National Treatment Improvement Evaluation Study (NTIES), 1992-1997 (ICPSR 2884)
Alternate Title: NTIES, 1992-1997
Principal Investigator(s): United States Department of Health and Human Services. Substance Abuse and Mental Health Services Administration. Center for Substance Abuse Treatment
Summary: The National Treatment Improvement Evaluation Study (NTIES) is a congressionally-mandated five-year study of the impact of drug and alcohol treatment on thousands of clients in hundreds of treatment units that received public support from the Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Substance Abuse Treatment (CSAT). NTIES inquired about the allocation of grant money to treatment programs, to investigate what improvements were made with these monies and how m... (more info)
Access Notes
This data is freely available.
This study is maintained and distributed by the Substance Abuse & Mental Health Data Archive (SAMHDA). SAMHDA is supported by the Substance Abuse & Mental Health Services Administration (SAMHSA), Center for Behavioral Health Statistics and Quality (CBHSQ), formerly the Office of Applied Studies.
Dataset(s)
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ASCII + SAS Setup SPSS Setup Stata Setup
ASCII + SAS Setup SPSS Setup Stata Setup
ASCII + SAS Setup SPSS Setup Stata Setup
Study Description
Citation
United States Department of Health and Human Services. Substance Abuse and Mental Health Services Administration. Center for Substance Abuse Treatment. National Treatment Improvement Evaluation Study (NTIES), 1992-1997. ICPSR02884-v4. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2009-02-18. doi:10.3886/ICPSR02884.v4
Persistent URL: http://dx.doi.org/10.3886/ICPSR02884.v4
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Funding
This survey was funded by:
- United States Department of Health and Human Services. Substance Abuse and Mental Health Services Administration. Center for Substance Abuse Treatment (270-96-7016)
Scope of Study
Summary: The National Treatment Improvement Evaluation Study (NTIES) is a congressionally-mandated five-year study of the impact of drug and alcohol treatment on thousands of clients in hundreds of treatment units that received public support from the Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Substance Abuse Treatment (CSAT). NTIES inquired about the allocation of grant money to treatment programs, to investigate what improvements were made with these monies and how many and what type of clients were affected by the grant awards. The NTIES project collected longitudinal data on a purposive sample of clients in treatment programs receiving CSAT demonstration grant funding. Client-level data were obtained at treatment intake, at treatment exit, and 12 months after treatment exit. Service delivery unit (SDU) administrative and clinician (SDU staff) data were obtained at two time points, one year apart. Data were collected across several important outcome areas, including drug and alcohol use, physical and mental health, criminal activity, social functioning, and employment. For a random sample of approximately half of those interviewed, urine specimens were collected at follow-up to corroborate clients' self-reports of substance abuse, in addition to arrest records to validate self-reports. Substances covered in the study included alcohol, analgesics, antianxiety medications, anticonvulsants, antidepressants, antimanics, barbiturates, cocaine (powder and crack), depressants, hallucinogens/psychedelics, heroin and other opiates, illegal methadone, inhalants, marijuana/hashish, methadone, methamphetamine/amphetamine and other stimulants, narcotics, and sedatives.
Subject Terms: AIDS, criminal histories, drug treatment, employment, health status, HIV, mental health, program evaluation, social behavior, substance abuse, treatment outcomes, treatment programs
Geographic Coverage: United States
Time Period:
- 1992--1997
Date of Collection:
- 1992--1997
Universe: Substance abuse treatment units in the United States receiving funding from CSAT under one of three demonstration grants: Target Cities, Critical Populations, and Criminal Justice.
Data Types: survey data
Data Collection Notes:
Data were collected by the National Opinion Research Center (NORC) at the University of Chicago with assistance from Research Triangle Institute, Research Triangle Park, NC. The NTIES public use files were prepared by NORC and deposited by Caliber Associates, Arlington, VA, under the National Evaluation Data Services (NEDS) contract with CSAT.
To fully utilize the NTIES study design for analytic purposes, the combination of records from two or more of the client-level data files is necessary. Some combination of intake records (NRIQ), treatment exit records (NTEQ), treatment follow-up records (NPAQ), treatment services abstracts (NPRAF), or clinical unit records (NCLU) is needed to adequately assess changes in client behaviors over time. Client records can be matched between data files using the CASEID variable.
To protect the privacy of respondents, all variables that could be used to identify individuals have been removed from or edited in the public use file. Because of the disclosure alterations, estimates derived from the public use file will not always exactly match the detailed results published in SAMHSA reports, but the alterations should not affect analytic uses of the data.
Due to the disclosure alterations, there are slight inconsistencies in the categorical ranges for "hours worked" variables between the NRIQ and NPAQ files.
Individuals served by CSAT grants were generally from vulnerable and underserved populations (minorities, pregnant women, youth, public housing residents, welfare recipients, and those in the criminal justice system). Results from the NTIES may not generalize to all clients in substance abuse treatment or to all kinds of service delivery units.
