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Kansas Comprehensive Needs Assessment Preliminary Findings Prepared - - PowerPoint PPT Presentation

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Kansas Comprehensive Needs Assessment Preliminary Findings Prepared by DATACORP Innovative Research and Design Consultants and PAXIS Institute Photo courtesy of www.forcademedia.com Study Sponsor Study Sponsor Social and Rehabilitation

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SLIDE 1

Kansas Comprehensive Needs Assessment

Preliminary Findings

Prepared by DATACORP

Innovative Research and Design Consultants

and PAXIS Institute

Photo courtesy of www.forcademedia.com

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SLIDE 2

Study Sponsor Study Sponsor

Social and Rehabilitation Services Social and Rehabilitation Services Addiction and Prevention Services Addiction and Prevention Services

DATACORP • Innovative Research and Design Consultants

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SLIDE 3

Acknowledgements Acknowledgements

  • Social and Rehabilitation Services

Social and Rehabilitation Services

  • Kansas Department of Health and Environment

Kansas Department of Health and Environment

  • Dalyn Schmitt

Dalyn Schmitt

  • Department of Revenue, Alcoholic Beverage

Department of Revenue, Alcoholic Beverage Control Control

  • Kansas Department of Transportation

Kansas Department of Transportation

  • Kansas Bureau of Investigation

Kansas Bureau of Investigation

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SLIDE 4

Study Investigators Study Investigators

  • DATACORP

DATACORP

  • P. Allison Minugh, Ph.D.
  • P. Allison Minugh, Ph.D.
  • Nicoletta Lomuto, M.A.

Nicoletta Lomuto, M.A.

  • Susan Janke, M.S.

Susan Janke, M.S.

  • PAXIS INSTITUTE

PAXIS INSTITUTE

  • Dennis D. Embry, Ph.D.

Dennis D. Embry, Ph.D.

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SLIDE 5

Project Purpose Project Purpose

  • Estimate treatment need

Estimate treatment need

  • Understand county needs

Understand county needs

  • Understand population needs

Understand population needs

DATACORP • Innovative Research and Design Consultants

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SLIDE 6

Project Questions Project Questions

  • How many people need treatment?

How many people need treatment?

  • Are there patterns in need and unmet need?

Are there patterns in need and unmet need?

  • Where are the gaps in the system?

Where are the gaps in the system?

DATACORP • Innovative Research and Design Consultants

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SLIDE 7

Project Design Project Design

  • Synthetic estimates

Synthetic estimates

  • Social indicators

Social indicators

  • Capacity analysis

Capacity analysis

  • Gap analysis

Gap analysis

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SLIDE 8

Synthetic Estimates: Treatment Need Synthetic Estimates: Treatment Need

  • DSM

DSM-

  • IV abuse or dependence

IV abuse or dependence

  • 2003 NHSDUH prevalence rates

2003 NHSDUH prevalence rates

  • MSA designations

MSA designations

  • Kansas demographics

Kansas demographics

  • Age, race, and gender calculations

Age, race, and gender calculations

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SLIDE 9

Unmet Need and Demand Unmet Need and Demand

  • Unmet Need

Unmet Need

  • Exclude those who receive treatment

Exclude those who receive treatment

  • Unmet Demand

Unmet Demand

  • Felt a need for treatment,

Felt a need for treatment, and and

  • Tried to access treatment,

Tried to access treatment, and and

  • Did not get it

Did not get it

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SLIDE 10

Social Indicators Social Indicators

  • Alcohol and drug indicators (2001

Alcohol and drug indicators (2001 – – 2004) 2004)

  • Reliable, valid indicators

Reliable, valid indicators

  • Mean rates across years

Mean rates across years

  • Combined into alcohol and drug indices

Combined into alcohol and drug indices

  • Created one overall index

Created one overall index

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Social Indicators Social Indicators

Too Many Zeros Indirect Drug-Related Deaths Reliability Direct & Indirect Alcohol-Related & Direct Drug-Related Deaths Validity Liquor Licenses

