BEST PRACTICES RESOURCE GUIDE A compilation of resources, assessment instruments, therapies and useful Web sites for substance abuse prevention and t...
Author: Marvin Boyd
8 downloads 0 Views 2MB Size

A compilation of resources, assessment instruments, therapies and useful Web sites for substance abuse prevention and treatment providers to assist in incorporating science-based best and effective practices



Florida Alcohol and Drug Abuse Association

ABOUT THIS GUIDE This resource guide is a compilation of manuals, monographs, documents, websites evidence based assessment tools and therapies derived from credible areas of research. We hope that you will find this resource guide useful. PUBLIC DOMAIN NOTICE This document is in the public domain and may be reproduced or copied without permission from the Florida Alcohol and Drug Abuse Association (FADAA). Citation of the source and funding entity is appreciated. ACKNOWLEDGEMENT This publication was developed through funding from the Florida Department of Children and Families (DCF) Substance Abuse Program Office under contract number LD801. OBTAINING ADDITIONAL COPIES OF THIS PUBLICATION Copies may be obtained free of charge form the Florida Alcohol and Drug Abuse Association (FADAA). For additional copies, please write, email or call: FADAA Resource Center 2868-1 Mahan Drive Tallahassee, FL 32308 850 878-2196 Phone [email protected] ADDITIONAL COPIES OF PUBLICATIONS THAT APPEAR IN THIS GUIDE Unless indicated in the header or the publication description, most of the documents identified in this resource guide are available in print or downloadable for free from the FADAA Resource Center by referencing the title and/or stock number where indicated. To order free publications you may write, email or call: FADAA Resource Center 2868-1 Mahan Drive Tallahassee, FL 32308 850 878-2196 Phone [email protected] ELECTRONIC ACCESS TO THIS PUBLICATION A copy of this document can be downloaded from the Internet by visiting, LISTING KEY FOR THIS GUIDE Title (Year Produced), Catalog Number or Source, Number of Pages Description



CSAP Guides to Science-Based Practices ________________________________________________4 CSAT Cannabis Youth Treatment Series _________________________________________________4 CSAT Technical Assistance Publication Series (TAP)_______________________________________5 CSAT Treatment Advisory Series _______________________________________________________7 CSAT Treatment Improvement Protocol Series (TIP) ______________________________________8 NIAAA COMBINE Monograph Series___________________________________________________13 NIAAA Project Match Series___________________________________________________________13 NIDA Research Report Series_________________________________________________________14 NIDA/SAMHSA Blending Initiative_____________________________________________________16 NIDA Therapy Manuals ______________________________________________________________16 SAMHSA’s Managed Care Initiative Publications ________________________________________17 Other Publications (Prevention)_______________________________________________________18 Other Publications (Treatment)_______________________________________________________21 Assessment Instruments_____________________________________________________________25 Evidence-BasedTherapies____________________________________________________________28 Useful Web Sites____________________________________________________________________29



The publications in this series support CSAP’s mission to provide resources that are based on science, with measurable outcomes, and designed to help community and state leaders formulate targeted programs. PRINCIPALS OF SUBSTANCE ABUSE PREVENTION (2001) PHD865 35pp. This book highlights strategies ranging from personal skill building and opportunities for family bonding to community awareness and youth-oriented mass media campaigns. These findings provide an empirical knowledge base for practitioners and guide other key stakeholders. PROMISING AND PROVEN SUBSTANCE ABUSE PREVENTION PROGRAMS (2001) PHD864 41pp. This document was developed to help key stakeholders structure and assess scientifically defensible programs. It is designed to serve practitioners, researchers, and policymakers to work together to develop innovative and effective solutions to substance abuse prevention that respond to the unique needs of our individual communities. SCIENCE BASED PREVENTION PROGRAMS AND PRINCIPLES 2003: EFFECTIVE SUBSTANCE ABUSE AND MENTAL HELATH PROGRAMS FOR EVERY COMMUNITY (2003) BKD479 250pp. This publication presents a state-of-the art science review of substance abuse prevention theory and practice. It also includes a compendium of tested and effective model substance abuse prevention and mental promotion programs highlighting 34 programs from across the Nation and around the world. SCIENCE BASED SUBSTANCE ABUSE PREVENTION: A GUIDE (2001) PHD863 19pp. This booklet highlights the risk and protective factors that help determine an individual’s vulnerability to substance abuse. It also examines qualitative and quantitative strategies for evaluating existing substance abuse prevention programs and developing scientifically defensible best practices.


The CYT is a five-volume resource for substance abuse treatment professionals that provides a unique perspective on treating adolescents for marijuana use. The volumes present effective, detailed, manual-based treatment resources for teens and their families. CANNABIS YOUTH TREATMENT SERIES VOLUME 1: MOTIVATIONAL ENHANCEMENT THERAPY AND COGNITIVE BEHAVIORAL THERAPY FOR ADOLESCENT CANNABIS USERS. 5 SESSIONS (2001) BKD384 This manual is designed to help train substance abuse treatment counselors to conduct brief five-session treatment intervention for adolescents with cannabis use disorders presenting for outpatient treatment. CANNABIS YOUTH TREATMENT SERIES VOLUME 2: THE MOTIVATIONAL ENHANCEMENT THERAPY AND COGNITIVE BEHAVIORAL THERAPY SUPPLEMENT: 7 SESSIONS OF COGNITIVE BEHAVIORAL THERAPY FOR ADOLESCENT CANNABIS USERS (2002) BKD385 This manual is a supplement to the Cannabis Youth Treatment Series, Volume 1. It presents a seven-session cognitive behavioral treatment approach designed especially for adolescent cannabis users. It addresses the implementation and evaluation of cognitive behavioral treatment for adolescent marijuana users as part of the Cannabis Youth Treatment Project. CANNABIS YOUTH TREATMENT SERIES VOLUME 3: FAMILY SUPPORT NETWORK FOR AODLESCENT CANNABIS USERS (2001) BKD386 This manual provides therapists with step-by-step instructions on implementing the family support network (FSN) intervention, which seeks to engage an adolescent’s family in treatment. 4

CANNABIS YOUTH TREATMENT SERIES VOLUME 4: THE ADOLESCENT COMMUNITY REINFORCEMENT APPROACH FOR ADOLESCENT CANNABIS USERS (2001) BKD387 This manual guides therapist and their supervisors in using the adolescent community reinforcement approach (ACRA) intervention with adolescents and their caregivers. CANNABIS YOUTH TREATMENT SERIES VOLUME 5: MULTIDIMENSIONAL FAMILY THERAPY FOR ADOLESCENT CANNABIS USERS (2001) BKD388 MDFT is a family-based outpatient treatment developed for clinically referred adolescents with drug and behavioral problems (Liddle, 1992). The approach strives for consistency and a coherent and logical connection among its theory, principles of intervention, and intervention strategies and methods.


Technical Assistance Publications (TAPs) are a compilation of materials gathered from various Federal, State, programmatic, and clinical sources which provide practical guidance and information related to the delivery of treatment services to individual suffering from alcohol and other drug abuse disorders. APPROACHES IN THE TREATMENT OF ADOLESCENTS WITH EMOTIONAL AND SUBSTANCE ABUSE PROBLEMS. TAP 1 (1993) PHD580 30pp. Volume 1 in this series addresses the needs of adolescents with substance abuse problems and makes practical recommendations on the implementation of effective treatment methods. SELF-RUN, SELF-SUPPORTED HOUSES FOR MORE EFFECTIVE RECOVERY FROM ALCOHOL AND DRUG ADDICTION. TAP 5 (1993) PHD584 130pp. Self-Run, Self-Supported describes the experience of Oxford House and the mechanics of renting houses to be used as self-run, self-supported recovery houses. EMPOWERING FAMILIES, HELPING ADOLESCENTS: FAMILY-CENTERED TREATMENT OF ADOLESCENTS WITH ALCOHOL, DRUG ABUSE, AND MENTAL HEALTH PROBLEMS. TAP 6 (1994) BKD81 204pp. This report describes issues, treatment models, and steps necessary to implement a family-centered approach to adolescent treatment. RELAPSE PREVENTION AND THE SUBSTANCE-ABUSING CRIMINAL OFFENDER. TAP 8 (1993) BKD121 30pp. In volume 8 of this series, an overview of chemical addiction and the process of recovery are examined. The report also discusses the process of relapse and the principles and procedures of relapse prevention therapy. RURAL ISSUES IN ALCOHOL AND OTHER DRUG ABUSE TREATMENT. TAP 10 (1994) PHD662 68pp. Rural Issues presents the papers submitted in the “Award for Excellence” competition co-sponsored by the Center for Substance Abuse Treatment and the National Rural Institute on Alcohol and Drug abuse. Rural areas face special difficulties in providing high-quality treatment and prevention services to their widely dispersed populations. These papers address various issues and populations specific to rural settings. TREATMENT FOR ALCOHOL AND OTHER DRUG USE: OPPORTUNITIES FOR COORDINATION. TAP 11 (1994) PHD663 182pp. This publication contains exhaustive review of the need and benefit of systemic coordination among State, legislative, public health, criminal justice, and social service entities in order to provide a continuum of comprehensive treatment services.


CONFIDENTIALITY OF PATIENT RECORDS FOR ALCOHOL AND OTHER DRUG TREATMENT. TAP 13 (1994) BKD156 36pp. This guide provides an overview of Federal alcohol and other drug treatment confidentiality laws and regulations as well as options for resolving apparent conflicts between Federal confidentiality requirements and State communicable disease reporting requirements. An appendix presents sample forms for patient consent and qualified service organization agreements. TREATING ALCOHOL AND OTHER DRUG ABUSERS IN RURAL AND FRONTIER AREAS: 1994 AWARD FOR EXCELLENCE PAPERS. TAP 17 (1995) BKD174 123pp. Volume 17 of the TAP series is a compilation of papers submitted in the second nationwide Award for Excellence contest, sponsored jointly by the Center of Substance Abuse Treatment and the National Rural Institute on Alcohol and Drug Abuse. The 18 papers were submitted from a number of different regions of rural and frontier America. CHECKLIST FOR MONITORING ALCOHOL AND OTHER DRUG CONFIDENTIALITY COMPLIANCE. TAP 18 (1996) PHD722 52pp. This TAP serves as a reference for the substance abuse treatment provider on how to resolve issues of maintaining and protecting the confidentiality of patients and their records while they are seeking or receiving treatment for substance abuse. COUNSELOR’S MANUAL FOR RELAPSE PREVENTION WITH CHEMICALLY DEPENDENT CRIMINAL OFFENDERS. TAP 19 (1996) PHD723 182pp. This publication focuses on chemical dependency and the criminal offender and is designed for the paraprofessional counselor. Basic counseling information is explained in simple terms. It is also designed to help the counselor work with people who are using the Appendix-Relapse Prevention Workbook for Chemically Dependent Criminal Offenders. It is based on information that has had better than average results in treating chemically dependent criminal offenders. BRINGING EXCELLENCE TO SUBSTANCE ABUSE SERVICES IN RURAL AND FRONTIER AMERICA: 1996 AWARD FOR EXCELLECE PAPERS. TAP 20 (1997) BKD220 137pp. These papers are a culmination of the third Call for Papers from the Center for Substance Abuse Treatment and the National Rural Institute on Alcohol and Drug Abuse. These papers offer a compelling look at a number of ways in which rural and frontier America is addressing alcohol and drug abuse and the problems that accompany the abuse. ADDICTION COUNSELING COMPETENCIES: THE KNOWLEDGE, SKILLS, AND ATTITUDES OF PROFESSIONAL PRACTICE. TAP 21 (2008) SMA08-4717 235pp. This TAP focuses on the work of counselors who deal with psychoactive substance use, abuse, and dependence among clients. The chapters discuss clinical evaluation, treatment planning, referral, and counseling. COMPETENCIES FOR SUBSTANCE ABUSE TREATMENT CLINICAL SUPERVISORS. TAP 21A (2007) SMA07-4243 60pp. This research-and-consensus based publication provides practical, clear lists of the competencies necessary for effective supervision in substance abuse treatment programs. It also provides administrators with step-by-step guidelines to implementing a structured supervision component in both State and private treatment systems. CONTRACTING FOR MANAGED SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES: A GUIDE FOR PUBLIC PURCHASERS. TAP 22 (1998) BKD252 295pp. This TAP presents a comprehensive guide for public purchasers and others interested in influencing the development of requests for proposals (RFPs) and contracts in managed behavioral health care. The guide encourages programmatic success with chapters that cover designing, procuring, and implementing managed care systems, quality management, and consumer protections.


