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Chapter 6 Subset of Overview by Gender. GAIN Coordinating Center (11/21/2012). Normal , IL: Chestnut Health Systems. November 2012 . Available from www.gaincc.org/slides.

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Chapter 6 subset of overview by gender

Chapter 6Subset of Overview by Gender

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


Samhsa csat full gain outcome data set
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)


Gender
Gender

Other0.03% (n=10)

Females 27% (n= 8,172)

Males 73% (n=21,599)

SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,781)


Risk and protective factors by gender
Risk and Protective Factors by Gender

  • 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)


Age by gender
Age by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,771)


Race by gender
Race by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,757)


Risk of homelessness by gender
Risk of Homelessness by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,635)


Past year substance severity by gender
Past Year Substance Severity by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,348)


Primary substance by gender
Primary Substance by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,706)


Number of substance problems by gender
Number of Substance Problems by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,706)


Tobacco diagnosis by gender
Tobacco Diagnosis by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,373)


Hiv risk scale by gender
HIV Risk Scale* by Gender

* Available at intake only.

SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,735)


Hiv risk change index by gender
HIV Risk Change Index* by Gender

*Can be used to measure change.

SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,824)


Number of sex partners by gender
Number of Sex Partners* by Gender

*In the past 90 days

SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,740)


Severity of victimization by gender
Severity of Victimization by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,490)


Mental health disorders by gender
Mental Health Disorders by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,673)


Homicidal suicidal thoughts by gender
Homicidal/Suicidal Thoughts by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,458)


Health problems by gender
Health Problems by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,467)


Health Care Utilization Cost* by Gender

*Using 2011 Dollars

SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,471)


Crime violence by gender
Crime & Violence by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,692)


Type of crime by gender
Type of Crime by Gender

* 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=29,366)


Cost of crime by gender
Cost of Crime* by Gender

*Using 2011 Dollars

SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,394)


Intensity of justice system involvement by gender
Intensity of Justice System Involvement by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,606)


Count of major clinical problems at intake by gender
Count of Major Clinical Problems* at Intake by Gender

*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=29,771)


Sources of stress index by gender
Sources of Stress Index by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,588)


Treatment readiness by gender
Treatment Readiness by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,334)


Self help activities by gender
Self-Help Activities by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=8,340)


Strength self efficacy index by gender
Strength Self-Efficacy Index by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,762)


General social support index by gender
General Social Support Index by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=14,713)


Spiritual social support by gender
Spiritual Social Support by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,472)


Environmental strengths index by gender
Environmental Strengths Index by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,614)


Quarterly cost to society by gender
Quarterly Cost to Society* by Gender

*Using 2011 Dollars

SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,681)


Problem prevalence index by gender
Problem Prevalence Index by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,595)


Quality of life by gender
Quality of Life by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=22,116)


General satisfaction by gender
General Satisfaction by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,277)


Program by gender
Program by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,771)


Level of care by gender
Level of Care by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,738)


Type of treatment by gender
Type of Treatment by Gender

SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,869)


Outcomes
Outcomes

  • The following slides present information on the outcomes of substance abuse treatment by gender, 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.


Percent change in 6 month abstinence by gender
Percent Change in 6 Month Abstinence by Gender

SAMHSA 2011 GAIN SA Data Set subset to 6 Month Follow up (n=20,173)


Relative percent change in 6 month abstinence by gender
Relative Percent Change in 6 Month Abstinence by Gender

SAMHSA 2011 GAIN SA Data Set subset to 6 Month Follow up (n=20,173)


Past month aod abstinence by gender
Past Month AOD Abstinence by Gender

*Interpolated

SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups


Recovery* by Gender

* 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


Change in gpra outcomes by gender intake to last wave
Change in GPRA Outcomes by Gender (Intake to Last Wave*)

Female

Male

*Last wave is the last follow-up

SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups


Noms outcome number of treatment received outcomes met by gender
NOMS Outcome: Number of Treatment Received Outcomes Met* by Gender

*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=24,610)


Samhsa outcome treatment cost bands by gender
SAMHSA Outcome: Treatment Cost Bands by Gender Gender

SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups (n=17,847)


Change in selected noms outcomes by gender intake to last wave
Change in Selected NOMS Outcomes by Gender (Intake to Last Wave)

Male

Female

SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups

*Past month


Noms outcomes count of positive outcomes last fu intake by gender
NOMS Outcomes: Count of Positive Outcomes (Last FU–Intake) by Gender

SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups (n=25,498)


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