2005-06 Fiscal Year - Department of Public Healthpublichealth.lacounty.gov/sapc/annualreview/AR_2005-06... · 2008. 5. 30. · The 2005-06 Annual Review is composed of the following

Los Angeles County Department of Public Health

Alcohol and Drug Program Administration

Annual Review of Adult Participants in Alcohol and Drug Programs

Contracted by the Alcohol and Drug Program Administration

2005-06 Fiscal Year

Prepared by Planning Division

Los Angeles County Department of Public Health Alcohol and Drug Program Administration

Annual Review of Adult Participants in Alcohol and Drug Programs Contracted by the

Alcohol and Drug Program Administration 2005-06 Fiscal Year

Executive Summary

Introduction The tenth Annual Review is a comprehensive descriptive report on the adult participants who received various types of treatment/recovery services from alcohol and drug programs contracted with the Los Angeles County Alcohol and Drug Program Administration (ADPA) during the 2005-06 Fiscal Year. Note that the majority of information and statistics presented in the Annual Review is based on participant admission and discharge information collected through ADPA’s Los Angeles County Participant Reporting System (LACPRS). LACPRS is an ongoing, standardized, computer-supported system sustained by a close working relationship between ADPA and contracted alcohol and drug program providers. The 2005-06 Annual Review is composed of the following five chapters:

Chapter 1 provides statistical information on participants in ADPA-contracted alcohol and drug treatment/recovery programs over five fiscal years (2001-02 to 2005-06). This includes program admission, participant demographic, primary drug problem, and treatment outcome statistics.

Chapter 2 starts with a description of treatment services by division and program type. For

each program type, a description of participants who were served in the 2005-06 Fiscal Year is provided along with key trend statistics that occurred over five fiscal years, 2001-02 to 2005-06.

Chapter 3 provides admission, participant, and outcome trend statistics by special

programs designed to serve the following special populations: criminal justice defendants, homeless individuals, needle users, persons with co-occurring mental illness and substance abuse problems, pregnant and parenting women, and public assistance recipients.

Chapter 4 provides participant-related demographic statistics for each of the 150

community-based agencies contracted with ADPA to provide alcohol and drug treatment/recovery services during the 2005-06 Fiscal Year.

Chapter 5 is composed of numerous “Fact Sheets” which cover key Los Angeles County

alcohol and drug-related indicators and outcomes.

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ADPA-Funded Alcohol and Drug Treatment/Recovery Program Admissions During the 2005-06 Fiscal Year, ADPA contracted with 150 community-based agencies that provided the following types of alcohol and drug treatment programs in Los Angeles County.

Table 1 - Type and Number of Treatment Programs, 2005-06 Fiscal Year

Non-Residential Programs Number Residential Programs Number Day Care 43 Residential Detoxification 5 Outpatient Counseling 186 Residential Services 94 Narcotic Treatment Detoxification 8 Narcotic Treatment Maintenance 26

During the 2005-06 Fiscal Year, 150 ADPA contracted community-based agencies provided treatment/recovery services to a total of 44,853 participants who accounted

for 56,016 program admissions

Table 2 shows the number of annual participants and program admissions from 2001-02 to 2005-06 fiscal years. Over the five fiscal years, the annual number of admissions to programs increased by 24.8% and the individual participants increased by 23.4%.

Table 2 - Total Number of Admissions and Participants by Fiscal Year

Treatment/Recovery Programs

Fiscal Year Admissions Participants

2001-02 44,861 36,328

2002-03 47,148 38,052

2003-04 57,911 45,048

2004-05 58,964 47,519

2005-06 56,016 44,853

Source: Los Angeles County Participant Reporting System

Treatment/Recovery admissions to programs increased by 24.8% over five fiscal years (2001-02 to 2005-06)

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Participant Characteristics Participant demographics have remained relatively constant over the five fiscal years (2001-02 to 2005-06). During the 2005-06 Fiscal Year, most of the treatment/recovery program participants were male (65.4%); Hispanic/Latino (34.2%), White (29.8%), or Black/African American (25.4%); between 25 and 44 years of age (57.5%); had 9 to 12 years of education (75.4%); and unemployed (68.4%). Methamphetamine (30.8%) was the most frequently reported primary drug problem followed by cocaine/crack (23.0%) and alcohol (19.7%). Over five fiscal years (2001-02 to 2005-06), the number of participants reporting methamphetamine as their primary drug problem has increased each year.

Methamphetamine use has increased each fiscal year,

17.4% to 30.8% (2000-01 to 2005-06)

Participant Discharge Status Participants with “Positive Compliance” are those who completed treatment or left before completing treatment with satisfactory progress. Over half of the program participants had positive treatment outcomes four out of five fiscal years (2001-02 to 2005-06). The five year-year average for positive treatment compliance was 52.3%.

Over five fiscal years (2001-02 to 2005-06), an average of 52.3% of the participants received a positive treatment compliance assessment at program discharge. They

successfully complied with their individualized treatment plans.

Treatment Services by Division and Program Type Program participant characteristics were relatively similar across program types. Regardless of program type, the majority of participants were male, between 25 and 44 years of age, had 9 to 12 years of education, and were unemployed. Most participants were Hispanic/Latino, White, or Black/African American. The notable exceptions for the 2005-06 Fiscal Year were:

• Of the six program types, only day care programs provided services primarily to female participants (86.2%).

• Narcotic treatment programs served the largest proportion of older program

participants. Among the narcotic treatment programs (detoxification and maintenance), over half of the participants were between 45 and 64 years of age, 54.9% and 55.8%, respectively.

Narcotic Treatment Programs served the largest proportion of older adult participants, 45 to 64 years of age.

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Treatment Services by Division and Program Type - Continued

• Methamphetamine was the most frequently reported primary drug problem for three program types; day care (41.2%), outpatient counseling (33.1%), and residential services (36.5%). Over 90% of participants in narcotic treatment programs reported heroin as their primary drug problem. This is to be expected since by design narcotic treatment programs provide services to individuals addicted to heroin or other morphine-like drugs. Heroin (43.3%) also ranked as the number one drug problem for participants who received residential detoxification services.

Table 3 shows positive treatment compliance by program type for the 2005-06 Fiscal Year. Positive outcomes varied among program types. However, residential programs had higher percentages of positive compliance. The majority of participants in residential detoxification (79.3%), residential services (61.6%), and NTP detoxification (50.6%) complied with their treatment plans.

Table 3 – Positive Treatment Compliance 2005-06 Fiscal Year

Positive Compliance

Program Type Discharges Number Percent

Non-Residential

Day Care 905 360 39.8

Outpatient Counseling 13,477 5,871 43.6

NTP – Detoxification 543 275 50.6

NTP – Maintenance 630 145 23.0

Residential

Detoxification 4,266 3,385 79.3

Residential Services 9,686 5,970 61.6

Overall 29,507 16,006 54.2

The majority of participants in residential detoxification (79.3%), residential services (61.6%), and NTP detoxification (50.6%)

had positive treatment outcomes. Special Populations

ADPA-contracted treatment/recovery programs address specific needs of certain populations such as criminal justice defendants, homeless individuals, needle users, persons with co-occurring mental illness and substance abuse problems, pregnant and parenting women, and public assistance recipients.

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Special Populations - Continued Table 4 provides a summary of the special populations who received services during the 2005-06 Fiscal Year.

Table 4 – 2005-06 Fiscal Year Special Population Admissions and Participants

Special Population Admissions Participants Target Group

CalWORKs’ Recipients 2,325 2,049 CalWORKs’ (welfare reform) recipients with alcohol/drug problems

Co-Occurring Disorders 12,263 10,395 Individuals with co-occurring mental illness and substance abuse problems

Drug Court Defendants 2,317 1,886 Non-violent drug offenders

Female Offenders Project 106 98 Female inmates from California Institute for Women in Frontera

General Relief Recipients 3,921 3,637 General Relief (indigent adults) recipients with alcohol/drug problems

Homeless Individuals 11,882 10,509 Individuals living on the street or in an emergency shelter due to lack of financial resources or community ties

Needle Users 9,134 7,088 Intravenous drug users

Prenatal Services Network 1,326 1,240 Pregnant and parenting women and their children

Pregnant Women 1,039 947 Pregnant women

Prison Parolee Network 799 731 Male and female offenders, paroled to Los Angeles County

Proposition 36 Defendants 17,252 13,720 Non-violent drug offenders

Salient findings regarding special population outcomes are:

During the 2005-06 Fiscal Year, the most frequently reported primary drug problem for CalWORKs recipients was methamphetamine. The prominence of methamphetamine has grown from 25.4% in 2001-02 to 45.5% in 2005-06.

