Characteristics of Clients Receiving Texas COSIG Services. Data through May Characteristics at Admission to COSIG Services
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1 Characteristics of Clients Receiving Texas COSIG Services Data through May 2007 Characteristics at Admission to COSIG Services The following graphs display client characteristics of participants in the COSIG program through July As a part of qualification for entry into COSIG, clinicians in the substance abuse treatment programs administer an assessment battery to obtain diagnostic impressions to determine the presence of co-occurring psychiatric and substance use disorders. The battery includes the M.I.N.I structured diagnostic interview, the Brief Inventory (BSI) for a client report of symptom severity, the Brief Derogatis Psychiatric Rating Scale (BDPRS) for a clinician rating of symptom severity, and the Substance Abuse Scale (SATS) for a clinician rating of stage of treatment engagement. Clients who qualify for the COSIG program receive ancillary services to support their recovery process in addition to substance abuse treatment. Ancillary service categories include child care, housing support, transportation, food assistance, education support, employment assistance, clothing, medical care, prescriptions, and peer mentoring. Psychiatric Diagnostic Impressions % 3 1 BIPOLAR DEPRESSION HYPOMANIC DYSTHYMIA PANIC OCD PTSD PSYCHOTIC GEN ANXIETY COSIG STATE (N = 901)
2 Substance Use Disorders ALCOHOL ONLY DRUG ONLY ALCOHOL AND DRUG COSIG STATE (N = 901) Brief Inventory Scores in the Clinically Significant Range (65T and Above) % 3 1 Obsessive- Depression Hostility Phobic COSIG STATE (N = 927) Severity Postive Distress Positive Total
3 BDPRS Scale Clinician Ratings in the Marked to Extreme Range % 3 Percent of COSIG Clients 1 8% 24% Obess Depression Hostility Phobic essive- Pathology COSIG STATE (N = 837) BSI and BDPRS Scores in the Clinically Significant Range COSIG Clients Statewide (N=837) 4 36% % 24% Obessessive- Depression Hostility Phobic Severity BSI Client Self-Report (65T and Above) BDPRS Clinician Ratings (Marked to Extreme Range)
4 Substance Abuse Scale Ratings at Admission to COSIG Percent of COSIG Clients 1 6% 1% Pre- 2% Early Persuasion Late Persuasion Early Active Late Active Relapse Prevention In Remission or Recovery COSIG STATE (N = 886) Characteristics at One-Month in COSIG Services Clients who are still in treatment after one month in the COSIG program are asked to complete the BSI again and are re-rated by the clinicians on the BDPRS and the SATS. In addition, clients are asked to report the types of ancillary services they received during the past month. The follow graphs present client characteristics on psychiatric severity and treatment engagement at admission and after one month in COSIG and display the types of ancillary services provided during that month.
5 Brief Scale Score Averages at Admission and One Month in COSIG Program ( N = 274; Data through May 2007) 60 BSI T-Score Average Obsessive- Depression Hostility Phobic Severity Postive Distress Positive Total BDPRS Clinician Rating Averages at Admission and One Month in COSIG Program ( N = 254; Data through May 2007) BDPRS Clinician Rating Obsessive- Depression Hostility Phobic Pathology
6 Brief Inventory Scores in the Clinically Significant Range (65T and Above) at Admission and One Month in COSIG Program ( N = 274; Data through May 2007) 3 23% 23% 1 6% % Obsessive- Depression Hostility Phobic Severity Postive Distress Positive Total BDPRS Clinican Ratings in the Marked to Extreme Range at Admission and One Month in COSIG Program ( N = 254; Data through May 2007) % 1 4% 31% Obsessive- Depression Hostility Phobic Pathology
7 Substance Abuse Scale Ratings at Admission and One Month in COSIG Program ( N = 307; Data through May 2007) % 1% 1% Pre- 3% Early Persuasion Late Persuasion Early Active Late Active Relapse Prevention 2% In Remission or Recovery Ancillary Services Received at One Month in COSIG Program ( N = 263; Data through May 2007) Peer Mentoring 3 Prescriptions 3 Medical Care 38% Clothing Employment Assistance Education Support Food Assistance 5 Transportation 43% Housing Support 58% Child Care 4% RECEIVED SERVICE
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