SUPPORTING AND INTEGRATING SYSTEMS OF CARE:

Maximizing Their Impact on Improving Access to Treatment for People with Alcohol and Drug Use Disorders

Alcohol and drug problems seep into our communities and surface in the criminal justice system, child welfare system, family and social services agencies, and faith-based and community organizations. Systems of care work to combat and prevent alcohol and drug use disorders on a national, state, and local level, wherever they surface.

Alcohol and drug use disorders—which are defined as misuse, dependence, or addiction to alcohol and/or legal or illegal drugs—affect everyone, from teens and parents to colleagues and neighbors. According to the U.S. Substance Abuse and Mental Health Administration's (SAMHSA's) 2002 National Survey on Drug Use and Health, an estimated 22 million Americans age 12 or older were considered to have an alcohol or drug use disorder. Among youths ages 12 to 17, an estimated 11.6 million were illicit drug users.¹ Research shows the enormous impact of the problem on society:

• Children whose families do not receive appropriate treatment for alcohol and drug use disorders tend to remain in foster care longer than other children and are more likely than other foster children to re-enter foster care once they have returned home. Their siblings also are more likely than other children to end up in foster care.²
  
  
• The social cost of alcohol and drug use in the United States is staggering, estimated at more than $294 billion in 1997.³

Through Federal grants to States for treatment and prevention services, and through programs such as Medicaid, which provides financial assistance for medical care to individuals and families with low incomes, Federal and State agencies allocate resources among systems of care to help people who need treatment. But with nearly 10 percent of the population requiring treatment for alcohol or drug problems,⁴ mobilization at the local level—including involvement from community organizations and churches—is needed to help more people with alcohol and drug use disorders and their families get the assistance they need.

This backgrounder examines the various Federal, State, and community systems of care, the challenges they face, the benefits of increasing access to recovery, and the steps you can take to help those in need of treatment.

Justice System

Many people with untreated alcohol and drug use disorders end up in the criminal justice system. Nearly 1.7 million of the 2 million adult Americans in prison or jail are seriously involved with drugs or alcohol.⁵ Yet, most criminal offenders do not receive help for their alcohol and drug use disorders. Only 14 percent of inmates who had been drinking at the time of their offense had been treated for their alcohol problems since they were admitted to prison, and about 1 in 7 prisoners who had used drugs in the month before their offense were treated for their drug problems since their admission.⁶ Additionally, up to three-fourths of parolees who leave prison without drug treatment for their cocaine or heroin addictions resume drug use within three months of release.⁷

But there are reforms in place to improve this situation and increase access to treatment. Since 1996, more than 150 drug reform laws and ballot measures have been passed at the state level to treat alcohol and drug use disorders with a focus on treatment, rather than as a punishable crime.⁸ Voters in 17 states have approved drug reform ballot measures, often to provide treatment rather than incarceration for drug offenders, and 46 states have passed laws to reduce sentences and provide treatment for drug offenders.⁹

However, alcohol and drug use disorders are rarely the only problems an offender faces. Drug courts report that many participants suffer from co-occurring disorders (a combination of alcohol and drug use disorders and mental disorders, which refers to any mental or emotional disorder, including eating, anxiety, mood, and depression disorders, bipolar disorders, and schizophrenia). In fact, 61 percent of drug courts report screening for mental problems.¹⁰

A successful treatment program must include a comprehensive recovery support system to meet the social, physical, and mental health needs of the individual. For example, among juvenile offenders, treatment options that show the best evidence of effectiveness are behavioral therapies, intensive case management, cognitive-behavioral skills training, family-oriented therapies, and multi-systemic therapy.¹¹ Research has found that effective treatment saves money, reduces crime, and lowers relapse and recidivism rates. For example, alcohol and drug use disorder treatment cuts drug use in half, reduces criminal activity up to 80 percent, and reduces arrests up to 64 percent.¹²

Child Welfare System

One of the greatest consequences of untreated alcohol and drug use disorders is the negative impact on children— many of whom come to the attention of the child welfare system. Problems with alcohol and drug use disorders are estimated to exist in up to 80 percent of families in the child welfare system.¹³ Drug and alcohol problems have an impact on children of all social, economic, and racial groups—but children from families with scant financial and emotional resources are the most severely affected.¹⁴

Unfortunately, the complex problems faced by families with alcohol and drug use disorders are likely to require intervention beyond what the child welfare system can offer. A 1997 study by the Child Welfare League of America found that state child welfare agencies were only able to provide alcohol and drug use disorder treatment for one-third of families who needed it, and the wait for treatment services was up to 12 months.¹⁵ In the interim, according to the National Association for Children of Alcoholics, age-appropriate services should be sought for the children of parents with alcohol and drug use disorders, because a child's brain and emotional development continues regardless of the parent's stage of recovery. Age-appropriate services can be found via educational support groups offered by local schools, faith communities, youth organizations, child welfare agencies, and treatment centers.