The average percent of CalWORKs participants with positive treatment compliance each of the

five fiscal years was 51.0%. More specifically, over five fiscal years, 3,213 of the 6,311 CalWORKs recipients discharged from alcohol and drug treatment/recovery programs successfully complied with their treatment plans.

Admissions for participants with co-occurring mental illness and substance abuse problems more

than doubled over five fiscal years; 5,632 in 2001-02 to 12,263 in 2005-06. Over five years, most program participants reported alcohol, cocaine/crack, or methamphetamine as their primary drug problem.

Over five fiscal years (2001-02 to 2005-06), the majority of drug court participants reported

cocaine/crack or methamphetamine as their primary substance abuse problem. Each of the past five fiscal years, the majority (66.0% to 71.0%) of the drug court program participants were discharged with a positive treatment compliance status.

During the five fiscal year time period, cocaine/crack remained the most prominent primary drug

problem for female offenders despite the dropped from 70.7% in 2001-02 to 39.8% in 2005-06. During the 2005-06 Fiscal Year, 53.3% of the female offender participants were discharged with a positive treatment compliance status.

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Special Populations - Continued

Alcohol was the most frequently reported primary drug problem for general relief participants for

the first four fiscal years (2001-02 to 2004-05). In 2005-06, methamphetamine became the number one drug problem for general relief recipients. Methamphetamine use has increased each fiscal year, from 15.0% in 2001-02 to 30.4% in 2005-06.

A total of 49,950 homeless participants have been admitted to ADPA-funded alcohol and drug

treatment/recovery programs over the last five fiscal years (2001-02 to 2005-06). The percent of homeless participants reporting mental health concerns has increased slightly over the five-year period, from 15.0% in 2001-02 to 23.3% in 2005-06.

In 2005-06, the most prominent drug problems reported by homeless participants were

methamphetamine (30.7%), cocaine/crack (28.8%), and alcohol (19.0%). Each fiscal year, the majority (56.4% to 62.3%) of homeless participants successfully complied with their treatment plan.

Each fiscal year, heroin was the primary drug problem for two-thirds of needle users. Noteworthy

is the increase in needle users reporting methamphetamine as their primary drug problem, from 11.0% in 2001-02 to 19.2% in 2005-06.

Over the five fiscal years (2001-02 to 2005-06), the majority (58.2% to 79.7%) of perinatal

program participants received services from a day care program. Perinatal participants were most likely to report cocaine/crack or methamphetamine as their primary drug problem. While cocaine/crack (40.1% to 21.7%) has declined each fiscal year; methamphetamine (30.2% to 43.6%) use has increased.

The number of pregnant women in alcohol and drug treatment/recovery programs has increased

by 29% (734 to 947) over the five fiscal years. During the 2005-06 Fiscal Year, 6.1% (947 of 15,534) of female participants reported being pregnant. Since 2002-03, methamphetamine has been the most frequently reported primary drug problem followed by cocaine/crack.

In 2005-06, one-third of the PPN participants reported methamphetamine as their primary drug

problem. Methamphetamine use doubled during the five year period (16.8% in 2001-02 to 34.7% in 2005-06).

Since implementation in July 2001, Proposition 36 participants have increased from 3,550 in

2001-02 to 13,720 in 2005-06. Since 2002-03, methamphetamine ranked as the number one drug problem. Over the five fiscal years, approximately 4 out of 10 Proposition 36 participants were discharged with a positive treatment compliance status.

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Table of Contents

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Executive Summary ................................................................................................................................. i Introduction .............................................................................................................................................. 1 Chapters

1 Los Angeles County (LAC) Alcohol and Drug Treatment Program 2 Table 1.1 Program Admissions and Participants by Fiscal Year (FY) ............................................... 2

Table 1.2 Program Participant Admissions by Program Type and FY................................................ 3

Table 1.3 Program Participant Demographics by FY.......................................................................... 4

Table 1.4 Program Participant Primary Drug Problem by FY ............................................................. 5

Table 1.5 Program Participant Discharge Status by FY...................................................................... 6

2 LAC Alcohol and Drug Treatment Program by Division and Program Type 7 Table 2.1 Number of Non-Residential Admissions by Program Type and FY.................................... 8

Table 2.2 Number of Residential Admissions by Program Type and FY............................................ 9

Table 2.3 Admissions by Division and Program Type, 2005-06 FY.................................................... 9

Table 2.4 Day Care Program Participant Demographics, 2005-06 FY............................................... 10

Table 2.5 Day Care Program Participant Primary Drug Problem by FY............................................. 11

Table 2.6 Day Care Program Participant Discharge Status by FY ..................................................... 11

Table 2.7 Outpatient Counseling Program Participant Demographics, 2005-06 FY .......................... 12

Table 2.8 Outpatient Counseling Program Participant Primary Drug Problem by FY ........................ 13

Table 2.9 Outpatient Counseling Program Participant Discharge Status by FY................................. 13

Table 2.10 Narcotic Treatment Program (NTP) Detoxification Participant Demographics,

2005-06 FY.......................................................................................................................... 14

Table 2.11 NTP Detoxification Program Participant Primary Drug Problem by FY .............................. 15

Table 2.12 NTP Detoxification Participant Discharge Status by FY ..................................................... 15

Table 2.13 NTP Detoxification Participant Demographics, 2005-06 FY ............................................... 16

Table 2.14 NTP Maintenance Program Participant Primary Drug Problem by FY ............................. 17 Table 2.15 NTP Maintenance Program Participant Discharge Status by FY ....................................... 17

Table 2.16 Residential Detoxification Program Participant Demographics, 2005-06 FY...................... 18

Table 2.17 Residential Detoxification Program Participant Primary Drug Problem by FY.................... 19

Table 2.18 Residential Detoxification Program Participant Discharge Status by FY............................ 19 Table 2.19 Residential Services Program Participant Demographics, 2005-06 FY ............................. 20

Table 2.20 Residential Services Program Participant Primary Drug Problem by FY ........................... 21

Table 2.21 Residential Services Program Participant Discharge Status by FY.................................... 21

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3 LAC Alcohol and Drug Treatment Program Special Populations 22

Table 3.1 Total Number of California Work Opportunity and Responsibility to Kids (CalWORKs)

Program Admissions and Participants by FY...................................................................... 23

Table 3.2 CalWORKs Program Participant Admissions by Program Type and FY ............................ 24

Table 3.3 CalWORKs Program Participant Demographics by FY ...................................................... 25

Table 3.4 CalWORKs Program Participant Primary Drug Problem by FY.......................................... 26

Table 3.5 CalWORKs Program Participant Discharge Status by FY .................................................. 26

Table 3.6 Total Number of Co-Occurring Disorder Program Admissions and Participants by FY ..... 28

Table 3.7 Co-Occurring Disorder Program Participant Admissions by Program Type and FY .......... 28

Table 3.8 Co-Occurring Disorder Program Participant Demographics by FY .................................... 29

Table 3.9 Co-Occurring Disorder Program Participant Primary Drug Problem by FY ........................ 30

Table 3.10 Co-Occurring Disorder Program Participant Discharge Status by FY ................................ 30

Table 3.11 Total Number of Drug Court Program Admissions and Participants by FY ........................ 31

Table 3.12 Drug Court Program Participant Admissions by Program Type and FY............................. 32

Table 3.13 Drug Court Program Participant Demographics by FY ....................................................... 33

Table 3.14 Drug Court Program Participant Primary Drug Problem by FY........................................... 34

Table 3.15 Drug Court Program Participant Discharge Status by FY................................................... 34

Table 3.16 Total Number of Female Offender Program Admissions and Participants by FY............... 35

Table 3.17 Female Offender Program Participants Admissions by Program Type and FY.................. 36

Table 3.18 Female Offender Program Participant Demographics by FY.............................................. 36

Table 3.19 Female Offender Program Participant Primary Drug Problem by FY ................................. 37

Table 3.20 Female Offender Program Participant Discharge Status by FY ......................................... 37

Table 3.21 Total Number of General Relief Program Admissions and Participant by FY .................... 38

Table 3.22 General Relief Program Participant Admissions by Program Type and FY ....................... 39

Table 3.23 General Relief Program Participant Demographics by FY.................................................. 40

Table 3.24 General Relief Program Participant Primary Problem by FY.............................................. 41

Table 3.25 General Relief Program Participant Discharge Status by FY ............................................. 41

Table 3.26 Total Number of Homeless Program Admissions and Participants by FY.......................... 43

Table 3.27 Homeless Program Participant Admissions by Program Type and FY .............................. 43

Table 3.28 Homeless Program Participant Demographics by FY......................................................... 44

Table 3.29 Homeless Program Participant Primary Drug Program by FY............................................ 45

Table 3.30 Homeless Program Participant Discharge Status by FY .................................................... 45

