Retention in Psychosocial Services Knowledge Item 17: Results from HRSA/HAB's SPNS Innovative Models of Care

Knowledge Item: CA-Retention in Psychosocial Services-17
Retention as a Function of Needs and Vulnerabilities Controlling Site and Gender

Cox regression for proportional hazards, a type of survival analysis, was used to study the time that 941 clients in ten programs were retained in psychosocial services. Pooling the data in the programs, and controlling for site and gender differences, the effects of status in each of 15 needs and vulnerabilities were studied. Pooling across all projects, there were significant effects for site, having children who need care (such individuals are retained longer in care if linked), criminal justice system involvement (those with prior CJS involvement are retained longer), and heroin abuse (heroin abusers tend to stay in the programs longer).

Note: These analyses are conducted on a selected group of individuals with complete data on the needs and vulnerabilities. A much larger sample was used in Knowledge Item: CA-Retention in Psychosocial Services-18 which shows the survival curves "need by need" without the necessity of complete data on all service need and vulnerability indicators. Because the sample size is much smaller for these analyses and because a much larger set of highly correlated predictor variables are being used, these results are more "tentative" than those of other analyses on retention using the full sample.

Knowledge Item Citation: Huba, G. J., Melchior, L. A., Panter, A. T., and the HRSA/HAB SPNS Cooperative Agreement Steering Committee (1998-2001). Knowledge Item: CA-Retention in Psychosocial Services-17 from HRSA/HAB's SPNS Cooperative Agreements on Innovative Models of Care, The Measurement Group Knowledge Base on HIV/AIDS Care, Online at www.TheMeasurementGroup.com.

Last Updated: March 25, 2005; data through June 15, 1999; analyses conducted December 1999.

Knowledge Base Citation: The Knowledge Base and this Knowledge Item were designed and authored by G. J. Huba, Ph.D.; in collaboration with Lisa A. Melchior, Ph.D.; A. T. Panter, Ph.D.; and the staff of The Measurement Group. Cite this work as "Huba, G. J., Melchior, L. A., and Panter, A. T. (1998 - 2001). The Measurement Group Knowledge Base on HIV/AIDS Care. On the World Wide Web: http://www.TheMeasurementGroup.com."

Questions or Comments: Contact The Measurement Group.

Use of Knowledge Base Information: Acceptable Uses and Limitations.

Collaborators from Participating Projects: Cooperative Agreement Steering Committee 1999.

Participating Projects: This Knowledge Base is based on the service delivery experiences of 27 Cooperative Agreement Projects on Innovative Models of HIV/AIDS Care. These projects and the Evaluation and Dissemination Center which produced this Knowledge Base were funded by the Health Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB) as Special Projects of National Significance (SPNS) between 1994 and 1999. Click the Model Programs button above for descriptions of the projects that contributed to this specific Knowledge Item, a list of key staff, and project grant numbers.

Why This Evaluation was Conducted: Editorial.

More Information: Design of this Knowledge Base.

Recommended Citation Format for Web Materials: American Psychological Association Publication Manual Section, Revised 2001.

Work on the Knowledge Base and the cross-cutting evaluation was supported in part by Grant Number 5 U90 HA 00030-05 from the Health Resources and Services Administration (HRSA), HIV/AIDS Bureau's (HAB) Special Projects of National Significance (SPNS). The contents of this Knowledge Base are solely the responsibility of The Measurement Group and do not necessarily represent the official views of HRSA or HRSA/HAB's Special Projects of National Significance nor may they represent the positions of the individual grantees whose projects are included in the cross-cutting evaluation.