This assessment measures utilization of HIV primary health care for those study participants whose HIV test results are reactive (positive).

Opiate level measured in urine sample

Methamphetamine level measured in urine sample

Cocaine metabolite level measured in urine

The URICA is a 32-item measure that includes 4 subscales measuring the stages of change: precontemplation, contemplation, action, and maintenance. (There is also a 24-item version.) Responses are given on a 5-point Likert scale ranging from 1 (strong disagreement) to 5 (strong agreement). The subscales can be combined arithmetically (C+A+M-PC) to yield a second-order continuous Readiness to Change score that can be used to assess readiness to change at entrance to treatment. The URICA assesses motivation for change by providing its scores on the four stages of change. Cluster analyses yielded five stages among adult outpatients entering alcoholism treatment: precontemplation, ambivalent, participation, uninvolved, and contemplation. In addition, motivation for change may be assessed using a second-order factor called Readiness to Change that seems useful at pretreatment. Clinicians may use the URICA to evaluate an individual's level of motivation for change and use this information to help guide treatment approaches. Subscale scores can be used to track shifts in attitudes related to the specific stages of change. In research, the URICA could be used to measure process and outcome variables for a variety of health and addictive behaviors. Care must be used in evaluating clients in a pre-post design since relationships among subscales shift as individuals move into action and maintenance. The URICA can be administered in about 5-10 minutes in either a self-report or interview format.

This survey collects information on how a treatment unit operates, the make-up of the unit staff and treatment population.

The TSR is an interview used to gather information about specific services provided to patients attending substance abuse and other types of treatment programs. The TSR focuses on services for seven potential problem areas-medical status, employment and support, drug use, alcohol use, legal status, family/social status, and psychiatric status-that correspond to the seven patient functioning areas assessed by the Addiction Severity Index. Patients are asked about the services that they received in the past week either in a program or outside of a program through referral. The TSR consists of 56 items. It takes approximately 10 minutes to administer and 1 minute to score. In clinical settings, the TSR can be used to describe the types of services patients receive in a treatment program. In this way, it is possible to differentiate types of programs and to determine whether the patient problems presented at admission have been addressed during treatment. In research, the TSR has been used to evaluate different forms of experimental interventions to ensure that they are delivered in the manner originally specified and that they differ from the control or comparison conditions. In addition, the TSR can be used in studies designed to match patients to the treatment programs or services that benefit from them most. A revised version of the TSR (the TSR-6) was developed in 2008 and found to be both reliable and valid (Cacciola et al, 2008).

The primary purpose of the Treatment Program Clinician survey is to determine the knowledge level (Section A) and behavior (Section B) of the clinicians as it relates to Hepatitis C. Another purpose is to determine the clarity of the program’s guidelines regarding Hepatitis C services (Section C), the barriers to providing Hepatitis C services (Section D) and the opinions (Section E) from the clinician’s perspective.

The primary purpose of the Treatment Program Administrator survey is to describe the Treatment Program modality, staffing, services, and clientele (Sections A, B, and C); the types of services offered (Section E) and reimbursement received (Section D) for the targeted service areas; and, the guidelines (Section F), barriers (Section G) and opinions from the administrator’s perspective. The following are the questions we wish to answer regarding Hepatitis-C and the proposed analysis. Questions: