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Chapter 15 Subset of Overview by Program

Chapter 15 Subset of Overview by Program. GAIN Coordinating Center (11/21/2012). Normal , IL: Chestnut Health Systems. November 2012 . Available from www.gaincc.org/slides.

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Chapter 15 Subset of Overview by Program

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  1. Chapter 15Subset of Overview by Program GAIN Coordinating Center (11/21/2012). Normal, IL: Chestnut Health Systems. November 2012. Available from www.gaincc.org/slides Created for: Substance Abuse and Mental Health Services Administration’s (SAMHSA) Center for Substance Abuse Treatment (CSAT) under contract number 270-2012-00001

  2. SAMHSA/CSAT Full GAIN Outcome Data Set Sample: The 2011 SAMHSA/CSAT data set includes data on 29,782 clients from 230 local evaluations, recruited between 1997-2011 who were due for at least one follow-up and available in the last quarterly data set of 2011. Levels of Care: Outpatient, Intensive Outpatient, Short-term & Moderate/Long-term Residential, Corrections-Based Treatment and Post-Treatment Continuing Care Instrument: Global Appraisal of Individual Needs (GAIN) (see www.gaincc.org/gaini) Versions 3 (CYT & ATM) and 5.1 through 5.6 Follow-up: 89% with one or more follow-ups at 3, 6, 9 & 12 months post intake, and 66% with two or more Funding: SAMHSA/CSAT contracts 270-07-0191 and 270-2012-00001 and 230 individual grants (see Detailed Acknowledgement)

  3. Grant Program Other Justice Grants:RF/BIRT, FDC, JTDC, RF/JDC, OJJDP (n=1,243; 14 grants) ART: Adolescent Residential Treatment (n=1,636; 13 grants) ATM: Adolescent Treatment Models (n=1,455; 10 grants) TCE: Targeted Capacity Expansion (n=3,017; 15 grants) CYT: Cannabis Youth Treatment (n=600; 4 grants) EAT: Effective Adolescent Treatment (n=6,393; 37 grants) YORP: Young Offender Re-entry Program (n=2,278; 10 grants) ORP:Offender Re-entry Program (n=2,449; 21 grants) DC: Juvenile TreatmentDrug Court (n=1,768; 11 grants) ATDC: Adult Treatment Drug Court (n=1,147; 11 grants) AAFT: Adolescent Assertive Family Treatment (n= 5,497; 75 grants) SCY: Strengthening Communities-Youth (n=2,299; 9 grants) SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,782)

  4. Risk and Protective Factors by Program • The following slides present information on demographics, and risk and protective factors by different age groups for clients at intake, including: • Demographics • Substance use • Risk behaviors • Victimization • Mental health disorders • Physical health problems • Crime and violence • Sources of stress and strengths • Costs • Summary indices (problem prevalence, quality of life, general satisfaction) • Non-client characteristics (program, level of care, and type of treatment)

  5. Age by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,782)

  6. Gender by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,771)

  7. Race by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,767)

  8. Risk of Homelessness by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,646) 8

  9. Past Year Substance Severity by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,358)

  10. Primary Substance* by Program *Not available for ATM and CYT SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,716)

  11. Number of Substance Problems by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,716)

  12. Tobacco Diagnosis by Program* *Not available for ATM and CYT SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,384)

  13. HIV Risk Scale* by Program * Available at intake only. SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,746)

  14. HIV Risk Change Index* byProgram *Can be used to measure change. SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,835)

  15. Number of Sex Partners* by Program *In the past 90 days SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,751)

  16. Severity of Victimization by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,501)

  17. Mental Health Disorders by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,684)

  18. Homicidal/Suicidal Thoughts by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,469)

  19. Health Problems by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,477)

  20. Health Care Utilization Cost* by Program *Using 2011 Dollars SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,481)

  21. Crime & Violence by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,703)

  22. Type of Crime by Program * Violent crime includes assault, rape, murder, and arson. ** Other crime includes vandalism, possession of stolen goods, forgery, and theft. SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,377)

  23. Cost of Crime* by Program** *Using 2011 Dollars **Not available for ATM and CYT SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,405)

  24. Intensity of Justice System Involvement by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,617)

  25. Count of Major Clinical Problems*at Intake by Program *Based on count of self reporting criteria to suggest alcohol, cannabis, or other drug disorder, depression, anxiety, trauma, suicide, ADHD, CD, victimization, violence/ illegal activity SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,782)

  26. Sources of Stress Index by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,592)

  27. Treatment Readiness by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,344)

  28. Self-Help Activities* by Program *Unavailable for EAT, SCY, CYT, ART, and ATM SAMHSA 2011 GAIN Summary Analytic Data Set (n=8,342)

  29. Strength Self-Efficacy Index by Program * Not available for ATM or CYT SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,766)

  30. General Social Support Index by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=14,717)

  31. Spiritual Social Support* by Program *Unavailable for ATM and CYT SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,476)

  32. Environmental Strengths Index by Program Not available for ATM or CYT SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,625)

  33. Quarterly Cost to Society* by Program *Using 2011 Dollars SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,690)

  34. Problem Prevalence Index* by Program *Not available for ATM or CYT SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,605)

  35. Quality of Life by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=22,126)

  36. General Satisfaction by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,281)

  37. Level of Care by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,749)

  38. Type of Treatment by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,880)

  39. Outcomes • The following slides present information on the outcomes of substance abuse treatment by program, including: • Abstinence • Recovery • GPRA outcomes (vocationally engaged, housed, no justice system involvement, social consequences, abstinence, and social connectedness) and • NOMS outcomes (treatment initiation, engagement and continuing care; no problems with: health, mental health, family, illegal activity; abstinent, vocationally engaged and housed). • Data on follow up rates, months to last follow up, and number of follow ups per client are provided in the Methods Appendix.

  40. Percent Change in 6 Month Abstinence by Program SAMHSA 2011 GAIN SA Data Set subset to 6 Month Follow up (n=20,181)

  41. Relative Percent Change in 6 Month Abstinence by Program • *Required past 90 day SA use for inclusion at baseline SAMHSA 2011 GAIN SA Data Set subset to 6 Month Follow up (n=20,181)

  42. Past Month AOD Abstinence by Program *Interpolated SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups

  43. Recovery* by Program * Recovery defined as no past month use, abuse, or dependence symptoms while living in the community. **Interpolated SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups

  44. Change in GPRA Outcomes by Program (Intake to Last Wave*) Other EAT TCE DC AAFT SCY *Last wave is the last follow-up SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups

  45. Change in GPRA Outcomes by Program (Intake to Last Wave*) - continued ATDC ORP YORP CYT ART ATM *Last wave is the last follow-up ** Not available at FU for ATM or CYT *** Not available for ATM or CYT SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups

  46. NOMS Outcome: Number of Treatment Received Outcomes Met* by Program *Based on a count of initiation within 14 days, evidence based practice, engagement for at least 6 weeks, and any continuing care. SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups (n=24,620)

  47. SAMHSA Outcome: Treatment Cost Bands by Program SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups (n=17,856)

  48. Change in Selected NOMS Outcomes by Program (Intake to Last Wave) AAFT DC SCY OTHER TCE EAT SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups *Past month

  49. Change in Selected NOMS Outcomes by Program (Intake to Last Wave) – cont. ORP YORP CYT ART ATM ATDC *Past month **Not available for ATM and CYT SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups

  50. NOMS Outcomes: Count of Positive Outcomes (Last FU–Intake) by Program SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups (n=25,508)

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