Predicting DSM-IV dependence diagnoses from Addiction Severity Index composite scores

2006 ◽  
Vol 31 (1) ◽  
pp. 17-24 ◽  
Author(s):  
Samuel H. Rikoon ◽  
John S. Cacciola ◽  
Deni Carise ◽  
Arthur I. Alterman ◽  
A. Thomas McLellan
Keyword(s):  
Severity Index ◽  
Addiction Severity Index ◽  
Addiction Severity ◽  
Dsm Iv ◽  
Composite Scores

OxyContin® use and misuse in three populations: Substance abuse patients, pain patients, and criminal justice participants

2018 ◽  
Vol 4 (2) ◽  
pp. 73 ◽  
Author(s):  
Martha J. Wunsch, MD ◽  
Karen L. Cropsey, PsyD ◽  
Eleanor D. Campbell, MS ◽  
Janet S. Knisely, PhD
Keyword(s):  
Substance Abuse ◽  
Criminal Justice ◽  
Prescription Medication ◽  
Severity Index ◽  
Addiction Severity Index ◽  
Pain Patient ◽  
Addiction Severity ◽  
Dsm Iv ◽  
Medical Histories ◽  
Rural Appalachia

Objective: This study was designed to describe and compare individuals in rural Appalachia prescribed, abusing or diverting OxyContin® a region with high rates of prescription medication abuse and misuse.Setting and Participants: Fifty subjects treated for OxyContin®abuse, 34 subjects prescribed OxyContin®for pain and 50 subjects incarcerated due to OxyContin®-related charges from rural Appalachia.Interventions: The Addiction Severity Index, DSM-IV Checklist, and an investigator developed questionnaire were administered to all three groups.Results: All three groups included individuals prescribed OxyContin® for pain and demographic variables and psychiatric/medical histories failed to discriminate between the pain and substance abuse (SA) subjects. SA and criminal justice subjects were significantly more likely to have a current DSM-IV diagnosis of psychoactive abuse/dependence and more likely to be younger and unmarried.Conclusion: This study found that these groups are not distinct and in depth evaluations, including a detailed SA history, are needed to identify the pain patient at risk for abuse and/or diversion of prescribed opioids.

Effects of Losing SSI Benefits on Standard Drug and Alcohol Outcome Measures

2003 ◽  
Vol 30 (1-2) ◽  
pp. 169-193 ◽  
Author(s):  
Joseph Guydish ◽  
Claudia Ponath ◽  
Alan Bostrom ◽  
Kevin Campbell ◽  
Nancy Barron
Keyword(s):  
Severity Index ◽  
Addiction Severity Index ◽  
Standard Drug ◽  
Linear Effect ◽  
Addiction Severity ◽  
Composite Scores ◽  
The Impact ◽  
Drug And Alcohol ◽  
Termination Date

P.L. 104–121 eliminated drug addiction and alcoholism (DA&A) as an impairment category for Supplemental Security Income (SSI), allowing a six-month period for DA&A recipients to request an eligibility redetermination, and terminating all SSI DA&A benefits on January 1, 1997, In a multi-site cohort study of persons affected by this change, participants were interviewed prior to the benefits termination date and reinterviewed over a two-year follow-up period. We assessed the impact of loss of SSI DA&A benefits on Addiction Severity Index (ASI) composite scores, which are often used to reflect treatment outcomes in seven areas (psychological, social, alcohol, drug, legal, employment, and medical). We classified participants as either on SSI or off SSI (n=1,670) during follow-up and analyzed ASI composite scores treating time as a linear effect, including baseline composite scores as covariates. The dependent variable in each analysis was the ASI composite score, dichotomized into high and low categories. We hypothesized that those who lost SSI benefits would experience poorer outcomes than those who requalified for benefits. In the context of the limitations discussed, the results do not support this hypothesis. Participants in both groups showed either improvement or no change over time, and patterns of change did not differ by SSI status.

