Treatment
Information Protocol (TIP)
Download Only
TIP 01: State Methadone Treatment Guidelines.
This TIP provides guidelines for State Alcohol and Other Drug (AOD)
agencies and methadone treatment providers on effective treatment
practices and care. 222 pages
-
1
2
TIP 02: Pregnant, Substance-Using Women
90 pg book
This TIP defines guidelines that reflect state-of-the-art
scientific and clinical knowledge on effective treatment practices
and care for pregnant addicts.
-
1
2
TIP
03: Screening and Assessment of Alcohol-and Other Drug- Abusing
Adolescents
270 pg book
See TIP 31
This TIP, on screening and assessment of AOD-Abusing adolescents, is
the third published by CSAT since a treatment improvement initiative
began.
-
1
2
TIP
04: Guidelines for the Treatment of Alcohol-and Other Drug-Abusing
Adolescents 109 pg book
See TIP 32
This
TIP was produced as a guideline with the intent of assisting those
charged with the responsibility of providing evaluation and care for
troubled youth.
-
1
2
TIP 05: Improving Treatment for Drug Exposed
Infants 96 pg book
Guidelines and standards of care in monitoring and evaluating
programs treating drug-exposed infants are examined in volume 5 of
this series.
-
1
2
TIP 06: Screening for Infectious Diseases Among
Substance Abusers
160 pg book
This TIP defines guidelines in establishing funding, monitoring, and
evaluating treatment programs that screen for infectious diseases in
substance abusers.
-
1
2
TIP 07: Screening and Assessment for Alcohol and
Other Drug Use Among Adults in the Criminal Justice System
129 pg book
This TIP provides guidelines to criminal justice and substance abuse
treatment personnel on effective procedures and instruments to
ensure appropriate program referral, treatment, and enhanced
outcomes.
Download Only
TIP 08:
Intensive Outpatient Treatment for Alcohol and Other Drug Abuse.
This TIP provides an overview of Intensive Outpatient Treatment (IOT),
documenting the clinical viability and utility of IOT and stressing
the range of IOT services within the local continuum of care. 104
pages
1
2
-
TIP 09: Assessment and Treatment of Patients
With Coexisting Mental Illness and Alcohol and Other Drug Abuse
114 pg book
Volume 9 of the TIP series provides treatment recommendations that
are practical and useful for enhancing services to individuals
dually diagnosed with mental health and substance abuse problems
(Replaced by TIP 42)
Download Only
TIP 10: Assessment and Treatment of Cocaine-Abusing,
Methadone-Maintained Patients.
This TIP addresses the treatment needs of methadone patients using
opioids and stimulants, especially cocaine and crack cocaine. 117
pages
Download Only
TIP 11: Simple Screening Instruments for Outreach for Alcohol and
Other Drug Abuse and Infectious Diseases.
This TIP presents information on two screening instruments, one for
substance abuse and one for infectious diseases, their development,
and guidelines for their use. The instruments are designed for
linking AOD treatment with treatment for HIV/AIDS, TB, and STDs. 74
pages
-
1
2
TIP
12: Combining Substance Abuse Treatment With Intermediate Sanctions
for Adults in the
Criminal Justice System
112 pg book
This TIP provides the substance abuse treatment and criminal justice
systems with information to enhance the linkage of treatment
services for offenders assigned to intermediate sanctions. Planning,
policy, ethical, and legal issues are discussed.
1
2
-
TIP
13: The Role of Current Status of Patient Placement Criteria in the
Treatment of Substance Abuse Disorders
74 pg book
This TIP will help readers understand what patient placement
criteria are and learn 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 (UPPC).
The many advantages of adopting UPPC are discussed in this
TIP along with ‘how
to’ suggestions and strategies for developing national support for
UPPC.
Download Only
TIP 14: Developing State Outcomes Monitoring Systems for Alcohol and
Other Drug Abuse Treatment.
