In a 750-1,000- word essay, describe five screening and assessment tools used in

Question

In a 750-1,000- word essay, describe five screening and assessment tools used in the identification of a substance use disorders diagnosis. Include the following in your paper: 1. A description of the tool 2. Examples illustrating the appropriate use of each tool when working with clients You must include an assessment that addresses at least one of the following three areas. • Withdrawal Potential • Semi-structured Interview • Readiness to Change Questionnaire Also include at least two tools that are accessible online

Explanation / Answer

Addiction Severity Index (ASI)
Purpose: The ASI is most useful as a general intake screening tool. It

effectively assesses a client's status in several areas, and the composite score measures how a client's need for treatment changes over time.

Clinical utility: The ASI has been used extensively for treatment planning and outcome evaluation. Outcome evaluation packages for individual programs or for treatment systems are available.

Groups with whom this instrument has been used: Designed for adults of both sexes who are not intoxicated (on illicit

drugs or alcohol) when interviewed. It is also available in Spanish.

Norms: The ASI has been used with males and females with substance use disorders in both inpatient and outpatient settings.

Format: Structured interview

Administration time: Fifty minutes to 1 hour

Fee for use: No cost; minimal charges for photocopying and mailing may apply

Available from: A. Thomas McLellan, Ph.D., Building 7, PVAMC, University Avenue, Philadelphia, PA 19104, Phone: (800) 238-2433

Cocaine Selective Severity Assessment (CSSA)
Purpose: Measures early cocaine abstinence signs and symptoms.

Clinical utility: The CSSA is able to predict a patient's response to treatment and could be used to identify patients at greater risk for treatment failure so that these patients could be targeted for additional interventions.

Structured Clinical Interview for DSM-IV Disorders (SCID)
Purpose: Obtains Axis I and II diagnoses using the DSM-IV diagnostic criteria for enabling the interviewer to either rule out or to establish a diagnosis of “drug abuse” or “drug dependence” and/or “alcohol abuse” or “alcohol dependence.”

Clinical utility: A psychiatric interview

Groups with whom this instrument has been used: Psychiatric, medical, or community-based normal adults.

community-based normal adults.

Norms: No

Format: A psychiatric interview form in which diagnosis can be made by the examiner asking a series of approximately 10 questions of a client.

Fee for use: Yes

Available from: American Psychiatric Publishing, Inc., 1400 K Street, N.W., Washington, DC 20005, www.appi.org/

University of Rhode Island Change Assessment (URICA)
Purpose: The URICA operationally defines four theoretical stages of change (precontemplation, contemplation, action, and maintenance), each assessed by eight items.

Clinical utility: Assessment of stages of change/readiness construct can be used as a predictor, and for treatment matching and determining outcome variables.

Groups with whom this instrument has been used: Both inpatient and outpatient adults

Norms: Yes, for an outpatient alcoholism treatment population

Format: The URICA is a 32-item inventory designed to assess an individual's stage of change located along a theorized continuum of change.

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