ILLINOIS STATEWIDE TREATMENT OUTCOMES PROJECT. Illinois Statewide Treatment Outcomes Project Largest evaluation of treatment outcomes by the State to.

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