Intensive Outpatient Treatment for Alcohol and Other Drug Abuse Treatment Improvement Protocol (TIP) Series 8
[Front Matter]
[Title Page]
Tip 8: Intensive Outpatient Treatment for
Alcohol and Other Drug Abuse Treatment Improvement Protocol (TIP) Series8
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) 94B2077 Printed 1994
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 describes just one approach to, or model of, intensive
outpatient treatment. Research and evaluation of this approach are needed,
particularly with respect to its application in the public sector.
This publication was written under contract number ADM 270-91-0007 from the
Center for Substance Abuse Treatment of the Substance Abuse and Mental Health
Services Administration (SAMHSA). Anna Marsh, Ph.D., and Sandra Clunies, M.S.,
served as the CSAT Government project officers. Randi Henderson, Mim Landry,
Christopher Phillips, and Deborah Shuman served as writers.
The opinions expressed herein are the views of the consensus panel members
and do not reflect the official position of CSAT or any other part of the U.S.
Department of Health and Human Services (DHHS). No official support or
endorsement of CSAT or DHHS is intended or should be inferred. The guidelines
proffered in this document should not be considered as substitutes for
individualized patient care and treatment decisions.
DHHS Publication No. (SMA) 94B2077.
Printed 1994.
What Is a TIP?
CSAT Treatment Improvement Protocols (TIPs) are prepared by the Quality
Assurance and Evaluation Branch to facilitate the transfer of state-of-the-art
protocols and guidelines for the treatment of alcohol and other drug (AOD) abuse
from acknowledged clinical, research, and administrative experts to the Nation's
AOD abuse treatment resources.
The dissemination of a TIP is the last step in a process that begins with
the recommendation of an AOD abuse problem area for consideration by a panel of
experts. These include clinicians, researchers, and program managers, as well
as professionals in such related fields as social services or criminal justice.
Once a topic has been selected, CSAT creates a Federal resource panel, with
members from pertinent Federal agencies and national organizations, to review
the state of the art in treatment and program management in the area selected.
Recommendations from this Federal panel are then transmitted to the members of a
second group, which consists of non-Federal experts who are intimately familiar
with the topic. This group, known as a non-Federal consensus panel, meets in
Washington for 5 days, makes recommendations, defines protocols, and arrives at
agreement on protocols. Its members represent AOD abuse treatment programs,
hospitals, community health centers, counseling programs, criminal justice and
child welfare agencies, and private practitioners. A chair for the panel is
charged with responsibility for ensuring that the resulting protocol reflects
true group consensus.
The next step is a review of the proposed guidelines and protocol by a third
group whose members serve as 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 AOD
abuse treatment in public and private programs recognized for their provision of
high quality and innovative AOD abuse treatment.
This TIP, titled Intensive Outpatient Treatment for Alcohol and Other
Drug Abuse, describes the level of care that is provided by intensive
outpatient treatment (IOT) programs and the range of services and service
components that are included in such programs. Practical information for
staffing IOT programs and for addressing clinical challenges that arise in the
IOT setting is provided. The treatment needs of special groups, such as women
and ethnic and cultural minorities are addressed. Improving the quality of
services in IOT programs is discussed and suggestions for obtaining public and
private funding are presented. A separate chapter addresses legal issues.
This TIP represents another step by CSAT toward its goal of bringing
national leadership to bear in the effort to improve AOD abuse treatment.
Consensus Panel
Chair:
Paul D. Nagy, M.S., C.S.A.C.
Director
Duke Alcoholism and Addictions Program
Clinical Associate
Department of Psychiatry
Duke University Medical Center
Durham, North Carolina
Facilitators:
J.B. Bixler
Executive Director
Association of Community Mental
Health Authorities of Illinois
Springfield, Illinois
Christine L. Kasser, M.D.
Medical Director
Baptist Recovery Center
Memphis, Tennessee
Mary E. McCaul, Ph.D.
Director
Comprehensive Women's Center
Francis Scott Key Medical Center
Johns Hopkins Hospital
Baltimore, Maryland
Larry G. Osmonson, N.C.A.C. II, C.A.P., C.T.R.T.
President
National Association of Alcoholism and Drug Abuse Counselors
Workgroup Members:
L. Worth Bolton, M.S.W., A.C.S.W.
Program Director
Westhaven Outpatient Treatment Programs
Raleigh, North Carolina
Bill B. Burnett, M.Ed.
Director
Treatment and Intervention
South Carolina Commission on Alcohol and Drug Abuse
Bruce Carruth, Ph.D., L.C.S.W.
Private Practice
Little Rock Psychotherapy Group
Little Rock, Arkansas
Doris Derrington
Consultant
Alcohol and Drug Abuse Services
Topeka, Kansas
Robert F. Forman, Ph.D.
Executive Director
Rehab After Work
Fitzgerald Mercy Hospital
King of Prussia, Pennsylvania
Marco E. Jacome, C.S.A.D.C., C.E.A.P., N.C.A.C. II
Executive Director
Healthcare Alternative Systems, Inc.
Chicago, Illinois
Gary Q. Jorgensen, Ph.D.
Director
Drug and Alcohol Abuse Clinic
School of Medicine
University of Utah
George Kolodner, M.D.
Medical Director
Kolmac Clinic
Silver Spring, Maryland
Jewell Oates, Ph.D.
Executive Director
The Women's Treatment Center
Chicago, Illinois
Philip Spivey, Ph.D.
Director
Outpatient Services
Smithers Alcoholism Treatment and Training Center
St. Luke's-Roosevelt Hospital
New York, New York
Foreword
The Treatment Improvement Protocol Series (TIPs) 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. This
guidance, in the form of a protocol, results from a 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 employs a
consensus process to produce the product. This panel's work is reviewed and
critiqued by field reviewers as it evolves.
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.
I am grateful to all who have joined with us to contribute to advance our
substance abuse treatment field.
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