Trends and Issues in Addiction Treatment CSD 5970

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

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

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

Trends and Issues Trends in drugs of choice Trends in drugs of choice Pharmacological therapy Pharmacological therapy Brain research Brain research Changing demographics Changing demographics

Trends and Issues Research-Based approaches Research-Based approaches Federal Demonstration Projects Federal Demonstration Projects Access Access 6500 Illinois residents are on waiting lists 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 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

Trends and Issues Co-Occurring Substance Abuse Co-Occurring Substance Abuse Mental illness Mental illness Developmental Disabilities Developmental Disabilities Medical problems Medical problems

Trends and Issues Populations Populations Culture-specific approaches Culture-specific approaches Aging Aging

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