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Chapter 8 Subset of Overview by Substance Use Severity

Chapter 8 Subset of Overview by Substance Use Severity. GAIN Coordinating Center (11/21/2012). Normal , IL: Chestnut Health Systems. November 2012 . Available from www.gaincc.org/slides.

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Chapter 8 Subset of Overview by Substance Use Severity

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  1. Chapter 8Subset of Overview by Substance Use Severity 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. Past Year Substance Use Severity No Past Year Use 1.1% (n=316) Past Year Use 21.6% (n=6,355) Past Year Abuse 29.4% (n=8,629) Past Year Dependence 47.9% (n=14,058) SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,358)

  4. Risk and Protective Factors by Substance Use Severity • 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 Substance Use Severity SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,358)

  6. Gender by Substance Use Severity SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,348)

  7. Race by Substance Use Severity SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,344)

  8. Risk of Homelessness by Substance Use Severity SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,225) 8

  9. Primary Substance by Substance Use Severity SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,307)

  10. Number of Substance Problems by Substance Use Severity SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,307)

  11. Tobacco Diagnosis by Substance Use Severity SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,998)

  12. HIV Risk Scale* by Substance Use Severity * Available at intake only. SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,344)

  13. HIV Risk Change Index* bySubstance Use Severity *Can be used to measure change. SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,841)

  14. Number of Sex Partners* by Substance Use Severity *In the past 90 days SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,366)

  15. Severity of Victimization by Substance Use Severity SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,103)

  16. Mental Health Disorders by Substance Use Severity SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,287)

  17. Homicidal/Suicidal Thoughts by Substance Use Severity SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,071)

  18. Health Problems by Substance Use Severity SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,087)

  19. Health Care Utilization Cost* by Substance Use Severity *Using 2011 Dollars SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,481)

  20. Crime & Violence by Substance Use Severity SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,302)

  21. Type of Crime by Substance Use Severity * 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=28,981)

  22. Cost of Crime* by Substance Use Severity *Using 2011 Dollars SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,405)

  23. Intensity of Justice System Involvement by Substance Use Severity SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,218)

  24. Count of Major Clinical Problems* at Intake by Substance Use Severity *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=29,358)

  25. Sources of Stress Index by Substance Use Severity SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,474)

  26. Treatment Readiness by Substance Use Severity SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,978)

  27. Self-Help Activities by Substance Use Severity SAMHSA 2011 GAIN Summary Analytic Data Set (n=8,286)

  28. Strength Self-Efficacy Index by Substance Use Severity SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,646)

  29. General Social Support Index by Substance Use Severity SAMHSA 2011 GAIN Summary Analytic Data Set (n=14,600)

  30. Spiritual Social Support by Substance Use Severity SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,363)

  31. Environmental Strengths Index by Substance Use Severity SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,229)

  32. Quarterly Cost to Society* by Substance Use Severity *Using 2011 Dollars SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,349)

  33. Problem Prevalence Index by Severity of Victimization SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,582)

  34. Quality of Life by Substance Use Severity SAMHSA 2011 GAIN Summary Analytic Data Set (n=21,882)

  35. General Satisfaction by Substance Use Severity *GSI groups are usually reversed (low satisfaction scores (0-2) are in the high problem group); here low satisfaction scores are in the low group, and high satisfaction scores are in the high group. SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,165)

  36. Program by Substance Use Severity SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,358)

  37. Level of Care by Substance Use Severity SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,370)

  38. Type of Treatment by Substance Use Severity SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,510)

  39. Outcomes • The following slides present information on the outcomes of substance abuse treatment by substance use severity, 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 Substance Use Severity SAMHSA 2011 GAIN SA Data Set subset to 6 Month Follow up (n=19,904)

  41. Relative Percent Change in 6 Month Abstinence by Substance Use Severity SAMHSA 2011 GAIN SA Data Set subset to 6 Month Follow up (n=19,904)

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

  43. Recovery* by Substance Use Severity * 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 Substance Use Severity (Intake to Last Wave*) PY Dependence No PY Use PY Use PY Abuse *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 Substance Use Severity *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=24,313)

  46. SAMHSA Outcome: Treatment Cost Bands by Substance Use Severity SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups (n=17,623)

  47. Change in Selected NOMS Outcomes by Substance Use Severity (Intake to Last Wave) PY Dependence No PY Use PY Use PY Abuse SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups *Past month

  48. NOMS Outcomes: Count of Positive Outcomes (Last FU–Intake) by Substance Use Severity SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups (n=25,162)

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