Chapter 15 Subset of Overview by Program GAIN Coordinating Center (11/21/2012). Normal, IL: Chestnut Health Systems. November 2012. Available from

Chapter 15Subset of Overview by

Program

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

http://www.gaincc.org/slides

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

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)

http://www.gaincc.org/gaini

3

4%10%

21%

6%

18%

8%

4%

8%

8%

2%5%

5%

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 AssertiveFamily 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

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

Age by Program

Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

CY

T

AR

T

AT

M

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%1

1%

16

%

59

% 61

%

10

% 11

%

8%

1% 17

%

3%

41

%

20

%

30

%

5% 11

%

9%

67

% 63

%

70

%

81

%

68

%

77

%

17

%

63

%

80

% 77

%

79

%

12

%

10

%

22

% 18

%

15

%

20

%

7%

15

%

12

%

13

%

<15

15-17

18-25

26+


6

Gender by Program

Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

CY

T

AR

T

AT

M

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%3

2%

24

%

30

%

28

%

27

%

25

%

62

%

28

%

12

%

17

% 28

%

26

%

68

%

76

%

71

%

72

%

73

% 75

%

38

%

72

%

88

%

83

% 72

%

74

% Male

Female


7

Race by Program

Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

CY

T

AR

T

AT

M

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%9

% 12

%

10

%

10

%

17

% 30

%

13

% 22

%

22

% 30

%

18

%

11

%

36

% 47

%

22

%

54

%

31

% 17

%

10

%

24

% 41

%

18

%

19

%

32

% 26

%

52

%

22

%

31

%

40

%

62

%

44

% 19

%

61

%

34

%

48

%

18

% 13

%

14

%

13

%

15

%

12

%

10

%

8%

15

%

27

%

5%

Multi-Racial

White

Other

Hispanic

African American


8

8

Risk of Homelessness by Program

Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

CY

T

AR

T

AT

M

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%8

6%

78

% 88

%

82

%

80

%

82

%

71

%

37

% 57

%

91

%

53

% 70

%

5% 4% 3% 3% 4% 4% 10% 10%2% 7%

Currently Homeless

At Risk of Homeless-ness

Group/Inst

Housed


9

Past Year Substance Severity by Program

Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

CY

T

AR

T

AT

M

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%4

3%

47

% 39

%

47

%

50

%

46

%

66

%

41

%

40

%

49

%

72

%

70

%

PY De-pendence

PY Abuse

PY Use

No PY Use


10

Primary Substance* by Program

Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

AR

T

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%2

7%

29

%

29

%

22

%

24

%

23

%

23

% 31

%

29

%

21

%

54

%

51

% 62

%

64

%

62

% 67

%

13

%

22

%

54

%

52

%

Other Drug

Opioids

Amphetamines

Cocaine

Marijuana

Alcohol

SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,716)*Not available for ATM and CYT

11O

the

r

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

CY

T

AR

T

AT

M

0%10%20%30%40%50%60%70%80%90%

100%

36

%

28

%

34

% 23

%

25

%

27

% 12

%

22

%

31

% 13

% 6%

8%

High SU (6-8)

Moderate SU (3-5)

Low SU (0-2)

Number of Substance Problems by Program


12

OT

HE

R

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

AR

T

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%3

7%

37

%

39

% 29

%

39

%

45

%

68

%

35

% 19

%

52

%

Dependence/Daily Use

Current PY Use

Past Use

Never Used

Tobacco Diagnosis by Program*

SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,384)*Not available for ATM and CYT

13

HIV Risk Scale* by Program

* Available at intake only.

Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

CY

T

AR

T

AT

M

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%1

8%

18

%

12

%

16

%

18

%

17

%

34

%

28

% 18

%

31

%

31

%

41

%

High Risk(10-36)

Moderate Risk(3-9)

Low Risk(0-2)


14O

the

r

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

AR

T

AT

M

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%8% 9% 8% 10% 10% 10% 13%

4% 6% 13% 17% HighRisk(4-7)

ModerateRisk(2-3)

LowRisk(0-1)

HIV Risk Change Index* byProgram

*Can be used to measure change.SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,835)

15

Number of Sex Partners* by ProgramO

the

r

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

CY

T

AR

T

AT

M

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%1

3%

18

%

13

%

20

%

17

%

22

% 9% 7%

12

%

23

%

21

%

20

%

3+ Sex Partners

1-2 Sex Partners

No Sex Partners

*In the past 90 days


16

Severity of Victimization by Program

Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

CY

T

AR

T

AT

M

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%4

0%

40

%

39

%

38

%

44

%

43

%

57

%

59

%

53

% 37

%

59

%

63

%

High Severity (4-15)

