Research

In a sample of adults attending an intensive outpatient program (IOP) for co-occurring mental health and substance use disorders, the SURE, a self-reported measure of recovery, had reliability than ranged from “poor” to “excellent,” and its domains were significantly negatively correlated with measures of psychopathology, and positively correlated with sobriety.  Housing status was associated with total score and the material resources subscale.  Some participant characteristics were also related to SURE total score.

Research Brief-Tables Included

About half of adults attending an intensive outpatient program (IOP) for co-occurring mental health and substance use disorders remained in the housing situation where they started at IOP intake.  Of the other half who changed housing during IOP treatment, the most common shifts were moving from a recovery residence to a permanent residence, from no permanent address/unhoused to a recovery residence, and from a permanent address to a recovery residence.  Those who started treatment at a permanent address and moved to a recovery residence by discharge were more likely than those who remained in a recovery residence throughout treatment to report improvement in depression, anxiety, and recovery scores.  Moving away from a recovery residence during treatment was associated with a decreased likelihood of improved outcomes.

Research Brief -Tables Included

Adults with a felony history attending an intensive outpatient program (IOP) for co-occurring mental health and substance use disorders were more likely to be male, older, non-white, less educated, court-ordered to treatment, use amphetamines n the last year, report a diagnosis of PTSD or ADD/ADHD, have more previous treatment attempts for a substance use disorder, and first use a substance at a younger age.  Those with a felony history were less likely than those without to live in recovery housing during treatment, but those who did were more likely to discharge successfully from the IOP and to have more sober days upon discharge. The following .pdf includes supplemental tables.

Research Brief-Tables Included

The Center partnered with NUWAY® to investigate differences between Black and White clients at the time of their admission to services and at discharge. Results indicate that differences exist when clients are admitted to care and these differences are reduced at the time of discharge, showing that treatment services may play a positive role in reducing racial disparities.

The Center partnered with NUWAY® to investigate differences between Indigenous American and White clients at the time of their admission to services and at discharge. Results indicate that the differences present when clients are admitted to treatment are not present at the time of discharge, indicating that treatment services are associated with reduction in disparities among Indigenous Americans with substance use disorders.

The Center partnered with NUWAY® to investigate the association between participant characteristics and metrics of recovery at admission with successful completion of their treatment program. Results indicate that both demographic characteristics and recovery metrics are significant predictors of successful treatment completion.

The Center partnered with NUWAY® to investigate the association between participant characteristics and metrics of recovery at admission and early dropouts from treatment. Results indicate that recovery metrics are better predictors of early dropout from SUD treatment.

The Center and NUWAY® partnered to study the demographic differences between individuals who chose to participate in recovery housing and those who did not while receiving intensive outpatient care at NUWAY®. Results show women and people who are court ordered to treatment are choosing recovery housing at lower rates.

The Center partnered with NUWAY® to investigate the association between living in recovery residences while attending intensive outpatient treatment and recovery outcomes. Results indicate that integrating recovery residences and intensive outpatient programming is associated with improved recovery outcomes.

The Center and NUWAY® partnered to investigate telehealth as a service delivery model in substance use disorder treatment. Results indicate a blend of in-person and telehealth services may deliver a flexible and ultimately effective experience for people receiving care.

Of the 9.2 million Americans with co-occurring mental health and substance use disorders (CODs), only 44.4% received treatment for either mental illness or substance use disorder alone, while an even smaller minority (7.7%) received treatment for both (SAMHSA, 2012).

Individuals with serious mental illness have a much shorter lifespan than the general population, with increased incidence of physical illness such as hypertension, diabetes, and respiratory disease (De Hert et al., 2011). To address the life expectancy gap between those with serious mental illness and the general population in Minnesota, the 10 x 10 initiative was started in 2008. The goal of this initiative is to increase the lifespan of individuals with serious mental illness by 10 years within 10 years.

The Minnesota 10 by 10 initiative, led by the Minnesota Department of Human Services, has set a goal to increase the life expectancy of individuals with SMI by 10 years, in 10 years from its commencement in 2011 (Minnesota Department of Human Services, 2011). As part of the Minnesota 10 by 10 initiative, resources were developed to create opportunities for increasing discussion surrounding physical health screenings between health care providers, practitioners, clients, and their family members. The Center trained 10 ACT teams across Minnesota in the I-IMR model to examine the feasibility of an individualized intervention to address both mental and physical health needs. This Research Brief highlights the outcomes of the intervention.