Table 3.31 Total Number of Needle User Program Admissions and Participant by FY ....................... 47

Table 3.32 Needle User Program Participant Admissions by Program Type and FY .......................... 47

Table 3.33 Needle User Program Participant Demographics by FY..................................................... 48

Table 3.34 Needle User Program Participant Primary Drug Problem by FY ........................................ 49

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Chapter 3 – Continued

Table 3.35 Needle User Program Participant Discharge Status by FY ................................................ 49

Table 3.36 Total Number of Perinatal Program Admissions and Participant by FY ............................. 51

Table 3.37 Perinatal Program Participant Admissions by Program Type and FY ................................ 51

Table 3.38 Perinatal Program Participant Demographics by FY .......................................................... 52

Table 3.39 Perinatal Program Participant Primary Drug Problem by FY.............................................. 53

Table 3.40 Perinatal Program Participant Discharge Status by FY ...................................................... 53

Table 3.41 Total Number of Pregnant Program Admissions and Participants by FY ........................... 55

Table 3.42 Pregnant Program Participant Admissions by Program Type and FY................................ 55

Table 3.43 Pregnant Program Participant Demographics by FY .......................................................... 56

Table 3.44 Pregnant Program Participant Primary Drug Problem by FY.............................................. 57

Table 3.45 Pregnant Program Participant Discharge Status by FY...................................................... 57

Table 3.46 Total Number of Prison Parolee Network (PPN) Program Admissions and

Participants by FY ............................................................................................................... 58

Table 3.47 PPN Program Participant Admissions by Program Type and FY ....................................... 59

Table 3.48 PPN Program Participant Demographics by FY ................................................................. 60

Table 3.49 PPN Program Participant Primary Drug Problem by FY..................................................... 61

Table 3.50 PPN Program Participant Discharge Status by FY ............................................................. 61

Table 3.51 Total Number of Proposition 36 Program Admissions and Participants by FY................... 63

Table 3.52 Proposition 36 Program Participant Admissions by Program Type and FY ....................... 63

Table 3.53 Proposition 36 Program Participant Demographics by FY.................................................. 64

Table 3.54 Proposition 36 Program Participant Primary Drug Problem by FY ..................................... 65

Table 3.55 Proposition 36 Program Participant Discharge Status by FY ............................................. 65

4 LAC Participant Statistics by Agency 66

Table 4.0 Number of Program Participants and Admissions by Agency, 2005-06 FY ....................... 67

Table 4.1 Able Family Support, Inc. .................................................................................................... 70

Table 4.2 Addiction Research and Treatment, Inc.............................................................................. 71

Table 4.3 Aegis Medical System, Inc. ................................................................................................. 72

Table 4.4 Alcoholism Center for Women, Inc...................................................................................... 73

Table 4.5 Alcoholism Council of Antelope Valley/NCA....................................................................... 74

Table 4.6 AltaMed ............................................................................................................................... 75

Table 4.7 American Asian Pacific Ministries, Inc ................................................................................ 76

Table 4.8 American Indian Changing Spirits....................................................................................... 77

Table 4.9 Antelope Valley Rehabilitation Centers............................................................................... 78

Table 4.10 Apex Foundation ................................................................................................................. 79

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Table 4.11 Arms of Grace Humanitarian Services................................................................................ 80

Table 4.12 Asian American Drug Abuse Program, Inc. ........................................................................ 81

Table 4.13 Atlantic Recovery Services ................................................................................................. 82

Table 4.14 Avalon - Carver Community Health Center ........................................................................ 83

Table 4.15 BAART Behavioral Health Services, Inc ............................................................................. 84

Table 4.16 Beacon House Association of San Pedro (The) ................................................................. 85

Table 4.17 Behavioral Health Services, Inc. ......................................................................................... 86

Table 4.18 Bernie’s Lil Women Center.................................................................................................. 87

Table 4.19 Bienvenidos Children’s Center, Inc. .................................................................................... 88

Table 4.20 Blessed Drug and Alcohol Treatment and Research Program, Inc. ................................... 89

Table 4.21 Calabasas Treatment Center ............................................................................................. 90

Table 4.22 California Drug Consultants, Inc. ........................................................................................ 91

Table 4.23 California Drug Treatment Program, Inc. ............................................................................ 92

Table 4.24 California Graduate Institute ............................................................................................... 93

Table 4.25 California Health Alcohol and Drug Education Program, Inc. ............................................. 94

Table 4.26 California Hispanic Commission on Alcohol and Drug Abuse, Inc. .................................... 95

Table 4.27 Cambodian Association of America .................................................................................... 96

Table 4.28 Canon Human Services, Inc ............................................................................................... 97

Table 4.29 Caring Residential Care, Inc ............................................................................................... 98

Table 4.30 Casa de Hermandad, Inc .................................................................................................... 99

Table 4.31 Casa de Las Amigas ........................................................................................................... 100

Table 4.32 Chabad of California, Inc..................................................................................................... 101

Table 4.33 Changing Steps................................................................................................................... 102

Table 4.34 Charles R. Drew University of Medicine and Science......................................................... 103

Table 4.35 Children’s Institute International.......................................................................................... 104

Table 4.36 Circle Friends Outpatient Services, Inc............................................................................... 105

Table 4.37 Circle of Help Foundation ................................................................................................... 106

Table 4.38 City of Compton .................................................................................................................. 107

Table 4.39 City of Long Beach, A Municipal Corporation ..................................................................... 108

Table 4.40 City of Pasadena ................................................................................................................. 109

Table 4.41 CLARE Foundation, Inc....................................................................................................... 110

Table 4.42 Clinica Monsenor Oscar A. Romero.................................................................................... 111

Table 4.43 Community Alcohol and Drug Treatment ........................................................................... 112

Table 4.44 Cri-Help, Inc. ....................................................................................................................... 113

Table 4.45 Cultural Bridges Treatment Center ..................................................................................... 114

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Table 4.46 Dare U to Care Outreach Ministry....................................................................................... 115

Table 4.47 Didi Hirsch Psychiatric Service ........................................................................................... 116

Table 4.48 Do It Now Foundation.......................................................................................................... 117

Table 4.49 Driver Safety Schools, Inc. ................................................................................................. 118

Table 4.50 East Los Angeles Health Task Force, Inc. ......................................................................... 119

Table 4.51 El Centro del Pueblo .......................................................................................................... 120

Table 4.52 El Proyecto del Barrio ......................................................................................................... 121

Table 4.53 Epidaurus ........................................................................................................................... 122

Table 4.54 Family Service of Long Beach ........................................................................................... 123

Table 4.55 Found, Inc. .......................................................................................................................... 124

Table 4.56 Fred Brown’s Recovery Services, Inc. ................................................................................ 125

Table 4.57 Goretti Health Services, Inc. .............................................................................................. 126

Table 4.58 Grandview Foundation, Inc. ................................................................................................ 127

Table 4.59 Guidance Health Services, Inc. .......................................................................................... 128

Table 4.60 Help the People Foundation................................................................................................ 129

Table 4.61 His Sheltering Arm, Inc........................................................................................................ 130

Table 4.62 Homeless Health Care Los Angeles, Inc. ........................................................................... 131

Table 4.63 House of Hope Foundation, Inc. ......................................................................................... 132

Table 4.64 I-ADARP, Inc. ...................................................................................................................... 133

Table 4.65 Independence Community Treatment Clinic ....................................................................... 134

Table 4.66 Interconnection Center, Inc. ............................................................................................... 135

Table 4.67 Jeff Grand Clinic, Inc. .......................................................................................................... 136

Table 4.68 Joint Efforts, Inc................................................................................................................... 137

Table 4.69 La Clinica del Pueblo, Inc. .................................................................................................. 138

Table 4.70 Laws Support Center .......................................................................................................... 139

Table 4.71 Little House ........................................................................................................................ 140

Table 4.72 Live Again Recovery Home, Inc.......................................................................................... 141

Table 4.73 Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center ................... 142

Table 4.74 Los Angeles Centers for Alcohol and Drug Abuse ............................................................. 143

Table 4.75 Los Angeles Gay and Lesbian Community Service Center ................................................ 144

Table 4.76 Los Angeles New Life Center, Inc....................................................................................... 145

Table 4.77 Mary-Lind Foundation ........................................................................................................ 146

Table 4.78 Maternity House, LLC.......................................................................................................... 147

Table 4.79 Matrix Institute on Addictions .............................................................................................. 148

Table 4.80 MELA Counseling Services Center, Inc. ............................................................................ 149

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Table 4.81 Mid Valley Recovery Service, Inc........................................................................................ 150

Table 4.82 Mini Twelve Step House, Inc............................................................................................... 151