Collaborative model programs, including partnerships with community-based family and social services, are showing signs of success because they offer the adequate, integrated treatment and recovery services required for families in need.¹⁶

Family and Social Services

Evidence from various national studies suggests that families with drug and alcohol problems who are involved in the child welfare system require access to a comprehensive array of services and supports to achieve long-term abstinence from drugs and alcohol, including access to housing, transportation, therapy (including family and trauma recovery services), and child care. In addition, personalized services directed to the individual, their children, and other family members are essential for the recovery of the entire family.

One successful and cost-effective innovation is the use of family drug treatment courts that provide timely and coordinated access to treatment and support services for families. This coordination reduces the trauma that families experience when faced with multiple systems, policies, and competing timelines.

Additionally, "unified family courts" combine all the elements and resources of traditional juvenile and family courts. Within these courts, families can access social services, dispute resolution assistance, and counseling. Such systems can better address the needs of children and families, and minimize the reliance on traditional court procedures, often avoiding costly trials and other direct judicial intervention.¹⁷

Faith-Based and Community Organizations

Community and faith-based approaches are a key component of SAMHSA's mission of building resilience against alcohol and drug use disorders and facilitating recovery. With the help of faith-based and community organizations, people with alcohol and drug use disorders can access treatment and get the support they need.

Faith-based and community organizations can create support systems that successfully guide people through treatment and recovery because they can address the various needs of their constituents. For example:

• Six out of 10 Americans say that religious faith is the most important influence in their lives; for 8 out of 10, religious beliefs provide comfort and support.¹⁸
  
  
• Positive peer affiliations, bonding with and involvement in school and after-school activities, relationships with caring adults, opportunities for school success and responsible behavior, and the availability of drug-free activities all have been cited as factors that help students resist drugs.¹⁹

In particular, the African-American church has a historical role in addressing social and political issues of the community. Equipped with education and training about alcohol and drug use disorders, these churches are in an ideal position to better identify strategies to address these problems within the context of African-American spirituality.²⁰ Organizations such as African American Family Services provide education and awareness about alcohol and drug use disorders to churches, schools, and community groups.

Access to Recovery

To help more Americans with alcohol and drug use disorders gain access to appropriate treatment, President Bush has launched Access to Recovery, a new initiative designed to increase the availability and effectiveness of treatment programs. By providing vouchers to people in need of treatment, the Access to Recovery grant program promotes individual choice for substance abuse treatment and recovery services. It also expands access to care, including access to faith- and community-based programs, and increases substance abuse treatment capacity.

For more information about Access to Recovery, visit the SAMHSA Web site at www.samhsa.gov.

Making a Difference: What Can I Do?

1. Reach out to families. Children, spouses, siblings, and parents of people with alcohol and drug use disorders are frequently in need of education and support and may require referrals that can help them understand the recovery process. Family members may need to be directed to social services and counseling professionals to address multiple issues and problems, such as family dynamics and communication in stressful relationships; children's attendance, performance, and behavior in school; and/or economic needs.
   
   
2. Integrate and use all available services. Professionals in the child welfare and criminal and juvenile justice systems should work closely with alcohol and drug use disorder and mental health treatment providers, funding agencies, counselors, local health officials, social service organizations, state alcohol and drug agencies, and others in the community to share information, workforce resources, and recovery materials. Developing and cultivating partnerships can extend a program's reach, impact, and credibility.
   
   
3. Focus on prevention with an emphasis on youth. Young people with alcohol and drug use disorders often experience a variety of accompanying problems, including academic difficulties, a decline in physical and mental health, ineffective communication and poor relationships with their families and friends, social and economic consequences, and delinquency. By conducting a comprehensive assessment of a youth when he or she first enters the justice system, juvenile justice professionals can help youth receive early intervention and treatment that will help in their efforts to become free from drug and alcohol problems.
   
   
4. Educate yourself and the community about treatment. Demonstrating to the community that alcohol and drug use disorders are treatable diseases may encourage other community-based organizations to work aggressively for more community programs.²¹ This starts with leaders who truly understand the disease of alcohol and drug use disorders. Seek out people in recovery in your community who are willing to speak openly about their experiences or contact local support groups or religious organizations for spokespeople who might be willing to educate your leaders.
   
   
5. Work with existing channels in your community. Community organizations can work with store owners to enforce a crackdown on alcohol sales to underage youth. You also can support local schools and enlist the help of parents to spread the message that not all children use alcohol or drugs and that treatment is available for those with alcohol and drug use disorders. Most importantly, community organizations and faith communities can support those already working in the treatment field, celebrating the accomplishments of these often hidden heroes.
   
