Slide 1 of 20 Overview of National Treatment Outcome Studies Charts Prepared & Released for Public Use by Dwayne Simpson (TCU), Robert Hubbard (NDRI-NC),

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Presentation transcript:

Slide 1 of 20 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) Drug Abuse Treatment Outcome Studies (Funded by NIDA)

Slide 2 of 20 Drug Abuse Treatment Outcome Studies Third National Evaluation of Treatment Effectiveness Over 60 Studies Published – Over 60 Studies Published – Psychology of Addictive Behaviors (Dec 97) Drug and Alcohol Dependence (Dec 99) Archives of General Psychiatry (June 99) Funded by the National Institute on Drug Abuse Cities 96 Programs ~10,000 Patients All treatment types Follow-up: 1 & 5 Yrs

Slide 3 of 20 DATOS Research Centers  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

Slide 4 of 20 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 -- 3 Types or trends of patient drug use 3 Treatment services & resources

Slide 5 of 20 Changes in Drug Use Patterns alters Treatment Systems

Slide 6 of 20 CJ System Involvement and Referrals to Community Programs (DATOS) Craddock, Rounds-Bryant, Flynn, & Hubbard, 1997 (AJDAA)

Slide 7 of 20 DATOS: Overview of Sampling Plan  Longitudinal Data Collection 3Intakes ( ) 3During treatment (1-3 mos) 3Year 1 posttreatment 3Year 5 posttreatment  Sampled from 11 Cities across the U.S.  Includes 10,010 Admissions to 96 Programs 3N=2,774 from 21 Long-Term Residential (LTR) programs 3N=2,574 from 32 Outpatient Drug-Free (ODF) programs 3N=3,122 from 14 Short-Term Inpatient (STI) programs 3N=1,540 from 29 Outpatient Methadone Treatment (OMT) Portland San Jose Phoenix Houston NewOrleans New Orleans Miami Minneapolis Chicago Pittsburgh NewYork Newark Flynn, Craddock, Hubbard, Anderson, & Etheridge, 1997 (PAB)

Slide 8 of 20 Long-Term Residential (LTR)Treatment Changes from Before to After Treatment % of DATOS Sample (N=676) *p<.001 Hubbard, Craddock, Flynn, Anderson, & Etheridge, 1997 (PAB)

Slide 9 of 20 Outpatient Drug-Free (ODF) Treatment Changes from Before to After Treatment % of DATOS Sample (N=764) *p<.001 Hubbard, Craddock, Flynn, Anderson, & Etheridge, 1997 (PAB)

Slide 10 of 20 Short-Term Inpatient (STI) Treatment Changes from Before to After Treatment % of DATOS Sample (N=799) *p<.001 Hubbard, Craddock, Flynn, Anderson, & Etheridge, 1997 (PAB)

Slide 11 of 20 % of DATOS Sample (N=727) Outpatient Methadone Treatment (OMT) Changes from Before to After Treatment *p<.001 Hubbard, Craddock, Flynn, Anderson, & Etheridge, 1997 (PAB)

Slide 12 of 20 Drug Abuse Treatment Core Components and Comprehensive Services Medical Mental Health Vocational Educational Legal AIDS / HIV Risks Financial Housing & Transportation Child Care Family Continuing Care Case Management Urine Monitoring Self-Help (AA/NA) Pharmaco- therapy Group/Individual Counseling Abstinence Based Intake Assessment Treatment PlansCoreTreatment Etheridge, Hubbard, Anderson, Craddock, & Flynn, 1997 (PAB)

Slide 13 of 20 Changes in LTR Core Treatment: 1990s (DATOS ) vs. 1980s (TOPS) % of Long-Term Residential (LTR) Sample Hubbard, Craddock, Flynn, Anderson, & Etheridge, 1997 (PAB)

Slide 14 of 20 Changes in ODF Core Treatment: 1990s (DATOS ) vs. 1980s (TOPS) % of Outpatient Drug-Free (ODF) Sample Hubbard, Craddock, Flynn, Anderson, & Etheridge, 1997 (PAB)

