1. Slide 1 of 14 National Cocaine Treatment Outcomes from DATOS Charts Prepared & Released for Public Use by Dwayne Simpson (TCU), Robert Hubbard (NDRI-NC), Douglas Anglin (UCLA), & Bennett Fletcher (NIDA) Drug Abuse Treatment Outcome Studies (Funded by NIDA)

2. Slide 2 of 14 Drug Abuse Treatment Outcome Studies Third National Evaluation of Treatment Effectiveness Over 60 Studies Published – Over 60 Studies Published – Psychology of Addictive Behaviors (Dec 97) Drug and Alcohol Dependence (Dec 99) Archives of General Psychiatry (June 99) Funded by the National Institute on Drug Abuse 1991-93 11 Cities 96 Programs ~10,000 Patients All treatment types Follow-up: 1 & 5 Yrs

3. Slide 3 of 14 Cocaine Treatment Study  About three-fourths of all admissions to non-methadone treatment programs in the U.S. are for cocaine dependence  Managed care pressures are for shorter treatment & outpatient settings  Outcomes of cocaine treatment needs to be studied in “real-world” settings Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999, Arch Gen Psychiatry

4. Slide 4 of 14 Cocaine Treatment Outcomes (in Year After Discharge in DATOS)  Half (52%) had relapses to drug use: 23% to “weekly” cocaine use 19% to “occasional” cocaine 10% to “other drugs”  4% had alcohol problems  11% reentered treatment (without relapse) Overall, 67% had “problems” during follow-up period Cumulative Outcome Criteria (N=1605) Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999, Arch Gen Psychiatry

5. Slide 5 of 14 *p<.001 Weekly Cocaine Use in Past Year: Changes from Before to After Treatment DATOS Treatment Modality Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999, Arch Gen Psychiatry

6. Slide 6 of 14 Any Jail in Past Year: Changes from Before to After Treatment DATOS Treatment Modality *p<.001 Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999, Arch Gen Psychiatry

7. Slide 7 of 14 DATOS Treatment Modality Drinking 3+ Days/wk in Past Year: Changes from Before to After Treatment *p<.001 Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999, Arch Gen Psychiatry

8. Slide 8 of 14 Relapse Rates (Drug use & Trt in Yr 1), by Retention in Cocaine Treatments “Threshold” of minimum stay for effectiveness! stay for effectiveness! High-Problem Group

9. Slide 9 of 14 Types of Problems at Admission % With Problems in Year Before Admission Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999, Arch Gen Psychiatry

10. Slide 10 of 14 Total Number of Problems (Problem Severity Index, PSI) Admissions to Each Treatment Modality Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999, Arch Gen Psychiatry

11. Slide 11 of 14 Problem Severity at Intake (p<.001) Length of Treatment (p<.001) Weekly Cocaine Use (in Year After Treatment) Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999, Arch Gen Psychiatry

12. Slide 12 of 14 Weekly Cocaine Use (in Year After Treatment) Low Problem Patients (ns) Mid-High Problem Patients (p<.001) Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999, Arch Gen Psychiatry

13. Slide 13 of 14 Weekly Cocaine Use (in Year After Treatment) HIGH Problem Patients (p<.001) Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999, Arch Gen Psychiatry

14. Slide 14 of 14 Selected Studies 1-Year Outcomes Treatment Services & Process Cocaine Treatment Selected Web Posters Adolescent Studies Cost Benefits of MM Treatment Readiness for Treatment News and Features Home Page About DATOS Background Highlights Special Topics Publications Web Posters What’s New CONTENT Cocaine Treatment Outcome Study is Released (in June 1999 issue of Archives of General Psychiatry) Findings emphasize the need for "adequate treatment stays," especially when problem severity is moderate-to-high. At least 90 days in intensive residential (TC) programs was indicated for high-severity cases. More information is provided in a new section of Highlights page, "Outcomes for Treatment of Cocaine Dependence.” Latest DATOS studies have been published in Drug and Alcohol Dependence Treatment process (engagement and participation), retention, and outcomes are the focus of this series of studies, and our first cost-benefit analysis addresses cocaine treatment. The latest DATOS publications and "in press" are listed on the Publications page. www.datos.org www.datos.org

15. Slide 15 of 14 Slide Navigator 1. DATOS – Overview of Cocaine Treatment Outcome Study (title slide) DATOS – Overview of Cocaine Treatment Outcome Study 2. DATOS – Drug Abuse Treatment Outcome Studies DATOS – Drug Abuse Treatment Outcome Studies 3. Cocaine Treatment Study Cocaine Treatment Study 4. Cocaine Treatment Outcomes (in Year after discharge in DATOS) Cocaine Treatment Outcomes (in Year after discharge in DATOS) 5. Weekly Cocaine Use in Past Year: Changes from Before to After Treatment Weekly Cocaine Use in Past Year: Changes from Before to After Treatment 6. Any Jail in Past Year: Changes from Before to After Treatment Any Jail in Past Year: Changes from Before to After Treatment 7. Drinking 3+ days/wk in Past Year: Changes from Before to After Treatment Drinking 3+ days/wk in Past Year: Changes from Before to After Treatment 8. Relapse Rates (Drug use & Trt in Yr 1), by Retention in Cocaine Treatments Relapse Rates (Drug use & Trt in Yr 1), by Retention in Cocaine Treatments 9. Types of Problems at Admission Types of Problems at Admission 10. Total Number of Problems (Problem Severity Index, PSI) Total Number of Problems (Problem Severity Index, PSI) 11. Weekly Cocaine Use (in Year after Treatment) Weekly Cocaine Use (in Year after Treatment) 12. Weekly Cocaine Use (in Year after Treatment) Weekly Cocaine Use (in Year after Treatment) 13. Weekly Cocaine Use (in Year after Treatment) Weekly Cocaine Use (in Year after Treatment) 14. Slide for DATOS Web site (www.datos.org) Slide for DATOS Web site (www.datos.org)