   
6. Create a community anti-drug coalition. Anti-drug coalitions combine existing resources into a single community-wide system of prevention and treatment.²² These coalitions provide support services and plans for those in need. Each community's coalition will be different due to the available resources and priorities of the community. Information on how to form a coalition and great examples of local coalitions that support community-wide efforts to reduce alcohol and drug use disorders are available from the Community Anti-Drug Coalitions of America (CADCA), Join Together, and the National Commission Against Drunk Driving (NCADD), which are listed at the end of this document.
   
   
7. Be informed. Make sure your community-based organization and faith community leaders are kept up-to-date on the latest alcohol and drug use disorder and mental health information, such as the newest types of treatments. Resources for this type of information are listed at the end of this document.

Making a Difference: How Can I Contribute to Recovery Month?

This year's National Alcohol and Drug Addiction Recovery Month (Recovery Month) theme, "Join the Voices for Recovery…Now!" is a call to action for communities to coordinate education and awareness efforts with agencies at all levels. Following are some things you can do to contribute:

1. Make a public statement. Express your opinion about the importance of alcohol and drug use disorder treatment in the context of the criminal justice or child welfare system by sending an op-ed article—a short written piece that appears opposite the editorial page of a newspaper—to the editor of your local paper. Include relevant statistics, persuasive examples, and a compelling story of a local person in recovery to illustrate the effectiveness of treatment programs. A sample op-ed is included in the media outreach portion of this kit.
   
   
2. Spread the word online. Promote your support for Recovery Month through your organization's Web site by posting the Recovery Month logo on your home page, as well as any relevant statistics or fact sheet information. Consider linking your site to some of the national or local systems of care listed in the resource section of this kit, or to the sites of organizations in your own community. Recovery Month banners are available on the 2004 Recovery Month Web site at www.recoverymonth.gov.
   
   
3. Form a speakers bureau. Throughout September, organize a small group of professionals from one of the systems of care to serve as guest speakers at schools, community events, places of worship, businesses, civic group meetings, and/or other venues to deliver clear messages about the need for effective treatment to help combat alcohol and drug use disorders.
   
   
4. Support existing community efforts. Collaborate with a local alcohol and drug use disorder treatment facility in your community by volunteering time, money, and/or other resources to further the program. You also may consider collaborating with a treatment organization on a Recovery Month press event to raise public awareness about alcohol and drug use disorders, treatment, and recovery. For example, reporters could be invited to a press briefing that honors recent drug court graduates or families reunited from the child welfare system (who agree to appear publicly), as well as members of the drug court team and others who have dedicated themselves to helping those in need of treatment.
   
   
5. Be creative. Work with local volunteer performance organizations (e.g., dance troupes, theater companies, choirs) to create shows that help get the message out that alcohol and drug use disorders are treatable diseases. Make sure the show or concert targets both youth and adults, and offer it free to the community. Make information about alcohol and drug use disorder treatment available to those attending. Spokespeople from local treatment centers could hold a question-and-answer session before or after the show. Place advertisements about the upcoming show or concert in your organization's newsletter or church bulletin and in windows of local stores and restaurants.
   
   
6. Integrate your message into activities for the community. Get involved in local sports at the high school or college level. Work with the schools and coaches to educate students on the dangers of steroids and other "performance-enhancing" drugs. Sponsor a night at a local minor league hockey or baseball game and distribute handouts with alcohol and drug use disorders information or fun giveaway items, such as key chains or whistles with your organization's name, phone number, and Web site. Help sponsor a run or walk for an alcohol and drug use disorders cause in your community. Donate the money you raise to a local treatment center for new programs, new staff, or a new facility.
   
   
7. Sponsor a health and community fair. If your community does not have a local fair, coordinate one and make it health-focused with education about alcohol and drug use disorders and activities for children. Set up booths for local treatment centers to offer information and speak to their neighbors. Offer treatment materials for those who might be in need. Invite local politicians and celebrities to speak on alcohol and drug use disorder topics. If your community already sponsors a local fair, make sure your organization secures a booth or space.

For additional Recovery Month materials, visit our Web site at www.recoverymonth.gov or call 1-800-662-HELP.

