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TIP #
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TIP Title
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| 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 |
|
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 |
|
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 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 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 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 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
Desk Reference also available, 32 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 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 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 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 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 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 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 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 |
|
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 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
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 39 |
Substance Abuse Treatment and Family Therapy
This best-practice guideline for the
treatment of substance use disorders focuses on 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. |
|
TIP 40 |
Clinical Guidelines for the Use of Buprenorphene 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 41 |
Substance Abuse Treatment: Group Therapy |
TIP 42
(replaces TIP 9) |
Substance Abuse Treatment for Persons 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 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. |
TIP 44 |
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 45
(replaces TIP 19) |
Detoxification and Substance Abuse Treatment
This Treatment Improvement
Protocol (TIP) is a revision of TIP 19, Detoxification From Alcohol and
Other Drugs. TIP 45 was developed by a panel of experts and it provides
up-to-date information about the role of detoxification in the continuum
of services for individuals with substance use disorders. |
TIP 46
|
Substance Abuse: Administrative Issues in Outpatient Treatment
This Quick Guide will help administrators in
outpatient treatment programs address management and human resources
issues, preparing a program to treat diverse clients, outpatient
treatment financing options and strategies, performance improvement, and
outcomes monitoring. |
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 |