Alcohol: Crashes Arrests Hospital Discharges Drugs: STDs HIV/AIDS Arrests Hepatitis B and C Hospital Discharges

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Capacity Analysis Capacity Analysis

  • Funded and non

Funded and non-

  • funded programs

funded programs

  • By modality

By modality

  • By treatment population

By treatment population

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SLIDE 13

Gap Analysis Gap Analysis

  • Synthetic estimates provide numbers

Synthetic estimates provide numbers

  • Unmet need liberal

Unmet need liberal

  • Unmet demand conservative

Unmet demand conservative

  • Social indicators provide ranks

Social indicators provide ranks

  • High need

High need – – Low utilization = Biggest gap Low utilization = Biggest gap

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How to Use These Results How to Use These Results

  • Strategic planning

Strategic planning

  • Resource allocation

Resource allocation

  • Proposal writing

Proposal writing

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Estimates of Need

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Kansas Demographics Kansas Demographics

  • Slower growth than the nation

Slower growth than the nation

  • Some counties growing rapidly

Some counties growing rapidly

  • Less diversity than the nation

Less diversity than the nation

  • Some populations growing rapidly

Some populations growing rapidly

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SLIDE 17

Statewide Treatment Need Statewide Treatment Need

10% 24,574 Adolescents 10% 200,581 Adults % in Need Number in Need

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Numbers in Need Numbers in Need

Youth Youth Adults Adults

ADa

0 to 200 201 to 400 401 to 600 601 to 800 801 to 35,699 Estimated Number of Adults Estimated Number of Youth 0 to 100 101 to 200 201 to 300 301 to 400 401 to 4,067

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Percent in Need Percent in Need

Estimated Percentage of Adults 0.00 to 7.30 7.31 to 8.60 8.61 to 9.90 9.91 to 11.20 11.21 to 13.60

Adults Adults Youth Youth

Estimated Percentage of Youth 0.00 to 3.50 3.51 to 4.00 4.01 to 4.50 4.51 to 5.00 5.01 to 5.22

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Social Indicators of Need Social Indicators of Need

Adults Adults Synthetic Estimates Social Indicators Index

Substance Abuse Problem Severity Index 0 to 10 11 to 20 21 to 30 31 to 40 41 to 53 Estimated Percentage of Adults 0.00 to 7.30 7.31 to 8.60 8.61 to 9.90 9.91 to 11.20 11.21 to 13.60

SI = crime, hosp dc, std, HIV, alc crash SE = NHSDUH DATACORP • Innovative Research and Design Consultants

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Need by Substance Need by Substance

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Need by Substance Need by Substance -

  • Adults

Adults

146,206 28,651 25,724 32,077 8,092 20,000 40,000 60,000 80,000 100,000 120,000 140,000 160,000 Adults in Need Alcohol Only Any Drug Only Alcohol and Drugs Cocaine Methamphetamine

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Need by Substance Need by Substance – – Adolescents Adolescents

10,561 7,898 6,115 3,536 1,577 2,000 4,000 6,000 8,000 10,000 12,000 Adolescents in Need

Alcohol Only Any Drug Only Alcohol and Drugs Cocaine Methamphetamine

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Alcohol Alcohol – – Adults Adults

Estimated Percentage of Adults 0.00 to 7.00 7.01 to 8.00 8.01 to 9.00 9.01 to 10.00 10.01 to 11.62

Synthetic Estimates Synthetic Estimates Social Indicators Social Indicators

Alcohol Problem Severity Index 0 to 10 11 to 20 21 to 30 31 to 40 41 to 63

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Alcohol Alcohol – – Adolescents Adolescents

Estimated Percentage of Youth 0.00 to 2.00 2.01 to 2.50 2.51 to 3.00 3.01 to 3.50 3.51 to 3.65