SUBSTANCE ABUSE TREATMENT FOR WOMEN OFFENDERS: GUIDE TO PROMISING PRACTICES. TAP 23 (1999) BKD310 174pp. This report offers guidelines and ideas for designing promising programs to help addicted women in the criminal justice system. The guide is specifically for State and community-level policymakers who plan and fund substance abuse and corrections programs. WELFARE REFORM AND SUBSTANCE ABUSE TREATMENT CONFIDENTIALITY: GENERAL GUIDANCE FOR RECONCILING NEED TO KNOW AND PRIVACY. TAP 24 (1999) BKD336 40pp. This report provides guidance in resolving issues faced by alcohol and drug agencies, substance abuse treatment providers, and welfare officials, related to the confidentiality of patient client information. THE IMPACT OF SUBSTANCE ABUSE TREATMENT ON EMPLOYMENT OUTCOMES AMONG AFDC CLIENTS IN WASHINGTON STATE. TAP 25 (2001) BKD367 41pp. This document presents an analysis of the patters of employment and earning before and after the implementation of TANF. It also discusses the value of developing the capacity to use state computer databases for evaluating client outcomes. IDENTIFYING SUBSTANCE ABUSE AMONG TANF ELIGIBLE FAMILIES. TAP 26 (2001) BKD410 87pp. Chemical abuse is a factor that often inhibits the transition from welfare to work. In addition, Temporary Assistance for Needy Families (TANF) applicants and participants are reluctant to admit substance abuse problems. This publication addresses these and related issues and helps TANF administrators identify substance abuse among this population. NAVIGATING THE PATHWAYS: LESSONS AND PROMISING PRACTICES IN LINKING ALCOHOL AND DRUG SERVICES WITH WELFARE. TAP 27 (2002) BKD436 121pp. This Technical Assistance Publication offers a unique perspective on the growing contacts across the divide that too often prevents child welfare and substance abuse agencies from working together as closely as they need in order to help children and families affected by substance abuse. THE NATIONAL RURAL ALCOHOL AND DRUG ABUSE NETWORK AWARDS FOR EXCELLENCE 2004. TAP 28 (2006) BKD552 100pp. This TAP presents seven papers submitted to the 2004 National Rural Alcohol and Drug Abuse Network Awards for Excellence. Each paper describes effective and innovative models of treatment and prevention services in rural populations. This publication seeks to showcase research addressing the unique and special challenges of providing treatment services to individuals in rural areas and their families. INTEGRATING STATE ADMINISTRATIVE RECORDS TO MANAGE SUBSTANCE ABUSE TREATMENT SYSTEM PERFORMANCE. TAP 29 (2007) SMA07-4268 60pp. This report describes the utility and practice of integrating the information available in State Agency data sets with


This is a series of publications developed by the Center for Substance Abuse Treatment to respond to emerging drugs of abuse with information for clinicians on specific treatment protocols. CSAT ADVISORY: ALCOHOL SCREENING AND BRIEF INTERVENTIONS FOR TRAUMA PATIENTS (2007) SMA07-4266 16pp. This guide is intended to help Level I and II trauma centers implement Screening and Brief Interventions (SBI) as part of routine trauma cases. It reviews the elements that should be considered as part of implementing a successful program and can be used as a reference for SBI in other settings as well.


CSAT ADVISORY-GHB: A CLUB DRUG TO WATCH (2002) MS915 4pp. This publication discusses GHB withdrawal. It contains frequently asked questions, and specific treatment protocols. CSAT ADVISORY: INHALANTS (2003) MS922 4pp. This newsletter gives current information and statistics, such as what they are, how they’re used and what the long-term effects are. CSAT ADVISORY: NALTREXONE FOR EXTENDED-RELEASED INJECTABLE SUSPENSION FOR TREATMENT OF ALCOHOL DEPENDENCE (2007) SMA07-4267 6pp. This Advisory answers questions treatment providers, particularly counselors and program administrators may have about injectable naltrexone. CSAT ADVISORY-OXYCONTIN PRESCRIPTION DRUG ABUSE (2006) MS726 4pp. This publication addresses the prescription pain medication OxyContin. It contains a frequently asked questions area, and specific treatment protocols.


Treatment Improvement Protocols (TIPs) are the products of a systematic and innovative process which brings together clinicians, researchers, program managers, policy makers and other Federal and non-federal experts to reach consensus on state-of-the-art treatment practices. Funded in support of the Substance Abuse Prevention and Treatment Block Grant, the TIPs have been developed to improve the treatment capabilities of the National’s alcohol and drug abuse service system. PREGNANT, SUBSTANCE-USING WOMEN. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 2 (1995) BKD107 90pp. Volume 2 defines guidelines that reflect state-of-the-art scientific and clinical knowledge on effective treatment practices and care for pregnant addicts. IMPROVING TREATMENT FOR DRUG-EXPOSED INFANTS. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 5 (1995) BKD110 94pp. Guidelines and standards of care in monitoring and evaluating programs treating drug-exposed infants are examined in volume 5 of this series. SCREENING FOR INFECTIOUS DISEASES AMONG SUBSTANCE ABUSERS. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 6 (1995) BKD131 160pp. This TIP defines guidelines in establishing funding, monitoring, and evaluating treatment programs that screen for infectious diseases in substance abusers. SIMPLE SCREENING INSTRUMENTS FOR OUTREACH FOR ALCOHOL AND OTHER DRUG ABUSE AND INFECTIOUS DISEASES. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 11 (1994) BKD143 82pp. 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 substance abuse treatment with individuals suffering from HIV/AIDS, TB, and STDs. THE ROLE AND CURRENT STATUS OF PATIENT PLACEMENT CRITERIA IN THE TREATMENT OF SUBSTANCE USE DISORDERS. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 13 (1995) BKD161 84pp. An objective of the substance abuse treatment field is to establish standardized patient placement criteria (PPC). 8

This TIP will help readers understand what PPC are learned from the experiences of others who have helped develop currently used criteria. It also lays the groundwork for a concerted effort to develop national uniform patient placement criteria. DEVELOPING STATE OUTCOMES MONITORING SYSTEMS FOR ALCOHOL AND OTHER DRUG ABUSE TREATMENT. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 14 (1995) BKD162 95pp. Volume 14 of this series is designed to help single State agencies and their staff develop, implement, and manage outcomes monitoring systems (OMSs) for local substance abuse treatment programs to increase accountability for treatment expenditures. This TIP will be of interest to anyone who wants to improve patient matching and treatment. ALCOHOL AND OTHER DRUG SCREENING OF HOSPITALIZED TRAUMA PATIENTS. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 16 (1995) BKD164 96pp. Alcohol and drugs frequently play a significant role in traumatic injury, especially re-injury. The TIP recommends alcohol and drug screening (blood and urine) of injured patients, ages 14 and older, at hospital admission. A comprehensive substance abuse assessment is outlined, and some brief intervention techniques are described. THE TUBERCULOSIS EPIDEMIC: LEGAL AND ETHICAL ISSUES FOR ALCOHOL AND OTHER DRUG ABUSE TREATMENT PROVIDERS. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 18 (1995) BKD173 132pp. This TIP describes the tuberculosis disease and modes of transmission, how substance abuse programs can play their part in preventing or treating TB patients, and how TB can be prevented in the workplace. Related issues such as discrimination and confidentiality are discussed. COMBINING ALCOHOL AND OTHER DRUG ABUSE TREATMENT WITH DIVERSION FOR JUVENILES IN THE JUSTICE SYSTEM. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 21 (2008) SMA08-4073 130pp. This TIP provides a strategy for diverting youth with substance abuse problems from further involvement with the juvenile justice system. It presents a process for communities to use in building new linkages and partnerships among treatment programs, community health, and social services, and the juvenile court to plan juvenile diversion programs. TREATMENT DRUG COURTS: INTEGRATING SUBSTANCE ABUSE TREATMENT WITH LEGAL CASE PROCESSING. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 23 (1996) BKD205 66pp. Volume 23 of this TIP will help policy makers and practitioners plan, implement, monitor, and evaluate programs that effectively integrate substance abuse treatment in the pretrial processing of criminal cases. TIP 23 was developed to encourage agencies creating and participating in these programs to share information about their successes and failures so that substance abuse treatment will be effectively integrated into pretrial case processing. SUBSTANCE ABUSE TREATMENT AND DOMESTIC VIOLENCE. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 25 (2008) SMA08-4076 152pp. Designed for treatment providers, this TIP presents and introduction to the field of domestic violence. It offers 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. Legal issues are discussed and the TIP provides a blueprint for a more integrated system of care that would enhance treatment for both problems. SUBSTANCE ABUSE AMONG OLDER ADULTS. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 26 (1998) BKD250 173pp. Adults ages 60 and older tend to be overlooked in discussions of substance abuse, resulting in thousands of older adults who need treatment and do not receive it. This TIP recommends practices for identifying, screening and assessing, and treating alcohol and prescription drug abuse among older adults. TIP 26 is designed for substance abuse treatment providers, primary care clinicians, social workers, and senior center staff. 9

