HC 20-8008J 98/2 B SOC HV 5825 .J965 1978 877,051 E-TREATMENT INTERFACE A CROSS-DISCIPLINE TRAINING COURSE BUILDING A RE - ENTRY REFERRAL NETWORK UNIVERSITY OF MICHIGAN LIBRARIES Publication No. (NDACTRD) 79-JIC-164R Printed November 1978. FEB 12-1979 DEPOSITED BY THE UNITED STATES OF AMERICA Self-Instructional Workbook THE NATIONAL DRUG ABUSE CENTER FOR TRAINING AND RESOURCE DEVELOPMENT 656 Quince Orchard Road Room 607 Gaithersburg, Maryland 20760 301/948-3610 MCMAS ..... 5 OF IVERSITY OF MIC UNIVERS THE UNIV RTES MICHIGAN 1817 ··LIBRARIES · JUSTICE-TREATMENT INTERFACE A CROSS-DISCIPLINE TRAINING COURSE Building a Re-Entry Referral Network A Self-Instructional Workbook by Christopher L. Faegre Course Developer and Manager H. Stephen Glenn Course Consultant Harvey Friedman Assistant Course Developer John Guzauskas Deborah Willoughby Rosemarie Brooks Project Officer Lonnie E. Mitchell, Ph.D. Chief, Manpower and Training Branch National Institute on Drug Abuse Editors For sale by the Superintendent of Documents, U.S. Government Printing Office, Washington, D.C. 20402 HV £ 1998 This manual was printed for the National Institute on Drug Abuse, Division of Resource Development, Manpower and Training Branch by the National Drug Abuse Center for Training and Resource Development under NIDA contract number 271-78-4600 to Health Control Systems, Inc., Dr. J. Thomas Russell, Director, 1370 Piccard Drive, 2nd Floor, Rockville, Maryland 20850. Justice-Treatment Inter- face: A Cross Discipline Training Course was developed by the National Drug Abuse Center for Training and Resource Development, operated by System Development Corporation pursuant to Contract Number 271-75-4018 with the Manpower and Training Branch, Division of Resource Development, National Institute on Drug Abuse, 5600 Fisher's Lane, Rockville, MD 20852. The National Drug Abuse Center for Training and Resource Development has obtained permission from the copyright holders to reproduce certain quoted or excerpted mate- rials, which appears on pp. III-37-51. Further reproduc- tion of these passages or sections is prohibited without specific permission of the copyright holder. All other material contained in this document is in the public domain, and may be used or reprinted without special permission. Citation as to source, however, is appreciated. The material contained herein does not necessarily reflect the opinions, position, or official policies of the National Institute on Drug Abuse of the Alcohol, Drug Abuse, and Mental Health Administration, Public Health Service, U.S. Department of Health, Education, and Welfare. Publication No. (NDACTRD) 79-164R Printed November 1978 soc. Work Depos USA 11-10-80 Using This Workbook. "Re-Entry Services". Building a Re-Entry Referral Network Building a Referral System Task One Task Two Task Three Task Four. Task Five. Task Six . Building an Information-Sharing System Task Seven Task Eight Conclusion CONTENTS • Q • National Conference of State Criminal Justice Planning Administrators. National Association of State Drug Abuse Program Coordinators • • • • 1 3 23 25 26 28 30 38 40 47 48 49 50 51 52 58 iii * Acknowledgement You wouldn't believe the stories of cooperation and "instant effort" behind this course. In the beginning, staff from several Federal agencies assisted in the overall design; during the writing period, authors responded to impossible deadlines; in the pilot-testing phase, state and local agencies graciously contributed staff time and facilities on short notice; and during the editing and refinement phases, reviewers, trainers, editors, and production personnel worked long hours to get the bugs out. This kind of response, from literally dozens and dozens of people inside and outside of NIDA's National Training System, makes the course manager's role a reward instead of a punishment. I'm proud of the product--but even prouder of the people who produced it. Chris Faegre Chris Faegre USING THIS WORKBOOK This workbook is designed to assist the probation officer, drug counselor, or other line worker who must help plan the offender- client's transition from life in the treatment or institutional setting to an independent, self-sustaining, satisfying life in the community. It is a self-instructional device that can be used by individuals or small goups to build an interactive net- work of agencies to serve the returning drug-abusing offender. The section on "Re-Entry Services," written by Andrew Mecca with Steve Pittel, explains the importance of these services in re- integrating offender clients into the community. Part 3 of the booklet gives step-by-step instruction in building a referral file. (This section was adapted from a similar section in the NDAC Course: Emergency Department Drug Abuse Treatment.) Of course the initial process of building a card file of service providers will not, in and of itself, "build" an interrelated network of services. The network emerges over time as workers make visits to other programs, establish trust, make initial referrals of low-risk clients, and generally use the card file as a means of inter-agency negotiation and cooperation. ur The 4th segment of the booklet, also adapted from Emergency Department Drug Abuse Treatment, gives a step-by-step procedure for building an information system (a shared library of materials on drug abuse). 1 1 RE-ENTRY SERVICES by Andrew Mecca Steve Pittel 3 BACKGROUND RE-ENTRY SERVICES The critical significance of providing re-entry services for chronic drug abusers as part of a total rehabilitation or "demand reduction" strategy was outlined recently in the Domestic Council Drug Abuse Task Force in its White Paper on Drug Abuse (1975): Rehabilitation is a critical step in returning a drug user to a productive life. Individuals need help in developing or recovering skills which enable them to support themselves. Some need basic schooling, vocational counselling, and skills training; some need a form of supported work; and still others simply need a job. All of these services are provided by existing man- power services; we must be sure that they are available to former drug users and stabilized patients in treatment. Whether or not the White Paper is correct in asserting that needed services are available through existing com- munity resources, there is no doubt about the addict's need for services designed to facilitate his successful re-entry into the community. Drug abuse treatment may eliminate the addict's need for drugs, but it cannot prepare him adequately for survival in a complex world whose values are unfamiliar to him and for which he has not been socialized. S In its emphasis on rehabilitation, the White Paper reflects a theme that has recurred frequently throughout the modern history of drug abuse treatment. Almost since the first patients were released from the United States Public Health Hospital at Lexington, in 1935, it has been widely recognized that addict's treatment gains tend to be Sum- short-lived when they return to their communities. marizing experiences with more than 26,000 addicts being treated at Lexington through 1955, Lowry comments: 5 Con U The treatment dealing with physical addiction is relatively simple, but treatment of psychological addiction and of the basic mental disorder under- lying it is relatively complex... The hospital can put a patient on his way to recovery, but the rehabilitation must be completed after the patient returns to the community (emphasis added). C A similar conclusion was reached by Duvall, Locke, and Brill on the basis of their five-year follow-up study of addicts after treatment: ...high relapse, arrest and unemployment rates and minimal voluntary use of psychiatric after- care support the views of those who propose that there be systematic community aftercare of such persons... Models of Aftercare Service Delivery While the development of alternative models of drug abuse treatment continues to be a matter of active debate, relatively little attention has been paid to the systematic development of aftercare delivery models. In part, it appears that this failure to take aftercare issues seriously reflects the widely held view that needed after- care services are available to drug treatment programs for purposes other than treatment. But, to a greater extent, it appears to be a reflection of the even more pernicious belief that the addict's problems stem primarily (or exclusively) from his use of drugs. In effect, both of these factors operate to limit addict aftercare ser- vices to involvement in community based psychiatric treatment programs (or to some other therapeutic or counseling program on an outpatient basis), and, perhaps, to involvement in a job counseling or training program. Aftercare models based on parole supervision and urine surveillance are merely variants on this theme. Resources for Re-entry To be sure, the existence--even in the most modest urban setting--of a comprehensive set of re-entry and related services is amply documented by a vast and ever-growing library of brochures leaflets, memoranda, and other local publications. Perhaps more than any other group of human service providers, professionals and paraprofessionals in the field of drug abuse seem to derive renewed confidence from the periodic production and reproduction of directories of community services, referral lists, etc. (Yet, somewhat ironically, the optimism generated by the mere listing of services is not wholly unjustified--for these lists and the cor- responding appearance of comprehensiveness play no small part in the allocation of future funds to counties and various sub-state regions.) 6 Inquiry, however, must go somewhat beyond the mere cataloging of community services. Do these services actually exist? And, most importantly, are they available for and offered to addicts? Two partial responses to these questions have long been under- stood by workers in the drug abuse field. First, the listing--even the official listing--of services offered seldom suffices to guarantee their actual availability. Such directories are often long out- dated by the time they reach publication or dis- tribution; even when current, they often fail to reflect such constraints as budgetary shortages and reallocations within agencies, inadequate staff time, eligibility restrictions, patient fees, and the like. Second, even where services are generally available, there often exist organizational and individual biases that prevent their being offered to addicts. In many agencies, training regarding the problems of the addict population is inadequate. Often, there is the tacit understanding within public and private agencies that addicts are difficult or even impossible to serve. The not uncommon result is that addicts are effectively screened out during the initial intake process. Many public agencies, cognizant of the need to "look good" when funding time rolls around, concentrate on the "easy-to- rehabilitate" clients in order to make a good showing. The apparent reluctance with which services are provided and the frequent failure to provide services relevant to the addict's needs become common knowledge through the addict grapevine; this tends to discourage otherwise eligible addict clients from applying for or pursuing much needed services. Yet along with this underlying inadequacy of community services there remains that common belief that needed services are in fact available. An unfortunate result of this view is the widespread lack of funds available directly to drug treatment programs for the delivery of aftercare services. While most treatment programs make some attempts to locate suitable employment or vocational training for their graduates, their efforts and funding to provide aftercare services are commonly limited to the area of employment. 