All individuals were asked during the intake interview to report on their mental health status. The SAIS question reads: "In the past 30 days, not due to your use of alcohol or drugs, how many days have you experienced the following symptoms?" Symptoms included depression, anxiety, hallucinations, trouble remembering or concentrating, and attempted suicide. Overall, most of the indicators were rarely reported as having been experienced by clients at enrollment, with four exceptions: 35 percent of the cases across all three sites (including youth) said at intake they had experienced cognitive difficulties in the previous 30 days, while just under 10 percent of clients said at intake that they had had difficulty controlling their violent behavior. These numbers drop to 21 percent and 5 percent, respectively, by follow-up. Among the other symptoms, the highest rates of endorsement were for depression and anxiety. Figure 4-16 and Figure 4-17 show the percentage drop in each of these symptoms between intake and 6-month follow-up.
FIGURE 4-16 Percent of Clients Reporting Symptoms of Depression by Site at Intake and Follow-Up
FIGURE 4-17 Percent of Clients Reporting Symptoms of Anxiety by Site at Intake and Follow-Up
Across all four populations, we see a decrease in the percentage of individuals who reported having experienced either of these two mental health symptoms in the previous 30 days. While the percentage of clients reporting depression symptoms drops by about half among Fall River clients and Union City youth, the decline is less among Lorain clients and Union City adults. At present we do not have an explanation for these differences. In each site, the percentage of clients reporting symptoms of anxiety also decreases between intake and follow-up, although in none of the four sites is the decline as dramatic as for depression. It does appear, however, that program participation was correlated with positive behavioral outcomes in the client population as a whole.