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Chapter 7 Subset of Overview by Race

Chapter 7 Subset of Overview by Race. GAIN Coordinating Center (11/21/2012). Normal , IL: Chestnut Health Systems. November 2012 . Available from www.gaincc.org/slides.

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Chapter 7 Subset of Overview by Race

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  1. Chapter 7Subset of Overview by Race 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. Race African American 15.8% (n=4,702) Multi-racial 13.4% (n=4,003) Hispanic28.7% (n=8,555) Other3.9% (n=1,152) White38.1% (n=11,355) SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,767)

  4. Risk and Protective Factors by Race • 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 Race SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,767)

  6. Gender by Race SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,757)

  7. Risk of Homelessness by Race SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,631) 7

  8. Past Year Substance Severity by Race SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,344)

  9. Primary Substance by Race SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,702)

  10. Number of Substance Problems by Race SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,702)

  11. Tobacco Diagnosis by Race SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,370) 11

  12. HIV Risk Scale* by Race * Available at intake only. SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,731)

  13. HIV Risk Change Index* byRace *Can be used to measure change. SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,821)

  14. Number of Sex Partners* by Race *In the past 90 days SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,736)

  15. Severity of Victimization by Race SAMHSA 2011 GAIN Summary Analytic Data Set (n=29486)

  16. Mental Health Disorders by Race SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,669)

  17. Homicidal/Suicidal Thoughts by Race SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,454) 17

  18. Health Problems by Race SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,463)

  19. Health Care Utilization Cost* by Race *Using 2011 Dollars SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,468)

  20. Crime & Violence by Race SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,688)

  21. Type of Crime by Race * 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=29,362)

  22. Cost of Crime* by Race *Using 2011 Dollars SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,390)

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

  24. Count of Major Clinical Problems* at Intake by Race *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=29,767)

  25. Sources of Stress Index by Race SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,585) 25

  26. Treatment Readiness by Race SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,330) 26

  27. Self-Help Activities by Race SAMHSA 2011 GAIN Summary Analytic Data Set (n=8,342)

  28. Strength Self-Efficacy Index by Race SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,759) 28

  29. General Social Support Index by Race SAMHSA 2011 GAIN Summary Analytic Data Set (n=14,710) 29

  30. Spiritual Social Support by Race SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,469)

  31. Environmental Strengths Index by Race SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,610)

  32. Quarterly Cost to Society* by Race *Using 2011 Dollars SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,677)

  33. Problem Prevalence Index by Race SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,591) 33

  34. Quality of Life by Race SAMHSA 2011 GAIN Summary Analytic Data Set (n=22,113) 34

  35. General Satisfaction by Race SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,274) 35

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

  37. Level of Care by Race SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,734)

  38. Type of Treatment by Race SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,886)

  39. Outcomes • The following slides present information on the outcomes of substance abuse treatment by race, 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 Race SAMHSA 2011 GAIN SA Data Set subset to 6 Month Follow up (n=20,172)

  41. Relative Percent Change in 6 Month Abstinence by Race SAMHSA 2011 GAIN SA Data Set subset to 6 Month Follow up (n=20,172)

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

  43. Recovery* by Race * 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 Race (Intake to Last Wave*) African American Hispanic Other White Multi-Racial *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 Race *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=24,611)

  46. SAMHSA Outcome: Treatment Cost Bands by Race SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups (n=17,847)

  47. Change in Selected NOMS Outcomes by Race (Intake to Last Wave) African American Multi-Racial Hispanic Other White SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups *Past month

  48. NOMS Outcomes: Count of Positive Outcomes (Last FU–Intake) by Race SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups (n=25,499)

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