Addiction Severity Index 1998-2025 free printable template
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Interviewer: Company Name: Address: Phone Number: Fax: Email: Date of Interview: ADDICTION SEVERITY INDEX LITE Version 1998 CF Client's Name: First
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How to fill out addiction severity cf fill
How to fill out Addiction Severity Index
01
Begin by gathering personal information such as name, age, and contact details.
02
Proceed to the alcohol use section, answering questions about frequency and quantity of consumption.
03
Next, fill out the drug use section, detailing types of drugs used, duration, and frequency.
04
Move to the medical history section, providing information about past and current medical conditions.
05
Complete the psychiatric status section, discussing any history of mental health issues or treatments.
06
Address the legal issues section, including any past or current legal problems related to substance use.
07
Finally, review all answers for accuracy and completeness before submission.
Who needs Addiction Severity Index?
01
Individuals seeking treatment for substance use disorders.
02
Mental health professionals assessing patients for addiction.
03
Research organizations studying addiction severity.
04
Clinicians and counselors working in rehabilitation settings.
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Is the addiction severity index reliable?
Test-retest reliability found the ASI to have moderate to high reliability coefficients in each of the seven domains assessed. Both composite score and severity rating measures were found to be quite independent with low intercorrelations.
What is the ASI questionnaire?
The ASI is a semi-structured interview designed to address seven potential problem areas in substance-abusing patients: medical status, employment and support, drug use, alcohol use, legal status, family/social status, and psychiatric status.
What is the addiction severity index instrument?
Addiction Severity Index (ASI) is an assessment tool widely used in the evaluation of substance abuse treatment. This tool serves as a guidance instrument in treatment planning. This instrument is an interview process that assesses history, frequency, and consequences of alcohol and drug use.
What are the six areas of the addiction severity index?
The ASI covers seven (7) important areas of a patient's life: medical, employment / support, drug and alcohol use, legal, family / social, and psychiatric. The instrument is designed to obtain lifetime information about problem behaviors as well as focusing specifically on the 30 days prior to assessment.
How do you determine severity of an addiction?
ASI Severity Ratings 0–1: No imminent problem, treatment not indicated. 2–3: Slight problem; treatment may not be necessary. 4–5: Moderate problem, a treatment plan should be considered. 6–7: Considerable difficulty, begin a treatment plan. 8–9: Extreme problem, treatment is vital.
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What is Addiction Severity Index?
The Addiction Severity Index (ASI) is a standardized assessment tool used to evaluate the impact of substance use and addiction on various aspects of an individual's life, including medical, employment, alcohol and drug use, legal, family, and social functioning.
Who is required to file Addiction Severity Index?
Typically, health care providers and organizations that offer addiction treatment services, including hospitals, outpatient clinics, and rehabilitation centers, are required to administer the ASI as part of the assessment process for individuals seeking treatment.
How to fill out Addiction Severity Index?
The ASI is filled out through a structured interview with a trained clinician or counselor who asks a series of questions regarding the patient's background, substance use history, and current functioning in various life domains. The responses are then scored to assess severity.
What is the purpose of Addiction Severity Index?
The purpose of the ASI is to provide a comprehensive assessment of an individual's substance use and related problems, to guide the treatment planning process, and to monitor progress over time. It helps clinicians identify areas that need intervention.
What information must be reported on Addiction Severity Index?
The ASI requires reporting on several domains including medical status, employment and support, alcohol use, drug use, legal issues, family/social relationships, and psychiatric status. Each domain is evaluated to determine the severity of issues present.
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