COMPREHENSIVE CASE MANAGEMENT FOR SUBSTANCE ABUSE TREATMENT. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 27 (1998) BKD251 121pp. A history of case management, including models of case management with substance abusers, is provided in this TIP. The TIP also covers case management for clients with special needs, funding case management in managed care environments, and application of case management to substance abuse treatment. NALTREXONE AND ALCOHOLISM TREATMENT. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 28 (1998) BKD268 94pp. Naltrexone therapy, in combination with psychosocial programs can improve alcoholism treatment outcomes. In many patients, naltrexone reduces the urge to drink, giving the patient the opportunity to learn to stay sober without it. This TIP will help clinicians and treatment providers use naltrexone safely and effectively to enhance patient care and improve treatment outcomes. SUBSTANCE USE DISORDER TREATMENT FOR PEOPLE WITH PHYSICAL AND COGNITIVE DISABILITIES. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 29 (1998) BKD288 156pp. People with physical and cognitive disabilities are more likely to have a substance use disorder and less likely to get effective treatment for it than those without such a coexisting disability. This TIP explains the issues in treating people with coexisting disabilities, discusses how to screen for coexisting disorders and how to adapt substance use screening for clients who have a disability, and examines treatment planning and counseling. CONTINUITY OF OFFENDER TREATMENT FOR SUBSTANCE USE DISORDERS FROM INSTITUTION TO COMMUNITY. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 30 (1998) BKD308 121pp. This TIP provides those who work in the criminal justice system and community based treatment programs with guidelines for ensuring continuity of care for the offender client. It explains how these and other members of a transition team can share records, develop sanctions, and coordinate relapse prevention so that treatment gains made insider are not lost. It devotes an entire section to ancillary services such as housing and employment and presents treatment guidelines specific to populations such as offenders with mental illness, long term medical care issue and sex offenders. SCREENING AND ASSESSING ADOLESCENTS FOR SUBSTANCE USE DISORDERS. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 31 (1999) BKD306 136pp. This TIP replaces TIP 3. It presents information on identifying, screening, and assessing substance use in adolescents. Since adolescents differ from adults physiologically and emotionally, it is important for professionals who come into regular contact with youth to recognize the signs of substance use. The TIP focuses on the most current procedures and instruments for detecting substance abuse among adolescents, conducting comprehensive assessments, and beginning treatment planning. TREATMENT OF ADOLESCENTS WITH SUBSTANCE USE DISORDERS. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 32 (2008) SMA08-4080 126pp. This TIP replaces TIP 4. It presents information on substance use disorder treatment for adolescent clients. Adolescents differ from adults physiologically and emotionally as they make the transition from child to adult and require treatment adapted to their needs. In order to treat this population effectively, treatment providers must address the issues that play significant roles in an adolescents life, such as cognitive, emotional, physical, social and moral development, and peer and family environment. This TIP focuses on ways to specialize treatment for adolescents as well as on common an effective program components and approaches being used today. TREATMENT FOR STIMULANT USE DISORDERS. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 33 (1999) BKD289 226pp. This TIP explains the nature and treatment of stimulant use disorders. The TIP also reviews what is currently known about treating the medical, psychiatric, and substance abuse dependent problems associated with cocaine and methamphetamine use.


BRIEF INTERVENTIONS AND BRIEF THERAPIES FOR SUBSTANCE ABUSE. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 34 (1999) BKD341 234pp. This TIP links research to practice by providing counselors and therapists in the substance abuse field with up-todate information on the usefulness of these innovative and shorter forms of treatment for selected subpopulations of people with substance abuse disorders and those at risk of developing them. ENHANCING MOTIVATION FOR CHANGE IN SUBSTANCE ABUSE TREATMENT. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 35 (2000) BKD342 243pp. 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. ENHANCING MOTIVATION FOR CHANGE INSERVICE TRAINING BASED ON TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 35-EMCIT (2007) PHD1135 240pp. The Enhancing Motivation for Change Inservice Training (EMCIT) manual is based on Treatment Improvement Protocol (TIP) 35, Enhancing Motivation for Change in Substance Abuse Treatment. EMCIT provides materials for inservice training of substance abuse treatment professionals on basic concepts of motivational enhancement. The manual provides eleven 1½- to 2-hour training modules that can be delivered over consecutive days or several weeks. Each module includes presentation instructions, PowerPoint slides (that can be copied onto overhead transparencies), homework assignments, and participant handouts. SUBSTANCE ABUSE TREATMENT FOR PERSONS WITH CHILD ABUSE AND NEGLECT ISSUES. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 36 (2000) BKD343 181pp. This TIP offers guidance to substance abuse treatment counselors and other providers in identifying and treating adults with alcohol or drug abuse addictions who are survivors of childhood physical, sexual or other abuse or neglect. This guide warns that, failure to treat both problems puts children of these patients at risk for abuse and neglect, and eventual self-medication with alcohol or drugs. SUBSTANCE ABUSE TREATMENT FOR PERSONS WITH HIV/AIDS. TREATMENT IMPROVEMENT (TIP) SERIES 37 (2000) BKD359 361pp. This TIP replaces TIP 15. It offers guidance to substance abuse treatment counselors and other providers in identifying and treating adults living with HIV AIDS. Treatment, intervention, and prevention are discussed. INTEGRATING SUBSTANCE ABUSE TREATMENT AND VOCATIONAL SERVICES. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 38 (2000) BKD381 225pp. This TIP presents the importance of integrating vocational services into substance abuse treatment planning. It discusses establishing relationships with other agencies to better meet client needs. SUBSTANCE ABUSE TREATMENT AND FAMILY THERAPY. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 39 (2004) BKD504 233pp. This TIP 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 contains basic information about family therapy for substance abuse professionals and therapists. It presents the models, techniques and principles of family therapy with special attention to the states of motivation as well as to treatment recovery. CLINICAL GUIDELINES FOR THE USE OF BUPRENORPHINE IN THE TREATMENT OF OPIOID ADDICTION. TREATMENT IMPROVEMENT PROTOTCOL (TIP) SERIES 40 (2004) BKD500 171pp. This TIP provides consensus-and-evidence-based treatment guidelines for the guidance of the use of buprenorphine. The goal of this TIP is to provide physicians with information they can use to make practical and informed decisions about the use of buprenorohine to treat opioid addiction. These guidelines discuss the pharmacology and physiology of opioids and opioid addiction. 11

SUBSTANCE ABUSE TREATMENT: GROUP THERAPY. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 41 (2005) BKD507 183pp. This TIP presents an overview of the efficacy of group therapy in substance abuse treatment planning. It offers research and clinical findings and distills them into practical guidelines for practitioners of group therapy modalities. This TIP describes effective types of group therapy and offers a theoretical basis for group therapy’s effectiveness in the treatment of substance abuse disorders. SUBSTANCE ABUSE TREATMENT FOR PERSONS WITH CO-OCCURRING DISORDERS. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 42 (2005) BKD515 557pp. This TIP replaces TIP 9, Assessment and Treatment of Patients with Coexisting Mental Illness and Alcohol and Other Drug Abuse. It provides information about new developments in the rapidly growing field of co-occurring substance abuse and mental disorders and captures the state-of-the-art in the treatment of people with cooccurring disorders. This TIP focuses on what substance abuse treatment clinicians need to know and provides the information in an accessible manner. It synthesizes knowledge and grounds it in the practical realities of clinical cases and real situations. SUBSTANCE ABUSE TREATMENT FOR PERSONS WITH CO-OCCURRING DISORDERS INSERVICE TRAINING: BASED ON TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 42 (2008) SMA-08-4262 780pp. This inservice training manual provides a structure for introducing addiction counselors and other practitioners to the state of the art information on the rapidly advancing filed of co-occurring substance use and mental disorders provided in TIP 42. MEDICATION ASSISTED TREATMENT FOR OPIOID ADDICTION IN OPIOID TREATMENT PROGRAMS. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 43 (2005) BKD524 356pp. 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. SUBTANCE ABUSE TREATMENT FOR ADULTS IN THE CRIMINAL JUSTICE SYSTEM. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 44 (2005) BKD256 365pp. This TIP replaces TIPS 7, 12 and 17. 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. DETOXIFICATION AND SUBSTANCE ABUSE TREATMENT. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 45 (2006) BKD541 245pp. This TIP replaces TIP 19, Detoxification from Alcohol and Other Dugs. It provides up-to-the minute information about changes in the role of detoxification in the continuum of services for patients, increased knowledge of physiology of withdrawal, pharmacological advances in the management of withdrawal, patient placement procedures, and news issues in the management of detoxification services within comprehensive systems of care. SUBSTANCE ABUSE: ADMINISTRATIVE ISSUES IN INTENSIVE OUTPATIENT TREATMENT. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 46 (2006) BKD545 162pp. This TIP replaces TIP 8. It 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, performance improvement, outcomes monitoring and others. It also addresses preparing a program to provide culturally competent treatment to an increasingly diverse population and succeeding in a managed-care dominated world.


SUBSTANCE ABUSE: CLINICAL ISSUES IN INTENSIVE OUTPATIENT TREATMENT. TREATMENT IMPROVEMENT PROTOCOL (TIP) SERIES 47 (2006) BKD551 294pp. This TIP addresses the practical needs of treatment providers as they design and implement Intensive Outpatient Treatment (IOT) programs. It provides specific information on the principles of IOT, services and treatment models, modifications for distinct population groups, culturally competent treatment, screening and patient placement criteria, counseling methods and techniques. This 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 arranging ongoing care in the community.


The goal of COMBINE is to determine if improvements in treatment outcome for alcohol dependence can be achieved by combining pharmacotherapy and behavioral interventions. COMBINE seeks to evaluate the efficacy of the two most promising medications (naltrexone and acamprosate), both singly and together, when used in conjunction with two behavioral treatments of differing intensities. These publications can be ordered from NIAAA at COMBINE MONOGRAPH SERIES VOLUME 1: COMBINED BEHAVIORAL INTERVENTION MANUAL: A CLINICAL RESEARCH GUIDE FOR THERAPIST TREATING PEOPLE WITH ALCOHOL ABUSE AND DEPENDENCE (2004, NIAAA) 221pp. Highlights the use of Combined Behavioral Intervention, an intensive treatment that combines several successful features from previously evaluated interventions. It is suitable for delivery by trained psychotherapists working in specialized alcoholism treatment facilities. COMBINE MONOGRAPH SERIES VOLUME 2: MEDICAL MANAGEMENT TREATMENT MANUAL: A CLINICAL RESEARCH GUIDE FOR MEDICALLY TRAINED CLINICIANS PROVIDING PHARMACOTHERAPY AS PART OF THE TREATMENT FOR ALCOHOL DEPENDENCE (2004, NIAAA) 40pp This manual serves as a standardized guide for delivering medical management (MM) treatment to patients with alcohol abuse and dependence. MM treatment was designed to be used in conjunction with prescribed medication and to be easily implemented by medically training practitioners in non specialty settings in keeping with the trend toward integrating substance abuse treatment into medical practice.


