Blending Perspectives and Building Common Ground. I. Program Structure and Administration


  • Development of joint cooperation among substance abuse agencies, schools, courts, probation, health and mental health providers, job training programs, and human service agencies.  Creation of an inventory of local, State, and Federal resources available to the treatment program.
  • Establishment of an advisory body to assist the treatment program in collaborating with other resources and organizations, and to advocate on behalf of the program.  This body should reflect the cultural and socioeconomic diversity of the women and include recovering persons as well as community leaders.  Training and support are necessary.
  • Cross training of staff in collaborating organizations should foster the development of an integrated continuum of care for each woman in treatment and must address differences in philosophy, experience, and style of various disciplines.
  • Staffing should include individuals who are culturally competent and sensitive to and knowledgeable about treating substance abusing women.
  • Substance abuse treatment in correctional facilities should be delivered by trained and certified personnel.
  • Staff training should encompass the guidelines generated in CSAT's TIPs that relate specifically to Perinatal Substance Abuse.
  • Clinicians and program managers should participate in staff training.  Such training should lead to understanding the impact of psychological and psychiatric disorders, incest, physical and sexual abuse and their impact on recovery, and readiness for treatment, family dysfunction, multi-addiction, and the importance of flexible treatment approaches.