Collaborating Collaborating AgenciesAgencies

Gulf Coast Addiction Gulf Coast Addiction Technology Transfer Technology Transfer

CenterCenter

• Research Projects in Substance Abuse Patterns and Technology Transfer• Collaborative Efforts with State Agencies• Workforce Development Projects and Surveys• Gulf Coast Addiction Technology Transfer Center (GCATTC)

The Gulf Coast Addiction Technology Transfer Center (GCATTC) is one of 14 regional University Centers in the United States. The center works through multiple consortia of educational institutions and other agencies to promote development and implementation of evidence-based substance abuse interventions and practices.

www.nattc.owww.nattc.orgrg

ATTC NetworkATTC Network

ProgramProgramChangeChange

ProgramProgramChangeChange

Organizational DynamicsOrganizational Dynamics

Institutional & Institutional & Personal ReadinessPersonal Readiness

ResourcesResourcesResourcesResourcesMotivationMotivationMotivationMotivation

ClimateClimatefor Changefor Change

ClimateClimatefor Changefor Change

StaffStaffAttributesAttributes

StaffStaffAttributesAttributes

Stages of Program ChangeStages of Program ChangeStages of Program ChangeStages of Program Change1-Exposure1-Exposure ((TrainingTraining))

• LectureLecture• Self StudySelf Study• WorkshopWorkshop• ConsultantConsultant

1-Exposure1-Exposure ((TrainingTraining))

• LectureLecture• Self StudySelf Study• WorkshopWorkshop• ConsultantConsultant

StaffStaffStaffStaff 2-Adoption2-Adoption(Leadership decision)(Leadership decision)2-Adoption2-Adoption(Leadership decision)(Leadership decision)

4-Practice4-Practice(Routine use)(Routine use)4-Practice4-Practice(Routine use)(Routine use)

3-Implementation3-Implementation(Exploratory use)(Exploratory use)3-Implementation3-Implementation(Exploratory use)(Exploratory use)

Simpson, 2002 (J Substance Abuse Treatment)

Technology Transfer Model

SBIRT EVALUATION

Data Collection and Reporting System (Development and Maintenance)

● GPRA & Other Forms● Harris County Hospital District Data

ReportsGPRAManagement and Monitoring Reports

Process Evaluation Documentation of Baseline and Key

Developments in Processes, Activities, and Methods for

AdoptionImplementationInstitutionalization

Future Data AnalysesCost-offsetsEffectivenessBarriers and predictors for readiness and

behavior change

04/19/23

SBIRT Current Data Overview

March 2005

04/19/23

Patient Gender

Inception to January 31, 2005

Number of Patients Percentage

Male 4431 48%

Female 4585 50%

Missing/Other 163 2%

Total 9179  

04/19/23

Race

Number of Patients Percentage

Hispanic/Latino & Other 3114 34%

Black/African Amer. 2561 28%

White 1349 15%

Asian 124 1%

American Indian 43 0%

Hawaiian/Pac. Isl. 1 0%

Missing 1987 22%

Total 9179

Inception to January 31, 2005

“Missing” Category includes patients who refused to answer or answered “do not know”.

04/19/23

AUDIT Scores by Risk Category

AUDIT Score Patients PercentageSuggested Intervention Level

(0-7) Low Risk 594 35%Alcohol Education 

(8-15) Higher Risk 457 27%Simple Advice 

(16-19) Abuse 159 9%Brief Counseling  

(20+) Dependence 510 30%Referral 

Total 1720

(Alcohol Use Disorders Identification Test)

04/19/23

Clinical Diagnostic Impression

Diagnostic Impression Intakes Percentage

Dependence 494 41%

Abuse 417 35%

High Risk 176 15%

Low Risk 115 10%

Total 1202

04/19/23

Clinical Diagnostic Impression

0% 5% 10% 15% 20% 25% 30% 35% 40% 45%

Patients

Dependence Abuse High Risk Low Risk

115

176

494

417

04/19/23

Readiness Ruler Based on Readiness Ruler Instrument (Self Ratings) Highest Possible Readiness for Change = 10

Brief Intervention

Brief Treatment

Referral & Treatment

Overall

Mean Score

6.9 8.9 8.6 7.4

04/19/23

Mean Readiness Scores by Type of Service

8.9 8.6

6.9

0

1

2

3

4

5

6

7

8

9

10

Mean Score

BIBTRT

04/19/23

Total Patients by Type of Service

Total to Jan 31, 2005

Screening and Feedback

Brief Intervention

Brief TreatmentReferred to Treatment

Total

Patients Percentage

6888 75%

1730 19%

104 1%

457 5%

9179

04/19/23

Patients by Type of Service/Quarter

SF BI BT RT TOTAL

March 2004 3 19 6 11 39

Quarter 3 (April 04 - June 04) 524 205 9 93 831

Quarter 4 (July 04 - Sept 04) 887 496 2 180 1565

Quarter 1 (Oct 04 - Dec 04) 3797 658 43 125 4623

January 2005 1677 352 44 48 2121

Total 6888 1730 104 457 9179

04/19/23

Total Patients Served

0

500

1000

1500

2000

2500