Victimization and Perpetration among Perinatal Substance Abusers

2003 ◽  
Vol 18 (7) ◽  
pp. 760-780 ◽  
Author(s):  
Deborah L. Haller ◽  
Donna R. Miles
Keyword(s):  
Childhood Abuse ◽  
Substance Abusers ◽  
Severity Index ◽  
Addiction Severity Index ◽  
Post Traumatic Stress ◽  
Personal Freedom ◽  
Addiction Severity ◽  
Post Traumatic ◽  
Composite Scores ◽  
Time Of Admission

This study examined associations between demographic, psychiatric, substance abuse, and childhood abuse variables and past 30-day victimization and perpetration among 77 perinatal substance abusers. Victimization rates were 70% emotional, 34% physical, 29% sexual, and 42% personal freedom violations. For perpetration, incidence was 71% emotional, 25% physical, 5% sexual, and 9% personal freedom violations. Through univariate regression, Addiction Severity Index (ASI) psychiatric and drug composite scores, childhood physical abuse, borderline personality disorder (BPD) and post-traumatic stress disorder (PTSD) were found to significantly predict victimization. In contrast, ASI psychiatric and drug composite scores, BPD, PTSD, and aggressive-sadistic and antisocial personality disorders were found to significantly predict perpetration. In multiple regression models, ASI drug and psychiatric composite scores accounted for the majority of the variance for both victimization and perpetration, suggesting that women with high ASI scores should be queried about their involvement in abusive acts at time of admission to drug treatment.

Anwendung des European Addiction Severity Index (EuropASI) im Rahmen einer ambulanten Behandlung von Drogenabhängigen

2000 ◽  
Vol 46 (3) ◽  
pp. 197-208 ◽  
Author(s):  
Detlef Weiler ◽  
Michaela Vogt ◽  
Heinrich Küfner
Keyword(s):  
Severity Index ◽  
Addiction Severity Index ◽  
Addiction Severity ◽  
Composite Scores ◽  
European Addiction Severity Index

Der European Addiction Severity Index (EuropASI) ist ein semi-strukturiertes Interview, welches Daten von Personen mit Suchtproblemen in sieben voneinander unabhängigen Problembereichen erfasst: körperlicher Zustand, Arbeits- und Unterhaltssituation, Alkoholgebrauch, Drogengebrauch, rechtliche Situation, Familie und Sozialbeziehungen sowie psychischer Status. Mit den Interviewer Schweregrad-Ratings und den Composite Scores stellt der EuropASI zwei verschiedene zusammenfassende Maße über Störungen in den einzelnen Lebensbereichen zur Verfügung. Es werden die psychometrischen Eigenschaften des EuropASI bei Klienten einer ambulanten medizinischen Rehabilitation unter Methadon-Substitution überprüft. Außerdem werden Veränderungsprozesse während der Behandlung mit Hilfe der Composite Scores untersucht. Bei der Untersuchung der internen Konsistenz der Composite Scores zeigen sich befriedigende Cronbach’s Alpha-Werte. Die Interkorrelationen zwischen Interviewer-Schweregrad-Ratings und Composite Scores weisen auf eine gute Übereinstimmung der beiden zusammenfassenden Maße hin. Hinsichtlich der inhaltlichen Validität der Composite Scores werden Bedenken geäußert und Alternativvorschläge gemacht. Bei den Klienten der ambulanten medizinischen Rehabilitation zeigen sich beim Drogengebrauch und bei der rechtlichen Situation positive Veränderungen.

A Method for Diagnosing and Planning the Treatment of Adolescent Drug Abusers (The Adolescent Drug Abuse Diagnosis [ADAD] Instrument)

1989 ◽  
Vol 19 (4) ◽  
pp. 285-312 ◽  
Author(s):  
Alfred S. Friedman ◽  
Arlene Utada
Keyword(s):  
Drug Abuse ◽  
Comprehensive Evaluation ◽  
Severity Index ◽  
Structured Interview ◽  
Addiction Severity Index ◽  
Drug Abusers ◽  
Validity And Reliability ◽  
Treatment Needs ◽  
Addiction Severity ◽  
Composite Scores

There is a need for a diagnostic method and an instrument appropriate for adolescent drug abuse clients, that permits the assignment of clients to the most appropriate treatment setting, provides the basis for individualized treatment planning, and facilitates comparability across research studies. The development of the Adolescent Drug Abuse Diagnosis (ADAD), a 150-item instrument with a structured interview format, modeled after the Addiction Severity Index (ASI) (which is for adults), is described. The ADAD produces a broad-spectrum comprehensive evaluation of the client, the interviewer's ten-point severity ratings, and composite scores for each of nine life problem areas that are often relevant to the treatment needs of adolescent drug abuse clients. A series of validity and reliability tests are described. The characteristics of the standardization sample ( N = 1,042), and the comparison of the characteristics of the three subsamples (outpatient, residential or non-hospital, and inpatient) are also presented.

Sign in / Sign up

Export Citation Format

Share Document