7 Re-entry versus Aftercare Because the concept of "aftercare" is inextricably tied to the delivery of continuing therapeutic services focused primarily on the addict's use of drugs we will use the term "re-entry" to denote a broader class of services from which addicts might benefit. In contrast to approaches that em- phasize the addict's need to overcome his use of drugs, the case for re-entry services rests on the assumption that the addict lacks the psycho- social skills upon which his ultimate rehabilitation will depend. Or, to put it differently, it is believed that he has not been socialized for survival in the world in which he is expected to live after his addiction has been cured. Typically, the addict comes from a background of emotional and material deprivation¹, is poorly educated, and lacks job skills and experience Moreover, he has typically failed to achieve even a modicum of success in practically evey traditional domain of community adjustment. For many addicts most of these deficiencies were present before he became an addict. In many ways they are made still worse by an erosion of even the most minimal social skills during the period of addiction. The addict's peer relationships revolve more and more around the use of drugs; his or her abilities to form enduring realtionships, to form trust relationships and to work with others, and to take cognizance of the needs of others, tend correspondingly to dissipate. The argument is not that addicts are entirely without survival skills. Quite the contrary, the skills and competencies developed for survival "on the street" merit serious attention. The suggestion is that many of these skills are not directly translatable into survival in a more conventional life-sytle Even those social skills that might be translated into more traditional contexts are rarely perceived by the addict as such. In sum, the addict often does not know how to apply his strengths to the unfamiliar task of community adjustment--to the process of re-entry. 1chern et.al., 1964 2Waldorf, 1970 3Nurco, 1973 8 Finally, one must add to this bleak picture the equally unfortunate circumstances in which the addict typically finds himself upon completion of treatment. Not only is he commonly without a job--or even job skills, but also his immediate financial resources are severely limited. He has no housing, no automobile for transportation, and little clothing. He or she typically is faced with a variety of legal problems, both criminal and civil, has few if any friends or associates who are not addicts, and has no existing credit. His health is often marginal and his family may well be scattered and unsympathetic. Faced with these and other similar objective problems, and equipped at best with a minimum of psychosocial skills and competencies, the addict--now "ex-addict"-- is expected to make his way in an unfamiliar, conventional world. The well-documented failure of most treatment program graduates to live up to this expectation--and their subsequent relapse into drug use--should hardly come as a surprise. The process of re-entry is at best a long, slow, and painful undertaking. At countless steps along the way, the addict is beset inevitably by fears and frustrations; his paucity of survival skills appropriate to this new, drug-free life-style can contribute little to his self-esteem and self- confidence. Even those new skills that he gradually acquires can hardly seem trustworthy and reliable. It is during this re-entry process that the addict is most vulnerable to the temptation to return to drug use--not out of any pathological craving for drugs themselves, but out of a normal tendency to return to a life-style with which he is familiar and in which he functions adequately. RATIONALE Given the significance of the re-entry problem, and given also its more recent stature as a national priority area (Domestic Council Drug Abuse Task Force, 1975), one might expect to find a literature replete with careful analyses spanning the gamut of re-entry service needs, with critical reviews of existing services, and with experimental studies of alternative re-entry service delivery systems. Yet, unfortunately, nothing could be further from the truth. At best, the available literature is but fragmentary and spotty. 9 Service Needs The basic theme--that re-entry services are of critical importance--has been stated by many authors, but no attempt has been made to state precisely what services are needed. The primary exception to this surprising inattention is in the area of vocational services. The addict's needs for skills training, job counseling, and job placement services are amply documented (Kennedy and Kerber, 1973; Goldenberg and Keatinge, 1973; Perkins and Wolkstein, 1972). Yet even here, the focus is largely upon the provision of relatively traditional services; more recent experience suggests a broad-based need for innovative services such as: (1) pre-vocational training (i.e,, training to become an employee or worker, rather than to do specific jobs); (2) unique, one-of-a-kind job placements in employment settings more compatible with the individual addict's tolerance for structure and responsibility, and (3) careful attention to addict's "street survival skills," which may be trans- leted into survival in a more conventional world. Service Providers There have been few systematic studies of the network of re-entry service providers or, more importantly, of the biases and obstacles encountered by addicts in their attempts to obtain services. Again, those few studies that have been conducted focus largely upon the provision. of vocational and related services. Service Delivery Systems Aiken, et al., (1975) suggest that there are several important elements of a coordinated system of service delivery: (1) compatibility--"the proper linking and sequencing of elements"; (2) cooperation--"the quality of the relationships between the human actors in the de- livery system"; and (3) comprehensiveness--"whether all the necessary resources and services are in fact present in the system and available to clients. IT RE-ENTRY SERVICE NEEDS The categories of re-entry service needs span the gamut of human services. Preliminary studies of re-entry needs of California and Oregon clients suggest that particular attention should be focused upon the following: Vocational assistance 10 • Housing • Medical and dental needs • Financial assistance Family related services • Transportation • Legal assistance • Mental health services • Recreational activities • Educational development The following sections provide detailed specifications for the most important re-entry service needs in each of these categories. Vocational Assistance Re-entry service needs associated with employment are perhaps the most visible, immediate, and pervasive. Included in this category are: (1) vocational counseling and testing, (2) training and counseling in non-specific employment skills, (3) skills training, (4) placement, and (5) financial subsidies for needed tools, uniforms, etc. Housing Typical client needs in this domain include: (1) temporary emergency housing immediately upon re-entry, (2) assis- tance in locating suitable permanent housing, (3) direct and/or financial assistance in moving furniture and house- hold effects to a new residence, and (4) counseling and instruction in topics related to household maintenence and care. Medical and Dental Care While many clients will have received basic medical and dental attention by virtue of their status as treatment program clients, and while many will also remain eligible for medicaid benefits by virtue of their continued welfare eligibility, it must be anticipated that project success in job development and placement will adversely affect such benefits. First, many smaller employers--i.e., those with jobs most appropriate to our clients' re-entry needs-- will not provide group insurance benefits. Second, even larger employers will usually offer benefits that commence only after some initial waiting period--often as long as three months. Thus, in order to meet the client's ongoing needs for medical and dental services, it will be appropriate 11 to subsidize group insurance benefits. Financial Assistance In addition to ongoing and regular needs for income, clients--particularly those just completing residential treatment--may have immediate needs for direct financial assistance. Such needs might include: (1) clothing; (2) basic household necessities--e.g., kitchen supplies, an alarm clock, etc.--; (3) initial union dues, tools, or uniforms for work; or (4) initial deposits required by landlords. To the extent that subsidies for these and similar financial needs are not otherwise available through existing agencies, case management funds should be included within the project budget. · Family Related Services Client needs in this domain might include: (1) family counseling, (2) family planning services, and (3) child- care services. Transportation Transportation service needs are likely to extend somewhat beyond the basic assurance of adequate transportation to work, to service providers, to shopping, etc. Instead, more enduring service needs must also be considered, such as: (1) basic education in the care and maintenance of an automobile, (2) driving lessons, and (3) assistance in obtaining automobile insurance, etc. Legal Assistance While clients' basic needs for assistance in the area of criminal law are usually served by public defenders, it is nevertheless true that most will have substantial needs for professional services in civil law. Common problem areas include: (1) divorce and/or custody cases, (2) repossessions, (3) creditor suits, and (4) tenants' rights litigation. Mental Health Services Drug use may be only one of several mental health problems for which direct treatment is appropriate. While some drug abuse treatment programs provide therapy and counseling which is not necessarily specific to drug abuse, additional 12 mental health services may yet be required after program termination. Such service needs may include: (1) psych- ological testing, (2) group and/or individual couseling, and (3) services related to specific problems such as mental retardation, etc. Recreational Activities Recreational needs are commonly overlooked in the develop- ment of re-entry plans. Clients face not only the immediate problem of finding suitable spare time activities, but also the longer term problem of developing new, sup- portive peer contacts. Educational Development Specific needs in this domain typically include: (1) tutoring, (2) G.E.D. preparatory courses, (3) coursework at the junior college level, (4) adult school courses, and (5) special classes and workshops in basic living skills (e.g., man- aging a budget, cooking, etc.) Interrelation of the above mentioned needs (e.g., get- ting involved in coursework at a junior college may lead to recreactional alternatives that provide supportive peer contacts or purchasing an automobile may make possible an improvement in housing) ought to be managed effectively by a single aftercare coordinating person and not left to chance. 13 GENERAL APPROACH Needs Assessment An assessment of service needs should include several domains of interest: (a) prior successes (a) prior successes and failures of the client in coping with typical living problems, (b) perceived re-entry problems, and (c) perceived re- entry service needs. Prior Successes and Failures This portion of the interview should focus upon the subjects' demonstrated abilities to cope with typical living problems in such areas as: (1) family relationships (parental and/ or marital), (2) peer relationships (one-to-one relation- ships and/or group involvement), (3) occupation (stability, satisfaction, etc.), (4) education, (5) residence (stability, suitability, tenants' rights, etc.), (6) re- creation, (7) transportation, and (8) health. The purpose of these items will be to assess indirectly subjects' actual needs for re-entry services. It is important to identify the personal skill, resources, and weaknesses that are likely to assist or hinder sub- jects in the difficult process of re-entry. In the area of family relationships, interviewers can inquire into such areas as: (1) family stability, (2) family activities, (3) frequency of current contact with parents, siblings, spouse, etc., and (4) family dysfunctions (e.g., parental brutality, separations, etc.) Topics to be pursued under peer relationships can include: (1) nature and extent of previous group involvement (in- cluding involvement as a youth), (2) close friends, (3) relationships with members of the opposite sex, and (4) close relationships with non-drug users. Our concern with these topics will be two-fold: first, it will be important to assess currently available peer support, as such support may prove a valuable asset in the re- entry process; second, one is interested in the subjects' demonstrated abilities to form enduring realtionships, enter into group activities, etc. Interview items relating to occupation should focus upon several domains of interest, including: (1) vocational skills (both job-specific and non-specific skills), 14 (2) previous employment stability, (3) job-seeking skills (e.g., interviewing, preparing resumes, etc.), (4) degree of satisfaction with previous employment experiences, and (5) current employment aspirations. Additional attention can be focused on identifying subjects' "street survival skills." Insufficient at- tention has been directed in the past to the variety of functional strengths and gratifications associated with the ways in which addicts survive and support their illicit drug use. Our concern should be to determine the extent to which such survival skills and "street hustles" are indicative of important occupational charac- teristics, such as pride in accomplishment, persistence, ability to work with others, etc. (e.g., Pittel, 1974; Preble and Casey, 1972; Sutter, 1966, 1969). In the area of education, interviewers can inquire beyond each subject's level of formal education into such topics as: (1) subjects most enjoyed, (2) hobbies, etc., which tend to indicate any ongoing educational interests, (3) plans to continue schooling, and (4) reading habits. Interview items pertaining to subjects' residences can focus upon: (1) previous history of residential stability, (2) indications of any sense of community involvement or neighborhood "roots," (3) previous problems with land- lords, (4) ability to care for a home or apartment, and (5) current residential plans and aspirations. Items relating to recreation can include: (1) hobbies, (2) frequency of use of public recreational facilities, (3) indications of persistent boredom (past and present), and (4) expressed interests in group and individual re- creational activities. In the area of transportation, interview items can be included to determine subjects' abilities to utilize public and private means of transportation. Items per- taining to transportation might include: (1) past or present automobile ownership, (2) driving record, (3) familiarity with routine automobile maintenance needs, (4) willingness to commute, and (5) previous travel. Finally, interviewers can also inquire about subjects familiarity with basic health requirements, including: (1) nutritional needs, (2) previous vaccinations and im- munizations, (3) dental care, and (4) special dietary 15 problems (e.g., overweight, diabetes, etc.). Re-Entry Problems During this portion of the interview, subjects still in treatment can be asked to identify areas (such as those discussed above) in which they anticipate problems upon re-entry. Once a complete specification of anticipated or current problems has been developed, subjects should be asked to rate: (1) the relative importance of each problem area specified, (2) the urgency or need for immediate attention to each area, and (3) the likelihood of suc- cessful resolution of each in the absence of related re- entry services. Perceived Re-entry Service Needs Subjects can next be asked to identify specific re-entry services that they need currently, or will need upon com- pletion of treatment. As with the specification of anticipated or current problem areas, subjects should be asked to identify service needs without being prompted by the interviewer. Subjects should then be asked to review a prepared checklist of potential service needs for possible additions. Finally, subjects should be asked to rate the urgency of their identified service needs. Knowledge of Existing Resources This portion of the interview should focus upon subjects' knowledge of and familiarity with the services actually offered within the community by public and private pro- viders. For each service included on a prepared list of re-entry services, subjects should be asked about: (1) which agencies provide such services, (2) where application for services may be made, (3) whether they themselves might be eligible for services, and (4) their current understanding regarding the difficulties in ob- taining services. Services to be covered in this portion of the interview include: (1) welfare benefits, (2) social services available through county welfare depart- ments, (3) medical and dental services available through various county agencies, (4) legal services provided by public defenders and legal aid societies, (5) educa- tional programs available through secondary school and junior college districts, (6) vocational services pro- vided by various State and county agencies, (7) mental health services offered by local community mental health 16 centers, and (8) housing assistance available through local public housing authorities. Prior Experiences With Service Providers Finally, subjects should be asked to identify re-entry services that they have sought in the past. Interviewers should utilize a prepared check-list of services available within the community. For each service previously sought, subjects can be asked whether they actually received the services for which they applied, whether there were any particular difficulties in obtaining services, etc. Summary A needs assessment instrument should be structured as a service planning tool. Specifically, it should summarize: (1) the general level of need in each of the above domains; (2) specific services required; (3) the urgency or im- mediacy of service needs; (4) appropriate public and private agencies for referrals; (5) short-term and long- term re-entry goals in each domain; and (6) plans for coordinating service delivery, sequencing of services, etc. Based upon the results of the service needs assessment, a re-entry services plan and a more formal re-entry "con- tract" can be developed. This contract will specify in greater detail the specific services that the client can expect from project staff. Equally important, the con- tract should specify expectations as to client participation in the re-entry process. Referral Clients should receive extensive counseling regarding the results of the needs assessment interview. For example, all referrals to public and private agencies must be pre- ceded by a discussion with the client of the specific services available, their potential eligibility for such services, formal and informal obstacles to their actually obtaining needed services, and, when possible, the name of the most appropriate individual to contact at the service-providing agency. In order to maintain contact with clients receiving only referral services, a formalized system of referral follow-up should be developed. This system will include 17 four major components: (1) clients assigned to this treat- ment condition will be asked to contact their counselor periodically to let the counselor know how they fared with various referral agencies; (2) one will continue to encourage follow-up contact by an extensive mailing effort, including periodic newletters containing useful information about service providers, holiday greeting cards, etc; (3) case aides and volunteers can be assigned to locate former clients with whom the programs have lost contact; and (4) referral agencies should be asked to provide immediate follow-up on specific referrals. This follow-up on direct referrals will be facilitated by sending a returnable postcard to each agency at the time of referral. The card can include: (1) a client number for identification, (2) an indication of whether the client actually applied for services, (3) an indica- tion of whether the client was then accepted for services, and (4) an indication of whether the client is considered an appropriate referral. Advocacy In addition to the needs assessment and referral services, clients assigned to this treatment condition can receive from project staff whatever assistance is required to ensure that they receive the needed services for which they are eligible. Such advocacy services can include assistance in establishing eligibility, transportation to service agencies, and ongoing intervention with agency staff on the behalf of clients. While the specific needs for advocacy services can be determined largely by interview, it is possible to specify several examples of potential advocacy roles that counselors might be called upon to assume. At one extreme, a tele- phone call to the appropriate service-providing agency might be sufficient to pave the way. More extensive modes of staff involvement might include accompanying clients through the often confusing process of applying for services, providing automobile transportation to and from service appointments, attending initial eligibility interviews together with the client, and even speaking on the client's behalf during the re-entry service interviews. Finally, staff might be called upon to maintain regular contact with the service providing agency to ensure that needed services are being made available. 18 Bibliography Aiken, M., Dewar, R., Di Tomaso, N., Hage, J., and Zeitz, G. Coordinating human services. 1975 San Francisco: Jossey-Bass. Becker, Howard S., Outsiders: Studies in the Sociology of Deviance, 1963. (New York: The Free Press). Block, J. Lives through time. 1971 Berkeley, CA: Bancroft Books. Bowden, C. L. and Langenauer, B.J. Success and failure in the NARA addiction program. The American Journal of Psychiatry. January, 1972. 128 (7). Caplan, N. Psychosocial competencies among hard-to-employ youth. 1973 Ann Arbor, Mich. : Institute for Social Research. Chein, I.; Gerard, D.L.; Lee, R.S. & Rosenfeld, E. The Road to H: Narcotics, Delinquency and Social Policy. 1964 New York: Basic Books). Diskind, Meyer H., New Horizons in the Treatment of Narcotic Addiction. Federal Probation. 1960, 24 (4): 56-63. Domestic Council Drug Abuse Task Force. White Paper on Drug Abuse. 1975. Washington, D.C.: U.S. Government Printing Office. DuPont, R.L. Outpatient drug free treatment manual. Special action office monograph, Series C. August, 1974. (no.4). Duvall, H.; Locke, B. and Brill, L. Follow up study of addicts five years after hospitalization. Public Health Reports. 1963, 78 (3), Feldman, H. "Street Status and Drug Users. Vol. 10: 32-38. "1 Society. 1973 Feldman, Harvey W., Street Status and the Drug Researcher: Issues in Participant Observation, The Drug Abuse Council, Inc., FS-3. Flohr, R.B. and Lerner, S.E. Employment characteristics of heroin addicts in three treatment programs and employer attitudes. Journal of Psychedelic Drugs. Winter, 1971. 4 (2): 148-153. 19 Pittel, S.M., Foster, T.L., Dakof, G. and Luhe, C. The Oregon Re-entry Program: a comprehensive plan for delivery of treatment and rehabilitation services to substance dependent correctional clients. Unpublished Ms., 1976 (a). Pittel, S.M. and Hofer, R. A systematic approach to drug abuse treatment referral. Journal of Psychedelic Drugs. 1974. 6, 253-258. N. Pittel, S.M., Weinberg, J.A., Grevert, P., and Sullivan, Three studies of the MMPI as a predictive instrument in methadone maintenance. In A. Goldstein (Ed.) Proceedings of the Fourth National Conference on Methadone Treatment. New York: NAPAN, 1972. Pittel, S.M. Addicts in wonderland: sketches for a map of a vocational frontier. Journal of Psychedelic Drugs. 