addiction severity index l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Addiction Severity Index PowerPoint Presentation
Download Presentation
Addiction Severity Index

Loading in 2 Seconds...

play fullscreen
1 / 28

Addiction Severity Index - PowerPoint PPT Presentation


  • 321 Views
  • Uploaded on

Addiction Severity Index. (Training). 1. 10/15/2003. Copyright 2003 Aegis Medical Systems, Inc. All rights reserved. Goals. To develop and/or enhance the interviewers competency. To correctly utilize the ASI tool. Keys to Success. Learn to be flexible

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Addiction Severity Index' - daniel_millan


Download Now An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
addiction severity index
Addiction Severity Index

(Training)

1

10/15/2003

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

goals
Goals

To develop and/or enhance the interviewers competency.

To correctly utilize the ASI tool.

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

keys to success
Keys to Success
  • Learn to be flexible
  • Learn to be comfortable with the process
  • Learn to probe

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

screening and assessment
Screening and Assessment
  • Screening tools establish the presence or absence of a problem.
  • Screening tools are not diagnostic tools.
  • ASI is a multi focused screening tool.
  • Single focused assessment tools are:
    • DAST: Strictly drug issues
    • MAST: Strictly mental health issues

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

screening and assessment cont
Screening and Assessment cont.
  • Assessment initiates and guides the continuum of care.
  • Assessment must occur throughout the treatment process.
  • Assessment must be done with patient involvement.
  • Ongoing assessment is necessary as an on-going evaluation of treatment.
  • May indicate the need for more comprehensive tools.

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

slide6
ASI
  • Standard semi-structured multi-focused screening and assessment tool.
  • Designed for use primarily with substance abuse patients.
  • Used to collect information regarding the nature and severity of problems substance abusers often have.
  • Used for clinical program evaluation and research applicability.

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

clinical applications
Clinical Applications
  • Guides substance abuse treatment intake.
  • Designs intake summaries.
  • Develops treatment plans.
  • Makes referral suggestions.

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

program evaluation
Program Evaluation
  • Identifies types of patients and problems presenting for treatment.
  • Identifies the clinic staff strengths and areas for improvement with particular populations and problems.
  • Enables management by outcome.

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

benefit of using the asi
Benefit of Using the ASI
  • Reliable assessment instrument.
  • Assist in identifying dully diagnosed patients.
  • Can be re-administered at different points in treatment.
  • Helps identify inconsistencies in patient responses.
  • Widely used can compare your program results with others.

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

strengths of using the asi
Strengths of Using the ASI
  • One hour administration.
  • Comprehensive in scope.
  • Widely accepted by national organizations.
  • Flexible
    • Can accommodate different counseling and interviewing styles.

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

limitations
Limitations
  • Does not provide quantity estimates of alcohol and drug use (it identifies patterns).
  • Does not directly assess risk of HIV.
  • Does not cover issues that are specific to treating female patients.

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

common concerns
Common Concerns
  • Seems too complicated.
  • Does not include all areas the program currently assesses.
  • Seems too rigid.
  • Seems like more work.

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

common questions
Common Questions
  • Is it filled out by the interviewer or self administered?
  • What are the qualifications of an ASI interviewer?
  • Is frequency instead of quantity of use assessed?
  • Why is there a thirty day reporting period?
  • Can interviewers re-ask or omit questions?
  • Can the ASI be modified?

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

coding and rating the asi
Coding and Rating the ASI
  • Evaluate non-drug and alcohol problems independently.
  • Critical objective items (depending on how the patient answers, this is the basis of our rating).
  • Circled items are asked at follow-up sessions 30 days, 90 days or 1 year.
  • Asterisked (*) counselors will need rephrase these questions at follow-up sessions.

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

introducing the asi
Introducing the ASI
  • All patients receive the same standard interview.
  • The interview will take approximately 50-60 minutes.
  • All information gathered is confidential.
  • Patients may choose to not answer certain questions.
  • Encourage honesty versus misinformation.
  • Accurate information better equips us to help the patient.
  • There are two time frames we will discuss:
    • The past 30 days
    • Lifetime

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

seven potential problem areas
Seven Potential Problem Areas
  • Medical
  • Employment
  • Alcohol
  • Drug
  • Legal
  • Family/Social
  • Psychiatric

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

general information section
General Information Section
  • To provide identifying demographic information about the patient.
  • To determine if he or she has been in a living situation which restricted freedom of movement and access to alcohol and other drugs.

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

medical information section
Medical Information Section
  • To gather information about
    • Patient’s medical history
    • Lifetime hospitalization
    • Long term medical problems that require medical observation or medical attention
    • Recent physical ailments

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

employment section
Employment Section
  • To gather basic information about:
    • Resources patients can record on a job application
    • Current sources of income

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

drug and alcohol section
Drug and Alcohol Section
  • To gather information about patient’s substance abuse history
  • Lifetime substance abuse
  • Consequences of abuse
  • Periods of abstinence
  • Treatment episodes
  • Financial burden of abuse

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

alcohol and drug section coding conventions
Alcohol and Drug Section Coding Conventions
  • Regular use defined as 3 times a week or more.
  • Problematic irregular use in which normal activities are compromised (binges).
  • Alcohol to intoxication. This does not necessarily mean drunk.
  • Intoxication is to feel or felt the effects.
  • Heavy drinking is 3 drinks in a sitting or 5 drinks in a day.

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

legal status section
Legal Status Section
  • To gather basic information about:
    • Patient’s legal history
    • Information about probation or parole.
    • Charges, convictions, incarcerations, detainment and illegal activities.

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

family history section
Family History Section
  • Summarizes the psychiatric, alcohol and drug abuse problems of the patient’s biological relatives.

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

family and social history section
Family and Social History Section
  • To determine the nature of the patient’s personal relationships.
  • To determine if he or she has relationship problems not due to alcohol or other drug use.

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

psychiatric status section
Psychiatric Status Section
  • To determine the patients long term and recent psychological and emotional functioning.
  • To explore the potential for dual diagnosis.

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

coding and rating
Coding and Rating
  • Leave no blanks – only one character/number per box.
  • Questions not answered: X
  • Questions that do not apply: N
  • Time periods: Lifetime and last 30 days.
  • Two distinct and different time frames.
  • Evaluate non-drug/alcohol problems independently (do not relate all issues to drugs and alcohol).

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

coding and rating cont
Coding and Rating cont.
  • Critical objective items (could be the basis of how we rate).
  • Circle items ask at follow-up.
  • Asterisked (*) items: cumulative questions, adjust time frames/rephrase at follow-up.
  • Make plenty of comments, when noting write the question number.
  • Terminate interview if clients misrepresents two of more sections.

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.

coding and rating28
0 – None, not at all

1 – Slightly

2 – Moderately

3 – Considerably

4 - Extremely

0-1 No real problem, treatment not indicated.

2-3 Slight problem, treatment probably not indicated.

4-5 Moderate problem, some treatment indicated.

6-7 Considerable problem, treatment necessary.

8-9 Extreme problem, treatment absolutely necessary.

Coding and Rating

Patient Rating Scale:

Interviewer Range:

Copyright 2003 Aegis Medical Systems, Inc. All rights reserved.