Reliability and validity of the addiction severity index with a homeless sample

Zanis, David A.; McLellan, A. Thomas; Cnaan, Ram A.; Randall, Mary

doi:10.1016/0740-5472(94)90005-1

Cited by 148 publications

(114 citation statements)

References 17 publications

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“…13,15,16 The psychometric properties of the technology use module have not been examined. This investigation relies primarily on data yielded from the technology use module, supplemented with the addition of descriptive characteristics from the DIS/HS, the ASI, and the demographic module.…”

Section: Methodsmentioning

confidence: 99%

Mobile Phone Technology: A New Paradigm for the Prevention, Treatment, and Research of the Non-sheltered “Street” Homeless?

2010

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Individuals experiencing homelessness have disproportionately high rates of health problems. Those who perceive themselves as having greater access to their social support networks have better physical and mental health outcomes as well as lower rates of victimization. Mobile phones offer a connection to others without the physical constraints of landlines and, therefore, may make communication (e.g., access to one's social support networks) more feasible for homeless individuals. This, in turn, could lead toward better health outcomes. This exploratory study examined mobile phone possession and use among a sample of 100 homeless men and women who do not use the shelter system in Philadelphia, PA. Interviews were comprised of the Homeless Supplement to the Diagnostic Interview Schedule, a technology module created for this investigation, and the substance use and psychiatric sections of the Addiction Severity Index. Almost half (44%) of the sample had a mobile phone. In the past 30 days, 100% of those with mobile phones placed or received a call, over half (61%) sent or received a text message, and one fifth (20%) accessed the Internet via their mobile phone. Participants possessed and used mobile phones to increase their sense of safety, responsibility (employment, stable housing, personal business, and sobriety or "clean time"), and social connectedness. Mobile phones could potentially be used by public health/health care providers to disseminate information to the street homeless, to enhance communication between the street homeless and providers, and to increase access for the street homeless to prevention, intervention, and aftercare services. Finally, this technology could also be used by researchers to collect data with this transient population.

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Section: Methodsmentioning

confidence: 99%

Mobile Phone Technology: A New Paradigm for the Prevention, Treatment, and Research of the Non-sheltered “Street” Homeless?

2010

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“…Outcome measures for mental health were obtained using two separate instruments: 1) the 12-item Short Form (SF-12) Health Survey, a validated measure of health status for homeless populations (Larson, 2002;Ware, Kosinski, & Keller, 1995); and 2) the Addiction Severity Index (ASI) (McGahan, Griffith, Parente, & McLellan, 1986;McLellan et al, 1992), a validated indicator for mental health, alcohol and drug problems that has been used in numerous studies (Burt, Aron, & Lee, 2001;Drake, McHugo, & Biesanz, 1995;Joyner, Wright, & Devine, 1996;Zanis, McLellan, Cnaan, & Randall, 1994). SF-12 physical component summary (PCS) and mental component summary (MCS) scores were calculated according to the publishers' specifications (Ware et al, 1995).…”

Section: Survey Instrumentmentioning

confidence: 99%

Factors Associated with Poor Mental Health Status Among Homeless Women With and Without Dependent Children

Chambers

Chiu

Scott

et al. 2013

Community Ment Health J

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The purpose of this study was to estimate the prevalence of mental health problems among a representative sample of homeless women with and without dependent children and determine if the effects of risk factors for mental health are modified by the presence of dependent children. Homeless women (n=522) were recruited in 2004-2005 from shelters and meal programs in Toronto, Canada. Linear and logistic regression was performed to identify factors associated with mental health status. Poor mental health was associated with low perceived access to social support, physical/sexual assault in the past 12 months, presence of a chronic health condition, and presence of a drug use problem in the past month. Efforts to improve mental health in this population will need to address the associated problems of victimization, substance abuse, and lack of social supports.

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“…18,19 The Addiction Severity Index has been validated with homeless people and has been used in numerous studies, including a nationwide survey of homeless people in the United States. [20][21][22][23] Problems were dichotomized as present or absent by use of cut-off scores established for homeless populations. 24 We classified participants as having mental health problems if their mental health score on the Addiction Severity Index was ≥ 0.25.…”

Section: Survey Instrumentmentioning

confidence: 99%

The effect of traumatic brain injury on the health of homeless people

Hwang¹,

Colantonio²,

Chiu³

et al. 2008

Canadian Medical Association Journal

156

159

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CMAJ ResearchBackground: We sought to determine the lifetime prevalence of traumatic brain injury and its association with current health conditions in a representative sample of homeless people in Toronto, Ontario. Methods:We surveyed 601 men and 303 women at homeless shelters and meal programs in 2004-2005 (response rate 76%). We defined traumatic brain injury as any self-reported head injury that left the person dazed, confused, disoriented or unconscious. Injuries resulting in unconsciousness lasting 30 minutes or longer were defined as moderate or severe. We assessed mental health, alcohol and drug problems in the past 30 days using the Addiction Severity Index. Physical and mental health status was assessed using the SF-12 health survey. We examined associations between traumatic brain injury and health conditions. Results:The lifetime prevalence among homeless participants was 53% for any traumatic brain injury and 12% for moderate or severe traumatic brain injury. For 70% of respondents, their first traumatic brain injury occurred before the onset of homelessness. After adjustment for demographic characteristics and lifetime duration of homelessness, a history of moderate or severe traumatic brain injury was associated with significantly increased likelihood of seizures (odds ratio [OR] 3.2, 95% confidence interval [CI] 1.8 to 5.6), mental health problems (OR 2.5, 95% CI 1.5 to 4.1), drug problems (OR 1.6, 95% CI 1.1 to 2.5), poorer physical health status (-8.3 points, 95% CI -11.1 to -5.5) and poorer mental health status (-6.0 points, 95% CI -8.3 to -3.7).Interpretation: Prior traumatic brain injury is very common among homeless people and is associated with poorer health. Abstract

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Reliability and validity of the addiction severity index with a homeless sample

Cited by 148 publications

References 17 publications

Mobile Phone Technology: A New Paradigm for the Prevention, Treatment, and Research of the Non-sheltered “Street” Homeless?

Mobile Phone Technology: A New Paradigm for the Prevention, Treatment, and Research of the Non-sheltered “Street” Homeless?

Factors Associated with Poor Mental Health Status Among Homeless Women With and Without Dependent Children

The effect of traumatic brain injury on the health of homeless people

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