Introduction to Evaluation Projects
Evaluation of Integrated Treatment Services for individuals with Co-occurring Disorders
A series of evaluation studies conducted over the last 10 years by Foundations Associates and DDM have consistently provided successful treatment outcomes for individuals with co-occurring mental health and substance use disorders. A growing body of research has consistently documented the impact and efficacy of integrated treatment services for co-occurring disorders. In addition, our evaluation studies have also provided consistent evidence of the positive impact of integrated treatment services across key outcomes such as substance use, psychiatric symptoms, functioning, employment and income, housing stability, involvement with the criminal justice system, high-risk behaviors, and service utilization measures (reduced emergency room and overnight inpatient hospitalizations while increasing engagement in lower-cost community-based treatment services). Our evaluation studies have documented similar success across various co-occurring subgroups and special populations. This series of evaluation studies reflect the value of integrated treatment services and the effectiveness of services provided by Foundations Associates, which were developed based on integrated treatment principles as outlined by Robert Drake and Kim Mueser.
Expansion of Integrated Residential Treatment Services
Funded by HHS/SAMHSA/CSAT from 1998-2001. Collaboration with Tennessee Department of Mental Health and Developmental Disabilities
The purpose of this project was to increase capacity for residential services with facilities for men and women at Foundations Associates. Existing men’s services were expanded to establish a comparable integrated residential model tailored to the special needs of dually diagnosed women.
Development of and Integrated Community-Based Service Model
Funded by HHS/SAMHSA/CSAT from 2001-2004. Collaboration with Metropolitan Nashville Health Department.
The project expands the capacity for front-end delivery of integrated dual diagnosis outpatient services for indigent populations, while providing longer term sustained follow up for community-based individuals. Replicating a highly successful local residential program, the program focused on providing the least restrictive and resource intensive model of community-based dual diagnosis treatment, while yielding results comparable to the field-tested residential program.
Evaluation of a Modified Assertive Community Treatment (ACT) Model for Homeless Persons with Co-occurring Disorders
Funded by HHS/SAMHSA/CSAT from 2001-2004.
The project modifies the assertive community team (ACT) model, demonstrated as efficacious for individuals with serious and persistent mental illness, adapting it to incorporate core practices empirically identified as effective in successful integrated treatment programs (Drake et al., 2001). Its objective is development of a replicable model to treat an underserved population of consumers unable to access and maintain stable housing while struggling with complex co-morbid substance abuse/dependency and mental illness.
Evaluation of an Integrated Drug Court Model
Funded by HHS/SAMHSA/CSAT from 2001-2004. Collaboration with Davidson County Community Corrections Program.
The project provides diversionary residential treatment for non-violent dually diagnosed felony offenders. It is based upon contemporary integrated treatment practices, while also adapting key principles of treatment drug courts. Expanding a highly successful integrated services agency, the project combines expertise of two premier agencies and offers a treatment alternative for a rapidly growing and under-served population of individuals who would otherwise be incarcerated.
A Diversionary Model for Criminal Offenders with Co-occurring Mental Health and Substance Use Disorders
Funded by HHS/SAMHSA/CMHS from 2003-2007. Collaboration with Chelby County Government.
This project builds upon Shelby County’s recent efforts to address the county’s greatest infrastructure gap’jail diversion for consumers with co-occurring mental health and substance use disorders. Our model integrates evidence-based practices from the Council of State Governments and Robert Drake for jail diversion and dual diagnosis services.
Expansion of a Multi-Diagnosis Treatment Program: Integrated Recovery Management Model for Ex-Offenders with Co-occurring Mental Illness, Addictive Disorders, and HIV Seropositive or High-Risk Status
Funded by HHS/SAMHSA/CSAT from 2004-2009.
The project represents synergies among lead Memphis providers in the co-occurrence and HIV/AIDS community to address the city’s greatest infrastructure gap’treatment for ex-offenders with complex co-occurring SA/MI and seropositive or high risk status. It integrates evidence based practices of NIDA, Drake, CDC, & SAMHSA for SA/MI treatment and HIV/AIDS prevention/care to deliver a comprehensive, integrated recovery management model.
Expansion of Treatment and Services for Shelby County Detainees with Co-occurring Disorders
Funded by HHS/SAMHSA/CSAT from 2004-2007.
The project expands builds on a previous jail diversion project to further expand integrated treatment services to include residential treatment and longer-term case management services. These more intensive service offerings are intended to facilitate diversion and access to evidence-based services for individuals with more extensive substance use histories and more severe psychiatric symptoms.
In addition to evaluation studies involving treatment services provided by Foundations Associates, our research has also supported the implementation and delivery of effective integrated treatment services and increased access to community-based resources through collaborative projects with other agencies.
Integrated ACT services for ex-offenders in the Nashville community
Funded by HHS/SAMHSA/CSAT from 2007-2012. Collaboration with Park Center.
The project provides integrated ACT services to address an existing gap in treatment for ex-offenders in the Nashville community with concurrent addictions, mental illness, and HIV/AIDS or high risk of HIV/AIDS. It integrates evidence-based practices outlined by Robert Drake and Kim Mueser, along with the key clinical prevention concepts of the CDC, NIDA, and SAMHSA for HIV/AIDS prevention and care within integrated substance abuse and mental health services.
Evaluation of Integrated ACT Services in a Rural Community
Funded by HHS/SAMHSA/CSAT from 2002-2005. Collaboration with Ridgeview Psychiatric Hospital and Center, Oak Ridge, TN.
The project modifies the assertive community team (ACT) model, demonstrated effective for individuals with serious and persistent mental illness, adapting it to incorporate effective integrated core treatment practices for rural individuals with co-occurring conditions (Drake et al., 2001). Its objective is to develop an effective, replicable model to treat underserved homeless consumers with complex co-morbid substance abuse/dependency and mental illness.
Adaption of the Strengthening Families Model for Families with Co-occurring Disorders
Funded by HHS/SAMHSA/CSAP from 1999-2002. Collaboration with Tennessee Department of Mental Health and Developmental Disabilities
This project is a selective prevention intervention based on the Strengthening Families Program (SFP). For the purposes of this project, the SFP was being generalized for implementation with dually diagnosed parents and their children. The goal of SFP is to reduce environmental risk factors and enhance protective factors to prevent substance abuse and behavioral problems in high-risk youth.
Housing Within Reach: Creating, effecting, and implementing long term and enduring permanent housing solutions for Tennesseans with mental illness
Funded by HHS/CMS from 2002-2006. Collaboration with Tennessee Department of Mental Health and Developmental Disabilities.
This project will make a long term system change in housing options for Tennesseans diagnosed with serious and persistent mental illness. This project has two major goals: (1) To design and implement a more effective, consumer- directed, and accessible housing resource system for Tennesseans with mental illness in order to increase the number of persons in quality, affordable housing, and (2) To effectively reduce the stigma of mental illness Statewide to provide a more welcoming environment for persons who reside in Tennessee neighborhoods.Contact Us