1974. 6 231-242. Pittel, S.M., Foster, T.L., Dakof, G. and Luhe, C. Character- istics and perceived service needs of Oregon correctional inmates. Unpublished Ms., 1976. Preble, E. & Casey, J.J. "Taking Care of Business: The Heroin User's Life on the Streets. In: Smith, D.E. & Gay, G.R. (Eds) It's So Good, Don't Even Try It Once: Heroin in Perspective. 1972. (Englewood Cliffs, New Jersey: Prentice-Hall). 11 Richardson, H.; Brooks, J.; Cohen, M. and Kern, J. A three year follow-up study of forty-three heroin addicts in a suburban community. Journal of Drug Education. Winter, 1974. 4 (4): 389-398. Schatyman, Leonard and Strauss, Anselm L., Field Research: Strategies for a Natural Sociology. 1973. (Englewood Cliffs, New Jersey: Prentice-Hall, Inc.). Sutter, A.G. "The World of the Righteous Dope Fiend." Issues in Criminology. 1966. Vol. 2: 177–222. Sutter, A.G. "Worlds of Drug Use on the Street Scene." In: Cressey, D.R. & Ward, D.A. (Eds.). Delinquency, Crime and Social Process. 1969. (New York: Harper and Row). Vaillant, G.E. Twelve year follow up of New York addicts: IV Some characteristics and determinants of abstinence. The American Journal of Psychiatry. 1966. 123 (5) Waldorf, Dan. Careers in Dope. 1973 (Englewood Cliffs, New Jersey: Prentice-Hall, Inc.). Waldorf, Dan. Life without heroin: Some social adjustments during long term periods of voluntary abstention. Social Problems. Fall, 1970 18 (2). Ward, H. Employment and Addiction: Overview of Issues. Washington, D.C.: The Drug Abuse Council, Inc. June 1973. 20 Incarceration Probation & Parole Drug Treatment Vocational Services Financial Housing Health & Dental Legal Aid Recreational Education BUILDING A RE-ENTRY REFERRAL NETWORK Mental Health Family Services 21 BUILDING A RE-ENTRY REFERRAL NETWORK (A Workbook for Drug Treatment and Criminal Justice Workers) This workbook is designed to assist people in setting up and maintaining referral systems. Referral systems and systematic information sharing go hand-in-hand, so both issues are addressed. In recent years many different kinds of drug-related programs and services (which are a part of the total Human Resource Service System) have evolved. This workbook has guidelines for aiding the staff of drug programs and criminal justice agencies in establishing liaisons with a variety of facilities that provide re-entry services. Most programs keep some resource files for use in locating other resources and facilities. In some instances these files may be "carried in workers' heads" and in other situations there may be no really apparent or felt need for such files. Often the necessary skills (or time) required to develop and maintain such systems may not be available. This step-by-step workbook is a learn-by-doing approach. In the workbook you will find both information to be absorbed and tasks to be accomplished. encourage you to proceed from beginnning to end, without skipping about from section to section or from task to task. Take each item as it comes. We are convinced that both the information and the tasks are quite manageable. We GOALS AND OBJECTIVES Several accomplishments can be expected as a result of completing this workbook. Below, the overall goals and more specific objectives are listed. Goals To expand and improve the list of resources available to deal with treatment and re-entry referral problems • To encourage and aid in the development of referral skills for treatment and court staff so that they may make better utilization of these resources Objectives In this section of the workbook, the trainees will perform the following tasks related to the development and use of a referral system: 23 1. 2. 3. 4. List at least seven drug-related programs and services (persons, organization) that are included in a basic referral file. List, for each program and/or service, the following elements of information: a) Services provided b) Address and telephone number of these services c) Eligibility criteria d) Procedures for referrals to and/or from the program e) Hours of operation f) Costs of services Catalogue the referral file according to services provided. Recommend to the appropriate person in his or her program or agency administration: a) the person or position in the agency responsible for organizing and maintaining a referral file; b) an accessible location for the file; the means of training staff in the proper use of the referral file. 2 24 BUILDING A REFERRAL SYSTEM This section requires that you identify and contact local agencies for information. We expect that it may take several hours to complete, though the time required will vary depending on the extent to which your agency has already developed a referral file, and the accessibility of information needed from other organizations. We suggest that those who go through Part I be the ones responsible for maintaining the referral file in the future. At least two people from each agency should share this responsibility. The rationale for having two people complete the tasks is simple: (1) it makes the work load a bit lighter; (2) it will be easier for two people to train other members of the agency in the use of the referral file; and (3) it will ensure that if one leaves, there is still someone there who understands, can train others, and perform the duties that an effective referral and information system requires. It should be noted that responsibility for maintaining the referral file should be assigned to as many people as is necessary to get the job done. Each agency must determine the appropriate number of people to be involved. That determination should be based on the needs unique to each program or agency. We do caution, however, that the assignment of responsibility be clear and specific. Vague assignments will not do, because group responsibility is too often synonymous with no responsibility. The form of the referral file may vary, according to your needs. The file may be maintained in a looseleaf notebook or in a 3″ x 5″ or 5" x 7" card file, depending on the amount of information you find helpful and/or necessary. In this workbook, we will refer to your file as a 5" x 7" card file, even though you may be using 3" x 5" cards or an 8" x 11" looseleaf notebook. The im- portant consideration is the substance, not the form. Most important of all is the accessibility and ease of updating information. These tasks ask you to record the specified information for at least seven referral agencies. Therefore, you will need seven (or more) 5" x 7" cards (or whatever you're using). If your file is to be maintained in a more sophisticated manner, such as by computer or microfiche, you will need the appropriate forms. We encourage you to spend several hours during the next few days to complete the tasks, and to expand and update your referral file frequently. The increased effectiveness of your services to the client and to the community will be your reward. 25 ܂ TASK ONE TYPES OF DRUG-RELATED PROGRAMS AND SERVICES In recent years, a wide range of services has developed in many communities to provide assistance with drugs and drug-related problems. Some of the programs and services that may exist currently in your community are: • Crisis intervention centers. These include "hotlines" and suicide prevention centers. Crisis intervention centers are usually 24-hour operations. Paraprofessional and professional staffers offer crisis counseling and referrals for drug abuse emergencies in most cases. In many instances these centers provide a walk-in type of service that may involve first aid and/or transportation to medical facilities for emergency treatment. Crisis intervention centers and other drop-in programs such as runaway houses are predominantly "soft"* drug treatment centers providing peer counseling and emergency psychiatric referral services. • Methadone treatment programs. These are clinics that dispense methadone to meet the physiological needs of heroin addicts. The clinics are usually combined with counseling and support services for eventual detoxification. • Residential treatment programs. Residential facilities for drug-dependent persons usually, but not always, employ abstin- ence as the primary treatment modality. The facilities usually provide counseling and other supportive services. • Alcohol treatment programs. Services to the alcohol abuser often include detoxification and counseling. • Psychiatric emergency services. In addition to your hospital's psychiatric staff, there may be local psychiatric emergency services with experience and training in dealing with drug abusers. • Counseling services. Public schools, colleges, mental health services, and many large businesses, industrial operations, and governmental agencies have counseling staffs that provide information, guidance, and other counseling services. * "Soft" drugs are generally defined as non-narcotic (that is, not opium derivatives or cocaine), and include marijuana even though it is classed as narcotic by the federal government. 27 Many communities have complied a list of programs and services available for drug-related problems. Such a list would be valuable to you in identifying programs for your referral file. If such a list is not available, you will have to develop your own. INSTRUCTIONS Do the following task. Do not proceed further into the workbook until you have taken appropriate action. Inquire among agencies and people in the community to find out if a list of drug-related programs has been compiled. Call such local sources as: • College counseling services • High school counselors • Clergymen active in civic affairs • Halfway houses • County or municipal health or community affairs departments This task will be completed when you have called at least four local sources to inquire about a published list of drug-related and re-entry programs. Note your results. Result of Calls (check one): A list of drug-related programs has been located and is to be mailed to the referral network development team.* No such list has been located.** * If a list was located and is being sent, skip Task Two and proceed to Task Three. ** If no list was located, proceed to Task Two on the next page. Date of task completion: 28 INSTRUCTIONS TASK TWO If you did not locate a list of drug-realted and re-entry support programs, do the following task before proceeding further. Developing your own list of drug-related programs is not difficult; you have already made a start with the four calls you made during Task One. Call all of those local sources again, and ask for the name, address, telephone number (and if possible a contact person's name) for any drug-related program known to them. Try to identify one or more programs in each category: • Crisis intervention centers • Methadone treatment programs • Housing assistance ● Residential treatment programs ● Medical and dental needs • Alcohol treatment programs • Financial needs • Psychiatric emergency services. Family related services Mental health and counseling services • Legal services • Vocational assistance • Transportation • Recreation/education services Enter the information you gather for each program on a separate 5" x 7" card. The format on the following page may be useful. 29 Name: Address: Telephone: Contact Person: Comments: Type of Program Your task will be completed when you have identified the name, address, and telephone number of at least seven programs. Date of task completion: WHEN TASK ONE OR TASK TWO IS COMPLETED, CONTINUE WITH THE MATERIAL IN THE WORKBOOK. 