Moderate Severity (1-3)

Low Severity (0)


17

Mental Health Disorders by Program

Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

CY

T

AR

T

AT

M

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%2

5%

31

%

29

%

31

%

36

%

36

% 27

%

28

%

25

%

27

%

52

%

50

%

Both

Internalizing Disorders Only

Externalizing Disorders Only

Neither


18O

the

r

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

CY

T

AR

T

AT

M

0%10%20%30%40%50%60%70%80%90%

100% 2% 4% 2% 2% 3% 4% 3% 2% 1% 1% 6% 7%High Severity(4-5)

Moderate Severity (1-3)

Low Severity (0)

Homicidal/Suicidal Thoughts by Program


19

Health Problems by Program

Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

CY

T

AR

T

AT

M

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%1

0%

8% 7% 5%

10

%

10

%

19

% 13

% 5%

5%

9%

10

%

High Prob-lems(33-100)

Moderate Problems (10-32)

Low Prob-lems(0-9)


20

Health Care Utilization Cost* by Program

Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

CY

T

AR

T

AT

M

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

$0$500$1,000$1,500$2,000$2,500$3,000$3,500$4,000$4,500$5,000$5,500$6,000$6,500

$2

,42

0

$1

,90

9

$1

,93

9

$1

,74

7

$3

,11

3

$2

,24

7 $3

,15

7

$2

,60

8

$1

,63

7

$1

,16

1

$6

,11

9

$2

,83

3

$7,600+

$1 - $7,599

$0

Mean


*Using 2011 Dollars

21

Crime & Violence by Program

Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

CY

T

AR

T

AT

M

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%2

7%

31

%

30

%

40

%

39

%

40

%

14

%

20

%

44

% 31

%

55

%

55

%

High Crime(7-29)

Moderate Crime (3-6)

Low Crime(0-2)


22

Type of Crime by Program

Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

CY

T

AR

T

AT

M

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%3

2%

33

%

33

%

46

%

42

%

45

%

14

%

21

%

46

% 36

%

52

%

60

%

Violent Crime*

Other Crime**

Drug Use only


* Violent crime includes assault, rape, murder, and arson.** Other crime includes vandalism, possession of stolen goods, forgery, and theft.

23

Cost of Crime* by Program**

*Using 2011 Dollars **Not available for ATM and CYT


Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

AR

T

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

$0

$100,000

$200,000

$300,000

$400,000

$500,000

$600,000

$700,000

$800,000

$900,000 $

288,

195 $

501,

391

$29

4,06

6

$37

5,74

2 $56

6,21

2

$10

8,62

3 $29

8,11

1

$86

3,71

7

$81

2,44

1 $120,000+

$1-$119,000

$0

Mean

24

Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

CY

T

AR

T

AT

M

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%Detention/jail 30+ days

Detention/jail 14-29 days

Drug Court

Prob/parole 14+ days w/ 1+ drug screens

Other probation, parole, detention

Other JJ/CJ status

Past arrest/JJ/CJ sta-tus

Past yr illegal activ-ity/SA use

Intensity of Justice System Involvement by Program


25O

the

r

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

CY

T

AR

T

AT

M

0%10%20%30%40%50%60%70%80%90%

100%

34

%

40

%

41

%

44

%

48

%

49

%

47

%

46

%

47

%

53

%

67

%

65

%

Five to Twelve

Four

Three

Two

One

None

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 activitySAMHSA 2011 GAIN Summary Analytic Data Set (n=29,782)

26

Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

AR

T

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%4

4% 2

5%

35

% 26

%

35

%

41

%

48

%

43

% 28

%

48

%

High Stress(3-15)

Moderate Stress(1-2)

Low Stress(0)

Sources of Stress Index by Program


27

Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

CY

T

AR

T

AT

M

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100% 5% 4% 6% 5% 4% 8% 2% 2% 6% 4% 4% 4%

Low Readiness (0-2)

ModerateReadiness (3-5)

High Readiness (6-9)

Treatment Readiness by Program


28

Self-Help Activities* by Program

Other TCE DC AAFT ATDC ORP YORP0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

92% 90% 90% 86%

48%56%

82%

Low Ac-tivity (0)

Moderate Activity(1-11)

High Ac-tivity(12-19)


*Unavailable for EAT, SCY, CYT, ART, and ATM

29

Strength Self-Efficacy Index by Program

Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

AR

T

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100% 6%22%

6% 6% 6% 7% 7% 7% 6% 7%Low Strength(0-2)