The manuals in this series are the result of the collaborative efforts of the Project MATCH investigators and were used as guides by the therapists in the trial. They are presented to the alcohol research community as standardized, well-documented intervention tools for alcoholism treatment research. The manuals are provided to the public to permit replication of treatment procedures employed in Project MATCH. These publications can be ordered from NIAAA at for a cost recovery fee. VOLUME 1-TWELVE STEP FACILITATION THERAPY MANUAL (1995) NIH 123pp. Describes twelve step facilitation therapy in which the overall goal is to facilitate patients active participation in the fellowship of Alcoholics Anonymous. The therapy regards such active involvement as the primary factor responsible for sustained sobriety and therefore as the desired outcome of participation in this treatment program. This therapy is grounded in the concept of alcoholism as a spiritual and medical disease. VOLUME 2-MOTIVATIONAL ENHANCEMENT THERAPY (1994) NIH 121pp. Describes motivational enhancement therapy (MET), a systematic intervention approach for evoking change in problem drinkers. MET is based on principles of motivational psychology and is designed to produce rapid internally motivated change. This treatment strategy does not attempt to guide and train the client, step by step, through recovery, but instead employs motivational strategies to mobilize the client’s own change resources. 13

VOLUME 3-COGNITIVE BEHAVIORAL COPING SKILLS THERAPY MANUAL (1995) NIH 101pp. Describes cognitive-behavioral coping skills therapy, which is based on the principles of social learning theory and views drinking behavior as functionally related to major problems in the patient’s life. Emphasis is placed on overcoming skill deficits and increasing the patient’s ability to cope with high-risk situations that commonly precipitate relapse. The program consists of 12 sessions aimed at training the patient to use active behavioral or cognitive coping methods to deal with problems rather than relying on alcohol as a maladaptive coping strategy. VOLUME 4-THE DRINKING INVENTORY OF CONSEQUENCES (1995) NIH 94pp. Presents a psychometric instrument, the Drinker Inventory of Consequences (DrInC), developed in support of Project MATCH to assess the adverse consequences of drinking. Presents the background and rationale for the development of the DrInC, the scale construction and item analysis, its test-retest reliability, test procedures, and the test forms. VOLUME 5-FORM 90: A STRUCTURED ASSESSMENT INTERVIEW FOR DRINKING AND RELATED BEHAVIORS TEST MANUAL (1996) NIH 123pp. Form 90 is a family of assessment interview instruments designed to provide primary dependent measures of alcohol consumption and related variables. The interviews produce a continuous daily record of drinking and documentation of related variables from a 90-day baseline period through the last follow-up point. VOLUME 6-IMPROVING COMPLIANCE WITH ALCOHOLISM TREATMENT (1997) NIH 104pp. This manual provides a compendium of strategies for enhancing client compliance to psychosocial treatments, as well as therapist compliance with treatment protocols, in treatment and research programs involving alcohol-using populations. Many factors affect compliance, and the authors have addressed a wide range of patient needs. The volume consists of two parts. Part 1 is directed to both clinicians and clinical researchers, with points of particular interest to researchers identified. Part 2 focuses on strategies for enhancing therapist compliance in treatment delivery through the use of treatment manuals and careful supervision of the therapists delivering the intervention. VOLUME 7-STRATEGIES FOR FACILITATING PROTOCOL COMPLIANCE IN ALCOHOLISM TREATMENT RESEARCH (1998) NIH 141pp. This monograph describes methods for facilitating research compliance in a multi-site clinical trial. Practical strategies are offered for retaining participants in trials and for gathering accurate data in a timely manner. Specific examples from Project MATCH are used to illustrate methods of enhancing research compliance. The volume also presents an organizing framework for addressing compliance problems, a detailed description of numerous compliance strategies, and a systematic way to deliver these strategies. VOLUME 8-PROJECT MATCH HYPOTHESES: RESULTS AND CAUSAL CHAIN ANALYSES (2001) NIH 330pp. This volume is a systematic and comprehensive treatment of causal chain analysis of interventions for alcohol problems. Causal chains are theory-based models of the change process underlying intervention effects. Causal chains specify a testable sequence of steps postulated to be necessary and sufficient occurrences leading to an intervention’s effects. The Project MATCH design included causal chain testing for all of the tested hypotheses.


The Research Report Series simplifies the science of research findings for the educated lay public, legislators, education groups, and practitioners. The series reports on research findings of national interest. ANABOLIC STEROID ABUSE - RESEARCH REPORT SERIES (2000) PHD561 8pp. Compiles scientific information on the effects of steroids. This report also discusses prevention and treatment of steroid abuse.


COCAINE ABUSE AND ADDICTION - RESEARCH REPORT SERIES (1999) PHD813 8pp. Compiles scientific information on cocaine and explains the harmful effect of cocaine abuse. This report also investigates the various treatments for cocaine abuse. HALLUCINOGENS AND DISSOCIATIVE DRUGS (INCLUDING LSD, PCP, KETAMIN, DEXTROMETHORPHAN) - RESEARCH REPORT SERIES (2001) PHD867 8pp. This publication summarizes current knowledge about rates of use, methods of action, effects, and acute and longterm dangers of two important classes of drugs of abuse. HEROIN: ABUSE AND ADDICTION - RESEARCH REPORT SERIES (2000) PHD742 8pp. Provides science-based information on the prevalence of heroin abuse, methods of use, short- and long-term effects of heroin abuse, and medical complications of chronic abuse. Describes effective treatment for addiction and lists resources for more information. HIV/AIDS - RESEARCH REPORT SERIES (2006) PHD1128 8pp. Information on the pivotal role of drug abuse in the spread of HIV/AIDS and the development of effective strategies to prevent and treat this disease. NIDA has established that drug abuse treatment is HIV prevention. This Research Report is designed to highlight the state of the science and raise awareness of the linkages between drug abuse and HIV/AIDS. INHALANT ABUSE: ITS DANGERS ARE NOTHING TO SNIFF AT - RESEARCH REPORT SERIES (1994) PHD675 8pp. Based on research on the use and prevalence of inhalants, presents information on the types of inhalants, the consequences of their use, who is abusing inhalants, and where to get help. MARIJUANA ABUSE - RESEARCH REPORT SERIES (2002) PHD948 8pp. This Research Report discusses the current knowledge of marijuana abuse and its harmful effects. MDMA (Ecstasy) ABUSE - RESEARCH REPORT SERIES (2006) PHD1105 8pp. The so-called “club drug” MDMA continues to be used by millions of Americans across the country, despite evidence of its potential harmful effects. This report gives a description of the drug, its history and its effects on the body (especially on the brain). Included are facts about treatment, as well as Internet resources. NICOTINE ADDICTION - RESEARCH REPORT SERIES (1998) PHD762 8pp. Describes what nicotine is, presents epidemiological research data regarding its use, and reports on the medical consequences of nicotine use. Emphasizes the effects of nicotine on the brain as well as current findings about use during pregnancy. Includes treatment approaches. PRESCRIPTION DRUG ABUSE AND ADDICTION - RESEARCH REPORT SERIES (2005) PHD866 8pp. This publication provides concise but detailed research findings of national interest regarding the increasing trend in abuse of prescription drugs and why they are prescribed, how they work in the brain and body, and what happens with improper use. THERAPEUTIC COMMUNITY - RESEARCH REPORT SERIES (2002) PHD947 12pp. Based on over 30 years of scientific inquiry and observation, this research report provides information on therapeutic communities and their role in treating drug addiction.



Accelerating the dissemination of research-based drug abuse treatment findings into communitybased practice is a key priority for NIDA and represents the core mission of the NIDA/SAMHSA Blending Initiative. The Institute of Medicine reported that at 17-year gap exists between the publication of research results and its impact on treatment delivery. To reduce this gap, NIDA and SAMHSA have joined together to create the Blending Initiative. This initiative is an effort to translate research into practice and to incorporate bidirectional feedback from multiple stakeholders to make the best drug abuse and addiction treatments available to those who are in need. These publications are available through NIDA at BUPRENORPHINE TREATMENT: TRAINING FOR MULTIDISCIPLINARY ADDICTION PROFESSIONALS The primary goal of this training package is to create awareness about buprenorphine among multidisciplinary addiction professionals. The materials include information designed to increase motivation for bringing buprenorphine to local communities as well as information about what to expect when someone is treated with this medication. TREATMENT PLANNING M.A.T.R.S.: UTILIZING THE ADDICTION SEVERITY INDEX (ASI): TO MAKE REQUIRED DATA COLLECTION USEFUL The primary goal of this training package is to transform required “paperwork” into clinically useful information. The ASI is one of the most widely used tools for the assessment of substance use-related problems. MOTIVATIONAL INTERVIEWING ASSESSMENT: SUPERVISORY TOOLS FOR ENHANCING PROFICIENCY (MIA:STEP) The MIA:STEP package is a collection of tools for mentoring counselors in the use of MI skills during clinical assessments. SHORT-TERM OPIOID WITHDRAWAL USING BUPRENORPHINE: FINDINGS AND STRATEGIES The primary goal of this training package is to instruct providers on the administration of a 13-day buprenorphine taper for opioid dependent patients. PROMOTING AWARENESS OF MOTIVATIONAL INCENTIVES (PAMI): SUCCESSFUL TREATMENT OUTCOMES USING MOTIVATIONAL INCENTIVES PAMI incorporates a multi-media approach to familiarize the field with MI. The materials are supported by research and contained on the CD-Rom. It contains a video, PowerPoint presentation and a tool kit.


To ensure that treatment providers apply the most current science-based approaches to their patients, NIDA has supported the development of the Therapy Manuals for Drug Addiction series. This series reflects NIDA’s commitment to rapidly applying basic findings in real-life settings. The manuals present clear, helpful information to aid drug treatment practitioners in providing science based care. They describe scientifically supported therapies for addiction and give specific guidance on session content and on how to implement therapeutic techniques. A COGNITIVE-BEHAVIORAL APPROACH: TREATING COCAINE ADDICTION (MANUAL 1) (1998) BKD254 127pp. First in the “Therapy Manuals for Drug Addiction” series, manual 1describes a cognitive-behavioral coping skills treatment (CBT), which is a short-term, focused approach to helping cocaine-dependent individuals become abstinent from cocaine and other drugs. A COMMUNITY REINFORCEMENT PLUS VOUCHERS APPROACH: TREATING COCAINE ADDICTION (MANUAL 2) (1998) BKD255 148pp. This treatment integrates a community reinforcement approach (CRA) with an incentive program that uses 16

vouchers. Patients can earn points exchangeable for retail items by remaining in treatment and cocaine abstinence. AN INDIVIDUAL DRUG COUNSELING APPROACH TO TREAT COCAINE ADDICTION: THE COLLABORATIVE COCAINE TREATMENT STUDY MODEL (MANUAL 3) (1999) BKD337 83pp. Presents the third in a series of planned manuals that describe specific behavioral cognitive models to implement in a wide range of drug abuse treatment settings. They are also a component of NIDA’s Treatment Initiative to disseminate behavioral and cognitive treatment approaches proven effective through research to agencies and service providers. DRUG COUNSELING FOR COCAINE ADDICTION: THE COLLABORATIVE COCAINE TREATMENT STUDY MODEL (MANUAL 4) (2002) BKD465 124pp. Describes specific behavioral/cognitive models that can be implemented in a wide range of drug abuse treatment settings. BRIEF STRATEGIC FAMILY THERAPY FOR ADOLESCENT DRUG ABUSE (MANUAL 5) (2003) BKD48 87pp. This BSFT manual introduces counselors to concepts they need to understand the family as a vital context within which adolescent drug abuse occurs. It also describes strategies for creating a therapeutic relationship with families, assessing and diagnosing maladaptive patterns of family interactions, and changing family interaction patterns from maladaptive to adaptive. ANGER MANAGEMENT FOR SUBSTANCE ABUSE & MENTAL HEALTH CLIENTS: A COGNITIVE BEHAVIORAL THERAPY MANUAL (2008) SMA08-4213 57pp. This manual describes a 12-week cognitive behavioral anger management group treatment. Each of the 12 ninety minute weekly sessions is described in detail with specific instructions for group leaders. It also includes tables and figures that illustrate the key conceptual components of the treatment. ANGER MANAGEMENT FOR SUBSTANCE ABUSE & MENTAL HEALTH CLIENTS: PARTICIPANT WORKBOOK (2002) BKD444 49pp. This workbook was developed for use in conjunction with Anger Management for Substance Abuse and Mental Health Clients: A Cognitive Behavioral Therapy Manual. APPROACHES TO DRUG ABUSE COUNSELING (2000) BKD365 129pp. Companion document to Therapy Manual 1-3. This guide presents information on the various counseling approaches used in some of the best-known and most respected treatment programs in the United States. Each chapter is written by an authoritative spokesperson for the counseling model being described CLINICAL TOOLBOX: SCIENCE-BASED MATERIALS FOR DRUG ABUSE TREATMENT PROVIDERS (2000) CLNBOX A compilation of publications based on NIDA-supported research. Includes three therapy manuals, “Commonly Abused Drugs” chart, “Principles of Drug Addiction Treatment”, Research Report Series and NIDA Publications.

