Client Population Statistics

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1 Client Population Statistics Fiscal Year 6-7

2 Introduction On the following pages, the reader will find information about the client population that Daytop served during the fiscal year 6-7 in its diverse treatment programs. This report provides demographic, drug history, psychosocial, and vocational information for individuals who received services in Daytop s New York State and New Jersey treatment programs from July 1, 6, through June 3, 7. In addition, the report presents information about retention rates and discharge patterns for Daytop residential and outpatient treatment during the same time period. Daytop operates treatment centers for substance abuse and dependence in New York State and New Jersey. Population statistics are presented separately for these states; where applicable, they will be broken down by: Adult treatment Adult treatment Adolescent treatment Adolescent treatment 2

3 Number of Clients Served Nationally Census 7/1/6 Admissions 7/6-6/7 s Adults Adolescents TOTALS 6727 Adult Clients 1714 Adolescent Clients TOTALS Clients on 7/1 Clients on 7/1 Admissions Admissions Total Number Clients Served 3

4 Number of Clients Served NEW YORK Daytop New York operates eight (8) outpatient programs in and around New York City. For clients who require higher levels of care, residential treatment is offered in two (2) adolescent and seven (7) adult residential facilities, including Daytop s Assessment and Referral and Re-entry Units. Census 7/1/6 Admissions 7/5-6/7 s Adults Adolescents TOTALS 6727 Adult Clients 12 Adolescent Clients TOTALS Clients on 7/1 Clients on 7/1 Admissions Admissions Total Number Clients Served 4

5 All Client Admissions Average Age: Adults (21+ years) : 36.1 years : 35.2 years Adolescents (<21 years) : 18.2 years : 17.4 years <15yrs 15-16yrs 17-18yrs 19-yrs 21-25yrs 26-35yrs 35-55yrs 56+yrs Age Breakdown 5

6 New York Adult Client Admissions

7 Adult Client Admissions Men represent the majority of adult clients, even more so in outpatient than residential treatment. In residential treatment, women in intermediate and long-term treatment received gender-specific services in Daytop s women-only Springwood facility. Gender Breakdown Women Men 7

8 Adult Client Admissions As in previous years, African- American clients represent the majority of Daytop NY clients. However, the proportion of Caucasian/white clients increased by 2% in both residential and outpatient treatment, continuing a trend from last year. Ethnicity Breakdown African-American Latino/a Caucasian/White Other Ethnicity 8

9 Adult Client Admissions Unemployment is high among both client groups However, only 9% of residential clients had employment or were pursuing an education prior to treatment, compared to 46% of outpatient clients. Employment Status at Admission Full-time Employed Unemployed Student Part-time Employed Not in Labor Force 9

10 Adult Client Admissions Children & Parental Status The majority of residential and outpatient clients have at least one child; however, 91% of residential and 77% of outpatient clients report that they are not living with their children. Three percent (3%) of residential and outpatient parents have a current case with Child Protective Services, and 3% and 2%, respectively, have children in the Foster Care System. No Children >3 Children 1-3 Children

11 Adult Client Admissions Drug Use History Major differences exist in the choice of primary drug between residential and outpatient clients. Two thirds of residential clients report either Heroin, Crack or Cocaine to be their primary drug. Conversely, the same proportion of outpatient clients struggle primarily with Marijuana or Alcohol use. Primary Drug Use Heroin Cocaine Alcohol Crack Marijuana Other Primary 11

12 Adult Client Admissions Drug Use History Heroin Cocaine Alcohol General Drug Use Crack Marijuana Other General Drug Unchanged from previous years, Alcohol and Marijuana dominate general drug use, i.e., close to two thirds of all clients use at least one of them as a primary, secondary, or tertiary drug. Cocaine use is high in both populations, but the proportion of Heroin and Crack use is significantly higher among clients entering residential treatment. In addition, 6% of residential, and 46% of outpatient clients report that they regularly smoke cigarettes. 12

13 Adult Client Admissions Adult clients in residential treatment generally display higher rates of co-existing mental health disorders and personal experiences that may induce or exacerbate mental health problems. The number of admitted residential and outpatient clients with a previously diagnosed psychiatric disorder rose by 3% and 2%, respectively, compared to last year s admissions Ever diagnosed w ith co-existing psychiatric disorder Ever treated for co-existing psychiatric disorder Suicide attempts Child of Alcohol/ Substance user Veteran w ith active combat Mental Health Status 13