Table 4.83 MJB Transitional Recovery, Inc. ......................................................................................... 152

Table 4.84 Mount Sinai Health Center, Inc. .......................................................................................... 153

Table 4.85 NCADD – Long Beach Area................................................................................................ 154

Table 4.86 NCADD of East San Gabriel & Pomona Valleys, Inc.......................................................... 155

Table 4.87 NCADD of the San Fernando Valley................................................................................... 156

Table 4.88 Ness Counseling Center, Incorporated (The) ..................................................................... 157

Table 4.89 New Beginnings Recovery Treatment Center, Inc.............................................................. 158

Table 4.90 New Destiny, Inc (The)........................................................................................................ 159

Table 4.91 New Directions .................................................................................................................... 160

Table 4.92 New Hope Health Services, Inc. ........................................................................................ 161 Table 4.93 New Millennium Counseling ............................................................................................... 162

Table 4.94 New Way Foundations, Inc. ................................................................................................ 163

Table 4.95 Noble Heart Services Inc..................................................................................................... 164

Table 4.96 Options – A Child Care and Human Services Agency........................................................ 165

Table 4.97 Outreach Health Services, Inc. ........................................................................................... 166

Table 4.98 Pacific Clinics ...................................................................................................................... 167

Table 4.99 Pajo Corporation (The)........................................................................................................ 168

Table 4.100 Palm House, Inc. ................................................................................................................. 169

Table 4.101 Palm Residential Care Facility (The)................................................................................... 170

Table 4.102 Pasadena Council on Alcoholism and Drug Dependency .................................................. 171

Table 4.103 Pasadena Recovery Center, Inc. ........................................................................................ 172

Table 4.104 People Coordinated Services of Southern California.......................................................... 173

Table 4.105 People in Progress, Inc. ..................................................................................................... 174

Table 4.106 Phoenix Houses of Los Angeles, Inc. ................................................................................. 175

Table 4.107 Plaza Community Center ................................................................................................... 176

Table 4.108 Pomona Alcohol and Drug Recovery Center, Inc. .............................................................. 177

Table 4.109 Pomona Community Crisis Center, Inc. .............................................................................. 178

Table 4.110 Pom-Pom’s Castle D.B.A Clean and Free Substance Abuse Center ................................ 179

Table 4.111 Pride Health Services, Inc. .................................................................................................. 180

Table 4.112 Principles, Inc. .................................................................................................................... 181

Table 4.113 Prototypes ........................................................................................................................... 182

Table 4.114 R.A.P. Community Recovery Services................................................................................ 183

Table 4.115 Reseda Substance Abuse Treatment Center, Inc. ............................................................. 184

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Table 4.116 Roy’s National Health Services, Inc. ................................................................................... 185

Table 4.117 Salvation Army, A California Corporation............................................................................ 186

Table 4.118 Santa Anita Family Services ............................................................................................... 187

Table 4.119 Santa Monica Bay Area Drug Abuse Council ..................................................................... 188

Table 4.120 Shields for Families Project, Inc (The) ................................................................................ 189

Table 4.121 Social Model Recovery Systems, Inc.................................................................................. 190

Table 4.122 South Bay Alcoholism Services, DBA NCADD of the South Bay ....................................... 191

Table 4.123 South Bay Human Services Coalition ................................................................................. 192

Table 4.124 Southern California Alcohol and Drug Program, Inc. .......................................................... 193

Table 4.125 Special Service for Groups ................................................................................................. 194

Table 4.126 SPIRTT Family Services, Inc. ............................................................................................. 195

Table 4.127 Stepping Stones Home....................................................................................................... 196

Table 4.128 Substance Abuse Foundation of Long Beach, Inc.............................................................. 197

Table 4.129 Sunrise Community Counseling Center .............................................................................. 198

Table 4.130 Tarzana Treatment Center .................................................................................................. 199

Table 4.131 T.E.A.M. One Stop .............................................................................................................. 200

Table 4.132 Total Family Support Clinic ................................................................................................. 201

Table 4.133 Transcultural Health Development, Inc ............................................................................... 202

Table 4.134 Twin Palms Recovery Center.............................................................................................. 203

Table 4.135 Twin Town Corporation ....................................................................................................... 204

Table 4.136 United American Indian Involvement, Inc............................................................................ 205

Table 4.137 United States Veterans Initiative, Inc. ................................................................................. 206

Table 4.138 United Women in Transition................................................................................................ 207

Table 4.139 URDC Human Services Corporation................................................................................... 208

Table 4.140 U – Turn Alcohol and Drug Education Program, Inc........................................................... 209

Table 4.141 Valley Women’s Center, Inc. ............................................................................................... 210

Table 4.142 Van Ness Recovery House ................................................................................................. 211

Table 4.143 Verdugo Mental Health Center............................................................................................ 212

Table 4.144 Volunteers of America of Los Angeles ................................................................................ 213

Table 4.145 Walden House, Inc. ............................................................................................................. 214

Table 4.146 Watts Healthcare Corporation............................................................................................. 215

Table 4.147 We Can Help Foundation.................................................................................................... 216

Table 4.148 Western Pacific Med Corp................................................................................................... 217

Table 4.149 Wilshire Treatment Center, Inc. .......................................................................................... 218

Table 4.150 Wings of Refuge.................................................................................................................. 219

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5 LAC Alcohol and Drug Statistical Fact Sheets 220 Fact Sheet 5.1 LAC Indicators of Alcohol and Drug Abuse, 1995 to 2005 ........................................... 221

Fact Sheet 5.2 LAC 2005 Population Estimates by Service Planning Area and Race/Ethnicity .......... 222

Fact Sheet 5.3 Adult Homeless Outcome Statistics, 2005-06 FY......................................................... 223

Fact Sheet 5.4 Adult Participants Reported Times Arrested at Program Admission and Discharge,

2005-06 FY ................................................................................................................... 224

Fact Sheet 5.5 Adult Participants Report Days in Jail at Program Admission and Discharge,

2005-06 FY ................................................................................................................... 224

Fact Sheet 5.6 Adult Participants Reported Days in Prison at Program Admission and Discharge,

2005-06 FY ................................................................................................................... 225

Fact Sheet 5.7 Adult Participants Reporting of Physical Health Problems at Program Admission and

Discharge, 2005-06 FY................................................................................................. 225

Fact Sheet 5.8 Adult Participants Reported Days in Hospital at Program Admission and Discharge,

2005-06 FY ................................................................................................................... 226

Fact Sheet 5.9 Adult Participants Reported Emergency Room Visits at Program Admission and

Discharge, 2005-06 FY................................................................................................. 226

Fact Sheet 5.10 Adult Participants Reported Days in Psychiatric Facility at Program Admission and

Discharge, 2005-06 FY................................................................................................. 227

Fact Sheet 5.11 Adult Participants Reporting Use of Prescribed Medication for Mental Health-Related

Needs at Program Admission and Discharge, 2005-06 FY.......................................... 227

Fact Sheet 5.12 Adult Participants Reported Outpatient Emergency Services for Mental

Health-Related Needs at Program Admission and Discharge, 2005-06 FY ................ 228

Fact Sheet 5.13a Adult Participants Diagnosed with Tuberculosis at Program Admission and

Discharge, 2005-06 FY................................................................................................. 229

Fact Sheet 5.13b Adult Participants Diagnosed with Hepatitis C at Program Admission and Discharge,

2005-06 FY ................................................................................................................... 229

Fact Sheet 5.13c Adult Participants Diagnosed with Sexually Transmitted Infection at Program

Admission and Discharge, 2005-06 FY ........................................................................ 229

Fact Sheet 5.14a Adult Participants Tested for HIV/AIDS at Program Admission and Discharge,

2005-06 FY ................................................................................................................... 230

Fact Sheet 5.14b Adult Participants Who Received HIV/AIDS Test Results at Program Admission and

Discharge, 2005-06 FY................................................................................................. 230

Fact Sheet 5.15 Adult Participants Length of Enrollment by Non-Residential Program Type

and FY .......................................................................................................................... 231

Fact Sheet 5.16 Adult Participants Length of Stay (LOS) by Residential Program Type and FY .......... 232

Fact Sheet 5.17 Adult Participant Employment Status by FY................................................................. 233

Table of Contents

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Fact Sheet 5.18 Adult Program Participant Discharge Status by Average LOS and FY........................ 233

Fact Sheet 5.19 LAC Alcohol and Drug Adult Treatment Program Summary Statistics by FY.............. 234

Fact Sheet 5.20 Adult Participant Demographics by Gender, 2005-06 FY ............................................ 235

Fact Sheet 5.21 Adult Program Participant Demographics by Race/Ethnicity, 2005-06 FY .................. 236

Fact Sheet 5.22 Adult Male Program Participant Demographics by Race/Ethnicity, 2005-06 FY.......... 237

Fact Sheet 5.23 Adult Female Program Participant Demographics by Race/Ethnicity, 2005-06 FY ..... 238

Introduction The tenth Annual Review is a comprehensive description of adult participants who received alcohol and drug treatment/recovery services during the 2005-06 Fiscal Year. Adult treatment services are traditional ADPA-contracted residential and non-residential alcohol and drug treatment/recovery program services (day care, detoxification, outpatient, and residential) provided to individuals who are 18 years of age and older.

