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2003
Washington State Needs Assessment Household Survey
Adolescent Substance Use Prevention Outcomes
Crime and Arrests
Emergency Room
Evidence-Based Practices for Treatment
GAU Clients: Challenges and Opportunities Relating to
Chronic Health Conditions
Methamphetamine Problem in Washington State
Needs
Assessment Household Survey
Opiate Treatment
Patients Satisfaction with Publicly Funded Chemical Dependency
Treatment
Research Based Prevention Outcomes, Washington State Incentive
Grant (SIG) Substance Use Outcomes Among Adolescents in
Communities that Received State Incentive Grants
Risk and Protection Profiles for Prevention Planning
Staff Diversity in Washington State Chemical Dependency Treatment
Facilities
Treatment Expansion
Treatment
Outcomes
Youth Substance Use
This criminal justice outcomes
report (pdf)
examines arrest outcomes among clients who receive medical coverage
through the state’s Medicaid Disabled or General Assistance Unemployable
(GA-U) programs. Findings indicated that arrests are concentrated among
clients with indications of alcohol or other drug (AOD) problems.
Research was reviewed that indicates AOD treatment significantly reduces
risk of arrest among working-age disabled clients.
This
DASA Treatment Expansion Update describes that
SENATE BILL 5763, The Omnibus Treatment of Mental and
Substance Abuse Disorders Act of 2005 provided expanded funding
for chemical dependency treatment of approximately $32 million
for adults and $6.7 million for youth. The adult expansion was
targeted for adults on Medicaid and General Assistance and was
funded primarily by assumed savings in medical and long-term
care costs. Youth expansion funds were earmarked for adolescents
in households with income below 200 percent of the federal
poverty level. No offsetting savings were budgeted for the youth
treatment expansion.
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This
report examines the prevention steps in 18 Washington
communities that were more effective in reducing community-wide
use of alcohol, tobacco and other drugs among middle school
youth. Federal authorities funded these communities to spearhead
research-based prevention efforts from 1999 to 2002.
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This
report describes the prevalence of chronic health conditions
in the GA-U population and how these conditions are related to
outcomes including the frequency of emergency room (ER) visits,
risk of arrest, and likelihood the GA-U client transitions to
Medicaid.
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2003 Washington State Needs Assessment Household Survey
Results
Results of the 2003 Washington State Needs Assessment
Household Survey are available in a state report, in county
reports, and in supplemental tables. All can be accessed
at
http://www1.dshs.wa.gov/rda/research/4/52/default.shtm.
2003 County Profiles of Substance Use and
Need for Treatment Services - Washington State Needs
Assessment Household Survey
The Washington State Needs Assessment
Household Survey (WANAHS) was a statewide survey of over 6,700
adults designed to measure the prevalence of substance use and
the need for substance abuse treatment. Data were collected
from February 2003 through February 2004. Funding was provided
by a grant from the Federal Center for Substance Abuse
Treatment. This series of county profiles update a previous
set of reports produced in 1999 based on 1993-1994 survey
data. View
county profiles.
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Here is a
web site that contains a comprehensive set of indicators at county,
state, and national levels that can be used for prevention planning.
There are individual profiles for Washington State and for each county.
The information is updated several times a year.
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This website contains useful information about
evidence-based practices for
treatment.
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Methamphetamines:
Myths Versus Reality (PowerPoint Presentation)
Luchansky, B., Krupski, A., & Stark, K. (2007). Treatment
response by primary drug of abuse: Does methamphetamine make a
difference? Journal of Substance Abuse Treatment, 32,
89-96. Publicly funded patients using methamphetamine
were compared to those using other drugs on completion of and
readmission to treatment, employment, and criminal justice
involvement. Both youth and adult patients were tracked for 1
year following discharge. There were few differences between
methamphetamine users and users of other hard drugs, whereas
there were consistent differences between methamphetamine users
and users of alcohol and marijuana. Alcohol and marijuana users
tended to have more positive outcomes than the other groups.
"The Methamphetamine Problem in Washington State." (PDF)
"Substance Use Levels." (Word)
9% of patients with substance use disorders who were screened in
hospital emergency departments were users of methamphetamines.
"Treatment for Methamphetamine Dependency is as Effective as
Treatment for Any Other Drug." (PDF)
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"Chemical
Dependency Treatment Reduces Crime in Washington State" (PDF)
Arrests, convictions, and participation in illegal activities are
reduced following chemical dependency treatment.
"Public
Alcohol/Drug Treatment Reduces Future Medical & Psychiatric Costs in
Washington State" (PDF) Providing treatment to substance
abusing pregnant mothers reduces health care costs of their drug-exposed
infants.
"Research-Based
Programs to Prevent Substance Use and Abuse are a Good Investment for
Youth in Washington State" (PDF) Researchers estimate that savings
from a substance abuse prevention program was $9.60 for every dollar
invested.
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Patients Speak Out 2007 (pdf) Ninety percent of adults enrolled in
community-based chemical dependency (CD) treatment programs in
Washington State reported that they will return to the same program if
they were to seek help again, according to the 2007 Statewide Patient
Satisfaction Survey commissioned by the Division of Alcohol and
Substance Abuse. The survey was held during the week of March 19, 2007,
involving 460 publicly funded and private CD agencies providing
intensive inpatient, recovery house, long-term residential, outpatient,
and opiate substitution treatment.
