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The Addiction Severity Index (ASI) Across Cultures

TRI. science. addiction. The Addiction Severity Index (ASI) Across Cultures. 2005 NIDA International Forum June 17th, 2005 Workshop II - The Ireland Room B Thanks to NIDA: Steve Gust & Erin Winstanley. TRI. science. addiction. The Addiction Severity Index (ASI) Across Cultures.

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The Addiction Severity Index (ASI) Across Cultures

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  1. TRI science addiction The Addiction Severity Index (ASI) Across Cultures 2005 NIDA International ForumJune 17th, 2005 Workshop II - The Ireland Room B Thanks to NIDA: Steve Gust & Erin Winstanley

  2. TRI science addiction The Addiction Severity Index (ASI) Across Cultures Today’s Presenters:

  3. TRI science addiction Nasser Loza, Egypt Selection, Modification and Inter-rater Reliability on the use of the ASI in Egypt Sample: Adult Inpatient Hospital Program in Cairo

  4. TRI science addiction Gerasimos Papanastasatos, Greece Elaborating and using the ASI across different national realities and treatment conditions – The EuropASI in Greek Treatment Programmes Sample: Adults in 6 Drug-Free Therapeutic Communities in Greece

  5. TRI science addiction Richard Isralowitz, Israel Understanding the Israeli addict population – ASI profiles of former Soviet Union and native Israeli opiate abusers Sample – Adults in detoxification, day treatment and methadone maintenance programs

  6. TRI science addiction Debra Wilson & Pauline Murnin, Ireland Incorporating the ASI: Exploring assessment and outcomes in a residential treatment facility in Northern Ireland Sample: Adult Residential Treatment Facility in Northern Ireland

  7. TRI science addiction Flavio Pechansky, Brazil The Brazilian experience on the implementation of the ASI – where are we right now? Sample: Adult Cocaine Abusers @ HIV clinics in Brazil and a Validity Study of the ASI 6

  8. TRI science addiction Richard Rawson, USA Experiences using the ASI in different countries. and…

  9. TRI science addiction Deni Carise, USA ASI International Use and Data from 10 Countries

  10. Introduction TRI science addiction Introduction The ASI has been translated and modified for use in many countries. In addition to those presenting here, researchers and clinicians in the following countries have used the ASI:

  11. Countries TRI science addiction Introduction Thailand Scotland Hungary Ukraine The Netherlands Sweden Iran Pakistan Spain Italy Belgium Canada The Caribbean Chile Guatemala Morocco Tunisia Portugal Russia Norway

  12. Deni’s Presentation TRI science addiction Introduction Today, data are presented from the US Drug Evaluation Network System and various samples in: Belgium Brazil Greece Ireland Italy Norway Russia Scotland Sweden

  13. TRI science addiction Data Sets Caution! No Comparisons!

  14. Data Sets TRI science addiction Introduction USA Deni Carise & A. Thomas McLellan 8,479 patients from 14 inpatient/ residential, 4 methadone maintenance and 18 out-patient treatment programs Brazil Flavio Pechansky & Felix Kessler 193 cocaine-dependent clients from 3 HIV Clinics

  15. