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Drug Rehab Addiction Severity
Index
The ASI is a semi-structured interview designed
to address seven potential problem areas in substance abusing patients: medical
status, employment and support, drug use, alcohol use, legal status,
family/social status, and psychiatric status. In 1 hour, a skilled interviewer
can gather information on recent (past 30 days) and lifetime problems in all of
the problem areas. The ASI provides an overview of problems related to
substance, rather than focusing on any single area.
Target Population
Adults
The ASI can be
used effectively to explore problems within any adult group of individuals who
report substance abuse as their major problem. It has been used with
psychiatrically ill, homeless, pregnant, and prisoner populations, but its
major use has been with adults seeking treatment for substance abuse problems.
Administrative Issues
Approximately 200 items, 7 subscales
Pencil and paper self-administered
or interview
Time required: 50 minutes to 1 hour
Administered
by technician
Training required for administration.
A
self-training packet is available as well as on site training by experienced
trainers.
Scoring
Time
required: 5 minutes for severity rating
Scored by technician
Computerized scoring or interpretation available.
The ASI
provides two scores: severity ratings are subjective ratings of the client's
need for treatment, derived by the interviewer; composite scores are measures
of problem severity during the prior 30 days and are calculated by a
computerized scoring program. Normed on the following treatment groups-alcohol,
opiate, cocaine: public, private; inpatient, outpatient-and the following
subject groups: males, females, psychiatrically ill substance users, pregnant
substance users, gamblers, homeless, probationers, and employee assistance
clients.
Psychometrics
Reliability studies done:
- Test-retest
- Split half
- Internal consistency
Measures of validity derived:
- Content
- Criterion (predictive, concurrent,
"postdictive")
- Construct
Clinical Utility
of Instrument
The ASI has been used extensively for
treatment planning and outcome evaluation. Outcome evaluation packages for
individual programs or for treatment systems are available.
Research Applicability
Researchers have used
the ASI for a wide variety of clinical outcome studies. |
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