30 TASK THREE ESSENTIAL INFORMATION FOR ACCURATE REFERRALS Making accurate referrals requires several kinds of information. Having incomplete or incorrect information will result in frustra- tion for the client, the referral agency, and yourself. Worse, the lack of an appropriate referral may mean that essential supportive services are not delivered to someone in need. By the time you finish this part of the workbook, you should have the following information about each program in your referral file: • Eligibility criteria • Procedures for referrals ● Hours • Address and telephone number Services offered Please read through all of the following sections on each type of information before you begin to call individual programs for information. This will help you get all essential information with the fewest number of calls, and relieve you--and the program-- of unnecessary frustration. The exercise for this task will provide guidance in making your calls. Eligibility Criteria Knowing agencies' eligibility requirements is critical in making appropriate referrals. An agency that continually rejects in- eligible individuals becomes frustrated and resentful toward the person making the referrals. Clients may be denied services that by your referral you have indicated they would receive. And you, as the referring person, may be perceived as uninformed, or worse, unconcerned. These problems can be avoided if you have accurate, updated information on the eligibility stipulations for each referral source. Costs To complete this element of your file, include--for each referral source--those eligibility criteria your staff must know to ensure smooth referrals. Keeping this information current is crucial, especially where requirements may change often. We suggest that you indicate on your cards those items most likely to change. An asterisk or some other code symbol will help focus attention on items that should be monitored. Ideally, your contact persons within the agencies will agree to inform you of changes as they occur. • Age Common eligibility considerations you may find in the agencies are: Location of the patient's residence • Former offender's status (sometimes a help) 31 • Sex Previous program successes and failures • Length of addiction • Type of drug involved ● Financial status • Legal and judicial history Procedures for Referrals The most common reason for reason for inappropriate referrals is probably the failure to follow proper client transfer procedures. For example, programs often designate specific persons for initial contact. As we'll see later, the golden rule applies here. If you're expected to go through a certain person for referral to a certain agency, by all means do so. This makes it easier for you, for the program to which you're referring a person, and (most important) for the client, who is the beneficiary (or victim) of your work. Also, clients who make an initial effort to follow through on your referral, only to be sent away for a paper they were not aware was needed, may not return a second time. Therefore, it is impera- tive that you know all the steps necessary before you refer a client to a particular program. When you get your system well organized, you may be able to provide the client with necessary forms or data sheets from the agency to which you're referring him. The initial telephone call from you to the "right" person may be the crucial step. Address and Telephone Number Providing only the address and telephone number of the facility to which you wish to refer may not be enough. The telephone direc- tory listings often do not include more than a main switchboard or business line. Specific telephone numbers for referral contacts may vary within an agency, depending on the service requested or the time of day. Be sure to identify appropriate times for calling each telephone number noted. Your file should give other helpful details, including the floor and room number if the agency is in a large building. Some clues as to entrances, elevators, one-way streets, and nearby landmarks will ensure smoother referrals and help avoid that ultimate road- block to referral follow-through--getting lost. S 32 Escort Service When you cannot be confident that a client will keep his appoint- ment at a program, it is sometimes invaluable to arrange for staff, volunteers, or marshalls to accompany the client to the new agency or program. Hours To The hours during which an agency is open for the delivery of services may need only a simple file card entry for "hours." ensure proper referral, however, the file may also need to indicate other time considerations. Programs often schedule different times for screening and intake procedures, service delivery hours, and office business. Be sure that you indicate alternate times for telephone calls, walk-in services, staff hours, screening times, specifically scheduled pro- grams or services, etc., to provide your clients with the appro- priate timetable for their needs. In building an ideal system of back-up services for referral, your file should cover 24 hours a day and weekends, because con- cerns such as transportation may need to be coordinated with refer- ral service hours. For program hours, as with other file elements, continual updating will eliminate many referral problems. Costs Many and varied financial issues are involved in transferring clients from one service agency to another. Your referral file (as a start) should indicate any costs for which the client may be re- sponsible. The determination of immediate costs and time-killing procedures should also be part of your file. Clarification of fixed costs and negotiable or ability-to-pay charges will prepare the client for the dollars-and-cents reality of accepting a par- ticular referral. S • Medicaid • Social Security • Veteran's benefits Your file should indicate the coverage or non-coverage of service costs by insurance or social assistance programs, such as: Blue Cross-Blue Shield • Local assistance programs M • Agency contracts for purchase of services • Other third party payers 33 Services Offered To cover The purpose of the development and upkeep of any referral system is to help clients get to services they need. Tasks here focus on referral to services geared to drug-involved clients. the basic range of services available in most communities, your entries should include these service categories: Mental Health Services • Counseling Family counseling Crisis counseling (telephone) Crisis counseling (walk-in) Peer counseling • Therapy Group therapy One-to-one therapy Vocational Rehabilitation • Job finding • Job training Medical and Dental Services Free clinics • Staff physicians in local programs • Public health department Legal Assistance • Legal advice • Casework Housing • Residential programs • Temporary housing 34 Drug Education • Hotlines • Drug education programs • Drop-in centers Poison control centers + Methadone • Maintenance and treatment • Detoxification Transportation ● Free or subsidized transportation services Education • GED programs •College and technical schools Recreation • Public facilities • Special groups such as self-help groups Other Services We recommend that your file list not only primary services available at each resource agency, but any other services offered as well. This will help in cases where the referral of a client to one facility will provide services to cover several needs. A residential treatment program, for example, often provides counsel- ing, housing, employment assistance, and, in some cases, medical and dental care; however, an individual may need complete de- toxification prior to entry. Your file will be even more effective if it indicates specific services not available in situations such as the example above. G In concluding this section, we want to make special note that site visits and other follow-up activities are desirable. We recommend that after you have obtained all the information detailed above you do some further checking about a facility. This can be 35 done by means of telephone calls to other agencies, gathering comments from hospitals or persons who have used the facility. and even by visiting. We particularly recommend site visits (with an eye to evaluation) to residential treatment facilities. INSTRUCTIONS Do the following task. Do not proceed further until you have taken appropriate action. Below is a checklist of information needed for accurate referrals. Call each of the programs in your referral file and ask for someone who can provide information about the program. Explain the purpose of your call: to establish a referral file so that your agency can make accurate and effective referrals for drug-related problems. Using a separate sheet of paper for each program called, ask for the information noted in the checklist. Write down all information in detail as you receive it. When your call is finished, transfer the information to the card in your referral file. Then call the next program. 36 Eligibility Criteria • Location of client's residence • Age Sex INFORMATION CHECKLIST Previous program successes and failures • Length of addiction • Type of drug involved ● Financial status Legal and judicial requirements Procedures for Referrals • Staff member to see for initial contact ● Data or documents the client should bring • Procedures to be completed prior to arrival Addresses and Telephone Numbers Main facility, with directions • Intake facility, with directions • Staff member for initial contact Hours • Regular services • Special services. • Screening and intake procedures • Office business 37 Costs • Immediate costs • Negotiable or ability-to-pay costs ● Billing procedures Costs covered by insurance: Blue Cross-Blue Shield Medicaid Social Security Veteran's benefits Local assistance programs Services Offered • Mental health services (counseling, therapy) • Vocational rehabilitation • Medical and dental services ● Legal assistance ● Housing Drug education • Methadone maintenance • Transportation. • Other This task will be completed when you have entered appropriate information on the file card for at least seven drug-related programs. Of course, we hope that you will continue to build a more complete file of referrals, so you may offer the best possible service to your clients and the community. Date of task completion: NOW CONTINUE WITH THE MATERIAL IN THE WORKBOOK. 38 SETTING UP THE REFERRAL FILE Cataloging the Referral File When several referral cards have been developed, they should be catalogued for easy and quick reference. The experience of many drug programs has shown that a file catalogued by services offered is very helpful. Earlier in this workbook, we listed general services that could be used to catalogue the referral file: • Mental health services • Vocational rehabilitation TASK FOUR • Medical and dental services • Legal assistance • Housing . Drug education • Methadone maintenance • Transportation • Other services Location of the Referral File Each agency There is no one best place for the referral file. will find its own solution. Be sure, however, the file is at hand for quick access when needed. Also, be sure that other members of the staff can locate the file. Training the Staff to Use the Referral File The next step is to train the rest of the staff to use the referral file effectively. This can be a formal or an informal undertaking. You may want to present the file (and its use) at a departmental staff meeting, Or you may prefer to introduce staff members to the file individually. In either case, two goals are important: 1. Every staff member of the program and agency should become familiar with the referral file. 2. The purpose, location, method of cataloguing, and type of information presented should be clearly communicated. 39 INSTRUCTIONS Do the following task, Do not proceed further in the workbook until you have taken appropriate action. Decide on the method you prefer for training the co-workers in the use of the referral file. Write down exactly what you wish to communicate about the file: • Purpose • Location • Benefits • How the file can be used What it can be used for • Information contained • Cataloguing system Then, be sure to communicate this information to every member of the staff (full- and part-time) for all shifts. This task will be completed when all staff members have been instructed in the use of the referral file. Date of task completion: NOW CONTINUE WITH THE MATERIAL IN THE WORKBOOK. 