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