Chapter 9 Subset of Overview by Risk of Homelessness GAIN Coordinating Center (11/21/2012). Normal, IL: Chestnut Health Systems. November Available fromCreated for: Substance Abuse and Mental Health Services Administrations (SAMHSA) Center for Substance Abuse Treatment (CSAT) under contract number 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 who were due for at least one follow-up and available in the last quarterly data set of 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) (seeVersions 3 (CYT & ATM) and 5.1 through 5.6Follow-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 and and 230 individual grants (see Detailed Acknowledgement) 3 Current Risk of Homelessness At Risk 10.4% (n=3,073) Housed 74.7% (n=22,138) Group or Institution 10.7% (n=3,174) Currently Homeless 4.3% (n=1,261) 4 Risk and Protective Factors by Risk of Homelessness 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 Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,646) 6 Gender by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,635) 7 Race by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,646) 8 Past Year Substance Severity by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,225) 9 Primary Substance by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,580) 10 Number of Substance Problems by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,580) 11 Tobacco Diagnosis by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,265) 12 HIV Risk Scale* by Risk of Homelessness * Available at intake only. SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,610) 13 HIV Risk Change Index* by Risk of Homelessness *Can be used to measure change. SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,725) 14 Number of Sex Partners* by Risk of Homelessness *In the past 90 days SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,638) 15 Severity of Victimization by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,365) 16 Mental Health Disorders by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,549) 17 Homicidal/Suicidal Thoughts by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,333) 18 Health Problems by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,345) 19 Health Care Utilization Cost* by Risk of Homelessness *Using 2011 Dollars SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,349) 20 Crime and Violence by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,567) 21 Type of Crime by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,242) * Violent crime includes assault, rape, murder, and arson. ** Other crime includes vandalism, possession of stolen goods, forgery, and theft. 22 Cost of Crime* by Risk of Homelessness *Using 2011 Dollars SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,269) 23 Intensity of Justice System Involvement by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,482) 24 Count of Major Clinical Problems* at Intake by Risk of Homelessness *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=29,646) 25 Sources of Stress Index by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,484) 26 Treatment Readiness by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,222) 27 Self-Help Activity by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=8,241) 28 Strength Self-Efficacy Index by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,664) 29 General Social Support Index by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=14,611) 30 Spiritual Social Support by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,372) 31 Environmental Strengths Index by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,490) 32 Quarterly Cost to Society* by Risk of Homelessness *Using 2011 Dollars SAMHSA 2011 GAIN Summary Analytic Data Set (n=26,573) 33 Problem Prevalence Index by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=27,471) 34 Quality of Life by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=22,004) 35 General Satisfaction by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=12,176) 36 Program by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=29,631) 37 Level of Care by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,616) 38 Type of Treatment by Risk of Homelessness SAMHSA 2011 GAIN Summary Analytic Data Set (n=28,745) 39 Outcomes The following slides present information on the outcomes of substance abuse treatment by risk of homelessness, 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 Percent Change in 6 Month Abstinence by Risk of Homelessness SAMHSA 2011 GAIN SA Data Set subset to 6 Month Follow up (n=20,108) 41 Relative Percent Change in 6 Month Abstinence by Risk of Homelessness SAMHSA 2011 GAIN SA Data Set subset to 6 Month Follow up (n=20,108) 42 Past Month AOD Abstinence by Risk of Homelessness *Interpolated SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups 43 Recovery* by Risk of Homelessness * 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 Change in GPRA Outcomes by Risk of Homelessness (Intake to Last Wave*) Housed Group/Inst At Risk of Homelessness Currently Homeless *Last wave is the last follow-up SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups 45 NOMS Outcome: Number of Treatment Received Outcomes Met* by Risk of Homelessness *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=24,509) 46 SAMHSA Outcome: Treatment Cost Bands by Risk of Homelessness SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups (n=17,812) 47 Change in Selected NOMS Outcomes by Risk of Homelessness (Intake to Last Wave) Group/Inst At Risk Housed Currently *Past monthSAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups 48 NOMS Outcomes: Count of Positive Outcomes (Last FUIntake) by Risk of Homelessness SAMHSA 2011 GAIN SA Data Set subset to 1+ Follow ups (n=25,396)