A cost analysis is presented for developing a training and employment (TEP) program at four methadone treatment centers in a quasi-experimental pilot study. Average annual costs for TEP per client were derived. The methodology can be used in other projects to compare standard and TEP-enhanced substance-abuse treatment. (SLD)

Three methods of designating everyday-dysfunction cases in the Colorado Social Health Survey are compared for a sample of 4,745 adults. The clinical judgment approach was chosen as the primary method of identification, with the statistical deviation criterion a backup. The patient criterion group approach was less useful. (SLD)

Discusses the related nature of prevention and treatment of drug abuse and alcohol abuse. For both prevention and treatment, the focus must be on outreach, culturally specific needs, and community-based needs. Treatment modalities that have been most effective are those that put the basic needs of the client first. (SLD)

What is being done at a local level, in the neighborhood, to prevent and discourage small-time drug dealers is discussed. Partnerships of law enforcement and grassroots citizens' groups are working in many places to reduce the availability and impact of drugs in their communities. The book opens with a discussion of drug use and the urban…

Homeless people with alcohol and other drug problems present the traditional substance abuse services delivery provider with special challenges. This paper discusses the optimal designs of comprehensive treatment services for homeless persons with alcohol and other drug problems. Most importantly, the homeless must have immediate access to a safe…

Six existing statistical procedures (models) for indirectly assessing the prevalence of need for alcohol, drug abuse, and mental health services across subareas of a state are described and critiqued in terms of epidemiological and statistical characteristics. Specific advantages and disadvantages are listed for each model. (SLD)

Reviews studies of the effects of prenatal drug exposure on child development, and reviews ideal early intervention programs. Researchers agree that prenatal drug exposure is only one of many factors that can influence a child's development. Specialized treatment programs and family support can ameliorate prenatal drug exposure effects. (SLD)

Reviews recent actions by state legislatures and courts in response to the problems of drug-exposed newborns. Also discusses civil and criminal court decisions regarding women who use drugs during pregnancy. State policy responses cannot be developed without a detailed assessment of the state's resources. (SLD)

The American Institute for Learning (AIL) has developed two interactive multimedia drug-awareness programs for secondary students who have used substances experimentally or are being challenged by others to experiment with drugs. The first, "Addiction and Its Processes," is an awareness program with video and computer capabilities and an…

Some of the conceptual, methodological, and logistical impediments to sound evaluations of jail-based drug-treatment programs are described. The focus is on a program in a large urban jurisdiction that illustrates difficulty in tracking clients and coordinating agency responses. Some suggestions are offered to help future researchers. (SLD)

Addresses the issue of drug-exposed infants from the perspective of a reproductive rights attorney. States genuinely interested in promoting healthy children will stop ignoring women or treating them as potential child abusers and will change the current punitive legal focus to a focus on treatment. (SLD)

Discusses treatment modalities for drug-abusing women. The following are barriers that prevent women, particularly pregnant women, from getting treatment they need: (1) lack of programs admitting women; (2) lack of programs tailored to women; and (3) fear and isolation experienced by drug-abusing women. (SLD)

This paper describes an evaluation of a prevocational Work Experience Project called New Leaf, which offers unemployed homeless men and women the opportunity to acquire essential work-related social and employment skills in connection with vocational and educational services and drug-free treatment in a therapeutic community. The evaluation covers…

The Target Cities Projects coordinate a variety of local services available to substance abusers and their families. As part of these cooperative agreements, Head Start agencies are linked to substance abuse treatment agencies to provide cross-training, cross referral, and, eventually, joint case management of client families. Part of this broader…

The Neglected and Delinquent/High School Institutionalized Facilities Program, funded by the New York State Education Department under Chapter 1 of the Education Consolidation and Improvement Act (ECIA) of 1981, provided diagnostic and prescriptive approaches to teaching prevocational, vocational/occupational, and life skills to 1,076 high school…