Addressing Viral Hepatitis in People with Substance Use Disorders. Treatment Improvement Protocol (TIP) Series 53
Author: Substance Abuse and Mental Health Services Administration (DHHS/PHS)
Date: 2011-00-00
Type: Guides - Non-Classroom
Subjects: Communicable Diseases,Substance Abuse,Comorbidity,Mental Disorders,Medical Services,Screening Tests,Counseling Techniques,Chronic Illness,Patient Education,Genetics,Clinical Diagnosis,Diagnostic Tests,Barriers,Counselor Role,Outcomes of Treatment,Recidivism,Behavior Disorders,Drug Therapy,Patients,Needs,Physician Patient Relationship,Family Role,Program Evaluation,Prevention,Immunization Programs,Legal Problems,Ethics,Outreach Programs,Readiness,Acquired Immunodeficiency Syndrome (AIDS),Decision Making,Therapy,Social Influences,Counselor Client Relationship

Treatment Improvement Protocols (TIPs) are developed by the Center for Substance Abuse Treatment (CSAT), part of the Substance Abuse and Mental Health Services Administration (SAMHSA) within the U.S. Department of Health and Human Services (HHS). Each TIP involves the development of topic-specific best-practice guidelines for the prevention and treatment of substance use and mental disorders. TIPs draw on the experience and knowledge of clinical, research, and administrative experts of various forms of treatment and prevention. TIPs are distributed to facilities and individuals across the country. Published TIPs can be accessed via the Internet at http://www.kap.samhsa.gov. Although each consensus-based TIP strives to include an evidence base for the practices it recommends, SAMHSA recognizes that behavioral health is continually evolving, and research frequently lags behind the innovations pioneered in the field. A major goal of each TIP is to convey "front-line" information quickly but responsibly. If research supports a particular approach, citations are provided. This TIP is organized into two parts: Part 1 is for counselors and administrators of behavioral health programs providing substance abuse treatment. It comprises seven chapters and emphasizes steps substance abuse treatment counselors and administrators can take to educate clients, prevent new hepatitis infections, and help clients who have viral hepatitis recover from their substance use disorders (SUDs). Information is provided at a basic level so that it can be understood by readers without medical training. Chapter 1 presents an overview of the most common types of viral hepatitis. Chapters 2 and 3 provide detailed information on screening for hepatitis and evaluation, respectively. Factors to consider when helping a client decide whether to undergo hepatitis treatment are addressed in Chapter 4; the treatment process is explained in Chapter 5. Chapter 6 describes counseling approaches for treating clients who have SUDs and viral hepatitis. Chapter 7 offers recommendations for administrators on how to add or improve hepatitis services, showcasing programs with proven track records. Note: Many people in treatment for SUDs are affected by mental disorders prior to the start of hepatitis treatment; mental disorders also may arise through the course of hepatitis treatment. Guidance for addressing co-occurring mental disorders is included throughout the TIP. Hepatitis-related issues specific to the treatment of mental disorders, not in the context of co-occurring SUDs, are covered in Appendix F. Part 2 is an online literature review for clinical supervisors, program administrators, and counselors interested in reviewing the medical literature on which this TIP is based. The literature review, available at http://www.kap.samhsa.gov, will be updated every 6 months for 5 years following publication of this TIP. Appended are: (1) Bibliography; (2) Glossary; (3) Hepatitis Resources; (4) Managing Side Effects of Hepatitis C Antiviral Treatment; (5) Medicinal Plants/Alternative Treatments Potentially Harmful to People Who Have Hepatitis; (6) Mental Health Treatment Considerations for People Who Have Chronic Viral Hepatitis C; (7) Motivational Interviewing and Counseling Resources; (8) Sources for Financial Assistance; (9) Hepatitis C Training Programs for Substance Abuse Treatment Program Staff; (10) Stakeholders Meeting Participants; (11) Field Reviewers; and (12) Acknowledgments. An index is included. (Contains 21 exhibits.)