Offenders with substance abuse issues require treatment from certified counselors. The Carey Guides related to this topic (e.g., Substance Abuse, Meth Users, Impaired Driving) are provided to help the case manager reinforce what is learned in treatment and are designed to support, not replace, the individual’s treatment. Other Carey Guides (e.g., Problem Solving, Antisocial Thinking, Emotional Regulation, etc.) teach skills related to criminogenic needs, and we would expect to see improvements in those areas. Research conducted by the North Carolina Department of Public Safety points to the benefits of using structured worksheets such as the Carey Guides to lower recidivism rates, lessen violations, and increase offender engagement and other positive outcomes (see http://www.thecareygroup.com/structured-worksheets-yield-positive-results). However, substance abuse-specific results should be tied more closely to the treatment that clients receive.