1. Chapter 13 Subset of Overview by Crime and Violence 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 Past Year Crime and Violence High 35.1% (n=10,411) Low 41.2% (n=12,241) Moderate 23.7% (n=7,051) SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,703)

4. 4 Risk and Protective Factors by Crime and Violence  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 Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,703)

6. 6 Gender by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,692)

7. 7 Race by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,688)

8. 8 8 Risk of Homelessness by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,567)

9. 9 Past Year Substance Severity by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,302)

10. 10 Primary Substance by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,647)

11. 11 Number of Substance Problems by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,648)

12. 12 Tobacco Diagnosis by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,345)

13. 13 HIV Risk Scale* by Crime and Violence * Available at intake only. SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,703)

14. 14 HIV Risk Change Index* by Crime and Violence *Can be used to measure change. SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,832)

15. 15 Number of Sex Partners* by Crime and Violence *In the past 90 days SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,712)

16. 16 Severity of Victimization by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,492)

17. 17 Mental Health Disorders by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,661)

18. 18 Homicidal/Suicidal Thoughts by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,439)

19. 19 Health Problems by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,432)

20. 20 Health Care Utilization Cost* by Crime and Violence *Using 2011 Dollars SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,463)

21. 21 Type of Crime by Crime and Violence 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.

22. 22 Cost of Crime* by Crime and Violence *Using 2011 Dollars SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,405)

23. 23 Intensity of Justice System Involvement by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,608)

24. 24 Count of Major Clinical Problems* at Intake by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,703) *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

25. 25 Sources of Stress Index by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,591)

26. 26 Treatment Readiness by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,285)

27. 27 Self-Help Activities by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=8,326)

28. 28 Strength Self-Efficacy Index by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,764)

29. 29 General Social Support Index by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=14,715)

30. 30 Spiritual Social Support by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,474)

31. 31 Environmental Strengths Index by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,611)

32. 32 Quarterly Cost to Society* by Crime and Violence *Using 2011 Dollars SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,688)

33. 33 Problem Prevalence Index by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,599)

34. 34 Quality of Life by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=22,119)

35. 35 General Satisfaction by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,280)

36. 36 Program by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,703)

37. 37 Level of Care by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,671)

38. 38 Type of Treatment by Crime and Violence SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,809)

39. 39 Outcomes  The following slides present information on the outcomes of substance abuse treatment by crime and violence, 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 Crime and Violence SAMHSA 2011 GAIN SA Data Set subset to 6 Month Follow up (n=20,148)

41. 41 Relative Percent Change in 6 Month Abstinence by Crime and Violence SAMHSA 2011 GAIN SA Data Set subset to 6 Month Follow up (n=20,148)

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

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

44. 44 Change in GPRA Outcomes by Crime and Violence (Intake to Last Wave*) Low Crime Moderate Crime High Crime *Last wave is the last follow-up SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups

45. 45 NOMS Outcome: Number of Treatment Received Outcomes Met* by Crime and Violence *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=24,581)

46. 46 SAMHSA Outcome: Treatment Cost Bands by Crime and Violence SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups (n=17,826)

47. 47 Change in Selected NOMS Outcomes by Crime and Violence (Intake to Last Wave) Low CrimeModerate CrimeHigh Crime *Past monthSAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups

48. 48 NOMS Outcomes: Count of Positive Outcomes (Last FU–Intake) by Crime and Violence SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups (n=25,468)