This TIP is designed to help single State agencies and their staff
develop, implement, and manage outcomes monitoring systems for local
substance abuse treatment programs to increase accountability for
AOD treatment expenditures. It also can be of service to direct
service providers, third-party payers, utilization reviewers,
quality assurance personnel, and staff of managed care programs. 96
pages
Download Only
(Replaced by TIP 37)
TIP 15: Treatment
for HIV-Infected Alcohol and Other Drug Abusers.
This TIP provides recommendations and guidelines for quality care
for AOD abusers who are in treatment and who are infected with HIV.
The guidelines identify a spectrum of core services and treatment
approaches that ideally should be available to all HIV-infected AOD
abusers, regardless of the setting in which they receive care. 171
pages. For more updated version see Tip 37.
-
1
2
TIP
16: Alcohol and Other Drug Screening Of Hospitalized Trauma Patients
96 pg book
The TIP provides guidelines for addressing positive results of
screens. The purpose of
screening is twofold: to
improve the medical management of these patients during
hospitalization and injury rehabilitation and to help identify a
subgroup of patients with untreated AOD problems who can be referred
to treatment if appropriate. The
TIP is targeted both to professionals in the treatment field, who
may not be familiar with traumatic injuries, and to medical
professionals, who may be considering implementing screening
programs in their facilities.
Download Only
TIP 17: Planning
for Alcohol and Other Drug Abuse Treatment for Adults in the
Criminal Justice System.
This TIP will help criminal justice and AOD treatment systems
promote the acceptance of AOD treatment for criminal offenders and
enhance its effectiveness. The CSAT Criminal Justice Treatment
Planning Chart is included in an appendix to assist policymakers and
planners. 116 pages
Download Only
TIP 18: The
Tuberculosis Epidemic: Legal and Ethical Issues for Alcohol and
Other Drug Abuse Treatment Providers.
This TIP, which summarizes the latest advice and recommends
protocols for dealing with the threat of tuberculosis (TB) in the
AOD setting, is intended to encourage collaboration among State,
local, and private agencies. The TIP includes guidelines for AOD
treatment providers about cooperating with public health officials
and others in preventing the transmission of TB in AOD treatment
facilities. 132 pages
Download Only
(Replaced by TIP 45)
TIP 19: Detoxification From Alcohol and
Other Drugs.
This TIP presents comprehensive guidelines useful to individuals
involved in planning, evaluating, and providing detoxification
services. 95 page. For more updated version see TIP 45
-
1
2
TIP 20: Matching Treatment to Patient Needs in
Opioid Substitution Therapy
134 pg book
Persons with addictions to opioids often need a broad range of
services in addition to opioid substitution therapy. Research has
shown that providing these services as part of the therapy program
greatly increases retention in treatment and improves outcomes. This
TIP offers guidelines to providers who deliver quality treatment to
opiate-addicted persons.
Download Only
TIP 21 Combining
Alcohol and Other Drug Abuse Treatment With Diversion for Juveniles
in the Justice System.
This TIP introduces a new definition of diversion, concentrating on
diverting youth already involved with the juvenile justice system.
The TIP provides hands-on information about community collaboration
to establish a diversion program for youth whose court involvement
is associated with substance abuse. 131 pages
Download Only
TIP 22: LAAM in
the Treatment of Opiate Addiction.
This TIP presents current knowledge about the use of
levo-alpha-acetyl-methadol (LAAM), an opioid agonist medication
approved by the Food and Drug Administration in 1993. This TIP
describes the medication itself, its modes of action, possible side
effects, and interactions with other medications. Separate chapters
describe treatment planning, program administration, and regulatory
and ethical issues. 66 pages
Download Only
TIP 23: Treatment
Drug Courts: Integrating Substance Abuse Treatment With Legal Case
Processing.
This TIP provides clinicians, administrators, and policymakers with
the information they need to plan, implement, monitor, and evaluate
treatment drug courts. The number of programs that integrate drug
treatment into the pretrial processing of criminal cases has grown
exponentially in the last several years: this TIP highlights the
most successful of them and presents relevant information on
financial, legal, and ethical issues. 65 pages
Download Only
TIP 24: A Guide to
Substance Abuse Services for Primary Care Physicians .
