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.

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

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.

scholarly journals The Study of Use of Obsessive–Compulsive Drinking Scale, For Craving in Alcohol-Dependent Patients: Relationship to Alcoholism Severity

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Dr. Neeli Uma Jyothi ◽  
Shaik.Faizan Ali ◽  
Mounica. Bollu
Keyword(s):  
Visual Analogue Scale ◽  
Alcohol Dependence ◽  
Analogue Scale ◽  
Severity Index ◽  
Addiction Severity Index ◽  
Obsessive Compulsive ◽  
Addiction Severity ◽  
Mini Mental Status Examination ◽  
Index Of Severity

Background: Many clinicians and researchers believe that “craving” an abusable substance is a central phenomenon related to addiction. Craving for alcohol appears to be intimately related to the loss of control over consumption and to compulsive alcohol use. Aim: To compare the scores of obsessive compulsive drinking scale with visual analogue scale, severity of alcohol dependence questionnaire and addiction severity index. Materials and Methods: Literate patients who met DCR-ICD-10 criteria for alcohol dependence syndrome were taken in the study and they must have been drinking alcohol daily till 1 week ago and the subjects were required to consume at least 6 standard drinks per day over the last month. Instruments used in this study were Obsessive Compulsive Drinking Scale – OCDS, Severity of Alcohol Dependence Questionnaire – SADQ, Addiction Severity Index – ASI ,Visual Analogue Scale – VAS, Mini Mental Status Examination – MMSE, Timeline Method – TL. Results: Among 40 patients, the mean age of these patients was 38 yrs (38.55+ 9.60). 95% of them were Hindus and 5 % Christians. 82.5 % were married. And 50% of patients have the income between Rs.15000-20000 per month. The correlation matrix of OCDS variables (OCDS-T,OCDS-O,OCDS-C),ASI-A,SADQ,VAS variables(G,F,I) and TL on all four follow-ups were measured. All correlations were positive and significant at p<0.001.obsessive compulsive drinking scale total score in 2 drinking outcome groups during 8 week treatment period was seen in which there is a difference between in two patient groups at baseline. i.e., abstinent group had lower score than relapse group. This difference was consistently observed between the groups over the entire period of follow-up. Conclusion: Craving was higher among those who relapsed than those who did not. Craving did predict high alcohol consumption and high index of severity at baseline and all through the follow-up.

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.

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