SYSTEMS OF CARE RESOURCES

Federal Agencies

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS)
Information and resources on alcohol and drug use disorder and health insurance/Medicaid issues
200 Independence Avenue SW
Washington, D.C. 20201
877-696-6775 (Toll-Free)
www.hhs.gov

HHS, National Institutes of Health (NIH)
Health information, grants & funding opportunities, news & events, and scientific resources
9000 Rockville Pike
Bethesda, MD 20892
301-496-4000
www.nih.gov

HHS, NIH National Institute on Alcohol Abuse and Alcoholism
Information on alcoholism and alcohol use
5635 Fisher Lane, MSC 9304
Bethesda, MD 20892-9304
301-443-3860
www.niaaa.nih.gov

HHS, NIH National Institute on Drug Abuse Office of Science Policy and Communication
Science-based research on alcohol and drug use disorders
6001 Executive Boulevard Room 5213, MSC 9561
Bethesda, MD 20892-9561
301-443-1124 Telefax fact sheets: 888-NIH-NIDA (Voice) (Toll-Free) or
888-TTY-NIDA (TTY) (Toll-Free)
www.drugabuse.gov

HHS, Substance Abuse and Mental Health Services Administration (SAMHSA)
Information, research, and education on prevention, treatment, and rehabilitative services for alcohol and drug use disorders and mental illnesses
5600 Fishers Lane Parklawn Building, Suite 13C-05
Rockville, MD 20857
301-443-8956
www.samhsa.gov

HHS, SAMHSA National Clearinghouse for Alcohol and Drug Information
Comprehensive resources for drug and alcohol information
P.O. Box 2345
Rockville, MD 20847-2345
800-729-6686 (Toll-Free) 800-487-4889 (TDD) (Toll-Free)
877-767-8432 (Spanish) (Toll-Free)
www.ncadi.samhsa.gov

HHS, SAMHSA SAMHSA National Helpline
National directory of substance use disorder treatment programs
800-662-HELP (800-662-4357) (Toll-Free) 800-487-4889 (TDD) (Toll-Free)
877-767-8432 (Spanish) (Toll-Free) (for confidential information on substance abuse treatment and referral)
www.findtreatment.samhsa.gov

HHS, SAMHSA Center for Substance Abuse Treatment
Information on treatment programs, publications, funding opportunities, and resources
5600 Fishers Lane Rockwall II
Rockville, MD 20857
301-443-5052
www.samhsa.gov/centers/csat2002

HHS, SAMHSA Center for Mental Health Services
Comprehensive resource on mental health issues and services
5600 Fishers Lane Parklawn Building, Room 17-99
Rockville, MD 20857
301-443-2792
www.mentalhealth.samhsa.gov

HHS, SAMHSA National Mental Health Information Center
Information about mental health for users of mental health services and their families, the general public, policy makers, providers, and the media
P.O. Box 42557
Washington, D.C. 20015
800-789-2647 (Toll-Free) 866-889-2647 (TDD)
www.mentalhealth.samhsa.gov

U.S. DEPARTMENT OF EDUCATION (ED)
Information for students, parents, teachers, and administrators, including grants for anti-alcohol/drug programs
400 Maryland Avenue SW
Washington, D.C. 20202-6123
800-872-5327 (Toll-Free)
www.ed.gov

ED, Safe and Drug-Free Schools
Information on drug-free school programs and activities
400 Maryland Avenue SW
Washington, D.C. 20202-6123
202-260-3954
www.ed.gov/offices/OESE/SDFS

U.S. DEPARTMENT OF JUSTICE (DOJ)
Enforces the law and defends the interests of the United States according to the law, including drug enforcement
950 Pennsylvania Avenue NW
Washington, D.C. 20530-0001
202-353-1555
www.usdoj.gov

DOJ, National Criminal Justice Reference Service
Criminal justice and alcohol and drug use disorder information to support research, policy, and program development worldwide
P.O. Box 6000
Rockville, MD 20849-6000
800-851-3420 (Toll-Free) 301-519-5500
www.usdoj.gov/02organizations/02_1.html

DOJ, National Institute of Justice
Research, development, and evaluation agency of the U.S. Department of Justice dedicated to researching crime control and justice issues
810 Seventh Street NW, Seventh Floor
Washington, D.C. 20531
202-307-2942
www.ojp.usdoj.gov/nij

DOJ, Office of Juvenile Justice and Delinquency Prevention
Resources for community-based youth rehabilitation programs and information about the juvenile justice system
810 Seventh Street NW
Washington, D.C. 20531
202-307-5911
www.usdoj.gov/02organizations/02_1.html

Local Coalitions

Community Anti-Drug Coalitions of America
Information and resources for building anti-drug coalitions
625 Slaters Lane, Suite 300
Alexandria, VA 22314
800-54-CADCA/800-542-2322 (Toll-Free)
www.cadca.org

Join Together
National resource for communities working to reduce substance use related problems
One Appleton Street, 4th Floor
Boston, MA 02116-5223
617-437-1500
www.jointogether.org

Miami Coalition for a Safe and Drug-Free Community
Information useful in the planning and implementation of successful drug-free community strategies and programs
University of Miami/North South Center 2140 South Dixie Highway, Suite 205
Miami, FL 33133
305-856-4077
www.miamicoalition.org

