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The Center for Health Promotion and Prevention Research

Project Evaluation of Comprehensive Case Management for Sexual and Gender Minorities

The University of Texas Health Science Center at Houston (UTHealth) School of Public Health is a sub-contractor for the Montrose Center on a SAMHSA-funded project that aims to increase access to treatment for LGBTQ+ persons and People Living with HIV (PLWH) who have co-occurring mental health and substance use disorders; and increase coordination and integration between service lines and with peer services to produce better outcomes for clients. Study participants are clients aged 13+, who identify as a sexual or gender minority, have a substance use and co-occurring disorder, and are newly enrolled in ITP. The Center focuses on the Integrated Treatment Program (ITP) which includes treatment in different formats depending on the clients’ needs. These formats includes (1) an Intensive Outpatient Program (IOP) plus Individual Therapy (IT) and Case Management (CM); (2) Supportive Outpatient Program (SOP) to address relapse prevention plus IT plus CM; or (3) IT plus CM. Each of these formats may include additional resources such as psychotropic medication management, participation in external groups such as 12-step programs, or recovery support services. The evaluation of ITP is based on SAMHSA’s Integrated Treatment for Co-Occurring Disorders Evaluation Protocol which includes the Integrated Treatment Fidelity Scale (ITFS), the General Organizational Index (GOI), and outcome measures that are specific to the Center’s ITP. Process evaluation is conducted every six (6) months and outcome evaluation is conducted yearly. Evaluation activities include development of data collection instruments using Qualtrics, an online data collection tool; data collection at baseline and every 3-months; conducting a process evaluation that includes chart reviews, observation, in-depth interviews, and staff surveys; conducting analyses for key outcomes; data reporting to SAMHSA via SPAR- a data entry, reporting, technical assistance requests, and training system; and disseminating findings via conferences and peer-reviewed publications. The project began in September 2018 and ended in September 2020. A No-Cost Extension (NCE) was granted for 1 year.


Dr. J. Michael Wilkerson, Principal Investigator