Alcohol and Other Drug Outcome Measure (ADOM)
The Alcohol and Other Drug Outcome Measure (ADOM) is a measure for community-based outpatient adult addiction services.
ADOM
Since July 2015, the Ministry of Health have mandated ADOM collection and reporting for all community-based outpatient adult addiction services. This includes outpatient after-care or continuing care programmes, post-residential or outpatient intensive treatment programmes.
Please see the ADOM guide for addiction practitioners version 5.0 for a detailed description of those services and tāngata whai ora for whom ADOM has been psychometrically tested (and therefore validated) for use.
People accessing services/tāngata whai ora and Alcohol and Other Drug (AOD) practitioners are giving positive feedback about using the Alcohol and Drug Outcome Measure (ADOM).
ADOM provides tāngata whai ora with a way to rate and track key areas of change during their treatment journey. This includes changes in use of alcohol and drugs, lifestyle and wellbeing and satisfaction with treatment progress and recovery.
Tāngata whai ora are supported by addiction practitioners to regularly rate how they are doing and to view the results using the ADOM feedback wheel. The ADOM feedback wheel provides the tangata whai ora and their addiction practitioner with a clear focus for discussing and planning treatment and recovery options.
ADOM tools
The following tools support the use of the Alcohol and Drug Measure (ADOM).
- ADOM collection form
- ADOM feedback wheel, which provides a visual interpretation of the changes occurring
- ADOM graph builder, an excel spreadsheet to provide an easy way to summarise collections and generate the feedback wheel.
ADOM reports
Since ADOM was mandated for use, services have been reporting ADOM collections into Programme for the Integration of Mental Health Data (PRIMHD).
These collections number in the thousands and can start to give us some insight into what is happening for tāngata whai ora as they start their treatment journey in services, right through to when they leave services.
- ADOM Report 16: Gender differences in addiction service outcomes
- ADOM Report 16 infographic
- ADOM treatment start to first review report
- ADOM treatment start to first review infographic
- ADOM Report 15
- ADOM Report 15 infographic
- ADOM Report 14
- ADOM Report 14 infographic
- ADOM Report 13
- ADOM Report 13 infographic
- ADOM Problematic substance use in older people report - Apr 2019 to Mar 2022
- ADOM Problematic substance use in older people report infographic
- ADOM Report 12
- ADOM Report 12 infographic
- ADOM Concurrent multiple substance use report - Oct 2020 to Sep 2021
- ADOM Concurrent multiple substance use report infographic
- ADOM Report 11
- ADOM Report 11 infographic
- ADOM opioid substitution treatment (OST) report - Apr 2018 to Mar 2021
- ADOM opioid substitution treatment (OST) report infographic
- ADOM Report 10
- ADOM Report 10 infographic
- ADOM Justice referrals report - Oct 2019 to Sep 2020
- ADOM Report 9 - November 2020
- ADOM Report 9 infographic
- ADOM Report 8 - June 2020
- ADOM Report 8 infographic
- ADOM Assessment only collections report - Apr 2019 to Mar 2020
- ADOM Report 7 - November 2019
- ADOM Report 6 - June 2019
- ADOM Report 5 - January 2019
- ADOM Report 4 - June 2018
- ADOM Report 3 - December 2017
- ADOM Report 2 - May 2017
- ADOM Report 1 - December 2016
ADOM completeness reports
ADOM is mandated by the Ministry of Health to be offered to tāngata whai ora in community addiction services in DHBs and NGOs. These reports provide an indication of how well the information is being collected over a specific period.
- ADOM collection report - Jun 2022 to Jul 2023
- ADOM collection report - Apr 2022 to Mar 2023
- ADOM collection report - Oct 2021 to Sep 2022
- ADOM collection report - Jul 2021 to Jun 2022
- ADOM collection report - Jan to Dec 2021
- ADOM collection report - Oct 2020 to Sep 2021
- ADOM collection report - Jul 2020 to Jun 2021
- ADOM collection report - Oct 2019 to Sep 2020
- ADOM collection report - Jan to Dec 2020
ADOM reports advisory group
Te Pou coordinates an advisory group to help formulate reports based on aggregated, anonymous data from ADOM. The group assists to validate and clarify ADOM reports and information use at a local and national level. The group operates according to these Terms of Reference.
The ADOM report building rules provide guidance to the addiction sector on the building and production of localised ADOM reports.
Background and research
The development, testing and validation of ADOM was based on a wide range of research.
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Preliminary work towards validating a draft outcome measure for use in the alcohol and drug sector
This 2009 report presents findings of a research project - ADOPT Part II - tasked with developing an outcome measurement tool potentially suited for routine use with clients in the New Zealand AOD treatment sector.
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Refinement and validation of ADOM Part B questions
This 2013 report describes the results comparing psychometric testing of the revised questions of Part B, Alcohol and Drug Outcome Measure (ADOM) with the original psychometric test results of the same outcome measure.
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Measuring recovery in adult community addiction services
This 2015 report looks at the testing and validation of ADOM section 3 recovery questions.
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Peer support use of ADOM
This 2019 case study looks at The Salvation Army's implementation of peer support staff using ADOM in their work.
ADOM training
Learn more about ADOM with our training options, including the refresher e-learning module.
For more information
Get support with ADOM, including FAQs, videos and the reflections e-group.
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