Reliability of the addiction severity index selfreport form asisr. The fifth edition of the addiction severity index, journal of substance abuse. Us department of health and human services, substance abuse and. Medical, employmentsupport status, alcohol, drug, legal, familysocial, and psychiatric. Addiction severity index page 10 of 14 client name. Sometimes it may be required by a governmental agency to help them determine if they will require a person to undergo addiction chemical dependency treatment.
The asi form will provide a comprehensive, overall understanding of all aspects of the patients existence in order to properly. The higher your score, the greater the risk that your gambling is a problem. Addiction severity index this tool will tell us more about you such as the areas of need you have that brought you to this agency and how we can help you. In a study of male veterans, a preliminary evaluation of the asi has indicated reliability and validity. Asimv addiction severity indexmultimedia version is the electronic version of the traditional paperand penciladministered.
The addiction severity index, lite version asilite is a shortened version of the addiction severity index asi. Addiction severity index 5th edition dens clinicaltraining version a. Ever 0 no 1 yes age 1st past month 0 no 1 yes other 11 months 0 no 1 yes 1. The addiction severity index asi is 12 years old and has been revised to include a new section on family history of alcohol, drug, and psychiatric problems. The asi is a semistructured interview designed to address seven potential problem areas in substanceabusing patients. It is a semistructured assessment instrument designed for use with clients for substance abuse treatment. Item numbers circled are to be asked at followup introducing the asi. Asimv addiction severity index multimedia version is the electronic version of the traditional paperand penciladministered. Addiction severity index asi is an assessment tool widely used in the evaluation of substance abuse treatment. Addiction severity index reference addiction severity index last. Thomas mclellan and his associates at the center for studies of addiction in philadelphia mclellan et al. The history of addiction severity index the addiction severity index is a semistructured interview designed to address seven potential problem areas in substanceabusing patients.
Download the addiction severity index form, which is often used by psychiatrists for the purpose of a more in depth patient evaluation with regard to the level of severity of addiction and addictive behaviors. In a study of male veterans, a preliminary evaluation of. Addiction severity index definition of addiction severity. Each rating is based upon the patients history of problem symptoms, present condition and. Addiction severity index form fill out and sign printable. The psychometric analyses to derive addiction severity index 6 recent status scores rsss support the multidimensionality of the asi6 i. Items with an asterisk are cumulative and should be. Recent status scores for version 6 of the addiction. The scales range from 0 no treatment necessary to 9 treatment needed to intervene in lifethreatening situations. Module name module addiction severity index lite clinicaltraining version thomas mclellan, ph. Pdf reliability of the addiction severity index self. Reliability of the addiction severity index selfreport.
Severity ratings the severity ratings are interview estimates of the patients need for additional treatment in each area. Medical, employmentsupport status, alcohol, drug, legal, familysocial, and. The asi is a semistructured instrument used in facetoface interviews conducted by clinicians, researchers or trained technicians. This tool serves as a guidance instrument in treatment planning. The addiction severity index asi was developed some 20 years ago, primarily for research purposes, by a. Addiction severity index lite cf clinicaltraini ng version thomas mclellan, ph. Addiction severity index an overview sciencedirect topics. This paper describes the derivation of recent status scores rsss for version 6 of the addiction severity index asi6. Introduce and explain the seven potential problem areas. The addiction severity index is a relatively brief, semistructured interview designed to provide important information about aspects of a patients life which may contribute to hisher substance abuse syndrome.
To answer this question, we need to remember that the addiction severity index was created in 1980 to enable clinical researchers to evaluate treatment outcomes. Addiction severity index lite cf clinicaltraining version thomas mclellan, ph. The addiction severity index asi is a standardized interview used to assess problems associated with substance use. Thomas mclellan, a man known for his pioneering work in the field of addiction treatment and specifically the development of two interviewbased modalities to measure addiction severity and treatment needs. An improved diagnostic evaluation instrument for substance abuse patients. Medical, employmentsupport status, alcohol, drug, legal. Selfhelp gambling tools this document contains both information and form fields. The addiction severity index asi is one of the most widely used tools for the assessment of. Addiction severity index fill out and sign printable pdf. Asi manual united nations office on drugs and crime. Addiction severity index asi addiction severity index asi brief description target populations administrative issues the asi is a semistructured interview designed to address seven potential problem areas in substanceabusing patients. Start a free trial now to save yourself time and money. The addiction severity index asi is a clinicalresearch instrument which has been in wide use during the past 6 years to assess the treatment problems found in alcohol and drugabusing patients. The addiction severity index asi is a standardized semistructured interview used to assess the severity of problems.
Reliabilitymd validity in three centers, journal of nervous and mental disease, 1985. Addiction severity indexmultimedia version hazelden. Dec 31, 2017 the addiction severity index is a semistructured interview designed to address seven potential problem areas in substanceabusing patients. Studies of the reliability and validity of the addiction. High internal consistencies have been reported regularly for only three of the.
