KAT-ED 2014-15

Abstract The Evaluation Center at the University of Kentucky is contracted by the Department of Behavioral Health, Developmental and Intellectual Disabilities (DBHDID) to evaluate the KAT-ED project using secondary data and program satisfaction interviews. KAT-ED was awarded federal funding from SAMHSA-CSAT for enhancement of adolescent treatment services in Kentucky. The focus is on services for adolescents ages 12 – 17 with Substance Use Disorders (SUD) and co-occurring SUD and mental health disorders (and their families/caregivers) by providing a comprehensive, culturally and gender-appropriate, outreach and intensive outpatient substance abuse treatment program supported by wrap-around recovery services. Two pilot sites were targeted for the project and the goal is to serve an additional 360 youth by the end of year 3 in the project. The Evaluation Center’s role is to analyze secondary client-level data for program progress. In addition, a statewide survey of adolescent treatment providers was conducted in Year Two to map the services available for youth in the state. A contract was established between UKRF (on behalf of The Evaluation Center) with DBHDID to provide evaluation of secondary data, to collect stakeholder program review data, and to conduct a provider survey for workforce mapping. This project will use secondary data collected by clinical providers during the regular course of counseling with youth participants ages 12-17. Clients agree to data collection as part of their consent to treatment. UK stores the secondary data in encrypted files to which only key personnel have access. Reports are written in aggregate and will not allow for client-level identification. Assent for sharing secondary data from counseling assessments and follow-up assessments is collected through the treatment centers, not by the evaluators. The evaluators only obtain deidentified secondary data and requested a waiver of documentation of consent for secondary data. Consent was waived on Form E of the approved IRB application (IRB protocol # 13- 0272-P1H) through the Medical Institutional Review Board. This meets HIPAA regulations: “Documentation that an alteration or waiver of research participants’ authorization for use/disclosure of information about them for research purposes has been approved by an IRB or a Privacy Board. See 45 CFR 164.512(i)(1)(i)” and “Limited Data Sets with a Data Use Agreement. A data use agreement entered into by both the covered entity and the researcher, pursuant to which the covered entity may disclose a limited data set to the researcher for research, public health, or health care operations. See 45 CFR 164.514(e)” Approximately 360 youth ages 12-17 will be included in a secondary de-identified dataset for analysis in this evaluation.