101439: Major Treatment Issues and Approaches (TIP 44, Chapter 5): Substance Abuse Treatment for Adults in the Criminal Justice Systsem

About the Course:

This publication presents clinical guidelines to help substance abuse treatment counselors address issues that arise from their clients’ status in the criminal justice system and to aid personnel in the criminal justice system in understanding and addressing the challenges of working with offenders with substance use disorders. This course covers Chapter 5 (adobe pages 95-115) and addresses major treatment issues and approaches.


U.S. Department of Health and Human Services

Publication Date:




About the Author:

Substance Abuse Treatment for Adults in the Criminal Justice System was published as Treatment Improvement Protocol (TIP) 44 by the Substance Abuse and Mental Health Services Administration (SAMHSA).

Recommended For:

This course is recommended for health care professionals, especially addiction counselors, psychologists, mental health counselors, social workers, and nurses who seek knowledge about substance abuse treatment issues and approaches for adults in the criminal justice system. It is appropriate for all levels of participants’ knowledge.

Course Objectives:

  1. Discuss clinical strategies for treating substance-abusing adults in the criminal justice system, including addressing basic needs, criminality, anger, and hostility.

  2. Explain factors related to addressing identity issues, denial, resistance, and guilt.

  3. Describe methods for establishing boundaries, creating a therapeutic alliance, and designing treatment to reflect the stages of change.

  4. Identify programmatic strategies to foster both engagement and retention in substance abuse treatment.

Exam Questions

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