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Clinical & Research NewsFull Access

Principles of Drug Abuse Treatment

Published Online:https://doi.org/10.1176/pn.42.10.0048

In 2006 the National Institute on Drug Abuse released “The Principles of Drug Abuse Treatment for Criminal Justice Populations,” posted at<www.nida.nih.gov/PODAT_CJ/principles/>. These are among the principles noted:

Drug addiction is a brain disease that affects behavior.

Recovery from drug addiction requires effective treatment, followed by management of the problem over time.

Treatment must last long enough to produce stable behavioral changes.

Assessment is the first step in treatment.

Tailoring services to fit the individual's needs is important for criminal-justice populations.

Drug use during treatment should be carefully monitored.

Treatment should target factors associated with criminal behavior.

Criminal-justice supervision should incorporate treatment planning for drug-abusing offenders, and treatment providers should be aware of correctional supervision requirements.

Continuity of care is essential for drug abusers re-entering the community.

A balance of rewards and sanctions encourages treatment participation.

Offenders with co-occurring drug abuse and mental health problems require an integrated treatment approach.

Medications are an important part of treatment for many drug-abusing offenders.

Treatment planning for drug-abusing offenders who are living in or re-entering the community should include strategies to prevent and treat serious, chronic medical conditions, such as HIV/AIDS, hepatitis B and C, and tuberculosis. ▪