SAMHSA’S MANAGED CARE INITIATIVE PUBLICATIONS AN EVALUATION OF CONTRACTS BETWEEN MANAGED CARE ORGANIZATIONS AND COMMUNITY MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT AND PREVENTION AGENCIES. VOLUME 1 (1997) BKD240 60pp. Volume 1 of this series examines the structure and content of provider network agreements between managed care organizations and community mental health and substance abuse treatment and prevention agencies.


DESIGNING SUBSTANCE ABUSE AND MENTAL HEALTH CAPITATION PROJECTS: A MANAGED CARE GUIDE FOR STATE AND LOCAL OFFICIALS. VOLUME 3 (1998) BKD290 62pp. Public sector substance and mental health agencies are helped through the design of quality capitation projects in this guide. The guide also includes a step-by-step approach to becoming a “smart purchaser” of capitated substance abuse and mental health services. This guide is a reference tool that reviews the options available to capitation designers and the relative merits and drawbacks of the alternatives. ESTIMATING AND MANAGING RISKS FOR THE UTILIZATION AND COST OF MENTAL HEALTH AND SUBTANCE ABUSE SERVICES IN A MANAGED CARE ENVIRONMENT. VOLUME 4 (1998) BKD291 109pp. Estimating and Managing Risks discusses the principles and implementation of risk-sharing provider payment systems used in managed care systems. Sections of the manual discuss such topics as how to measure and manage risk, factors to consider when developing risk estimates, and managing risks after the contract is signed. ETHICAL ISSUES FOR BEHAVIORAL HEALTH CARE PRACTITIONERS AND ORGANIZATIONS IN A MANAGED CARE ENVIRONMENT. VOLUME 5 (1998) BKD292 32pp. This guide explores core ethical issues in managed behavioral health care, including the ethical principles underlying debate regarding the overall allocation of health care resources. Ethical issues confronting the behavioral health care organization in a managed care environment are also discussed. LEGAL ISSUES ASSOCIATED WITH DEVELOPMENT AND IMPLEMENTATION OF PROVIDER-SPONSORED MANAGED CARE ORGANIZATIONS. VOLUME 6 (1998) BKD296 65pp. Volume 6 in this series summarizes the legal issues that substance abuse service and mental health providers must address when organizing provider-sponsored managed care organizations (MCO’s) and when implementing managed care programs through contract negotiation and the delivery of services and care through provider contracts. A GUIDE FOR PROVIDERS OF MENTAL HEALTH AND ADDICTIVE DISORDER SERVICES TO MANAGED CARE CONTRACTING. VOLUME 9 (1998) MS626 54pp. This guide is designed to assist providers of publicly funded substance abuse and mental health services in negotiations with managed care organizations (MCOs). PARTNERS IN PLANNING: CONSUMERS’ ROLE IN CONTRACTING FOR PUBLIC-SECTOR MANAGED MENTAL HEALTH AND ADDICTION SERVICES. VOLUME 10 (1998) BKD293 104pp. Consumers and families are guided through the process of identifying and advocating for the best possible managed care contracting practices in Volume 10 of this series. Chapters explore the contracting process, the contract content and services, consumer rights, and quality assurance.

OTHER PUBLICATIONS (PREVENTION) CLINICAL PROTOCOLS TO REDUCE HIGH RSK DRINKING IN COLLEGE STUDENTS: THE COLLEGE DRINKING PREVENTION CURRICULUM FOR HEALTH CARE PROVIDERS (2002) National Institute on Alcohol Abuse and Alcoholism (NIAAA) 87pp. The goal of this curriculum is to help all health care professionals identify and treat students who are at risk or are having alcohol-related problems. The clinical methods presented in this curriculum are based on science and clinical experience and have been tested in a variety of settings.


CLOSING THE GAP BETWEEN RESEARCH AND PRACTICE 1997-2000: LESSONS OF THE FIRST THREE YEARS OF CSAP’S NATIONAL CAPT SYSTEM (2001) CSAP 34pp This paper presents the lesson learned by CSAP’s National CAPT Program in supporting CSAP’s mission to reduce substance use and abuse by bringing science-based prevention to every community. The core lessons learned by CSAP’s CAPT’s address issues related to: motivating the field to embrace a science-based approach to prevention planning and evaluation, promoting application of these approaches, and supporting the on-going implementation of these approaches in day-to-day prevention practice. This paper is intended to stimulate further discussion within the field on how to further advance the application of science-based approaches to prevention. CORE COMPETENCIES FOR CLERGY AND OTHER PASTORAL MINISTERS IN ADDRESSING ALCOHOL AND DRUG DEPENDENCE AND THE IMPACT ON FAMILY MEMBERS (2004) PHD1060 36pp. Recognizing that clergy and other pastoral ministers have an array of opportunities to address problems of alcohol and drug dependence, it was agreed that core competencies should provide a general framework with application to diverse pastoral situations. IDENTIFYING AND SELECTING EVIDENCE-BASED INTERVENTIONS: GUIDANCE DOCUMENT FOR THE STRATEGIC PREVENTION FRAMEWORK STATE INCENTIVE GRANT PROGRAM (2007) SMA07-4205 32pp. The purpose of this guidance is to assist State and community planners in applying the Substance Abuse and Mental Health Services Administration’s Strategic Prevention Framework to identify and select evidence-based interventions that address local needs and reduce substance abuse problems. THE NATIONAL CROSS-SITE EVALUATION OF HIGH-RISK YOUTH PROGRAMS (2002) SMA00-3375 40pp. This publication summarizes the major findings of the National Cross-Site Evaluation of High-Risk Programs, which highlights the effectiveness of prevention programs and practice, and identified critical targets for strengthening protective factors in youth at high risk for substance abuse. PATHWAYS TO PREVENTION: GUIDING YOUTH TO WISE DECISIONS. A GUIDE FOR YOUTH LEADERS IN FAITH COMMUNITIES (2003) PHD903 100pp. This unique 100-page guide provides leaders of congregational youth programs with a comprehensive, step-bystep handbook to help kids use the positive influence of religion as a catalyst in making the choice to reject drugs PREVENTING DRUG USE AMONG CHILDREN AND ADOLESCENTS: A RESEARCH-BASED GUIDE FOR PARENTS, EDUCATORS, AND COMMUNITY LEADERS, SECOND EDITION (2003) PHD1023A 49pp. This second edition of the “Red Book” includes updated principles, new questions, new program information, and expanded references and resources based on the latest findings from NIDA-funded prevention research. The 16 fundamental prevention principles, derived from research on effective prevention programs, are outlined. Discussions include key factors that place youth at risk for drug abuse, guidance for planning drug abuse prevention programs in the community, applying the prevention principles to programs, and describing the core elements of effective prevention programs. PREVENTING DRUG USE AMONG CHILDREN AND ADOLESCENTS: A RESEARCH-BASED GUIDE FOR PARENTS, EDUCATORS, AND COMMUNITY LEADERS, SECOND EDITION, IN BRIEF (2003) PHD1023B 58pp. This “In Brief” version provides highlights from the “Red Book” - Preventing Drug Use Among Children and Adolescents: A Research Based Guide for Parents, Educators, and Community Leaders, Second Edition. It presents the updated prevention principles, an overview of program planning, and critical first steps for those learning about prevention. This shortened version therefore can serve as an introduction to research-based prevention for those new to the field of drug abuse prevention.


PRINCIPLES OF HIV PREVENTION IN DRUG-USING POPULATIONS: A RESEARCHED BASED GUIDE (2002) BKD447 32 pp. This Guide provides the basic overarching principles that characterize effective HIV/AIDS prevention in drug users. This research has yielded a set of scientifically based principles that should provide useful to community planners, policymakers, service providers, and medical practitioners as they develop and implement programs to prevent the spread of HIV. SCIENCE-BASED PRACTICES IN SUBSTANCE ABUSE PREVENTION: A GUIDE (1998) Center for Substance Abuse Prevention (CSAP) 35pp. This guide has five major objectives: Identify a conceptual model that provides a unifying and predictive framework for substance abuse prevention, discuss the principles that provide a foundation for understanding and defining research finding as “scientifically defensible”, identify and apply scientific principles, present scientifically defensible findings and discuss how these findings can be used to ensure that the prevention strategies selected for implementation adhere to the guidance provided. SCIENCE-BASED PREVENTION PROGRAMS AND PRINCIPLES, 2002 EFFECTIVE SUBSTANCE ABUSE AND MENTAL HEALTH PROGRAMS FOR EVERY COMMUNITY (2002) BKD479 249pp. This publication provides the latest information about individual model programs and important syntheses of research evaluation findings from across multiple prevention programs. It describes a comprehensive system that SAMHSA is using to ensure optimal use of these programs in communities across America. SUCCESSFUL STRATEGIES FOR RECRUITING, TRAINING AND UTILIZING VOLUNTEERS: A GUIDE FOR FAITH-AND-COMMUNITY BASED SERVICE PROVIDERS (2005) BKD591 64pp. This guidance handbook is designed for community groups and faith-based organizations seeking to maximize the skills of their volunteers, expand their services to the community, and enhance their effectiveness. Although the handbook focuses on prevention, treatment, and recovery services for substance abuse and mental illness, the principles described in the handbook can be applied to any field and should help organizations understand how to implement and manage a successful volunteer program. THE SURGEON GENERAL’S CALL TO ACTION TO PREVENT AND REDUCE UNDERAGE DRINKING: A GUIDE TO ACTION FOR COMMUNITIES (2007) SGCTA-COM-07 16pp. The Surgeon General’s Call to Action to Prevent and Reduce Underage Drinking seeks to raise awareness of and promote action on underage drinking and its effects. In addition to bringing attention to underage drinking and its consequences, the Call to Action identifies six goals for preventing and reducing youth drinking. A Guide to Action for Communities emphasizes the importance of a unified, committed effort among civic groups, businesses, and others to recognize and prevent underage drinking. The Guide, which is based on the Call to Action, provides communities with evidence based strategies and action steps that will assist communities in addressing this important public health and safety problem. SURGEON GENERAL’S CALL TO ACTION TO PREVENT AND REDUCE UNDERAGE DRINKING: A GUIDE TO ACTION FOR EDUCATORS (2007) SGCTA-ED-07 16pp A Guide to Action for Educators, provides teachers and other school personnel with evidence-based and developmentally appropriate strategies and action steps that will help them prevent and reduce underage drinking. THE SURGEON GENERAL’S CALL TO ACTION TO PREVENT AND REDUCE UNDERAGE DRINKGING: A GUIDE TO ACTION FOR FAMILIES (2007) SGCTA-FAM-07 16pp. A Guide to Action for Families provides family members, those who work with young people, and adolescents and teens with evidence-based strategies and action steps they can use to prevent underage drinking.


