Table 6 Cross-program practices of SUDPs (N=241) and BIPs (N=235)

To obtain help for both problems, potential clients can:

 Call only one phone number

 Complete only one set of intake procedures

 Obtain both at a single location

 Have their program records shared with another of the cross type

Program has arrangements with another program to refer clients to:

 Of the same type

 Of the cross type

 Of programs that have arrangements with the cross type (N=93; 43 SUDPs, 50 BIPs):

 Formal arrangement

 Informal arrangement

Staff Training

Direct care staff are informed about addressing cross problem:

 All

 Some

 None

Direct care staff’s training in cross problem:

 All are required to have formal training

 Some (certain positions) required to have formal training

 Some have informal training

 No staff members have formal or informal training

Treatment Integration

Program philosophy of best way to serve clients with both problems:

Help for both problems should be obtained at the same time, but in separate treatment programs

Help for both problems should be integrated into one treatment program

Substance abuse treatment should be completed first, followed by batterer intervention or anger management

Batterer intervention or anger management should be completed first, followed by substance abuse treatment

Potential clients seeking help for both problems:

Are permitted to obtain cross help while in this program

No usual practice; depends on client and staff member

Should complete this program before obtaining cross help

Must obtain cross help before this program

Would more linkages, cooperation between SUDP and BIP communities benefit your clients?

Definitely no

Probably no

Probably yes

Definitely yes

Barriers to your program being linked and cooperating with the cross type of program:

Differences in treatment philosophy between communities

Lack of substance abuse treatment training in BIPs

Lack of batterer intervention training in SUDPs

Lack of cross type of program in this area

SUDPs not reimbursed for batterer intervention

BIPs not reimbursed for substance abuse

SUDPs and BIPs compete for clients