The Catalyst Group, LLC

Adolescent Residential Treatment InitiativeAdolescent Residential Treatment Initiative

I Mua Mau Ohana ProjectI Mua Mau Ohana ProjectPreliminary FindingsPreliminary Findings

Richard Kim, Ph.D.03/03/2005

Funded by Center for Substance Abuse Treatment,

Substance Abuse and Mental Health Services Administration

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Data Collection

• From Sept. 2002 to Oct. 2004

• 152 intake assessments completed

• 105 three-month assessments

• 78 six-month assessments

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Instrument

• Utilized the Global Appraisal of Individual Needs (GAIN) Core Version

• GAIN also contains SAMHSA Government Performance and Results Act (GPRA) Instrument

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Baseline Findings

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Demographics

• Gender: 68% male, 32% female, 1% TG• Average age = 16 years old• Ethnicity: 61% Native Hawaiian, 41%

Caucasian, 36% Asian, 34% other Pacific Islander, and 26% Hispanic (many multi-ethnic)

• Past 12 months living with: 83% parent(s) • Treatment prior to intake:

– 60% received treatment before; average=1.3 admissions

– 57% felt they needed treatment

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Criminal Justice Involvement

46% 42%

74%

0%

100%

% Y

ou

th -

Pas

t 90

Day

s

Arrested JuvenileDetention

Any ControlledEnv.

• 86% had lifetime arrests

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Education & Employment

• 88% of youth were enrolled in school or training

• Only 6% reported engaging in some type of “non-full-time work”

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Substance Use at Intake

57.9%

66.4%

29.6%

0%

100%

% U

sed

in

Pas

t 90

Day

s

Alcohol Marijuana Ice/Stimulants

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Mental Health at Intake

• Prevalent levels of dual diagnosis.

32.9%

58.6%

41.4%

21.70%

39.50%

0%

100%

% S

cori

ng

"H

igh

"

ConductDisorder

ADHD Depression Anxiety TraumaticStress

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Criminal Justice at Intake

61.8%49.3%

22.4% 28.9%

0%

100%

% S

cori

ng

"H

igh

"o

n I

nd

ices

GeneralCrime

PropertyCrime

Interpers.Crime

Drug Crime

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Outcome Findings

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Arrests – Past 90 Days

39.70%

13.70% 15.10%

0%

100%

% A

rres

ted

in P

ast

90 D

ays

Intake 3 month 6 month

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Days in Jail – Past 90 Days

4.10% 1.40% 4.10%

0%

100%

% S

pe

nt

An

y D

ay

s in

Ja

ilin

Pa

st

90

Da

ys

Intake 3 month 6 month

The Catalyst Group, LLC

Education

86.30%91.80%

74.00%

0%

100%

% E

nro

lled

in

Sch

oo

lo

r Jo

b T

rain

ing

Intake 3 month 6 month

The Catalyst Group, LLC

Employment

6.90% 1.40%

13.70%

0%

100%

% E

ng

aged

in

or

Lo

oki

ng

F

or

Wo

rk

Intake 3 month 6 month

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Substance Use

0

5

10

15

20

25

30

35

Intake 3 Months 6 Months

Mea

n D

ays

Use

d

in P

ast

90 D

ays

Alcohol Marijuana Crack Hallucinogens Ice

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Substance Problem Scales

00.5

11.5

22.5

33.5

4

Intake 3 Months 6 Months

Mea

n S

core

s

SUBSTANCE PROBLEMS Substance Issues

Substance Abuse Substance Dependence

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Psychological Disorders-Behavioral Complexity Indices

0

2

4

6

8

10

12

14

Intake 3 Months 6 Months

Mea

n S

core

s

ADHD Conduct Disorder

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Psychological Disorders-Internal Mental Distress Indices

0.3

1

3.53.1

2.42.6

0.1

0.1

2.3

0

0.5

1

1.5

2

2.5

3

3.5

4

Intake 3 Months 6 Months

Mea

n S

core

s

Depression Anxiety Traumatic Stress

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Characteristics of Youth Who Could Not Be Followed Up

• More likely to:– be males – live with a separated or single parent – be in the custody of a correctional or treatment

institution – have received previous treatment – have higher rates of arrests and days in

detention– report greater ICE use.

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Summary

• Youth mostly Native Hawaiian and other Pacific Islander

• Youth at intake showed high levels of criminal justice involvement, substance use, and both internal and external behavior problems.

• Significant reduction in arrests• Significant reduction in substance use and

related substance problems• Significant reduction in psychological disorder

indices; temporary increase in Depression

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Contact InfoRichard Kim, Ph.D.

The Catalyst Group, LLC770 Kapiolani Blvd. Suite 414Honolulu, HI 96813-5257

office: (808) 593 . 1998fax: (808) 593 . 1995rkim@tcgoc.com