This TIP, titled Combining Substance Abuse Treatment With Intermediate Sanctions for Adults in the Criminal Justice System, provides information about the management and treatment of offenders with AOD problems through the use of intermediate sanctions with an AOD treatment component. This TIP includes specific recommendations for use by individuals and agencies in the AOD treatment and criminal justice systems to develop programs and coordinate services. The TIP provides information about the role of intermediate sanctions, the importance and role of collaboration, conflicts and solutions relative to integrating treatment with intermediate sanctions, legal and ethical issues, and information regarding planning, implementation, monitoring, and evaluation of these programs.

Contents

• What Is a TIP?
• Consensus Panel
• Foreword
• Chapter 1—Introduction and Purpose
  • The Interest in Intermediate Sanctions
  • Defining Intermediate Sanctions
  • The History of Intermediate Sanctions
  • AOD-Involved Offenders And Intermediate Sanctions
  • Overview of This Tip
• Chapter 2—An Overview of the Criminal Justice System
  • The Goals and Purposes Of the Justice System
  • The Values of the Criminal Justice System
  • System Goals
  • The Steps in the Adjudication, Sentencing, And Discharge Process
  • Understanding Intermediate Sanctions
• Chapter 3—The AOD Abuse Treatment System
  • The Goals of Treatment
  • The History of AOD Treatment
  • Levels and Types of Treatment
  • Treatment Components
  • Treatment in Criminal Justice Settings
• Chapter 4—Combining AOD Abuse Treatment and Intermediate Sanctions
  • Securing the Most Appropriate Treatment
  • Effective Treatment Requires Collaboration
  • The Ingredients for Successful Collaboration
  • What Treatment Providers Need to Understand
  • What the Justice System Needs to Understand
  • The Need for More Research On Treatment
• Chapter 5—Issues in Combining Treatment and Intermediate Sanctions
  • The Attitudes and Perspectives of the Two Systems
  • Building an Agreement
  • Barriers to Engaging the Offender-Client in Treatment
  • Engaging the Offender-Client In Treatment
  • Determining Treatment Needs: Screening and Assessment
  • Case Management
  • Ethical Issues
  • Obstacles to the Effective Use of Intermediate Sanctions
  • Endnote
• Chapter 6—Planning: Approaches for Developing Policy
  • The Need for Planning
  • The Planning Process
  • Implementation
  • Monitoring and Evaluation
  • Summary
• Chapter 7 - Ethical and Legal Issues
  • Federal Confidentiality Laws
  • The General Rule
  • Communicating With Others
  • Reporting Criminal Activity Of Clients
  • Other Exceptions to the General Rule
• Appendix A -- Bibliography
• Appendix B—Costing Issues
• Appendix C—Cultural Competence
• Appendix D—Federal Resource Panel
• Appendix E—Field Reviewers

This publication is part of the Substance Abuse Prevention and Treatment Block Grant technical assistance program. This publication was written under contract number ADM 270-91-0007 from the Center for Substance Abuse Treatment of the Substance Abuse and Mental Health Services Administration (SAMHSA). Anna Marsh, PhD, Sandra Clunies, MS, and Duiona R Baker, MPH, served as the CSAT Government project officers. Beth Lindeman served as project director, Sandra Trilling as TIP manager, Carolyn Davis as managing editor, and Constance Gartner as editor. Writers were Carolyn Davis, Randi Henderson, and Angela Verdelle.

The opinions expressed herein are the views of the consensus panel participants and do not reflect the official position of CSAT or any other part of the U.S. Department of Health and Human Services (DHHS). No official support or endorsement of CSAT or DHHS is intended or should be inferred. The guidelines proffered in this document should not be considered as substitutes for individualized patient care and treatment decisions.