Treatment Improvement Protocols
Encyclopedia
Treatment Improvement Protocols (TIPs) are a series of best-practice manuals for the treatment of substance use and other related disorders. The TIP series is published by the Substance Abuse and Mental Health Services Administration
(SAMHSA http://www.samhsa.gov), an agency of the U.S. Department of Health and Human Services (HHS http://www.hhs.gov).
SAMHSA convenes panels of clinical, research, and administrative experts to produce the content of TIPs, which are distributed to public and private substance abuse treatment facilities and individuals throughout the United States
and its territories. TIPs deal with all aspects of substance abuse treatment, from intake procedures to screening and assessment to various treatment methodologies and referral to other avenues of care. TIPs also deal with administrative and programmatic issues such as funding, inter-agency collaboration, training, accreditation, and workforce development. Some TIPs also cover ancillary topics that tend to be associated with substance abuse treatment, such as co-occurring mental health
problems, criminal justice
issues, housing, and primary care
. Once the content of a TIP has been finalized and approved by SAMHSA, the publications are printed through the U.S. Government Printing Office (GPO http://www.gpo.gov/).
As of November 2011, 52 TIPs have been published. Most are available through SAMHSA's 'store' (http://www.store.samhsa.gov/home). SAMHSA also makes newer TIPs available for download in Portable Document Format (PDF), or accessible online through the National Library of Medicine (NLM http://www.nlm.nih.gov/). Although TIPs frequently show up on internet auction sites and through used book
sellers for varying costs, they are intended to be available for free to the public. SAMHSA does not charge for them.
TIP 2: Pregnant, Substance-Using Women (replaced by TIP 51)
TIP 3: Screening and Assessment of Alcohol- and Other Drug-Abusing Adolescents (replaced by TIP 31)
TIP 4: Guidelines for the Treatment of Alcohol- and Other Drug-Abusing Adolescents (replaced by TIP 32)
TIP 5: Improving Treatment for Drug-Exposed Infants
TIP 6: Screening for Infectious Diseases Among Substance Abusers
TIP 7: Screening and Assessment for Alcohol and Other Drug Abuse Among Adults in the Criminal Justice System (replaced by TIP 44)
TIP 8: Intensive Outpatient Treatment for Alcohol and Other Drug Abuse (replaced by TIPs 46 and 47)
TIP 9: Assessment and Treatment of Patients with Coexisting Mental Illness and Alcohol and Other Drug Abuse
TIP 10: Assessment and Treatment Planning for Cocaine-Abusing Methadone-Maintained Patients
TIP 11: Simple Screening Instruments for Outreach for Alcohol and Other Drug Abuse and Infectious Diseases
TIP 12: Combining Substance Abuse Treatment with Intermediate Sanctions for Adults in the Criminal Justice System (replaced by TIP 44)
TIP 13: Role and Current Status of Patient Placement Criteria in the Treatment of Substance Use Disorders
TIP 14: Developing State Outcomes Monitoring Systems for Alcohol and Other Drug Abuse Treatment
TIP 15: Treatment for HIV-Infected Alcohol and Other Drug Abusers (replaced by TIP 37)
TIP 16: Alcohol and Other Drug Screening of Hospitalized Trauma Patients http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.36481
TIP 17: Planning for Alcohol and Other Drug Abuse Treatment for Adults in the Criminal Justice System (replaced by TIP 44)
TIP 18: The Tuberculosis Epidemic: Legal and Ethical Issues for Alcohol and Other Drug Treatment Providers http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.38602
TIP 19: Detoxification From Alcohol and Other Drugs (replaced by TIP 45)
TIP 20: Matching Treatment to Patient Needs in Opioid Substitution Therapy (replaced by TIP 43)
TIP 21: Combining Alcohol and Other Drug Abuse Treatment With Diversion for Juveniles in the Justice System
TIP 22: LAAM in the Treatment of Opiate Addiction (replaced by TIP 43)
TIP 23: Treatment Drug Courts: Integrating Substance Abuse Treatment With Legal Case Processing http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.44270
TIP 24: A Guide to Substance Abuse Services for Primary Care Clinicians http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.45293
