SKU: 30192766234

Substance Use Disorder Treatment and Family Therapy - Treatment Improvement Protocol (Tip 39) - Updated 2020

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Substance Use Disorder Treatment and Family Therapy - Treatment Improvement Protocol (Tip 39) - Updated 2020This Treatment Improvement Protocol (TIP) update provides information and guidance on the latest science informed, family based interventions and family counseling approaches for substance use disorders (SUDs). Intended audiences include SUD treatment providers such as drug and alcohol counselors, licensed clinical social workers, licensed marriage and family therapists, psychologists and psychiatrists specializing in addiction, psychiatric and mental

This Treatment Improvement Protocol (TIP) update provides information and guidance on the latest science-informed, family-based interventions and family counseling approaches for substance use disorders (SUDs). Intended audiences include SUD treatment providers such as drug and alcohol counselors, licensed clinical social workers, licensed marriage and family therapists, psychologists and psychiatrists specializing in addiction, psychiatric and mental health nurses (specialty practice registered nurses), and peer recovery support specialists. The TIPÕs audience also includes SUD treatment program administrators, supervisors, and clinical/program directors. SUDs are complex, lifelong conditions that affect not just people in recovery but their families as well. To give a person struggling with alcohol and drug addiction the greatest chance at lasting, successful recovery, families often need to be included in treatment and services. This TIP is designed to help providers and administrators better understand how to do this by describing the unique impacts of SUDs on families; how family functioning and dynamics can both support and interfere with recovery; and how treatments, services, and programs can best be tailored to familiesÕ needs. An expert panel developed the TIPÕs content based on a review of the most up-to-date literature and on their extensive experience in the feld of alcohol and drug addiction treatment and family counseling. Other professionals also generously contributed their time and commitment to this publication. The TIP is divided into six chapters so readers can easily fnd material they need most. Below is a summary of the TIPÕs main messages, followed by a description of each chapterÕs key content areas.

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SKU: 30192766234

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Natasha M.
Fort Morgan, US
★★★★★ 5
Crazy for her iguana!
Size: Medium/Large, Color: Illana the Iguana - Large, Size: Medium/Large, Color: Illana the Iguana - Large
Instant fav for my girl but looks like I'll be replacing often 🤪 she is a super chewer. She loves the soft vs hard combo on toys. Damage in the pic is within 10 mins. 😬😬😬 excellent quality
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Reviewed in the United States on May 27, 2026
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War317
Fort Morgan, US
★★★★★ 3
Foreign body risk for dinosaur dogs
Size: Medium/Large, Color: Dog Ness Monster - Large, Size: Medium/Large, Color: Dog Ness Monster - Large
My dog Bert had foreign body surgery 10 days ago because he swallowed a piece of a toy, so I was looking for something stronger, like for a tyrannosaurus rex. This toy had good reviews, so I bought it for him. In 25 minutes and he'd chomped a chunk of the blue water part off. Bought the toy around 8am, gave it to him around 8pm, and it was in the trash by 8:30pm. This toy is definitely NOT for super chewer tyrannosaurus rex dogs like Bert. But definitely IS a toy that is pretty sturdy and strong for dogs who don't have the bite force of a dinosaur.
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Reviewed in the United States on April 12, 2026
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Gary Hugo
San Leandro, US
★★★★★ 4
Definitely not indestructable
Size: Medium/Large, Color: Dog Ness Monster - Large, Size: Medium/Large, Color: Dog Ness Monster - Large
I have a 1-year-old toy fox terrier (Rocky, pictured). He has been chewing on this toy for seven months now; it is one of his favorites. He has been unable to seriously damage the "ocean" portion of this toy, but as you can see from the provided image, the sea serpent has not faired that well. It is missing its snout and smaller portions of the humps. My guess is that the advertiser images showing much larger dogs with "like new" versions of the toy are just that...NEW AND UNCHEWED. I have not had to clean up bits of this toy from my floor, so I assume Rocky has been swallowing them. My hope is that the yellow material of the serpent is not chemically dangerous when exposed to digestive fluids. Rocky easily destroys plush toys in a matter of days if not hours and, consumed pieces of a small microfiber blanket that he liked to toss around and play tug-of-war with (past tense as he destroyed it and has since been trashed after I began finding feces-stained undigested pieces of it lying around). Since this toy has survived seven months and has remained recognizable, I have to agree it is durable. Just beware, if my small toy fox terrier can damage the toy as pictured, expect your large breed chewer to do similar or worse damage. Also, the toy is very heavy! When Rocky drops it down a flight of stairs, it makes a MAJOR thud at the bottom, and sometimes makes me wonder if it might crack the large tile at the bottom. I cautiously recommend the product. Note the yellow frisbee in Rocky's picture. It is only a few months old and surprisingly has not suffered any chew damage despite substantial abuse. It appears to bend in the wind like a proverbial reed, evading damage by yielding to pressure.
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Reviewed in the United States on July 5, 2024
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Shopper
Grantham, US
★★★★★ 5
Great for dogs that are very destructive
Flavor Name: Bacon, Size: 20-70Lbs
My dog is a great Pyrenees mixed with Catahoula so this is amazing because he’s very hyper but also he can settle down while chewing this on our couch. I definitely recommend this. It still is lasting us from when we bought it to all the way from now and that’s about two months so I would definitely recommend this and we bought like a bunch of them so then we could give them to friends.
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Reviewed in the United States on May 25, 2026
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ColleenW
Louisville, US
★★★★★ 5
Tough toys!
Flavor Name: Bacon, Size: 20-70Lbs
Great toys! Very tough for my 3 large dogs that are super tough on them!
WAS THIS REVIEW HELPFUL?YesReportShare
Reviewed in the United States on April 22, 2026

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