Slide 1 of 20

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Overview of National Treatment Outcome Studies
Drug Abuse Treatment Outcome Studies (Funded by
NIDA)
DATOS

• Charts Prepared Released for Public Use by
• Dwayne Simpson (TCU), Robert Hubbard (NDRI-NC),
  Douglas Anglin (UCLA), Bennett Fletcher (NIDA)

2
Drug Abuse Treatment Outcome Studies
DATOS
Third National Evaluation of Treatment
Effectiveness
1991-93 11 Cities 96 Programs 10,000
Patients All treatment types Follow-up 1 5 Yrs
Funded by the National Institute on Drug Abuse
Over 60 Studies Published Psychology
of Addictive Behaviors (Dec 97) Drug and Alcohol
Dependence (Dec 99) Archives of General
Psychiatry (June 99)
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DATOS Research Centers

• Treatment Selection, Access, and Utilization
• Robert Hubbard, Ph.D.
• NDRI, Inc.
• Raleigh, North Carolina
• Addiction and Treatment Careers
• Douglas Anglin, Ph.D.
• University of California
• Los Angeles, California

• Treatment Engagement and Retention
• Dwayne Simpson, Ph.D.
• Texas Christian University
• Fort Worth, Texas
• Applications and Policy Development
• Bennett Fletcher, Ph.D.
• NIDA
• Rockville, Maryland

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Reasons for Field-based Treatment Outcome Studies

• Effectiveness in real world settings
• Funding decisions by policy-makers
• Public information support
• Test impact of clinical advancements
• Changes occur over time in --
• Types or trends of patient drug use
• Treatment services resources

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Changes in Drug Use Patterns alters Treatment
Systems
6
CJ System Involvement and Referrals to Community
Programs (DATOS)
Craddock, Rounds-Bryant, Flynn, Hubbard, 1997
(AJDAA)
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DATOS Overview of Sampling Plan

• Longitudinal Data Collection
• Intakes (1991-93)
• During treatment (1-3 mos)
• Year 1 posttreatment
• Year 5 posttreatment
• Sampled from 11 Cities across the U.S.
• Includes 10,010 Admissions to 96 Programs
• N2,774 from 21 Long-Term Residential (LTR)
  programs
• N2,574 from 32 Outpatient Drug-Free (ODF)
  programs
• N3,122 from 14 Short-Term Inpatient (STI)
  programs
• N1,540 from 29 Outpatient Methadone Treatment
  (OMT)