TIP 25: Substance Abuse Treatment and Domestic Violence http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.46712
TIP 26: Substance Abuse Among Older Adults http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.48302
TIP 27: Comprehensive Case Management for Substance Abuse Treatment http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.49769
TIP 28: Naltrexone and Alcoholism Treatment http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.51510
TIP 29: Substance Use Disorder Treatment For People With Physical and Cognitive Disabilities http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.52487
TIP 30: Continuity of Offender Treatment for Substance Use Disorders from Institution to Community http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.53792
TIP 31: Screening and Assessing Adolescents for Substance Use Disorders http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.54841
TIP 32: Treatment of Adolescents with Substance Use Disorders http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.56031
TIP 33: Treatment for Stimulant Use Disorders http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.57310
TIP 34: Brief Interventions and Brief Therapies for Substance Abuse http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.59192
TIP 35: Enhancing Motivation for Change in Substance Abuse Treatment http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.61302
TIP 36: Substance Abuse Treatment for Persons with Child Abuse and Neglect Issues http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.63145
TIP 37: Substance Abuse Treatment for Persons with HIV/AIDS http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.64746
TIP 38: Integrating Substance Abuse Treatment and Vocational Services http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.68228
TIP 39: Substance Abuse Treatment and Family Therapy http://download.ncadi.samhsa.gov/prevline/pdfs/bkd504.pdf
TIP 40: Clinical Guidelines for the Use of Buprenorphine in the Treatment of Opioid Addiction http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.72248
TIP 41: Substance Abuse Treatment: Group Therapy http://download.ncadi.samhsa.gov/prevline/pdfs/bkd507.pdf
TIP 42: Substance Abuse Treatment for Persons With Co-Occurring Disorders http://download.ncadi.samhsa.gov/prevline/pdfs/bkd515.pdf
TIP 43: Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs http://download.ncadi.samhsa.gov/Prevline/pdfs/bkd524.pdf
TIP 44: Substance Abuse Treatment for Adults in the Criminal Justice System http://download.ncadi.samhsa.gov/Prevline/pdfs/bkd526.pdf
TIP 45: Detoxification and Substance Abuse Treatment http://download.ncadi.samhsa.gov/prevline/pdfs/DTXTIP45(3-30-06).PDF
TIP 46: Substance Abuse: Administrative Issues in Outpatient Treatment http://download.ncadi.samhsa.gov/prevline/pdfs/tip46small.pdf
TIP 47: Substance Abuse: Clinical Issues in Intensive Outpatient Treatment http://download.ncadi.samhsa.gov/prevline/pdfs/TIP_47.pdf
TIP 48: Managing Depressive Symptoms in Substance Abuse Clients During Early Recovery http://www.kap.samhsa.gov/products/manuals/tips/pdf/TIP48.pdf
TIP 49: Incorporating Alcohol Pharmacotherapies Into Medical Practice http://download.ncadi.samhsa.gov/prevline/pdfs/SMA09-4380/SMA09-4380.pdf
TIP 50: Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment http://download.ncadi.samhsa.gov/prevline/pdfs/SMA09-4381.pdf
TIP 51: Substance Abuse Treatment: Addressing the Specific Needs of Women http://www.kap.samhsa.gov/products/manuals/tips/pdf/TIP51.pdf
TIP 52: Clinical Supervision and Professional Development of the Substance Abuse Counselor http://www.kap.samhsa.gov/products/manuals/tips/pdf/TIP52.pdf
Substance Abuse and Mental Health Services Administration
The Substance Abuse and Mental Health Services Administration is a branch of the U.S. Department of Health and Human Services. It is charged with improving the quality and availability of prevention, treatment, and rehabilitative services in order to reduce illness, death, disability, and cost to...
(SAMHSA http://www.samhsa.gov), an agency of the U.S. Department of Health and Human Services (HHS http://www.hhs.gov).
