Data Management (C3423): Kentucky Treatment Outcome Study (KTOS) - DASIS

ABSTRACT KENTUCKY TREATMENT OUTCOMES STUDY AND SUB-STUDIES FOR AKTOS AND KORTOS (Logan) Kentucky’s Treatment Outcomes Study (KTOS) is a statewide substance abuse treatment client outcome study initiated in 1998 by the Division of Behavioral Health, Developmental, and Intellectual Disabilities (DBHDID) to serve as the statewide outcomes program to meet the legislative requirement for KRS 222.465. Data collection is required of all state funded treatment providers including outpatient, residential, or inpatient treatment programs licensed as a chemical dependency treatment service. Intake (baseline) data are collected by CMHC staff who read structured interview questions to each client and enter client responses into the University of Kentucky Center on Drug & Alcohol Research’s (UKCDAR) electronic data collection program. UKCDAR conducts high quality telephone follow-up interviews with a sample of consenting clients from KTOS, AKTOS, and KORTOS with scientifically recognized high follow up rates. The structured interviews used for data collection at intake and follow-up are based on the Addiction Severity Index with the goal of examining National Outcome Measures regarding changes in client substance use, employment, education, recovery support, and mental health. Originally, intake interview data were collected with all substance abuse treatment clients ages 10-99 within their first few treatment visits. Around 2003, the DBHDID requested CDAR develop a sub-study and unique intake and follow- up interview that specifically focused on adolescents in specialized and general treatment settings ages 11-17. Using adapted language from the Teen Addiction Severity Index questions, a special Adolescent KTOS structured interview began statewide use in 2004. Given this sub-study focuses exclusively on adolescents, unique procedures and challenges are addressed to ensure the highest quality data and sensitivity as well as confidentiality at both the baseline and the follow- up data collection points. In 2006, the DBHDID asked for another sub-study to be incorporated into KTOS focusing on clients of opiate treatment programs (OTPs). Following in-depth consultation with OTP providers, DBHDID staff, and other experts, a structured interview was programmed in 2007 and began statewide use as the Kentucky Opiate Recovery Treatment Outcome Study (KORTOS). In addition to baseline and follow-up data, KORTOS includes data on client-level drug screen results, dose type and levels, and treatment phases, which are entered weekly into the KORTOS Client Status program by each OTP site. This database serves as a unique statewide disaster preparedness service to ensure continuity of care for OTP clients. This sub-study also requires unique procedures and challenges given the unique characteristics of this particular population and the needs of multiple level data collections across the various sites. Currently all three studies – KTOS, AKTOS, and KORTOS – are operated within one contract between UKCDAR and DBHDID. The following describes the general SCOPE OF WORK expected as part of this contract for management of all three of these statewide outcome studies. DRUG & ALCOHOL SERVICES INFORMATION SYSTEM (DASIS) / NATIONAL OUTCOMES MEASUREMENT SYSTEM PROJECT (NOMS) (Logan) The Drug & Alcohol Services Information System (DASIS)/ National Outcomes Measurement System (NOMS) is a cooperative program between SAMHSA, an agency of the U.S. Department of Health and Human Services, and State Substance Abuse Agencies to collect and compile a range of substance abuse services information. Each State receives DASIS funding from SAMHSA to help support these activities and states designate individuals to serve as contacts for the DASIS project. In cooperation with the DBHDID, UKCDAR assists with the necessary programmatic and other tasks to meet the Federal DASIS/ NOMS project goals. The objective of DASIS/ NOMS is to respond to Federal mandates that states advance the understanding of clients and services, to estimate substance abuse and mental health problem characteristics, and to estimate utilization of treatment services by clients in state funded care. To this end, the Division of Behavioral Health, Developmental, and Intellectual Disabilities (DBHDID) has contracted with the University of Kentucky Center on Drug & Alcohol Research (UKCDAR) to provide data collection and matching, data analysis, data translation, reporting, and other services. KIDS NOW (MOMS MATR) PLUS EVALUATION PROJECT (Logan) KIDS NOW Plus is a program of the Kentucky Department of Behavioral Health, Developmental and Intellectual Disabilities (DBHDID) funded by the Kentucky Early Childhood Development Authority and Substance Abuse Prevention and Treatment Block Grant funds. A request for proposals was released by DBHDID in 2007 and eight of the 14 Community Mental Health Center (CMHC) regions in the state responded thus allowing for the operation of a KIDS NOW Plus funded program. KIDS NOW Plus focuses on universal and selective prevention services as well as assisting pregnant women who are considered high-risk for substance abuse during their pregnancy through provision of primary interventions aimed at reducing risk factors and improving overall behavioral health outcomes for the women and their babies. The KIDS NOW Plus Evaluation Project is designed to address the central questions about the overall effectiveness of the Kentucky KIDS NOW Plus program. KIDS NOW Plus is a collaboration between health departments, prenatal clinics, and CMHCs that focuses on reducing alcohol, tobacco and other substance use during pregnancy, providing prenatal education about positive behavioral health, and encouraging safety planning for women affected by intimate partner violence. The evaluation design developed by the DBHDID in conjunction with the University of Kentucky Center on Drug & Alcohol Research (UKCDAR) includes measures of substance use, mental health status, pregnancy health, intimate partner violence victimization, other health indicators, and birth outcomes among clients seen in the CMHC regions that participate in KIDS NOW Plus. KENTUCKY DUI PROJECT (Webster) The overall purpose of the Kentucky DUI Project is to manage the electronic collection of DUI assessment records in accordance with 908 KAR 1:310 and maintain a database of collected DUI assessment records to support the monitoring function of the Division of Behavioral Health’s DUI Program.