New Jersey Department of Health Division of Mental Health and Addiction Services Substance Abuse Treatment State Performance Report

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1 New Jersey Department of Health Substance Abuse Treatment July 1, June 30, 2017 Prepared by: Office of Planning, Research, Evaluation and Prevention October 2017

2 : 07/01/ /30/2017 Primary Drug** Alcohol 21,386 Heroin 34,741 Other Opiates 5,149 Marijuana 10,945 Other Drugs 2,740 Intravenous Drug Users 27,987 Level of Care New Jersey Substance Abuse Monitoring System (NJSAMS) Substance Abuse Treatment of New Jersey Totals Outpatient Care (OP) 23,799 30% Intensive Outpatient (IOP) 20,646 26% Partial Hospitalization 2,837 4% Opioid Maintenance OP 8,771 11% Opioid Maintenance IOP 2,196 3% Extended Care 14 0% Halfway House 2,153 3% Long-Term Residential 3,585 5% Short-Term Residential 7,047 Hospital-Based Residential 5 0% Detox Residential 7,545 10% Detox Hospital 36 0% Detox Outpatient Non-Methadone 91 0% Detox Outpatient Methadone 4 0% Non-Traditional Program 4 0% Early Intervention 345 0% Meth./Subox. Planned in Treatment 16,361 Referral Source Self-Referral 23,946 Family/Friend 2,604 Addiction Services Program 9,117 Workforce NJ SAI 2,913 DCPP/CPSAI 4,221 Mental Health 1,179 Criminal Justice 22,513 IDRC 6,884 Other 5,701 27% 44% 7% Cocaine 3,942 5% 14% 3% 30% 3% 12% 4% 5% 1% 2 7% Sex Male 52,804 Female 26,243 Age Under 18 1, , , , , , , and over 6,475 Employment Status Unemployed 18,875 Student 2,031 Not in Labor Force 33,345 Employed Full/Part Time 24,706 Highest School Grade Completed Completed High School 45,582 Some College 14,886 Living Arrangement Homeless 5,264 Dependent Living/Institution 10,400 Independent Living 63,281 Health Insurance* No Insurance 24,972 32% Any Prior Treatment 56,096 71% Medicaid 45,752 5 Race/Ethnicity Medicare 1,577 2% White (non-hispanic) 48,637 62% Private Insurance 13,982 1 Black (non-hispanic) 17,269 22% Other Insurance 1,384 2% Hispanic Origin 12,093 15% Other 1,079 1% Treated in County of Residence 50,581 64% County of Residence Atlantic 5,320 7% Gloucester 3,359 4% Ocean 7,302 Bergen 3,554 4% Hudson 4,474 6% Passaic 4,633 6% Burlington 3,263 4% Hunterdon 1,032 1% Salem 668 1% Camden 6,907 Mercer 3,088 4% Somerset 2,050 3% Cape May 2,004 3% Middlesex 5,662 7% Sussex 1,336 2% Cumberland 2,052 3% Monmouth 6,082 Union 3,294 4% Essex 6,825 Morris 3,060 4% Warren 980 1% Other 2,133 3% Month of Admission January 7,036 February 6,426 March 7,326 April 6,425 35% 21% *Totals may be greater than 100% because of multiple responses. **Percentage calculation excluded missing values Source: NJSAMS 2017 October download May 7,284 June 6,798 July 6,065 August 6,880 September 6,308 October 6,442 November 6,098 December 5,990 67% 33% 2% 7% 10% 1 16% 21% 17% 24% 3% 42% 31% 5 1 7% 13% 80% Smoke Tobacco (Yes)** 50,977 65% Legal Problem* None 30,124 Probation/Parole 20,002 DWI License Suspension 8,203 Drug Court 9,399 Unduplicated Clients Admitted = 54, % 10% 12% Total = 79,078 Page 2