OTHER PUBLICATIONS (TREATMENT) A PROVIDER’S INTRODUCTION TO SUBSTANCE ABUSE TREATMENT FOR LESBIAN, GAY, BISEXUAL, AND TRANSGENDER INDIVIDUALS (2001) BKD392 191pp. This document seeks to inform administrators and clinicians about appropriate diagnosis and treatment approaches that will help ensure the development or enhancement of effective lesbian, gay, bisexual, and transgender sensitive programs. ACCESSING ALCOHOL PROBLEMS: A GUIDE FOR CLINICIANS AND RESEARCHERS (2003) Institute on Alcohol Abuse and Alcoholism (NIAAA) 671pp. This revision includes several new sections of chapters dealing with emerging topics, such as assessment of alcohol craving and new uses of biomarkers in treatment and research. In addition, a new chapter has been written dealing with adolescent assessment issues and instruments. ALCOHOL PROBLEMS IN INTIMATE RELATIONSHIPS, IDENTIFICATION AND INTERVENTION: A GUIDE FOR MARRIAGE AND FAMILY THERAPISTS (2003) Institute on Alcohol Abuse and Alcoholism (NIAAA) 83pp. This publication from NIAAA is intended for marriage and family therapists to use with individuals, couples, and families who are experiencing or are at risk of experiencing significant alcohol-related problems. BLUEPRINT FOR CHANGE: ENDING CHRONIC HOMELESSNESS FOR PERSONS WITH SERIOUS MENTAL HEALTH AND/OR CO-OCCURRING SUBSTANCE USE DISORDERS (2004) SMA04-3870 139pp. This document 4 action steps (before you begin, plan for services, organize services, sustain services) that communities can take to prevent or end homelessness with people with serious mental illnesses, including those with co-occurring substance use disorders. Each chapter presents current knowledge and specific strategies designed to carry out these action steps. BRIEF COUNSELING FOR MARIJUANA DEPENDENCE: A MANUAL FOR TREATING ADULTS (2006) BKD520 CSAT 203pp. This manual for Brief Dependence Counseling (BMDC) is based on the research protocol used by counselors in the Marijuana Treatment Project (MTP). The manual provides guidelines for counselors, social workers, and psychologists in both public and private settings who treat adults dependent on marijuana. CO-OCCURRING DISORDERS TREATMENT MANUAL (2002)The Louis de la Parte Florida Mental Health Institute, University of South Florida This manual provides a guide for conducting treatment groups related to co-occurring substance use and mental health disorders. Counselors should feel free to adapt the modules to particular needs of their groups. This, manual is designed to provide an interactive approach to addressing co-occurring disorders. CO-OCCURRING DISORDERS TREATMENT WORKBOOK (2002) The Louis de la Parte Florida Mental Health Institute, University of South Florida This workbook was created to contain much of the same information as the manual so that clients would be able to refer back to their group treatment sessions. Information not germane to the clients own participation, such as scoring protocols for assessment, and medication charts were omitted. COUNSELOR’S FAMILY EDUCATION MANUAL: MATRIX INTENSIVE OUTPATIENT TREATMENT FOR PEOPLE WITH STIMULANT DISORDERS (2006) BKD547 174pp. The Matrix IOP approach provides a structured treatment experience for clients with stimulant use disorders. Clients receive information, assistance in structuring a substance-free lifestyle, and support to achieve and maintain abstinence from drugs and alcohol. The program specifically addresses the issues relevant to clients who are dependent on stimulant drugs, particularly methamphetamine and cocaine, and their families.


COUNSELOR’S TREATMENT MANUAL: MATRIX INTENSIVE OUTPATIENT TREATMENT FOR PEOPLE WITH STIMULANT USE DISORDERS (2006) BKD546 264pp. This manual provides a structured approach for treating adults who abuse or are dependent on stimulant drugs. The approach followed in the treatment package was developed by the Matrix Institute in Los Angeles, California, and was adapted for this treatment package by the Knowledge Application Program of the Center for Substance Abuse Treatment of the Substance Abuse and Mental Health Services Administration (SAMHSA). FETAL ALCOHOL SPECTRUM DISODERS: CURRICULUM FOR ADDICTION PROFESSIONALS LEVEL 2 (2007) SMA07-4297 401pp. This curriculum aims to help addiction professional prevent, recognize and address Fetal Alcohol Spectrum Disorders. It is intended as a training for social workers, certified addiction counselors, psychologists, psychiatrists, and others in the treatment and recovery field with a focus on the competencies. IMPLEMENTING AN EARLY WARNING SYSTEM: A MANUAL FOR STATE EVALUATION OF MEDICAID BEHAVIORAL HEALTH MANAGED CARE (2002) BKD466 This manual describes a model that has been successful in Pennsylvania and Vermont, as measured by the fact that both States have continued and supported the program after federal funding concluded. The Early Warning System uses a limited set of quickly obtained measures to identify MCO’s or other providers that may be underperforming. It helps assess issues such as access, quality or service delivery and pinpoint problems. More broadly the system can help identify areawide health care delivery systems that may be under stress, as well as areas of excellence as models to be emulated. NATIONAL VOLUNTARY CONSENSUS STANDARDS FOR THE TREATMENT OF SUBSTANCE USE CONDITIONS: EVIDENCE-BASED TREATMENT PRACTICES (2007) National Quality Forum The National Forum with the support of the Robert Wood Johnson Foundation undertook a project to develop consensus on a set of fully specified, evidence-based practices to treat substance use conditions. Eleven practices were endorsed as voluntary consensus standards. The practices fall into four domains - identification of substance use conditions, initiation and engagement in treatment, therapeutic interventions to treat substance use illness, and continuing care management of substance use illness. OVERVIEW PAPER 2: SCREENING, ASSESSMENT AND TREATMENT PLANNING FOR PERSONS WITH COOCCURRING DISORDERS (2006) PHD1131 10pp. This paper discusses the purpose appropriate staffing, protocols, methods, advantages and disadvantages, and processes for integrated screening, assessment, systems issues, financing, and treatment planning for person with Co-Occurring Disorders. OVERVIEW PAPER 3: OVERARCHING PRINCIPLES TO ADDRESS THE NEEDS OF PERSONS WITH COOCCURRING DISORDERS (2006) PHD1132 10pp. This overviews paper outlines 12 overarching principles for working with persons with co-occurring disorders. These principles are intended to help guide, but not define, systemic and clinical responses. OVERVIEW PAPER 4: ADDRESSING CO-OCCURRING DISORDERS IN NON-TRADITIONAL SETTINGS (2007) SMA07-4277 13pp. Settings outside the Substance Abuse and Mental Health system, or settings where service missions do not include a primary focus on co-occurring disorders, are the focus of this overview paper. Primary health, public safety and criminal justice, and social settings, where persons with co-occurring disorders are likely to be seen, are highlighted. OVERVIEW PAPER 5: UNDERSTANDING EVIDENCE-BASED PRACTICES FOR CO-OCCURRING DISORDERS (2007) SMA07-4278 10pp. This overview paper discusses evidence-based practices and their role in the treatment of co-occurring disorders.


OVERVIEW PAPER 6: SERVICES INTEGRATON (2007) SMA07-4294 12pp. This overview paper defines and explains services integration and differentiates services integration from systems integration. Services integration refers to the process of merging previously separate clinical services at the level of the individual to meet the substance abuse, mental health, and other needs of persons with co-occurring disorders. The paper examines issues concerning the context, content, approaches, and processes that promote and inhibit services integration. OVERVIEW PAPER 7: SYSTEMS INTEGRATION (2007) SMA07-4295 10pp. This overview paper describes the organizational structures and processes that can promote or inhibit systems integration. The paper provides successful initiatives in systems integration. PRINCIPLES OF DRUG ADDICTION TREATMENT: A RESEARCH-BASED GUIDE (1999) BKD347 56pp. This research-based guide highlights effectiveness of treatment. This is the first-ever, science-based guide to drug addiction treatment. In it, the Institute outlines some of the essential components of drug addiction and its treatment based on 30 years of scientific research. This publication includes answers to frequently asked questions about addiction, an overview of drug addiction treatment in the United States and a brief discussion of the science-based approaches to drug addiction treatment with suggestions for further reading. PROMOTING OLDER ADULT HEALTH: AGING NETWORK PARTNERSHIP TO ADDRESS MEDICATION, ALCOHOL, AND MENTAL PROBLEMS (2002) BKD447 124pp. This publication is designed to help older adults gain access to needed substance and mental health services by promoting new linkages between well-known, trusted, and heavily utilized providers of aging services and relevant substance abuse and mental health services. SCREENING AND ASSESESSMENT FOR FAMILY ENGAGEMENT, RETENTION, AND RECOVERY (SAFERR) (2007) SMA07-4261 318pp. The SAFERR monograph was developed in response to frequent requests from managers of child welfare agencies for a “tool” that caseworkers could use to screen parents for potential substance use disorders in order to make decisions about children’s safety. Although research findings and practical experience have established that no single checklist yields the kind of information caseworkers need to make difficult decisions about whether children are safe, they have identified an array of screening instruments and practice principles that, if used appropriately, can provide timely information to guide those decisions. It also provides guidance on developing collaborative efforts to improve outcomes for families. STRATEGIES FOR DEVELOPING TREATMENT PROGRAMS FOR PEOPLE WITH CO-OCCURRING SUBSTANCE ABUSE AND MENTAL DISORDERS (2002) National Council for Community Behavioral Healthcare Both substance abuse and mental health treatment providers recognize the importance of creating programs to treat people with co-occurring disorders. For a variety of reasons, however, they face many challenges in their efforts to fund, staff and operate such programs. To address this problem SAMHSA commissioned this project to identify strategies of developing effective treatment programs for people with co-occurring disorders. This publication is part of the culmination of that project. SUBSTANCE ABUSE RELAPSE PREVENTION FOR OLDER ADULTS: A GROUP TREATMENT APPROACH (2005) BKD525 This manual presents a relapse-prevention approach that uses the cognitive-behavioral and self-management intervention (CB/SM) in a counselor-led group treatment setting to help older adults overcome substance use disorders. This guide provides counselors and treatment providers with background and how to directions for introducing relapse prevention techniques to older adults. THE CHANGE BOOK: A BLUEPRINT FOR TECHNOLOGY TRANSFER (2004) National Addiction Technology Transfer Center (NATTC) 66pp. This step-by-step handbook includes the Principles, Steps, Strategies and Activities for achieving effective change. Six full chapters guide readers through the ten key steps of technology transfer, concluding with a detailed, educational workbook to put the principles into practice. 23

