datos engagement

National Treatment Engagement Findings from DATOS: 

National Treatment Engagement Findings from DATOS Charts Prepared andamp; Released for Public Use by Dwayne Simpson (TCU), Robert Hubbard (NDRI-NC), Douglas Anglin (UCLA), andamp; Bennett Fletcher (NIDA) Drug Abuse Treatment Outcome Studies (Funded by NIDA)

Drug Abuse Treatment Outcome Studies: 

Drug Abuse Treatment Outcome Studies Third National Evaluation of Treatment Effectiveness Over 60 Studies Published – Psychology of Addictive Behaviors (Dec 97) Drug and Alcohol Dependence (Dec 99) Archives of General Psychiatry (June 99) Funded by the National Institute on Drug Abuse 1991-93 11 Cities 96 Programs ~10,000 Patients All treatment types Follow-up: 1 andamp; 5 Yrs

Conceptual Model for Evaluating Program Effects: 

Conceptual Model for Evaluating Program Effects Patient Attributes (History) Program Attributes (Resources) LTR Programs?

Long-Term Residential (LTR)Treatment Changes from Before to After Treatment: 

Long-Term Residential (LTR)Treatment Changes from Before to After Treatment % of DATOS Sample (N=676) *pandlt;.001 Hubbard, Craddock, Flynn, Anderson, andamp; Etheridge, 1997 (PAB)

Comparison of Year 1 Outcomes by Length of Stay in LTR: 

Comparison of Year 1 Outcomes by Length of Stay in LTR % of Sample *pandlt;.001 N=342; Simpson, Joe, andamp; Brown, 1997 (PAB)

Predictors of Retention in LTR(based on posttreatment interviews): 

Predictors of Retention in LTR (based on posttreatment interviews) 90+ Days Relationship w/ counselor Attending education classes 2.2 6.0 Satisfaction w/ program Similar findings in other modalities! During Treatment Simpson, Joe, andamp; Brown, 1997 (PAB)

Motivation & Retention in LTR: 

Motivation andamp; Retention in LTR 90+ Days Motivation Joe, Simpson, andamp; Broome, 1998 (Addiction) Older Never married Alcohol problem Employed Legally involved Fewer arrests Intake

Motivation & Retention in LTR: 

Motivation andamp; Retention in LTR Commitment Confidence Rapport Therapeutic Involvement in Months 1 andamp; 3 Each based on 5-item composites Similar findings in ODF andamp; OMT Treatment Readiness (at Intake) Joe, Simpson, andamp; Broome, 1998 (Addiction)

Process Model for Time in LTR Treatment: 

Process Model for Time in LTR Treatment Retention (90+ days) Therapeutic Involvement Session Attributes - - Joe, Simpson, andamp; Broome, 1999 (Drug andamp; Alcohol Dependence) (Structural equation modeling) Pretreatment Months 1-2

Treatment Process Model:Client & Program Predictors: 

Treatment Process Model: Client andamp; Program Predictors Session Attendance (Mos 1-3) Rapport w/ Counselor (Mo 1) Hierarchical Linear Modeling (HLM) Client factors Program factors Referred services Missed sessions Diversity of needs 2/3 1/3 Trt Confidence (Mo 3) Trt Commitment (Mo 3) LTR ODF OMT Treatment Readiness Joe, Simpson, andamp; Broome, 1999 (Drug andamp; Alcohol Dependence)

Slide11: 

News and Features Home Page About DATOS Background Highlights Special Topics Publications Web Posters What’s New CONTENT Cocaine Treatment Outcome Study is Released (in June 1999 issue of Archives of General Psychiatry) Findings emphasize the need for 'adequate treatment stays,' especially when problem severity is moderate-to-high.  At least 90 days in intensive residential (TC) programs was indicated for high-severity cases. More information is provided in a new section of Highlights page, 'Outcomes for Treatment of Cocaine Dependence.'   Latest DATOS studies have been published in Drug and Alcohol Dependence Treatment process (engagement and participation), retention, and outcomes are the focus of this series of studies, and our first cost-benefit analysis addresses cocaine treatment.  The latest DATOS publications and 'in press' are listed on the Publications page.   www.datos.org 

TCU Treatment Process Model: 

Sufficient Retention Behavioral Strategies Enhanced Counseling Social Skills Training Family andamp; Friends Early Engagement Early Recovery Posttreatment TCU Treatment Process Model Drug Use Crime Social Adj Induction Personal Health Services Social Support Services Simpson, 2001 (Addiction)

Slide13: 

Data Collection Instruments TCU Treatment Process Model now available for downloading Counseling Manuals now have sample chapters to download TCU Treatment Assessment Forms are re-organized for easier downloading by users www.ibr.tcu.edu WHAT’S NEW ABOUT IBR STAFF PROJECTS NEWSLETTERS PUBLICATIONS WEB POSTERS MANUALS FORMS OTHER LINKS Search Contents Site map IBR HOME PAGE SITE GUIDES: Animated slide presentations IBR Research Summaries highlight special topics Current issue of Research Roundup Publication lists 10 most popular TCU forms for downloading Features: DATOS

Slide Navigator: 

Slide Navigator Overview of Treatment Engagement Findings from DATOS (title slide) DATOS – Drug Abuse Treatment Outcome Studies Conceptual Model for Evaluating Program Effects Long-Term Residential (LTR) Treatment: Changes from Before to After Treatment Comparison of Year 1 Outcomes by Length of Stay in LTR Predictors of Retention in LTR (based on posttreatment interviews) Motivation andamp; Retention in LTR Motivation andamp; Retention in LTR Process Model for Time in LTR Treatment Treatment Process Model: Client andamp; Program Predictors Slide for DATOS Web site (www.datos.org) TCU Treatment Process Model Slide for IBR Web site (www.ibr.tcu.edu)