Clients and Projects

OUTCOMES EVALUATIONS
DeltaMetrics scientists have designed and directed hundreds of evaluations of statewide and provider-level systems of care and served on numerous, large-scale evaluation projects undertaken by the federal government.

Utah State Division of Substance Abuse
TOPPS I: In this project, DeltaMetrics developed and evaluated a self-administered version of the Addiction Severity Index (ASI Self) as well as a supplement to the ASI (ASI PPM) to facilitate treatment placement decisions consistent with the ASAM criteria.  Both instruments were assessed in controlled clinical trials, including a clinical outcomes study targeting 12 treatment programs. 

TOPPS II: In a consortium of states led by Utah and consisting of Arkansas, Rhode Island and New Hampshire, DeltaMetrics developed a services-based set of patient placement criteria to serve as an alternative to or supplement for the ASAM PPC-II criteria.  Both sets of criteria, as well as other potential performance indicators, are being validated in a pilot outcomes evaluation using instruments and procedures designed for ultimate adoption in the Outcomes Monitoring System of each state.  DeltaMetrics directed development of an electronic version of a self-administered ASI that approximately 3,000 to 4,000 subjects will complete at admission to treatment. During treatment and at discharge, all subjects will complete a self-administered survey to document the number and type of services received.  Follow-up surveys will be telephonically administered by DeltaMetrics at six-months post discharge.  More than 7,000 surveys will be collected, merged and processed during the course of the project.  Data analysis will focus on the validity of the performance indicators, including the patient placement criteria, as eventual predictors of treatment outcomes, as well as the utility of the instruments for each of the states’ OMS.

Washington State Division of Alcohol and Substance Abuse
TOPPS I: Two state clinical tracks were evaluated and compared during and following treatment: the full continuum of care, starting at inpatient care and continuing through aftercare; and the partial continuum , consisting of clients placed initially in intensive outpatient care and who generally continue through aftercare.  Approximately 200 patients were sampled from each group.  The outcomes evaluation was conducted using the ASI and the Withdrawal and Craving Measure; the Treatment Services Review administered on a bi-weekly basis during treatment; and patient re-evaluation at approximately 30 days post admission, and again in months 2, 3 and 9 following admission.

Rhode Island Public Health Foundation
TOPPS I: An electronic system to collect and maintain an assessment, tracking and outcomes database for all public AOD patients was developed and installed in a number of publicly funded substance abuse treatment facilities. Pilot performance indicators, instruments and a methodology for conducting outcomes evaluations were developed and piloted in treatment programs for parenting women. An outcomes evaluation targeting a sample of approximately 600 parenting women was conducted.

Texas Commission on Alcohol and Drug Abuse
TOPPS II: DeltaMetrics assisted the State in selecting potential performance indicators and in developing instruments that will be pilot tested in a statewide outcomes evaluation.  The instruments include a modified version of the ASI, the Recent Treatment Scale to collect data on services received during treatment, a consumer satisfaction survey and a follow-up version of the ASI.  All instruments include the core data set for the TOPPS II interstate study.  The instruments are being pilot tested in a statewide outcomes evaluation involving approximately 1,750 clients.  At six months post-discharge, follow-up surveys will be conducted by DeltaMetrics.  Approximately 6,000 surveys will be collected, merged and processed by DeltaMetrics during the course of the project.  The data analysis  will address the validity of the performance indicators as eventual predictors of outcomes, as well as on the utility of the newly developed and/or modified survey instruments in a statewide Outcomes Monitoring System.

New York State Office of Alcoholism and Substance Abuse Services
TOPPS II: DeltaMetrics is assisting New York in assessing the predictive validity of a set of performance indicators that are currently included in New York’s MIS.  An outcomes evaluation involving 25 treatment providers across the state will be conducted using instruments developed and/or modified with the assistance of DeltaMetrics. Intake, during-treatment and discharge data collection will be completed by treatment providers and a six month, post-discharge follow up survey will be conducted by DeltaMetrics.  Approximately 6000 surveys from 25 field locations will be collected and processed by DeltaMetrics during the course of the project.

Virginia Department of Mental Health, Mental Retardation, and Substance Abuse Services 
TOPPS II: DeltaMetrics assisted the Commonwealth in developing and modifying instruments and performance indicators that will be pilot tested in a statewide outcomes evaluation.  Intake assessments for the pilot study are being conducted by staff of treatment providers. DeltaMetrics will conduct telephonic surveys to collect during-treatment, discharge and follow-up data (at six and 12 months post admission). Over 4,000 surveys administered to approximately 1,150 consumers will eventually be collected, processed and analyzed by DeltaMetrics over the course of the project. Data analysis will address whether performance measures are valid indicators of outcomes.

In Illinois, DeltaMetrics conducted a pilot study that targeted 8 clinics in the Chicago area (involving approximately 700 clients) where a version of the ASI was administered by providers at baseline; Treatment Services Reviews (TSRs) were administered telephonically by DeltaMetrics interviewers during treatment, and a six-month post-discharge interview was administered, also by DeltaMetrics staff. Over 2,000 surveys were collected and processed by DeltaMetrics over the course of the project. Using the instruments and procedures that were piloted in the Chicago study, a statewide study was undertaken involving 2,200 clients from 40 providers statewide and expanded thereafter to include 500 TANF clients from 5 providers. Four statewide trainings (approximately 100 staff from treatment programs) were conducted by DeltaMetrics. Over 6,000 survey instruments were administered, either by DeltaMetrics or provider staff.

