Substance Abuse Treatment and Domestic Violence

1 Substance Abuse and Mental Health Services Administration Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment Substance Abuse Treatment and Domestic Violence Treatment Improvement Protocol (TIP) Series 25 Substance Abuse Treatment and Domestic Violence CSAT (TIP) 25 Blue Lines FPO (for spine positioning) Substance Abuse Treatment and Domestic Violence Treatment Improvement Protocol (TIP) Series 25 DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment 1 Choke Cherry Road Rockville, MD 20857 Acknowledgments This publication was prepared under contract number 270-95-0013 by the Knowledge Application Program (KAP), a Joint Venture of The CDM Group, Inc.

2 , and JBS International, Inc., for the Substance Abuse and Mental Health Services Administration (SAMHSA), Department of Health and Human Services (HHS). Sandra Clunies, , ICADC, served as the Contracting Officer s Representative. Disclaimer The opinions expressed herein are the views of the consensus panel members and do not necessarily reflect the official position of SAMHSA or HHS. No official support of or endorsement by SAMHSA or HHS for these opinions or for the instruments or resources described are intended or should be inferred.

3 The guidelines presented should not be considered substitutes for individualized client care and Treatment decisions. Public Domain Notice All material appearing in this report is in the public domain and may be reproduced or copied without permission from SAMHSA. Citation of the source is appreciated. However, this publication may not be reproduced or distributed for a fee without the specific, written authorization of the Office of Communications, SAMHSA, HHS. Electronic Access and Printed Copies This publication may be ordered for free from SAMHSA s Publications Ordering Web page at Or, please call SAMHSA at 1-877-SAMHSA-7 (1-877-726-4727) (English and Espa ol).

4 The document can be downloaded from the KAP Web site at Recommended Citation Center for Substance Abuse Treatment . Substance Abuse Treatment and Domestic Violence . Treatment Improvement Protocol (TIP) Series, No. 25. HHS Publication No. (SMA) 12-4076. Rockville, MD: Substance Abuse and Mental Health Services Administration, 1997. Originating Office Quality Improvement and Workforce Development Branch, Division of Services Improvement, Center for Substance Abuse Treatment , Substance Abuse and Mental Health Services Administration, 1 Choke Cherry Road, Rockville, MD 20857.

5 HHS Publication No. (SMA) 12-4076 First Printed 1997 Revised 2000, 2002, 2003, 2005, 2008, and 2012 Contents What Is a TIP?.. v Editorial Advisory vii Consensus Panel .. ix xi Executive Summary and Recommendations .. xiii Scope of the xiii Summary of xiv Supplemental Materials ..xviii Chapter 1 Effects of Domestic Violence on Substance Abuse Defining the Problem.

6 2 Identifying the A New Way of Chapter 2 Survivors of Domestic Violence : An Overview ..9 Entering the Treatment System ..9 Treatment Planning for the Survivor Client ..11 Issues for Children of Survivors ..17 Case Scenario: Profile of a Survivor ..20 Chapter 3 Batterers: An Overview ..25 Perspectives on Substance Abuse and the Ba tterer Client ..25 Profiling Treatment Issues for the Su bstance-Abusing Chapter 4 Screening and Referral of Survivors and Batterers in Substance Abuse Treatment Methods of Screening for Domestic Violence : Screening for Domestic Violence : Batterers.

7 42 Screening for Presence of child iii Contents Treatment Concerns for Survivors and Chapter 5 Legal Issues ..51 Federal Law ..51 Local Laws: Civil Protection and Restraining Orders ..53 Other Legal Issues ..54 Communicating With the Legal Dealing With the Po lice ..60 Conclusion ..61 Chapter 6 Linkages: A Coordinated Community Systemic Reform.

8 64 Community-Based Linkages ..65 Identifying Critical Linkages, Barriers, and Opportunities ..68 Establishing a Linkage Relationship ..68 Other Linkage Examples of Effective Community-Based Linkages ..77 Coordination of Appendix A Appendix B Federal Confidentiality Regulations ..95 Types of Programs Covered by the Federal Confidentiality Rules Governing Communication of Information ..99 Five Other Exceptions to the General Confidentiality Other Requirements ..111 Conclusion ..111 Endnotes ..111 Appendix C Instruments.

9 115 Abuse Assessment Screen (English Version) ..116 Encuesta Sobre El Maltrato (Spanish Version)..117 Danger Assessment ..119 The Psychological Maltreatment of Women Inventory (PMWI)..121 The Revised Conflict Tactics Scale (CTS2) (for Couples) .. 123 Appendix D Sample Personalized Safety Plan for Domestic Violence Personalized Safety Telephone Numbers I Need to Know:..133 Appendix E Hotlines and Other Resources for Domestic Violence and Related General Resources ..136 Other Services ..139 Appendix F Resource Panel ..147 Appendix G Field Reviewers.

10 149 iv What Is a TIP? Treatment Improvement Protocols (TIPs) are developed by the Center for Substance Abuse Treatment (CSAT), part of the Substance Abuse and Mental Health Services Administration (SAMHSA) within the Department of Health and Human Services (HHS). Each TIP involves the development of topic-specific best-practice guidelines for the prevention and Treatment of Substance use and mental disorders. TIPs draw on the experience and knowledge of clinical, research, and administrative experts of various forms of Treatment and prevention.