Reliability of Multidimensional Substance Abuse Treatment Matching

Baker, Sharon L.; Gastfriend, David R.

doi:10.1300/j069v22s01_04

Cited by 22 publications

(12 citation statements)

References 32 publications

(23 reference statements)

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“…Specific aims of this study were: Leonhard et al, 2000;Lauritzen & Ravndal, 2004), the Clinical Institute Withdrawal Assessment for Alcohol (CIWA-AR) (Sullivan et al, 1989), and the The Clinical Institute Narcotic Assessment (CINA) Scale for Withdrawal Symptoms (Peachey & Lei, 1988;Mee-Lee et al, 2001). ASAM has shown high inter rater reliability (Baker & Gastfriend, 2003), good face validity (CSAT, 1995), convergent validity (Staines et al, 2003;Turner, et al, 1999), and predictive validity (Stallvik, Gastfriend &Nordahl, 2014). In addition to recommending main level of care like outpatient or inpatients services, ASAM also recommends additional psychiatric services as required.…”

Section: Introductionmentioning

confidence: 99%

HRQoL and its association with clinical severity and service needs among individuals with a substance use disorder

Stallvik

Clausen

2017

Journal of Substance Use

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Background: Health Related Quality of Life (HRQoL) within the field of substance abuse and addiction research has received more attention the last years; however there is still a lack of studying perceptions in comorbid samples, service needs within this population, and follow up studies to see if these perception changes with treatment attendance. As the rate for additional psychological issues and drop-out rate is known and reported high within this population, these are vital areas to investigate when they enter treatment. By identifying those who drop from treatment and their HRQoL perception together with their psychological burden, we can also investigate if these patients receive more psychiatric program recommendations by the ASAM software algorithms. Method: A multi cite prospective study including a total of 175 treatment seeking individuals from three counties in mid-Norway was studied at baseline and three months after treatment initiation. Data was gathered from a structured ASAM interview and a self-report survey covering the SF-36 items regarding HRQoL. Their scores were compared to the normative Norwegian population and their own score at the three month follow-up survey. Results: The results showed significantly lower HRQoL scores among treatment seeking individuals with a substance use disorder compared to the normative population, and high psychological burden is also associated with lower HRQoL perceptions. At follow up perceptions increased and significantly for Physical Function. In addition the low scoring HRQoL individuals also had higher drop-out rate and significantly higher on the physical items revealing the importance of assessing and meeting physical needs. In addition the individuals with the lowest HRQoL scores on the psychological items received more psychiatric program recommendation by ASAM than those with higher HRQoL perceptions. Conclusions: The high drop out among those who scored lowest on HRQoL perceptions is of clinical importance and assessing and meeting needs to reduce drop out and provide individually tailored treatment is necessary. Both SF-36 and ASAM interview based software are considered valid and useful tools to retrieve patient centered and relevant information and should be used in a clinical setting to provide individually tailored treatment that meets their needs.

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Section: Introductionmentioning

confidence: 99%

HRQoL and its association with clinical severity and service needs among individuals with a substance use disorder

Stallvik

Clausen

2017

Journal of Substance Use

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“…Interrater reliability (intra-class correlation coefficient) with the first edition of the software was 0.77 (Baker & Gastfriend, 2003). The revised version (ASAM Patient Placement Criteria second edition-revised) assesses prior treatment, substance use duration, frequency and recency, severity of addiction, substance use disorder diagnosis, withdrawal symptoms, relapse potential, psychiatric symptoms, motivation for treatment, and environmental factors.…”

Section: The Asam Criteria Software Interviewmentioning

confidence: 99%

“…The validity of the ASAM Criteria first edition has been supported by several studies (Center for Substance Abuse Treatment, 1995;Baker & Gastfriend, 2003;Sharon et al, 2003;Staines et al, 2003;Magura et al, 2003). The revised version of the ASAM Criteria introduced taxonomy of addiction treatment programs Downloaded by [Radboud Universiteit Nijmegen] at 03:14 05 November 2014 based on their capacity to provide services to people with dual diagnosis (Mee-Lee et al, 2001).…”

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confidence: 99%

Convergent Validity of the ASAM Criteria in Co-Occurring Disorders

Stallvik

Nordahl

2014

Journal of Dual Diagnosis

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“…Using the microcomputer to present the counselor with a sequence of research-validated questions to ask the patient, and then score the counselor's input in real-time, the researchers were able to achieve an average duration of administration of less than 60 minutes per patient in a large public sector cohort. 28 The paper in this volume by Baker et al, 29 demonstrates good inter-rater reliability for the PPC-1 instrument (intraclass correlation coefficient = 0.77). This method has now been tested in three prospective studies.…”

mentioning

confidence: 94%