THE CHANGE BOOK WORKBOOK A COMPANION TO THE CHANGE BOOK: A BLUEPRINT FOR TECHNOLOGY TRANSFER (2004) National Addiction Technology Transfer Center (NATTC) 28pp. The Workbook is designed to allow the user to apply the steps outlined in the Blueprint. THE NIDA COMMUNITY-BASED OUTREACH MODEL: A MANUAL TO REDUCE THE RISK OF HIV AND OTHER BLOOD-BORNE IN DRUG USERS (2000) BKD366 100pp. This manual is intended to serve as a guide for community-based HIV risk-reduction efforts targeting out oftreatment drug users. The model described represents a synthesis of finding and best practices from two national multi-site intervention programs. THERAPEUTIC COMMUNITY CURRICULUM-PARTICIPANT’S MANUAL (2006) BKD534 155pp. This manual features an introduction to the Therapeutic Community Curriculum (TCC) and a description of its approach, In addition, there are 11 therapies based on the modules in the training manual for participants to use. THERAPEUTIC COMMUNITY CURRICULUM-TRAINER’S MANUAL (2006) BKD533 Therapeutic Community Curriculum (TCC) comprises 11 modules designed to meet the critical need for entry-level staff training in the basics of the therapeutic community model. Each module can be used separately to target a specific training need. TOOLS FOR SUCCESS CURRICULUM: WORKING WITH YOUTH WITH FASD IN THE JUVENILE JUSTICE SYSTEM (2008) SMA07-4291 534pp. This is a training to promote strategies to identify needs of youth in corrections with Fetal Alcohol Spectrum Disorders (FASD) and to develop and present more effective intervention strategies. The training curriculum is designed to help juvenile professional intervene more effectively with juvenile offenders who are identified as likely to engage in repeated criminal activity UNDERSTANDING SUBSTANCE ABUSE AND FACILITATING RECOVERY: A GUIDE FOR CHILD WELFARE WORKERS (2005) PHD1092 This guide for child welfare workers provides a detailed view of the intricate connection between substance abuse and its effect on a child’s welfare. Chapters include: How to motivate parents into treatment and enhance treatment readiness and how to support and facilitate recovery and enhance treatment effectiveness.


ASSESSMENT INSTRUMENTS ADDICTION SEVERITY INDEX (ASI) Treatment Research Institute This ASI is an assessment instrument designed to be administered as a semi-structured interview in one hour or less to patients who present for substance abuse treatment. The instrument gathers information about seven areas of a patient’s life: medical, employment/support, drug and alcohol use, family history, family/social relationships, and psychiatric problems. THE ADOLESCENT DIAGNOSTIC INTERVIEW (ADI) Western Psychological Services The ADI systemically assesses psychoactive substance use disorders in 12 to 18 year olds. Based on Diagnostic and Statistical Manual (DSM) III-R criteria, this convenient structured interview also evaluates psychosocial stressors, school and interpersonal functioning, and cognitive impairment. In addition it screens for specific problems commonly associated with substance abuse. THE ALCOHOL USE DISORDERS IDENTFICATION TEST (AUDIT) Project Cork The purpose of the audit is to identify persons whose alcohol consumption has become hazardous or harmful to their health. ASAM PATIENT PLACEMENT CRITERIA 2ND EDITION REVISED (ASAM PPC-2R) American Society of Addiction Medicine ASAM PPC-2R is the most widely used and comprehensive national guideline for placement, continued stay, and discharge for patients with alcohol and other drug problems. DRINKER INVENTORY OF CONSEQUENCES (DrInC) National Institute on Alcohol Abuse and Alcoholism This assessment tool is a self-administered 50 item questionnaire designed to measure adverse consequences of alcohol abuse in five areas: Interpersonal, Physical, Social, Impulsive, and Intrapersonal. Each scale provides a lifetime and past 3 month measure of adverse consequences. DRUG ABUSE SCREENING TEST (DAST) Center for Addiction and Mental Health The purpose of the DAST is to provide a brief, simple, practical, but valid method for identifying individuals who are abusing psychoactive drugs and to yield a quantitative index score of the degree of problems related to drug use and abuse. FORM 90-A STRUCTURED ASSESSMENT INTERVEIEW FOR DRINKING AND RELATED BEHAVIORS TEST MANUAL National Institute on Alcohol Abuse and Alcoholism Form 90 is a family assessment interview instrument designed to provide primary dependent measures of alcohol consumption and related variables.


THE GLOBAL APPRAISAL OF INDIVIDUAL NEEDS-INITIAL (GAIN-I) Chestnut Health Systems, Chestnut Institute Developed through a 10-year collaboration of clinicians, researchers, and policy makers from over a dozen agencies and localities, the Global Appraisal of Individual Needs (GAIN1) is a progressive and integrated series of measures and computer applications designed to support a) initial screenings, brief interventions and referrals, b) standardized biopsychosocial clinical assessments for diagnosis, placement and treatment planning, c) monitoring of changes in clinical status, service utilization, and costs to society, and d) subgroup and program level needs assessment and evaluation. GAIN is copyrighted by Chestnut Health Systems. THE GLOBAL APPRAISAL OF INDIVIDUAL NEEDS-M90 Chestnut Health Systems, Chestnut Institute The GAIN-M90 is a follow-up instrument designed for use every 90 days after the GAIN-I THE GLOBAL APPRAISAL OF INDIVIDUAL NEEDS-QUICK (GAIN-Q) Chestnut Health Systems, Chestnut Institute This instrument is a general assessment used to identify various life problems among adolescents and adults in the general population. Designed for use by personnel in diverse settings the instrument is used to identify those in need of a longer, more detailed assessment, identify those who may benefit from a brief intervention, and guide staff to make effective referral and placement decisions. THE GLOBAL APPRAISAL OF INDIVIDUAL NEEDS- QUICK MONITORING (GAIN-QM) Chestnut Health Systems, Chestnut Institute This is a follow-up instrument for use every 90 days after the GAIN-Q (Full or Core). The instrument is composed of a subset of items from the GAIN-Q. The items measure behavior during the past 90 days, chiefly in terms of the number of days. THE GLOBAL APPRAISAL OF INDIVIDUAL NEEDS-SHORT SCREENER (GAIN-SS) Chestnut Health Systems, Chestnut Institute GAIN-SS is designed for use in general populations to quickly and accurately identify who would have a disorder on the full GAIN (typically a requirement for treatment entry in behavioral health) and rule out those who would not. THE GLOBAL APPRAISAL OF INDIVIDUAL NEEDS-TREATMENT SATISFACTION INDEX (GAIN-TxSI) Chestnut Health Systems, Chestnut Institute The GAIN Treatment Satisfaction Index (TxSI) is a one-page form that is used as an alternative to the WAIP and WAIT. The intention is to administer the TxSI at the second therapeutic session. These measures have to be completed by the fifth therapeutic session to be considered a valid measure of early therapeutic alliance. THE MINI INTERNATIONAL NEUROPSYCHIATRIC INTERVIEW (MINI) Medical Outcomes Systems, Inc. The MINI is a short structured diagnostic interview developed jointly by psychiatrists and clinicians in the United States and Europe for Diagnostic and Statistical Manual (DSM)-IV and International Statistical Classification of Diseases and Related Health Problems (ICD)-10 psychiatric disorders. With an administrative time of approximately 15 minutes, it was designed to meet the need for a short but accurate structured psychiatric interview for multicenter clinical trials and epidemiology studies and to be used as a first step in outcomes tracking in nonresearch clinical settings. THE MINI INTERNATIONAL NEUROPSYCHIATRIC INTERVIEW PLUS (MINI PLUS) Medical Outcome Systems, Inc. Assists in the assessment and tracking of patients with greater efficiency and accuracy.


PROBLEM ORIENTED INSTRUMENT FOR TEENAGERS (POSIT) The POSIT designed to identify potential problem areas that require further in-depth assessment in 10 areas, including substance abuse, mental health, and social relations. PRACTICAL ADOLESCENT DUAL DIAGNOSTIC INTERVIEW (PADDI) Evince Clinical Assessments The PADDI is a comprehensive diagnostic assessment interview designed specifically for adolescents. It documents both Diagnostic and Statistical Manual (DSM)-IV substance abuse/dependence diagnoses and major mental health conditions. The PADDI emphasizes the mental health conditions most likely to impede recovery from substance abuse or dependence. RECOVERY ATTITUDE AND TREATMENT EVALUATOR (RAATE) CLINICAL EVALUATION (CE) AND QUESTIONNAIRE I (QI) Evince Clinical Assessments The RAATE instruments consist of two distinct but interrelated assessment tools, the RAATE-CE and RAATEQI, which are intended to tap five key dimensions considered important for treatment placement and planning: resistance to treatment, resistance to continuing care, acuity of biomedical problems, acuity of psychiatric/ psychological problems, and social/family environmental status. The five RAATE dimensions are compatible with but not identical to American Society of Addiction Medicine (ASAM) Patient Placement Criteria. STAGES OF CHANGE READINESS AND TREATMENT EAGERNESS SCALE (SOCRATES) Department of Psychology, University of Mexico The SOCRATES is a 19-item self-administered assessment designed to assess client motivation to change drinking related behavior. It is made up of three scales: Problem Recognition, Ambivalence and Taking Steps. STRUCTURED CLININCAL INTERVIEW FOR DSM-IV DISORDERS (SCID-IV) American Psychiatric Publishing, Inc. The SCID-IV obtains AXIS I and II diagnoses using the DSM-IV diagnostic criteria for enabling the interviewer to either rule out or establish a diagnosis of drug abuse or drug dependence and/or alcohol abuse or alcohol dependence.


