National Cocaine Treatment Outcomes from DATOS

1. Drug Abuse Treatment Outcome Studies (Funded by NIDA) DATOS National Cocaine Treatment Outcomes 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. Cocaine Treatment Study • About three-fourths of all admissions to non-methadone treatment programs in the U.S. are for cocaine dependence • Managed care pressures are for shortertreatment & outpatient settings • Outcomes of cocaine treatment needs to be studied in “real-world” settings Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999, Arch Gen Psychiatry

4. Cocaine Treatment Outcomes (in Year After Discharge in DATOS) Cumulative Outcome Criteria (N=1605) • Half (52%) had relapses to drug use: • 23% to “weekly” cocaine use • 19% to “occasional” cocaine • 10% to “other drugs” • 4% had alcohol problems • 11% reentered treatment(without relapse) Overall, 67% had “problems” during follow-up period Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999, Arch Gen Psychiatry

5. Weekly Cocaine Use in Past Year:Changes from Before to After Treatment *p<.001 DATOS Treatment Modality Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999, Arch Gen Psychiatry

6. Any Jail in Past Year: Changes from Before to After Treatment *p<.001 DATOS Treatment Modality Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999, Arch Gen Psychiatry

7. Drinking 3+ Days/wk in Past Year: Changes from Before to After Treatment *p<.001 DATOS Treatment Modality Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999, Arch Gen Psychiatry

8. Relapse Rates (Drug use & Trt in Yr 1),by Retention in Cocaine Treatments High-Problem Group “Threshold” of minimum stay for effectiveness!

9. Types of Problems at Admission % With Problems in Year Before Admission Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999, Arch Gen Psychiatry

10. Total Number of Problems(Problem Severity Index, PSI) Admissions to Each Treatment Modality Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999, Arch Gen Psychiatry

11. Weekly Cocaine Use(in Year After Treatment) Problem Severity at Intake (p<.001) Length of Treatment (p<.001) Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999, Arch Gen Psychiatry

12. Weekly Cocaine Use (in Year After Treatment) Low Problem Patients(ns) Mid-High Problem Patients(p<.001) Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999, Arch Gen Psychiatry

13. Weekly Cocaine Use (in Year After Treatment) HIGH Problem Patients (p<.001) Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999, Arch Gen Psychiatry

14. 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