A Working Seminar with the Kansas Comprehensive Needs Assessment P. Allison Minugh, Ph.D. Susan Janke, M.S. Nicoletta Lomuto, M.A. Prepared by Datacorp Innovative Research and Design Consultants
Seminar Goals Seminar Goals � Interpret data for treatment planning Interpret data for treatment planning � � Use data to justify treatment needs Use data to justify treatment needs � � Increase collaborative planning Increase collaborative planning � � Devise comprehensive regional services Devise comprehensive regional services � DATACORP • Innovative Research and Design Consultants
Needs Assessment Tools Needs Assessment Tools � Synthetic Estimate Reports Synthetic Estimate Reports � � Social Indicator Report Social Indicator Report � � Capacity/Gap Analysis Capacity/Gap Analysis � � April 7 Presentation April 7 Presentation � � Executive Summary Executive Summary � � Unmet Need Brief Unmet Need Brief � � Treatment Planning Posters Treatment Planning Posters � http:/ / www.srskansas.org/ hcp/ aaps/ AAPSTreatmentNeedsAssessmentStudy.htm DATACORP • Innovative Research and Design Consultants
Key Findings DATACORP • Innovative Research and Design Consultants
Statewide Treatment Need Statewide Treatment Need Number in Need % in Need Adults 200,581 10% Adolescents 24,574 10% DATACORP • Innovative Research and Design Consultants
AAPS Eligible AAPS Eligible Adults Adolescents 28% 32% 72% 68% Ineligible Eligible Ineligible Eligible DATACORP • Innovative Research and Design Consultants
Need Exceeds Treatment Need Exceeds Treatment 225,155 People in Need 70,500 People Eligible 12,791 People Treated DATACORP • Innovative Research and Design Consultants
Impact of Unmet Need DATACORP • Innovative Research and Design Consultants
Substance Abuse is Everybody’s Substance Abuse is Everybody’s Problem Problem DATACORP • Innovative Research and Design Consultants
Recent Statistics Recent Statistics � 35,622 arrests 35,622 arrests � � 16,645 hospitalizations 16,645 hospitalizations � � 3,393 alcohol 3,393 alcohol- -related motor vehicle accidents related motor vehicle accidents � � 965 deaths 965 deaths � � 408 involuntary commitments 408 involuntary commitments � � 9,131 youth in out 9,131 youth in out- -of of- -home placements home placements � � 1,679 HIV/AIDS cases 1,679 HIV/AIDS cases � DATACORP • Innovative Research and Design Consultants
Treatment Works and Saves Money Treatment Works and Saves Money � Drug use, criminal activity, and psychiatric Drug use, criminal activity, and psychiatric � distress reduced by 50% (SAMHSA, 2006) distress reduced by 50% (SAMHSA, 2006) � Treatment ROI is $7 Treatment ROI is $7 ( � (Ettner Ettner et al., 2006) et al., 2006) � Prison is 1.8 times as expensive as Prison is 1.8 times as expensive as � residential treatment (Daley et al., 2004) residential treatment (Daley et al., 2004) DATACORP • Innovative Research and Design Consultants
System Pressures and Capacity DATACORP • Innovative Research and Design Consultants
Adults DATACORP • Innovative Research and Design Consultants
Involuntary Commitments Involuntary Commitments Detox Intermediate Total Involuntary Commitment Clients Total Involuntary Commitment Clients 0 to 2 3 to 6 7 to 10 11 to 14 15 to 60 0 to 2 3 to 6 7 to 10 11 to 14 15 to 60 DATACORP • Innovative Research and Design Consultants
Drug and Alcohol Arrests Drug and Alcohol Arrests Intensive Outpatient Intermediate Rate Per 10,000 Adults Rate Per 10,000 Adults 0 to 20 21 to 40 41 to 60 61 to 80 81 to 179 0 to 20 21 to 40 41 to 60 61 to 80 81 to 179 DATACORP • Innovative Research and Design Consultants
Meth Lab Seizures Meth Lab Seizures Intermediate Intensive Outpatient Average Meth Lab Seizures 0 to 2 3 to 6 7 to 10 11 to 14 15 to 53 DATACORP • Innovative Research and Design Consultants
Out of Home Placements Out of Home Placements Intensive Outpatient Intermediate Number of Youth in Out of Home Placement Number of Youth in Out of Home Placement 0 to 30 31 to 60 61 to 90 91 to 120 121 to 1,500 0 to 30 31 to 60 61 to 90 91 to 120 121 to 1,500 DATACORP • Innovative Research and Design Consultants
Adolescents DATACORP • Innovative Research and Design Consultants
Drug Arrests Drug Arrests Outpatient Intensive Outpatient Intermediate Rate Per 10,000 Youth Rate Per 10,000 Youth Rate Per 10,000 Youth 0 to 15 16 to 30 31 to 45 46 to 60 61 to 122 0 to 15 16 to 30 31 to 45 46 to 60 61 to 122 0 to 15 16 to 30 31 to 45 46 to 60 61 to 122 DATACORP • Innovative Research and Design Consultants