National Commission Against Drunk Driving
Works to reduce impaired driving and its tragic consequences by uniting a broad-based coalition of public and private sector organizations and others
8403 Colesville Road, Suite 370 Silver
Spring, MD 20910
240-247-6004
www.ncadd.com

Child Welfare Organizations

Children's Defense Fund
Child welfare and health programs
25 E Street NW
Washington, D.C. 20001
202-628-8787
www.childrensdefense.org

Child Welfare League of America
Child welfare programs, publications, and advocacy
440 First Street NW, Third Floor
Washington, D.C. 20001
202-638-2952
www.cwla.org

National Association for Children of Alcoholics
Works on behalf of children of alcohol- and drug-dependent parents
11426 Rockville Pike, Suite 100
Rockville, MD 20852
888-55-4COAS/888-554-2627 (Toll-Free)
www.nacoa.org

Faith and Community-Based Organizations

4-H
Healthy lifestyle education and activities for youth
1400 Independence Avenue SW STOP 2225
Washington, D.C. 20250-2225
202-720-2908
www.usda.gov

Aliviane NO-AD, Inc.
Prevention, education, and treatment approaches in West Texas
11960 Golden Gate Street
El Paso, TX 79915
915-782-4000
www.aliviane.org

Big Brothers/Big Sisters of America
Mentoring program for children
230 North 13th Street
Philadelphia, PA 19107
215-567-7000
www.bbbsa.org

Boys & Girls Clubs of America
Provides a safe place for recreation and companionship for boys and girls at home with no adult care or supervision
1230 West Peachtree Street NW
Atlanta, GA 30309
404-487-5700
www.bgca.org

Boy Scouts of America
Character development program for boys that offers values-based leadership training National Office
1325 West Walnut Hill Lane
Irving, TX 75015
972-580-2000
www.scouting.org

Catholic Charities, USA
Social services for people in need, regardless of background
1731 King Street, Suite 200
Alexandria, VA 22314
703-549-1390
www.catholiccharitiesusa.org

Church of Jesus Christ of Latter-Day Saints
Mormon organization that promotes strong family relationships
2520 L Street NW, Second Floor
Washington, D.C. 20037
202-448-3333
www.lds.org

Connecticut Community for Addiction Recovery
Community education about alcohol and drug use disorder recovery
530 Silas Deane Highway, Suite 220
Wethersfield, CT 06109
860-571-2985
www.ccar-recovery.org

Faces and Voices of Recovery
Advocacy campaign to help those in recovery
1010 Vermont Avenue NW, Suite 708
Washington, D.C. 20005
202-737-0690
www.facesandvoicesofrecovery.org

General Board of Global Ministries of the United Methodist Church Program on Substance Abuse
Faith-based solutions to widespread substance use disorders
110 Maryland Avenue NE, Suite 404
Washington, D.C. 20002
202-548-2712
www.gbgm-umc.org

Girl Scouts of the U.S.A.
Leadership-focused programs for young girls
Just for Girls, 15th Floor 420 Fifth Avenue
New York, NY 10018-2798
800-GSUSA4U/800-478-7248 (Toll-Free)
www.girlscouts.org

Jewish Alcoholics, Chemically Dependent Persons and Significant Others
Programs, resources, and events for Jewish people, including youth, recovering from alcohol and drug use disorders
850 Seventh Avenue, Penthouse
New York, NY 10019
212-397-4197
www.jacsweb.org

Johnson Institute
Training and technical assistance for counselors, treatment institutions, school teachers, and policy makers
10001 Wayzata Boulevard
Minnetonka, MN 55305
952-582-2713 D.C. office:
1273 National Press Building 529 14th Street NW
Washington, D.C. 20045 202-662-7104
www.johnsoninstitute.org

National Families in Action
Science-based policies to help families and communities prevent youth drug use
2957 Clairmont Road NE, Suite 150
Atlanta, GA 30329
404-248-9676
www.nationalfamilies.org

We Care America
A national network of individuals, churches, and ministries that are working together to meet the needs of the poor and hurting by building capacity among faith-based organizations
10 G Street NE, Suite 502
Washington, D.C. 20002-4213
202-667-4616
www.nationalfamilies.org

Young Men's Christian Association of the U.S.A.
Health and social services for men, women, and children
1701 K Street NW, Suite 903
Washington, D.C. 20006
202-835-9043
www.ymca.net

Young Women's Christian Association of the U.S.A.
Health and social services for women and their families
1015 18th Street NW, Suite 1100
Washington, D.C. 20036
202-467-0801 800-YWCA-US1 (Toll-Free)
www.ywca.org