40 BUILDING AN INFORMATION SHARING SYSTEM People use and have always used drugs for a variety of reasons, including escape from intolerable reality, release from physical or emotional pain, and for religious ceremonies. Today, technology has produced many new drugs to meet human physical and/or emotional needs. At the same time, social and emotional pressures on the individual have intensified, leading to the use and abuse of many substances by people in all age categories and in all segments of our society. If you have developed a referral system such as that discussed earlier in this workbook, your agency or department may be part of a network of agencies that deliver drug-related services to your community. Your referral system may have been operating for some time. If so, your agency is aware of the need for updated: information. Objectives In this section of the workbook, trainees will perform the following tasks related to the development and use of an information sharing system: 1. List at least twenty resources (local, state, and national) for information exchange, such as treatment and rehabili- tation programs, education and prevention programs, support services, etc. 2. Identify at least three activities that will facilitate information sharing between the home agency and the re- source organizations. ME 3. List at least three feasible ways in which human resources can be shared between probation and parole, court personnel, drug treatment programs and institutional treatment pro- grams, and describe how such a sharing of personnel can be beneficial to both types of organizations. INFORMATION NEEDS The need for new and accurate information about drugs and drug- related problems is influenced by many factors: Legitimate drug-producing companies (in a highly competitive market) constantly develop new drugs and medications. 41 • Our chemically oriented society approves the legitimate use of many substances to promote physical and psychological well-being. • "On the street" an incredible variety of substances are in- gested, sniffed, smoked, or injected to produce a multitude of physical and/or emotional or psychological reactions. • Results of research studies are being printed concerning the effects of use of many substances and the value of different modes of treatment, thus constantly increasing the amount of information available. • Legislation and court decisions have an impact on official policies. New drug-related correctior al programs are continually being established, and changes are taking place within and among other programs and agencies. To provide the highest quality service to the drug abusing offender and to the community at large, the knowledge, skills, and team- work of the staff must keep pace with new developments. Here are some basic categories of information relating to drug problems: ● Pharmacology and physical health needs of drug abusers • Mental health services (psychotherapy, counseling, etc.) • Societal responses to drug use/abuse (values and attitudes about drugs, cultural differences, etc.) Judicial and correctional responses to drug use/abuse • Legal aspects of drug use/abuse: and policies The challenge is awesome: to get and make use of the most current information and expertise available in each of these areas. To help you meet this challenge, a number of information sources are cited here. INFORMATION SOURCES legislation, regulations, An abundance of material is available--in print and in audio- visual form--on drugs and drug-related problems. To help you obtain these meterials, we have grouped the sources according to national, state, and local categories. 42 At the national level, there are several excellent sources of printed information that cover one or more of the basic areas of drug problems mentioned above. You may already be on the mailing lists for publications form some of these sources. Directory of Criminal Justice Information Sources This is a publication of the National Institute of Law Enforcement and Criminal Justice, Law Enforcement Assistance Administration, U.S. Department of Justice. The Directory has over 150 listings of agencies and organizations that provide information relating to criminal justice and law enforcement. The listings include the agency's name, address and telephone number, agency head, staff contact, agency objectives and activities, information services, information resources, publications, and costs. This Directory can be obtained by writing to: Superintendent of Documents U.S. Government Printing Office Washington, D.C. 20402 Stock Number: 027-000-00466-1 National Criminal Justice Reference Service The Service has been in operation since 1972 providing information on law enforcement and criminal justice. The service acquires, indexes, abstracts, stores, retrieves, and distributes reports and information essential to help improve the functioning of the criminal justice system. As a part of the National Institute of Law Enforcement and Criminal Justice (NILECJ), the service offers a variety of references and in- formation including: Selective Notification of Information Reference and Information Services Bibliographies Document Retrieval Index Microfiche Cost: $2.35 Current Awareness Materials Document Loan Program Translations Other Services The Address is: National Criminal Justice Reference Service Law Enforcement Assistance Administration United States Department of Justice P.O. Box 24036, S.W. Station Washington, D.C. 20024 Telephone: (202) 755-9704 43 • Drug Enforcement Administration The Drug Enforcement Administration, an agency under the United States Department of Justice, enforces all federal narcotics laws. It also encourages and aids communities in creating drug abuse prevention organizations and programs as well as advising industry on voluntary compliance with regulatory laws. The administration provides information on drug abuse, enforcement efforts, diversion efforts, technology, and drug abuse prevention. Requests from the general public are accepted. Publications include: Drug Enforcement Magazine, quarterly Microgram, Forensic Sciences Division, monthly newletter Registrant Facts, quarterly newsletter Drugs of Abuse, monograph Fact Sheets, pamphlet The Address is: Preventive Programs Section Office of Public Affairs Drug Enforcement Administration 1405 Eye Street N.W. Washington, D.C. 20537 Telephone: (202) 382-5706 National Clearinghouse for Drub Abuse Information This agency is a part of the National Institute on Drug Abuse of the U.S. Department of Health, Education and Welfare. The Clearinghouse publishes a monthly newsletter and provides a variety of information search and retrieval services. The Address is: National Clearinghouse for Drug Abuse Information P. O. Box 1908 Rockville, MD 20850 Telephone: (301) 443-4426 • The National Coordinating Council on Drug Education The National Coordinating Council on Drug Education is the largest private drug information network in the country. Its member organizations (from the Boy Scouts to The American Psychiatric Association), including six federal agencies, work together toward specific goals: the evaluation of drug education and information materials, sponsorship of 44 campaigns and programs, the dissemination of factual information about all drugs including alcohol, and the identification of effective programs. The Address is: National Coordinating Council on Drug Education 1526 18th Street, N.W. Washington, D.C. 20036 Telephone: (202) 332-1512 • The National Drug Abuse Center for Training and Resource Development This organization is funded by the National Institute on Drug Abuse, to prepare training materials for workers in drug programs, and related areas. (This curriculum was developed at the Center.) Many of these materials are available at low cost. A brochure of current materials will be sent on request. The Address is: National Drug Abuse Center for Training and Resource Development 1901 North Moore Street Arlington, VA 22209 Telephone: (703) 524-4400 • Do It Now Foundation The Do It Now Foundation accepts articles, pamphlets, and multi-media packages for publication and dissemination on many aspects of the drug field. The foundation maintains an up-to-date list of local, free, street-drug-analysis programs throughout the country and can provide guidance on developing an analysis service in your local area. You can get a complete listing of the foundation's publications by writing to: Do It Now Foundation P. O. Box 5115 Phoenix, AZ 85010 Telephone: (602) 257-0797 45 • Pharm Chem Newsletter The PharmChem Newsletter is published by PharmChem Laboratories, and presents a regular street-drug-analysis report plus a detailed discussion of a particular drug (history, pharmacolog- ical, physiological, and psychological effects) in each issue. The organization also offers to physicians, health facilities, drug abuse centers, and the general public a street-drug- analysis service called "Analysis Anonymous. This service will analyze samples of substances mailed anonymously (the sender makes up a five-digit code number, calls three or four days later, gives the code number, and gets the report) from anywhere in the world. "1 The Address is: PharmChem Newsletter PharmChem Laboratories 1848 Bay Road Palo Alto, CA 94303 Telephone: (415) 325-4466 Student Association for the Study of Hallucinogens--STASH The Student Association for the Study of Hallucinogens, Inc., was organized and is solely controlled by students, the majority of whom have had extensive involvement in, or contact with, drug use. The association's primary purpose is the dissemina- tion of unbiased and valid information about psychoactive drugs and their use. Since many of the clinical, psychological, and sociological issues surrounding unsupervised drug use have not been resolved (and may never be), an important part of STASH's program is the fostering of a critical attitude toward scientific pronouncements in this area. STASH will provide a list of their voluminous publications on request. Their major contribution in the field is a total drug information service, entitled Grassroots, published monthly in conjunction with the National Coordinating Council on Drug Education. The Address is: STASH 118 S. Bedford Street Madison, WI 53703 Telephone: (608) 251-4200 Č 46 • Drug Abuse Council The Council is involved in some research on issues related to drug abuse and provides reports and audio-visual materials dealing with the problem. The Address is: Drug Abuse Council 1828 L Street, N.W. Washington, D.C. 20036 Telephone: (202) 785-5200 NOW THAT YOU HAVE READ THE MATERIAL ABOVE, COMPLETE THE TASKS ON THE FOLLOWING PAGES. 47 INSTRUCTIONS TASK FIVE Do the following task. Do not proceed to any further task until you have taken appropriate action. Check to see if your program or agency receives publications from all of the sources listed above. If the answer is "no," request (through appropriate channels) to be put on the mailing list for regular newsletters and other information from each of these sources. Date of task completion: NOW THAT YOU HAVE COMPLETED TASK FIVE, GO ON TO TASK SIX. 49 INSTRUCTIONS TASK SIX Do the following task. Do not proceed further in the workbook until you have taken appropriate action. If you receive publications from some of the sources noted, make arrangements for members of the staff to see them regularly. Newsletters might be routed routinely to staff members. If your agency or program is large, and can show sufficient need, each department may be able to justify having its own subscriptions to one or more of these publications. For each publication, do one of the following: • Make routing arrangements; or Make and post a schedule for staff members to read publications in the hospital library; or • Request subscriptions to one or more of the publications for specific staff members. Date of task completion: NOW CONTINUE WITH THE MATERIAL IN THE WORKBOOK. 