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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.

[Disclaimer]

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.

What Is a TIP?

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.

Consensus Panel

Susan J. Brannen, M.A.
Executive Director
Pre-Trial Services Corporation of the Monroe County Bar Association
Rochester, NY
Alan Burden, M.Ed., L.P.C. - Facilitator
Program Manager
Clackamas County Mental Health Substance Abuse Program
Milwaukie, OR
Martha J. Castaneda, M.S.W.
Clinical Supervisor
Tucson AIDS Project (TAP)
Tucson, AZ
M. Denis Ferguson, M.A.
Program Manager, Substance Abuse Services
DuPage County Health Department
James D. Gingerich
Director
Administrative Office of the Courts
Justice Building, State Capitol
Little Rock, AR
John S. Goldkamp, Ph.D. - Facilitator
President
Crime and Justice Research Institute
Philadelphia, PA
Barry Mahoney, LL.B., Ph.D. - Co-Chair
President
The Justice Management Institute
Denver, CO
The Honorable Tomar Mason - Facilitator
San Francisco Municipal Court
San Francisco, CA
Robert L. May II
Executive Director
National Consortium of TASC Programs
Washington, DC
E. Michael McCann, J.D.
Milwaukee County District Attorney
Milwaukee, WI
Melody M. McEntee, M.S.W.
Executive Assistant for Treatment Services
Governor's Drug & Alcohol Abuse Commission
Towson, MD
Timothy J. Murray
Director
Metro Dade Office of Substance Abuse Control
Miami, FL
Carla J. Noto, M.A., LMFCC
Clinical Supervisor/Programs Coordinator
Santa Clara County Bureau of Alcohol and Drug Programs
Felton, CA
Kevin M. Sherin, M.D., M.P.H.- Co-Chair
Program Director, Family Practice Residency
Christ Hospital and Medical Center, Advocate Health Systems
Oak Lawn, IL
Shirley Thornton-Johnson, Ed.D.
Director of Program Development
Comprehensive Health Centers
San Diego, CA
The Honorable Jamey H. Weitzman
The District Court of Maryland for Baltimore City
Baltimore, MD
Bob Wessels
Court Manager
Harris County Criminal Courts at Law
Houston, TX

The Consensus Panel met in May 1994.

Foreword

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
David J. Mactas
Director
Center for Substance Abuse Treatment

 



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