Table 4:
Measures of substance use treatment quality extracted from adult drug court evaluations published between January 2008 and July 2018
| Type of measurea | Measure name | Presence of measureb, n (%) |
|---|---|---|
| Process measures (n = 68) | ||
| General | Treatment organization | 32 (47) |
| Treatment provider discipline | 11 (16) | |
| Screening and monitoring | Social needs assessment | 39 (57) |
| Mental health disorder screening | 35 (51) | |
| Unhealthy substance use screening | 36 (53) | |
| Substance use laboratory testing | 45 (66) | |
| Diagnosis | Mental health disorder diagnosis | 8 (12) |
| SUD diagnosis | 14 (21) | |
| Availability of services | Psychosocial treatment options | 23 (34) |
| Availability of MAUDc | 6 (9) | |
| Availability of MOUDc | 17 (25) | |
| Utilization of services | Social interventions delivered | 21 (31) |
| Psychosocial treatment delivered | 6 (9) | |
| Utilization of MAUD | 0 (0) | |
| Utilization of MOUD | 5 (7) | |
| Duration of medication treatment | 1 (1) | |
| Connection to primary care | 2 (3) | |
| Outcome measures (n = 112) | ||
| Program graduation rate | 98 (79) | |
| Recidivism | 95 (77) | |
| All-cause mortality | 1 (1) | |
| Overdose deaths | 2 (2) | |
| Retention in care after graduation | 7 (6) |
a
Measures were selected from the Substance Abuse Mental Health Services Administration, the National Drug Court Institute, the 2014 American Society of Addiction Medicine performance measures and the Office of the Assistant Secretary of Planning and Evaluation review of MAT guidelines
b
We assumed that evaluations included all drug court measures collected and that no reporting, in any form, meant that the measure was not collected
c
MAUD = medications for alcohol use disorder, MOUD = medications for opioid use disorder