51 SINGLE STATE AGENCIES TASK SEVEN By law, each state has identified one state office as the coor- dinating point for all drug-related programs, the Single State Agency (SSA) and one State Planning Agency for Criminal Justice (SPA). In the appendix of this workbook, you will find a listing of SSA's and SPA's for each state. The typical SPA or SSA has a list of publications and a library of audio-visual materials that may be borrowed at little or no cost. INSTRUCTIONS Do the following task. Do not proceed to other workbook tasks until you have taken appropriate action. Find your Single State Agency and your State Planning Agency on the list in the appendix. Write a letter, or telephone these agencies now. Ask for lists of publications and materials, and request to be placed on each agency's mailing list. Date of task completion: GO ON TO THE NEXT PAGE. 53 INTERAGENCY MEETINGS Interagency meetings have become recognized as useful ways to build contacts among subject-related programs. Our interest here is to have a representative of your agency or program attend regularly any local interagency meetings related to drug use and offender treatment. There are two considerations involved: TASK EIGHT 1. To locate and be notified of such drug-related interagency meetings. 2. To be sure a staff member attends regularly. INSTRUCTIONS Do the following task. Do not proceed further in the workbook until you have taken appropriate action. Step One Call as many local treatment programs and criminal justice agencies in your referral file as necessary to get information on a local interagency meeting of programs related to drug treatment and offender treatment. (If you discover no such program, why not take the initiative and start one? In this way you could provide a real service to the community.) Get in touch with the meeting coordinator and arrange to have a staff member attend. The date and the place of the next interagency meeting are: Step Two Contact other staff members to identify someone who is interested (and appropriate) to attend the interagency meetings. The assign- ment may be rotated among several staff members, although this makes reminders of meeting dates a heavier responsibility. The staff member who will attend the next interagency meeting is: Date of task completion: 55 CONCLUSION This workbook was designed to help you meet two goals: 1. To expand and enhance the list of available resources that deal with drug treatment and re-entry referral. 2. To encourage and aid in the development of referral skills for drug treatment and criminal justice staff so as to assure greater utilization of these resources. If you have stuck with and completed the tasks in the workbook, you have a good start toward an organized approach to a referral system and an information sharing system. All that remains is the day-to-day plodding and maintenance. We encourage you to continue. 57 ALABAMA Robert G. Davis, Director, Alabama Law Enforcement Planning Agency, 2863 Fairlane Drive, Executive Park, Building F, Suite 49, Montgomery, Alabama 36111; (205) 277-5440 ALASKA Charles Adams, Executive Director, Office of Criminal Justice Planning, Pouch AJ, Juneau, Alaska 99801; (907) 465-3535 AMERICAN SAMOA Jody O'Connor, Director, Criminal Justice Planning Agency, Government of American Samoa, P. O. Box 7, Pago Pago, American Samoa 96799; Pago Pago 633-5222 ARIZONA Ernesto G. Munoz, Executive Director, Arizona State Justice Planning Agency, Continental Plaza Building, 5119 North 19th Avenue, Suite M, Phoenix, Arizona 85015; (602) 271-5466 ARKANSAS NATIONAL CONFERENCE OF STATE CRIMINAL JUSTICE PLANNING ADMINISTRATORS Directory of the States Gerald W. Johnson, Director, Arkansas Crime Commission, Room 1000, University Tower Building, 12th & University, Little Rock, Arkansas 72204; (501) 371-1305 CALIFORNIA Douglas Cunningham, Executive Director, Office of Criminal Justice Planning, 7171 Bowling Drive, Sacramento, California 95823; (916) 445-9156 COLORADO Paul G. Quinn, Executive Director, Division of Criminal Justice, 1313 Sherman Street, Room 400-D, Denver, Colorado 80220; (303) 892-3331 CONNECTICUT William H. Carbone, Executive Director, Planning Committee on Criminal Administration, 75 Elm Street, Hartford, Connecticut 06115; (203) 566-3020 DELAWARE Christine Harker, Executive Director, Governor's Commission on Criminal Justice, 1228 North Scott Street, Wilmington, Delaware 19806; (302) 571-3430 59 DISTRICT OF COLUMBIA August Milton, Jr., Acting Director, Office of Criminal Justice Plans and Analysis, Munsey Building, Suite 200, 1329 E Street, N. W., Washington, D.C. 20004; (202) 629-5063 FLORIDA GEORGIA GUAM Charles Davoli, Bureau Chief, Bureau of Criminal Justice Planning and Assistance, Bryant Building, 620 South Meridian Street, Tallahassee, Florida 32304; (904) 488-6001 Jim Higdon, Administrator, State Crime Commission, Suite 625, 3400 Peachtree Road, N. E., Atlanta, Georgia 30326; (404) 894-4410 Alfred F. Sablan, Director, Territorial Crime Commission, Office of the Governor, Agana, Guam 96910; Guam, 472-8781 HAWAII IDAHO IOWA Irwin Tanaka, Director, State Law Enforcement and Juvenile Delinquency Planning Agency, 1010 Richards Street, Kamamalu Building, Room 412, Honolulu, Hawaii 96813; (808) 548-4572 Dale Hyle, Acting Director, Law Enforcement Planning Commission, State House, Annex No. 3, Boise, Idaho 83707; (208) 384-2364 ILLINOIS James B. Zagel, Executive Director, Illinois Law Enforcement Commission, 120 South Riverside Plaze, Chicago, Illinois 60606; (312) 454-1560 INDIANA Frank A. Jessup, Executive Director, Indiana Criminal Justice Planning Agency, 215 N. Senate, Indianapolis, Indiana 46202; (317) 633-4773 Allen R. Way, Executive Director, Iowa Crime Commission, 3125 Douglas Avenue, Des Moines, Iowa 50310; (515) 281-3241 KANSAS Thomas E. Kelly, Director, Governor's Committee on Criminal Administration, 503 Kansas Avenue, 2nd Floor, Topeka, Kansas 66603; (913) 296-3066 KENTUCKY Ronald J. McQueen, Administrator, Executive Office of Staff Services, Department of Justice, 209 St. Clair Street, 3rd Floor, Frankfort, Kentucky 40601; (502) 564-3251 LOUISIANA Wingate M. White, Executive Director, Louisiana Commission on Law Enforcement and Administration of Criminal Justice, 1885 Wooddale Boulevard, Room 615, Baton Rouge, Louisiana 70806; (504) 389-7178 60 MAINE Ted Trott, Executive Director, Maine Law Enforcement Planning and Assistance Agency, 11 Parkwood Drive, Augusta, Maine 04330, (207) 289-3361 MARYLAND Richard C. Wertz, Executive Director, Governor's Commission on Law Enforcement and Administration of Justice, Executive Plaza One, Suite 302, Cockeysville, Maryland 21030; (301) 666-9610 MASSACHUSETTS Robert J. Kane, Executive Director, Committee on Criminal Justice, 110 Tremont Street, 4th Floor, Boston, Massachusetts 02108; (617) 727-5497 MICHIGAN Noel Bufe, Director, Office of Criminal Justice Programs, Lewis Cass Building, Second Floor, Lansing, Michigan 48913; (517) 373-3992 MINNESOTA Jacqueline O'Donoghue, Executive Director, Governor's Commission on Crime Prevention and Control, 6th Floor, 444 Lafayette Road, St. Paul, Minnesota 55101; (612) 296-3133 or 296-3052 MISSISSIPPI Latrell Ashley, Executive Director, Mississippi Criminal Justice Planning Division, Office of the Governor, 723 N. President Street, Jackson, Mississippi 39202; (601) 354-4111 MISSOURI Jay Sondhi, Executive Director, Missouri Council on Criminal Justice, P.O. Box 1041, Jefferson City, Missouri 65101; (314) 751-3432 MONTANA Michael Lavin, Executive Director, Board of Crime Control, 1336 Helena Avenue, Helena, Montana 59601; (406) 449-3604 NEBRASKA Harris R. Owens, Executive Director, Nebraska Commission on Law Enforcement and Criminal Justice, State Capitol Building, Lincoln, Nebraska 68509 (402) 471-2194 NEVADA James A. Barrett, Director, Commission on Crime, Delinquency and Corrections, 430 Jeanell, Capitol Complex, Carson City, Nevada 89710; (702) 885-4405 61 NEW HAMPSHIRE Roger J. Crowley, Director, Governor's Commission on Crime and Delinquency, 169 Manchester Street, Concord, New Hampshire 03301; (603) 271-3601 NEW JERSEY John J. Mullaney, Executive Director, Law Enforcement Planning Agency, 3535 Quaker Bridge Road, Trenton, New Jersey 08625; (609) 292-3741 NEW MEXICO Charles E. Becknell, Executive Director, Governor's Council on Criminal Justice Planning, 425 Old Santa Fe Trail, Santa Fe, New Mexico 87501; (505) 827-5222 NEW YORK Henry Dogin, Director, State of New York, Division of Criminal Justice Services, 80 Centre Street, 4th Floor New York, New York 10013; (212) 488-4868 NORTH CAROLINA Gordon Smith, Acting Administrator, North Carolina Department of Natural and Economic Resources, Law and Order Division, P.O. Box 27687, Raleigh, North Carolina 27611; (919) 733-7974 NORTH DAKOTA Oliver Thomas, Director, North Dakota Combined Law Enforcement Council, Box B, Bismark, North Dakota 58501; (701) 224-2594 OHIO Bennett J. Cooper, Deputy Director, Administration of Justice Division, 30 East Broad Street, 26th Floor, Columbus, Ohio 43215; (614) 466-7610 OKLAHOMA Donald D. Bown, Director, Oklahoma Crime Commission, 3033 N. Walnut, Oklahoma City, Oklahoma 73105; (405) 521-2821 OREGON Keith Stubblefield, Administrator, Executive Department, Law Enforcement Council, 2001 Front Street, N. E., Salem, Oregon 97310; (503) 378-4347 PENNSYLVANIA Thomas J. Brennan, Executive Director, Governor's Justice Commission, Department of Justice P.0. Box 1167, Federal Square Station, Harrisburg, Pennsylvania 17120; (717) 787-2042 62 PUERTO RICO Adrian Medina, Acting Director, Puerto Rico Crime Commission, GPO Box 1256, Hato Rey, Puerto Rico 00936; (809) 783-0398 RHODE ISLAND Patrick J. Fingliss, Executive Director, Rhode Island Governor's Justice Commission, 197 Taunton Avenue, East Providence, Rhode Island 02914; (401) 227-2620 SOUTH CAROLINA Lee M. Thomas, Executive Director, Office of Criminal Justice Programs, Edgar A. Brown State Office Building, 1205 Pendleton Street, Columbia, South Carolina 29201; (803) 758-3573 SOUTH DAKOTA Randolph J. Seiler, Director, South Dakota State Criminal Justice Commission, 200 West Pleasant Drive, Pierre, South Dakota 57501; (605) 224-3665 TENNESSEE TEXAS UTAH Harry Mansfield, Director, Tennessee Law Enforcement Planning Agency, Browning-Scott Building, 4950 Linbar Drive, Nashville, Tennessee 37211; (615) 741-3521 Robert Flowers, Executive Director, Crim. Jus. Div., Off. of the Governor, P.0. Box 1828, 411 W. 13th Street, Austin, Texas 78701; (512) 457-4444 Robert B. Andersen, Director, Law Enforcement Planning Agency, 255 South Third East, Salt Lake City, Utah 84111; (801) 533-5731 VERMONT Forrest Forsythe, Executive Director, Governor's Commission on the Administration of Justice, 149 State Street, Montpelier, Vermont 05602; (802) 828-2351 VIRGINIA Richard N. Harris, Director, Division of Justice and Crime Prevention, 8501 Mayland Drive, Richmond, Virginia 23229; (804) 786-7421 VIRGIN ISLANDS Troy L. Chapman, Administrator, Virgin Islands Law Enforcement Commission, Box 280, Charlotte Amalie, St. Thomas, Virgin Islands 00801; (809) 774-6400 63 WASHINGTON Saul Arrington, Administrator, Law and Justice Planning Office, Office of Community Development, Office of the Governor, Olympia, Washington 98504; (206) 753-2235 WEST VIRGINIA Gerald S. White, S. White, Executive Director, Governor's Committee on Crime, Delinquency and Correction, Morris Square, Suite 321, 1212 Lewis Street, Charleston, West Virginia 25301; (304) 348-8814 WISCONSIN Charles M. Hill, Sr., Executive Director, Wisconsin Council on Criminal Justice, 122 West Washington Avenue, Madison, Wisconsin 53702; (608) 266-3323 WYOMING William Penn, Administrator, Governor's Planning Committee on Criminal Administration, Barrett Building, 4th Floor, Cheyenne, Wyoming 82002; (307) 777-7716 TRUST TERRITORY OF THE PACIFIC ISLANDS Mr. Gerald Craddock, Acting Administrator, Justice Improvement Commision, Office of the High Commissioner, Trust Territory of the Pacific Islands, Saipan, Mariana Islands 96950 ? 