14 Adult Client Admissions Legal Status Recent CJS involvement No recent CJS involvement The vast majority of adult clients has an active status with courts, corrections, parole or probation, police or other criminal justice agencies. The rates of legal involvement among admitted clients increased by 18% in residential, and 5% in outpatient treatment compared to last year s rates, Of those with a recent criminal record, 35% of clients had at least one arrest in the past 6 months. Charges include: Drug and Alcohol related (48%) Disturbance of public order (13%) Other charges (21%) Property charges (12%) Violence (5%) 14

15 Adult Client Admissions Drug Treatment History No previous treatment 1-3 previous treatment episodes >3 treatment episodes For most clients, their current admission to Daytop residential or outpatient treatment is not their first episode of drug treatment. More than one quarter of residential clients report an extensive treatment history of more than three episodes, this rate represents an increase of 4% over last year s admissions. On the other hand, for more than one quarter of outpatient clients, the current admission is their first treatment for substance abuse problems. This rate is also increased by 4% over last year s rate. 15

16 Adult Client Admissions Treatment Referral Source The Criminal Justice System dominates referral sources, even more so in outpatient than residential treatment. Self and family referrals are significantly more prominent in residential than outpatient treatment. Social services referrals are more common in outpatient than residential treatment. Self/Family Detox Social Services CJS Other treatment Other 16

17 New York Adolescent Client Admissions

18 Adolescent Client Admissions Young men represent the majority of adolescent clients, even more so in residential than outpatient treatment Compared to last year s rates, the number of young women admitted to residential or outpatient treatment dropped by 3% and 7%, respectively. Gender Breakdown Women Men 18

19 Adolescent Client Admissions ` For the first time in years, the number of Caucasian/white clients has topped the rate of African- American client admissions to residential treatment. Similarly, the number of African- American clients admitted to outpatient treatment dropped by 2%, while the rate of white clients increased by 2%. Ethnicity Breakdown African-American Latino/a Caucasian/White Other Ethnicity 19

20 Adolescent Client Admissions As is age-appropriate, the majority of clients in residential, and especially in outpatient treatment are students However, 28% of adolescents in residential treatment are not working nor in school upon their treatment admission. This number dropped by 12% from last year s rate. Employment Status at Admission Full-time Employed Unemployed Student Part-time Employed Not in Labor Force

21 Adolescent Client Admissions Children & Parental Status Of all adolescents who have children of their own, 39% have not been living with their child before admission to treatment. Six percent of adolescent parents have a current case with Child Protective Services, and 1% have children in the Foster Care System. No Children >3 Children 1-3 Children 21

22 Adolescent Client Admissions Drug Use History As in previous years, Marijuana is by far the most frequently cited primary drug for adolescents. Primary Drug Use Heroin Cocaine Alcohol Crack Marijuana Other Primary Drug 22

23 Adolescent Client Admissions Drug Use History Heroin 8 Cocaine Alcohol General Drug Use Crack Marijuana Other General Drug Unchanged from previous years, Alcohol and Marijuana dominate general drug use. Methamphetamine use was reported by a total of 6 adolescents this year. One fifth of adolescent clients report use of a variety of other drugs, including club drugs, other opiates, and a number of prescription drugs. In addition, 6% of residential, and 41% of outpatient clients report that they regularly smoke cigarettes. 23

24 Adolescent Client Admissions Adolescent clients in residential treatment display slightly lower rates of co-existing mental health disorders than outpatient clients; this is somewhat contrary to rates among their adult counterparts Ever diagno sed with co-existing psychiatric disorder 18 Ever treated for co-existing psychiatric diso rder 8 5 Suicide attempts Child of Alcohol/ Substance user Veteran with active combat Mental Health Status 24

25 Adolescent Client Admissions The majority of adolescent clients has an active status with courts, corrections, parole or probation, police or other criminal justice agencies. Of those with a recent criminal record, 46% of clients had at least one arrest in the past 6 months. Legal Status Charges include: Drug and Alcohol related (39%) Other charges (25%) Violence (17%) Recent CJS involvement No recent CLS involvement Property charges (12%) Disturbance of public order (7%) 25