The 2005-06 Annual Review is composed of the following five chapters:

Chapter 1 provides statistical information on participants in ADPA-contracted alcohol and drug treatment/recovery programs over five fiscal years (2001-02 to 2005-06).

Chapter 2 provides a description of treatment services by division and program type. For

each program type, a description of participants who were served in the 2005-06 Fiscal Year is provided along with key trend statistics that occurred over five fiscal years, 2001-02 to 2005-06.

Chapter 3 provides admission, participant, and outcome trend statistics for special populations.

Chapter 4 provides participant-related demographics for each of the 150 community-based

agencies contracted with ADPA during the 2005-06 Fiscal Year.

Chapter 5 is composed of numerous “Fact Sheets” which cover key Los Angeles County alcohol and drug-related indicators and outcomes.

The majority of the information found in the Annual Review is based on participant admission and discharge data collected through ADPA’s Los Angeles County Participant Reporting System (LACPRS). LACPRS is an ongoing, standardized, computer-supported system sustained by a close working relationship between ADPA and contracted alcohol and drug program providers. For the purposes of this report, participant and program admission are defined, as follows:

(1) A participant is an individual who is admitted and becomes actively engaged in an alcohol or drug treatment program.

(2) A program admission is a treatment event that starts when the program admits the participant.

The Annual Review includes all adult participants who received services in ADPA-contracted treatment/recovery programs. This review does not include information on participants who received substance abuse services at facilities operated by federal agencies in Los Angeles County (e.g., the Veterans Administration), crisis intervention facilities (e.g., hospital emergency departments), private entities, and other publicly funded non-ADPA contracted programs. The Annual Review does not include information on ADPA-contracted youth/adolescent and prevention programs. Acknowledgments: Special thanks are extended to program providers for their submission of information to ADPA. Without their cooperation and support, the information necessary for the preparation of the Annual Review would not have been possible.

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CChhaapptteerr 11 –– LLAACC AAllccoohhooll aanndd DDrruugg TTrreeaattmmeenntt PPrrooggrraamm

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Introduction Alcohol and Drug Program Administration (ADPA) contracted with community-based agencies to provide a range of treatment and recovery services to County residents with alcohol and other drug problems. Consistent with federal, State, and County reporting requirements, each time an individual enters or departs from a treatment program, standardized admission or discharge information is collected. Since a participant may be admitted to more than one program during a fiscal year, or return to the same program more than once, the number of participant program admissions can be greater than the number of individual participants.

LAC Program Admission and Participant Trends

Table 1.1 shows the number of annual participants and program admissions from 2001-02 to 2005-06 fiscal years. During the 2005-06 Fiscal Year, ADPA-contracted alcohol and drug treatment programs provided services to a total of 44,853 participants who accounted for 56,016 treatment/recovery program admissions. Over the first four fiscal years (2001-02 to 2004-05), the number of program admissions and participants increased by 31.4% and 30.8%, respectively. From the fourth to fifth fiscal year (2004-05 to 2005-06), there was a slight decline in both admissions (-4.9%) and participants (-5.6%). Overall, program admissions increased by 24.8% and individual participants increased by 23.4%.

Table 1.1 – Program Admissions and Participants by Fiscal Year

Treatment/Recovery Programs

Fiscal Year Admissions Participants

2001-02 44,861 36,328

2002-03 47,148 38,052

2003-04 57,911 45,048

2004-05 58,964 47,519

2005-06 56,016 44,853


CChhaapptteerr 11

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LAC Program Participant Admissions by Program Type Table 1.2 shows the type of programs that provided alcohol and drug treatment/recovery services to participants over five fiscal years (2001-02 to 2005-06). During the five-year period, most participants received services from an outpatient counseling program. More than half of the participants were admitted to an outpatient counseling program during the last two fiscal years (2004-05 and 2005-06). In the first fiscal year (2001-02), a third of the participants received services from a residential service program. For the remaining fourth fiscal years (2002-03 to 2005-06), approximately 1 out of every 4 admission was to a residential service program. Day care program admissions remained constant; the five-year average was 3.4%. Admissions to residential detoxification programs fluctuated slightly, ranging from a high of 11.1% in 2002-03 to a low of 8.0% in 2005-06. With the exception of 2003-04, there has been a downward trend in the percent of admissions (from 5.7% to 1.3%) to narcotic treatment detoxification programs. Over the five fiscal years, narcotic treatment maintenance programs accounted for approximately 4.0% to 6.0% of the admissions.

Table 1.2 - Program Participant Admissions by Program Type and Fiscal Year1

2001-02 2002-03 2003-04 2004-05 2005-06

Program Type # % # % # % # % # %

Day Care 1,427 3.2 1,858 3.9 1,971 3.4 1,941 3.3 1,909 3.4

Narcotic Treatment Detoxification 2,562 5.7 2,303 4.9 5,216 9.0 1,553 2.6 706 1.3

Narcotic Treatment Maintenance 2,463 5.5 1,794 3.8 3,656 6.3 3,834 6.5 2,425 4.3

Outpatient Counseling 19,199 42.8 22,797 48.4 27,756 47.9 31,733 53.8 31,254 55.8

Residential Detoxification 4,317 9.6 5,235 11.1 5,495 9.5 5,161 8.8 4,504 8.0

Residential Services 14,893 33.2 13,161 27.9 13,815 23.9 14,742 25.0 15,218 27.2

Total 44,861 100.0 47,148 100.0 57,911 100.0 58,964 100.0 56,016 100.0


1 Percents found in this table and subsequent tables do not always sum to 100% due to rounding.

CChhaapptteerr 11

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LAC Program Participant Demographic Trends

Table 1.3 shows the demographics for program participants over five fiscal years (2001-02 to 2005-06). Participant demographics have remained relatively constant during this period. The majority of participants were male (63.9% to 66.4%); between 25 and 44 years of age (57.2% to 63.6%); had 9 to 12 years of education (74.9% to 78.8%); and unemployed (68.4% to 85.1%). Most participants were Hispanic/Latino (33.7% to 36.1%), White (29.8% to 32.0%), or Black/African American (25.4% to 30.3%).

Table 1.3 – Program Participant Demographics by Fiscal Year

2001-02 2002-03 2003-04 2004-05 2005-06 Demographics

# % # % # % # % # %

Admissions 44,861 100.0 47,148 100.0 57,911 100.0 58,964 100.0 56,016 100.0

Participants 36,328 100.0 38,052 100.0 45,048 100.0 47,519 100.0 44,853 100.0

Gender

Male 23,214 63.9 25,112 66.0 29,909 66.4 31,240 65.7 29,319 65.4 Female 13,114 36.1 12,940 34.0 15,139 33.6 16,279 34.3 15,534 34.6

Race/Ethnicity

White 11,119 30.6 11,523 30.3 14,403 32.0 14,686 30.9 13,363 29.8 Black/African American 10,991 30.3 10,997 28.9 11,890 26.4 12,108 25.5 11,377 25.4 Hispanic/Latino 12,232 33.7 13,112 34.5 16,116 35.8 17,146 36.1 15,328 34.2 Native American 444 1.2 430 1.1 499 1.1 556 1.2 552 1.2 Asian/Pacific Islander 629 1.7 714 1.9 909 2.0 1,244 2.6 1,299 2.9 Other 913 2.5 1,276 3.4 1,231 2.7 1,720 3.6 2,934 6.5

Age

18 – 20 1,429 3.9 1,376 3.6 1,394 3.1 2,787 5.9 1,781 4.0 21 – 24 3,304 9.1 4,011 10.5 4,603 10.2 4,953 10.4 5,143 11.5 25 – 44 23,101 63.6 24,079 63.3 27,231 60.4 27,173 57.2 25,807 57.5 45 – 64 8,269 22.8 8,377 22.0 11,478 25.5 12,230 25.7 11,627 25.9 65 – Over 225 0.6 209 0.5 342 0.8 376 0.8 495 1.1

Education

None 237 0.7 260 0.7 247 0.5 449 0.9 1,008 2.2 1 – 8 years 1,844 5.1 2,003 5.3 2,331 5.2 1,311 2.8 2,201 4.9 9 – 12 years 28,247 77.8 29,854 78.5 35,515 78.8 35,589 74.9 33,832 75.4 13 or more years 6,000 16.5 5,935 15.6 6,955 15.4 10,170 21.4 7,812 17.4

