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Click to edit Master title style<= /div>
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------=_NextPart_01C64C14.913F9D00 Content-Location: file:///C:/0915570D/Weds10.26_breakout7_Mangrum_files/master24.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C64C14.913F9D00 Content-Location: file:///C:/0915570D/Weds10.26_breakout7_Mangrum_files/pres.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C64C14.913F9D00 Content-Location: file:///C:/0915570D/Weds10.26_breakout7_Mangrum_files/slide0001.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1252" Slide 1
Characteristics of Primary Alcohol Users With and Wit= hout
Secondary Drug Use
Laurel Mangrum, Ph.D. and Richard Spence, Ph.D.= 3;
Addiction Research Institute
University of Texas at Austin
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Purpose of Study
<= span style=3D'color:#FFCC00;mso-color-index:6'>nA naturalistic study examining t= wo different primary alcohol user populations receiving substance abuse treatment
= <= span style=3D'color:#FFCC00;mso-color-index:6'>nAlthough not randomly assigned, = the client groups are expected to differ due to non-random reasons
= <= span style=3D'color:#FFCC00;mso-color-index:6'>nStudies of this nature are neede= d to inform clinician expectations of client outcomes based on presenting characteristics
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n= 15,102 primary alcohol users who received substance abuse treatment in state-funded programs during the Texas 2004 f= iscal year. 
n
n= The sample was divided into two groups based on secondary drug use:
nAlcohol-Only Users (AO; n= =3D 7,494)
nAlcohol-Drug Users (AD; n= =3D 7,608)
Study Sample
------=_NextPart_01C64C14.913F9D00 Content-Location: file:///C:/0915570D/Weds10.26_breakout7_Mangrum_files/slide0011.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1252" Slide 1
Demographic Characteristics
* = p < .0001
24%
33%
College Level Education*
38%
28%
  Never Married
39%
44%
  Divorced
2%=
3%=
  Widowed
21%
26%
  Married/Cohabitating
 
 
Marital Status*
1%=
1%=
  Other
57%
65%
  White
23%
25%
  Hispanic
19%
9%=
  Black or African American
 
 
Ethnic= ity*
67%
69%
  Male
33%
31%
  Female
 
 
Gender=
35.9
40.2
Age*
Group<= /b>
Group<= /b>
 
Alcoho= l-Drug
Alcoho= l-Only
 
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Employment
nThe AO group had higher employme= nt rates at admission (29% vs. 21%)
n =
<= span style=3D'color:#FFCC00;mso-color-index:6'>nOf those employed, the AO group = had a greater level of full-time employment (21% vs. 13%)
n =
<= span style=3D'color:#FFCC00;mso-color-index:6'>nThe AO group reported higher ann= ual income ($7,965 vs. $6,239)
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Legal Involvement
<= span style=3D'color:#FFCC00;mso-color-index:6'>nIncidence of  legal involvement was equivalent between the groups (45%)
n =
nThe AO group had a higher rate o= f DWI arrest during the past year (23 vs. 13%)
n =
<= span style=3D'color:#FFCC00;mso-color-index:6'>The AD group had a higher rate of other substance related arrests during the past year (13% vs. 6%)
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Substance Use and Treatment = History
* = p < .001     **p < .0001=
36% <= /span>
14% <= /span>
  History of IV Drug Use**
20.9 <= /span>
23.9 <= /span>
  Years of Alcohol Use**
15.0 <= /span>
16.3 <= /span>
  Age of First Use of Alcohol**
 
 
Substa= nce Use History
39%
36%
  Attended AA= Past 30 Days*
1.4 <= /span>
1 <= /span>
  Number of Non-Detox SA Treatments**
55% <= /span>
45% <= /span>
  Previous Non-Detox SA Treatment**<= /span>
1.2 <= /span>
1.2 <= /span>
  Number of Detox Treatments<= span style=3D'font-family:Arial;font-size:57%;text-shadow:none;mso-special-form= at: lastCR;display:none'>
42% <= /span>
41% <= /span>
  Previous Detox Treatment
 
 
Substa= nce Abuse Treatment History <= /span>
Group=
Group=
 
Alcohol-Drug =
Alcohol-Only=
 
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Frequency of Alcohol Use
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Secondary Substances of
Alcohol-Drug Group
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Number of Problem Days in Past = Month at Admission=
The nu= mber of problem days in the past month prior to admission were assessed in six domains.  No differences were fou= nd in the number of problem days in the areas of employment, family, or social functioning.

