illinois statewide treatment outcomes project. illinois statewide treatment outcomes project largest...
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ILLINOIS ILLINOIS STATEWIDE STATEWIDE TREATMENT TREATMENT OUTCOMES OUTCOMES
PROJECTPROJECT
Illinois Statewide TreatmentIllinois Statewide TreatmentOutcomes ProjectOutcomes Project
• Largest evaluation of treatment outcomes by the State to date
• 1,890 adult clients recruited from 40 treatment programs across the state
• Three levels of care were sampled: Residential Rehabilitation (RR), Intensive Outpatient (IOP), and Outpatient (OP). The study also included clients in Methadone Maintenance (MM) therapy
ContinuedContinued
• Addiction Severity Index (ASI) was administered at intake by program staff
• Follow-up ASI was administered 6 months after intake by research staff
• Follow-up interview was attempted with all clients, even if they never began receiving services (“intent to treat” methodology)
• 1,210 clients completed the follow-up interview (65% of those who completed baseline)
GenderGender
Female N=694,
37%
Male N=1196,
63%
Race/EthnicityRace/EthnicityOther
N=36, 2%Hispanic
N=183, 10%
Black N=888, 47%White
N=783, 41%
Black N=888White N=783Hispanic N=183Other N=36
Level of CareLevel of CareOther
N=36, 2%
OP N=403, 21%
Black N=888, 47%
White N=783, 41%
Chronic Health ProblemsChronic Health Problemsby LEVEL of CARE
22%
30%
34%
23%
0% 5% 10% 15% 20% 25% 30% 35% 40%
MM
OP
IOP
RR
Reported Lifetime AbuseReported Lifetime Abuseby GENDER
68%
59%
45%
7%
40%
23%
0% 10% 20% 30% 40% 50% 60% 70% 80%
Emotional Abuse
Physical Abuse
Sexual Abuse
Women
Men
Admissions PromptedAdmissions Prompted
by the CRIMINAL JUSTICE SYSTEM
NoN=1138
61%
YesN=71839%
Yes N=718No N=1138
Clients Remaining in Clients Remaining in TreatmentTreatment
0
0.2
0.4
0.6
0.8
1
1.2
0 2 4 6 8 10 12 14 16 18 20+
Weeks in Treatment
Per
cent
Rem
aini
ng
IOPOPMM
Treatment Completion Treatment Completion StatusStatus
33.30%
9.00%
44.70%
13.00%
Completed/Still in Tx
Transferred
Dropped Out/AMA
Never Showed
Percent UsingPercent Usingin PAST 30 DAYS
24%
37%
30%
59%
30%
6%
6%
6%
0% 10% 20% 30% 40% 50% 60% 70%
Heroin
Cocaine
Marijuana
Alcohol
Baseline
Follow-Up
Average Days of UsingAverage Days of Usingin PAST 30 DAYS
24.5
11.4
9
10.3
7.2
8.2
12.1
7.5
0 5 10 15 20 25 30
Heroin
Cocaine
Marijuana
AlcoholBaseline
Follow-Up
Percent Using AlcoholPercent Using Alcoholin PAST 30 DAYS
48%
50%
61%
71%
29%
31%
28%
32%
0% 10% 20% 30% 40% 50% 60% 70% 80%
MM
OP
IOP
RR
Baseline
Follow-up
Percent Using MarijuanaPercent Using Marijuanain PAST 30 DAYS
28%
11%
29%
44%
7%
6%
8%
5%
0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%
MM
OP
IOP
RR
Baseline
Follow-up
Percent Using CocainePercent Using Cocainein PAST 30 DAYS
45%
9%
30%
57%
6%
6%
11%
3%
0% 10% 20% 30% 40% 50% 60%
MM
OP
IOP
RR
Baseline
Follow-up
Percent Using HeroinPercent Using Heroinin PAST 30 DAYS
92%
1%
3%
10%
1%
1%
25%
0%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
MM
OP
IOP
RR
Baseline
Follow-up
Employment ProblemsEmployment Problemsin PAST 30 DAYS
30%
43%
42%
50%
50%
47%
26%
29%
40%
26%
0% 10% 20% 30% 40% 50% 60%
MM
OP
IOP
RR
Total
Baseline
Follow Up
Percent Reporting IncomePercent Reporting Incomefrom VARIOUS SOURCES
19%
57%
4%
21%
12%
16%
37%
44%
2%
13%
2%
24%
0% 10% 20% 30% 40% 50% 60%
Unemployment
Welfare
Pensions, Benfits orSocial Security
Illegal Activties
Mate/Family/Friends
Employment
Baseline
Follow-Up
Improvements in Other Improvements in Other AreasAreas
• Reduction in physical health problems
• Reduction of mental health problems (depression, anxiety, suicidality)
• Improvements in relationships with family members and friends
• Decreased use of the public aid system:
– 10% reduction in use of Medicaid services
– 7% reduction in use of Food Stamp services
– 25% reduction in use of Cash Assistance (TANF) services
ConclusionConclusion
The full report,
The Effectiveness of Substance Abuse Treatment in Illinois: Results of the Illinois
Statewide Treatment Outcomes Project,
can be obtained via the Internet at the following location:
www.state.il.us/agency/dhs/reseasanp.html