Forecasting Study Preliminary Findings DATACORP • Innovative Research and Design Consultants
Onset Age Predicts Binge Drinking Onset Age Predicts Binge Drinking 100 80 60 40 20 0 K - 8 9-10 11-12 College Source: Cranford et al., 2006 DATACORP • Innovative Research and Design Consultants
Onset Age Predicts Dependence Onset Age Predicts Dependence Ever Dependent 50 40 30 20 10 0 <14 14 15 16 17 18 19 20 21+ Age Started Drinking Source: Hingson et al., 2006 DATACORP • Innovative Research and Design Consultants
Problem Behaviors Predict Alcohol Problem Behaviors Predict Alcohol Treatment Need Treatment Need 100 80 Tx Need by Age 20 60 40 20 0 0 1 2 3 4-5 Number of Problems Before Age 15 Females Males Source: McGue and Iacono, 2005 DATACORP • Innovative Research and Design Consultants
Problem Behaviors Predict Drug Problem Behaviors Predict Drug Treatment Need Treatment Need 100 80 Tx Need by Age 20 60 40 20 0 0 1 2 3 4-5 Number of Problems Before Age 15 Females Males Source: McGue and Iacono, 2005 DATACORP • Innovative Research and Design Consultants
Kansas Cigarette Use Kansas Cigarette Use Lifetime Use Among 10 th Grade Students Source: http://www.ctcdata.org DATACORP • Innovative Research and Design Consultants
Kansas Alcohol Use Kansas Alcohol Use Lifetime Use Among 10 th Grade Students Source: http://www.ctcdata.org DATACORP • Innovative Research and Design Consultants
Kansas Marijuana Use Kansas Marijuana Use Lifetime Use Among 10 th Grade Students Source: http://www.ctcdata.org DATACORP • Innovative Research and Design Consultants
Kansas Juvenile Arrests Kansas Juvenile Arrests Past Year Arrests Among 10 th Grade Students Source: http://www.ctcdata.org DATACORP • Innovative Research and Design Consultants
Treatment Need Age 17 Treatment Need Age 17 12000 10000 8000 Drugs 6000 Alcohol 4000 Treated 2000 0 7 9 1 3 5 7 9 9 0 0 0 0 9 9 0 0 0 0 1 1 2 2 2 2 DATACORP • Innovative Research and Design Consultants
Treatment Need Age 20 Treatment Need Age 20 20000 15000 Drugs 10000 Alcohol Treated 5000 0 0 2 4 6 8 0 0 0 0 1 0 0 0 0 0 0 0 0 2 2 2 2 2 2 DATACORP • Innovative Research and Design Consultants
Alcohol Need by Gender Alcohol Need by Gender Age 17 Age 20 34% 42% 58% 66% Females Females Males Males DATACORP • Innovative Research and Design Consultants
Drug Need by Gender Drug Need by Gender Age 17 Age 20 38% 43% 57% 62% Females Females Males Males DATACORP • Innovative Research and Design Consultants
Implications Implications � Onset age and early problem behavior predict load on system � Treatment need outstrips capacity for young adults � This trend will continue DATACORP • Innovative Research and Design Consultants
Impact DATACORP • Innovative Research and Design Consultants
How can we Reduce the Cost? How can we Reduce the Cost? � Keep mandating and funding treatment Keep mandating and funding treatment � � Intervene early Intervene early � � Treat families Treat families � � Help those not in the treatment system Help those not in the treatment system � � Change “kids will be kids” culture Change “kids will be kids” culture � DATACORP • Innovative Research and Design Consultants
Solving Alcohol & Drug Problems Solving Alcohol & Drug Problems The Solutions The Solutions The Problem The Problem � Teach difference between Teach difference between � Only 18% who need Only 18% who need � � safe and risky drinking. safe and risky drinking. treatment receive it. treatment receive it. � Screen for alcohol and Screen for alcohol and � drug problems. drug problems. � Cover Tx through health Cover Tx through health � insurance. insurance. � Support Tx and recovery. Support Tx and recovery. � DATACORP • Innovative Research and Design Consultants
Public Education Public Education � Social marketing campaigns for harm reduction Social marketing campaigns for harm reduction � � Employer education about productivity losses Employer education about productivity losses � � Policymaker education about costs associated Policymaker education about costs associated � with untreated chronic problems with untreated chronic problems DATACORP • Innovative Research and Design Consultants
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