Trends and Issues in Addiction Treatment

1
Trends and Issues in Addiction Treatment

• CSD 5970

2
Confidentiality

• Federal Law 42-CFR part 2
• Illinois Law mandates compliance with 42-CFR with
  the following exceptions
• VA records
• Information to qualified service organizations
• Communications between entities having direct
  administrative control
• Child abuse reporting

3
Confidentiality

• Duty to Protect
• Evaluate the risk of harm
• Consult
• Hospitalize the client
• Notify the police
• Warn the potential victim

4
Ethics

• Professional Relationships
• Dual relationships
• Colleagues
• Responsibility to Society
• Confidentiality
• Public Statements

5
Trends and Issues

• Trends in drugs of choice
• Pharmacological therapy
• Brain research
• Changing demographics

6
Trends and Issues

• Research-Based approaches
• Federal Demonstration Projects
• Access
• 6500 Illinois residents are on waiting lists
• Less than 1/10 of 1 of the Illinois State budget
  is spent on addictions treatment while 12 of the
  budget is spent on the consequences of addiction
  (emergency rooms, crime, domestic violence etc.)
  Source IADDA

7
Trends and Issues

• Co-Occurring Substance Abuse
• Mental illness
• Developmental Disabilities
• Medical problems

8
Trends and Issues

• Populations
• Culture-specific approaches
• Aging

9
Trends and Issues

• Criminal Justice
• Average cost of incarceration in Illinois is
  20,000 per year
• Average cost of a course of addictions treatment
  is 2700 per year
• US DOJ 58 of offenders report recent drug use
• Drug Courts
• Prison and Jail Based Treatment Reentry Programs