64 NATIONAL ASSOCIATION OF STATE DRUG ABUSE PROGRAM COORDINATORS ALABAMA Commissioner Taylor Hardin, Department of Mental Health, 502 Washington Avenue, Montgomery 36104; (205) 265-2301 (Ext. 276) George Culver, Director of Drug Abuse, Department of Mental Health, 145 Molton Street, Montgomery 36104; (205) 265-2301 (Ext.294) ALASKA Mary Beth Hilburn, Coordinator, Department of Health and Social Services, Office of Drug Abuse, Pouch H-01D, Juneau 99811; (907) 586-3585/3556 ARIZONA State Directors & Coordinators Donald Tatro, Ph.D., Assistant Director, Division of Behavioral Health Program, 2500 East Van Buren, Phoenix 85008; (602) 271-3438 James F. Bailey, Chief, Community Programs, 2500 East Van Buren, Phoenix 85008; (602) 271-3009 Suzanne Dandoy, Director, Department of Health Services, 1740 West Adams, Phoenix 85007 ARKANSAS Frankie Wallingsford, Acting Director, Arkansas Office on Drug Abuse Prevention, 4120 West Markham Street, Suite 100, Little Rock 72205; (501) 371-2604 CALIFORNIA Stuart Snyder, Executive Director, State Office of Narcotics and Drug Abuse, 915 Capitol Mall, Room 235, Sacramento 95814; (916) 322-3086 William Wilder, Manager of Program Operations, State Office of Narcotics and Drug Abuse, 915 Capitol Mall, Sacramento 95814 COLORADO Jeffrey Kushner, Director, Alcohol and Drug Abuse Division, Department of Health, 4210 East 11th Avenue, Denver 80220; (303) 388-6111 (Ext. 227) Ken Kirkwood, Assistant Director, Alcohol and Drug Abuse Division, Department of Health, 4210 East 11th Avenue, Denver 80220; (303) 388-6111 (Ext. 227) 65 CONNECTICUT Roger Howard, Executive Director, Connecticut Drug Council, Department of Mental Health, 90 Washington Street, Hartford 06115; (203) 566-3650 Dr. Eric Plant, Department of Mental Health/CT Drug Council, 90 Washington Street, Hartford, 06115 DELAWARE William B. Merrill, Chief, Bureau of Substance Abuse, Governor Bacon Health Center, Delaware City 19706; (302) 834-8850/8851 FLORIDA Frank D. Nelson, Director, Drug Abuse Program, 1323 Winewood Boulevard, Tallahassee 32301; (904) 487-1930 GEORGIA Commissioner T.M. Parham, Georgia Department of Human Resources, 47 Trinity Avenue, S.W., Room 620-S, Atlanta 30334; (404) 656-5680 Dr. William Allerton, Director, Division of Mental Health- Mental Retardation, 47 Trinity Avenue, Room 535, Health Building, Atlanta 30334 John H. Magill, Assistant Division Director, Alcohol & Drug Section, Division of M.H./M.R., GA Dept. of Human Resources, 618 Ponce de Leon Ave., N.E., Atlanta 30308; (404) 894-4785 HAWAII Timothy I. Wee, Branch Chief, Alcohol and Drug Abuse Branch, 1270 Queen Emma Street, Room #404, Honolulu 96813; (808) 548-7655 IDAHO Charles E. Burns, Director, Bureau of Substance Abuse, De- partment of Health and Welfare, 700 West State, Basement, Boise 83720; (208) 384-3920 ILLINOIS Thomas B. Kirkpatrick, Jr., Director, Illinois Dangerous Drugs Commission, 300 North State Street, Suite 1500, Chicago 60610; (312) 822-9860 INDIANA William F. Griglak, Director, Division of Addiction Services, Department of Mental Health, 5 Indiana Square, Indianapolis 46204; (317) 633-4477 66 IOWA Leslie G. Brody, Director, Iowa Drug Abuse Authority, Suite 230, Liberty Building, 418 Sixth Avenue, Des Moines 50319; (515) 281-4633 KANSAS Curtis E. Hartenberger, Director, Alcoholism and Drug Abuse, 2700 West Sixth Street, Biddle Building, Topeka 66606; (913) 296-3925 KENTUCKY William P. McElwain, M.D., Commissioner, Bureau for Health Services, 275 East Main Street, Frankfort 40601; (502) 564-3970 Howard Rosenberg, Supervisor, Drug Abuse Section, 275 East Main Street, Frankfort 40601; (502) 564-7610 LOUISIANA Wayne Heap, Director, Health & Human Resources Administration, Division of Hospitals, 200 Lafayette Street, Baton Rouge, 70801; (504) 389-2534 MAINE Cal Bankston, Coordinator, Health & Human Resources Ad- ministration, Division of Hospitals, 200 Lafayette Street, Baton Rouge 70801; (504) 389-2506 Michael Fulton, Acting Director, Office of Alcoholism and Drug Abuse Prevention, Bureau of Rehabilitation, 32 Winthrop Street, Augusta 04330; (207) 289-2781 MARYLAND Richard L. Hamilton, Coordinator, Maryland State Drug Abuse Administration, 201 West Preston Street, Baltimore 21201; (301) 383-3959 MASSACHUSETTS Malcolm Johnson, Director of Inter-Agency Liaison, Division of Drug Rehabilitation, 190 Portland Street, Boston 02114; (617) 727-5890 Leon Brill, Director, Division of Drug Rehabilitation, De- partment of Mental Health, 190 Partland Street, Boston #2114; (617) 727-5890 MICHIGAN Mary Beth Collins, Administrator, Office of Substance Abuse Services, 3500 North Logan Street, Lansing 48914; (517) 373-8600 67 MICHIGAN con't Maurice S. Reizen, M.D., Director, Office of Substance Abuse Services, 3500 North Logan Street, Lansing 48913 (517) 373-8600 MINNESOTA James T. Wrich, Executive Director, Alcohol & Drug Abuse Section, Dept. of Public Welfare, 4th Floor Centennial Bldg., 658 Cedar, St. Paul 55155 (612) 296-4610 MISSISSIPPI Dr. W. L. Jaquith, Executive Director, Mississippi Department of Mental Health, 600 Lee State Office Building, Jackson 39201; (601) 354-6132 Harold Armstrong, Director, Division of Alcohol & Drug Abuse, Department of Mental Health, Lee State Office Building, Jackson 39201; (601) 354-7640 MISSOURI William D. Lerner, M. D., Director, Division of Alcoholism and Drug Abuse, 2002 Missouri Boulevard, P.O. Box 687, Jefferson City 65101; (314) 751-4942 Marion J. Craney, Assistant Director, Division of Alcoholism and Drug Abuse, 2002 Missouri Boulevard, P.O. Box 687, Jefferson City 65101; (314) 751-4942 MONTANA George L. Swartz, Drug Coordinator, Addictive Diseases Unit, Capitol Station, Helena 59601; (406) 449-2827 NEBRASKA Carol Ann Winger, Acting Executive Director, Nebraska Commission on Drugs, P.O. Box 94726 Lincoln 68509; (402) 471-2691 NEVADA Roger S. Trounday, Director, Department of Human Resources, 6th Floor Kinkead Building, 505 East King Street, Carson City 89710; (702) 885-4790 Paul Cohen, Chief, Bureau of Alcohol and Drug Abuse, Department of Human Resources, 505 East King Street, Carson City 89710; (702) 885-4790 NEW HAMPSHIRE George Tice, Drug Abuse Coordinator, Office of the Governor, 3 Capitol Street, Room 405, Concord 03301; (603) 271-2754 68 NEW JERSEY Richard J. Russo, MSPH, Director, Division of Narcotic and Drug Abuse Control, P.O. Box 1540, Trenton 08608; (609) 292-5760 NEW MEXICO Edward Deaux, Director, Drug Division, Deaprtment of Hospitals and Institutions, 113 Washington Avenue, Santa Fe 87501; (505) 988-8951 NEW YORK Daniel Klepak, Commissioner, New York State Office of Drug Abuse Services, Executive Park South, Box 8200, Albany 12203; (518) 457-2061 NORTH CAROLINA F. E. (Roy) Epps, Director, North Carolina Drug Commission (919) 733-4555; Mailing address: P.0.Box 19324, P.0.Box 19324, Raleigh 27609 NORTH DAKOTA Richard Elefson, Director, Division of Alcoholism and Drug Abuse, State Department of Health, 909 Basin Avenue, Bismarck 58505; (701) 224-2767 OHIO Timothy B. Moritz, M.D., 30 East Broad Street, State Office Tower, Room 1182, Columbus 43215; (614) 466-2337 Melvin Zwissler, Ph.D., Chief, Bureau of Drug Abuse, 30 East Broad Street, State Office Tower, Room 1352, Columbus, 43215; (614) 466-7604 OKLAHOMA Hayden H. Donahue, M.D., Director, State Department of Mental Health, P.0. Box 53277, Capitol Station, Oklahoma City 73105; (405) 521-2811 Charles Wright, RSW, Coordinator, Drug Abuse Services, State Department of Mental Health, P.0. Box 53277, Capitol Station, Oklahoma City, 73105; (405) 521-2811 OREGON Dr. J. Donald Bray, Division Administrator, Mental Health Division, 2575 Bittern Street, N.E., Salem 97301; (503) 378-2671 Richard R. Runyon, Assistant Administrator, Programs for Alcohol and Drug Problems, Mental Health Division, 2575 Bittern Street, N.E., Salem 97301; (503) 378-2163 Clark Crum, Coordinator of Drug Problems, Mental Health Division, 2575 Bittern Street, N.E., Salem 97310; (503) 378-2163 69 PENNSYLVANIA Gary F. Jensen, Executive Director, Governor's Council for Drug and Alcohol Abuse, Riverside Office, Building #1, 2101 North Front Street, Harrisburg 17120; (717) 787-9857 RHODE ISLAND Dr. Joseph Bevilacqua, Director, Department of Mental Health, Retardation and Hospitals, Aime Forand Building, 600 New London Avenue, Cranston 02920; (401) 464-3201 SOUTH CAROLINA William J. McCord, Director, South Carolina Commission on Alcohol and Drug Abuse, P.O. Box 4616, Columbia 29240; (803) 758-2521/2183 Richard H. Freeman, Assistant Director, Division of Sub- stance Abuse, Aime Forand Building, 600 New London Avenue, Cranston 02920; (401) 464-3201 SOUTH DAKOTA Roger Merriman, Director, Division of Drugs and Substance Control, Department of Health, Foss Building, Pierre 57501; (605) 224-3123 TENNESSEE Leon S. Joyner, Acting Dir., Alcohol & Drug Abuse Section, Tenn. Dept. of Mental Health/Mental Retardation, 501 Union Street, Nashville 37219; (615) 741-1921 TEXAS UTAH Gerard M. Vasquez, Director, Texas Department of Community Affairs, Drug Abuse Prevention Division, P.O. Box 13166, Austin 78711; (512) 475-6351 Jim Riley, Assistant Director, Texas Department of Community Affairs, Drug Abuse Prevention Division, P.O. Box 13166, Austin 78711; (512) 475-6351 Robert Christiansen, Director, Utah State Division of Alcoholism and Drugs, 554 South 300 East, Salt Lake City 84111; (801) 533-6532 VERMONT James Leddy, Director, Alcohol and Drug Abuse Division, Department of Social & Rehabilitative Services, State Office Building, Montpelier 05602; (802) 828-2721 70 VIRGINIA Dr. A. Mort Casson, Assistant Commissioner, Division of Substance Abuse, State Department of Mental Health and Mental Retardation, P.O. Box 1797, Richmond 23214; (804) 786-5313 WASHINGTON Howard Senter, Administrator, Drug Abuse Prevention Office, Office of Community Development, 400 Capitol Center Building, Olympia 98504; (206) 753-3073 WEST VIRGINIA M. Mitchell Bateman, M.D., West Virginia Department of Mental Health, State Capitol, Charleston 25305; (304) 348-3211 Mr. Ray Washington, Division of Alcohol and Drug Abuse, State Capitol, Charleston 25305 (304) 348-3616 WISCONSIN Larry Monson, ACSW, Drug ABuse Program Coordinator, Bureau of Alcoholism and Drug Abuse, One West Wilson Street, Room 523, Madison 53702 (608) 266-7010 WYOMING Cone J. Munsey, Ed.D., Chief, Mental Health and Mental Re- tardation Services, Hathaway Building, Cheyenne 82002; (307) 777-7351 Mr. Robert L. Adams, Director, Drug Abuse Programs, Hathaway Building, Cheyenne 82002 (307) 777-7351 71 DISTRICT OF COLUMBIA Donald Aronson, Director, Addiction Services Branch, Department of Human Resources, 614 H Street, N.W., Room 713, Washington, D.C. 20001 (202) 737-7365/7366 Jacqueline E. Johnson, Assistant Director, Office of State Agency Affairs, Munsey Building, 1329 E Street, N.W., Room 1023, Washington, D.C., 20004; (202) 347-3512 PUERTO RICO Sra. Sila Nazario de Ferrer, Secretary, Department of Addiction Services, P.O. Box B-Y, Piedras Station, Rio Piedras 00928; (809) 764-8189 VIRGIN ISLANDS Dr. George A. Moorehead, Executive Director, Commission on Alcoholism and Narcotics, Department of Health, Third Floor, Franklin Building, P.0. Box 3668, Charlotte Amalie, St. Thomas 00801; (809) 774-6909 GUAM Mr. Thomas P. Skouros, Guam Memorial Hospital, Box AX, Agana 96910 AMERICAN SAMOA The Director, Department of Medical Services, Pago Pago, American Samoa 96799 MARIANAS ISLANDS Dr. Masao Kumangai, Director, Health Services, HICOMHDQTRS, Saipan 96950 Lawrence G. Wilson, M.D., Dept. of Health Services, Division of Mental Health, Trust Territoy, Saipan 96950 ✩U.S. GOVERNMENT PRINTING OFFICE: 1978-650-063/2611 72 UNIVERSITY OF MICHIGAN 3 9015 01939 4744 : 1 홉 ​1 ว 4 î + 7 2 1 " ! 3 } 7 "} 7 1 M i > 1 J } 1 " 2 耀 ​" } } 1 + ↓ - 1 5 } 1 1 t | 0 ! E T : } t 1 ་། { * 1 $ 1 [ I i 1 I 嘻 ​3 ¡ 1 :'. 1 17 1 } 51 1 } F 11 · 1 [ - 1 T 1