1. Chapter 15 Subset of Overview by Program GAIN Coordinating Center (11/21/2012). Normal, IL: Chestnut Health Systems. November 2012. Available from www.gaincc.org/slideswww.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. 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 www.gaincc.org/gaini 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. 3 Grant Program TCE: Targeted Capacity Expansion (n=3,017; 15 grants) EAT: Effective Adolescent Treatment (n=6,393; 37 grants) DC: Juvenile Treatment Drug Court (n=1,768; 11 grants) Other Justice Grants: RF/BIRT, FDC, JTDC, RF/JDC, OJJDP (n=1,243; 14 grants) AAFT: Adolescent Assertive Family Treatment (n= 5,497; 75 grants) SCY: Strengthening Communities-Youth (n=2,299; 9 grants) YORP: Young Offender Re-entry Program (n=2,278; 10 grants) CYT: Cannabis Youth Treatment (n=600; 4 grants) ART: Adolescent Residential Treatment (n=1,636; 13 grants) ATM: Adolescent Treatment Models (n=1,455; 10 grants) SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,782) ATDC: Adult Treatment Drug Court (n=1,147; 11 grants) ORP: Offender Re- entry Program (n=2,449; 21 grants)

4. 4 Risk and Protective Factors by Program  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. 5 Age by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,782)

6. 6 Gender by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,771)

7. 7 Race by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,767)

8. 8 8 Risk of Homelessness by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,646)

9. 9 Past Year Substance Severity by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,358)

10. 10 Primary Substance* by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,716) *Not available for ATM and CYT

11. 11 Number of Substance Problems by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,716)

12. 12 Tobacco Diagnosis by Program* SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,384) *Not available for ATM and CYT

13. 13 HIV Risk Scale* by Program * Available at intake only. SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,746)

14. 14 HIV Risk Change Index* by Program *Can be used to measure change. SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,835)

15. 15 Number of Sex Partners* by Program *In the past 90 days SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,751)

16. 16 Severity of Victimization by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,501)

17. 17 Mental Health Disorders by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,684)

18. 18 Homicidal/Suicidal Thoughts by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,469)

19. 19 Health Problems by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,477)

20. 20 Health Care Utilization Cost* by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,481) *Using 2011 Dollars

21. 21 Crime & Violence by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,703)

22. 22 Type of Crime by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,377) * Violent crime includes assault, rape, murder, and arson. ** Other crime includes vandalism, possession of stolen goods, forgery, and theft.

23. 23 Cost of Crime* by Program** *Using 2011 Dollars **Not available for ATM and CYT SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,405)

24. 24 Intensity of Justice System Involvement by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,617)

25. 25 Count of Major Clinical Problems* at Intake by Program *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=29,782)

26. 26 Sources of Stress Index by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,592)

27. 27 Treatment Readiness by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,344)

28. 28 Self-Help Activities* by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=8,342) *Unavailable for EAT, SCY, CYT, ART, and ATM

29. 29 Strength Self-Efficacy Index by Program * Not available for ATM or CYT SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,766)

30. 30 General Social Support Index by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=14,717)

31. 31 Spiritual Social Support* by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,476) *Unavailable for ATM and CYT

32. 32 Environmental Strengths Index by Program Not available for ATM or CYT SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,625)

33. 33 Quarterly Cost to Society* by Program *Using 2011 Dollars SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,690)

34. 34 Problem Prevalence Index* by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,605) *Not available for ATM or CYT

35. 35 Quality of Life by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=22,126)

36. 36 General Satisfaction by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,281)

37. 37 Level of Care by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,749)

38. 38 Type of Treatment by Program SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,880)

39. 39 Outcomes  The following slides present information on the outcomes of substance abuse treatment by program, 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.Methods Appendix

40. 40 Percent Change in 6 Month Abstinence by Program SAMHSA 2011 GAIN SA Data Set subset to 6 Month Follow up (n=20,181)

41. 41 Relative Percent Change in 6 Month Abstinence by Program *Required past 90 day SA use for inclusion at baseline SAMHSA 2011 GAIN SA Data Set subset to 6 Month Follow up (n=20,181)

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

43. 43 Recovery* by Program * Recovery defined as no past month use, abuse, or dependence symptoms while living in the community. SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups **Interpolated

44. 44 Change in GPRA Outcomes by Program (Intake to Last Wave*) TCEEATDC SCY AAFT *Last wave is the last follow-up SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups Other

45. 45 Change in GPRA Outcomes by Program (Intake to Last Wave*) - continued YORPARTCYTATMORP *Last wave is the last follow-up ** Not available at FU for ATM or CYT *** Not available for ATM or CYT SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups ATDC

46. 46 NOMS Outcome: Number of Treatment Received Outcomes Met* by Program *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=24,620)

47. 47 SAMHSA Outcome: Treatment Cost Bands by Program SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups (n=17,856)

48. 48 Change in Selected NOMS Outcomes by Program (Intake to Last Wave) TCE AAFT EATOTHER DC *Past monthSAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups SCY

49. 49 Change in Selected NOMS Outcomes by Program (Intake to Last Wave) – cont. ATDC CYT ART YORP ATM *Past month **Not available for ATM and CYT SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups ORP

50. 50 NOMS Outcomes: Count of Positive Outcomes (Last FU–Intake) by Program SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups (n=25,508)