The SU= group reported a higher number of problem days related to drug or alcohol use a= nd the COPSD group had a higher number of problem days related to psychologi= cal issues and physical health.


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Treatment Level at Admission
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Discharge Characteristics
<= span style=3D'color:#FFCC00;mso-color-index:6'>nLength of treatment was signific= antly longer in the AO group (49 vs. 44 days)
n =
<= span style=3D'color:#FFCC00;mso-color-index:6'>nA significantly greater percenta= ge of clients in the AO group were assessed as completing treatment (74% vs. 69%)
n =
nThe groups were equivalent in the proportion of clients who attended AA (75%) and were abstinent (81%) during the previ= ous month
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Reason for Discharge
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60-Day Follow-Up
nFollow-up data were available for approximately 30%= of each group
n
nAbstinence rates at follow-up significantly higher for the AO= group (85% vs. 82%)
n
nAA attendance in the past 30 days was significantly hig= her for the AD group
n   (59% vs. 56%)
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Employment Rates
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Days of Alcohol Use
(Past 30 Days)
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Alcohol/Drug Problem Days
(Past 30 Days)
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Employment Problem Days
(Past 30 Days)
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Psychological Problem Days
(Past 30 Days)
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Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1252" Slide 1
Social Problem Days
(Past 30 Days)
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file:///C:/0915570D/Weds10.26_breakout7_Mangrum_files/slide0022.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1252" Slide 1
Family Problem Days
(Past 30 Days)
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Summary of Findings
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Demographics
= n
nAO users were more likely to be White, married, and over 40
n
nAD users were more often Black, never married, under 30, unemployed, and had lower education levels
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Admission Characteristics
nThe groups reported similar patterns of <= span style=3D'position:absolute;top:52.54%;left:3.67%;width:96.32%;height:49.15= %'>alcohol use in th= e 30 days prior to admission
n
nAD users had a higher incidence of previous substance abuse treatment and IV drug use
n
nAD users reported more problem days related to employment, fa= mily, social, psychological, and substance use issues.
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Treatment Characteristics
nThe AO users were more likely to receive = outpatient servic= es, whereas the AD group had a higher rates of residential treatment
nLength of treatment was greater and completion rates = were higher for the AO group
nThe groups had comparable levels of abstinence and AA attendance at discharge
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Follow-Up Characteristics
<= span style=3D'font-size:94%;color:#FFCC00;mso-color-index:6'>nAbstinence rates were higher in the AO users, but both groups displa= yed similar reductions in the number of alcohol use days
n =
<= span style=3D'font-size:94%;color:#FFCC00;mso-color-index:6'>nEmployment rates remained higher for AO users, <= /span>but both groups demonstrated increases in employment
n =
nComparable outcomes were found between the AO and AD groups in t= he number of problem days associated with drug/alcohol use, employm= ent, psychological issues, social, and family issues.
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Conclusions
<= span style=3D'color:#FFCC00;mso-color-index:6'>nAO and AD users may display simi= lar alcohol use patterns at admission; however, AD users may have more extensive substance abuse treatment histories and higher levels of psychosocial problems
n =
nThese findings highlight the importance of comprehensive assessment that includes a broad range of substance usage as well= as psychosocial domains
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T= he number of problem days in the past month prior to admission were assessed in six domains.  No differences were found in the number= of problem days in the areas of employm= ent, family, or social functioning.
The SU group reported a higher number of pr= oblem days related to drug or alcohol use = and the COPSD group had a higher number = of problem days related to psychological issues and physical health.
=
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