EVIDENCE-BASED THERAPIES BEHAVIORAL THERAPY FOR ADOLESCENTS This therapy incorporated the principle that unwanted behavior can be changed by clear demonstration of the desired behavior and consistent reward of incremental steps toward achieving it. Therapeutic activities include fulfilling specific assignments, rehearsing desired behaviors, and recording and reviewing progress, with praise and privileges given for meeting assigned goals. BRIEF STRATEGIC FAMILY THERAPY (BSFT) BSFT is a brief intervention used to treat adolescent drug use that occurs with other problem behaviors. These cooccurring problem behaviors include conduct problems at home and at school, oppositional behavior, delinquency, associating with antisocial peers, aggressive and violent behavior, and risky sexual behavior. BFST is based on three basic principles: The first principle is a family systems approach. This means that family systems are interdependent. What affects one member affects all. The second BSFT principle is that the pattern of interaction in the family influences the behavior of each family member. The third principle is to plan interventions that carefully target and provide practical way to change those patterns of interaction that are directly linked to the adolescents drug use or other problem behavior. COGNITIVE BEHAVIORAL THERAPY (CBT) CBT is based on the theory that learning processes play a critical role in the development of maladaptive behavioral patterns. The objectives of CBT typically are to identify irrational or maladaptive thoughts, assumptions and beliefs that are related to debilitating negative emotions and to identify how they or dysfunctional, inaccurate, or simply not helpful. COMMUNITY REINFORCEMENT APPORACH (CRA) PLUS VOUCHERS CRA Plus Vouchers is an extensive 24-week outpatient therapy for treatment of cocaine addiction. The treatment goals are twofold: to achieve cocaine abstinence long enough for patients to learn new skills that will help sustains abstinence and to reduce alcohol consumption for patients whose drinking is associated with cocaine use. CONTINGENCY MANAGEMENT Contingency Management interventions are based upon principles of behavioral modification. The behavior principles are based upon three basic tenets: arrangement of the environment so that target behaviors are readily detected, providing tangible reinforcements whenever the target behavior is demonstrated and systemically withholding rewards when target behavior does not occur. DAY TREATMENT WITH ABSTINENCE CONTINGENCIES AND VOUCHERS This therapy was developed to treat homeless crack addicts. Interventions include individual assessment and goal setting, individual and group counseling, multiple psychoeducational groups (for example, didactic groups on community resources, housing, cocaine, and HIV/AIDS prevention) and patient governed community meetings. Individual counseling sessions occur once a week and group therapy sessions are held three times a week. After 2 months of day treatment and at lese 2 weeks of abstinence, participants graduate to a 4 month work component that pays wages that can be used to rent inexpensive, drug-free housing. A voucher system also rewards drug-free related social and recreational activities INDIVIDUALUZED DRUG COUNSELING This approach focuses directly on reducing or stopping the addict’s illicit drug use. It also addresses related areas of impaired functioning-such as employment status, illegal activity, family/social relations as well as the content and structure of the patient’s recovery program. Through its emphasis on short-term behavioral goals, individualized drug counseling helps the patient develop coping strategies and tools for abstaining form drug use and maintaining abstinence. THE MATRIX MODEL The Matrix Model provides a framework for engaging stimulant abusers in treatment and helping them achieve abstinence. Participants learn about issues critical to addiction and relapse, receive direction and support from a trained therapist, become familiar with self-help programs, and are monitored for drug use by urine testing.


MOTIVATIONAL ENHANCEMENT THERAPY (MET) MET is a client-centered counseling approach for initiating behavior change by helping clients resolve ambivalence about engaging in treatment and stopping drug use. This approach employs strategies to evoke rapid and internally motivated change in the client, rather than guiding the client stepwise through the recovery process. MULTIDIMENSIONAL FAMILY THERAPY FOR ADOLESCENTS (MDFT) MDFT is outpatient family-based drug abuse treatment for teenagers. MDFT views adolescent drug use in terms of a network of influences (that is, individual, family, peer, community) and suggests that reducing unwanted behavior and increasing desirable behavior occur in multiple ways in different settings. MULTISYSTEMIC THERAPY (MST) This therapy addresses factors associated with serious antisocial behavior in children and adolescents who abuse drugs. These factors include characteristics of the adolescent, the family, peers, school, and neighborhood. REALPSE PREVENTION Relapse prevention encompasses several cognitive behavioral strategies that facilitate abstinence as well as to provide help for people who experience relapse. STRATEGIC/INTERACTIONAL THERAPIES Strategic/Interactional Therapies attempt to identify the client’s strengths and actively create personal and environmental situations where success can be achieved. In these therapies, the focus is on the individual’s strengths rather than on pathology. The interventions are based on client-centered determination with the community serving as a resource.

USEFUL WEB SITES CENTER FOR SUBSTANCE ABUSE PREVENTION (CSAP) CSAP works with States and Communities to develop comprehensive prevention systems that create healthy communities in which people enjoy a quality life. This includes supportive work and school environments, drug-andcrime-free neighborhoods, and positive connections with friends and families. CENTER FOR SUBSTANCE ABUSE TREATMENT (CSAT) CSAT works with State and community based groups to improve and expand existing substance abuse treatment services under the Substance Abuse and Treatment Block Grant Program. CENTERS FOR THE APPLICATION OF PREVENTION TECHNOLOGIES (CAPT) The primary mission of SAMHSA/CSAP’s National Centers for the Application of Prevention Technologies (CAPT) is to bring research to practice by assisting States/ Jurisdictions and community-based organizations in the application of the latest evidence-based knowledge to their substance abuse prevention programs, practices, and policies. COMMUNITY ANTI-DRUG COALITIONS OF AMERICA (CADCA) CADCA’s mission is to strengthen the capacity of community coalitions to create and maintain safe, healthy and drug-free communities. CADCA supports its members with training and technical assistance, public policy advocacy, media strategies and marketing programs, conferences and special events. CO-OCCURRING CENTER FOR EXCELLENCE (COCE) The Co-Occurring Center for Excellence is the first national resource for the field of co-occurring mental health and substance abuse disorders. COCE provides technical assistance, training, products, and resources to support the dissemination and adoption of best practices in systems and programs that serve persons with co-occurring disorders.


FADAA ON DEMAND FADAA on Demand is an online platform offering interactive web meeting, web seminars/events and interactive trainings. FADAA on Demand has the ability to conduct online testing and polls and the capacity to record and archive web based seminars and events for later viewing. FLORIDA ALCOHOL AND DRUG ABUSE ASSOCIATION (FADAA) The mission of FADAA is to represent its members in advancing addiction treatment, prevention and research through public policy leadership, communications, professional development and quality member services. FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES, SUBSTANCE ABUSE PROGRAM OFFICE (DCF, SAPO) The Substance Abuse Program Office is dedicated to the development of a comprehensive system of prevention, emergency/detoxification, and treatment services for individuals and families at risk of or affected by substance abuse; to promote their safety, well-being, and self-sufficiency. KNOWLEDGE APPLICATION PROGRAM (KAP) The Knowledge Application Program (KAP) of the Center for Substance Abuse Treatment gives knowledge about best treatment practices wings by putting it in the hands of providers who help individuals seeking substance abuse treatment. NATIONAL ADDICTION TECHNOLOGY TRANSFER CENTER (NATTC) NETWORK Building on a rich history, the Addiction Technology Transfer Center (ATTC) Network is dedicated to identifying and advancing opportunities for improving addiction treatment. Our vision is to unify science, education and services to transform the lives of individuals and families affected by alcohol and other drug addiction NATIONAL IMPROVEMENT RESEARCH NETWORK (NIRN) The mission of NIRN is to close the gap between science and service by improving the science and practice implementation in relation to evidence-based programs and practices. NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ADDICTION (NIAAA) NIAAA provides leadership in the national effort to reduce alcohol-related problems by: • Conducting and supporting research in a wide range of scientific areas including genetics, neuroscience, epidemiology, health risks and benefits of alcohol consumption, prevention, and treatment • Coordinating and collaborating with other research institutes and Federal Programs on alcohol-related issues • Collaborating with international, national, state, and local institutions, organizations, agencies, and programs engaged in alcohol-related work • Translating and disseminating research findings to health care providers, researchers, policymakers, and the public NATIONAL INSTITUTE ON DRUG ABUSE (NIDA) NIDA’s mission is to lead the Nation in bringing the power of science to bear on drug abuse and addiction. This charge has two critical components. The first is the strategic support and conduct of research across a broad range of disciplines. The second is ensuring the rapid and effective dissemination and use of the results of that research to significantly improve prevention, treatment and policy as it relates to drug abuse and addiction. NATIONAL OUTCOME MEASURES (NOMs) The National Outcome Measures (NOMs) for prevention and treatment of substance use and/or mental disorders are designed to assist programs and communities embody meaningful, real life outcomes for people who 30

are striving to attain and sustain recovery, build resilience, and work, learn, live, and participate fully in their communities. NATIONAL REGISTRY OF EVIDENCE-BASED PRACTICES AND PROGRAMS (NREPP) NREPP is a searchable database of interventions for the prevention and treatment of mental and substance use disorders. SAMHSA has developed this resource to help people, agencies, and organizations implement programs and practices in their communities. THE NETWORK FOR THE IMPROVEMENT OF ADDICTION TREATMENT (NIAtx) The Network for the Improvement of Addiction Treatment (NIATx) is a partnership between the Robert Wood Johnson Foundation’s Paths to Recovery program, the Center for Substance Abuse Treatment’s Strengthening Treatment Access and Retention (STAR) program, the National Institute on Drug Abuse, and a number of independent addiction treatment organizations. NIATx works with addiction treatment providers to make more efficient use of their capacity and shares strategies for improving treatment access and retention. NIDACLINICAL TRIALS NETWORK (CTN) The mission of the CTN is twofold. Its purpose is to conduct studies of behavioral, pharmacological, and integrated behavioral and pharmacological treatment interventions of therapeutic effects in rigorous, multisided clinical trials to determine effectiveness across a broad range of community-based treatment settings and diversified patient population and to transfer the research results to physicians, providers, and their patients to improve the quality of drug abuse treatment throughout the country using science as a vehicle. PREVENTION PLATFORM SAMHSA’s Prevention Platform is an online resource for substance abuse prevention. The tools available on the website are designed to assist in the following areas: • Assessment - determining your prevention needs • Capacity - improving your capabilities • Planning - developing a strategic plan • Implementation - putting your plan into action • Evaluation - documenting the outcomes of your work. STRATEGIC PREVENTION PLATFORM SAMHSA’s Prevention Platform is a systemic community-based approach, which aims to ensure that substance abuse prevention programs can and do produce results. The idea behind SPF is to use the findings from public health research along with evidence-based prevention programs to build capacity within States and the prevention field. SUBSTANCE ABUSE AND MENTAL HEALTH DATA ARCHIVE (SAMHDA) SAMHDA provides free, ready access to comprehensive research data in a variety of formats and promotes the sharing of these data among researchers, policymakers, service providers and others. The goal is to of SAMHDA is to increase the use of data to most accurately understand and assess substance abuse and mental health problems and the impact of related treatment systems. SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) The Substance Abuse and Mental Health Services Administration (SAMHSA) has established a clear vision for its work -- a life in the community for everyone. To realize this vision, the Agency has sharply focused its mission on building resilience and facilitating recovery for people with or at risk for mental or substance use disorders. SAMHSA is gearing all of its resources -- programs, policies and grants -- toward that outcome.


Florida Department of Children and Families Substance Abuse Program Office

Mission The Substance Abuse Program Office is dedicated to the development of a comprehensive system of prevention, emergency/detoxification, and treatment services for individuals and families at risk or affected by substance abuse; to promote their safety, well-being, and self-sufficiency. revised June 2008