Synthetic Estimates Synthetic Estimates Alcohol Arrests Alcohol Arrests

Rate Per 10,000 Youth 0 to 60 61 to 80 81 to 100 101 to 120 121 to 341

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Drugs Drugs – – Adults Adults

Estimated Percentage of Adults 0.00 to 1.80 1.81 to 2.20 2.21 to 2.60 2.61 to 3.00 3.01 to 4.12

Rate of Adults in Need Rate of Adults in Need SI Index of Need SI Index of Need

Drug Problem Severity Index 0 to 10 11 to 20 21 to 30 31 to 40 41 to 54

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Drugs Drugs – – Adolescents Adolescents

Estimated Percentage of Youth 0.00 to 1.75 1.76 to 2.00 2.01 to 2.25 2.26 to 2.50 2.51 to 2.71

Synthetic Estimates Synthetic Estimates Drug Arrests Drug Arrests

Rate Per 10,000 Youth 0 to 15 16 to 30 31 to 45 46 to 60 61 to 88

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Cocaine Cocaine

Estimated Percentage of Adults 0.00 to 1.00 1.01 to 1.30 1.31 to 1.60 1.61 to 1.90 1.91 to 2.52 Estimated Percentage of Youth 0.00 to 0.40 0.41 to 0.50 0.51 to 0.60 0.61 to 0.70 0.71 to 0.77

Rate of Adults in Need Rate of Adults in Need Rate of Youth in Need Rate of Youth in Need

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Methamphetamine Methamphetamine

Estimated Percentage of Adults 0.00 to 0.25 0.26 to 0.35 0.36 to 0.45 0.46 to 0.55 0.56 to 0.72 Estimated Percentage of Youth 0.00 to 0.18 0.19 to 0.23 0.24 to 0.28 0.29 to 0.33 0.34 to 0.36

Rate of Adults in Need Rate of Adults in Need Rate of Youth in Need Rate of Youth in Need

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Meth Lab Seizures Across Years Meth Lab Seizures Across Years

2005 0 - 8 9 - 16 17 - 24 25 - 32 32 - 53 2004 0 - 8 9 - 16 17 - 24 25 - 32 32 - 85 2003 0 - 8 9 - 16 17 - 24 25 - 32 32 - 48 2002 0 - 8 9 - 16 17 - 24 25 - 32 32 - 56

2005 2003 2002 2004 DATACORP • Innovative Research and Design Consultants

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Injection Drug Use and Need Injection Drug Use and Need

0 to 20 21 to 40 41 to 60 61 to 80 81 to 2,596 0 to 5 6 to 10 11 to 15 16 to 20 21 to 115

Number of Adults in Need Number of Adults in Need Number of Youth in Need Number of Youth in Need

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Hepatitis B and C Hepatitis B and C

Rate Per 10,000 People 0 to 6 7 to 12 13 to 18 19 to 24 25 to 32

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HIV/AIDS from Injection Drug HIV/AIDS from Injection Drug Use Use

Rate of HIV/AIDS Cases Per 10,000 People 0.0 to 1.8 1.9 to 2.3 2.4 to 2.8 2.9 to 3.3 3.4 to 7.7

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Need by Population

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Gender

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Treatment Need by Gender and Treatment Need by Gender and Age Age

11,850 12,724 Adolescents 66,926 133,655 Adults Female Male

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Need by Gender and Substance Need by Gender and Substance Adults Adults

20,000 40,000 60,000 80,000 100,000 120,000 Alcohol Only Any Drug Only Alcohol and Drugs Cocaine Meth

Males Females

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Composition of Need by Gender Composition of Need by Gender Adults Adults

Adult Males

73% 13% 14% Alcohol Only Any Drug Only Alcohol and Drugs

Adult Females

72% 17% 11% Alcohol Only Any Drug Only Alcohol and Drugs

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Need by Gender and Substance Need by Gender and Substance Adolescents Adolescents

1,000 2,000 3,000 4,000 5,000 6,000 Alcohol Only Any Drug Only Alcohol and Drugs Cocaine Meth

