1. Risk Taking and Outcomes in the English Treatment System
Andrew Jones
Risk Taking and Outcomes in the English Treatment System

2. Part 1: D.T.O.R.S.
English Drug Treatment Outcomes Research Study
Part 2: NDTMS
National Drug Treatment Monitoring System
Changing outcomes over time

3. Part 1: DTORS National outcome study Longitudinal treatment cohort
Baseline 1796
Follow-up at 3-6 months, 12 months
342 agencies in 94 of 149 English areas (DATs)
All adult treatment entrants eligible (76% previously treated)
Drug use/offending/social circumstances/health
Risk taking
Overdose risky behaviour
Injecting/sharing

4. Overdose related behaviour
Primary risks recorded (among opiates users)
Activity in last 4 weeks
Two opiates taken together
Opiates taken with benzodiazepines
Opiates taken with alcohol
All above in conjunction with injecting
Opiates taken after break (>= 1 week) without reducing dose

5. Overdose risky behaviour (last 4 weeks) - baseline

6. Overdose risky behaviour (last 4 weeks) - baseline

7. Overdose risky behaviour (last 4 weeks) - baseline

8. Overdose risky behaviour (last 4 weeks) - baseline

9. Overdose risky behaviour (last 4 weeks) - baseline

10. Overdose risky behaviour (last 4 weeks) - baseline

11. Overdose risky behaviour (last 4 weeks) - baseline

12. Overdose risky behaviour (last 4 weeks) - baseline

13. Overdose risky behaviour (last 4 weeks) - baseline

14. 38
147
2 x Opiate
Opiate + alcohol
359

15. Overdose risky behaviour (last 4 weeks) - baseline

16. Overdose risky behaviour (last 4 weeks) - baseline

17. Overdose risky behaviour (last 4 weeks) - baseline

18. Overdose risky behaviour (last 4 weeks) - baseline

19. Overdose risky behaviour - Follow-up Outcome

20. Overdose risky behaviour - Follow-up Outcome

21. Overdose risky behaviour - Follow-up Outcome

22. Using after break without reducing

23. Overdose risky behaviour - Follow-up Outcome

24. Overdose risky behaviour (last 4 weeks): baseline + follow-up

25. Overdose risky behaviour (last 4 weeks) : baseline + follow-up

26. Overdose risky behaviour (last 4 weeks) : baseline + follow-up

27. Opiate use

28. Actual overdose (n0n-fatal, last 3 months)

29. Injecting & sharing

30. Injecting

31. Injecting reported at subsequent treatment journey starts

32. Rates of change

33. Sharing

34. Sharing

35. Sharing