This monograph examines a wide range of evidence-based practices for screening and assessment of people in the justice system who have co-occurring mental and substance use disorders (CODs). Use of evidence-based approaches for screening and assessment is likely to result in more accurate matching of offenders to treatment services and more effective treatment and supervision outcomes (Shaffer, 2011). This monograph is intended as a guide for clinicians, case managers, program and systems administrators, community supervision staff, jail and prison booking and healthcare staff, law enforcement, court personnel, researchers, and others who are interested in developing and operating effective programs for justice-involved individuals who have CODs. Key systemic and clinical challenges are discussed, as well as state-of-the art approaches for conducting screening and assessment.

Presents information on identifying, screening, and assessing adolescents who use substances. This report focuses on the most current procedures and instruments for detecting substance abuse among adolescents, conducting comprehensive assessments, and beginning treatment planning. Presents appropriate strategies and guidelines for screening and assessment. Explains legal issues concerning Federal and State confidentiality laws. Provides guidance for screening and assessing adolescents in juvenile justice settings. Summarizes instruments to screen and assess adolescents for substance and general functioning domains.

Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.

This book tackles the important issue of the effects of co-occurring substance abuse and mental health disorders on criminal offenders as they make the transition from incarceration back into society. It provides estimates of the prevalence of these disorders among criminal justice populations, and examines the various screening and assessment instruments used to diagnose co-occurring disorders. The volume further offers an inside look at an experimental community reentry program at a jail facility and uncovers how co-occurring disorders jeopardize the transition back into the community for offenders who suffer from them. It incorporates a historical account of the reentry issue to show how the current reentry problem is rooted in criminal justice policies dating back to the 1980s. As such, the text will be a valuable resource for criminal justice and criminology students, as well as practitioners in the corrections field, particularly those who work with inmates or released individuals with substance abuse and mental health disorders.

1. Youth with mental health disorders in the juvenile justice system-- 2. The diagnosis of mental health disorders-- 3. The oppositional defiant disorder and conduct disorder-- 4. Mood disorders : major depression, dysthymic disorder and bipolar disorder-- 5. Attention-deficit - hyperactivity disorder (ADHD)-- 6. Posttraumatic stress disorder (PTSD)-- 7. Developmental disorders : mental retardation, learning disorders and fetal alcohol syndrome (FAS)-- 8. Schizophrenia and other psychotic disorders-- 9. Substance use disorders : substance abuse and substance dependence-- 10. Co-occuring mental health and substance use disorders -- 11. Suicidal behaviour among juvenile offenders-- 12. Self-injurious behaviour among juvenile offenders-- 13. Screening and assessment of juvenile offenders with mental health disorders-- 14. Treatment of juvenile offenders with mental health disorders-- 15. Special issues 1 : minority youth, female offenders, homosexual youth-- 16. Special issues 2 : head trauma - neuropsychiatric factors, violence and mental illness, seclusion and restraint, malingering, staff training.

This guide was created to promote the early identification of children and adolescents with mental health and substance use problems as well as to provide guidance, tools, and resources for early identification--including a compendium of the most developmentally, culturally, and environmentally appropriate screening instruments. SAMHSA developed the guide using the input of the members of the Federal/National Partnership* (FNP) Early Identification Workgroup, chaired by representatives from the Centers for Disease Control and Prevention (CDC) and the Health Resources and Services Administration (HRSA).

There is a clear and pressing need for health professionals, including social workers, to be trained in evidence-based practices (EBPs) in the area of substance use disorders (SUD). The Substance Abuse and Mental Health Services Administration (SAMHSA) and other national organizations and government agencies have all put out reports calling for this vital need, though there remains a significant shortage of properly trained clinicians. The aim of this book is to provide an integrated perspective on addiction treatment on the evidence-base of psychosocial and medication-assisted treatment for substance use disorder. The volume is unique in that it critically examines the evidence base of both psychosocial and pharmacological treatment practices targeting a profession of social work audience. It is also one of few that (1) incorporates evidence both from the United States and internationally, and (2) presents a methodology that permits the authors to systematically review a large number of empirically based studies in an organized and easy-to-read manner. Additionally, the text incorporates a health disparities perspective and describes implementation barriers at the organizational, community, and policy levels. It can be used in policy, human behavior, and clinical practice both nationally and internationally.