Males Females

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Composition of Need by Gender Composition of Need by Gender Adolescents Adolescents

Adolescent Males

40% 34% 26% Alcohol Only Any Drug Only Alcohol and Drugs

Adolescent Females

47% 30% 23% Alcohol Only Any Drug Only Alcohol and Drugs

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People with HIV/AIDS People with HIV/AIDS

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HIV/AIDS and Substance Abuse HIV/AIDS and Substance Abuse

Heavy drinkers – 8-12% Drug dependence – 13% Non-dependent drug use other than marijuana –

26%

Sources: Bing et al., 2001; Galvan et al., 2002 DATACORP • Innovative Research and Design Consultants

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Parents Involved with Parents Involved with Children’s Services Children’s Services

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Parental Substance Abuse Parental Substance Abuse

  • Estimates vary widely

Estimates vary widely

  • Can be difficult to detect

Can be difficult to detect

  • Lower bound, conservative estimate: 26%

Lower bound, conservative estimate: 26%

  • Source: Libby et al. 2006

Source: Libby et al. 2006

  • Upper bound, liberal estimate: 79

Upper bound, liberal estimate: 79% %

  • Source:

Source: Besinger Besinger et al., 1999 et al., 1999

  • Applies to children out of home for 5 months or more

Applies to children out of home for 5 months or more

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Families in Family Preservation Families in Family Preservation

Number of Families Served 0 to 20 21 to 40 41 to 60 61 to 80 81 to 393

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Children in Foster Care Children in Foster Care

Number of Children Placed Out of Home 0 to 20 21 to 40 41 to 60 61 to 80 81 to 1,500

*

2005 0 - 8 9 - 16 17 - 24 25 - 32 32 - 53 2004 0 - 8 9 - 16 17 - 24 25 - 32 32 - 85 2003 0 - 8 9 - 16 17 - 24 25 - 32 32 - 48 2002 0 - 8 9 - 16 17 - 24 25 - 32 32 - 56

Note: * - Over 1,000

Children in Foster Care Children in Foster Care Meth Lab Seizures Meth Lab Seizures

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Gaps in the System

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Unmet Need Unmet Need

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Statewide Unmet Need Statewide Unmet Need

15,365 Adolescents 157,236 Adults Number

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Statewide Unmet Need Statewide Unmet Need

22% 78%

Met Need Unmet Need

37% 63%

Adults Adults Adolescents Adolescents

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Unmet Need Unmet Need

Estimated Number of Adults 0 to 200 201 to 400 401 to 600 601 to 800 801 to 28,083

Adults with Unmet Need Adults with Unmet Need Youth with Unmet Need Youth with Unmet Need

Estimated Number of Youth 0 to 150 151 to 300 301 to 450 451 to 600 601 to 2,378

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Unmet Need by Gender Unmet Need by Gender Adults Adults

79% 21%

Women Women Men Men

77% 23%

Unmet Need Met Need

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SLIDE 53

Unmet Need by Gender Unmet Need by Gender Adolescents Adolescents

66% 34%

Unmet Need Met Need

59% 41%

Females Females Males Males

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Need and Utilization Need and Utilization

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Comparing Need and Utilization Comparing Need and Utilization Adults Adults

Synthetic Estimates Synthetic Estimates Social Indicators Social Indicators

Greatest Unmet Need

50 100 Finney Johnson Jackson Morton Doniphan Leavenworth Stevens Kingman Seward Grant

Greatest Unmet Need

20 40 60 80 100 Douglas Miami Stevens Leavenworth Doniphan Johnson Grant Seward Stanton Haskell

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Comparing Need and Utilization Comparing Need and Utilization Adolescents Adolescents

Synthetic Estimates

Greatest Unmet Need

20 40 60 80 100 Gove Woodson Jew ell Morris Hamilton Osborne Wallace Mitchell Marshall Sheridan

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Need and Capacity Need and Capacity

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SLIDE 58

Comparing Need and Capacity for Comparing Need and Capacity for Adults Adults – – Detox Detox

