Chapter 17 Subset of Overview by Type of Treatment GAIN Coordinating Center (11/21/2012). Normal, IL: Chestnut Health Systems. November 2012. Available.

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Chapter 17 Subset of Overview by Type of Treatment GAIN Coordinating Center (11/21/2012). Normal, IL: Chestnut Health Systems. November Available from Created for: Substance Abuse and Mental Health Services Administration’s (SAMHSA) Center for Substance Abuse Treatment (CSAT) under contract number

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 who were due for at least one follow-up and available in the last quarterly data set of 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 Versions 3 (CYT & ATM) and 5.1 through 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 and and 230 individual grants (see Detailed Acknowledgement)

3 Type of Treatment Local Tx Manual: Specific Manualized Treatment 6.6% (n=1,895) MET/CBT: Motivational Enhancement Therapy/Cognitive- Behavioral Therapy 36.5% (n=10,543) Other: Non-Manualized Treatment 17.8% (n=5,140) Other EBTx: Evidence Based Treatment 10.9% (n=3,158) A-CRA/ACC: Adolescent Community Reinforcement Approach/ Assertive Continuing Care 28.2% (n=8,144) SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,880)

4 Risk and Protective Factors by Type of Treatment  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 Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,880)

6 Gender by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,869)

7 Race by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,866)

8 8 Risk of Homelessness by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,745)

9 Past Year Substance Severity by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,510)

10 Primary Substance by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,815)

11 Number of Substance Problems by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,815)

12 Tobacco Diagnosis by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,490)

13 HIV Risk Scale* by Type of Treatment * Available at intake only. SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,847)

14 HIV Risk Change Index* by Type of Treatment *Can be used to measure change. SAMHSA 2011 GAIN Summary Analytic Data Set (n=25,973)

15 Number of Sex Partners* by Type of Treatment *In the past 90 days SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,867)

16 Severity of Victimization by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,607)

17 Mental Health Disorders by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,789)

18 Homicidal/Suicidal Thoughts by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,577)

19 Health Problems by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,583)

20 Health Care Utilization Cost* by Type of Treatment *Using 2011 Dollars SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,604)

21 Crime & Violence by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,809)

22 Type of Crime by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,492) * Violent crime includes assault, rape, murder, and arson. ** Other crime includes vandalism, possession of stolen goods, forgery, and theft.

23 Cost of Crime* by Type of Treatment *Using 2011 Dollars SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,516)

24 Intensity of Justice Involvement by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,726)

25 Count of Major Clinical Problems* at Intake by Type of Treatment *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=28,880)

26 Sources of Stress Index by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,590)

27 Treatment Readiness by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,464)

28 Self-Help Activities by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=8,342)

29 Strength Self-Efficacy Index by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,641)

30 General Social Support Index by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=14,715)

31 Spiritual Social Support by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,468)

32 Environmental Strengths Index by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,730)

33 Quarterly Cost to Society* by Type of Treatment *Using 2011 Dollars SAMHSA 2011 GAIN Summary Analytic Data Set (n=25,861)

34 Problem Prevalence Index by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,712)

35 Quality of Life by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=21,688)

36 General Satisfaction by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,279)

37 Program by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,880)

38 Level of Care by Type of Treatment SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,849)

39 Outcomes  The following slides present information on the outcomes of substance abuse treatment by type of treatment, 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.Methods Appendix

40 Percent Change in 6 Month Abstinence by Type of Treatment SAMHSA 2011 GAIN SA Data Set subset to 6 Month Follow up (n=19,584)

41 Relative Percent Change in 6 Month Abstinence by Type of Treatment SAMHSA 2011 GAIN SA Data Set subset to 6 Month Follow up (n=19,584)

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

43 Recovery* by Type of Treatment *Recovery defined as no past month use, abuse, or dependence symptoms while living in the community. SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups **Interpolated

44 Change in GPRA Outcomes by Type Of Treatment (Intake to Last Wave*) MET/ CBT ACRA/ ACC Other EBTx Local Tx Manual Other *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 Type of Treatment *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=23,814)

46 SAMHSA Outcome: Treatment Cost Bands by Type of Treatment SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups (n=17,050)

47 Change in Selected NOMS Outcomes by Type of Treatment (Intake to Last Wave) MET/ CBT Other EBTx ACRA/ ACC Other Local Tx Manual *Past monthSAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups

48 NOMS Outcomes: Count of Positive Outcomes (Last FU–Intake) by Type of Treatment SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups (n=24,700)