Employment Status

Employed 5,414 14.9 6,550 17.2 8,983 19.9 9,578 20.2 8,775 19.6 Unemployed 30,914 85.1 31,502 82.8 36,065 80.1 34,513 72.6 30,675 68.4 Not in the labor force 3,428 7.2 5,403 12.0


CChhaapptteerr 11

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LAC Program Participant Primary Drug Problem Trends The primary drug problems reported by program participants over five fiscal years (2001-02 to 2005-06) are shown in Table 1.4. During the five fiscal years, approximately 1 out of 5 participants reported alcohol as their primary drug problem. Heroin use fluctuated annually during the five-year period, ranging from a high of 20.8% in 2001-02 to a low of 13.1% in 2005-06. From the first to the second fiscal year (2001-02 to 2002-03), cocaine/crack was the most frequently reported primary drug problem. In the third fiscal year (2003-04), both cocaine/crack and methamphetamine ranked as the most prominent primary drug problems reported by participants. Beginning with the fourth fiscal year (2004-05), methamphetamine surpassed cocaine/crack and became the most frequently reported participant primary drug problem. One notable change in participant reported primary drug problems over these five fiscal years has been the steady increase in methamphetamine use; from 17.4% in 2001-02 to 30.8% in 2005-06. During the 2005-06 Fiscal Year, the majority of methamphetamine users were White (37.3%) or Hispanic/Latino (45.4%). The average age for marijuana/hashish (31.3 years) and methamphetamine (31.8 years) users was considerably younger than the average age of other primary drug user groups. Methamphetamine users had the highest percent (38.9%) of female participants.

Table 1.4 – Program Participant Primary Drug Problem by Fiscal Year

2001-02 2002-03 2003-04 2004-05 2005-06 Primary Drug Problem

# % # % # % # % # %

Alcohol 8,473 23.3 8,120 21.3 9,158 20.3 9,331 19.6 8,847 19.7

Cocaine/Crack 9,585 26.4 9,927 26.1 10,290 22.8 10,619 22.3 10,296 23.0

Heroin 7,556 20.8 6,651 17.5 9,119 20.2 8,093 17.0 5,879 13.1

Marijuana/Hashish 2,787 7.7 3,244 8.5 3,985 8.8 4,987 10.5 4,511 10.1

Methamphetamine 6,320 17.4 8,155 21.4 10,260 22.8 12,449 26.2 13,818 30.8

Other 1,607 4.4 1,955 5.1 2,236 5.0 2,040 4.3 1,502 3.3

Total 36,328 100.0 38,052 100.0 45,048 100.0 47,519 100.0 44,853 100.0


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LAC Program Participant Discharge Status Trends Table 1.5 shows treatment compliance over five fiscal years (2001-02 to 2005-06). Participants with “Positive Compliance” are those who completed treatment or left before completing treatment with satisfactory progress. “Negative Compliance” refers to those participants who left before completing treatment with unsatisfactory progress. The majority of program participants had positive treatment outcomes four out of the five fiscal years. In 2003-04 Fiscal Year, slightly less than half (49.4%) of the participants had positive treatment outcomes. The five-year average for positive treatment compliance was 52.3% During the 2005-06 Fiscal Year, 52.9% of participants who departed from programs with a negative compliance assessment were in treatment for less than 31 days. This outcome is consistent with current literature which states that better or positive outcomes are associated with longer treatment durations.

Table 1.5 – Program Participant Discharge Status by Fiscal Year

2001-02 2002-03 2003-04 2004-05 2005-06 Participant Discharge Status

# % # % # % # % # %

Number of Discharges 32,458 100.0 33,764 100.0 37,951 100.0 28,207 100.0 29,507 100.0

Positive Compliance 17,233 53.1 17,448 51.7 18,741 49.4 14,997 53.2 16,006 54.2

Completed Treatment 8,397 25.9 8,487 25.1 9,294 24.5 9,124 32.3 10,704 36.3

Left - Satisfactory 8,836 27.2 8,961 26.5 9,447 24.9 5,873 20.8 5,302 18.0

Negative Compliance 15,225 46.9 16,316 48.3 19,210 50.6 13,210 46.8 13,501 45.8

Left – Unsatisfactory 15,225 46.9 16,316 48.3 19,210 50.6 13,210 46.8 13,501 45.8


Chapter 2 – LAC Alcohol and Drug Treatment Program by Division And Program Type

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Introduction Chapter 2 describes the participants in alcohol and drug treatment/recovery program by division and program type. During the 2005-06 Fiscal Year, 150 individual community-based agencies operated 362 treatment programs at 295 different facility sites located throughout Los Angeles County. Alcohol and drug treatment/recovery programs are classified as either non-residential or residential and as one of the following six program types: Non-Residential – Participants reside outside of the program facility while receiving treatment/recovery services.

• Day Care Programs provide counseling and recovery services to persons who have drug and/or alcohol-related problems. The primary purpose of these services is to provide a planned treatment program in a social setting structured to maximize recovery and rehabilitation of participants. These programs services are more intensive than a visit (person-to-person contact) but less extensive than 24-hour residential services. The services are usually available a minimum of six hours per day, six days per week.

• Outpatient Counseling Programs provide crisis intervention, counseling, and participant referral services

to individuals affected by alcohol and/or drug-related problems. Services may include participant screening and assessment, development of treatment plans, individual and group counseling, hosting mutual self-help groups, coordination of services with other agencies, and referral to other resources. Outpatient counseling is designed to provide an alcohol and drug-free structured environment that encourages and supports a participant’s effort to improve his/her level of functioning.

• Narcotic Treatment Detoxification Programs administer or furnish methadone and/or levo-alpha-

acetylmethadol (LAAM) in decreasing doses for a period not to exceed 21 days to assist an individuals’ withdrawal from dependency on heroin or other morphine-like drugs. Services may include intake and physical examination, casework services, an individualized treatment plan, body fluid testing, coordination of additional services with other agencies, and referrals to other resources.

• Narcotic Treatment Maintenance Programs administer methadone/LAAM, at relatively stable dosage

levels for a period in excess of 21 days, as an oral substitute narcotic drug. The treatment protocol is accompanied by ancillary social and medical services for individuals 18 years of age or older who have a history of two or more years of dependence on heroin or other morphine-like drugs and two or more failures in alternative treatment programs. Services may include intake and assessment, body fluid testing, group and family counseling, crisis intervention, coordinating additional services with other agencies, and participant follow-up.

Residential – Participants reside in a drug-free program facility, operating on a 24-hour per day basis, receiving food and shelter as part of the treatment/recovery service.

• Residential Detoxification Services provide care and treatment for person suffering from the withdrawal

symptoms of alcohol and/or other drugs in a non-medical setting. These services are generally offered as preparation for entry into a treatment and recovery program, therefore, the medical and psychological supports are provided. Services may include physical examination and medical history, medication as needed, recidivism counseling, referrals to other resources, and after care planning.

• Residential Services is a 24-hour live-in, drug-free treatment environment for persons with drug and/or

alcohol-related problems. Participants are involved in no less than six hours of planned treatment activities per day under the supervision of trained staff. Services may include intake and participant screening, room and meals, crisis intervention, individual and group counseling, host mutual self-help group discussions, and social and recreational activities.

Chapter 2

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Non-Residential Program Admission Trends Table 2.1 shows admission trends over five fiscal years by the four non-residential program types and the overall non-residential program. The number of non-residential program admissions increased over the first four fiscal years, from a low of 25,651 admissions in the 2001-02 Fiscal Year to a high of 39,061 admissions in the 2004-05 Fiscal Year. Then in 2005-06, non-residential program admissions dropped to 36,294 (2,767 fewer). As shown, outpatient counseling programs account for the majority (71.9% to 86.1%) of non-residential admissions each fiscal year. From 2001-02 to 2004-05 fiscal years, outpatient counseling admissions increased by 65.2% and decreased by 1.5% in 2005-06. Day care admissions increased 38.1% from the first to third fiscal year (2001-02 and 2003-04). From the third to the fifth fiscal year, day care program admissions deceased by 3.1% (1,971 to 1,909). Narcotic treatment detoxification program admissions were relatively constant the first two fiscal years (2,562 to 2,303). Then, in the third fiscal year, program admissions more than doubled to 5,216. Over the remaining two fiscal years, narcotic treatment detoxification admissions decreased by 70.2% (1,553) in 2004-05 and by another 54.5% (706) in 2005-06. The narcotic treatment maintenance program admissions have fluctuated over the five fiscal years, ranging from a low of 1,794 in 2002-03 to a high of 3,834 in 2004-05. Essentially the same number of narcotic treatment maintenance program admissions was reported in 2001-02 and 2005-06 fiscal years, 2,463 and 2,425, respectively.