Estimated Number of Adults 0 to 200 201 to 400 401 to 600 601 to 800 801 to 28,083

Synthetic Unmet Need Synthetic Unmet Need Social Indicator Index Social Indicator Index

Substance Abuse Problem Severity Index 0 to 10 11 to 20 21 to 30 31 to 40 41 to 53

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SLIDE 59

Comparing Need and Capacity Comparing Need and Capacity for Adults for Adults – – Intermediate Intermediate

Synthetic Unmet Need Synthetic Unmet Need Social Indicator Index Social Indicator Index

Estimated Number of Adults 0 to 200 201 to 400 401 to 600 601 to 800 801 to 28,083 Substance Abuse Problem Severity Index 0 to 10 11 to 20 21 to 30 31 to 40 41 to 53

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SLIDE 60

Comparing Need and Capacity Comparing Need and Capacity for Adults for Adults – – Reintegration Reintegration

Synthetic Unmet Need Synthetic Unmet Need Social Indicator Index Social Indicator Index

Estimated Number of Adults 0 to 200 201 to 400 401 to 600 601 to 800 801 to 28,083 Substance Abuse Problem Severity Index 0 to 10 11 to 20 21 to 30 31 to 40 41 to 53

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Comparing Need and Capacity Comparing Need and Capacity for Adults for Adults – – IOP IOP

Synthetic Unmet Need Synthetic Unmet Need Social Indicator Index Social Indicator Index

Estimated Number of Adults 0 to 200 201 to 400 401 to 600 601 to 800 801 to 28,083 Substance Abuse Problem Severity Index 0 to 10 11 to 20 21 to 30 31 to 40 41 to 53

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SLIDE 62

Comparing Need and Capacity Comparing Need and Capacity for Adults for Adults – – Outpatient Outpatient

Synthetic Unmet Need Synthetic Unmet Need Social Indicator Index Social Indicator Index

Estimated Number of Adults 0 to 200 201 to 400 401 to 600 601 to 800 801 to 28,083 Substance Abuse Problem Severity Index 0 to 10 11 to 20 21 to 30 31 to 40 41 to 53

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SLIDE 63

Comparing Need and Capacity Comparing Need and Capacity Adolescents Adolescents -

  • Intermediate

Intermediate

Estimated Number of Youth 0 to 150 151 to 300 301 to 450 451 to 600 601 to 2,378

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SLIDE 64

Comparing Need and Capacity Comparing Need and Capacity Adolescents Adolescents -

  • Reintegration

Reintegration

Estimated Number of Youth 0 to 150 151 to 300 301 to 450 451 to 600 601 to 2,378

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SLIDE 65

Comparing Need and Capacity Comparing Need and Capacity Adolescents Adolescents -

  • IOP

IOP

Estimated Number of Youth 0 to 150 151 to 300 301 to 450 451 to 600 601 to 2,378

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SLIDE 66

Comparing Need and Capacity Comparing Need and Capacity Adolescents Adolescents -

  • OP

OP

Estimated Number of Youth 0 to 150 151 to 300 301 to 450 451 to 600 601 to 2,378

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SLIDE 67

Comparing Need and Capacity Comparing Need and Capacity Women Women -

  • Detox

Detox

Estimated Number of Adult Women 0 to 150 151 to 300 301 to 450 451 to 600 601 to 10,698

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SLIDE 68

Comparing Need and Capacity Comparing Need and Capacity Women Women -

  • Intermediate

Intermediate

Estimated Number of Adult Women 0 to 150 151 to 300 301 to 450 451 to 600 601 to 10,698

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SLIDE 69

Comparing Need and Capacity Comparing Need and Capacity Women Women -

  • Reintegration

Reintegration

Estimated Number of Adult Women 0 to 150 151 to 300 301 to 450 451 to 600 601 to 10,698