3 Discharge 7/01/ /30/2017 Level of Care Sex New Jersey Substance Abuse Monitoring System (NJSAMS) Substance Abuse Treatment of New Jersey Totals Outpatient Care (OP) 22,772 31% Intensive Outpatient (IOP) 19,678 26% Partial Hospitalization 2,493 3% Opioid Maintenance OP 7,006 Opioid Maintenance IOP 2,138 3% Extended Care 19 0% Halfway House 2,130 3% Long-Term Residential 3,564 Short-Term Residential 6,990 Detox Outpatient Non-Methadone 93 5% Hospital-Based Residential 5 0% Detox Residential 7,091 10% Detox Hospital 42 0% 0% Detox Outpatient Methadone 36 0% Non-Traditional Program 39 0% Male 49,963 Female 24,477 Race/Ethnicity Age Early Intervention 375 1% White 45,537 Black 16,509 Hispanic 11,362 Other 1,016 67% 33% 61% 22% 15% 1% Under 18 1,132 2% ,672 6% ,308 10% , ,239 16% ,514 21% ,802 17% 55 and Over 6,334 Reason for Discharge at Level of Care Treatment Plan Completed 37,570 50% County of Residence Atlantic 4,891 7% Bergen 3,340 4% Burlington 3,243 4% Camden 6,552 Cape May 2,004 Cumberland 1,926 Essex 6,201 Month of Discharge 3% 3% Significant Problems or Conditions Mental Health Problem 18,180 24% Compulsive Gambling 196 0% Physical Disability or Handicap 1,038 1% Victim of Physical Abuse or Neglect 3,168 4% Victim of Sexual Abuse 2,598 3% Pregnancy 649 1% Suicide Attempt 856 1% Runaway Behavior 2,339 3% Neglect or Abuse of Own Children 2,239 3% Child of Substance Abuser 3,933 5% Batterer 244 0% Criminal Activity 13,256 1 Other 3,767 5% Drug and Alcohol Use Not Using Alcohol or Drugs 42,807 Using Alcohol 4,010 57% 5% Using Drugs 13,020 17% Unknown 15,030 20% Arrested in the last 30 days (Yes) 3,005 4% Living Arrangement Homeless 2,713 Dependent Living/Institution 11,098 Independent Living 59,052 Employment Status Unemployed 16,055 Student 1,818 Not in Labor Force 26,699 Employed Full/Part Time 28,291 4% 15% 7 22% 2% 36% 3 Gloucester 3,260 4% Ocean 6,776 Hudson 4,394 6% Hunterdon 1,003 Mercer 2,959 Middlesex 5,358 Monmouth 5,584 Morris 2,858 1% 4% 7% 7% 4% Passaic 4,554 Salem 656 Somerset 1,887 Sussex 1,250 Union 3,056 Warren 861 Other 1,858 January 6,477 May 6,570 September 6,016 February 5,857 March 6,940 April 5,937 June 6,757 July 5,959 August 6,379 * Percentage for goal achievement based on total clients for whom goal was applicable. All other percentages are based on total discharges. Client Goal Achieved/Partially Achieved* Alcohol or Drug Problem 43,634 61% Educational 16,055 Employment or Vocational 18,508 October 5,918 November 5,992 December 5, % Family Situation 25,085 60% Psychological or Mental Health 23,731 62% Physical Health 21,600 67% Legal 23, % 1% 3% 2% 4% 1% 2% Unduplicated Clients Discharged = 51,348 Total = 74,471 Page 3

4 Outpatient Care (OP) 22,772 23,799 Number of active clients on roster: 14,724 Outcome Measures (SOMs) vs. program at admission vs. 13% 11% 6% 72% 70.3% 5 3% 95% 84% 60.4% -0.1% 10.4% 10.3% 3% homeless at admission vs % 3% ,265 5 Based on NJSAMS discharge from 07/01/ /30/201 are linked to discharges that occurred during this time Page 4

5 Intensive Outpatient (IOP) 19,678 20,646 Number of active clients on roster: 9,493 Outcome Measures (SOMs) vs. program at admission vs. 12% 2 17% -0.1% 73% % 3% 85% 70.7% % 1% 2% homeless at admission vs. -5% 3% ,310 37% Based on NJSAMS discharge from 07/01/ /30/201 are linked to discharges that occurred during this time Page 5