This TIP presents best practice guidelines for primary care
clinicians to follow in caring for patients with substance use
disorders. 168 pages
-
1
2
TIP
25: Substance Abuse Treatment and Domestic Violence 152 pg
book
Designed
for treatment providers, this TIP presents an 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.
-
1
2
TIP 26: Substance Abuse Among Older Adults
173 pg book
Adults age 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.
-
1
2
TIP 27: Comprehensive Case Management for
Substance Abuse Treatment
121 pg book
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.
-
1
2
TIP 28: Naltrexone and Alcoholism Treatment
94 pg book
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.
-
1
2
TIP 29: Substance Use Disorder Treatment For
People With Physical and Cognitive Disabilities
156 pg book
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.
-
1
2
TIP 30: Continuity of Offender Treatment for
Substance Use Disorders From Institution to Community
121 pg book
This TIP presents guidelines for ensuring continuity of care as
offenders with substance use disorders move from incarceration to
the community. The guidelines are for treatment providers in
prisons, jails, community corrections, and other institutions, as
well as community providers.
-
1
2
TIP 31: Screening and Assessing Adolescents for
Substance Use Disorder
136 pg book
Substance use can disrupt a young person's ability to meet
developmental tasks and impair identity development, a central theme
of adolescence. This TIP 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. Replaces TIP 3
-
1
2
TIP 32: Treatment of Adolescents With Substance
Use Disorders
126 pg book
This TIP 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 adolescent's
life, such as cognitive, emotional, physical, social, and moral
development, and family and peer environment. The TIP focuses on
ways to specialize treatment for adolescents, as well as on common
and effective program components and approaches being used today.
Replaces TIP 4
-
1
2
TIP 33: Treatment for Stimulant Abuse Disorders
226 pg book
Stimulant use has risen dramatically in the United States over the
last 20 years. 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/dependence problems associated with cocaine and
methamphetamine use.
-
1
2
TIP 34: Brief Interventions and Brief Therapies
for Substance Abuse 234
pg book
This TIP is intended primarily for counselors and therapists working
in the substance abuse treatment field, but parts of it will be of
value to other audiences, including health care workers, social
services providers, clergy, teachers, and criminal justice
personnel. IN fact
those portions of this TIP dealing with the brief interventions will
be of use to any professional service provider who may need to make
an intervention to help persons with substance abuse disorders alter
their use patterns or seek treatment.
However, brief therapy should only be practiced by those who
are properly qualified, educated, and licensed.
-
1
2
TIP 35: Enhancing Motivation for Change in
Substance Abuse Treatment
243 pg book
This TIP embraces a fundamentally different way to conceptualize
motivation. In this
approach, motivation is viewed as a dynamic and changeable state
rather than a static trait. This
TIP shows how clinicians can influence this change process by
developing a therapeutic relationship, one that respects and builds
on the client’s autonomy and, at the same time, makes the
treatment counselor a participant in the change process.
The TIP also describes different motivational interventions
that can be used at all stages of change, from precontemplation an
preparation to action and maintenance.
-
1
2
TIP 36: Substance Abuse Treatment for Persons
with Child Abuse and Neglect Issues 181 pg book
This TIP examines treatment issues for both adult survivors of child
abuse or neglect and adults in treatment who may be abusing or
neglecting their own children.
-
1
2
TIP 37: Substance Abuse Treatment for Persons
with HIV/AIDS 316 pg
book
This TIP is a revision of TIP
15, Treatment for HIV-Infected Alcohol and Other Drug Abusers.
It is intended to help a wide range of providers become
familiar with both substance abuse and human immunodeficiency virus
(HIV) and to foster a better understanding of the roles of other
providers. Replaces TIP 15
-
1
2
TIP 38: Integrating Substance Abuse Treatment and Vocational
Services
This TIP presents a fundamental rethinking of the importance of
integrating vocational services into substance abuse treatment
planning. The goal of
this TIP is to show how employment can play a key role in recovery
from substance abuse disorders.
In the wake of legislative reforms and limited resources, the
TIP discusses establishing a referral relationship with other
agencies to better meet client needs.