Moderate Strength (3-6)

High Strength (7-10)

* Not available for ATM or CYT


30O

the

r

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

CY

T

AR

T

AT

M

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100% 2%21%

5% 5% 5% 3% 6% 9% 8% 2% 4% 2%Low Support(0-1)

Moderate Support (2-4)

High Support(5-9)

General Social Support Index by Program


31

Spiritual Social Support* by Program

Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

AR

T

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%6

0% 5

1%

63

%

58

%

56

%

61

%

41

% 33

%

44

%

55

%

Low Support (0-2)

Moderate Support (3-5)

High Support (6-7)

SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,476)*Unavailable for ATM and CYT

32O

the

r

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

AR

T

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%8% 4% 6% 6% 6% 6% 12% 17%

10% 13%Low Strength(0-2)

Moderate Strength (3-5)

High Strength(12-16)

Environmental Strengths Index by Program

Not available for ATM or CYT


33

Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

CY

T

AR

T

AT

M

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

$0

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

$7,000

$8,000

$9,000

$10,000

$11,000 $

4,3

58

$3

,96

3

$3

,11

7

$4

,93

2

$4

,65

5

$4

,63

7

$5

,99

0

$7

,71

3

$6

,37

3

$2

,77

3

$8

,77

1

$6

,13

4

$10,000+

$2,000 - $9,999

$0-$1,999

Mean

Quarterly Cost to Society* by Program

*Using 2011 Dollars


34

Problem Prevalence Index* by Program

Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

AR

T

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100% 5% 10% 5% 6% 8% 9% 13%4% 3%

17%High Preva-lence(25-100)

Moderate Prevalence (6-24)

Low Preva-lence(0-5)

SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,605)*Not available for ATM or CYT

35

Quality of Life by Program

Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

CY

T

AR

T

AT

M

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%3

5%

31

%

32

%

40

%

33

%

35

% 20

%

15

%

27

%

34

%

65

% 53

%

Low Quality (0-36)

Moderate Quality (37-69)

High Quality(70-100)


36

General Satisfaction by Program

Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

CY

T

AR

T

AT

M

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%10

%

22% 8% 7% 10

%

11%

15%

25% 12

%

33%

13%

24%

Low Satis-faction(0-2)

Moderate Satisfaction(3-4)

High Satis-faction(5-6)


37

Level of Care by ProgramO

the

r

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

CY

T

AR

T

AT

M

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%8

1%

75

%

98

%

60

%

84

%

59

% 72

%

51

% 59

%

10

0%

25

%

18

%

16

%

2%

29

%

6%

22

%

27

%

43

%

8%

4%

14

%

9%

13

%

4%

54

%

50

%

10

%

8% 6%

30

%

34

%7

%

11

%

STR

M-LTR

CC-OP

IOP

OP


38

Type of Treatment by ProgramO

the

r

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

CY

T

AR

T

AT

M

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%4

7%

25

%

10

0%

28

%

34

%

25

%

11

% 27

%

67

%

10

%

20

% 27

% 25

%

19

%

22

%

8%

17

%

37

%

3%

21

%

12

%

27

%

98

%

22

%

39

%

17

%

13

%

23

%

43

%

9%

2%

23

%

56

% 45

% 25

%

38

%

13

%

8%

18

% 11

%

84

%

Tx Man

Other

ACRA/ACC

Other EBTx

MET/CBT


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.

http://gaincc.org/_data/files/Posting_Publications/19._Methods_Appendix_2011.pptx

http://gaincc.org/_data/files/Posting_Publications/19._Methods_Appendix_2011.pptx

40

Percent Change in 6 Month Abstinence by Program

Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

CY

T

AR

T

AT

M

-20%

0%

20%

40%

60%

80%

100%

13%22% 21% 22% 21%

27%38%

-4%

6%

29%21% 20%

SAMHSA 2011 GAIN SA Data Set subset to 6 Month Follow up (n=20,181)

41

Relative Percent Change in 6 Month Abstinence by Program

Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

CY

T*

AR

T

AT

M

-10%0%

10%20%30%40%50%60%70%80%90%

100%

23%

58% 62%53%

55%

86%77%

-4%

9%

730%

44%

59%

730%

*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

Past Month AOD Abstinence by Program

Intake 3 Month 6 Month 9 Month* 12 Month0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%Other

