field of substance abuse treatment. The TIP describes effective types of group therapy and offers a theoretical basis for group therapy's effectiveness in the treatment of substance use disorders. This work also will be a useful guide to supervisors and trainers of beginning counselors, as well as to experienced counselors. Finally, the TIP is meant to provide researchers and clinicians with a guide to sources of information and topics for further inquiry.
TIP 40 Clinical Guidelines for the Use of Buprenorphine in the Treatment of Opioid Addiction
This best-practice guideline for the treatment of substance use disorders provides consensus- and evidence-based guidance on the use of buprenorphine, a new option for the treatment of opioid addiction.
TIP 39 Substance Abuse Treatment and Family Therapy
This TIP, Substance Abuse Treatment and Family Therapy, addresses how substance abuse affects the entire family and how substance abuse treatment providers can use principles from family therapy to change the interactions among family members. The TIP provides basic information about family therapy for substance abuse treatment professionals, and basic information about substance abuse treatment for family therapists. The TIP presents the models, techniques, and principles of family therapy, with special attention to the stages of motivation as well as to treatment and recovery. Discussion also focuses on clinical decision making and training, supervision, cultural considerations, special populations, funding, and research. The TIP further identifies future directions for both research and clinical practice.
TIP 38 Integrating Substance Abuse Treatment and Vocational Services
Employment has been positively correlated with retention in treatment. By holding a job, a client establishes a legal source of income, structured use of time, and improved self-esteem, which in turn may reduce substance use and criminal activity. Years of research show that the best predictors of successful substance abuse treatment are

           Gainful employment
           Adequate family support
           Lack of coexisting mental illness

Unemployment and substance abuse may be intertwined long before an individual seeks treatment. Although the average educational level of individuals with substance abuse disorders is comparable to that of the general U.S. population, people who use substances are far more likely to be unemployed or underemployed than people who do not use substances. According to the U.S. Census Bureau, employment rates for the non-substance-using population ranged from 72.3 percent in 1980 to 76.8 percent in 1991. However, employment rates of the population with substance abuse problems before admission or at admission to treatment have remained at relatively stable, low levels since 1970, ranging from 15 to 30 percent. Most of the research on the employment rates of persons with substance abuse disorders has focused on opiate-dependent persons (usually heroin), and employment rates for other substance users may vary. The data clearly indicate the need for interventions to improve employment rates among this population in treatment and recovery. 247 pages
TIP 37
(replaces TIP 15)

Substance Abuse Treatment for Persons With HIV/AIDS
While AIDS remains a deadly disease, since TIP 15 was published in 1995 new treatment approaches have extended the length and quality of survival for those with HIV. This longer term survival requires innovative substance abuse treatment that encourages people with HIV/AIDS to seek substance abuse treatment and maintain recovery. TIP 37, Substance Abuse Treatment for Persons With HIV/AIDS, provides a comprehensive overview of how the HIV/AIDS epidemic requires substance abuse treatment professionals to attend to the multiple needs of their clients with HIV/AIDS: substance abuse and other medical, behavioral, psychological, and social needs. TIP 37 reviews the history, transmission, and progression of HIV/AIDS and describes the changes in epidemiology since 1995. It reports on the current state of medical and mental health treatment and how this affects people with substance abuse disorders and HIV/AIDS. Counseling issues are addressed, including staff attitudes, screening, and issues specific to the client with substance abuse disorders and HIV/AIDS. The TIP also examines ethical and legal issues of particular import to both substance abuse treatment providers and their clients with HIV/AIDS, and concludes with an overview of funding sources and grant writing guidelines. Several alternative products have been developed to accompany TIP 37, including a TIP Preview (MS677), a Quick Guide(MS678), and a Fact Sheet (MS676). 316 pages 

TIP 37C: Substance Abuse Treatment for Persons with HIV/AIDS (Clinician's Version)
This TIP gives quick, concise facts about the role of substance abuse treatment for HIV/AIDS patients and lists counseling and legal considerations. The guide also includes phone and internet resources and a glossary of HIV/AIDS terms.


