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Overview of National Treatment Outcome Studies

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

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Overview of National Treatment Outcome Studies

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  1. Drug Abuse Treatment Outcome Studies (Funded by NIDA) DATOS Overview of National Treatment Outcome Studies 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. Treatment Selection, Access, and Utilization Robert Hubbard, Ph.D. NDRI, Inc. Raleigh, North Carolina Addiction and Treatment Careers Douglas Anglin, Ph.D. University of California Los Angeles, California Treatment Engagement and Retention Dwayne Simpson, Ph.D. Texas Christian University Fort Worth, Texas Applications and Policy Development Bennett Fletcher, Ph.D. NIDA Rockville, Maryland DATOS Research Centers

  4. Reasons for Field-based Treatment Outcome Studies • Effectiveness in “real world settings” • Funding decisions by policy-makers • Public information & support • Test impact of clinical advancements • Changes occur over time in -- • Types or trends of patient drug use • Treatment services & resources

  5. Changes in Drug Use Patterns alters Treatment Systems

  6. CJ System Involvement and Referrals to Community Programs (DATOS) Craddock, Rounds-Bryant, Flynn, & Hubbard, 1997 (AJDAA)

  7. DATOS: Overview of Sampling Plan New York Portland • Longitudinal Data Collection • Intakes (1991-93) • During treatment (1-3 mos) • Year 1 posttreatment • Year 5 posttreatment • Sampled from 11 Cities across the U.S. • Includes 10,010 Admissions to 96 Programs • N=2,774 from 21 Long-Term Residential (LTR) programs • N=2,574 from 32 Outpatient Drug-Free (ODF) programs • N=3,122 from 14 Short-Term Inpatient (STI) programs • N=1,540 from 29 Outpatient Methadone Treatment (OMT) Minneapolis Newark Chicago San Jose Pittsburgh Phoenix NewOrleans Houston Miami Flynn, Craddock, Hubbard, Anderson, & Etheridge, 1997 (PAB)

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

  9. Outpatient Drug-Free (ODF) TreatmentChanges from Before to After Treatment *p<.001 % of DATOS Sample (N=764) Hubbard, Craddock, Flynn, Anderson, & Etheridge, 1997 (PAB)

  10. Short-Term Inpatient (STI) TreatmentChanges from Before to After Treatment *p<.001 % of DATOS Sample (N=799) Hubbard, Craddock, Flynn, Anderson, & Etheridge, 1997 (PAB)

  11. Outpatient Methadone Treatment (OMT)Changes from Before to After Treatment *p<.001 % of DATOS Sample (N=727) Hubbard, Craddock, Flynn, Anderson, & Etheridge, 1997 (PAB)

  12. Group/Individual Counseling Urine Monitoring Core Treatment Abstinence Based Case Management Intake Assessment Pharmaco-therapy Continuing Care Treatment Plans Self-Help (AA/NA) Drug Abuse Treatment Core Components and Comprehensive Services Medical Financial Mental Health Housing & Transportation Vocational Child Care Educational Family Legal AIDS / HIV Risks Etheridge, Hubbard, Anderson, Craddock, & Flynn, 1997 (PAB)

  13. Changes in LTR Core Treatment: 1990s (DATOS) vs.1980s (TOPS) % of Long-Term Residential (LTR) Sample Hubbard, Craddock, Flynn, Anderson, & Etheridge, 1997 (PAB)

  14. Changes in ODF Core Treatment: 1990s (DATOS) vs.1980s (TOPS) % of Outpatient Drug-Free (ODF) Sample Hubbard, Craddock, Flynn, Anderson, & Etheridge, 1997 (PAB)

  15. Changes in OMT Core Treatment: 1990s (DATOS) vs.1980s (TOPS) % of Outpatient Methadone Treatment (OMT) Sample Hubbard, Craddock, Flynn, Anderson, & Etheridge, 1997 (PAB)

  16. Changes in “Wrap-Around” Services: 1990s (DATOS) vs.1980s (TOPS) % of Sample Receiving 2 or More Services Etheridge, Craddock, Dunteman, & Hubbard, 1995 (J Sub Abuse)

  17. Changes in LTR Comprehensive Services: 1990s (DATOS) vs.1980s (TOPS) % of Long-Term Residential (LTR) Sample Hubbard, Craddock, Flynn, Anderson, & Etheridge, 1997 (PAB)

  18. Changes in ODF Comprehensive Services: 1990s (DATOS) vs.1980s (TOPS) % of Outpatient Drug-Free (ODF) Sample Hubbard, Craddock, Flynn, Anderson, & Etheridge, 1997 (PAB)

  19. Changes in OMT Comprehensive Services: 1990s (DATOS) vs.1980s (TOPS) % of Outpatient Methadone Treatment (OMT) Sample Hubbard, Craddock, Flynn, Anderson, & Etheridge, 1997 (PAB)

  20. Selected Studies 1-Year Outcomes Treatment Services& Process Cocaine Treatment Selected Web Posters Adolescent Studies Cost Benefits of MM Treatment Readiness for Treatment Home Page About DATOS Background Highlights Special Topics Publications Web Posters What’s New CONTENT News and Features 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

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