Confidentiality of Substance Use Disorder Patient Records

The original Federal Regulations on the Confidentiality of Alcohol and Drug Abuse Records (CFR 42 Part 2) were published in 1975, and then updated in 1984.  Last week the long awaited next generation of updated regulations including the new title of  “Confidentiality of Substance Use Disorder Patient Records” became effective.  All CADC’s must be aware of the changes, and implement in their practice.

Final Rule:

Summary by the Legal Action Center:


 We recently had an armed robbery of a woman in the West Aurora area.  The police posted a message saying they have arrested the two persons believed to be responsible for the crime.  The posting went into great detail outlining the professional police work that went into the arrest.  Good for them, they did their job and should receive public recognition .  Oh, they also mentioned in part of a sentence,at the very end of the extensive posting, that both the suspects are known to be addicted to heroin.  Here is my response to the police posting.

“Excellent work by APD, Dan, you should be very proud of the work the department did!  My comment in no way is to take away from the professional work done by officers.  The cost of the crime, the work to arrest the suspects, the money it will cost to prosecute them, and pay for possible incarceration will be substantial.  I can tell you as a professional addictions counselor, that I could have the resources to use Narcan to save their lives if they overdosed and call paramedics and hospitalize them for an overdose and maybe even a couple days of detoxification-all of which would cost the State thousands of dollars, because people addicted to heroin seldom have healthcare.  What I could NOT do is get them admitted into a treatment program when they need it-I could get them on a waiting list at some of the great treatment programs we have in this area.  A person with an addiction is dying, but we put them on a waiting list for treatment-can you imagine if we did that for a person with a heart condition, regardless of the cause of that condition or number of other times they sought treatment?  Or here is the Illinois plan, we can wait until a person is found guilty of a crime, send them off to the Department of Corrections, and maybe if they are lucky they can get some treatment for their substance use disorder while we pay to have them in prison.  The Illinois plan gets even better, if they are not lucky enough to get treatment in prison, when they are done with their sentence we can release them to start the cycle all over again.  It’s not a new problem, Illinois under both democrats and republicans have reduced spending for addiction treatment for over 10 straight years!  Do we have a drug crisis in Illinois? I wonder why?”

I would guess that we could run an average size treatment program for a year for the dollars this crime will cost the tax payers of Illinois, and we just might help someone save their life


John Reese, long time coordinator of the Human Services program at Waubonsee Community College has announced his retirement as of May 31st of this year.  Reese first began working in the addiction world in 1969 in McHenry Illinois.  He was vice-chair of the group that formed the CADC certification movement in Illinois and holds certificate number 10, which makes him the longest active addiction counselor in Illinois.  John pointed out in his retirement that he is retiring from Waubonsee Community College as a full time professor, but not retiring form the addiction treatment field.  For example this summer John will become the secretary for the Board of Directors for IAODAPCA.    Michael Moran has agree to accept the role of acting coordinator of the program until the College names a fulltime replacement.  John stress this is a shift in his life and is not going away, he may be contacted by his new email address:    He also wanted to pass along that he has donated seed money to the Human Services Student Scholarship at Waubonsee, as has many of the current instructors in the program.  Anyone is interested in also donating to the special scholarship for current Human Services students to honor his 27 years at Waubonsee they should contact:

Linda Linden,  Advancement Associate

Waubonsee Community College

Route 47 at Waubonsee Drive

Sugar Grove, Illinois 60554




Monday Evening    6:30pm     September 21, 2015

Monday evening September 21st from 6:30 to 9:15 the Human Services Department and our current interns will be hosting an Orientation night to discuss the process of obtaining and beginning an internship.  Faculty will provide copies of the required pre-internship paper work and discuss requirements and procedures for obtaining an internship.  Current student interns will share their experience and answer questions future interns may have.

Orientation night is designed for current Human Services students who are within a semester or two of wanting to begin their internship.  If you wish to begin your internship during 2016, please consider this orientation night as a requirement before beginning your site search. 

LOCATION:                 TBA


Contact:    John Reese

                     APC Room 276