TIP 36 Substance Abuse Treatment for Persons With Child Abuse and Neglect Issues
The effects of childhood abuse and neglect perpetrated by family members and the intergenerational transmission of the cycle of substance abuse and child abuse and neglect are the focus of this TIP. The seven chapters discuss working with child abuse and neglect issues; screening and assessing adults for childhood abuse and neglect; comprehensive treatment for adult survivors; therapeutic issues for counselors; the substance-dependent client as parent/caregiver; legal responsibilities; and emerging and continuing issues. The closing recommendations include screening assessment protocol and issues for counselors.   181 pages
TIP 35

Enhancing Motivation for Change in Substance Abuse Treatment
This TIP shows how substance abuse treatment staff can influence change by developing a therapeutic relationship that respects and builds on the client's autonomy and, at the same time, makes the treatment clinician a partner in the change process.  243 pages 

Enhancing Motivation for Change Inservice Training Based on TIP 35
ThisThe Enhancing Motivation for Change Inservice Training manual is based on Treatment Improvement Protocol (TIP) 35, Enhancing Motivation for Change in Substance Abuse Treatment. This manual includes materials for supervisors to provide inservice staff training for substance abuse treatment clinicians and other treatment professionals. The manual is written so an extensive background in training is not needed. The inservice training is useful for new counselors or clinicians who are unfamiliar with the basic concepts of motivational enhancement. The manual includes eleven 1½- to 2-hour modules and can be delivered on consecutive days or can be offered over several weeks. Each module includes presentation instructions, PowerPoint slides (that can be copied onto overhead transparencies), homework assignments, and participant handouts.

TIP 34

Brief Interventions And Brief Therapies for Substance Abuse Treatment
An increasing number of individuals are presenting with substance abuse disorders while at the same time, recent changes in the healthcare delivery system are placing funding and time constraints on clinicians. The need for cost-effective services to address substance use disorders is great. As a result, clinicians, researchers, and policymakers are turning their attention toward brief interventions and therapies. An increasing body of literature confirms the effectiveness of brief approaches in substance abuse treatment. This TIP links research to practice by providing clinicians with information on these innovative and shorter forms of treatment for selected populations of substance-using individuals. 234pages

