This Treatment Improvement Protocol (TIP) reviews what is currently known about treating the medical, psychiatric, and SUD-related problems associated with the use of cocaine and MA and the misuse of prescribed stimulants (such as those for the treatment of attention deficit hyperactivity disorder [ADHD]). The scientifically based information in this TIP is presented in a manner that makes it accessible and relevant to behavioral health service clinicians and other frontline SUD treatment providers, including healthcare service providers (e.g., in primary care settings, in emergency departments). The TIP offers recommendations on identification, treatment approaches, strategies for planning and initiating treatment, recommendations on how to maximize treatment engagement and retention, and strategies for initiating and maintaining abstinence. Also included are recommendations for the medical management of people
who use stimulants and recommendations regarding special populations and settings.

7/2020 At Health requested and received permission to use SAMHSA publications (with proper citation) in their entirety for CE courses at athealth.com

Format: Reading-based asynchronous distance

Published by SAMHSA 2021. Published by At Health 4/22

NAADAC Online CE Completion limits: There is a limit of 8 hours (8 CE) of credit for online courses within a 24-hour period.

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The course will be available in your account immediately after purchase. The Course Completion Certificate and Letter of Completion will be immediately available in your account upon successful completion of the course post-test (a score of 80% or higher) and completion of the course evaluation. You will have unlimited attempts to pass the post-test.

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American Psychological Association (APA)

At Health, LLC is approved by the American Psychological Association to sponsor continuing education for psychologists. At Health, LLC maintains responsibility for this program and its content.

National Board for Certified Counselors (NBCC)

At Health, LLC has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6949. Programs that do not qualify for NBCC credit are clearly identified. At Health, LLC is solely responsible for all aspects of the programs.

NAADAC – The Association for Addiction Professionals

Athealth.com is approved as a continuing education provider by the National Association of Alcoholism and Drug Abuse Counselors, the Association for Addiction Professionals. #148460.

Association of Social Work Boards (ASWB)

At Health, LLC, Provider #1707, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 5/3/2023–5/3/2026.

Page last modified or reviewed by athealth.com on Apr 28, 2026.

SAMHSA. U.S. Department of Health and Human Services.
Substance Abuse and Mental Health Services Administration. 2021

Dr. Miriam E. Delphin-Rittmon was formerly the Assistant Secretary for Mental Health and Substance Use in the U.S. Department of Health and Human Services and the Administrator of the Substance Abuse and Mental Health Services Administration (SAMHSA). As the Assistant Secretary, Dr. Delphin-Rittmon was charged with addressing the behavioral health of the nation and improving the lives of individuals living with mental and substance use disorders and their families.
Dr. Delphin-Rittmon led SAMHSA in standing up the 988 Suicide and Crisis Lifeline, which offers free 24/7 crisis support, and in addressing overdose SAMHSA increased nationwide naloxone distribution by 33%, contributing to a 15% reduction in overdose deaths – the first decrease we have seen in over five years.

In 2025, Miriam E. Delphin-Rittmon, PhD was awarded the APA Presidential Citation in recognition of her expertise and leadership in transforming the nation’s approach to behavioral health. Dr. Miriam E. Delphin-Rittmon’s work has enhanced service delivery, promoted integrated, culturally responsive care, and supported recovery-oriented approaches, impacting millions of lives.

She previously served as Commissioner of the Connecticut Department of Mental Health and Addiction Services (DMHAS) from 2015 to 2021. Prior to this role, she served as Deputy Commissioner, Senior Policy Advisor, and Director of the Office of Multicultural Healthcare Equity at DMHAS. In her role as Commissioner, Dr. Delphin-Rittmon was committed to promoting recovery oriented, integrated, and culturally responsive services and systems that foster dignity, respect, and meaningful community inclusion.

In addition, Dr. Delphin-Rittmon served on the faculty at Yale University in the Department of Psychiatry for 20 years, most recently as Adjunct Associate Professor and previously as Assistant Professor. While at Yale, Dr. Delphin-Rittmon also served as the Director of Cultural Competence and Health Disparities Research and Consultation with the Yale University Program for Recovery and Community Health.

In May 2014, Dr. Delphin-Rittmon completed a two-year White House appointment working as a Senior Advisor to the Administrator of SAMHSA with the U.S. Department of Health and Human Services. While at SAMHSA, she worked on a broad range of policy initiatives addressing behavioral health equity, workforce development, and healthcare reform.
Dr. Delphin-Rittmon has earned numerous awards for her work including a 2025 Presidential Citation from the American Psychological Association, the 2024 National Leadership Award from the Community Anti-Drug Coalitions of America, the 2024 College of Health and Human Sciences Distinguished Alumni Award from Purdue University and the 2024 Visionary Leadership Award from the American Psychiatric Association.

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