DHS Project Director Theodora Binion-Taylor
DHS Contract Mgr Carolyn Hartfield
Annual Grant $ $500,000
Evaluator Name & Contact Info

Emma J. Flowers, IOTA, Inc.

(773) 271-2348

Annual Eval $ $90,000
Contact for a copy of evaluation reports

Richard Sherman, Ph.D.

(773) 478-9265

Funding Source SAMHSA/CSAT
Eval Period 9/30/2007 - 9/29/2012

Targeted Capacity Expansion and HIV Services (TCE/HIV) Grant - El Rincon Community Clinic (Chicago)

In September 2007, IDHS/DASA was awarded funding of this five-year TCE/HIV project through an application submitted to Center for Substance Abuse (CSAT).

The purpose of this project is to expand and enhance the outpatient methadone treatment (OMT) services that are available to Chicago community areas. The target population of this TCE/HIV project is adult male and female Hispanic/Latino and African American residents of the following three mid-north City of Chicago community areas who are assessed to be in need of outpatient methadone treatment (OMT) services: Logan Square, Humboldt Park, and West Town. To be eligible for project services, male residents of the targeted communities must also be injection drug users or have been released from incarceration in prison or jail within the past two years.

It is projected that 250 minority male and female clients will be served through these expanded and enhanced OMT services during the five years of CSAT funding. IDHS/DASA contracted with El Rincon Community Clinic to provide the expanded and enhanced services supported through this CSAT TCE/HIV grant. The Outpatient Methadone Treatment services provided by El Rincon will be expanded by 75 slots, specifically for Hispanic/Latino and African American adult residents of the targeted Chicago community areas. Included in this project are service enhancements in the form of the evidence-based practice of comprehensive case management services.

IOTA, Inc. was contracted to perform this project's evaluation, under the direction of Richard E. Sherman, Ph.D. IOTA, Inc. is an African American female-owned corporation specializing in a range of program development and support services to human service organizations and agencies. IOTA was incorporated in Illinois in 1992. Two additional IOTA evaluation team members, IOTA President, Emma J. Flowers and Yvonne B. Sherman collaborate in the provision of evaluation data collection, processing, and reporting activities.

Capacity

This project's application contained a statement of goals and objectives that included a proposed cumulative intake target of 250 unduplicated minority male and female clients over the five years of CSAT funding, 50 during each project year. As of July 14, 2009, 149 client intakes had been entered on the CSAT SAIS web site. This represents 156.8% of the cumulative target of 95 intakes up to this point. The following is a summary of baseline characteristics of the minority male and female clients who have thus far been admitted to treatment through this TCE/HIV project.

  • Forty percent (40%) of the clients thus far admitted to this TCE/HIV project are female and they are on average 40.0 years of age at time of admission. About 30% of the clients indicated African American as their race.
  • Nearly 70% of the admitted clients reported themselves to be of Hispanic ethnicity. All but 17 of these 103 clients indicated that they were Puerto Rican.
  • Over 50% of the clients reported that they had not completed high school.
  • Only three of the admitted clients reported being employed full-time at time of admission and only six of the clients reported part-time employment. Nearly 50% of the clients reported that they were unemployed looking for work, and almost 25% reported that they were unemployed not looking for work.
  • A little less than 45% of the clients reported living in their own home or apartment and all but eight of the remaining clients reported living in someone else's home or apartment.
  • The majority of admitted clients reported some level of feelings of stress, reduction in important activities, and emotional problems during the 30 days prior to admission that they attributed to their substance use.
  • Nearly 50% of the clients rated their current health as "fair" or "poor."
  • Over 55% of the clients stated that they had injected drugs during the 30 days prior to admission, and a little over 15% stated that they had used "works" that had been used by others.
  • Over 25% of the admitted clients reported being on probation or parole at time of admission and 7% reported that they were awaiting trial or sentencing.
  • Over one-third of the clients reported unprotected sexual contacts during the 30 days prior to admission. Seven of the clients reported unprotected sexual contacts with a drug user and 10 reported unprotected contacts with someone "high" on some substance.
  • Relatively few of the clients reported attendance at any type of recovery support group during the 30 days prior to admission. However, over 80% reported interactions with family and/or friends who are supportive of recovery during the 30 days prior to admission.
  • Nearly 45% of the admitted clients reported serious depression, over 35% reported serious anxiety or tension, and over 25% reported trouble concentrating or remembering during the 30 days prior to admission that were not attributable to their substance use. However, less than 8% of the admitted clients reported having taken prescribed psychiatric medications during that time period.
  • Over 80% of the clients reported having children. There was an average of 2.8 children among the admitted clients. Six of the clients reported having children living elsewhere due to a court order, and 15 reported having lost custody of their children.
  • The clients thus far admitted to this project reported an average of 25.5 days of heroin use during the 30 days prior to admission. These clients also reported an average of 3.2 days of cocaine use and an average of 3.0 days of alcohol use during the 30 days prior to admission.

Effectiveness

As part of this TCE/HIV project evaluation, attempts are being made to administer the expanded GPRA data collection tool at six-months post-admission. This is the follow-up interval required by CSAT for TCE/HIV projects. The first clients admitted to this project came due for six-month follow-up during May 2008. IOTA is responsible for conducting these six-month follow-up interviews. As of this interim report's preparation, a total of 110 completed follow-up tools were received for the 120 clients who had come due for six-month follow-up. This represents an interim follow-up rate of 91.7%. Partial results from an interim analysis of El Rincon client follow-up responses are provided in the below table.

This analysis is based on the 110 paired baseline and six-month follow-up interviews that were downloaded from the CSAT SAIS web site on July 14, 2009. Baseline and six-month follow-up comparisons that are statistically significant are noted. The Wilcoxon Signed-Rank (Z) and chi-square (?2) tests of statistical significance are used. "N.S." is noted in the case of comparisons that were not statistically significant. The following is a summary of findings from these interim results. The summary of interim evaluation findings is arranged by CSAT GPRA domain.

Self-sufficiency

  • There was a statistically significant change from admission to six-month follow-up in the employment status pattern among the interviewed clients. About 7% of the clients were employed at admission, but at six-month follow-up 10% reported being employed full-time and 10.9% reported part-time employment.

Social Support/Functioning

  • There was a significant decrease from baseline to six-month follow-up among the interviewed clients in average income from illegal sources.
  • There were statistically significant increases from baseline to six-month follow-up in the percentages of interviewed clients who reported attendance at non-faith based organization self-help groups, and other groups that support recovery.

Mental/Physical Health Status

  • There was a significant decrease from baseline to six-month follow-up among the interviewed clients in average days of self-reported depression.
  • There was a significant increase from baseline to follow-up in the percentage of clients who reported their overall health status to be excellent or good.

Alcohol and Drug Use

  • There were significant reductions at the time of follow-up in the percentages of clients who reported feelings of stress, reduction in important activities, and emotional problems due to substance abuse during the past 30 days.
  • At the time of six-month follow-up, clients reported significant reductions during the past 30 days in average days of use of cocaine, marijuana, and heroin as compared to the 30 days prior to admission. Nearly 55% of the interviewed clients reported abstinence from heroin during the 30 days prior to their follow-up interviews.
  • There was also a significant reduction from baseline to six-month follow-up in the percentage of clients who reported injecting drugs during the past 30 days.