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Created for : King County Mental Health, Chemical Abuse and Dependency Services Division

GAIN Related Project Progress Report Michael L. Dennis, Ph.D., Laine Twanow, & Nora Jones, M.S. Chestnut Health Systems, Normal, IL. Created for : King County Mental Health, Chemical Abuse and Dependency Services Division.

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Created for : King County Mental Health, Chemical Abuse and Dependency Services Division

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  1. GAIN Related Project Progress ReportMichael L. Dennis, Ph.D., Laine Twanow, & Nora Jones, M.S.Chestnut Health Systems, Normal, IL Created for: King County Mental Health, Chemical Abuse and Dependency Services Division Presentation at the Mental Health, Chemical Abuse and Dependency Services Division 1st Annual All Providers’ Meeting, January 27, 2012

  2. Detailed Acknowledgements This presentation was supported by a contract with King County and includes data from the following agencies: Auburn Youth Resources; Center for Human Services; Therapeutic Health Services; Community Psychiatric Clinic; ConsejoCounseling & Referral Service; Friends of Youth; Kent Youth & Family Services; Navos; RytherChild Center; Seattle Counseling Services for Sexual Minorities; United Indians of All Tribes Foundation; Valley Cities Counseling & Consultation; Washington Asian Pacific Islander Families Against Substance Abuse (WAPIFASA); Youth Eastside Services; Renton Area Youth & Family Services; Sound Mental Health; Asian Counseling & Referral Services; Pioneer Human Services; Snoqualmie Tribe/Raging River Recovery Center; Muckleshoot Tribe; NorthshoreYouth & Family Services; Integrative Counseling Services; SeaMarCommunity Heath Centers; Vashon Youth and Family Services; Seattle King County ROSC PPW; and Reclaiming Futures. The authors thank these grantees and their study clients for agreeing to share their data Any opinions about this data are those of the authors and do not reflect official positions of the government or individual grantees.

  3. Goals Summarize the King County Data and its implication for program planning by looking at Baseline characteristics Correlates of most common problems Costs to society Treatment planning needs Performance measures Examine how well King County is doing in terms data quality efficiency in terms of time to complete the interview Folloeup rates from the first quarter of FY12

  4. 2011 King County GAIN Data Set GAIN Initial (GI) data collected by 18 agencies from 5,602 clients between 7/2008 and12/2011 Roughly a third from 2011, 2010 and pre 2010 GAIN Monitoring 90 days (GM90) data collected by 17 agencies from 710 clients between 5/2009 and12/2011 Roughly 78% in 2011 Grant data collapsed into the agency that collected it

  5. 2011 KC Data by Agency Source: 2011 King County Data Set (n=5,507)

  6. 2011 KC Data Set by Gender Other 0.04% (n= 2) Females 30.3% (n= 1,694) Males69.7% (n=3,904) Source: 2011 King County Data Set (n=5,600)

  7. 2011 KC Data Set by Age 26+ Years10.8% (n=606) Under 15 Years (<15) 17.3% (n=967) 18 -25 Years14.3% (n=802) 15-17 Years57.6% (n=3,227) Source: 2011 King County Data Set (n=5,602)

  8. 2011 KC Data Set by Race Mixed18.2% (n=1,005) African American 14.0% (n=777) Hispanic13.6% (n=750) Other8.8% (n=488) White45.4% (n= 2,514) Source: 2011 King County Data Set (n=5,534)

  9. 2011 KC Data Set by Risk of Homelessness At Risk 11.9% (n=658) Currently Homeless 7.4% (n=409) Group or Institution 2.3% (n=128) Housed 78.5% (n=4,356) Source: 2011 King County Data Set (n=5,551)

  10. 2011 KC Data Set by Co-Occurring Disorders Both 28.4% (n=1,557) Neither 41.1% (n=2,253) Externalizing Disorders Only 20.3% (n=1,112) Internalizing Disorders Only 10.3% (n=566) Source: 2011 King County Data Set (n=5,488)

  11. 2011 KC Data Set by Substance Use Severity No Past Year Use 1.7% (n=93) Past Year Use 19.3% (n=1,056) Past Year Abuse 31.1% (n=1,699) Past Year Dependence 47.9% (n=2,616) Source: 2011 King County Data Set (n=5,464)

  12. Substance Use Disorders in Past Year by Major Substances *n=9,134 **Not counted in Any SUDDiagnosis. No abuse available for Tobacco. Source: 2011 King County Data Set (n=4,802)

