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Chapter 17 Subset of Overview by Type of Treatment

Chapter 17 Subset of Overview by Type of Treatment. GAIN Coordinating Center (11/21/2012). Normal , IL: Chestnut Health Systems. November 2012 . Available from www.gaincc.org/slides.

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Chapter 17 Subset of Overview by Type of Treatment

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  1. Chapter 17Subset of Overview by Type of Treatment 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. Type of Treatment Local Tx Manual: Specific Manualized Treatment 6.6% (n=1,895) Other:Non-Manualized Treatment 17.8% (n=5,140) A-CRA/ACC: Adolescent Community Reinforcement Approach/ Assertive Continuing Care 28.2% (n=8,144) MET/CBT: Motivational Enhancement Therapy/Cognitive-Behavioral Therapy 36.5% (n=10,543) Other EBTx: Evidence Based Treatment 10.9% (n=3,158) SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,880)

  4. Risk and Protective Factors by Type of Treatment • 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 Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,880)

  6. Gender by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,869)

  7. Race by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,866)

  8. Risk of Homelessness by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,745) 8

  9. Past Year Substance Severity by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,510)

  10. Primary Substance by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,815)

  11. Number of Substance Problems by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,815)

  12. Tobacco Diagnosis by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,490)

  13. HIV Risk Scale* by Type of Treatment * Available at intake only. SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,847)

  14. HIV Risk Change Index* byType of Treatment *Can be used to measure change. SAMHSA 2011 GAIN Summary Analytic Data Set (n=25,973)

  15. Number of Sex Partners* by Type of Treatment *In the past 90 days SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,867)

  16. Severity of Victimization by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,607)

  17. Mental Health Disorders by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,789)

  18. Homicidal/Suicidal Thoughts by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,577)

  19. Health Problems by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,583)

  20. Health Care Utilization Cost* by Type of Treatment *Using 2011 Dollars SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,604)

  21. Crime & Violence by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,809)

  22. Type of Crime by Type of Treatment * 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=28,492)

  23. Cost of Crime* by Type of Treatment *Using 2011 Dollars SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,516)

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

  25. Count of Major Clinical Problems* at Intake by Type of Treatment *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=28,880)

  26. Sources of Stress Index by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,590)

  27. Treatment Readiness by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,464)

  28. Self-Help Activities by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=8,342)

  29. Strength Self-Efficacy Index by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,641)

  30. General Social Support Index by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=14,715)

  31. Spiritual Social Support by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,468)

  32. Environmental Strengths Index by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,730)

  33. Quarterly Cost to Society* by Type of Treatment *Using 2011 Dollars SAMHSA 2011 GAIN Summary Analytic Data Set (n=25,861)

  34. Problem Prevalence Index by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,712)

  35. Quality of Life by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=21,688)

  36. General Satisfaction by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,279)

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

  38. Level of Care by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,849)

  39. Outcomes • The following slides present information on the outcomes of substance abuse treatment by type of treatment, 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 Type of Treatment SAMHSA 2011 GAIN SA Data Set subset to 6 Month Follow up (n=19,584)

  41. Relative Percent Change in 6 Month Abstinence by Type of Treatment SAMHSA 2011 GAIN SA Data Set subset to 6 Month Follow up (n=19,584)

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

  43. Recovery* by Type of Treatment *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 Type Of Treatment (Intake to Last Wave*) MET/CBT ACRA/ ACC Other EBTx Local Tx Manual Other *Last wave is the last follow-up SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups

  45. NOMS Outcome: Number of Treatment Received Outcomes Met* by Type of Treatment *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=23,814)

  46. SAMHSA Outcome: Treatment Cost Bands by Type of Treatment SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups (n=17,050)

  47. Change in Selected NOMS Outcomes by Type of Treatment (Intake to Last Wave) Other EBTx MET/CBT ACRA/ ACC Local Tx Manual Other SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups *Past month

  48. NOMS Outcomes: Count of Positive Outcomes (Last FU–Intake) by Type of Treatment SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups (n=24,700)

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