Methodology
Sample: NTIES measured the outcomes of treatment primarily through a method known as a "before/after" or "pre/post" panel design. From a universe of 698 SDUs, 82 SDUs were selected on a purposive basis for participation in NTIES. Of the 82, clients from 78 SDUs (for an SDU response rate of 95 percent) were included in the study. Clients were interviewed three times: shortly after their first day of treatment, when they left treatment, and then at 12 months after the end of treatment. The response rate among clients was 85 percent, with 6,593 clients participating in the Intake Questionnaire (NRIQ), 5,274 participating in the Treatment Experience Questionnaire (NTEQ), and 5,388 participating in the Postdischarge Assessment Questionnaire (NPAQ). Records abstraction was completed for 6,420 clients. The records of those respondents participating in all three interviews are flagged by the variable "IN_4411" in the NPAQ data file (Part 3). This is referred to as the Outcome Analysis Sample and includes 4,411 records, or 67 percent of those participating in the initial interview. Some cases were excluded from the analysis sample for reasons other than nonparticipation in the three interviews, such as when the treatment exit date was missing or undetermined, length of the interval for the follow-up interview was inappropriate (less than 5 or more than 16 months), or the client was incarcerated for most or all of the follow-up period. Of the SDUs sampled for the NTIES outcome analysis, 44 percent were Target Cities programs, 38 percent were Critical Populations programs, and 23 percent were Criminal Justice programs. Criminal Justice SDUs that were funded as part of the CSAT 1990-1992 demonstrations were purposely oversampled as part of the NTIES evaluation design. Nearly half of the sampled SDUs were non-methadone outpatient programs, and about one-quarter were long-term residential programs.
Data Source:
personal interviews and patient records
Extent of Processing: ICPSR data undergo a confidentiality review and are altered when necessary to limit the risk of disclosure. ICPSR also routinely creates ready-to-go data files along with setups in the major statistical software formats as well as standard codebooks to accompany the data. In addition to these procedures, ICPSR performed the following processing steps for this data collection:
- Performed consistency checks.
- Standardized missing values.
- Created online analysis version with question text.
- Performed recodes and/or calculated derived variables.
- Checked for undocumented or out-of-range codes.
Version(s)
Original ICPSR Release: 2000-10-16
Version History:
- 2009-02-18 New files were added. These files included one or more of the following: Stata setup, SAS transport (CPORT), SPSS system, Stata system, SAS supplemental syntax, and Stata supplemental syntax files, and tab-delimited ASCII data file.
- 2005-11-04 On 2005-03-14 new files were added to one or more datasets. These files included additional setup files as well as one or more of the following: SAS program, SAS transport, SPSS portable, and Stata system files. The metadata record was revised 2005-11-04 to reflect these additions.
- 2004-03-22 Corrections to variable labels were made in the codebooks and data definition statements for Parts 1 and 3.
- 2001-05-29 Part 5, the NTIES Clinical Unit Data (NCLU), was added to the data collection. The NCLU file contains data related to the service delivery unit (SDU) in which the client received treatment. Minor revisions were also made to the codebooks for Parts 1 through 4.
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Variables
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DS1: NTIES Research Intake Questionnaire (NRIQ)
Now, I would like you to think about any out-patient treatment you may have had for problems with your emotions, nerves, or mental health. Have you ever received out-patient treatment for problems with your emotions, nerves, or mental health?
Right now, how troubled or bothered are you by your emotions, nerves, or mental health? Would you say not at all, somewhat, or very much?
Right now, how important to you is treatment for emotions, nerves, or mental health problems? Would you say not at all important, somewhat important, or very important?
How many times have you stayed somewhere for at least 24 hours for treatment of problems with your emotions, nerves, or mental health?
{Note 1: Not including any drug or alcohol treatment,} Have you ever stayed somewhere for at least 24 hours for professional treatment of problems with your emotions, nerves, or mental health?
Did you receive any of this out-patient treatment before you were 18 years old?
Since (DATE 12 MONTHS AGO) of last year, have you stayed somewhere, at least overnight, for treatment of problems with your emotions, nerves, or mental health?
How old were you the first time you stayed somewhere for at least 24 hours for treatment of problems with your emotions, nerves, or mental health? RECORD R's AGE. PROBE FOR APPROXIMATE AGE IF R IS UNCERTAIN.
Were medical, psychiatric/mental health or other health agency staff important in getting you to come to {Note 1: treatment or counseling at this time/this program}?
In the past seven days, did you take any medicines that were prescribed by a doctor for your emotions or nerves, a mental health problem, or a drug or alcohol problem?
