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National Treatment Engagement Findings from DATOS

Drug Abuse Treatment Outcome Studies (Funded by NIDA). DATOS. National Treatment Engagement Findings from DATOS. Charts Prepared & Released for Public Use by Dwayne Simpson (TCU), Robert Hubbard (NDRI-NC), Douglas Anglin (UCLA), & Bennett Fletcher (NIDA).

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National Treatment Engagement Findings from DATOS

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  1. Drug Abuse Treatment Outcome Studies (Funded by NIDA) DATOS National Treatment Engagement Findings from DATOS Charts Prepared & Released for Public Use by Dwayne Simpson (TCU), Robert Hubbard (NDRI-NC), Douglas Anglin (UCLA), & Bennett Fletcher (NIDA)

  2. Drug Abuse Treatment Outcome Studies DATOS Third National Evaluation of Treatment Effectiveness 1991-93 11 Cities 96 Programs ~10,000 Patients All treatment types Follow-up: 1 & 5 Yrs Funded by the National Institute on Drug Abuse Over 60 Studies Published – Psychology of Addictive Behaviors (Dec 97) Drug and Alcohol Dependence (Dec 99) Archives of General Psychiatry (June 99)

  3. Conceptual Model for Evaluating Program Effects Patient Attributes (History) Program Services and Retention Program Attributes (Resources) Treatment Outcomes LTR Programs?

  4. Long-Term Residential (LTR)TreatmentChanges from Before to After Treatment *p<.001 % of DATOS Sample (N=676) Hubbard, Craddock, Flynn, Anderson, & Etheridge, 1997 (PAB)

  5. Comparison of Year 1 Outcomes by Length of Stay in LTR *p<.001 % of Sample N=342; Simpson, Joe, & Brown, 1997 (PAB)

  6. Predictors of Retention in LTR(based on posttreatment interviews) Relationship w/ counselor 90+ Days Aftercare (12-steps) 2.2 During Treatment 6.0 Attending education classes Similar findings in other modalities! Satisfaction w/ program Simpson, Joe, & Brown, 1997 (PAB)

  7. Stages Problem Recognition Desire for Help Treatment Readiness Motivation & Retention in LTR Client Predictors Motivation Older Never married 90+ Days Alcohol problem Employed Legally involved Fewer arrests Intake Joe, Simpson, & Broome, 1998 (Addiction)

  8. Motivation & Retention in LTR Each based on 5-item composites Treatment Readiness (at Intake) Commitment Confidence Similar findings in ODF & OMT Rapport Therapeutic Involvement in Months 1 & 3 Joe, Simpson, & Broome, 1998 (Addiction)

  9. Frequency & Focus • Client Ratings of • Rapport • Confidence • Commitment Process Model for Time in LTR Treatment (Structural equation modeling) Previous Trt Session Attributes Depression Retention (90+ days) Cocaine Prob - Therapeutic Involvement Motivation (Trt Readiness) - Hostility Pretreatment Months 1-2 Joe, Simpson, & Broome, 1999 (Drug & Alcohol Dependence)

  10. Client Ratings Treatment Process Model:Client & Program Predictors Hierarchical Linear Modeling (HLM) Session Attendance (Mos 1-3) Trt Confidence (Mo 3) Trt Commitment (Mo 3) Rapport w/ Counselor (Mo 1) • Program factors • Referred services • Missed sessions • Diversity of needs Client factors 2/3 1/3 Treatment Readiness LTR ODF OMT Joe, Simpson, & Broome, 1999 (Drug & Alcohol Dependence)

  11. Selected Studies 1-Year Outcomes Treatment Services& Process Cocaine Treatment Selected Web Posters Adolescent Studies Cost Benefits of MM Treatment Readiness for Treatment News and Features Home Page About DATOS Background Highlights Special Topics Publications Web Posters What’s New CONTENT Latest DATOS studies have been published in Drug and Alcohol Dependence Treatment process (engagement and participation), retention, and outcomes are the focus of this series of studies, and our first cost-benefit analysis addresses cocaine treatment.  The latest DATOS publications and "in press" are listed on the Publications page. More Information at Cocaine Treatment Outcome Study is Released (in June 1999 issue of Archives of General Psychiatry) Findings emphasize the need for "adequate treatment stays," especially when problem severity is moderate-to-high.  At least 90 days in intensive residential (TC) programs was indicated for high-severity cases. More information is provided in a new section of Highlights page, "Outcomes for Treatment of Cocaine Dependence.” www.datos.org

  12. Motiv Patient Attributes at Intake Program Characteristics Counselor Attributes & Skills TCU Treatment Process Model Induction Enhanced Counseling Family & Friends Personal Health Services Early Engagement Early Recovery Supportive Networks Therapeutic Relationship Behavioral Compliance Sufficient Retention Drug Use Crime Program Participation Psychological Improvement Social Adj Posttreatment Behavioral Strategies Social Skills Training Social Support Services Simpson, 2001 (Addiction)

  13. Research Summary ResearchRoundup IBR HOME PAGE WHAT’S NEW ABOUT IBR STAFF PROJECTS NEWSLETTERS PUBLICATIONS WEB POSTERS MANUALS FORMS OTHER LINKS Search Contents Site map Animated slide presentations IBR Research Summaries highlight special topics Current issue of Research Roundup Publication lists 10 most popular TCU forms for downloading Features: More Information at TCU Treatment Process Model now available for downloading Counseling Manuals now have sample chapters to download TCU Treatment Assessment Forms are re-organized for easier downloading by users SITE GUIDES: DataCollectionInstruments www.ibr.tcu.edu DATOS

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