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Chapter 14 Subset of Overview by Intensity of Justice System Involvement

Chapter 14 Subset of Overview by Intensity of Justice System Involvement. GAIN Coordinating Center (11/21/2012). Normal , IL: Chestnut Health Systems. November 2012 . Available from www.gaincc.org/slides.

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Chapter 14 Subset of Overview by Intensity of Justice System Involvement

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  1. Chapter 14Subset of Overview by Intensity of Justice System Involvement 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. Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,617)

  4. Risk and Protective Factors by Intensity of Justice System Involvement • 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 Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,606)

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

  7. Race by Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,602)

  8. Risk of Homelessness by Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,482) 8

  9. Past Year Substance Severity by Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,218)

  10. Primary Substance by Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,573)

  11. Number of Substance Problems by Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,574)

  12. Tobacco Diagnosis by Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,270)

  13. HIV Risk Scale* by Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,615) * Available at intake only.

  14. HIV Risk Change Index* byIntensity of Justice System Involvement *Can be used to measure change. SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,768)

  15. Number of Sex Partners* by Intensity of Justice System Involvement *In the past 90 days SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,670)

  16. Severity of Victimization by Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,403)

  17. Mental Health Disorders by Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,574)

  18. Homicidal/Suicidal Thoughts by Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,536)

  19. Health Problems by Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,347)

  20. Health Care Utilization* Cost by Intensity of Justice System Involvement *Using 2011 Dollars SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,385)

  21. Crime and Violence by Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,608)

  22. Type of Crime by Intensity of Justice System Involvement * 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=29,294)

  23. Cost of Crime* by Intensity of Justice System Involvement *Using 2011 Dollars SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,330)

  24. Count of Major Clinical Problems* at Intake by Intensity of Justice System Involvement *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=29,617)

  25. Sources of Stress Index by Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,568)

  26. Treatment Readiness by Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,206)

  27. Self-Help Activity by Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=8,305)

  28. Strength Self-Efficacy Index by Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,741)

  29. General Social Support Index by Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=14,680)

  30. Spiritual Social Support by Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,450)

  31. Environmental Strengths Index by Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,534)

  32. Quarterly Cost to Society* by Intensity of Justice System Involvement *Using 2011 Dollars SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,651)

  33. Problem Prevalence Index by Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,526)

  34. Quality of Life by Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=22,067)

  35. General Satisfaction by Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,258)

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

  37. Level of Care by Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,585)

  38. Type of Treatment by Intensity of Justice System Involvement SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,726)

  39. Outcomes • The following slides present information on the outcomes of substance abuse treatment by intensity of justice system involvement, 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 Intensity of Justice System Involvement SAMHSA 2011 GAIN SA Data Set subset to 6 Month Follow up (n=20,080)

  41. Relative Percent Change in 6 Month Abstinence by Intensity of Justice System Involvement SAMHSA 2011 GAIN SA Data Set subset to 6 Month Follow up (n=20,080)

  42. Past Month AOD Abstinence by Intensity of Justice System Involvement *Interpolated SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups

  43. Recovery* by Intensity of Justice System Involvement * 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 Intensity of Justice System Involvement (Intake to Last Wave*) Past arrest/CJ status PY illegal activity/SA use Other prob/ parole/deten Other CJ status SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups *Last wave is the last follow-up

  45. Change in GPRA Outcomes by Intensity of Justice System Involvement (Intake to Last Wave*) – continued Drug Court Prob/parole 14+ days Deten/jail 14-29 days Deten/jail 30+ days SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups *Last wave is the last follow-up

  46. NOMS Outcome: Number of Treatment Received Outcomes Met* by Intensity of Justice System Involvement *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=24,502)

  47. SAMHSA Outcome: Treatment Cost Bands by Intensity of Justice System Involvement SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups (n=17,761)

  48. Change in Selected NOMS Outcomes by Intensity of Justice System Involvement (Intake to Last Wave) Other prob/parole/ deten Other CJ status Past arrest/CJ status PY illegal activity/SA use *Past month SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups

  49. Change in Selected NOMS Outcomes by Intensity of Justice System Involvement (Intake to Last Wave)-cont. Prob/parole 14+ days Deten/jail 14-29 days Deten/jail 30+ days Drug Court *Past month SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups

  50. NOMS Outcomes: Count of Positive Outcomes (Last FU–Intake) by Intensity of Justice System Involvement SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups (n=25,390)

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