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Planning for Alcohol and Other Drug Abuse Treatment for Adults in the Criminal Justice System
Treatment Improvement Protocol (TIP) Series 17

Exhibits

Exhibit 4-1 Forms of Intermediate Sanctions

  • Means-based fines (also called "day" fines). The total amount of these fines is calibrated to both the severity of the crime and the discretionary income of the offender, with the calibration and calculation established by the court as a whole for all cases in which this type of fine is to be imposed. (This type of fine contrasts with traditional fines that are imposed at the discretion of the judge according to ranges set by the legislature for particular offenses.) Defendants with more income (and/or fewer familial obligations) pay a higher overall fine than those with lower incomes (and/or more obligations) for the same crime. This approach to setting the fine amount is typically coupled with expanded payment options and collection procedures that are tighter than usual.
  • Community service. This is the performance by offenders of services or manual labor for government, private, or nonprofit organizations for a set number of hours with no payment. Community service can be arranged for individuals, case by case, or organized by corrections agencies as programs. For example, a group of offenders can serve as a work crew to clean highways or paint buildings.
  • Restitution. Restitution is the payment by the offender of the costs of the victim's losses or injuries and/or damages to the victim. In some cases, payment is made to a general victim compensation fund; in others, especially where there is no identifiable victim, payment is made to the community as a whole (with the payment going to the municipal or State treasury).
  • Special needs probation programs or caseloads. In these approaches to intermediate sanctions, officers with special training carry a restricted caseload. Typically, these approaches are used with offenders who have committed some categories of domestic violence, sex offenses, and driving under the influence, and with mentally ill, developmentally disabled, or substance-abusing offenders. Supervision in a specialized caseload may mean more intensive or more intrusive supervision than in routine caseloads, the provision of enhanced social and psychological services, and/or specific training or group activities, such as anger management classes or victim impact meetings.
  • Outpatient or residential AOD abuse treatment centers. Both public and private treatment centers may be contracted to provide treatment to offenders, as described in this TIP.
  • Day centers or residential centers for other types of treatment or training. These centers are established to provide services other than AOD abuse treatment. For example, a center may provide skills training to enhance offenders' employability.
  • Intensive supervision probation. The level and types of supervision that are labeled intensive vary widely but usually involve closer supervision and greater reporting requirements than regular probation for offenders. This level can range from more than five contacts a week to fewer than four per month. Supervision usually entails other obligations (to attend school, have a job, participate in treatment, or the like). Intensive supervision parole has similar requirements and variations but is usually provided by parole agents to offenders who have completed a prison term and who are serving the balance of their sentences in the community.
  • Day reporting centers. Under the terms of this intermediate sanction, offenders must report to the center for a certain number of hours each day, and/or report by phone throughout the day from a job or treatment site, as a means of monitoring and incapacitating them.
  • Curfews or house arrest (with or without electronic monitoring). Offenders are restricted to their homes for various durations of time, ranging from all the time to all times except for work or treatment hours, with a few hours for recreation. Frequently, the curfew or house arrest is enforced by means of an electronic device worn by the offender which can alert corrections officials to his or her unauthorized absence from the house.
  • Halfway houses or work release centers. Offenders are restricted to the facility but can leave for work, school, or treatment. The facility is in the community or attached to a jail or similar institution.
  • Boot camps. Typically, a sentence to a boot camp (also called shock incarceration) is for a relatively short time (3 to 6 months). As the name implies, boot camps are characterized by intense regimentation, physical conditioning, manual labor, drill and ceremony, and military-style obedience. (Because boot camps are a form of incarceration, some in the criminal justice field reject their inclusion in the category of intermediate sanctions. Others include boot camps because placement in them is intended to take the place of a longer, traditional prison term.)

Exhibit 5-1 Center for Substance Abuse Treatment
Model for Comprehensive Alcohol and Other Drug (AOD) Abuse Treatment

A model treatment program includes
  • Assessment, including a medical examination, drug use history, psychosocial evaluation, and where warranted a psychiatric evaluation, as well as a review of socioeconomic factors and eligibility for public health, welfare, employment, and educational assistance programs.
  • Same-day intake to retain the patient's involvement and interest in treatment.
  • Documentation of findings and treatment to enhance clinical case supervision.
  • Preventive and primary medical care provided onsite.
  • Testing for infectious diseases at intake and at intervals throughout treatment, for infectious diseases such as hepatitis, retrovirus, tuberculosis, HIV/AIDS, syphilis, gonorrhea, and other sexually transmitted diseases.
  • Weekly random drug testing to ensure abstinence and compliance with treatment.
  • Pharmacotherapeutic interventions by qualified medical practitioners, as appropriate for those patients having mental health disorders, those addicted to opiates, and HIV-seropositive individuals.
  • Group counseling interventions to address the unique emotional, physical, and social problems of HIV/AIDS patients.
  • Basic substance abuse counseling, including psychological counseling, psychiatric counseling, and family or collateral counseling provided by persons certified by State authorities to provide such services. Staff training and education are integral to a successful treatment program.
  • Practical life skills counseling, including vocational and educational counseling and training, frequently available through linkages with specialized programs.
  • General health education, including nutrition, sex and family planning, and HIV/AIDS counseling, with an emphasis on contraception counseling for adolescents and women.
  • Peer/support groups, particularly for those who are HIV-positive or who have been victims of rape or sexual abuse.
  • Liaison services with immigration, legal aid, and criminal justice system authorities.
  • Social and athletic activities to retrain patients' perceptions of social interaction.
  • Alternative housing for homeless patients or for those whose living situations are conducive to maintaining the addicted life-style.
  • Relapse prevention, which combines aftercare and support programs such as the self-help groups Alcoholics Anonymous and Narcotics Anonymous, within an individualized plan to identify, stabilize, and control the stressors that trigger and promote relapse to substance abuse.
  • Outcome evaluation to enable refinement and improvement of service delivery.

