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ClientBased Program Evaluation Substance Abuse Residential Treatment Program

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Stephanie Chang, Ann Chau, Liz Chou, Paul Cilker, Suzette A. Gelacio, Karen Wloch ... Tarzana Treatment Centers' mission is to address a wide range of the community's ... – PowerPoint PPT presentation

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Title: ClientBased Program Evaluation Substance Abuse Residential Treatment Program


1
Client-Based Program Evaluation Substance Abuse
Residential Treatment Program
  • Civic Engagement 105 SL
  • Presented By
  • Stephanie Chang, Ann Chau, Liz Chou, Paul Cilker,
  •  Suzette A. Gelacio, Karen Wloch

2
Tarzana Treatment Center (TTC) Description
  • Established in 1972
  • Non-profit, integrated behavioral healthcare
    organization
  • Serves 13,000 clients per year
  • Youth Adults
  • SA/MH/Co-Occurring Disorder
  • HIV/AIDS
  • Professional Staff

3
TTC Mission
  • Tarzana Treatment Centers' mission is to address
    a wide range of the communitys health care and
    social service needs with responsive alcohol and
    other drug treatment HIV/AIDS treatment,
    prevention and education mental health treatment
    and education primary outpatient and medical
    care and other areas of healthcare services
    meeting community needs.

4
TTC Core Services
  • Alcohol/Drug Treatment
  • Primary Care
  • Mental Health
  • HIV/AIDS
  • Vocational Training/Job Placement
  • Housing
  • Group Specific Services
  • Other Social Support Services
  • Community Outreach
  •  
  •  

5
TTC Facilities
SPA 1 Lancaster (2)   SPA 2 Northridge
(1) Reseda (1) Tarzana (2)   SPA 8 Long Beach
(2)       SPA Service Planning Area
6
Residential Treatment Program Description
  • 3 Facilities
  • Tarzana, Long Beach, Lancaster
  • 1,200 Clients/Year
  •  
  • Long-term track
  • 30 to 180 Days
  • County Funded
  •  

7
Residential Treatment Program (cont.)
8
Research Question
  • What are the characteristics of clients who
    completed the substance abuse residential
    treatment program in 2007 compared to those who
    entered?

9
Qualitative Methodology
  • Interviewees
  • Recommended by Program Director
  • 3 residential counselors
  • 3 intake counselors
  •  
  • One-on-one interviews
  • 17 open-ended questions for residential
    counselors
  • 7 open-ended questions for intake counselors

10
Quantitative Methodology
  •  
  • 2007 data from a 208-question computerized survey
  • 1,200 total clients
  • Variables evaluated
  • Demographics
  • Education/Employment Status
  • Marital Status
  • Living Arrangements
  • Primary Drug of Choice
  • Number of Prior Episodes

11
Findings/Results
  • Staff Profile
  • 4 females, 2 male
  • 35 - 50 years of age
  • 5 out of 6 been employed for 5-10 years
  • 1 Intake counselor been employed for 6 months
  • 5 out of 6 were former TTC Rehab
    Clients/Graduates
  • Positive perspective toward program
  • Job satisfaction

12
Staff Interview Results
  • Clients typical attitude towards the program
  • Positive attitudes
  • Majority are grateful, while others feel they are
    forced to be there
  • Patterns of clients who drop out of the program
  • Withdrawal from or lack of participation in group
    activities
  • Unwillingness to follow instructions
  • Client barriers
  • Returning to the same environment that they left
  • Family problems
  • Discouraged by the time frame to complete program

13
Staff Interview Results (cont.)
  • Characteristics/features in clients who complete
    program
  • Courage to change old patterns
  • Willingness to go to complete the program
  • Strong support group
  • Transitioning to the outpatient program post
    residential program
  • Seek employment
  • Take a leave of absence from work
  • Knowledgeable/Educated
  • Key to completing the program
  • Motivational groups
  • Keep them happy and active
  • Work with their goals

14
Findings/Results Tx Complete vs. Did not
Complete  
National treatment completion rate of 41 for
long-term residential treatment programs
15
Findings/ResultsGender (N1200)
16
Findings/ResultsAge (N1200)
   
17
Findings/Results Race (N1200)
18
Findings/ResultsEducation Level (N1200)
19
Findings/ResultsMarital Status (N1200)
20
Findings/Results Employment Status (N1200)
21
Findings/Results Living Arrangement (N1200)
22
Findings/Results Prior Admission (N1200)
23
Findings/Results Primary Drug of Choice (N1200)
24
Analysis
  • Characteristics of clients who complete the
    program
  • Male
  • Obtained higher education
  • Married
  • Independent Living
  • Employed and seeking employment
  • Few prior admissions
  • Primary drug choice - Alcohol
  •  
  •  

25
Analysis
26
Future Research
  • Gender-specific studies in relation to program
    completion.
  •     - Identify the characteristics of low
    completion rates among women
  •  
  • Drug of choice
  •     -Pharmaceutical/Molecular research
  •     -Behavioral researchFactors/Reasons Why
    Clients Dropped Out of Program
  •     - Low Social Support
  •   

27
Policy Implications
  • Assisting clients in obtaining employment may
    help them remain in a long-term treatment
    program.
  •       -financial
  •       -social support 
  •       -training
  •       -independence
  • Emphasis on Social Support for Patients 
  •       - Working with patients early on
    identifying support systems
  •      
  •  

28
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