Not only will clients receive services in areas outside the
alcohol and drug counselors’ area of expertise, but active
referrals may help the client stay in treatment, and agencies can
also share resources and funding to provide services more
efficiently. Policy and
funding issues also are discussed, as are legal issues.
-
1
2
TIP 39: Substance Abuse Treatment and Family
Therapy
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
provides basic information about family therapy for substance abuse
treatment professionals, and basic information about the models,
techniques, ad principles of family therapy, with special attention
to the stages of motivation as well as to treatment and recovery.
Discussion also focuses on clinical decision making and training,
supervision, cultural considerations, special populations, funding,
and research. The TIP further identifies future directions for both
research and clinical practice.
-
1
2
TIP 40: Clinical Guidelines for the Use of
Buprenorphine in the Treatment of Opioid Addiction
This
TIP provides consensus- and evidence-based treatment guidance for
the use of Buprenorphine, a new option for the treatment of opioid
addiction. The goal of the TIP is to provide physicians with
information they can use to make practical and informed decisions
about the use of Buprenorphine to treat opioid addiction. These
guidelines address the pharmacology and physiology of opioids,
opioid addiction, and treatment with Buprenorphine; describe patient
assessment and the choice of opioid addiction treatment options;
provide detailed treatment protocols for opioid withdrawal and
maintenance therapy with Buprenorphine; and include information on
the treatment of special populations, e.g., pregnant women,
adolescents, and polysubstance users. This TIP represents another
step by the Center for Substance Abuse Treatment (CSAT) toward its
goal of bringing national leaders together to improve substance use
disorder treatment in the United States.
-
1
2
TIP 41: Substance Abuse Treatment: Group Therapy
This
TIP presents an overview of the role and efficacy of group therapy
in substances abuse treatment planning. This TIP offers research and
clinical findings and distills them into practical guidelines for
practitioners of group therapy modalities in the field of substance
abuse treatment. The TIP describes effective types of group therapy
and offers a theoretical basis for group therapy's effectiveness in
the treatment of substance use disorders. This work also will be a
useful guide to supervisors and trainers of beginning counselors, as
well as to experienced counselors. Finally, the Tip is meant to
provide researchers and clinicians with a guide to sources of
information and topics for further inquiry.
-
1
2
TIP
42: Substance Abuse Treatment for Persons With Co-Occurring
Disorders
This TIP revises
TIP 9, Assessment and Treatment of Patients With Coexisting
Mental Illness and Alcohol and Other Drug Abuse. The revised TIP
provides information about new substance use and mental disorders
and captures the state-of-the-art in the treatment of people with
co-occurring disorders. The TIP focuses on what the substance abuse
treatment clinician needs to know and provides that information in
an accessible manner. The TIP synthesizes knowledge and grounds it
in the practical realities of clinical cases and real situations so
the reader will come away with increased knowledge, encouragement,
and resourcefulness in working with clients with co-occurring
disorders. Replaces TIP 9
-
1
2
TIP 43: Medication-Assisted
Treatment for Opioid Addiction in Opioid Treatment Programs
Opioid
addiction is a problem with high costs to individuals, families,
and society. This TIP provides a detailed description of
medication-assisted treatment for opioid addiction, including
optional approaches such as comprehensive maintenance treatment,
detoxification, and medically supervised withdrawal.
-
1
2
TIP 44: Substance
Abuse Treatment for Adults in the Criminal Justice System
Research
consistently demonstrates a strong connection between criminal
activity and substance abuse; research also finds that
involvement in substance abuse treatment reduces recidivism for
offenders who use drugs. This TIP presents clinical guidelines
to assist counselors in dealing with problems that routinely
arise because of their clients’ status in the criminal justice
system.
-
1
2
TIP
4 5:
Detoxification and Substance Abuse Treatment
This
Treatment Improvement Protocol (TIP) is a revision of TIP 19,
Detoxification From Alcohol and Other Drugs. TIP 45 was
developed by a panel of experts and it provides up-to-date
information about the role of detoxification in the continuum of
services for individuals with substance use disorders.