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SLIDE 70

Comparing Need and Capacity Comparing Need and Capacity Women Women -

  • IOP

IOP

Estimated Number of Adult Women 0 to 150 151 to 300 301 to 450 451 to 600 601 to 10,698

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SLIDE 71

Comparing Need and Capacity Comparing Need and Capacity Women Women -

  • Outpatient

Outpatient

Estimated Number of Adult Women 0 to 150 151 to 300 301 to 450 451 to 600 601 to 10,698

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SLIDE 72

Comparing Need and Capacity Comparing Need and Capacity People with HIV/AIDS People with HIV/AIDS

Number of HIV/AIDS Cases 0 to 4 5 to 20 21 to 35 36 to 42

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SLIDE 73

Unmet Demand Unmet Demand

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Statewide Unmet Demand Statewide Unmet Demand

190 Adolescents 2,944 Adults Number

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SLIDE 75

Unmet Demand County Estimates Unmet Demand County Estimates

Estimated Number of Adults 0 to 20 21 to 40 41 to 60 61 to 80 81 to 629

Adults Adults Adolescents Adolescents

Estimated Number of Youth 0 to 2 3 to 4 5 to 6 7 to 8 9 to 27

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SLIDE 76

Unmet Demand by Gender and Age Unmet Demand by Gender and Age

58 132 Adolescents 1,123 1,821 Adults Female Male

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SLIDE 77

Preliminary Preliminary Conclusions Conclusions

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SLIDE 78

Preliminary Conclusions Preliminary Conclusions

  • Twice as many men need treatment for

Twice as many men need treatment for any drug as women any drug as women

  • Alcohol is the most prevalent substance

Alcohol is the most prevalent substance for adults for adults

  • Alcohol treatment need is about equal for

Alcohol treatment need is about equal for men and women men and women

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SLIDE 79

Preliminary Conclusions

  • About equal numbers of boys and girls need Tx

About equal numbers of boys and girls need Tx

  • Girls are more likely to need alcohol Tx

Girls are more likely to need alcohol Tx

  • Girls slightly more likely to need meth Tx

Girls slightly more likely to need meth Tx

  • Adolescents more likely to need Tx for drug use

Adolescents more likely to need Tx for drug use than adults than adults

  • Adolescent meth Tx need prevalence 2.4%

Adolescent meth Tx need prevalence 2.4% higher than adults higher than adults

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SLIDE 80

Preliminary Conclusions Preliminary Conclusions

  • Most who need Tx do not get it

Most who need Tx do not get it

  • Adolescents receive Tx at 1.7 times the

Adolescents receive Tx at 1.7 times the rate of adults rate of adults

  • Boys Tx needs are met at a higher rate

Boys Tx needs are met at a higher rate than girls than girls

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SLIDE 81

Preliminary Conclusions Preliminary Conclusions

  • Counties with largest adult Tx gap:

Counties with largest adult Tx gap:

  • Grant

Grant

  • Seward

Seward

  • Leavenworth

Leavenworth

  • Johnson

Johnson

  • Stevens

Stevens

  • Doniphan

Doniphan

  • Divided between high and low population counties

Divided between high and low population counties

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SLIDE 82

Preliminary Conclusions Preliminary Conclusions

  • Counties with largest adolescent Tx gap:

Counties with largest adolescent Tx gap:

  • Sheridan

Sheridan

  • Marshall

Marshall

  • Mitchell

Mitchell

  • Wallace

Wallace

  • Osborne

Osborne

  • Hamilton

Hamilton

  • All relatively low population counties

All relatively low population counties

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SLIDE 83

Preliminary Conclusions Preliminary Conclusions

  • Counties in need without a

Counties in need without a detox detox program program

  • Finney

Finney

  • Seward

Seward

  • Geary

Geary

  • Cherokee

Cherokee

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SLIDE 84

Preliminary Conclusions Preliminary Conclusions

  • Finney County has high need but only

Finney County has high need but only provides adult OP Tx provides adult OP Tx

  • Hard to provide family

Hard to provide family-

  • based

based adol adol Tx Tx

  • Women’s Tx programs are few

Women’s Tx programs are few – – even in even in areas of great need areas of great need

