KENTUCKY OPIOID REPLACEMENT TREATMENT PROGRAM OUTCOME...
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Logan, TK, Miller, J., Cole, J., & Scrivner, A. (2017). Kentucky’s Opioid Replacement Treatment Program Outcome Study 2017 Findings at a Glance. Lexington, KY: University of Kentucky, Center on Drug & Alcohol Research. 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Transcript of KENTUCKY OPIOID REPLACEMENT TREATMENT PROGRAM OUTCOME...
Logan, TK, Miller, J., Cole, J., & Scrivner, A. (2017). Kentucky’s Opioid Replacement Treatment Program Outcome Study 2017 Findings at a Glance. 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KENTUCKY OPIOID REPLACEMENT TREATMENT PROGRAM OUTCOME STUDY
FINDINGS AT A GLANCE | 2017
INTRODUCTIONIn 2007, Kentucky opioid treatment programs (OTPs) began collecting outcome data on medication-assistedtherapy. The Kentucky Opioid Replacement Treatment Outcome Study (KORTOS) is conducted in collaborationwith the Kentucky Division of Behavioral Health and Narcotic Treatment Authority and includes client-levelintake data collected by OTPs. Through a contract with the Division of Behavioral Health, the data are submittedto the University of Kentucky Center on Drug and Alcohol Research (UK CDAR) where 6-month follow-upinterviews are completed with consenting maintenance treatment clients.
This Findings at a Glance summarizes client outcomes for 175 clients from Kentucky OTPs who completed both an intake interview between January 1, 2015 and December 31, 2015 and a six month follow-up interviewtargeted between July 1, 2015 and June 30, 2016. None of the clients refused to participate in the follow-up and.there was a high follow-up rate (85.8%).
CHARACTERISTICS OF THE FOLLOW-UP SAMPLEOf the 175 adults who completed a 6-month follow-up interview:
• 55.4% were female and 44.6% were male• The majority of follow-up clients were White (94.9%), 1.7% were African American and 3.4% were Hispanic,
American Indian, or multiracial• They were an average of 35 years old at the time of the intake interview• Half of clients were never married, 21.1% were married, 25.7% were separated or divorced, and 2.9% were
widowed• Nearly half of follow-up clients (43.4%) had at least one child under age 18 who was living with them
96%
clients reporting any illegal drug use at follow-up
44%
clients reporting any illegal drug use at intake
FACTORS EXAMINED AT INTAKE AND FOLLOW-UPPAST-6-MONTH SUBSTANCE USE
Rx 72%
clients reporting prescription opioid misusea at follow-up
15%
clients reporting prescription opioid misusea at intake
Rx Rx Rx Rx
Rx Rx Rx
Rx
23%
clients reported any alcohol use at follow-up
17%
clients reported any alcohol use at intake
a Including opioids such as morphine, Percocet, Oxycontin, Lortab
70%
clients reporting heroin use at follow-up
17%
clients reporting heroin use at intake Rx RxRx
Rx Rx Rx Rx
Rx Rx Rx RxRx
Rx
PAST-6-MONTH MENTAL HEALTH, PHYSICAL HEALTH AND STRESS
DEPRESSION
Clients meeting study criteria for
at intake
at follow-up11%
66%
ANXIETY
Clients meeting study criteria for
at intake
at follow-up8%
74%
MENTAL HEALTH
Average number of days in the past 30
at intake15.8
at follow-up4.8
was not good
POOR PHYSICAL OR MENTAL HEALTH
Average number of days in the past 30
at intake12.7
at follow-up2.1
kept client from doing usual activities
STRESS-RELATED HEALTH CONSEQUENCES
Average scoreb on
at intake37.4
at follow-up2.3
scale
b Measure of symptoms in the past 7 days. Higher scores on the Stress-Related Health Consequences scale indicate higher stress and greater physiological indicators of stress. The highest possible score is 45 and the lowest possible score is 0.
PAST-6-MONTH ECONOMIC INDICATORS
PAST-6-MONTH CRIMINAL JUSTICE SYSTEM
PHYSICAL HEALTH
Average number of days in the past 30
at intake11.8
at follow-up0.6
was not good
CHRONIC PAIN
Clients reporting
at intake
at follow-up13%
42%
At follow-up,employed women made only $0.68 for every dollar employed men made.
$1.00$0.68
GENDER DIFFERENCES IN WAGES
"[The program] has kept me sober. The counselors help me a lot. It's not just about getting methadone but helping me try to change my thinking and lifestyle."—KORTOS Follow-up Client
"They care about you. They don't treat you like a drug addict, they treat you like a person. "—KORTOS Follow-up Client
35%
51%FULL-TIME EMPLOYMENT
Clients reporting
at intake
at follow-up
53%
15%MEETING BASIC LIVING NEEDS
Clients reporting having diffi culty
at intake
at follow-up
1%
18%6’0”
5’0”
4’0”
4’6”
5’6”
3’0”
3’6”
at intake
at follow-upANY ARRESTClients reporting
17%
5%at intake
at follow-upINCARCERATIONClients reporting
PAST-30-DAY RECOVERY SUPPORTS
7average number of people client could count on for support at follow-up
4average number of people client could count on for support at intake
PROGRAM SATISFACTION
8.5Average rating
At follow-up, clients were asked to rate their level of satisfaction with the treatment program on a scale
from 1 (worst treatment imaginable) to 10 (best treatment).
CONCLUSION
97% felt better about themselves after participation
95% felt they were treated with respect
98% felt they received the services they needed
99% understood what was expected of them
99% understood their treatment plan
QUALITY OF AND SATISFACTION WITH LIFE
The 2017 KORTOS evaluation indicates that opioid treatment programs in Kentucky have been successfulin facilitating positive changes in clients’ lives in a variety of ways, including decreased substance use and severity of use, decreased mental health symptoms, decreased economic hardship, and decreasedinvolvement with the criminal justice system. Results also show that clients have an improved quality of life and more support for recovery after participating in treatment. Overall, KORTOS clients had significantimprovements in key factors that have been associated with facilitating recovery.
The lowest possible score is 5 and the highest possible score is 25. Lower scores indicate lower satisfaction and higher scores represent higher satisfaction.
Ratings were from 1=‘Worst imaginable’ to 5=‘Good and bad parts were about equal’ to 10=‘Best imaginable’. 7.5
Average rating at follow-up
8.8Average rating
at intake
17.2Average rating at follow-up3.7
Average rating at intake
QUALITY OF LIFE RATINGS SATISFACTION WITH LIFE
25%clients attended
mutual help group meetings
at intake
58%clients attended
mutual help group meetings
at follow-up
Kentucky’s Opioid Replacement Treatment Program Outcome Study 2017 Findings at a Glance. Lexington, KY: University of Kentucky, Center on Drug & Alcohol Research.
