This study examined the comparability of a convenience sample of adolescents and adults in alcohol and other drug (AOD) treatment to the general population under study. As part of the SAMHSA-CSAT cooperative agreements to study the effects of Medicaid Managed Care on AOD treatment for adults and adolescents, self-report interview data were compared to admission and discharge records from the NYS Office of Alcoholism and Substance Abuse Service Client Data System (CDS). Comparing adolescent self-report data to the CDS we found congruence on the proportion of males and females, primary treatment modalities, and distribution of racial composition. The sample differed from the population such that the sample had higher rates of criminal justice referrals. Comparisons on primary drug of abuse and primary payor source were not possible for this analysis. Comparing adult self-report data to the CDS we found congruence in racial composition, primary payor source (i.e., Medicaid fee-for-service), and proportion in inpatient and methadone treatment. The sample differed from the population with a greater proportion of females, proportion in outpatient and crisis treatment, and proportion indicating Medicaid managed care as a payer source. Implications: This analysis shows that, in general, the adolescent and adult samples tend to be comparable to the population on demographic indicators but differ on variables indicating risk behaviors and problem severity. Further analysis will be conducted to determine whether the sample is derived from zip codes with higher risk factors based on results from the NYS-OASAS Treatment Needs Assessment study.
Learning Objectives: 1. Understand and recognize the similarities and differences between the study sample and the CDS treatment population. 2. Recognize distinguishing components of the AOD treatment system for adults and adolescents in NYS
Keywords: Adolescents, Medicaid Managed Care
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: Funded by Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment, grant # 5 UR TI 11285 and # 5 UR 7 TI 1134