TCE

EAT

DC

AAFT

SCY

ATDC

ORP

YORP

CYT

ART

ATM

*InterpolatedSAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups

43

Recovery* by Program

Intake 3 Month 6 Month 9 Month** 12 Month0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%Other

TCE

EAT

DC

AAFT

SCY

ATDC

ORP

YORP

CYT

ART

ATM

* 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

Inta

ke

La

st

Wa

ve

Inta

ke

La

st

Wa

ve

Inta

ke

La

st

Wa

ve

Inta

ke

La

st

Wa

ve

Inta

ke

La

st

Wa

ve

Inta

ke

La

st

Wa

ve

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Vocationally Engaged

Housing

No Justice System Involve-mentNo Social Consequences

Abstinence

Socially Connected

Change in GPRA Outcomes by Program (Intake to Last Wave*)

TCE EAT DC SCYAAFT

*Last wave is the last follow-upSAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups

Other

45

Inta

ke

La

st

Wa

ve

Inta

ke

La

st

Wa

ve

Inta

ke

La

st

Wa

ve

Inta

ke

La

st

Wa

ve

Inta

ke

La

st

Wa

ve

Inta

ke

La

st

Wa

ve

0%10%20%30%40%50%60%70%80%90%

100%

Vocationally Engaged

Housing

No Justice Sys-tem Involvement

No Social Conse-quences**Abstinence

Socially Connected***

Change in GPRA Outcomes by Program (Intake to Last Wave*) - continued

YORP ARTCYT ATMORP*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

NOMS Outcome: Number of Treatment Received Outcomes Met* by Program

Oth

er

TC

E

EA

T

DC

AA

FT

SC

Y

AT

DC

OR

P

YO

RP

CY

T

AR

T

AT

M

0%10%20%30%40%50%60%70%80%90%

100%

19% 38

%

27% 35

% 54%

17%

18%

19%

47%

10%

2%

49% 28

%

48%

37%

35%

46%

49%

50%

35%

14%

54%

25%

None

One

Two

Three

Four

*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

SAMHSA Outcome: Treatment Cost Bands by Program

Oth

er

TC

E

EA

T

DC

SC

Y

OR

P

CY

T

AR

T

AT

M

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

39

% 62

%

76

%

45

%

43

%

35

%

18

%

34

%

17

%

71

%

32

%

38

%

Above

Within

Below


48

Change in Selected NOMS Outcomes by Program (Intake to Last Wave)

Inta

ke

La

st

Wa

ve

Inta

ke

La

st

Wa

ve

Inta

ke

La

st

Wa

ve

Inta

ke

La

st

Wa

ve

Inta

ke

La

st

Wa

ve

Inta

ke

La

st

Wa

ve

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%No Health Prob-lems

No Mental Health Problems

No Family Prob-lems

Abstinence

No Illegal Activ-ity

Vocationally Engaged*

Housed

TCE AAFTEATOTHER DC*Past monthSAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups

SCY

49

Change in Selected NOMS Outcomes by Program (Intake to Last Wave) – cont.

Inta

ke

La

st

Wa

ve

Inta

ke

La

st

Wa

ve

Inta

ke

La

st

Wa

ve

Inta

ke

La

st

Wa

ve

Inta

ke

La

st

Wa

ve

Inta

ke

La

st

Wa

ve

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%No Health Prob-lems

No Mental Health Problems

No Family Prob-lems**

Abstinence

No Illegal Activ-ity

Vocationally Engaged *

Housed**

ATDC CYT ARTYORP ATM*Past month **Not available for ATM and CYT

SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups

ORP

50

NOMS Outcomes: Count of Positive Outcomes (Last FU–Intake) by Program

Oth

er

(77

% w

/ 1+

)T

CE

(81

% w

/ 1+

)E

AT

(78

% w

/ 1+

)D

C(7

9%

w/ 1

+)

AA

FT

(76

% w

/ 1+

)S

CY

(82

% w

/ 1+

)A

TD

C(8

1%

w/ 1

+)

OR

P(6

7%

w/ 1

+)

YO

RP

(65

% w

/ 1+

)C

YT

(8

4%

w/ 1

+)

AR

T

(79

% w

/ 1+

)A

TM

(8

4%

w/ 1

+)0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

24

%

31

%

27

%

29

%

27

%

34

%

36

%

14

%

21

%

29

%

35

%

36

%

Less than negative one

Negative one

None

One

Two

Three

Four

Five +


Documents

Chapter 15 Subset of Overview by Program GAIN Coordinating Center (11/21/2012). Normal, IL: Chestnut Health Systems. November 2012. Available from