Jan 20, 2016 the addiction severity index asi is an instrument that is used in assessing the extent of a substance use disorder that has resulted in someone being referred to treatment. Addiction severity index alcohol and drug abuse institute. Enter your official identification and contact details. Teen addiction severity index t asi brief description the tasi is a semistructured interview that was developed to fill the need for a reliable, valid, and standardized instrument for a periodic evaluation of adolescent substance abuse. The bhimv behavioral health indexmultimedia version is an online, client selfadministered comprehensive behavioral health assessment tool which provides an overview of the clients functioning in multiple. Download the addiction severity index form, which is often used by psychiatrists for the purpose of a more in depth patient evaluation with regard to the level of severity of addiction adobe pdf.
With this knowledge, a psychiatrist will be able to better implement a more personalized treatment plan. The addiction severity index asi was developed by a. Cairo addiction severity index training united nations office on the addiction severity index. In the united states it has been used widely in clinical settings and in treatment research.
Reliability of the addiction severity index selfreport form. Addiction severity index, 5th edition clinicaltraining version a. Medical, employment support status, alcohol, drug, legal. In 1 hour, a skilled interviewer can gather information on recent past 30 days. The addiction severity index asi is 12 years old and has been revised to include a new section on family history of. The asi form is completed for each client admitted or readmitted after one year into a treatment. The addiction severity index lite version asilite is a shortened version of the addiction severity index asi. You will complete an addiction severity index form for this client and write a report approximate length 46 page in narrative form with each topic and subtopic covered in adequate depth, 12 point times new roman font, a combination of single and double spacing as demonstrated in the sample report. Gambling quiz this selfassessment is based on the canadian problem gambling index. The addiction severity index asi, used throughout the united states and other countries, is the most widely used assessment tool in the addictions field.
John has a history of using multiple module 4 substances, on an ongoing basis, for a period of 15 years. The addiction severity index lite asi lite adapted from. Fill out, securely sign, print or email your addiction severity form instantly with signnow. Addiction severity index pdf fill online, printable. We will ask you questions in seven potential problem areas. Associate professor of psychiatry alcohol research center university of connecticut health center school of medicine 263 farmington avenue farmington, ct 060302103. For each area, i will ask you to use this scale to let me know how bothered you have been by any problems in each. This instrument is an interview process that assesses history, frequency, and consequences of alcohol and drug use.
Reproductions supplied by edrs are the best that can be made. To read information, use the down arrow from a form field. Mclellan, at, luborsky, l, woody, ge, obrien cp 1980. New items were added in existing sections to assess route of drug administration. The asi form will provide a comprehensive, overall understanding of all aspects of the patients existence in order to properly evaluate any addiction issues the patient experiences as. Aims to examine the reliability and validity of the widely used addiction severity index asi. Pdf the addiction severity index asi is a well known and frequently used structured assessment of substance abuse administered by a. Reproductions supplied by edrs are the best that can be. The addiction severity index asi is an instrument that is used in assessing the extent of a substance use disorder that has resulted in someone being referred to treatment. Recent status scores for version 6 of the addiction severity. Workshop 2 handout 1 making required data collection useful he has no history of regular or ongoing use of inhalants. Aetna prescription drug authorization request form. It is the first step in the development of a patient profile for subsequent use by clinical and research staffs. The asi was the first standardized assessment tool of its kind to measure the multiple dimensions of substance abuse.
The asi was developed in the late 1970s and the asi3 was the first widely distributed version. Mclellan at1, kushner h, metzger d, peters r, smith i, grissom g, pettinati h, argeriou m. Pdf improving the validity of addiction severity index severity. Addiction severity index in order to create an assessment driven treatment process, to provide the assessor a better understanding of the crucial considerations for asam patient placement, and to understand the relationship of the asi and asam placement criteria in developing correctly individualized, assessment driven treatment plans.
The two instruments are commonly used in tandem and this workshop will utilize case studies to enhance the. Supplementary administration manual for the expanded female version of the addiction severity index asi instrument the asif. Addiction severity index reference addiction severity index last updated. Pdf reliability of the addiction severity index selfreport. Asi may be used on a clinical as well as a training level. This competency based workshop will address the proper administration and scoring of the addiction severity index asi as well as the proper utilization of american society of addiction medicine asam placement criteria. The way to complete the online addiction severity index form on the internet.
The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. Bhimv asimv addiction severity indexmultimedia version. Medical, employmentsupport status, alcohol, drug, legal, familysocial, and psychological. A slightly modified version, the asi5, was introduced in 1992, but is essentially the same instrument that was developed over 30 years ago. Addiction severity index asi dictionary definition of addiction definition of addiction severity index asi our online dictionary has addiction severity index asi information from encyclopedia of drugs, alcohol, and. The advanced tools of the editor will lead you through the editable pdf template.
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