Chapter 6 subset of overview by gender
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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

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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

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

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

  • 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

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


Race by Gender

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


Risk of Homelessness by Gender

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


Past Year Substance Severity by Gender

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


Primary Substance by Gender

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


Number of Substance Problems by Gender

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


Tobacco Diagnosis by Gender

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


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

*Can be used to measure change.

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


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

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


Mental Health Disorders by Gender

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


Homicidal/Suicidal Thoughts by Gender

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


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

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


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

*Using 2011 Dollars

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


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

*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

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


Treatment Readiness by Gender

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


Self-Help Activities by Gender

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


Strength Self-Efficacy Index by Gender

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


General Social Support Index by Gender

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


Spiritual Social Support by Gender

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


Environmental Strengths Index by Gender

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


Quarterly Cost to Society* by Gender

*Using 2011 Dollars

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


Problem Prevalence Index by Gender

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


Quality of Life by Gender

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


General Satisfaction by Gender

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


Program by Gender

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


Level of Care by Gender

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


Type of Treatment by Gender

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


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

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


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

*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*)

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

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


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

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


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