DeltaMetrics is conducting outcomes research for the Hazeldon Foundation in Minnesota.  This project seeks to examine outcomes for a subset of the population treated for drug and alcohol abuse at Hazelden to determine treatment effectiveness.  DeltaMetrics will identify milestones and barriers that occur during the recovery process for individuals in six specific treatment groups: (1) Employed Patients; (2) Healthcare Professionals; (3) People of Means and Prominence; (4) Gay, Lesbian, Bisexual, Transgender; (5) Older Adults; (6) Smoking Cessation Group. Treatment effectiveness is measured in absolute terms (e.g., the percentage of patients abstinent, employed, not engaging in criminal activity, etc. at the various follow-up points) and in relative terms (e.g., level of change between baseline and follow up).  A final objective of this study is to compare treatment and outcomes from the different groups at Hazelden with other treatment facilities using appropriate samples from the DeltaMetrics national database.

Social Security Referral and Monitoring Agency
From January, 1994 through September, 1995, DeltaMetrics performed as a subcontractor to Maximus, Inc. on the Social Security Administration's Referral and Monitoring Agency project. DeltaMetrics designed and implemented a treatment tracking system that measured the nature and severity of the problems presented by chemically dependent SSI and SSDI recipients at treatment admission; the types of services rendered during treatment; and the amount of change recorded during and immediately following treatment. The organization worked extensively with state governments and designed and implemented an electronic data management system that collected and stored information from thousands of treatment providers nationwide and that supported analysis of the data and generation of aggregate management reports. From this project, DeltaMetrics produced the first standardized set of data documenting the nature and severity of the multiple problems presented by this group of chemically dependent patients.

TRAINING AND TECHNICAL ASSISTANCE

Knowledge Development and Application
DeltaMetrics is assisting ROW Sciences, Inc. to identify and respond to the technical assistance needs among KDA grantees.  DeltaMetrics developed a list of consultants to render expert assistance in the areas of information management, program administration, outcomes evaluation, program monitoring and other facets of substance abuse treatment.  DeltaMetrics also assisted in developing two orientation sessions for Targeted Expansion Capacity grantees (conducted in December 1998 and December 1999).  The organization also developed a manual describing the design and use of clinical assessment instruments.  The manual will be used by CSAT and treatment program staff.

TOPPS II Technical Assistance Center
Under subcontract to Johnson, Bassin and Shaw, DeltaMetrics has assisted the nineteen states that comprise the TOPPS II Interstate Steering Committee to consensually develop a core data set that will be collected by all the states during their pilot outcomes evaluations.  DeltaMetrics developed a research design for the interstate study and, with JBS, will analyze the interstate data and prepare final project reports for publication.  DeltaMetrics is also providing technical assistance to individual TOPPS II states on design and administration of surveys, management of large databases, data collection methodologies, and data analysis.

Persistent Effects of Treatment Studies
With Westat, DeltaMetrics has established an expert panel to review the methodology for the project and completed an evaluation of the feasibility of adding longer-term follow-up surveys to existing CSAT-funded outcomes evaluations.  Currently, DeltaMetrics is working with a number of states and other units of local government to build a family of studies to evaluate longer-term treatment outcomes.  DeltaMetrics will assist in designing the research methodology; in data collection and tracking of clients, as well analysis of the data to compare the results across the family of studies.  Approximately 6 or 7 long-term evaluations will eventually be implemented.    

ASI Training
DeltaMetrics provides state governments, counties and community-based organizations with ASI training. A sampling of recent training contracts include:

  • Commonwealth of Virginia
    DeltaMetrics contracted with the Virginia Department of Mental Health, Mental Retardation and Substance Abuse Services to provide standard ASI training to over 300 clinicians.

  • New York State
    DeltaMetrics contracted with the New York State Office of Alcoholism and Substance Abuse Services to provide ASI "Training of Trainers" sessions, boosters and follow-up training services.

  • State of Delaware 
    DeltaMetrics contracted with the state of Delaware for consultation and training to support statewide implementation of the ASI. 

National Evaluation Data Services II
DeltaMetrics, under subcontract to Caliber Associates, will be providing technical assistance in this project which involves  refinement of an information system consisting of data collected under CSAT-supported projects.  DeltaMetrics will be participating in analysis and reporting of this data and the articulation of the findings to provide easily understood guidance for policy, treatment practice, and future research. 

National Institute on Drug Abuse
DeltaMetrics was awarded a Phase II Small Business Innovation Research (SBIR) grant to develop and assess new training materials and models for administration of the Addiction Severity Index. DeltaMetrics developed a range of competency measures for ASI interviewers; refined current ASI training models; and empirically evaluated the effectiveness of three training models on the acquisition, application and retention of interviewer knowledge. As a result of this grant, DeltaMetrics produced its ASI Training on Tapes Series, a set of four video  training tapes designed for use with small groups when larger, facilitated training sessions are not feasible.

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