Slide 15 of 20 Changes in OMT Core Treatment: 1990s (DATOS ) vs. 1980s (TOPS) % of Outpatient Methadone Treatment (OMT) Sample Hubbard, Craddock, Flynn, Anderson, & Etheridge, 1997 (PAB)

Slide 16 of 20 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)

Slide 17 of 20 Changes in LTR Comprehensive Services: 1990s (DATOS ) vs. 1980s (TOPS) % of Long-Term Residential (LTR) Sample Hubbard, Craddock, Flynn, Anderson, & Etheridge, 1997 (PAB)

Slide 18 of 20 Changes in ODF Comprehensive Services: 1990s (DATOS ) vs. 1980s (TOPS) % of Outpatient Drug-Free (ODF) Sample Hubbard, Craddock, Flynn, Anderson, & Etheridge, 1997 (PAB)

Slide 19 of 20 Changes in OMT Comprehensive Services: 1990s (DATOS ) vs. 1980s (TOPS) % of Outpatient Methadone Treatment (OMT) Sample Hubbard, Craddock, Flynn, Anderson, & Etheridge, 1997 (PAB)

Slide 20 of 20 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 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.” 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.

Slide 21 of 20 Slide Navigator 1. Overview of Treatment Outcome Studies from DATOS (title slide) Overview of Treatment Outcome Studies from DATOS (title slide) 2. DATOS: Drug Abuse Treatment Outcome Studies DATOS: Drug Abuse Treatment Outcome Studies 3. DATOS Research Centers DATOS Research Centers 4. Reasons for Field-based Treatment Outcome Studies Reasons for Field-based Treatment Outcome Studies 5. Changes in Drug Use Patterns alters Treatment Systems Changes in Drug Use Patterns alters Treatment Systems 6. CJ System Involvement and Referrals to Community Programs (DATOS) CJ System Involvement and Referrals to Community Programs (DATOS) 7. DATOS: Overview of Sampling Plan DATOS: Overview of Sampling Plan 8. Long-Term Residential (LTR) Treatment: Changes from Before to After Treatment Long-Term Residential (LTR) Treatment: Changes from Before to After Treatment 9. Outpatient Drug-Free (ODF) Treatment: Changes from Before to After Treatment Outpatient Drug-Free (ODF) Treatment: Changes from Before to After Treatment 10. Short-Term Inpatient (STI) Treatment: Changes from Before to After Treatment Short-Term Inpatient (STI) Treatment: Changes from Before to After Treatment 11. Outpatient Methadone Treatment (OMT): Changes from Before to After Treatment Outpatient Methadone Treatment (OMT): Changes from Before to After Treatment 12. Drug Abuse Treatment Core Components and Comprehensive Services Drug Abuse Treatment Core Components and Comprehensive Services 13. Changes in LTR Core Treatment: 1990s (DATOS) vs. 1980s (TOPS) Changes in LTR Core Treatment: 1990s (DATOS) vs. 1980s (TOPS) 14. Changes in ODF Core Treatment: 1990s (DATOS) vs. 1980s (TOPS) Changes in ODF Core Treatment: 1990s (DATOS) vs. 1980s (TOPS) 15. Changes in OMT Core Treatment: 1990s (DATOS) vs. 1980s (TOPS) Changes in OMT Core Treatment: 1990s (DATOS) vs. 1980s (TOPS) 16. Changes in “Wrap-Around” Services: 1990s (DATOS) vs. 1980s (TOPS) Changes in “Wrap-Around” Services: 1990s (DATOS) vs. 1980s (TOPS) 17. Changes in LTR Comprehensive Services: 1990s (DATOS) vs. 1980s (TOPS) Changes in LTR Comprehensive Services: 1990s (DATOS) vs. 1980s (TOPS) 18. Changes in ODF Comprehensive Services: 1990s (DATOS) vs. 1980s (TOPS) Changes in ODF Comprehensive Services: 1990s (DATOS) vs. 1980s (TOPS) 19. Changes in OMT Comprehensive Services : 1990s (DATOS) vs. 1980s (TOPS) Changes in OMT Comprehensive Services : 1990s (DATOS) vs. 1980s (TOPS) 20. Slide for DATOS Web site ( Slide for DATOS Web site (