Table 2.1 - Number of Non-Residential Admissions by Program Type and Fiscal Year

Non-Residential Admissions

Fiscal Year Day Care Outpatient NTP Detox

NTP Maint Overall

2001-02 1,427 19,199 2,562 2,463 25,651

2002-03 1,858 22,797 2,303 1,794 28,752

2003-04 1,971 27,756 5,216 3,658 38,601

2004-05 1,941 31,733 1,553 3,834 39,061

2005-06 1,909 31,254 706 2,425 36,294

Source: Los Angeles County Participant Reporting System Residential Program Admission Trends Table 2.2 shows admission trends over five fiscal years by the two residential program types and the overall residential program. The admissions to the overall residential program decreased by 4.2% from 2001-02 to 2002-03. Conversely, over the next two fiscal years (2003-04 to 2004-05), reported residential program admissions increased by 8.1%. A decrease of less than 1.0% was seen in 2005-06 Fiscal Year. The residential services program, the larger of the two types of residential programs, had an 11.6% decrease in reported admissions from 2001-02 to 2002-03, followed by a steady increase over the remaining three fiscal years (2003-04 to 2005-06). There was a 27.2% increase in residential detoxification program admissions over the first three fiscal years (2001-02 to 2003-04). A downward trend occurred in the remaining two fiscal years (2004-05 to 2005-06), 6.0% and 12.7%, respectively.

Chapter 2

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Residential Program Admission Trends - Continued

Table 2.2 - Number of Residential Admissions by Program Type and Fiscal Year

Residential Admissions

Fiscal Year Detoxification Residential Overall

2001-02 4,317 14,893 19,210

2002-03 5,235 13,161 18,396

2003-04 5,495 13,815 19,310

2004-05 5,161 14,742 19,903

2005-06 4,504 15,218 19,722

Source: Los Angeles County Participant Reporting System Admissions by Division and Program Type As shown in Table 2.3, a total of 56,016 admissions were reported during the 2005-06 Fiscal Year. Approximately two-thirds of participant admissions were to non-residential programs. The majority (86.1%) of non-residential participant admissions was to outpatient counseling programs. The remaining one-third of participant admissions was to residential programs with the majority (77.2%) of participants being admitted to residential services programs.

Table 2.3 - Admissions by Division and Program Type 2005-06 Fiscal Year

Admissions

Division/Program Type Number Percent

Non-Residential Division 36,294 64.8

Day Care – 1,909 (5.3%)

Narcotic Treatment Detoxification – 706 (1.9%)

Narcotic Treatment Maintenance – 2,425 (6.7%)

Outpatient Counseling – 31,254 (86.1%)

Residential Division 19,722 35.2

Detoxification – 4,504 (22.8%)

Residential Services – 15,218 (77.2%)

Total 56,016 100.0


Chapter 2

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Day Care Program Participant Demographics During the 2005-06 Fiscal Year, 1,759 unique participants accounted for 1,909 admissions to day care programs; 141 (8.0%) of these participants had two or more admissions. According to Table 2.4, several key day care program participant findings are

• 86.2% were female; • 65.5% were between 25 and 44 years of age; • most were Hispanic/Latino (31.6%) or Black/African American (35.7%); and • 41.2% reported methamphetamine as their primary drug problem.

Table 2.4 – Day Care Program Participant Demographics 2005-06 Fiscal Year

Demographics Number Percent

Admissions 1,909 100.0

Participants 1,759 100.0

Gender

Male 242 13.8 Female 1,517 86.2

Race/Ethnicity

White 412 23.4 Black/African American 628 35.7 Hispanic/Latino 556 31.6 Native American 24 1.4 Asian/Pacific Islander 38 2.2 Other 101 5.7

Age

18 – 20 116 6.6 21 – 24 286 16.3 25 – 44 1,152 65.5 45 – 64 200 11.4 65 – Over 5 0.3

Education

None 23 1.3 1 – 8 years 99 5.6 9 – 12 years 1,377 78.3 13 or more years 260 14.8

Employment Status

Employed 152 8.6 Unemployed 1,277 72.6 Not in the labor force 330 18.8

Primary Drug Problem

Alcohol 228 13.0 Cocaine/Crack 417 23.7 Heroin 47 2.7 Marijuana/Hashish 299 17.0 Methamphetamine 725 41.2 Other 43 2.4


Chapter 2

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Day Care Program Participant Primary Drug Problem Trends Table 2.5 shows that over the five fiscal years, the primary drug problem for most day care program participants was either methamphetamine or cocaine/crack. Since 2001-02 Fiscal Year, there has been a steady decreased in the percent of participants who reported cocaine/crack as their primary drug problem. Four out of 10 participants reported cocaine/crack as their primary drug problem in 2001-02 compared to 2 out 10 participants in 2005-06. During the five-year period (2001-02 to 2005-06), methamphetamine users increased from 19.6% to 41.2%. Over the last two fiscal years, 4 out of 10 participants reported methamphetamine as their primary drug problem.

Table 2.5 – Day Care Program Participant Primary Drug Problem by Fiscal Year

2001-02 2002-03 2003-04 2004-05 2005-06

Primary Drug Problem # % # % # % # % # %

Alcohol 252 18.8 253 14.5 248 13.4 212 12.1 228 13.0

Cocaine/Crack 561 41.8 610 35.0 560 30.3 480 27.4 417 23.7

Heroin 65 4.8 87 5.0 79 4.3 60 3.4 47 2.7

Marijuana/Hashish 148 11.0 210 12.0 244 13.2 274 15.6 299 17.0

Methamphetamine 263 19.6 477 27.3 642 34.7 670 38.2 725 41.2

Other 52 3.9 108 6.2 77 4.2 59 3.4 43 2.4

Total 1,341 100.0 1,745 100.0 1,850 100.0 1,755 100.0 1,759 100.0

Source: Los Angeles County Participant Reporting System Day Care Program Participant Discharge Status Trends Table 2.6 shows that during the 2005-06 Fiscal Year, 39.8% of day care program participants received a positive treatment compliance assessment at discharge; they were successful in complying with their treatment plan. The five-year positive treatment compliance average was 38.1%.

Table 2.6 – Day Care Program Participant Discharge Status by Fiscal Year

2001-02 2002-03 2003-04 2004-05 2005-06

Participant Discharge Status # % # % # % # % # %

Number of Discharges 867 100.0 1,231 100.0 1,272 100.0 764 100.0 905 100.0

Positive Compliance 335 38.6 501 40.7 450 35.4 276 36.1 360 39.8

Completed Treatment 117 13.5 157 12.8 158 12.4 116 15.2 188 20.8

Left – Satisfactory 218 25.1 344 27.9 292 23.0 160 20.9 172 19.0

Negative Compliance 532 61.4 730 59.3 822 64.6 488 63.9 545 60.2

Left – Unsatisfactory 532 61.4 730 59.3 822 64.6 488 63.9 545 60.2


Chapter 2

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Outpatient Counseling Program Participant Demographics Table 2.7 shows that during the 2005-06 Fiscal Year, 27,280 participants accounted for 31,254 admissions to outpatient counseling programs; 3,410 (12.5%) of these participants had two or more admissions. Most outpatient counseling program participants were:

• male (67.1%); • between 25 and 44 years of age (58.1%); • Hispanic/Latino (35.5%), White (27.3%) or Black/African American (26.0%); and • reported methamphetamine (33.1%), cocaine/crack (24.5%), or alcohol (21.2%) as their

primary drug problem.

Table 2.7 – Outpatient Counseling Program Participant Demographics

2005-06 Fiscal Year




Gender

Male 18,297 67.1 Female 8,983 32.9

Race/Ethnicity

White 7,440 27.3 Black/African American 7,100 26.0 Hispanic/Latino 9,696 35.5 Native American 258 0.9 Asian/Pacific Islander 850 3.1 Other 1,936 7.1

Age

18 – 20 963 3.5 21 – 24 3,313 12.1 25 – 44 15,863 58.1 45 – 64 6,812 25.0 65 – Over 329 1.2

Education

None 708 2.6 1 – 8 years 1,428 5.2 9 – 12 years 20,810 76.3 13 or more years 4,334 15.9

Employment Status

Employed 7,503 27.5 Unemployed 16,890 61.9 Not in the labor force 2,887 10.6


Alcohol 5,782 21.2 Cocaine/Crack 6,674 24.5 Heroin 1,358 5.0 Marijuana/Hashish 3,676 13.5 Methamphetamine 9,038 33.1 Other 752 2.8


Chapter 2

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Outpatient Counseling Program Participant Primary Drug Problem Trends According to Table 2.8, outpatient counseling program participants reported alcohol, cocaine/crack, or methamphetamine as their most likely primary drug problem each fiscal year. Since 2003-04 Fiscal Year, methamphetamine has been the primary drug problem reported by most outpatient counseling program participants. The number of methamphetamine users has increased each of the five fiscal years.

