Transcript Treatment Outcome Measures

Substance Abuse
Treatment Outcome
Measures
National Outcome Measures
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SAMHSA requires states to report on the
National Outcome Measures (NOMS) and
submit the findings when the Block Grant
Application is submitted.
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SAMHSA is in a developmental stage with
regard to NOMS. To date, information on
outcomes is only discussed internally and
methodological issues remain to be reviewed.
Methodology
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The source of this information is the data reported by
funded substance abuse providers at admission and
discharge (BHIPS).
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The results are reported at the episode level (first
admission and last discharge from the same or
multiple levels of service).
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The analyses includes Intensive, Supportive and
Outpatient Treatment. We also include NorthStar
data.
Methodology
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DSHS’s Decision Support Unit prepared a
SAS program to calculate the NOMS.
Features:
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Selects clients that meet some date specifications;
Merges NorthStar with Core client subsets;
Defines operational variables
Identifies clients with a single admission and
discharge event.
Methodology
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Features (continued):
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Identifies clients with multiple admission and
discharge episodes at different levels
Reclassifies first admission and last discharge
Calculates percents at admission and discharge on
the Client Measures.
Methodology
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Strength of NOMS:
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Provides SAMHSA a measure of effectiveness of its funded substance
abuse treatment system.
The variables selected have been identified as factors affected by substance
abuse and dependency, and
Research shows that these are factors that may be influenced by effective
substance abuse treatment.
Challenges:
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Due to variations of methodology between states, a state to state
comparison is not feasible at this time.
Some states are not yet ready to report NOMS.
Because the comparison is between admission and discharge, missing data
on variables biases the results.
Client Measures
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The following slide presents a chart of the
2007 results for these variables:
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Employed: percent in the labor force who are employed at
admission and discharge.
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Alcohol Abstinent: percent of clients who report abstinence
from alcohol at admission and discharge.
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Other Drug Abstinent: percent of clients who report
abstinence from substance other than alcohol.
Client Measures (continued)
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Social Support Activities: percent of clients who participate
in peer support meeting or activities.
Housed – Percent of clients who had a positive living
situation (i.e., not homeless).
Not Arrested – Percent of clients who were not arrested
during the past 30 days prior to admission and during
treatment.
Percent of Clients By NOMS Measures at Admission and Discharge SFY2007
100.0%
97.4%
95.2%
90.0%
93.1%
80.0%
81.6%
90.1%
81.3%
73.0%
70.0%
60.0%
50.0%
40.0%
48.6%
At Admission
43.6%
38.8%
30.0%
At Discharge
32.7%
29.7%
20.0%
10.0%
0.0%
Employed
Alcohol
Abstinet
Other Drugs
Abstinent
Social Support
Activi
Housed
Not Arrested