26 Adolescent Client Admissions For most adolescents in residential treatment, their current admission to Daytop is not their first episodes of drug treatment. On the other hand, for half of outpatient clients the current admission is their first treatment for substance abuse problems. Drug Treatment History No previous treatment 1-3 previous treatment episodes >3 treatment episodes 26

27 Adolescent Client Admissions Among adolescents, the Criminal Justice System dominates referral sources, more so in residential than outpatient treatment. Social services referrals are more common in outpatient than residential treatment; more adolescents than adults come through a social service agency. Treatment Referral Source Self/Family Detox Social Services CJS Other treatment Other 27

28 New York Client Discharge Patterns and Outcomes at the End of Treatment

29 Discharge Types A sizable number of clients in both residential and outpatient treatment decide to leave treatment before they have completed all their treatment goals On the other hand, around one quarter of clients successfully complete their prescribed course of treatment. All clients Completion/Graduation Voluntary Separation Involuntary Separation Legal/Med/Other 29

30 Retention Rates month 3months 6months 9months 12months All clients Average length of stay: Adults: 7 days long-term residential 7 days intermediate residential 72 days short-term residential 9 days outpatient Adolescents: 119 days residential 88 days outpatient 3

31 New Jersey New Jersey concentrates its services on adolescents with substance abuse problems. Treatment is provided in two residential facilities, and two outpatient programs.

32 Number of Clients Served New Jersey Census 7/1/5 Admissions 7/5-6/6 TOTAL Clients Served 5 Clients Served TOTAL 151 Total Census 361 Total Admissions 512 Total Adolescent Clients Served 32

33 NEW JERSEY All Client Admissions < Age Breakdown In Years The average age of clients admitted to residential treatment at Daytop-NJ is 16.5 years. Among clients admitted to outpatient treatment, the average age is 16.6 years. 33

34 NEW JERSEY Adolescent Client Admissions Young men represent the majority of adolescent clients, but somewhat less so in residential than outpatient treatment. NJ s Pittsgrove facility is a residential program for young men only Gender Breakdown Women Men 34

35 NEW JERSEY Adolescent Client Admissions Ethnicity Breakdown Unlike its counterparts in NY, Daytop NJ programs serve a majority of Caucasian/white clients. African-American Latino/a Caucasian/White Other Ethnicity 35

36 NEW JERSEY Adolescent Client Admissions Drug Use History As in previous years, Marijuana is by far the most frequently cited primary drug for adolescents. However, compared with their peers in NY programs, they report higher rates of primary Heroin and Cocaine use. Other drug use consists primarily of other opiates and prescriptions drugs. Primary Drug Use Heroin Cocaine Alcohol Crack Marijuana Other Primary Drug 36

37 NEW JERSEY Adolescent Client Admissions Adolescent clients in residential treatment display higher rates of co-existing mental health disorders; reversing the ratio seen last year in NJ and also in NY, where outpatient clients showed higher rates of co-occurring mental health problems. 5 Prior history or diagnosis of mental health problems 37

38 NEW JERSEY Adolescent Client Admissions The majority of NJ adolescent clients has an active status with the court, corrections, parole or probation, police or other criminal justice system, and many clients have been mandated to treatment by one of these agencies. Legal Status CJS involvement CJS mandated 38

39 NEW JERSEY Adolescent Client Admissions Three quarters of residential clients have been in drug treatment at least one prior time. On the other hand, close to two thirds of outpatient clients report that the current admission is their first admission to treatment. Drug Treatment History No previous treatment At least one previous treatment 39

40 New Jersey Client Discharge Patterns

41 NEW JERSEY Discharge Types More than one third of clients complete all of their treatment goals and successfully leave residential or outpatient treatment. In outpatient treatment, more clients successfully complete treatment than separate voluntarily. Completion/Graduation Voluntary Separation Involuntary Separation Legal/Med/Other Referral 41

42 NEW JERSEY Retention Rates The planned duration of stay for most clients in outpatient treatment is 3-6 months. The planned duration of stay for residential clients generally is 6-9 months mo 2-3mos 4-6mos 7-9mos - 12mos

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