Exhibit 8-1 Consent for the Release of Confidential Information: Criminal Justice System Referral

I, ____________________________________________________, hereby consent to
(Name of defendant)
communication between ___________________________________________and
(Treatment program)
_________________________________________________________
(Court, probation, parole, and/or other referring agency)
the following information: _________________________________________________
(Nature of the information, as limited as possible)
The purpose of and need for the disclosure is to inform the criminal justice agency(ies) listed above of my attendance and progress in treatment. The extent of information to be disclosed is my diagnosis, information about my attendance or lack of attendance at treatment sessions, my cooperation with the treatment program, prognosis, and
_________________________________________________________
I understand that this consent will remain in effect and cannot be revoked by me until:
_____ There has been a formal and effective termination or revocation of my release from confinement, probation, or parole, or other proceeding under which I was mandated into treatment, or
_____ ____________________________________________
(other time when consent can be revoked and/or expires)
I also understand that any disclosure made is bound by Part 2 of Title 42 of the Code of Federal Regulations governing confidentiality of alcohol and drug abuse patient records and that recipients of this information may redisclose it only in connection with their official duties.
__________________________________________________
(Date)(Signature of defendant/patient)
_______________________________
(Signature of parent, guardian, or authorized representative, if required)

Exhibit 8-2 Consent for the Release of Confidential Information

I, ____________________________________________________, authorize
(Name of patient)
________________________________________________________________
(Name or general designation of program making disclosure)
to disclose to ____________________________________________________________
(Name of person or organization to which disclosure is to be made)
the following information: __________________________________________________
(Nature of the information, as limited as possible)
________________________________________________________________
________________________________________________________________
The purpose of the disclosure authorized herein is to: _________________________
(Purpose of disclosure, as specific as possible)
________________________________________________________________
________________________________________________________________
I understand that my records are protected under the Federal regulations governing Confidentiality of Alcohol and Drug Abuse Patient Records, 42 C.F.R. Part 2, and cannot be disclosed without my written consent unless otherwise provided for in the regulations. I also understand that I may revoke this consent at any time except to the extent that action has been taken in reliance on it, and that in any event this consent expires automatically as follows:
________________________________________________________________
(Specification of the date, event, or condition upon which this consent expires)
___________________________________________________________
(Date)(Signature of participant)
_______________________________
(Signature of parent, guardian, or authorized representative, if required)

Exhibit 8-3 Prohibition on Redisclosing Information Concerning AOD Abuse Treatment Patients

This notice accompanies a disclosure of information concerning a client in alcohol/drug abuse treatment, made to you with the consent of such client. This information has been disclosed to you from records protected by Federal confidentiality rules (42 C.F.R. Part 2). The Federal rules prohibit you from making any further disclosure of this information unless further disclosure is expressly permitted by the written consent of the person to whom it pertains or as otherwise permitted by 42 C.F.R. Part 2. A general authorization for the release of medical or other information is NOT sufficient for this purpose. The Federal rules restrict any use of the information to criminally investigate or prosecute any alcohol or drug abuse patient.

Exhibit 8-4 Qualified Service Organization Agreement

XYZ Service Center ("the Center") and the ________________________________________
___________________________________________________________ ____________
(Name of the program)
("the Program") hereby enter into a qualified service organization agreement, whereby the Center agrees to provide the following services:
___________________________________________________________ ____________
(Nature of services to be provided)
___________________________________________________________ ____________
_______________________________________________________________________
Furthermore, the Center:
  1. Acknowledges that in receiving, storing, processing, or otherwise dealing with any information from the Program about the patients in the Program, it is fully bound by the provisions of the Federal regulations governing Confidentiality of Alcohol and Drug Abuse Patient Records, 42 C.F.R. Part 2, and

  2. Undertakes to resist in judicial proceedings any effort to obtain access to information pertaining to patients otherwise than as expressly provided for in the Federal confidentiality regulations, 42 C.F.R. Part 2.
Executed this _____ day of __________, 199__.
____________________________________________
President
XYZ Service Center
(Address)
____________________________________________
Program Director
(Name of Program)
(Address)
 



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