Health and Treatment Organizations

American Association for Marriage and Family Therapy
Tools and resources for marriage and family therapists
112 South Alfred Street
Alexandria, VA 22314-3061
703-838-9808
www.aamft.org

American Psychological Association
Information, publications, and research on psychological disorders
750 First Street NE
Washington, D.C. 20002-4242
800-374-2721 (Toll-Free) 202-336-6123 (TTY)
www.apa.org

American Public Health Association
Policies and priorities to set public health practice standards and to improve health worldwide
800 Eye Street NW
Washington, D.C. 20001
202-777-2742 (APHA) 202-777-2500 (TTY)
www.apha.org

American Society of Addiction Medicine
Information for healthcare providers about prevention and treatment of substance use disorders
4601 North Park Avenue Upper Arcade, Suite 101
Chevy Chase, MD 20815-4520
301-656-3920
www.asam.org

Association of State and Territorial Health Officials
Programs and policies for state health departments to promote health and prevent disease
1275 K Street NW, Suite 800
Washington, D.C. 20005-4006
202-371-9090
www.astho.org

Ensuring Solutions to Alcohol Problems
Research and tools to address healthcare and other costs associated with alcohol use and policy direction to improve access to treatment
Center for Health Services Research and Policy
George Washington University 2021 K Street NW, Suite 800
Washington, D.C. 20006
202-296-6922
www.ensuringsolutions.org

Federation of Families for Children's Mental Health
A family-run organization focused on children and adolescents with mental health needs and their families
1101 King Street, Suite 420
Alexandria, VA 22314
703-684-7710
www.ffcmh.org

The Green Dot
A professional services and management consulting firm which provides a full range of administrative, clinical, and fiscal services to public and private sector clients worldwide focused on health promotion and disease prevention; these services include program evaluation, grant review, strategic planning, community organization/mobilization, training and technical assistance
3314 B South Wakefield Street
Arlington, VA 22206
703-931-2356

Hazelden Foundation
Substance use disorder treatment and continuing care services
P.O. Box 11
Center City, MN 55012
800-257-7810 (Toll-Free)
www.hazelden.com

Hope Networks/We Recover
Supports community efforts regarding treatment, job skills, living skills, and retraining programs to reduce poverty, crime, and illiteracy found in untreated communities
8867 Highland Road Suite 320
Baton Rouge, LA 70808
888-472-0786 (Toll-Free)
www.hopenetworks.org

National Association of Addiction Treatment Providers
Resources for substance use disorder treatment providers
313 West Liberty Street, Suite 129
Lancaster, PA 17603-2748
717-392-8480
www.naatp.org

National Association of Community Health Centers
Community, migrant, and homeless health centers that provide health care to the poor and medically underserved
7200 Wisconsin Avenue, Suite 210
Bethesda, MD 20814
301-347-0400
www.nachc.com

National Association of Rural Health Clinics
Information on how to improve the delivery of quality, cost-effective healthcare in rural, underserved areas
426 C Street NE
Washington, D.C. 20002
202-543-0348
www.narhc.org

National Council on Alcoholism and Drug Dependence, Inc.
Facts and information for youths and parents
20 Exchange Place, Suite 2902
New York, NY 10005-3201
800-NCA-CALL (Hope Line) (Toll-Free)
212-269-7797
www.ncadd.org

National Council for Community Behavioral Healthcare
Education, advocacy, and networking for community providers of mental health and substance use disorder treatment services
12300 Twinbrook Parkway, Suite 320
Rockville, MD 20852
301-984-6200
www.nccbh.org

National Mental Health Association
An association dedicated to promoting mental health, preventing mental disorders, and achieving victory over mental illness through advocacy, education, research, and service
2001 North Beauregard Street, 12th Floor
Alexandria, VA 22311
800-969-6642 (Toll-Free) 800-433-5959 (TTY) 703-684-7722
www.nmha.org

Physicians and Lawyers for National Drug Policy
Resources and position papers on drug policy
PLNDP National Project Office Center for Alcohol and Addiction Studies
Brown University Box G-BH
Providence, RI 02912
401-444-1817
www.plndp.org

Step One
Treatment for individuals with substance use disorders and their families in North Carolina
665 West Fourth Street
Winston Salem, NC 27101
800-758-6077 (Toll-Free) 336-725-8389
www.stepone.org

Therapeutic Communities of America
A national non-profit membership association representing over 400 substance abuse treatment programs that provide services to substance use disorder clients with diverse special needs
1601 Connecticut Avenue NW, Suite 803
Washington, D.C. 20009
202-296-3503
www.therapeuticcommunitiesofamerica.org