DS2: NTIES Treatment Experience Questionnaire (NTEQ)
What {Note 1: were/have} your treatment goals {Note 2: been}? CODE ALL GOALS MENTIONED: Improve mental health/get help with emotional problems Note 1: 'were' if T132=2 'have' if T132=1 blank if otherwise Note 2: 'been' if T132=1 blank if otherwise
OTR MENTAL HEALTH TX FROM PROGRAM? Where did you receive this treatment? Was it at {Note 1: PROGRAM}, another place {Note 2: PROGRAM} sent you to, or somewhere else? CODE ALL THAT APPLY. Note 1: See T93 Note 1 Note 2: See T93 Note 1
OTR MENTAL HEALTH TX FROM SOMEWHRE ELSE? Where did you receive this treatment? Was it at {Note 1: PROGRAM}, another place {Note 2: PROGRAM} sent you to, or somewhere else? CODE ALL THAT APPLY. Note 1: See T93 Note 1 Note 2: See T93 Note 1
(HAND R SHOWCARD K). Since {Note 1: STOP DATE}, how many times have you gone to a clinic, doctor or counselor for problems with your emotions, nerves, or mental health? Has it been 1-5 times, 6-10 times, 11-30 times, or 31 times or more? CODE ONE ONLY. Note 1: Stop date=T121 blank if otherwise
REC^D MENTAL HLTH TX FROM PROGRAM? Where {Note 1: did you receive/have you received} the counseling or treatment? {Note 2: Did you receive/Have you received} it at {Note 3: PROGRAM}, at another place {Note 4: PROGRAM} sent you to, or somewhere else? CODE ALL THAT APPLY. Note 1: See T203 Note 4 Note 2: See T203 Note 4 Note 3: See T93 Note 1 Note 4: See T93 Note 1
REC^D MENTAL HLTH TX FROM SOMWHRE ELSE? Where {Note 1: did you receive/have you received} the counseling or treatment? {Note 2: Did you receive/Have you received} it at {Note 3: PROGRAM}, at another place {Note 4: PROGRAM} sent you to, or somewhere else? CODE ALL THAT APPLY. Note 1: See T203 Note 4 Note 2: See T203 Note 4 Note 3: See T93 Note 1 Note 4: See T93 Note 1
IF R IS STILL IN TREATMENT, SKIP TO 442. Not including any drug or alcohol treatment, since {Note 1: STOP DATE}, have you stayed in a hospital, clinic, or mental health center for at least 24 hours for problems with your emotions, nerves, or mental health? Note 1: Stop date=T121 blank if otherwise
Since {Note 1: STOP DATE}, have you received any other treatment for problems with your emotions, nerves, or mental health? CODE ONE ONLY. Note 1: Stop date=T121 blank if otherwise
From {Note 1: START DATE} to {Note 2: {Note 3: STOP DATE}/today}, {Note 4: did you receive/have you received} any counseling or treatment for problems with your emotions, nerves, or mental health? Note 1: Start date from intake form Note 2: See T141 Note 4 Note 3: See T141 Note 5 Note 4: See T203 Note 4
OTR MENTAL HEALTH TX FROM OTR PROGRAM? Where did you receive this treatment? Was it at {Note 1: PROGRAM}, another place {Note 2: PROGRAM} sent you to, or somewhere else? CODE ALL THAT APPLY. Note 1: See T93 Note 1 Note 2: See T93 Note 1
DS3: NTIES Postdischarge Assessment Questionnaire (NPAQ)
Right now, how troubled or bothered are you by your emotions, nerves, or mental health? Would you say not at all, somewhat, or very much?
Now, I would like you to think about any out-patient treatment you may have had for problems with your emotions, nerves, or mental health. Since {Note 1: STOP DATE/NTEQ DATE}, have you received out-patient treatment for problems with your emotions, nerves, or mental health? Note 1: See P138 Note 1
Not including any drug or alcohol treatment, since {Note 1: STOP DATE/ NTEQ DATE} have you stayed somewhere for at least 24 hours for professional treatment of problems with your emotions, nerves, or mental health? Note 1: See P138 Note 1
Since {Note 1: STOP DATE/NTEQ DATE}, how many times have you stayed somewhere for at least 24 hours for treatment of problems with your emotions, nerves, or mental health? RECORD NUMBER OF TIMES. NUMBER OF TIMES:
In the past seven days, did you take any medicines that were prescribed by a doctor for your emotions, nerves, or mental health?
Since this past (DATE 30 DAYS AGO), have you had any of these problems with a serious nerve condition, such as convulsions, epilepsy, or migraine headaches? Please do not include any mental health problems.
(HAND R SHOWCARD K). Since {Note 1: STOP DATE/NTEQ DATE}, how many times have you gone to a clinic, doctor or counselor for problems with your emotions, nerves, or mental health? Has it been none, 1-5 times, 6-10 times, 11-30 times, or 31 times or more? Note 1: See P138 Note 1
DS5: NTIES Clinical Unit Data (NCLU)
Using your best professional judgement, please estimate the clinical importance of the following services by assigning them in a rank order from 1 (most important) to (least important). Please consider the importance of the services for the patients you are now treating, whether or not the services are actually available at the present time. Please do NOT assign the same rank to any 2 categories. If services are ranked closely to each other, it is understood that there many not be much difference between them. PSYCHIATRIC WORK-UP AND MENTAL HEALTH SERVICES [MEAN RANK GIVEN BY CLINICIANS IN SDU]:
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