Table 2.8 – Outpatient Counseling Program Participant Primary Drug Problem by Fiscal Year


# % # % # % # % # %

Alcohol 4,607 26.1 4,652 22.3 5,746 23.2 6,110 22.5 5,782 21.2

Cocaine/Crack 5,188 29.4 6,016 28.9 6,473 26.1 6,632 24.4 6,674 24.5

Heroin 1,266 7.2 1,294 6.2 1,366 5.5 1,410 5.2 1,358 5.0

Marijuana/Hashish 2,210 12.5 2,614 12.5 3,233 13.1 4,090 15.0 3,676 13.5

Methamphetamine 3,525 20.0 5,247 25.2 6,747 27.2 7,923 29.1 9,038 33.1

Other 853 4.8 1,008 4.8 1,200 4.8 1,023 3.8 752 2.8

Total 17,649 100.0 20,831 100.0 24,765 100.0 27,188 100.0 27,280 100.0

Source: Los Angeles County Participant Reporting System Outpatient Counseling Program Participant Discharge Status Trends According to Table 2.9 during the 2005-06 Fiscal Year, 43.6% of the outpatient counseling program participants were discharged with a positive treatment compliance status; they were successful in complying with their treatment plan. The percentage of outpatient counseling program participants discharged with positive treatment compliance assessments decreased over the first three fiscal years; from a high of 47.0% in the 2001-02 Fiscal Year to a low of 38.8% in 2003-04. During the last two fiscal years (2004-05 and 2005-06), positive treatment compliance increased slightly, 41.1% and 43.6%, respectively. The five-year positive treatment compliance average was 42.5%.

Table 2.9 – Outpatient Counseling Program Participant Discharge Status by Fiscal Year

2001-02 2002-03 2003-04 2004-05 2005-06 Participant Discharge Status

# % # % # % # % # %

Number of Discharges 11,922 100.0 14,353 100.0 15,233 100.0 12,354 100.0 13,477 100.0

Positive Compliance 5,606 47.0 6,005 41.8 5,918 38.8 5,083 41.1 5,871 43.6

Completed Treatment 2,797 23.5 2,817 19.6 2,937 19.3 2,880 23.3 3,535 26.2

Left – Satisfactory 2,809 23.6 3,188 22.2 2,981 19.6 2,203 17.8 2,336 17.3

Negative Compliance 6,316 53.0 8,348 58.2 9,315 61.2 7,271 58.9 7,606 56.4

Left – Unsatisfactory 6,316 53.0 8,348 58.2 9,315 61.2 7,271 58.9 7,606 56.4


Chapter 2

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Narcotic Treatment Detoxification Program Participant Demographics As shown in Table 2.10, during the 2005-06 Fiscal Year, 597 participants accounted for 706 admissions to narcotic treatment detoxification programs; 85 (14.2%) of these participants had two or more admissions. According to statistical findings:

• 71.5% were male; • 54.9% were between 45 and 64 years of age; • most participants were Hispanic/Latino (53.4%); and • 95.3% of the participants reported heroin as their primary drug problem.

Table 2.10 – Narcotic Treatment Program (NTP) Detoxification Participant Demographics

2005-06 Fiscal Year


Admissions 706 100.0

Participants 597 100.0

Gender

Male 427 71.5 Female 170 28.5

Race/Ethnicity


Age

18 – 20 6 1.0 21 – 24 14 2.3 25 – 44 239 40.0 45 – 64 328 54.9 65 – Over 10 1.7

Education

None 16 2.7 1 – 8 years 36 6.0 9 – 12 years 473 79.2 13 or more years 72 12.1

Employment Status

Employed 46 7.7 Unemployed 485 81.2 Not in the labor force 66 11.1


Heroin 569 95.3 Non-Prescription Methadone 1 0.2 Other Opiates and Synthetics 27 4.5


Chapter 2

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NTP Detoxification Programs Participant Primary Drug Problem Trends Narcotic treatment programs by design provide methadone/LAAM services to participants who have heroin or other morphine-like primary drug problems. As anticipated, each fiscal year almost all participants in narcotic treatment detoxification programs reported heroin (94.5% to 98.5%) as their primary drug problem (Table 2.11).

Table 2.11 – NTP Detoxification Program Participant Primary Drug Problem by Fiscal Year


# % # % # % # % # %

Heroin 1,792 98.5 1,579 98.4 3,235 96.1 1,269 94.5 569 95.3

Non-Prescription Methadone 1 0.1 0 0.0 2 0.1 4 0.3 1 0.2

Other Opiates and Synthetics 26 1.4 25 1.6 131 3.9 70 5.2 27 4.5

Total 1,819 100.0 1,604 100.0 3,368 100.0 1,343 100.0 597 100.0

Source: Los Angeles County Participant Reporting System NTP Detoxification Program Participant Discharge Status Trends As shown in Table 2.12, during the 2005-06 Fiscal Year, half (50.6%) of the narcotic treatment detoxification program participants received a positive treatment compliance assessment at discharge; they were successful in complying with their treatment plan. The five-year positive treatment compliance average was 46.1%.

Table 2.12 – NTP Detoxification Program Participant Discharge Status by Fiscal Year

2001-02 2002-03 2003-04 2004-05 2005-06

Participant Discharge Status # % # % # % # % # %

Number of Discharges 2,286 100.0 2,115 100.0 4,493 100.0 1,101 100.0 543 100.0

Positive Compliance 1,023 44.8 928 43.9 1,970 43.8 522 47.4 275 50.6

Completed Treatment 468 20.5 422 20.0 701 15.6 242 22.0 169 31.1

Left – Satisfactory 555 24.3 506 23.9 1,269 28.2 280 25.4 106 19.5

Negative Compliance 1,263 55.2 1,187 56.1 2,523 56.2 579 52.6 268 49.4

Left – Unsatisfactory 1,263 55.2 1,187 56.1 2,523 56.2 579 52.6 268 49.4


Chapter 2

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Narcotic Treatment Maintenance Program Participant Demographics According to Table 2.13, during the 2005-06 Fiscal Year, 2,056 participants accounted for 2,425 admissions to narcotic treatment maintenance programs; 290 (14.1%) of these participants had two or more admissions. According to statistical findings:

• 64.3% were male; • 55.8% were between 45 and 64 years of age; • most participants were Hispanic/Latino (38.2%) or White (33.9%); and • 92.9% of the participants reported heroin as their primary drug problem.

Table 2.13 – NTP Maintenance Participant Demographics 2005-06 Fiscal Year




Gender

Male 1,321 64.3 Female 735 35.7

Race/Ethnicity


Age

18 – 20 3 0.1 21 – 24 46 2.2 25 – 44 754 36.7 45 – 64 1,147 55.8 65 – Over 106 5.2

Education

None 23 1.1 1 – 8 years 107 5.2 9 – 12 years 1,543 75.0 13 or more years 383 18.6

Employment Status

Employed 384 18.7 Unemployed 1,325 64.4 Not in the labor force 347 16.9


Heroin 1,909 92.9 Non-Prescription Methadone 11 0.5 Other Opiates and Synthetics 136 6.6


Chapter 2

-17-

NTP Maintenance Programs Participant Primary Drug Problem Trends Narcotic treatment programs by design provide methadone/LAAM services to participants who have heroin or other morphine-like primary drug problems. As anticipated, each fiscal year almost all participants in narcotic treatment maintenance programs reported heroin (92.2% to 96.4%) as their primary drug problem (Tables 2.14).

Table 2.14 – NTP Maintenance Program Participant Primary Drug Problem by Fiscal Year


# % # % # % # % # %

Heroin 2,049 96.4 1,425 92.2 3,006 94.4 3,274 93.4 1,909 92.9

Non-Prescription Methadone 3 0.1 1 0.1 3 0.1 22 0.6 11 0.5

Other Opiates and Synthetics 73 3.4 119 7.7 174 5.5 208 5.9 136 6.6

Total 2,125 100.0 1,545 100.0 3,183 100.0 3,504 100.0 2,056 100.0

Source: Los Angeles County Participant Reporting System NTP Maint

Documents

2005-06 Fiscal Year - Department of Public Healthpublichealth.lacounty.gov/sapc/annualreview/AR_2005-06... · 2008. 5. 30. · The 2005-06 Annual Review is composed of the following