Justice System Organizations

American Bar Association Standing Committee on Substance Abuse
The Standing Committee on Substance Abuse collaborates with national groups, state and local bar associations, and other ABA entities to address issues of substance abuse. The Committee also works to encourage bar associations to actively develop and foster lawyer and public participation in community and justice system efforts regarding substance abuse
740 15th Street NW
Washington, D.C. 20005
202-662-1784
www.abanet.org/subabuse

Center on Juvenile and Criminal Justice
Focuses on reducing reliance on incarceration as a solution to social problems
1622 Folsom Street, Second Floor
San Francisco, CA 94103
415-621-5661
www.cjcj.org

DC Bar
Provides service to the profession, the courts, and the community in Washington, D.C.
1250 H Street NW, Sixth Floor
Washington, D.C. 20005-5937
202-737-4700
www.dcbar.org

Legal Action Center
Programs, research, and services to reduce alcohol and drug problems and the harm they cause to individuals, families, and friends
236 Massachusetts Avenue NE, Suite 505
Washington, D.C. 20002
202-544-5478
www.lac.org/programs/alcdrugs.html

National Association of Drug Court Professionals
Advocacy and awareness for the establishment and funding of drug courts to reduce substance use disorders, crime, and recidivism
4900 Seminary Road, Suite 320
Alexandria, VA 22311
703-575-9400
www.nadcp.org

National Council of Juvenile and Family Court Judges
Publications and information about juvenile and family courts
1041 N. Virginia Street, 3rd Floor
Reno, NV 89557
775-784-6012
www.ncjfcj.org

National TASC (Treatment Accountability for Safer Communities)
A membership organization representing individuals and programs dedicated to the professional delivery of treatment and case management services to populations with substance use disorders
2204 Mt. Vernon Avenue, Suite 200
Alexandria, VA 22301
703-836-8272
www.nationaltasc.org

People of Color

Association of Black Psychologists
Issues facing black psychologists and the black community
P.O. Box 55999
Washington, D.C. 20040-5999
202-722-0808
www.abpsi.org

Black Administrators in Child Welfare, Inc.
Help for African American children and their families in the child welfare system
440 First Street NW, Third Floor
Washington, D.C. 20001
202-662-4284
www.blackadministrators.org

National Indian Child Welfare Association
Organization dedicated to well-being of Native Indian children and families
5100 SW Macadam Avenue, Suite 300
Portland, OR 97239
503-222-4044
www.nicwa.org

White Bison
An American Indian non-profit organization based in Colorado Springs, Colorado, that offers learning resources to the Native American community nationwide on topics such as sobriety, recovery, prevention, and wellness/Wellbriety (the inspiration to go on beyond sobriety and recovery, committing to a life of wellness and healing every day)
6145 Lehman Drive, Suite 200
Colorado Springs, CO 80918
866-480-6751 (Toll-Free) 719-548-1000
www.whitebison.org

Parent- and Family-Focused Organizations

Center for Families, Children and the Courts
Dedicated to improving the quality of justice and services to meet the diverse needs of children, youth, families, and self-represented litigants in the California courts
455 Golden Gate Avenue, 6th Floor
San Francisco, CA 94102-3660
415-865-7739
www.courtinfo.ca.gov/programs/cfcc

Mothers Against Drunk Driving
Research and policy at Federal, State, and local levels to stop drunk driving, support victims, and prevent underage drinking
511East John Carpenter Freeway, Suite 700
Irving, TX 75062
800-GET-MADD (800-438-6233) (Toll-Free)
www.madd.org

National Association of Social Workers
Resources for professional social workers
750 First Street NE, Suite 700
Washington, D.C. 20002-4241
800-638-8799 (Toll-Free) 202-408-8600
www.socialworkers.org

Partnership for a Drug-Free America
Tips and resources for parents and caregivers
405 Lexington Avenue, Suite 1601
New York, NY 10174
212-922-1560
www.drugfreeamerica.org

Public Policy and Research Organizations

Capitol Decisions, Inc.
Consulting group that addresses alcohol and drug use disorder issues
101 Constitution Avenue NW, Suite 675 East
Washington, D.C. 20001
202-638-0326

Center for Alcohol and Drug Research and Education
Technical assistance, guidance, information, and expert service for individuals, organizations, governmental agencies, and a variety of local, national, and international non-profit organizations to improve the quality of their response to substance use disorders
6200 North Charles Street, Suite 100
Baltimore, MD 21212-1112
410-377-8992
www.alcoholanddrugs.com

National Association of State Alcohol and Drug Abuse Directors
Supports the development of effective prevention and treatment programs throughout every state
808 17th Street NW, Suite 410
Washington, D.C. 20006
202-293-0090
www.nasadad.org

National Center on Addiction and Substance Abuse at Columbia University (CASA)
Health, treatment, and policy research regarding substance use disorders
633 Third Avenue, 19th Floor
New York, NY 10017
212-841-5200
www.casacolumbia.org

