Skip to main content

The Assessment Process

  • Chapter
Book cover Adolescent Substance Abuse

Part of the book series: Critical Issues in Psychiatry ((CIPS))

  • 76 Accesses

Abstract

A comprehensive, methodical, and objective evaluation of the adolescent with psychoactive substance use disorder (APSUD) is necessary for the development of an effective treatment plan. A detailed assessment of the adolescent, caretakers, and referral systems is important to understanding the functioning of the adolescent in various life domains, his or her motivation for treatment, severity of APSUD, medical and psychiatric comorbidities, and more. This chapter reviews the referral and evaluation process, decisions for triage (patient—treatment matching), and the assessment of APSUDs and other comorbid disorders utilizing rating scales.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Achenbach, T. M, (1990). Comorbidity in child and adolescent psychiatry: Categorical and quantitative perspectives. Journal of Child and Adolescent Psychopharmacology, 1, 271 – 278.

    Article  Google Scholar 

  • Allen, J. P., Eckardt, M. J., & Wallen, J. (1988). Screening for alcoholism: Techniques and issues. Public Health Reports, 103, 586–592.

    PubMed  CAS  Google Scholar 

  • American Psychiatric Association (1980). Diagnostic and Statistical Manual of Mental Disorders, 3rd ed. Washington, DC: American Psychiatric Association.

    Google Scholar 

  • American Psychiatric Association (1987). Diagnostic and Statistical Manual of Mental Disorders, 3rd ed., rev. Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Anderson, P. (1987). Early intervention in general practice. In T. Stockwell & S. Clements (Eds.), Helping the Problem Drinker: New Initiatives in Primary Care (pp. 150–172). London: Croon Helm.

    Google Scholar 

  • Annis, H. M., & Davis, C. S. (1988). Relapse prevention. In R. K. Hester & W R. Miller (Eds.), Handbook of Alcoholism Treatment Approaches (pp. 170–182). New York: Per-gamon Press.

    Google Scholar 

  • Babor, T. F., Del Boca, F. K., McLaney, M. A., Jacobi, B., Higgins-Biddle, J., & Hass, W. (1991). Just say Y.E.S.: Matching adolescents to appropriate interventions for alcohol and other drug-related problems. Alcohol Health and Research World, 15, 77–86.

    Google Scholar 

  • Bandura, A. (1977). Social Learning Theory. Englewood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • Barnea, A., Rahav, G., & Teichman, M. (1987). The reliability and consistency of self-reports of substance use in a longitudinal study. British Journal of Addictions, 82, 891 – 898.

    Article  CAS  Google Scholar 

  • Bry, B. H. (1988). Family-based approaches to reducing adolescent substance use: Theories, techniques and findings. In Adolescent Drug Abuse: Analyses of Treatment Research (pp. 39–68). National Institute on Drug Abuse Monograph 77. Rockville, MD: National Institute on Drug Abuse.

    Google Scholar 

  • Bukstein, O. G., Brent, D. A., & Kaminer, Y. (1989). Comorbidity of substance abuse and other psychiatric disorders in adolescents. American Journal of Psychiatry, 146, 1131 – 1141.

    PubMed  CAS  Google Scholar 

  • Bush, B., Shaw, S., Cleary, P., Del Banco, T. L., & Aronson, M. D. (1987). Screening for alcohol abuse using the CAGE questionnaire. American Journal of Medicine, 82, 231 – 235.

    Article  PubMed  CAS  Google Scholar 

  • Campanelli, P. C., Dielman, T E., & Shope, J. T. (1987). Validity of adolescents’ self-reports of alcohol use and misuse using a bogus pipeline procedure. Adolescence, 22, 7–22.

    PubMed  CAS  Google Scholar 

  • Costello, A., Edelbrock, C., & Costello, A. J. (1985). Validity of the NIMH Diagnostic Interview Schedule for children: A comparison between pediatric and psychiatric referrals. Journal of Abnormal Child Psychology and Psychiatry, 13, 579–595.

    Article  CAS  Google Scholar 

  • Craig, J. C. (1987). Clinical Management of Substance Abuse Programs. Springfield, IL: Charles C. Thomas.

    Google Scholar 

  • Dinning, W. D., & Berk, L. A. (1989). The Children of Alcoholics Screening Test: Relationship to sex, family, environment, and social adjustment in adolescents. Journal of Clinical Psychology, 45, 335–339.

    Article  PubMed  CAS  Google Scholar 

  • Farrell, M., & Strang, J. (1991). Substance use and misuse in childhood and adolescence. Journal of Child Psychology and Psychiatry, 32, 109–128.

    Article  PubMed  CAS  Google Scholar 

  • Gavin, D. R., Ross, H. E., & Skinner, H. A. (1989). Diagnostic validity of the drug abuse screening test in the assessment of DSM-III drug disorders. British Journal of Addiction, 84, 301–307.

    Article  PubMed  CAS  Google Scholar 

  • Grant, B. F., Hasin, D. S., & Hartford, T. C. (1989). Screening for major depression among alcoholics: An application of receiver operating characteristic analysis. Drug and Alcohol Dependence, 23, 123–131.