New York
Portland
Minneapolis
Newark
Chicago
San Jose
Pittsburgh
Phoenix
New Orleans
Houston
Miami
Flynn, Craddock, Hubbard, Anderson, Etheridge,
1997 (PAB)
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Long-Term Residential (LTR)Treatment Changes
from Before to After Treatment
p of DATOS Sample (N676)
Hubbard, Craddock, Flynn, Anderson, Etheridge,
1997 (PAB)
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Outpatient Drug-Free (ODF) Treatment Changes
from Before to After Treatment
p of DATOS Sample (N764)
Hubbard, Craddock, Flynn, Anderson, Etheridge,
1997 (PAB)
10
Short-Term Inpatient (STI) Treatment Changes
from Before to After Treatment
p of DATOS Sample (N799)
Hubbard, Craddock, Flynn, Anderson, Etheridge,
1997 (PAB)
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Outpatient Methadone Treatment (OMT) Changes
from Before to After Treatment
p of DATOS Sample (N727)
Hubbard, Craddock, Flynn, Anderson, Etheridge,
1997 (PAB)
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Drug Abuse Treatment Core Components and
Comprehensive Services
Medical
Mental Health
Financial
Vocational
Housing Transportation
Educational
Child Care
Legal
Family
AIDS / HIV Risks
Etheridge, Hubbard, Anderson, Craddock, Flynn,
1997 (PAB)
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Changes in LTR Core Treatment 1990s (DATOS )
vs. 1980s (TOPS)
of Long-Term Residential (LTR) Sample
Hubbard, Craddock, Flynn, Anderson, Etheridge,
1997 (PAB)
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Changes in ODF Core Treatment 1990s (DATOS )
vs. 1980s (TOPS)
of Outpatient Drug-Free (ODF) Sample
Hubbard, Craddock, Flynn, Anderson, Etheridge,
1997 (PAB)
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Changes in OMT Core Treatment 1990s (DATOS )
vs. 1980s (TOPS)
of Outpatient Methadone Treatment (OMT) Sample
Hubbard, Craddock, Flynn, Anderson, Etheridge,
1997 (PAB)
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Changes in Wrap-Around Services 1990s (DATOS
) vs. 1980s (TOPS)
of Sample Receiving 2 or More Services
Etheridge, Craddock, Dunteman, Hubbard, 1995 (J
Sub Abuse)
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Changes in LTR Comprehensive Services 1990s
(DATOS ) vs. 1980s (TOPS)
of Long-Term Residential (LTR) Sample
Hubbard, Craddock, Flynn, Anderson, Etheridge,
1997 (PAB)
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Changes in ODF Comprehensive Services 1990s
(DATOS ) vs. 1980s (TOPS)
of Outpatient Drug-Free (ODF) Sample
Hubbard, Craddock, Flynn, Anderson, Etheridge,
1997 (PAB)
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Changes in OMT Comprehensive Services 1990s
(DATOS ) vs. 1980s (TOPS)
of Outpatient Methadone Treatment (OMT) Sample
Hubbard, Craddock, Flynn, Anderson, Etheridge,
1997 (PAB)
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Home Page About DATOS Background Highlights Specia
l Topics Publications Web Posters Whats
New CONTENT
News and Features
Latest DATOS studies have been published in Drug
and Alcohol Dependence Treatment process
(engagement and participation), retention, and
outcomes are the focus of this series of studies,
and our first cost-benefit analysis addresses
cocaine treatment.  The latest DATOS publications
and "in press" are listed on the Publications
page.  
More Information at
Cocaine Treatment Outcome Study is Released (in
June 1999 issue of Archives of General
Psychiatry) Findings emphasize the need for
"adequate treatment stays," especially when
problem severity is moderate-to-high.  At least
90 days in intensive residential (TC) programs
was indicated for high-severity cases. More
information is provided in a new section of
Highlights page, "Outcomes for Treatment of
Cocaine Dependence.  
www.datos.org 
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Slide Navigator

• Overview of Treatment Outcome Studies from DATOS
  (title slide)
• DATOS Drug Abuse Treatment Outcome Studies
• DATOS Research Centers
• Reasons for Field-based Treatment Outcome Studies
• Changes in Drug Use Patterns alters Treatment
  Systems
• CJ System Involvement and Referrals to Community
  Programs (DATOS)
• DATOS Overview of Sampling Plan
• Long-Term Residential (LTR) Treatment Changes
  from Before to After Treatment
• Outpatient Drug-Free (ODF) Treatment Changes
  from Before to After Treatment
• Short-Term Inpatient (STI) Treatment Changes
  from Before to After Treatment
• Outpatient Methadone Treatment (OMT) Changes
  from Before to After Treatment
• Drug Abuse Treatment Core Components and
  Comprehensive Services
• Changes in LTR Core Treatment 1990s (DATOS) vs.
  1980s (TOPS)
• Changes in ODF Core Treatment 1990s (DATOS) vs.
  1980s (TOPS)
• Changes in OMT Core Treatment 1990s (DATOS) vs.
  1980s (TOPS)
• Changes in Wrap-Around Services 1990s (DATOS)
  vs. 1980s (TOPS)
• Changes in LTR Comprehensive Services 1990s
  (DATOS) vs. 1980s (TOPS)
• Changes in ODF Comprehensive Services 1990s
  (DATOS) vs. 1980s (TOPS)
• Changes in OMT Comprehensive Services 1990s
  (DATOS) vs. 1980s (TOPS)