  13. Pattern of Weekly Use (13+/90 days) *Not a weekly measure; any in past 90 days Source: 2011 King County Data Set (n=5,578)

  14. Substance Use Problems *Count of 8 items Source: 2011 King County Data Set (n=5,496)

  15. Substance Problem Recognition Source: 2011 King County Data Set (n=5,579)

  16. HIV Risk Scale: Needle Problems * Mean of 36 items from the next four slides. Intake only. Source: 2011 King County Data Set (n=5,553)

  17. HIV Risk Scale: Sex Risk * Mean of 36 items. Intake only. Source: 2011 King County Data Set (n=5,424)

  18. HIV Risk Scale: Victimization *Mean of 15 items Source: 2011 King County Data Set (n=5,468)

  19. HIV Risk Scale Moderate 47% (n=2,637) High 17% (n=939) Low 36% (n=1,992) Source: 2011 King County Data Set (n=5,568)

  20. HIV Risk Scale* by Co-Occurring Disorders * Available at intake only. Source: 2011 King County Data Set (n=5,487)

  21. HIV Risk Scale* by Substance Use Severity * Available at intake only. Source: 2011 King County Data Set (n=5,436)

  22. HIV Risk Scale* by Severity of Victimization * Available at intake only. Source: 2011 King County Data Set (n=5,516)

  23. Homicidal/Suicidal Thoughts *Mean of 5 items Source: 2011 King County Data Set (n=5,509)

  24. Para-Suicidal Behavior *Sum of 4 items Source: 2011 King County Data Set (n=1,566)

  25. Past Year Violence & Crime *Dealing, manufacturing, prostitution, gambling (does not include simple possession or use) Source: 2011 King County Data Set (n=4,907)

  26. Type of Crime *Other crime includes vandalism, possession of stolen goods, forgery, and theft. Source: 2011 King County Data Set (n=4,645)

  27. Type of Crime by Co-Occurring Disorders Source: 2011 King County Data Set (n=4,580)

  28. Type of Crime by Substance Use Severity Source: 2011 King County Data Set (n=4,583)

  29. Type of Crime by Severity of Victimization Source: 2011 King County Data Set (n=4,626)

  30. Intensity of Justice System Involvement Source: 2011 King County Data Set (n=4,676)

  31. Intensity of Justice Involvement by Gender Source: 2011 King County Data Set (n=4,673)

  32. Intensity of Justice Involvement by Age Source: 2011 King County Data Set (n=4,676)

  33. Intensity of Justice Involvement by Race Source: 2011 King County Data Set (n=4,612)

  34. Recency of System Involvement Source: 2011 King County Data Set (n=5,386)

  35. Count of Major Clinical Problems at Intake Source: 2011 King County Data Set (n=5,522)

  36. Count of Major Clinical Problems* at Intake by Gender Source: 2011 King County Data Set (n=5,598)

  37. Count of Major Clinical Problems* at Intake by Age Source: 2011 King County Data Set (n=5,602)

  38. Count of Major Clinical Problems* at Intake by Race Source: 2011 King County Data Set (n=5,534)

  39. Count of Major Clinical Problems* at Intake by Risk of Homelessness Source: 2011 King County Data Set (n=5,602)

  40. Count of Major Clinical Problems* at Intake by Co-Occurring Disorders Source: 2011 King County Data Set (n=5,488)

  41. Count of Major Clinical Problems* at Intake by Substance Use Severity Source: 2011 King County Data Set (n=5,464)

  42. Count of Major Clinical Problems* at Intake by Severity of Victimization Source: 2011 King County Data Set (n=5,464)

  43. Count of Major Clinical Problems* at Intake by King County Agency OR=90.3 for most/ least severe Source: 2011 King County Data Set (n=5,516)

  44. Family History of Physical Health Problems Source: 2011 King County Data Set (n=5,335)

  45. Recovery Environment - Peers Source: 2011 King County Data Set (n=5,403)

  46. Recovery Environment - Home Source: 2011 King County Data Set (5,448)

  47. Sources of Stress: Personal Source: 2011 King County Data Set (n=1,523)

  48. Sources of Stress: Other *Sum of 15 items Source: 2011 King County Data Set (n=1,519)

  49. Treatment Readiness *Sum of 9items Source: 2011 King County Data Set (n=5,478)

  50. Treatment Readiness by Age Source: 2011 King County Data Set (n=5,123)

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