The overarching goal of Adolescent Health and Recovery Treatment and Training (AHARTT), which operates out of the University of Kentucky Department of Psychiatry, is to identify and provide evidence-based substance abuse treatment to adolescents in Kentucky through several objectives including (but not limited to): (1) to provide evidence-based patient care to adolescents and their families, and (2) to assist in training and implementation of evidence-based treatments statewide. The client-level outcome evaluation project is commissioned by AHARTT through a contract with the University of Kentucky Center on Drug and Alcohol Research Behavioral Health Outcome Studies (UK CDAR BHOS). Client-level data collected in this project allows for: (1) the counting of the number of adolescent clients served by clinicians trained in two evidence-based treatments: Functional Family Therapy (FFT) and Cognitive Behavioral Therapy (CBT); (2) describing characteristics and functioning of clients served; and (3) examination of pre-treatment to post-treatment (i.e., discharge and 12-month follow-up) change in substance use and other key targeted outcomes.

The core of this evaluation is the client-level data that is collected by trained clinicians using the Client Information System and the follow-up interviews that are conducted by UK CDAR with adolescent clients who agree to be contacted for the follow-up interview.

What is the CIS?
The Client Information System (CIS) is a secure website that was developed and tailored for the project to provide users with easier and intuitive access to the intake data collection system, secure data entry, and data management display features.

What can I do with the CIS?
The CIS has several important functions. Users can:

• Register each client. Users will use the secure online Client Registration Survey to record client information that will be the census of clients served in Kentucky Kids Recovery Programs. All adolescent clients (including prevention and early intervention as well as treatment clients) should be registered in the system. This process takes the clinician or program staff person a few minutes to complete. Once clients are registered in the system, the clinician can begin the Intake Interview with the client.

• Enter intake information for each client. Users can manage their intake data through the CIS by first entering information about active clients. Clinicians complete an abbreviated Intake Interview with prevention and early intervention clients. Clinicians complete the full Intake Interview, which is the same as the AKTOS Intake Interview, with adolescent clients who are to receive treatment services (including in home, outpatient, intensive outpatient, crisis stabilization, and residential).

• Download a client narrative. After completing an Intake Interview, users can download a client narrative which summarizes, in narrative form, responses from the client and includes ASAM-level of care recommendations consistent with the American Association of Addiction Medicine Placement Criteria (PPC2-R). This narrative report can be placed in the client’s file for future reference.

• Enter exit interview information. Users enter data collected in the Exit Interview with adolescent clients as they are discharged from treatment. This information will be used to examine change in substance use and key targeted factors from treatment intake to discharge.

• Enter discharge status and service encounter information.
• Users enter information about the discharge status and types and numbers of service encounters with the client during the treatment episode.

• Mid-level reporting. Users can request a mid-level report which shows how many intakes have been submitted. Some of the mid-level reports display how many clients have entered the user’s facility and how many discharges have been made within a user selected timeframe.

For more information on the features and capabilities of the CIS, please visit (https://cdar.uky.edu/bhos/Data_Management.html).

What happens to the data after I enter the intake information online?
After intake and follow-up interviews are completed for this two-year project, the data will be analyzed by UK CDAR BHOS and the findings will be published in a report.