6 Partial Hospitalization 2,493 2,837 Number of active clients on roster: 1,334 Outcome Measures (SOMs) vs. program at admission vs. 22% 4 5% -4% 60% 31% 20.6% 0% 93% 8 21% 0.1% 6% homeless at admission vs. -5% 11% 6% 78 2, % Based on NJSAMS discharge from 07/01/ /30/201 are linked to discharges that occurred during this time Page 6

7 Halfway House 2,130 2,153 Number of active clients on roster: 837 Outcome Measures (SOMs) vs. program at admission vs. 12% 21% 50% 0.3% 84% 54% 2% 95% 85% 52% 6% 2% 0% homeless at admission vs. 2% 14% 16% 130 1,996 53% Based on NJSAMS discharge from 07/01/ /30/201 are linked to discharges that occurred during this time Page 7

8 Long-Term Residential 3,564 3,585 Number of active clients on roster: 1,616 Outcome Measures (SOMs) vs. program at admission vs. 17% 56% -0.2% -3% 80% 40.7% 2% 2% 97% 92% 0% 2% 3% 6% 0% homeless at admission vs. -6% 1 12% 112 3,264 44% Based on NJSAMS discharge from 07/01/ /30/201 are linked to discharges that occurred during this time Page 8

9 Short-Term Residential 6,990 7,047 Number of active clients on roster: 963 Outcome Measures (SOMs) vs. program at admission vs. 34% 75% 7% -7% 64% 23% 10% 10% % -0.1% 7% 4% homeless at admission vs. -3% 16% 3% 24 6,397 7 Based on NJSAMS discharge from 07/01/ /30/201 are linked to discharges that occurred during this time Page 9

10 Detox Residential 7,091 7,545 Number of active clients on roster: 1,325 Outcome Measures (SOMs) vs. program at admission vs. 30% % 67% 14% 24% 5% 97% 91% 15% 0.1% 0.7% 0. homeless at admission vs. -6% 12% 6% 19 6,127 80% Based on NJSAMS discharge from 07/01/ /30/201 are linked to discharges that occurred during this time Page 10

11 Detox Outpatient Non-Methadone Number of active clients on roster: 24 Outcome Measures (SOMs) vs. program at admission vs. 50% 55% -6% -1% 45% 22% 5 4% 95% 87% 53% -2% 6% 4% 3% homeless at admission vs % Based on NJSAMS discharge from 07/01/ /30/201 are linked to discharges that occurred during this time Page 11

12 Opioid Maintenance OP 7,006 8,771 Number of active clients on roster: 16,279 Outcome Measures (SOMs) vs. program at admission vs. 3% 20.5% 4% 0.6% 90% 4% 27% 0% 93% 3 21% 0.6% 3% 0% 7% homeless at admission vs. - 7% 574 6,293 11% Based on NJSAMS discharge from 07/01/ /30/201 are linked to discharges that occurred during this time Page 12

13 Detox Outpatient Methadone 36 4 Number of active clients on roster: 149 Outcome Measures (SOMs) vs. program at admission vs. 3% 67% - 97% 30.6% 10 65% 2 homeless at admission vs. NA* 36 42% Based on NJSAMS discharge from 07/01/ /30/201 are linked to discharges that occurred during this time period. For outcome measures #1, #2, #3, #4 and #9, higher discharge percentages are best. For outcome measures #5 and #6, *Data is skewed and average length of stay is not available. Page 13

14 Opioid Maintenance IOP 2,138 2,196 Number of active clients on roster: 1,169 Outcome Measures (SOMs) vs. program at admission vs. 6% % 2% 14% 90% 31% 20.2% 0% 7% 7% homeless at admission vs. -6% 7% 1% 263 1,986 3 Based on NJSAMS discharge from 07/01/ /30/201 are linked to discharges that occurred during this time Page 14

15 Early Intervention Number of active clients on roster: 666 Outcome Measures (SOMs) vs. program at admission vs. 12% 17% 0% -3% 77% % 4-0.2% 34% 32% 0.5% homeless at admission vs. 0.3% 0.3% % Based on NJSAMS discharge from 07/01/ /30/201 are linked to discharges that occurred during this time Page 15