Test-Retest Reliability of the Addiction Severity Index Composite Scores Among Clients in Residential Treatment

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.

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Client Satisfaction with Drug Abuse Day Treatment versus Residential Care

Journal of Drug Issues ◽

10.1177/002204269702700211 ◽

1997 ◽

Vol 27 (2) ◽

pp. 367-377 ◽

Cited By ~ 19

Author(s):

Monica Chan ◽

James L. Sorensen ◽

Joseph Guydish ◽

Barbara Tajima ◽

Alfonso Acampora

Keyword(s):

Drug Abuse ◽

Residential Treatment ◽

Client Satisfaction ◽

Day Treatment ◽

Severity Index ◽

Addiction Severity Index ◽

Addiction Severity ◽

Support Measure ◽

Symptom Check List ◽

Abuse Treatment

We compared overall treatment satisfaction and helpfulness of treatment components for 216 clients randomly assigned to day versus residential treatment. Baseline interviews were conducted near admission using the Addiction Severity Index, Beck Depression Inventory, Symptom Check-list-90-R, and a social support measure. Follow-up interviews occurred 6 months later with these instruments plus a client satisfaction measure. Clients in both day and residential treatment were highly satisfied with overall services and most treatment components. Satisfaction scores were high and did not differ between modalities; however, mental health services were less helpful to day treatment clients, and more day treatment clients indicated not receiving certain treatment components. Client satisfaction correlated with treatment retention and several baseline and 6-month severity outcomes. These findings indicate day treatment may be as satisfying to clients as residential treatment, and give credence to the idea that client satisfaction assessment should be routine in outcome evaluations of drug abuse treatment.

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Victimization and Perpetration among Perinatal Substance Abusers

Journal of Interpersonal Violence ◽

10.1177/0886260503253239 ◽

2003 ◽

Vol 18 (7) ◽

pp. 760-780 ◽

Cited By ~ 31

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.

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