“Painting a picture of the client”: Implementing the Addiction Severity Index in community treatment programs

Spear, Suzanne E.; Brown, Amira K.; Rawson, Richard A.

doi:10.1016/j.jsat.2005.08.005

Cited by 4 publications

(8 citation statements)

References 21 publications

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“…Although generally positive to the instrument, the main investigators do not always seem to regard the ASI as helpful their clinical work. In interviews, they cite "difficult" and reluctant clients as reasons for not performing a follow-up interview, which has also been recognised in other studies (Spear et al, 2005;Abrahamsson & Tryggvesson, 2009). But since the pre- (Garfinkel, 1967).…”

Section: The Limits Of Adjustmentmentioning

confidence: 60%

“…This familiarity is also a prerequisite for using it effortlessly in practice; the professionals must create a "common lifeworld" with the instruments (Timmermans & Berg, 2003). It is easy to lift out positive attitudes toward the ASI in general, which is displayed in many other studies (Grissom & Bragg, 1991;Spear et al, 2005;Alexanderson, 2006;Abrahamsson & Tryggvesson, 2009), but these excerpts illustrate some examples of the usefulness of the instrument in a specific, local practice.…”

Section: Creating and Co-ordinating Asi Routinesmentioning

confidence: 73%

“…Qualitative studies on the practical use of the ASI show that professionals generally describe ASI in a positive manner and find it helpful in their everyday work (Spear, Hamilton Brown, & Rawson, 2005;Abrahamson & Tryggvesson, 2009). Grissom & Bragg (1991)…”

Section: Asi In Professional Practicesmentioning

confidence: 99%

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Working with Different Logics: A Case Study on the use of the Addiction Severity Index in Addiction Treatment Practice

Björk

2013

Nordic Studies on Alcohol and Drugs

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AIM-This article explores the implementation and use of the Addiction Severity Index in addiction treatment practice, both as a clinical instrument and as a way of facilitating outcome measurement. This is regarded as incorporating "laboratory logic" into clinical practice characterised by "the logic of care". DATA-The data is based on ethnographic fieldwork in a Swedish metropolitan social service agency known for its systematic ASI work. RESULTS-The findings suggest that much effort must be dedicated to coordinate activities in the agency in line with the laboratory logic, making sure that the interviews are administered systematically. In use, the ASI and the variables in clinical practice are adjusted to each other, making it possible to follow both logics at the same time. In some cases, however, there is a conflict: the ASI becomes an extra task that does not further the clinical work. Once collected, the ASI data must be coordinated in line with other information. This has not yet been realised in the agency, which makes the value of the ASI data unknown. CONCLUSIONS-It requires hard work to handle the two logics simultaneously in addiction treatment practice: activities must be coordinated , and instruments and variables in clinical practice must be continuously "tinkered" with. Further, outcome measurement is not only about systematic use of standardised instruments, but much work must be done after the ASI data has been collected. KEY WORDS-Addiction severity index (ASI), standardised assessment instruments, outcome measurement, clinical practice, ethnography, Sweden

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Section: The Limits Of Adjustmentmentioning

confidence: 60%

Section: Creating and Co-ordinating Asi Routinesmentioning

confidence: 73%

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Working with Different Logics: A Case Study on the use of the Addiction Severity Index in Addiction Treatment Practice

Björk

2013

Nordic Studies on Alcohol and Drugs

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“…However, the efforts at implementing the policy of the use of ASI for assessment, treatment planning and outcome evaluation in this African setting is yielding results at an early stage. Unlike in many settings where use of ASI is driven by funders or government policy [13], this study shows that ASI can be successfully implemented through policy that originate within the treatment unit. A limitation of this study is that it covered only one treatment centre in Nigeria, which may not be representative of other units in the country.…”

Section: Discussionmentioning

confidence: 80%

“…However, the authors are not aware of published studies on the clinical or research use of ASI in Africa. And though there are several published reports on its psychometric properties and results of its use, there is paucity of studies on the process and problems of implementing the instrument as part of the clinical protocol in drug abuse treatment units [13].…”

Section: Introductionmentioning

confidence: 99%

Use of Addiction Severity Index in a Nigerian Drug Abuse Treatment Unit: A Clinical Audit

Onifade¹,

Osisanwo²,

Ganzallo³

et al. 2013

J Alcohol Drug Depend

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Balancing standards and flexibility – Preconditions for a recovery-based tool in a Swedish alcohol and drug treatment context

Härd

Greiff

Skogens

2020

Nordic Social Work Research

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This article presents the outcome of the first phase in the development of a recovery capital-based assessment tool in a Swedish alcohol and drug treatment context. In the process of studying the potential usefulness of such a tool, other aspects besides psychometric properties and validity have been examined. The experience and knowledge of professionals in the Swedish alcohol and drug treatment context represent the empirical data. Five group interviews have been conducted with staff from different alcohol and drug treatment facilities in Sweden. The respondents were asked to discuss an outlined idea of a recovery capital-based assessment tool. The transcribed interviews were thematically analysed and divided into three themes: the impact and need for assessment and evaluation, the need for flexibility and simplicity, and the role of the professional. The findings indicate that there is a demand for a strength-based tool in the Swedish alcohol and drug treatment context. There was a divergence between the professionalism of the social work practitioners and the use of assessment tools. To meet this divergence, the professionals emphasized aspects such as simplicity and flexibility. The findings indicate that the conditions are favourable for the implementation of a recovery capital tool in a Swedish alcohol and drug treatment context, but certain questions remain unanswered. This requires further cooperation with professionals, and in particular provides them with the possibility to reflect on its usefulness and applicability, while applying it to their daily work and procedures.

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“Painting a picture of the client”: Implementing the Addiction Severity Index in community treatment programs

Cited by 4 publications

References 21 publications

Working with Different Logics: A Case Study on the use of the Addiction Severity Index in Addiction Treatment Practice

Working with Different Logics: A Case Study on the use of the Addiction Severity Index in Addiction Treatment Practice

Use of Addiction Severity Index in a Nigerian Drug Abuse Treatment Unit: A Clinical Audit

Balancing standards and flexibility – Preconditions for a recovery-based tool in a Swedish alcohol and drug treatment context

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