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SLIDE 85

Acknowledgements Acknowledgements

Nicole LeBoeuf Research Assistant Kelly Breeden Analyst Kirbie Brown Research Assistant Melissa Boucher Administrative Assistant DATACORP • Innovative Research and Design Consultants

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SLIDE 86

Politics and Policy Politics and Policy

Politics and Policy

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SLIDE 87

Policy and Political Goal Policy and Political Goal

  • Eliminate or radically

Eliminate or radically reduce intensity and rate of reduce intensity and rate of need need for treatment for treatment

  • Never get to place of needing

Never get to place of needing treatment treatment

  • Get cleaned up earlier (e.g.,

Get cleaned up earlier (e.g., “ “raise bottom raise bottom” ” or banish

  • r banish

“ “unmet demand unmet demand” ”) )

  • Close gap in treatment where

Close gap in treatment where needed needed

  • Reduce need for repeat

Reduce need for repeat treatment or relapses treatment or relapses

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SLIDE 88

Reduce harms caused by addictions Reduce harms caused by addictions

  • Reduce violent victimization

Reduce violent victimization

  • Children

Children

  • Spouse/partner/ or o

Spouse/partner/ or others thers

  • Reduce property losses

Reduce property losses

  • Robbery, theft, embezzlement

Robbery, theft, embezzlement

  • Environmental damage

Environmental damage

  • Reduce related morbidity and mortality

Reduce related morbidity and mortality

  • Health (e.g., cancer, cardio

Health (e.g., cancer, cardio-

  • vascular, HIV,

vascular, HIV, Hep Hep B or C) B or C)

  • Mental (e.g.,

Mental (e.g., “ “kindling kindling” ”, depression, bipolar, personality disorders) , depression, bipolar, personality disorders)

  • Reduce intergenerational

Reduce intergenerational “ “contagion contagion” ”

  • Reduce other welfare, economic and educational burdens

Reduce other welfare, economic and educational burdens

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SLIDE 89

Cost Case Study of Billy Cost Case Study of Billy

  • Pre-birth & infancy

$58,000

  • Early childhood years

$34,300

  • Elementary school years

$74,100

  • Secondary & teen years

$475,700

  • Other adult years

$894,00

  • Total

$1,536,100

  • Pre

Pre-

  • birth & infancy

birth & infancy $58,000 $58,000

  • Early childhood years

Early childhood years $34,300 $34,300

  • Elementary school years

Elementary school years $74,100 $74,100

  • Secondary & teen years

Secondary & teen years $475,700 $475,700

  • Other adult years

Other adult years $894,00 $894,00

  • Total

Total $1,536,100 $1,536,100

Saving 100 “Billy’s” can save $150 mil. Full case history at: www.paxtalk.com

slide-90
SLIDE 90

RFP Take Away #1 RFP Take Away #1

  • How will your proposal address these specific policy and

How will your proposal address these specific policy and political goals? political goals?

  • What measurable effect will your proposal have on county,

What measurable effect will your proposal have on county, multi multi-

  • county areas or state

county areas or state-

  • level indices?

level indices?

  • How does your proposal address issues of unmet demand,

How does your proposal address issues of unmet demand, unmet need, and service surplus? unmet need, and service surplus?

  • What

What new new ways do you need to do your business/service to ways do you need to do your business/service to achieve these goals? achieve these goals?

  • What ways of doing business/service do you need to

What ways of doing business/service do you need to give up give up to to achieve these goals? achieve these goals?

slide-91
SLIDE 91

RFP Take Away #2 RFP Take Away #2

  • How do these different ways of doing

How do these different ways of doing business/service change the ways you propose to business/service change the ways you propose to deliver services, be located, be staffed and be deliver services, be located, be staffed and be reimbursed? reimbursed?

