Contact detailsAnn Kerlin, PhD

Luther Rice College & Seminary

Using Health Measures in an Alcohol/Drug Rehab Setting

Low Cost Applications

AMKRESEARCH

Picture courtesy of Pixabay

Health Care Overall Year of Study

Tobacco $168 billion $300 billion 2010

Alcohol $27 billion $249 billion 2010

Illicit Drugs $11 billion $193 billion 2007

Prescription Opioids $26 billion $78.5 billion 2013

Total $232 billion $820.5 billion Source: NIDA (2017)

In the USAMK

RESEARCH

Opioids

130 people die each day (NIH/NIDA, 2019)Prescription opioidsHeroinFentanyl

3

Health Care and Related Costs

MM.DD.20XX

AMKRESEARCH

Methamphetamines

Highly addictive stimulant

o Increasing useoLong term implications

4ADD A FOOTERMM.DD.20XX

NIDA, 2013

AMKRESEARCH

MM.DD.20XX ADD A FOOTER 5

Other Trends

Alcohol Use (SAMHSA, 2014)

AMKRESEARCHMarijuana use among persons aged =18 years,

by highest level of education completed† —National Survey on Drug Use and Health, United States, 2002–2014 (CDC, 2016)

HealthMeasures.net

Applying PROMIS and NeuroQol to A Residential Drug and Alcohol Treatment Program

AMKRESEARCH

Wikipedia Commons

The Setting: The Recovery Center at Shalom MinistriesLocated in Belton, SC The Recovery Center Shalom House Remnants

AMKRESEARCH

Purposes & Method

https/

• Research• Program evaluation and

outcomes• Grant funding support

Data Collection

AMKRESEARCH

Assessments Play a Role In

– Monitoring client change– Evaluating the effectiveness of counseling– Diagnosis– Treatment planning

AMKRESEARCH

Progress Monitoring

• Counselors have responsibility to monitor clients’ progress during treatment and determine if clients are making positive gains

AMKRESEARCH

Measures Used

Series 1: PROMIS and NeuroQol:• The Alcohol Use Short Form 7a • The Emotional Distress-Anxiety–Short

Form 8a • The Emotional Support-Short Form 8a• The Depression-Short Form 8a • NeuroQol Item v2.0 Short Form-

Cognitive Function

Series 2: PROMIS and NeuroQol:• The Alcohol Use Short Form 7a • The Emotional Distress-Anxiety–Short

Form 8a • PROMIS Short Form v2.0 - Social

Isolation 8a• The Depression-Short Form 8a • PROMIS® Scale v1.2 – Global Health• NeuroQol Item v2.0 Short Form-

Cognitive Function

AMKRESEARCH

Additional Assessments Included

Not from Health Measures• DAST-10• Rosenberg Self-Esteem Inventory• TRIM-12: Revenge and Avoidance• ECR-RS with people• ECR-RS with God

U.S. Air Force graphic by Senior Airman Aubrey White/Released

Appearance on Survey Monkey©

Scoring Results

• Use Assessment Center for data scoring

• Download data to create individual reports

for counseling sessions• This is the PROMIS Social Isolation scale

AMKRESEARCH

DepressionFOR SD OVER 50:

0.5 – 1.0 Mild

1.0-1.9 Moderate

2.0 + Severe

Mean

SD = 10

AMKRESEARCH

Study #1Key Metrics

16ADD A FOOTERMM.DD.20XX

AlcoholUse

Drug Use Depression EmotionalSupport

Anxiety Avoidance Revenge CognitiveFunct

EntryExit

AMKRESEARCH

0

5

10

15

20

25

Series 1Series 2

Other FindingsAMK

RESEARCH

Publications onShalom Recovery

o Kerlin, Ann M. “Therapeutic Change in a Christian SUD Program: Mental Health, Attachment, and Attachment to God,” Alcoholism Treatment Quarterly, 35 no. 4 (2017): 395-411. Available at: http://dx.doi.org/10.1080/07347324.2017.1355218

o Kerlin. Ann M. & Lisa S. Sosin, "Recovery from Childhood Sexual Abuse: A Spiritually Integrated Qualitative Exploration of Ten Women’s Journeys," Journal of Mental Health in Spirituality, (2016), pp. 1-21. .

o **In Press: Women in Faith-Based Recovery (using PROMIS and NEUROQOL assessments)

o **On IBD: Kerlin AM, Long M, Kappelman M, Martin C, Sandler RS. (2018) Profiles of Patients Who Use Marijuana for Inflammatory Bowel Disease. Digestive Diseases and Sciences. PMID 29594968 DOI: 10.1007/s10620-018-5040-5

18ADD A FOOTERMM.DD.20XX

AMKRESEARCH

Photo by Nick Youngson, CcbySA, Alpha Stock Images

References• Azofeifa, A. et al. (2016) “National Estimates of Marijuana Use and Related Indicators —

National Survey on Drug Use and Health, United States, 2002–2014” (September 2016, CDC), available at: https://www.cdc.gov/mmwr/volumes/65/ss/ss6511a1.htm#F1_down

• Fraley, R. C., Heffernan, M. E., Vicary, A. M., & Brumbaugh, C. (2011). The Experiences in Close Relationships-Relationship Structures questionnaire: A method for assessing attachment orientations across relationships. Psychological Assessment, https://doi.org/10.1037/a0022898.

• Health Measures, available at: http://www.healthmeasures.net/• McCullough, M. E., Rachal, K. C., Sandage, S. J., Worthington Jr., E. L., Brown, S. W., & Hight,

T. L. (1998). Interpersonal forgiving in close relationships: II. Theoretical elaboration and measurement. Journal of Personality and Social Psychology, https://doi.org/10.1037/0022-3514.75.6.1586

• National Institutes of Health, “Opioid Overdose Crisis” (January 2019), available at: https://www.drugabuse.gov/drugs-abuse/opioids/opioid-overdose-crisis

References Continued• National Institute on Drug Abuse, “What are the Long Term Consequences of

Methamphetamine Misuse?” (September, 2013), available at: https://www.drugabuse.gov/publications/methamphetamine/what-are-long-term-effects-methamphetamine-misuse

• National Institute on Drug Abuse, “Trends and Statistics” (April 2017), available at: https://www.drugabuse.gov/related-topics/trends-statistics

• Rosenberg, M. (1989). Society and the Adolescent Self-Image. Revised edition. Middletown, CT: Wesleyan University Press.

• Substance Abuse and Mental Health Services Administration, Results from the 2013 National Survey on Drug Use and Health: Summary of National Findings, NSDUH Series H-48, HHS Publication No. (SMA) 14-4863. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014.

• Skinner, H. A. (1982). The drug abuse screening test. Addictive Behaviors, 7(4), 363–371.• Survey Monkey, available at: https://www.surveymonkey.com/