    Article  PubMed  CAS  Google Scholar 

  • Harrell, A. V., & Wirtz, P. W. (1989). Screening for adolescent problem drinking: Validation of a multi dimensional instrument for case identification. Psychological Assessment, 1, 61–63.

    Article  Google Scholar 

  • Hoffmann, N. G., Halikas, J. A., & Mee-Lee, D. (1987). The Cleveland Admission, Discharge and Transfer Criteria: Model for Chemical Dependency Treatment Programs. Cleveland: Chemical Dependency Treatment Directors Association.

    Google Scholar 

  • Hoffmann, N. G., Sonis, W. A., & Halikas, J. A. (1987). Issues in the evaluation of chemical dependency treatment programs for adolescents. Pediatric Clinics of North America, 34, 449–459.

    PubMed  CAS  Google Scholar 

  • Jacobson, G. R., & Lindsay, D. (1980). Screening for alcohol problems among the unemployed. In M. Galanter (Ed.), Currents in Alcoholism: Recent Advances in Research and Treatment, V. VII. New York: Grune & Stratton.

    Google Scholar 

  • Jones, J. W. (1982). The Children of Alcoholics Screening Test: Preliminary Test Manual. Chicago: Family Recovery Press.

    Google Scholar 

  • Kaminer, Y., Bukstein, O. G., & Tarter, T. E. (1991). The Teen Addiction Severity Index (T-ASI): Rationale and reliability. International Journal of the Addictions, 26, 219–226.

    PubMed  CAS  Google Scholar 

  • Kaminer, Y, Wagner, E., Plummer, B., & Seifer, R. (1993). Validation of the Teen Addiction Severity Index (T-ASI): Preliminary findings. American Journal on Addiction, 2, 221–224.

    Google Scholar 

  • Kosten, T. R., Rounsaville, B. J., & Kleber, H. D. (1983). Concurrent validity of the Addiction Severity Index. The Journal of Nervous and Mental Disease, 171, 606–610.

    Article  PubMed  CAS  Google Scholar 

  • Marlatt, G. A., & George, W. H. (1984). Relapse prevention: Introduction and overview of the model. British Journal of Addiction, 79, 261–275.

    PubMed  CAS  Google Scholar 

  • Mayer, J., & Filstead, W. J. (1979). The adolescent alcohol involvement scale: An instrument for measuring adolescent use and misuse of alcohol. Journal of Studies of Alcohol, 40, 291–300.

    CAS  Google Scholar 

  • Mayfield, D., McLead, G., & Hall, P. (1974). The CAGE questionnaire: Validation of a new alcoholism screening instrument. American Journal of Psychiatry, 131, 1121–1123.

    PubMed  CAS  Google Scholar 

  • McKay, J. R., McLellan, T, & Alterman, A. I. (1992). An evaluation of the Cleveland Criteria for inpatient treatment of substance abuse. American Journal of Psychiatry, 149, 1212–1218.

    PubMed  CAS  Google Scholar 

  • McLaney, A., Del Boca, B., & Babor, T (in press). A validation study of the Problem Oriented Screening Instrument for Teenagers. Journal of Mental Health.

    Google Scholar 

  • McLellan, A. T, Luborsky, L., Cacciola, J., Griffith, J., Evans, F., Barr, H., & O’Brien, C. P. (1985). New data from the Addiction Severity Index: Reliability and validity in three centers. Journal of Nervous and Mental Disease, 173, 412–423.

    Article  PubMed  CAS  Google Scholar 

  • McLellan, A. T, Luborsky, L., Woody, G. E., & O’Brien, C. P. (1980). An improved diagnostic evaluation instrument for substance abuse patients. Journal of Nervous and Mental Disease, 40, 620–625.

    Google Scholar 

  • McLellan, A. T., O’Brien, C. P., & Kron, R. (1980). Matching substance abuse patients to appropriate treatments: A conceptual and methodological approach. Drug and Alcohol Dependence, 5, 189–295.

    Article  PubMed  CAS  Google Scholar 

  • McLellan, A. T., Woody, G. E., Luborsky, L., O’Brien, C. P., & Druley, K. A. (1983). Increased effectiveness of substance abuse treatment: A prospective study of patient-treatment matching. Journal of Nervous and Mental Disease, 171, 597–605.

    Article  PubMed  CAS  Google Scholar 

  • Mischke, H. D., & Venneri, R. L. (1987). Reliability and validity of the MAST, Murtiner-Fitkins questionnaire and CAGE in DQI assessment. Journal for the Study of Alcohol, 48, 492–501.

    CAS  Google Scholar 

  • Monti, P. M., Abrams, D. B., Kadden, R. M., & Cooney, N. L. (1989). Treating Alcohol Dependence. New York: Guilford Press.

    Google Scholar 

  • Oetting, E., Beauvais, F., Edwards, R., & Waters, M. (1984). The Drug and Alcohol Assessment System. Fort Collins, CO: Mountain Behavioral Sciences Institute.