  • What new relationships do you need to form to

What new relationships do you need to form to achieve these goals? achieve these goals?

  • What incentives do you propose for achieving these

What incentives do you propose for achieving these goals? goals?

  • How will you and others know that you are making

How will you and others know that you are making progress on the goals (your local data dashboard)? progress on the goals (your local data dashboard)?

slide-92
SLIDE 92

RFP Take Away #3 RFP Take Away #3

  • How do you have to change your management

How do you have to change your management plans, products, procedures and structures to plans, products, procedures and structures to achieve these goals? achieve these goals?

  • What evidence do you have that your plan or

What evidence do you have that your plan or proposal will work to achieve the goals? proposal will work to achieve the goals?

  • What can the state or others do to help you

What can the state or others do to help you achieve the goals? (Besides writing more achieve the goals? (Besides writing more checks to you) checks to you)

slide-93
SLIDE 93

Big Picture: Reducing Per Capita Big Picture: Reducing Per Capita Adult Need for Alcohol Treatment Adult Need for Alcohol Treatment

  • Identify modifiable risk or protective factors are low

Identify modifiable risk or protective factors are low counties versus high counties doing differently? counties versus high counties doing differently?

  • Environmental?

Environmental?

  • Enforcement?

Enforcement?

  • Early screening and intervention?

Early screening and intervention?

  • Provide funding for strategies to reduce per capita

Provide funding for strategies to reduce per capita need need

  • Provide county level incentives for reducing per

Provide county level incentives for reducing per capita need capita need

slide-94
SLIDE 94

Big Picture: Reducing Per Capita Big Picture: Reducing Per Capita Adult Need for Alcohol Treatment Adult Need for Alcohol Treatment

  • Legislative or Policy

Legislative or Policy

  • Screening via health care, drivers license and arrests

Screening via health care, drivers license and arrests

  • Incentives for sobriety

Incentives for sobriety

  • Health care

Health care

  • Insurance

Insurance

  • Business credits

Business credits

  • Testing negative on bio

Testing negative on bio-

  • assays

assays

  • Disincentives

Disincentives

  • Variable consumption taxes

Variable consumption taxes

  • Eliminate alcohol deduction for entertainment

Eliminate alcohol deduction for entertainment

  • Variable liquor license fees based on contribution of licensee t

Variable liquor license fees based on contribution of licensee to per capita

  • per capita

alcohol related crimes (Australian and New Zealand research) alcohol related crimes (Australian and New Zealand research)

slide-95
SLIDE 95

Big Picture: Reducing Per Capita Big Picture: Reducing Per Capita Adolescent Need Adolescent Need

  • Get some answers:

Get some answers:

  • How does the poly

How does the poly-

  • drug use of teens change treatment and

drug use of teens change treatment and prevention? (One in 18 for adults use Meth v. Alcohol; one in 7 prevention? (One in 18 for adults use Meth v. Alcohol; one in 7 adolescents use Meth versus Alcohol) adolescents use Meth versus Alcohol)

  • What is the

What is the “ “gender equity gender equity” ” in treatment need among adolescents in treatment need among adolescents saying about treatment and prevention services? saying about treatment and prevention services?

  • Identify modifiable risk or protective factors in low

Identify modifiable risk or protective factors in low versus high counties versus high counties

  • Environmental?

Environmental?

  • Enforcement?

Enforcement?

  • Early screening and intervention?

Early screening and intervention?

  • Developmental history and interventions

Developmental history and interventions

slide-96
SLIDE 96
  • Synthetic Estimates of Need

Synthetic Estimates of Need

  • Synthetic Estimates of Unmet Need and

Synthetic Estimates of Unmet Need and Unmet Demand Unmet Demand

  • Alcohol and Drug Related Arrests

Alcohol and Drug Related Arrests

  • Final Report

Final Report

  • All products available on AAPS website

All products available on AAPS website and and www.mjdatacorp.com www.mjdatacorp.com & & www.paxtalk.com www.paxtalk.com

Products Products

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