TIP 33 Treatment for Stimulant Use Disorders
Over the past 20 years, stimulant use in the United States has risen dramatically. Consequently, clinicians, treatment program administrators, and criminal justice system officials must be prepared to address problems and needs specific to this population. This TIP presents information on the nature and extent of cocaine and methamphetamine abuse, and translates findings from clinical studies into practical treatment guidelines. 226 pages
TIP 32
(replaces TIP 4)
Treatment of Adolescents With Substance Use Disorders
Adolescents differ from adults both emotionally and physiologically. Therefore, treatment of adolescent substance use disorders must reflect their unique needs. In addition to gender, age, and cultural background, treatment providers must address issues that play significant roles in an adolescent's life, such as cognitive, emotional, physical, social, and moral development, and family and peer environment. This TIP, a companion to TIP 31, Screening and Assessing Adolescents for Substance Use Disorders, focuses on how to tailor treatment for adolescents, as well as on common and effective treatment components being used today. 126 pages
TIP 31
(replaces TIP 3)
Screening and Assessing Adolescents For Substance Use Disorders
Substance use among adolescents is occurring at younger ages while perceived risk of harm from substance use is declining among youth. As a result, professionals who regularly work with adolescents should be able to recognize the signs of substance use. This TIP presents information on current procedures and instruments for detecting substance use disorders in adolescents, conducting comprehensive assessments, and beginning treatment planning. 136 pages
TIP 30 Continuity of Offender Treatment for Substance Use Disorders From Institution to Community
A large percentage of offenders in prison today are there because of drug-related offenses, and it is clearly in the public interest for offenders with substance use disorders to receive appropriate treatment both in prison or jail and in the community after release. Numerous studies show that those who remain dependent on substances are much more likely to return to criminal activity. This TIP presents guidelines for ensuring continuity of care as offenders with substance use disorders move from incarceration to the community. 121 pages
TIP 29 Substance Use Disorder Treatment for People With Physical and Cognitive Disabilities
People with coexisting disabilities are more likely than the general population to also have a substance use disorder. This TIP provides detailed information on the screening, assessment and treatment needs of this population. It also informs treatment programs about how to comply with federal legislation concerning people with disabilities. 156 pages
TIP 28 Naltrexone and Alcoholism Treatment
Naltrexone, a narcotic antagonist marketed under the name "ReVia," is the first new medication in 50 years approved for the treatment of alcohol dependence. This TIP aims to educate clinicians about the value and appropriate use of naltrexone, help break down resistance to supplementing standard treatment for alcoholics with pharmacotherapies, and enlarge understanding of basic neurological and preclinical research about the addictive process. 94 pages
TIP 27 Comprehensive Case Management for Substance Abuse Treatment
Research and clinical experience indicate that substance abusers have better treatment outcomes if their other problems are addressed concurrently. TIP 27, Comprehensive Case Management for Substance Abuse Treatment, gives treatment providers the information they need to perform case management for their multi-problem clients. The TIP outlines all the leading case management models, explains how to establish linkages, and details how case management fits into a managed care environment. 121 pages
Quick guide for Administrators (29 pages) and Quick Guide for Clinicians (27 pages) also available
TIP 26 Substance Abuse Among Older Adults
This TIP presents treatment providers and other health care professionals with practical advice for identifying, screening, assessing, and treating substance abuse among people 60 and older. The TIP details how disorders typical in an aging person, such as dementia and delirium, can mask or mimic the effects of alcohol and prescription drug abuse. Elderly-specific screening and assessment instruments are included, along with adjustments to the DSM-IV criteria for substance abuse and dependence. 173 pages
Desk Reference also available, 68 pages
TIP 25 Substance Abuse Treatment and Domestic Violence
This TIP presents treatment providers with an introduction to the field of domestic violence. It gives providers useful information on the role of substance abuse in domestic violence -- both among the men who batter and the women who are battered. Useful techniques for detecting and eliciting such information are supplied, along with ways to modify treatment to ensure victims' safety and to stop the cycle of violence in both parties' lives. 152 pages
Desk Reference also available, I48 pages
TIP 24 A Guide to Substance Abuse Services for Primary Care Physicians.
This TIP presents best practice guidelines for primary care clinicians to follow in caring for patients with substance use disorders. 168 pages
Desk Reference available in Spanish, 30 pages
TIP 23 Treatment Drug Courts: Integrating Substance Abuse Treatment With Legal Case Processing.
This TIP provides clinicians, administrators, and policymakers with the information they need to plan, implement, monitor, and evaluate treatment drug courts. The number of programs that integrate drug treatment into the pretrial processing of criminal cases has grown exponentially in the last several years: this TIP highlights the most successful of them and presents relevant information on financial, legal, and ethical issues. 65 pages
TIP 22 LAAM in the Treatment of Opiate Addiction.
This TIP presents current knowledge about the use of levo-alpha-acetyl-methadol (LAAM), an opioid agonist medication approved by the Food and Drug Administration in 1993. This TIP describes the medication itself, its modes of action, possible side effects, and interactions with other medications. Separate chapters describe treatment planning, program administration, and regulatory and ethical issues. 66 pages
** The Following list of TIPS represents those publications that are no longer in print but are accessible Online**
TIP 1 State Methadone Treatment Guidelines.
This TIP provides guidelines for State Alcohol and Other Drug (AOD) agencies and methadone treatment providers on effective treatment practices and care. 222 pages
Requires Adobe Acrobat Reader