Mutual Support Groups

Al-Anon/Alateen
Support for families and friends of alcoholics
Al-Anon Family Group Headquarters, Inc.
1600 Corporate Landing Parkway
Virginia Beach, VA 23454-5617
888-4AL-ANON/888-425-2666 (Toll-Free)
www.al-anon.alateen.org

Alcoholics Anonymous
Support group that provides sponsorship and a Twelve Step program for life without alcohol
475 Riverside Drive, 11th Floor
New York, NY 10115
212-870-3400
www.aa.org

Narcotics Anonymous
Organization for people recovering from a drug use disorder
P.O. Box 9999
Van Nuys, CA 91409
818-773-9999
www.na.org

Sources

1. Overview of Findings from the 2002 National Survey on Drug Use and Health. DHHS Publication No. (SMA) 03-3774. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Office of Applied Studies, 2003, p. 5.
   
2. Blending Perspectives and Building Common Ground: A Report to Congress on Substance Abuse and Child Protection. Washington, D.C.: U.S. Department of Health and Human Services, 1999, ch. 4.
   
3. Coffey, R.M., et al. National Estimates of Expenditures for Substance Abuse Treatment, 1997. DHHS Publication No. (SMA) 01-3511. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment, Medstat Group, February 2001, section entitled 'Key Findings,' para. 1.
   
4. Overview of Findings from the 2002 National Survey on Drug Use and Health, p. 8.
   
5. Trends in Substance Abuse and Treatment Needs among Inmates, Final Reports. Washington, D.C.: U.S. Department of Justice, 2002, p. i.
   
6. Bureau of Justice Statistics Special Report. Substance Abuse and Treatment, State and Federal Prisoners, 1997. NCJ172871. U.S. Department of Justice, Office of Justice Programs, January 1999, p. 1.
   
7. Lurigio, Arthur J. Drug treatment availability and effectiveness. Criminal Justice and Behavior 27 (4), August 2000, pp. 495-528.
   
8. State of the States: Drug Policy Reforms, 1996-2002. Drug Policy Alliance, September 2003, p. i.
   
9. ibid.
   
10. Treatment Services in Adult Drug Courts: Report on the 1999 National Drug Court Treatment Survey. Washington, D.C.: U.S. Department of Justice, Office of Justice Programs, Drug Courts Program Office, May 2001, p. 76.
    
11. McBride, D., VanderWaal, C., VanBuren, H., and Terry, Y. Breaking the Cycle of Drug Use Among Juvenile Offenders. Manuscript prepared for the National Institute of Justice, 1997, p. 58.
    
12. The National Treatment Improvement Evaluation Study (NTIES): Highlights. DHHS Publication No. (SMA) 97-3159. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment, Office of Evaluation, Scientific Analysis and Synthesis, 1997, pp. 241-242.
    
13. Young, N. K., Gardner, S. L., and Dennis, K. Responding to alcohol and other drug problems in child welfare: Weaving together practice and policy. Washington, D.C.: Child Welfare League of America, 1998, p. ix.
    
14. Young, N. K., Wingfield, K., and Klempner, T. Child Welfare; Journal of Policy, Practice, and Program. Child Welfare League of America, Vol. LXXX, #2, March/April 2001, p. 103.
    
15. Alcohol, Other Drugs, & Child Welfare. Washington, D.C.: Child Welfare League of America, 2001, p. 8.
    
16. ibid, p. 10.
    
17. Cutting Crime: Drug Courts in Action, Washington, D.C.: Drug Strategies, 1997, p. 12.
    
18. Riccio, P. Breaking Down the Walls: Connecting Faith with Communities, in Prevention Pipeline. Rockville, MD: Center for Substance Abuse Prevention, July/August 1996, p. 11.
    
19. McNamara, K.M. Best Practices in Substance Abuse Prevention Programs. Best Practices in School Psychology III, A. Thomas and J. Grimes (eds.). Washington, D.C.: National Association of School Psychologists, 1995, pp. 369-382.
    
20. African-American Youth. Communicating About Alcohol and Other Drugs: Strategies for Reaching Populations at Risk. CSAP Monograph 5. ncadi.samhsa.gov/
    gov-pubs/phd627/afroamer.aspx. Key Element #3. Accessed February 12, 2004.
    
21. Schroeder, S. Grant Makers Must Attack Substance Abuse. Chronicle of Philanthropy, July 26, 2001. http://philanthropy.com/
    premium/articles/v13/i19/19004001.htm, para. 12. Accessed March 5, 2004.
    
22. Assessing Community Coalitions. Washington, D.C.: Drug Strategies. www.drugstrategies.org/
    commcoal/ACC_Ch05.html. para. 2-4. Accessed February 12, 2004.