SAMHSA convenes panels of clinical, research, and administrative experts to produce the content of TIPs, which are distributed to public and private substance abuse treatment facilities and individuals throughout the United States
United States
The United States of America is a federal constitutional republic comprising fifty states and a federal district...
and its territories. TIPs deal with all aspects of substance abuse treatment, from intake procedures to screening and assessment to various treatment methodologies and referral to other avenues of care. TIPs also deal with administrative and programmatic issues such as funding, inter-agency collaboration, training, accreditation, and workforce development. Some TIPs also cover ancillary topics that tend to be associated with substance abuse treatment, such as co-occurring mental health
Mental health
Mental health describes either a level of cognitive or emotional well-being or an absence of a mental disorder. From perspectives of the discipline of positive psychology or holism mental health may include an individual's ability to enjoy life and procure a balance between life activities and...
problems, criminal justice
Criminal justice
Criminal Justice is the system of practices and institutions of governments directed at upholding social control, deterring and mitigating crime, or sanctioning those who violate laws with criminal penalties and rehabilitation efforts...
issues, housing, and primary care
Primary care
Primary care is the term for the health services by providers who act as the principal point of consultation for patients within a health care system...
. Once the content of a TIP has been finalized and approved by SAMHSA, the publications are printed through the U.S. Government Printing Office (GPO http://www.gpo.gov/).
As of November 2011, 52 TIPs have been published. Most are available through SAMHSA's 'store' (http://www.store.samhsa.gov/home). SAMHSA also makes newer TIPs available for download in Portable Document Format (PDF), or accessible online through the National Library of Medicine (NLM http://www.nlm.nih.gov/). Although TIPs frequently show up on internet auction sites and through used book
Book
A book is a set or collection of written, printed, illustrated, or blank sheets, made of hot lava, paper, parchment, or other materials, usually fastened together to hinge at one side. A single sheet within a book is called a leaf or leaflet, and each side of a leaf is called a page...
sellers for varying costs, they are intended to be available for free to the public. SAMHSA does not charge for them.
The TIP Series
TIP 1: State Methadone Treatment Guidelines (replaced by TIP 43)TIP 2: Pregnant, Substance-Using Women (replaced by TIP 51)
TIP 3: Screening and Assessment of Alcohol- and Other Drug-Abusing Adolescents (replaced by TIP 31)
TIP 4: Guidelines for the Treatment of Alcohol- and Other Drug-Abusing Adolescents (replaced by TIP 32)
TIP 5: Improving Treatment for Drug-Exposed Infants
TIP 6: Screening for Infectious Diseases Among Substance Abusers
TIP 7: Screening and Assessment for Alcohol and Other Drug Abuse Among Adults in the Criminal Justice System (replaced by TIP 44)
TIP 8: Intensive Outpatient Treatment for Alcohol and Other Drug Abuse (replaced by TIPs 46 and 47)
TIP 9: Assessment and Treatment of Patients with Coexisting Mental Illness and Alcohol and Other Drug Abuse
TIP 10: Assessment and Treatment Planning for Cocaine-Abusing Methadone-Maintained Patients
TIP 11: Simple Screening Instruments for Outreach for Alcohol and Other Drug Abuse and Infectious Diseases
TIP 12: Combining Substance Abuse Treatment with Intermediate Sanctions for Adults in the Criminal Justice System (replaced by TIP 44)
TIP 13: Role and Current Status of Patient Placement Criteria in the Treatment of Substance Use Disorders
TIP 14: Developing State Outcomes Monitoring Systems for Alcohol and Other Drug Abuse Treatment
TIP 15: Treatment for HIV-Infected Alcohol and Other Drug Abusers (replaced by TIP 37)
TIP 16: Alcohol and Other Drug Screening of Hospitalized Trauma Patients http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.36481
TIP 17: Planning for Alcohol and Other Drug Abuse Treatment for Adults in the Criminal Justice System (replaced by TIP 44)
TIP 18: The Tuberculosis Epidemic: Legal and Ethical Issues for Alcohol and Other Drug Treatment Providers http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.38602
