Treatment Drug Courts: Integrating Substance Abuse Treatment With Legal Case Processing Treatment Improvement Protocol (TIP) Series 23
Tip 23: Treatment Drug Courts: Integrating
Substance Abuse Treatment With Legal Case Processing
Treatment Drug Courts: Integrating Substance Abuse Treatment With Legal Case Processing
[Front Matter]
[Title Page]
Treatment Drug Courts: Integrating Substance
Abuse Treatment With Legal Case Processing Treatment Improvement Protocol (TIP) Series 23
Kevin M. Sherin, M.D., M.P.H. Barry Mahoney, LL.B., Ph.D. Consensus Panel Co-Chairs
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment Rockwall II, 5600 Fishers Lane Rockville, MD 20857 DHHS Publication No. (SMA) 96-3113 Printed 1996.
This publication is part of the Substance Abuse Prevention
and Treatment Block Grant technical assistance program. All material
appearing in this volume except quoted passages from copyrighted
sources is in the public domain and may be reproduced or copied
without permission from the Center for Substance Abuse Treatment
(CSAT) or the authors. Citation of the source is appreciated.
This publication was written under contract numbers ADM 270-91-0007
and 95-0013. Sandra Clunies, M.S., served as the CSAT Government
project officer. Nicholas L. Demos, J.D. was the Government
content adviser. Writers were Deborah Shuman, Randi Henderson,
Mary Shilton, James R. Sevick, Carolyn Davis, Jennie Heard, and
Virginia Vitzthum.
The opinions expressed herein are the views of the Consensus
Panel members and do not reflect the official position of the
U.S. Department of Health and Human Services (DHHS). No official
support or endorsement of CSAT or DHHS for these opinions or
for particular instruments or software that may be described
in this document is intended or should be inferred. The guidelines
in this document should not be considered substitutes for individualized
patient care and treatment decisions.
CSAT Treatment Improvement Protocols (TIPs) are prepared by
the Quality Assurance and Evaluation Branch to assemble state-of-the-art
protocols and guidelines for the treatment of substance abuse
from acknowledged clinical, research, and administrative experts
and distribute them among the Nation's substance abuse treatment
resources.
The dissemination of a TIP is the last step in a process that
begins with CSAT surveying a wide-ranging group of substance
abuse experts, including clinicians, researchers, and program
managers, as well as professionals in such related fields as
social services or criminal justice. From their suggestions of
areas in the field that lack consensus or guidance, a topic is
selected.
CSAT then appoints staff from pertinent Federal agencies and
national organizations to a Federal resource panel that studies
treatment and program management in the area selected. Recommendations
from this Federal panel are transmitted to the members of a second
group, made up of non-Federal experts who are intimately familiar
with the topic. Members of this Consensus Panel represent substance
abuse treatment programs, hospitals, community health centers,
counseling programs, criminal justice and child welfare agencies,
and private practitioners. This panel meets in Washington for
5 days to discuss the Federal panel's recommendations, review
and analyze the literature, and outline protocols for best practices.
The panel chair is charged with ensuring that the resulting protocol
reflects true group consensus.
The next step is a review of the proposed guidelines and protocol
by a large and diverse group of expert field reviewers. Once
their recommendations and responses have been reviewed, the chair
approves the document for publication. The result is a TIP reflecting
the actual state of the art of substance abuse treatment in public
and private programs recognized for their provision of high quality
and innovative substance abuse treatment.
The primary objective of this TIP, titled Treatment Drug
Courts: Integrating Substance Abuse Treatment With Legal Case
Processing, is to help policymakers and practitioners plan,
implement, monitor, and evaluate programs that effectively integrate
treatment in the pretrial processing of criminal cases. TIP 12
in this series, Combining Substance Abuse Treatment With Intermediate
Sanctions for Adults in the Criminal Justice System, focuses
on treatment options for offenders after they have been found
guilty by a judge or jury.
A focus on treatment intervention during the pretrial process
has important implications for the nature of the interrelationship
between the justice system and treatment providers. Defendants
who have been arrested but not yet convicted are legally presumed
innocent; they cannot be compelled to participate in a treatment
program.
The focus on pretrial intervention also has implications for
decisions about the categories of individuals who will be targeted
for intervention; for the nature and timing of screening and
assessment activities; for the consequences that can be imposed
for treatment "failure" or noncompliance with conditions; and
for a host of other program design and implementation issues.
This TIP 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.
This TIP represents another step by CSAT toward its goal of
bringing national leadership to bear in the effort to improve
substance abuse treatment.
Other TIPs may be ordered by contacting The National Clearinghouse
for Alcohol and Drug Information (NCADI), (800) 729-6686 or (301)
468-2600; TDD (for hearing impaired), (800) 487-4889.
The Treatment Improvement Protocol (TIP) series fulfills CSAT's
mission to improve alcohol and other drug (AOD) abuse and dependency
treatment by providing best practices guidance to clinicians,
program administrators, and payers. TIPs are the result of careful
consideration of all relevant clinical and health services research
findings, demonstration experience, and implementation requirements.
A panel of non-Federal clinical researchers, clinicians, program
administrators, and patient advocates debate and discuss their
particular area of expertise until they reach a consensus on
best practices. This panel's work is then reviewed and critiqued
by field reviewers.
The talent, dedication, and hard work that TIPs panelists
and reviewers bring to this highly participatory process have
bridged the gap between the promise of research and the needs
of practicing clinicians and administrators. We are grateful
to all who have joined with us to contribute to advance our substance
abuse treatment field.
Nelba Chavez, Ph.D.
Administrator
Substance Abuse and Mental Health Services Administration