    Google Scholar 

  • Orvaschel, H., Puig-Antich, J., Chambers, W, Tabrizi, M. A., & Johnson, R. (1982). Retrospective assessment of prepubertal major depression with the Kiddie-SADS-E. Journal of the American Academy of Child Psychiatry, 21, 392–297.

    Article  PubMed  CAS  Google Scholar 

  • Owen, P., & Nyberg, L. (1983). Assessing alcohol and drug problems among adolescents: Current practices. Journal of Drug Education, 13, 249–254.

    Article  Google Scholar 

  • Pokorny, A. D., Miller, B. A., & Kaplan, H. B. (1972). The brief MAST: A shortened version of the Michigan Alcoholism Screening Test. American Journal of Psychiatry, 129, 118–121.

    Google Scholar 

  • Rahdert, E. R. (1991). The Adolescent Assessment Referral System Manual. DHHS Publication No. ADM91–1735. Rockville, MD: National Institute on Drug Abuse.

    Google Scholar 

  • Rice, J. P. (1987). Statistical issues in the interpretation of tests. In Screening for Alcoholism in Primary Care Settings (pp. 3–5). Rockville, MD: National Institute on Alcohol Abuse and Alcoholism.

    Google Scholar 

  • Riley, K., & Klockars, A. J. (1984). A critical reexamination of the Adolescent Alcohol Involvement Scale. Journal of Studies on Alcohol, 45, 184–187.

    CAS  Google Scholar 

  • Rogers, P. D. (1987). Chemical Dependency: Pediatric Clinics of North America. Philadelphia: W. B. Saunders.

    Google Scholar 

  • Rounsaville, B. J., Kosten, T. R., Weissman, M. M., & Kleber, H. D. (1986). Prognostic significance of psychiatrie disorders in treated opiate addicts. Archives of General Psychiatry, 43, 739–745.

    Article  PubMed  CAS  Google Scholar 

  • Selzer, M. L. (1971). The Michigan Alcoholism Screening Test: The quest for a new diagnostic instrument. American Journal of Psychiatry, 127, 1653–1658.

    PubMed  CAS  Google Scholar 

  • Selzer, M. L., Vinokur, A., & Van Rooijen, L. (1975). A self-administered Short Michigan Alcoholism Screening Test (SM AST). Journal of Studies on Alcohol, 36, 117–126.

    PubMed  CAS  Google Scholar 

  • Skinner, H. A. (1982). The Drug Abuse Screening Test. Addictive Behaviors, 7, 363–371.

    Article  PubMed  CAS  Google Scholar 

  • Skinner, H. A., & Goldberg, B. (1986). Evidence for a drug dependence syndrome among narcotic users. British Journal of Addiction, 81, 479–484.

    Article  PubMed  CAS  Google Scholar 

  • Sobell, L. S., Sobell, M. B., & Nirenberg, T. D. (1988). Behavioral assessment and treatment planning with alcohol and drug abusers: A review with an emphasis on clinical application. Clinical Psychology Review, 8, 19–54.

    Article  Google Scholar 

  • Tarter, R. E. (1990). Evaluation and treatment of adolescent substance abuse: A decision tree method. American Journal of Drug and Alcohol Abuse, 16, 1–46.

    Article  PubMed  CAS  Google Scholar 

  • Tarter, R. E., Otto, Y., & Mezzich, A. (1991). In S. I. Miller & R. Frances (Eds.), Clinical Textbook of Addictive Disorder (pp. 237–267). New York: Guilford Press.

    Google Scholar 

  • Wellner, Z., Reich, W, Herjanic, B., Jung, D., & Amado, K. (1987). Reliability, validity and parent-child agreement studies of the Diagnostic Interview for Children and Adolescents (DICA). Journal of the American Academy of Child Psychiatry, 26, 649–653.

    Article  Google Scholar 

  • Williams, R. A., Feibelman, N. D., & Moulder, C. (1989). Events precipitating hospital treatment of adolescent drug abusers. Journal of the American Academy of Child and Adolescent Psychiatry, 28, 70–73.

    Article  PubMed  CAS  Google Scholar 

  • Winters, K., & Henly, G. (1988). Development of problem severity scales for the assessment of adolescent alcohol and drug abuse. International Journal of the Addictions, 23, 65–85.

    PubMed  Google Scholar 

  • Winters, K. C., Stinchfield, R. D., & Henly, G. A. (1993). Further validation of new scales measuring adolescent alcohol and other drug abuse. Journal of Studies on Alcohol, 54, 534–541.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 1994 Springer Science+Business Media New York

About this chapter

Cite this chapter

Kaminer, Y. (1994). The Assessment Process. In: Adolescent Substance Abuse. Critical Issues in Psychiatry. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-9009-2_10

Download citation

  • DOI: https://doi.org/10.1007/978-1-4757-9009-2_10

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4757-9011-5

  • Online ISBN: 978-1-4757-9009-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics