Knowledge Item: CA-Psychosocial Services-25
Models Linking Receipt of Psychosocial Services to Drug Abuser Status

A series of logistic regression analyses were used to show whether current and prior drug abusers were more or less likely to receive 39 kinds of services during their service episodes than individuals not identified as drug abusers. The individual analyses control for project (site), gender, days in the program, and status as active in the program on the last day of data collection.

The following table summarizes the 39 logistic regression analyses by showing, for each type of service ever received during the service episode in the SPNS project studied here, whether the likelihood of receiving the service was significantly higher for prior users (as compared to individuals not identified as drug abusers); for current drug abusers users (as compared to individuals not identified as drug abusers); and for women (as compared to men). If an odds shown below are greater than 1.0, that type of person is that many times more likely to get the service than the comparison group. If an odds shown below are less than 1.0, then that type of person is that much less likely to get the service than the comparison group. Odds can be as small as .001 and as large as "infinity" although numbers larger than about 10 are not typical. Significance tests are also shown for the odd reported in the table. The individual analyses control for project (site), gender, days in the program, and status as active in the program on the last day of data collection. Consider the first row of the table. Current drug abusers are almost twice as likely as individuals not identified as drug abusers to receive an HIV risk assessment during their treatment episode. Whether drug abusers or not, women are about half as likely as men to receive such an assessment.

Type of Service

Odds ratio for prior drug abusers as compared to individuals not identified as drug abusers Odds ratio for current drug abusers as compared to individuals not identified as drug abusers Odds ratio for female clients as compared to male clients
Received HIV risk assessment services .999 1.658 .406*** [women less]
Received HIV pre-test counseling .393 .793 1.155
Received HIV testing .905 1.751 1.268
Received HIV post-test counseling .585 2.352 .976
Received HIV prevention .925 1.153 .510** [women less]
Received HIV-related services 1.997 1.284 1.089
Received individual (crisis or other mental health) counseling 1.673** [drug abusers more] 1.855* [drug abusers more] .589
Received individual therapy/counseling 1.971*** [drug abusers more] 1.918* [drug abusers more] .654
Received psychiatric/psychosocial assessment 1.558* [drug abusers more] 2.049** [drug abusers more] .418** [women less]
Received psychiatric evaluation 1.013 .853 4.454
Received psychosocial assessment 1.743** [drug abusers more] 2.136** [drug abusers more] .380** [women less]
Received individual crisis intervention 2.043*** [drug abusers more] 1.920* [drug abusers more] .851
Received other individual mental health services 1.509 1.343 .733
Received group (crisis, peer, or other) counseling 1.045 .961 .647
Received group crisis intervention .788 .667 .360** [women less]
Received family/couple counseling .859 .950 1.173
Received group counseling 1.103 1.030 .651
Participated in peer support group .829 .771 .629
Received "other" group counseling 1.374 1.194 .749
Participated in 12-step group 7.685*** [drug abusers more] 7.392*** [drug abusers more] 1.256
Received relapse prevention 3.699*** [drug abusers more] 4.028*** [drug abusers more] .722
Received substance abuse treatment/counseling 7.113*** [drug abusers more] 8.013*** [drug abusers more] .583
Received other substance abuse services 6.125*** [drug abusers more] 4.605*** [drug abusers more] 1.039
Received advocacy services 1.803** [drug abusers more] 2.039** [drug abusers more] .603* [women less]
Received clinical assessment case management .947 .867 .420** [women less]
Received educational case management  1.105 1.042 .935
Received financial case management 1.290 .879 1.348
Received housing case management 1.231 1.024 .746
Received legal case management 2.377** [drug abusers more] 1.457 .503* [women less]
Received medical case management 1.361 1.662 .703
Received vocational case management  1.107 1.525 .461
Received other case management services 1.853 1.434 .752
Participated in other activities .810 .799 .826
Received accompaniment services 1.058 .868 1.079
Received family planning services 1.140 1.046 6.148** [women more]
Received informational and referral services 1.033 1.323 .905
Participated in recreational activities 1.138 .982 .590
Received transportation services 1.594* [drug abusers more] 1.638* [drug abusers more] .832
Received "other" specified services 1.264 .710 .753

* p < .05    ** p < .01     *** p < .001

Knowledge Item Citation: Huba, G. J., Melchior, L. A., Panter, A. T., and the HRSA/HAB SPNS Cooperative Agreement Steering Committee (1998-2001). Knowledge Item: CA-Psychosocial Services-25 from HRSA/HAB's SPNS Cooperative Agreements on Innovative Models of Care, The Measurement Group Knowledge Base on HIV/AIDS Care, Online at www.TheMeasurementGroup.com.

Last Updated: March 25, 2005; data through June 15, 1999; analyses conducted January - June 2000.



Knowledge Base Citation: The Knowledge Base and this Knowledge Item were designed and authored by G. J. Huba, Ph.D.; in collaboration with Lisa A. Melchior, Ph.D.; A. T. Panter, Ph.D.; and the staff of The Measurement Group. Cite this work as "Huba, G. J., Melchior, L. A., and Panter, A. T. (1998 - 2001). The Measurement Group Knowledge Base on HIV/AIDS Care. On the World Wide Web: http://www.TheMeasurementGroup.com."

Questions or Comments: Contact The Measurement Group.

Use of Knowledge Base Information: Acceptable Uses and Limitations.

Collaborators from Participating Projects: Cooperative Agreement Steering Committee 1999

Participating Projects: This Knowledge Base is based on the service delivery experiences of 27 Cooperative Agreement Projects on Innovative Models of HIV/AIDS Care. These projects and the Evaluation and Dissemination Center which produced this Knowledge Base were funded by the Health Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB) as Special Projects of National Significance (SPNS) between 1994 and 1999. Click the Model Programs button above for descriptions of the projects that contributed to this specific Knowledge Item, a list of key staff, and project grant numbers.

Why This Evaluation was Conducted: Editorial.

More Information: Design of this Knowledge Base.

Recommended Citation Format for Web Materials: American Psychological Association Publication Manual Section, Revised 2001.

Work on the Knowledge Base and the cross-cutting evaluation was supported in part by Grant Number 5 U90 HA 00030-05 from the Health Resources and Services Administration (HRSA), HIV/AIDS Bureau's (HAB) Special Projects of National Significance (SPNS). The contents of this Knowledge Base are solely the responsibility of The Measurement Group and do not necessarily represent the official views of HRSA or HRSA/HAB's Special Projects of National Significance nor may they represent the positions of the individual grantees whose projects are included in the cross-cutting evaluation.



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