We see addicted offenders in a wide variety of settings. They run a gamut from community programs that deal with court-referred DUI/DWI clients, publicly-funded programs for low- or no-income addicts, facilities for adjudicated youth- all the way to substance abuse programs operated for or in correctional facilities. While the 3rd-time DUI offender without other criminal history may be very different from the high schooler caught dealing oxy pills to classmates, and both are different from the adult felon with the assault conviction and the gang connections, they all have one thing in common: their disease. And they are likely to present a common problem to the clinician: They’re rarely, if ever, self-referred or highly motivated to undertake abstinence-based recovery. RecoverySI has worked with many facilities that deal with addicted offenders, building clinical programs and training staff. We’ve collected blog posts, articles, and tools related to this topic and tagged them for easy reference in this feed. You can bookmark it, or find it by searching on “Addicted Offenders.”

XR-Naltrexone: Too Expensive to Help?

April 20, 2015 by C. Scott McMillin

Naltrexone maintenance is a lot cheaper than prison. But it’s a lot more expensive than methadone maintenance, which dulls some of its luster.

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Evaluating Antisocial Behavior: Quick Assessment Tool

April 8, 2013 by C. Scott McMillin

Clinicians working with addicted offenders and ‘coerced’ (court-ordered) clients often find these problems complicating substance abuse treatment; this tool can help identify particular areas of concern.

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Addiction And: ASPD

January 9, 2013 by C. Scott McMillin

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With a little leverage and some understanding of effective therapeutic technique, you can increase the chances of successful outcomes with these clients.

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Counseling Challenge: “Hardcore” Drunk Drivers

December 24, 2012 by C. Scott McMillin

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Repeat DUI/DWI offenders can pose tough challenges for treatment programs and counselors. The needs of the client and the demands of the legal system don’t always work together.

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Treating the Antisocial Addict: Treatment Planning

October 24, 2012 by C. Scott McMillin

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The behavior of antisocial persons is a challenge to traditional substance abuse counseling. Offender populations are packed with antisocial clients. It helps to address these behaviors directly, beginning with the treatment plan.

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Inpatient Management: Dealing with the Tempests in the Teapot

April 15, 2012 by C. Scott McMillin

I like to say that most of the conflicts are a tempest in a teapot — the problem being that you are in the teapot along with the tempest.

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Engaging Coerced DUI Clients

March 27, 2012 by C. Scott McMillin

First, they don’t understand why they’re in treatment, or how it could possibly benefit them. Second, they’re ticked off about having been coerced.

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Using Leverage in Counseling the Court-Referred Client

March 15, 2012 by C. Scott McMillin

Having a judge or a parole officer holding the big stick on them may be enough to get them into treatment, but it’s usually not enough motivation to get them beyond the minimum of compliance.

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A Big(ger) Picture: Juvenile Crime

March 4, 2012 by C. Scott McMillin

It isn’t so much that we can’t address these barriers, it’s that all too often, we lack the tools.

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Treating the Juvenile Offender

March 3, 2012 by C. Scott McMillin

We mobilize legions to deal with them: Judges, law enforcement, parole officers, counselors, teachers, case managers, but their problems persist.

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