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The Addiction Severity Index in the Assessment of Processed Food Addiction
Published in Joan Ifland, Marianne T. Marcus, Harry G. Preuss, Processed Food Addiction: Foundations, Assessment, and Recovery, 2017
Joan Ifland, Kathryn K. Sheppard, H. Theresa Wright
Addicts often suffer from addiction in all areas of their lives. The addict’s mental, physical, and emotional health and ability to cope with life’s stressors are significantly compromised as the addict’s brain and body chemistry adapt to the addictive process. Compromised health progressively erodes relationships and creates financial and legal complications, which leave the addict overwhelmed with problems. The stress of multiple problems coupled with limited coping skills can lead to relapse for the recovering addict. A key element of an effective recovery plan provides resources for handling problems in line with the client’s abilities and concerns. The Addiction Severity Index (ASI) provides practitioners an effective instrument to collect information to support an individualized treatment plan that addresses the full scope of identified problems, reduces vulnerability to relapse, and improves outcomes. The complete ASI can be found at http://www.tresearch.org/wp-content/uploads/2012/09/ASI_5th_Ed.pdf.
African American Oxford House Residents: Sources of Abstinent Social Networks
Published in Leonard A. Jason, Joseph R. Ferrari, Margaret I. Davis, Bradley D. Olson, Creating Communities for Addiction Recovery, 2014
Andrea M. Flynn, Josefina Alvarez, Leonard A. Jason, Bradley D. Olson, Joseph R. Ferrari, Margaret I. Davis
The Addiction Severity Index (ASI) (McLellan, Kushner, Metzger, Peters, Smith, Grissom, Pettinati et al., 1992) was used to provide recent and lifetime substance use along with medical, psychological, family, legal and employment problems as demographic information. The ASI composites, measuring 30-day alcohol and drug use, psychiatric, medical, employment and legal problems, are internally consistent (alphas ≥ 0.70) and demonstrate temporal stability (retest reliability ≥ 0.83; McLellan et al., 1992).
Special Issues in Patients with Comorbid Psychiatric and Chemical Dependency Disorders
Published in John Brick, Handbook of the Medical Consequences of Alcohol and Drug Abuse, 2012
Mark C. Wallen, William J. Lorman
Several screening/assessment tools have been found to be useful in the evaluation of patients with comorbid disorders. The Addiction Severity Index (ASI) (McLellan et al., 1992), which includes domains related to the severity of both mental health and addiction problems, has been shown to be a valid and reliable instrument for mentally ill substance abusers (Appleby et al., 1997; Carey, Cocco, and Correia, 1997). The Dartmouth Assessment of Lifestyle Instrument (DALI) has been designed to screen for substance use disorders among patients hospitalized for psychiatric illnesses (Rosenberg et al., 1998). The Drug Abuse Screening Test (DAST-10) has been shown to be reliable and valid for assessing problems associated with drug use in psychiatric outpatient populations (Cocco and Carey, 1998; Maisto et al., 2000). The Problems Assessment for Substance Using Psychiatric Patients (PASUPP) is a valid and reliable instrument for assessing the range of negative consequences experienced by patients with comorbid disorders (Carey et al., 2004). Brems, Johnson, and Namyniuk, (2002) have developed an intake form protocol, which was designed to be utilized by clinicians of all disciplines, to gather information from comorbid patients with the goals of making appropriate diagnoses and setting the stage for initial treatment planning. The form includes gathering information related to substance use history and mental status examination, along with associated clinical data, in an objective format utilizing checklists and Likert scales wherever available to decrease inter-assessor differences and errors.
Arrest Risks for Women with Substance Use Disorders
Published in Smith College Studies in Social Work, 2022
Jennifer L. Kenney, Denise Hien
The alcohol use composite scores were calculated in the Addiction Severity Index (ASI). The Addiction Severity Index (ASI) (McLellan et al., 1992) is an instrument used to detect and measure the severity of a variety of problems commonly affecting individuals struggling with drug and alcohol dependence. It has an average concordance of .89 test/retest obtained over a three-day interval and produces consistent results with other valid instruments (McLellan et al., 1992). Each participant’s score was calculated by compiling the number of days a woman used any alcohol in the past thirty days, the number of days she used alcohol to the point of intoxication, how much money she spent on alcohol in the past 30 days, how many days in the past 30 when she experienced alcohol problems, how troubled she has been in the past 30 days by her alcohol problems, and how important it currently is for her to receive treatment for her alcohol problems.
The prevalence, characteristics, and psychiatric correlates of traumatic brain injury in incarcerated individuals: an examination in two independent samples
Published in Brain Injury, 2021
Brett S. Schneider, David B. Arciniegas, Carla Harenski, Gerard Janez Brett Clarke, Kent A. Kiehl, Michael Koenigs
The Beck-Depression Inventory II (BDI-II) is a self-report depression questionnaire consisting of 21 symptoms rated on severity from 0 (absent) to 3 (most severe) (37). The Addiction Severity Index (ASI) is a clinician-administered instrument that asks about recent substance use, lifetime substance use, and how substance use has impacted the individual (38). Prior to use in analyses, we applied a square root transformation of the raw score divided by age, to account for the influence of age and fit the data to a normal distribution (38). The Post-Traumatic Stress Disorder Checklist-Civilian Version-IV (PCL-C) is a self-report measure of common symptoms experienced following a traumatic experience (39). The Structured Clinical Interview for DSM-V (SCID-V) and DSM-IV (SCID-V) were administered to determine current and past psychiatric disorders (36,40,41). IQ scores were obtained using the Wechsler Abbreviated Scale of Intelligence Full-Scale IQ-II (WASI-II) generated from the four subtests.
Ethnic differences in psychosocial factors in methadone maintenance: Hmong versus non-Hmong
Published in Journal of Ethnicity in Substance Abuse, 2018
The Addiction Severity Index (ASI) is a semistructured interview that is widely used in clinical and research settings (McLellan et al., 1992). The ASI covers seven dimensions (e.g., medical, employment, alcohol, drug, legal, family/social, and psychiatric) that may be related to treatment progress and outcome. Past 30-day ratings can be codified using the ASI Composite Index Scores (0–1, with larger scores indicating greater severity) (McGahan, Griffith, Parente, & McLellan, 1986). The Cronbach’s alpha (a measure of internal consistency) of the composite scores in methadone patients ranges from 0.69 to 0.93 depending on dimension (Bovasso, Alterman, Cacciola, & Cook, 2001). While the ASI is nondiagnostic, it is a reliable and valid measure of severity that can be used to plan and track treatment (McLellan, Luborsky, Woody, & O’Brien, 1980; McLellan et al., 1992). Baseline scores can also predict treatment outcomes for dimensions such as drug and alcohol use, psychopathology, legal problems, and employment in a methadone-maintained population (Bovasso et al., 2001).