Substance Abuse Treatment
and Domestic Violence
- Treatment Improvement Protocol (TIP) Series 25
- Patricia Anne Fazzone, R.N., D.N.Sc., M.P.H., C.S.
- John Kingsley Holton, Ph.D.
- Beth Glover Reed, 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) 97-3163
- Printed 1997
[Disclaimer]
This publication is part of the Substance Abuse Prevention and Treatment
Block Grant technical assistance program. All material appearing in this volume
except that taken directly from copyrighted sources is in the public domain and
may be reproduced or copied without permission from the Substance Abuse and
Mental Health Services Administration's (SAMHSA) Center for Substance Abuse
Treatment (CSAT) or the authors. Citation of the source is appreciated.
This publication was written under contract number ADM 270-95-0013. Sandra
Clunies, M.S., I.C.A.D.C., served as the CSAT Government project officer.
Writers were Paddy Cook, Constance Grant Gartner, M.S.W., Lise Markl, Randi
Henderson, Margaret K. Brooks, Esq., Donald Wesson, M.D., Mary Lou Dogoloff,
Virginia Vitzthum, and Elizabeth Hayes. Special thanks go to Daniel Vinson,
M.D., M.S.H.P., Mim J. Landry, Mary Smolenski, C.R.N.P., Ed.D., MaryLou Leonard,
Pamela Nicholson, Annie Thornton, Jack Rhode, Cecil Gross, Niyati Pandya, and
Wendy Carter for their considerable contributions to this document.
The opinions expressed herein are the views of the Consensus Panel members
and do not reflect the official position of CSAT, SAMHSA, or the U.S. Department
of Health and Human Services (DHHS). No official support or endorsement of CSAT,
SAMHSA, 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?
Treatment Improvement Protocols (TIPs) are best practice guidelines for the
treatment of substance abuse, provided as a service of the Substance Abuse and
Mental Health Service Administration's Center for Substance Abuse Treatment
(CSAT). CSAT's Office of Evaluation, Scientific Analysis, and Synthesis draws on
the experience and knowledge of clinical, research, and administrative experts
to produce the TIPs, which are distributed to a growing number of facilities and
individuals across the country. The audience for the TIPs is expanding beyond
public and private substance abuse treatment facilities as alcohol and other
drug disorders are increasingly recognized as a major problem.
The TIPs Editorial Advisory Board, a distinguished group of substance abuse
experts and professionals in such related fields as primary care, mental health,
and social services, works with the State Alcohol and Other Drug Abuse Directors
to generate topics for the TIPs based on the field's current needs for
information and guidance.
After selecting a topic, CSAT invites staff from pertinent Federal agencies
and national organizations to a Resource Panel that recommends specific areas of
focus as well as resources that should be considered in developing the content
for the TIP. Then recommendations are communicated to a Consensus Panel composed
of non-Federal experts on the topic who have been nominated by their peers. This
Panel participates in a series of discussions; the information and
recommendations on which they reach consensus form the foundation of the TIP.
The members of each Consensus Panel represent substance abuse treatment
programs, hospitals, community health centers, counseling programs, criminal
justice and child welfare agencies, and private practitioners. A Panel Chair (or
Co-Chairs) ensures that the guidelines mirror the results of the group's
collaboration.
A large and diverse group of experts closely reviews the draft document. Once
the changes recommended by these field reviewers have been incorporated, the TIP
is prepared for publication, in print and online. The TIPs can be accessed via
the Internet on the National Library of Medicine's HSTAT home page. The move to
electronic media also means that the TIPs can be updated more easily so they
continue to provide the field with state-of-the-art information.
While each TIP strives to include an evidence base for the practices it
recommends, CSAT recognizes that the field of substance abuse treatment is
evolving, and research frequently lags behind the innovations pioneered in the
field. A major goal of each TIP is to convey "front-line" information quickly
but responsibly. For this reason, recommendations proffered in the TIP are
attributed to either Panelists' clinical experience or the literature. If there
is research to support a particular approach, citations are provided.
This TIP, Substance Abuse Treatment and Domestic Violence, presents
treatment providers with an introduction to the field of domestic violence. It
gives providers useful information on the role of substance abuse in domestic
violence -- both among the men who batter and the women who are battered. Useful
techniques for detecting and eliciting such information are supplied, along with
ways to modify treatment to ensure victims' safety and to stop the cycle of
violence in both parties' lives. Legal issues, including duty to warn and
confidentiality, are discussed. Finally, the Panel provides a blueprint for a
more integrated system of care that would enhance treatment for both problems.
This section includes practical suggestions for establishing linkages both
between substance abuse treatment providers and domestic violence support
workers and with legal, health care, criminal justice, and other relevant
service agencies.
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.
Editorial Advisory Board
- Karen Allen, Ph.D., R.N., C.A.R.N.
- President of the National Nurses Society on Addictions
- Associate Professor
- Department of Psychiatry, Community Health, and Adult Primary Care
- University of Maryland
- School of Nursing
- Baltimore, Maryland
- Richard L. Brown, M.D., M.P.H.
- Associate Professor
- Department of Family Medicine
- University of Wisconsin School of Medicine
- Madison, Wisconsin
- Dorynne Czechowicz, M.D.
- Associate Director
- Medical/Professional Affairs
- Treatment Research Branch
- Division of Clinical and Services Research
- National Institute on Drug Abuse
- Rockville, Maryland
- Linda S. Foley, M.A.
- Former Director
- Project for Addiction Counselor Training
- National Association of State Alcohol and Drug Directors
- Washington, D.C.
- Wayde A. Glover, M.I.S., N.C.A.C. II
- Director
- Commonwealth Addictions Consultants and Trainers
- Richmond, Virginia
- Pedro J. Greer, M.D.
- Assistant Dean for Homeless Education
- University of Miami School of Medicine
- Miami, Florida
Source: The National Clearinghouse for Alcohol and Drug Information
DHHS Publication No. (SMA) 97-3163
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