Replaces
TIP 19
-
1
2
TIP 46: Substance Abuse: Administrative Issues in Outpatient
Treatment
This Quick Guide will help administrators in outpatient treatment
programs address management and human resources issues, preparing a
program to treat diverse clients, outpatient treatment financing
options and strategies, performance improvement, and outcomes
monitoring.
-
1
2
TIP 47: Clinical
Issues in Intensive Outpatient Treatment
This Treatment Improvement Protocol (TIP), Substance Abuse: Clinical
Issues in Intensive Outpatient Treatment, addresses the practical
needs of treatment providers as they design and implement IOT
programs. The TIP provides specific information on the principles of
intensive outpatient treatment; services and treatment models;
modifications for distinct population groups; culturally competent
treatment; screening and patient placement criteria; counseling
methods and techniques, including involvement of families; and the
continuum of care. The TIP also covers such important issues as how
to improve early retention, provide the appropriate length and
intensity of services, provide the most promising mix of wrap-around
services for positive client outcomes, and arrange ongoing care in
the community
Treatment
Assistance Publications (TAP)
TAP #
TAP Title
TAP 1
Approaches in the Treatment of Adolescents with Emotional
and Substance Abuse Problems
TAP 2
Medicaid Financing for Mental Health and Substance Abuse
Services for Children and Adolescents
TAP 3
Need, Demand, and Problem Assessment for Substance Abuse
Services
TAP 4
Coordination of Alcohol, Drug Abuse, and Mental Health
Services
TAP 5
Self-Run, Self-Supported Houses for More Effective Recovery
from Alcohol and Drug Addiction
TAP 6
Empowering Families, Helping Adolescents
TAP 7
Treatment of Opiate Addiction With Methodone
TAP 8
Relapse Prevention and the Substance Abusing Criminal
Offender
TAP 9
Funding Resource Guide for Substance Abuse Programs
TAP 10
Rural Issues in Alcohol and Drug Abuse Treatment
TAP 11
Treatment for Alcohol and Other Drug Abuse Treatment:
Opportunities for Coordination
TAP 12
Approval and Monitoring of Narcotic treatment Programs: A
Guide on the Roles of Federal and State Agencies
TAP 13
Confidentiality of Patient Records for Alcohol and Other
Drug Treatment
TAP 14
Siting Drug and Alcohol Treatment Programs: Legal Challenges
to the NIMBY Syndrome
TAP 15
Forecasting the Cost of Chemical Dependency Treatment Under
Managed Care: The Washington State Study
TAP 16
Purchasing Managed Care Services for Alcohol and Other Drug
Abuse Treatment: Essential Elements and Policy Issues
TAP 17
Treating Alcohol and Other Drug Abusers in Rural and
Frontier Areas
TAP 18
Checklist for Monitoring Alcohol and Other Drug
Confidentiality Compliance
TAP 19
Counselor's Manual for Relapse Prevention with Chemically
Dependent Criminal Offenders
TAP 20
Bringing Excellence To Substance Abuse Services in Rural And
Frontier America
TAP 21
Addiction Counseling Competencies: The Knowledge, Skills,
and Attitudes of Professional Practice
TAP 21A
Competencies for Substance Abuse Treatment Clinical
Supervisors:
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
TAP 22
Contracting for Managed Substance Abuse and Mental Health
Services: A Guide for Public Purchasers
TAP 23
Substance Abuse Treatment for Women Offenders: Guide to
Promising Practices
TAP 24
Welfare Reform and Substance Abuse Treatment
Confidentiality: General Guidance for Reconciling Need to
Know and Privacy
TAP 25
The Impact of Substance Abuse Treatment on Employment
Outcomes Among AFDC Clients in Washington State
TAP 26
Identifying Substance Abuse Among TANF-Eligible Families
TAP 27
Navigating the Pathways: Lessons and Promising Practices in
Linking Alcohol and Drug Services
TAP 28
The National Rural Alcohol and Drug Abuse Network Awards
For Excellence 2004: Submitted and Award-Winning Papers