TIP 2 Pregnant, Substance-Using Women.
The guidelines in this TIP reflect state-of-the-art research and clinical knowledge on effective treatment practices and care for pregnant substance abusers. 90 pages
TIP 3
See TIP 31
Screening and Assessment of Alcohol- and Other Drug-Abusing Adolescents.
This TIP guides practitioners through screening and assessing substance-abusing adolescents and ensuring treatment and other social services. 270 pages
TIP 4
See TIP 32
Guidelines for the Treatment of Alcohol and Other Drug-Abusing Adolescents.
Treatment of substance-abusing adolescents is covered in this TIP, which reflects state-of-the-art scientific and clinical knowledge. 109 pages
TIP 5 Improving Treatment for Drug-Exposed Infants.
This TIP offers guidelines for monitoring and evaluating programs that treat drug-exposed infants. 94 pages
TIP 6 Screening for Infectious Diseases Among Substance Abusers.
This TIP guides AOD treatment providers in developing and improving on-site and referral patient services regarding infectious diseases, including screening, medical services, and preventive counseling. 160 pages
TIP 7 Screening and Assessment for Alcohol and Other Drug Abuse Among Adults in the Criminal Justice System.
This TIP provides guidelines to criminal justice and substance abuse treatment personnel on effective procedures and instruments to ensure appropriate program referral, treatment, and enhanced outcomes. 129 pages
TIP 8 Intensive Outpatient Treatment for Alcohol and Other Drug Abuse.
This TIP provides an overview of Intensive Outpatient Treatment (IOT), documenting the clinical viability and utility of IOT and stressing the range of IOT services within the local continuum of care. 104 pages
TIP 9
(Replaced by TIP 42)
Assessment and Treatment of Patients with Coexisting Mental Illness and Alcohol and Other Drug Abuse.
This TIP provides practical treatment recommendations for enhancing services to individuals dually diagnosed with mental health and substance abuse problems. 114 pages.  For more updated version see TIP 42.
TIP 10 Assessment and Treatment of Cocaine-Abusing, Methadone-Maintained Patients.
This TIP addresses the treatment needs of methadone patients using opioids and stimulants, especially cocaine and crack cocaine. 117 pages
TIP 11 Simple Screening Instruments for Outreach for Alcohol and Other Drug Abuse and Infectious Diseases.
This TIP presents information on two screening instruments, one for substance abuse and one for infectious diseases, their development, and guidelines for their use. The instruments are designed for linking AOD treatment with treatment for HIV/AIDS, TB, and STDs. 74 pages
TIP 12 Combining Substance Abuse Treatment With Intermediate Sanctions for Adults in the Criminal Justice System.
This TIP provides the AOD and criminal justice systems with information to enhance the linkage of treatment services for offenders assigned to intermediate sanctions. Planning, policy, ethical, and legal issues are discussed. 101 pages
TIP 13 The Role and Current Status of Patient Placement Criteria in the Treatment of Substance Use Disorders.
This TIP addresses the establishment of standardized patient placement criteria (PPC) as an objective of the substance abuse treatment field. 74 pages
TIP 14 Developing State Outcomes Monitoring Systems for Alcohol and Other Drug Abuse Treatment.
This TIP is designed to help single State agencies and their staff develop, implement, and manage outcomes monitoring systems for local substance abuse treatment programs to increase accountability for AOD treatment expenditures. It also can be of service to direct service providers, third-party payers, utilization reviewers, quality assurance personnel, and staff of managed care programs. 96 pages
TIP 15
(Replaced by TIP 37)
Treatment for HIV-Infected Alcohol and Other Drug Abusers.
This TIP provides recommendations and guidelines for quality care for AOD abusers who are in treatment and who are infected with HIV. The guidelines identify a spectrum of core services and treatment approaches that ideally should be available to all HIV-infected AOD abusers, regardless of the setting in which they receive care. 171 pages.  For more updated version see Tip 37.
TIP 16 Alcohol and Other Drug Screening of Hospitalized Trauma Patients.
This TIP describes the significant role that AODs play in traumatic injury, especially reinjury. The TIP recommends alcohol and drug screening (blood and urine) of injured patients age 14 and older at hospital admission. A comprehensive AOD assessment is outlined, and some brief intervention techniques are described. 96 pages
TIP 17 Planning for Alcohol and Other Drug Abuse Treatment for Adults in the Criminal Justice System.
This TIP will help criminal justice and AOD treatment systems promote the acceptance of AOD treatment for criminal offenders and enhance its effectiveness. The CSAT Criminal Justice Treatment Planning Chart is included in an appendix to assist policymakers and planners. 116 pages
TIP 18 The Tuberculosis Epidemic: Legal and Ethical Issues for Alcohol and Other Drug Abuse Treatment Providers.
This TIP, which summarizes the latest advice and recommends protocols for dealing with the threat of tuberculosis (TB) in the AOD setting, is intended to encourage collaboration among State, local, and private agencies. The TIP includes guidelines for AOD treatment providers about cooperating with public health officials and others in preventing the transmission of TB in AOD treatment facilities. 132 pages
TIP 19
(Replaced by TIP 45)
Detoxification From Alcohol and Other Drugs.
This TIP presents comprehensive guidelines useful to individuals involved in planning, evaluating, and providing detoxification services. 95 page. For more updated version see TIP 45
TIP 20 Matching Treatment to Patient Needs in Opioid Substitution Therapy.
Opiate-addicted persons often need a broad range of services in addition to opioid substitution therapy. Research has shown that providing these services as part of the therapy program greatly increases retention in treatment and improves outcomes. The TIP outlines a comprehensive assessment process for identifying patient needs and describes core treatment elements to address those needs. 136 pages
TIP 21 Combining Alcohol and Other Drug Abuse Treatment With Diversion for Juveniles in the Justice System.
This TIP introduces a new definition of diversion, concentrating on diverting youth already involved with the juvenile justice system. The TIP provides hands-on information about community collaboration to establish a diversion program for youth whose court involvement is associated with substance abuse. 131 pages

 

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