TIP 19: Detoxification From Alcohol and Other Drugs (replaced by TIP 45)
TIP 20: Matching Treatment to Patient Needs in Opioid Substitution Therapy (replaced by TIP 43)
TIP 21: Combining Alcohol and Other Drug Abuse Treatment With Diversion for Juveniles in the Justice System
TIP 22: LAAM in the Treatment of Opiate Addiction (replaced by TIP 43)
TIP 23: Treatment Drug Courts: Integrating Substance Abuse Treatment With Legal Case Processing http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.44270
TIP 24: A Guide to Substance Abuse Services for Primary Care Clinicians http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.45293
TIP 25: Substance Abuse Treatment and Domestic Violence http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.46712
TIP 26: Substance Abuse Among Older Adults http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.48302
TIP 27: Comprehensive Case Management for Substance Abuse Treatment http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.49769
TIP 28: Naltrexone and Alcoholism Treatment http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.51510
TIP 29: Substance Use Disorder Treatment For People With Physical and Cognitive Disabilities http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.52487
TIP 30: Continuity of Offender Treatment for Substance Use Disorders from Institution to Community http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.53792
TIP 31: Screening and Assessing Adolescents for Substance Use Disorders http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.54841
TIP 32: Treatment of Adolescents with Substance Use Disorders http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.56031
TIP 33: Treatment for Stimulant Use Disorders http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.57310
TIP 34: Brief Interventions and Brief Therapies for Substance Abuse http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.59192
TIP 35: Enhancing Motivation for Change in Substance Abuse Treatment http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.61302
TIP 36: Substance Abuse Treatment for Persons with Child Abuse and Neglect Issues http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.63145
TIP 37: Substance Abuse Treatment for Persons with HIV/AIDS http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.64746
TIP 38: Integrating Substance Abuse Treatment and Vocational Services http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.68228
TIP 39: Substance Abuse Treatment and Family Therapy http://download.ncadi.samhsa.gov/prevline/pdfs/bkd504.pdf
TIP 40: Clinical Guidelines for the Use of Buprenorphine in the Treatment of Opioid Addiction http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.72248
TIP 41: Substance Abuse Treatment: Group Therapy http://download.ncadi.samhsa.gov/prevline/pdfs/bkd507.pdf
TIP 42: Substance Abuse Treatment for Persons With Co-Occurring Disorders http://download.ncadi.samhsa.gov/prevline/pdfs/bkd515.pdf
TIP 43: Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs http://download.ncadi.samhsa.gov/Prevline/pdfs/bkd524.pdf
TIP 44: Substance Abuse Treatment for Adults in the Criminal Justice System http://download.ncadi.samhsa.gov/Prevline/pdfs/bkd526.pdf
TIP 45: Detoxification and Substance Abuse Treatment http://download.ncadi.samhsa.gov/prevline/pdfs/DTXTIP45(3-30-06).PDF
TIP 46: Substance Abuse: Administrative Issues in Outpatient Treatment http://download.ncadi.samhsa.gov/prevline/pdfs/tip46small.pdf
TIP 47: Substance Abuse: Clinical Issues in Intensive Outpatient Treatment http://download.ncadi.samhsa.gov/prevline/pdfs/TIP_47.pdf
TIP 48: Managing Depressive Symptoms in Substance Abuse Clients During Early Recovery http://www.kap.samhsa.gov/products/manuals/tips/pdf/TIP48.pdf
TIP 49: Incorporating Alcohol Pharmacotherapies Into Medical Practice http://download.ncadi.samhsa.gov/prevline/pdfs/SMA09-4380/SMA09-4380.pdf
TIP 50: Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment http://download.ncadi.samhsa.gov/prevline/pdfs/SMA09-4381.pdf
TIP 51: Substance Abuse Treatment: Addressing the Specific Needs of Women http://www.kap.samhsa.gov/products/manuals/tips/pdf/TIP51.pdf
TIP 52: Clinical Supervision and Professional Development of the Substance Abuse Counselor http://www.kap.samhsa.gov/products/manuals/tips/pdf/TIP52.pdf