The book disputes the philosophical orientation of the medical model with its view of substance abuse as a disease. Rather, substance abuse is a maladaptive behavior that responds favorably to a structured program that sets precise limits and is based on social learning principles. It traces the development and implementation of the United States Probation Office, Central District of California's total abstinence substance abuse policy. The book is divided into 10 chapters: (1) Should Corrections Treat or Punish Substance-Abusing Criminals? (2) The Use of a Credible Drug Testing Program for Accountability and Intervention; (3) An Effective Supervision Strategy for Substance-Abusing Offenders; (4) The Substance-Abusing Offender and the Initial Interview; (5, 6) A Continuum of Sanctions for Substance-Abusing Offenders, Parts I and II; (7) Monitoring Prescription Medication Use Among Substance-Abusing Offenders; (8) The Use of Creatinine and Specific Gravity Measurement to Combat Urine Test Dilution; (9) The Patch: An Alternative for Drug Testing in the Criminal Justice System; and (10) Early Termination: Outdated Concept in a Punitive Era. Tables, figures, references