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Medicaid Costs Declined Among Emergency
Department Patients who Received Brief Interventions for
Substance Use Disorders through WASBIRT
"Medicaid
Costs Declined Among Emergency Department Patients who
Received Brief Interventions for Substance Use Disorders
through WASBIRT, Interim Report" Changes in Medicaid
costs for 1,315 disabled Medicaid clients who received at
least a brief intervention through the Washington State
Screening, Brief Intervention, and Referral to Treatment
(WASBIRT) Project were compared to changes in costs for 8,972
Medicaid clients who did not receive an intervention through
this program. Differences in Medicaid costs for the two groups
before and after an Emergency Department visit were examined
using two-stage, propensity-score adjusted regression models.
The reduction in total Medicaid costs after receiving the
brief intervention ranged from −$185 per member per month (pmpm)
(p<.05) to −$192 pmpm (p=.08), depending on the regression
model. Most of the Medicaid cost reductions were due to
declines in the costs associated with inpatient
hospitalizations from Emergency Department admissions.
Emergency Room Utilization Fact Sheets
"Frequent
Emergency Room Visits Signal Substance Abuse and Mental
Illness" Part 1, and "Additional
Supporting Information" Part 2 (Insert) Nine out of
ten aged, blind, and disabled patients who visited the
emergency room 31 or more times in 2002 had an alcohol/drug
disorder, a mental illness, or both. Patients who visit the
emergency room frequently use large quantities of prescription
narcotics and have a relatively high arrest rate. Few clients
with substance abuse disorders receive treatment for these
conditions.
"Chemical
Dependency Treatment Reduces Emergency Room Costs and Visits"
There is a 35% reduction in emergency room costs when chemical
dependency treatment is provided to Supplemental Security
Income (SSI) Recipients who need it.
"Reducing
Emergency Room Visits Through Chemical Dependency Treatment:
Focus on Frequent Emergency Room Visitors" Chemical
dependency treatment reduces emergency room (ER) visits among
Supplemental Security Income (SSI) recipients who have been
frequent visitors to the ER.
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Medical Assistance Costs Declined Among Emergency
Department Patients Who Received Brief Interventions for
Substance Use Disorders through WASBIRT
Medical Assistance Cost Outcomes Preliminary Report (Report
- Word). Costs to the Medical Assistance Program were
examined for aged, blind or disabled Medicaid clients who
received at least a brief intervention through the Washington
State Screening, Brief Intervention, Referral and Treatment
(WASBIRT) program between April 2004 and December 2005. The
WASBIRT Program was implemented in nine large hospitals in the
state, primarily among Emergency Department patients. Chemical
dependency professionals screened 27,805 patients by the end
of December 2005 and provided at least a brief intervention to
53% of these patients. Preliminary analyses revealed that
total medical costs and inpatient costs declined more for
Medicaid-only aged, blind or disabled clients who got at least
a brief intervention for substance use disorders than for
similar clients who did not.
Six-Month Follow-up of Hospital Emergency Department
Patients Who Received Brief InterventionsPatients with
substance use disorders who received brief interventions in
hospital emergency departments had reduced levels of
alcohol/other drug use six months later. (Word)
Patterns of Prescription Opiate Use Fact Sheet
Patterns of Prescription Opiate Use by Aged, Blind, or
Disabled Clients in Washington State (PDF). This
fact sheet shows that about three percent of Medicaid-only
aged, blind, or disabled clients have a pattern of medical
diagnoses, opiate prescriptions, and frequent ER visits that
should be a focus of concern.
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Levels of Risk, Protection and Drug Use in Schools Predict
Students' WASL Scores
Levels of Risk, Protection and Drug Use in Schools Predict
Students' WASL Scores. (PDF)
Multilevel Examination of the Relationships Between
Risk/Protective Factors and Academic Test Scores. (PDF)
School Outcomes of Alcohol and Other Drug Treatment for
Adolescents
School Enrollment, school retention, and grades improve
among youth who complete and/or stay longer in alcohol and
other drug treatment. (PDF)
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Treatment Outcomes for Persons Addicted to
Opiates
Methadone Treatment for Opiate Addiction Lowers Health Care
Costs and Reduces Arrests and Convictions (PDF).
Longer stays in methadone treatment result in health care
savings and reduced arrests/convictions.
Non-Methadone Chemical Dependency Treatment for Opiate
Addiction Reduces Health Care Costs, Arrests, and Convictions (PDF).
Persons addicted to opiates who complete non-methadone
treatment show significant reductions in health care costs and
arrests/convictions.
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Every three years since 1991, the Division of Alcohol
and Substance Abuse (DASA) has commissioned a statewide survey to assess
the extent to which women, persons of color, persons with disabilities,
and persons with multilingual ability are represented on the staff of
certified chemical dependency treatment facilities in Washington State.
DASA has recently released this new report showing the results of the
most recent survey from 2003 and the staffing trends that have emerged
over a period of 12 years.
Staff
Diversity Survey Results (PDF)
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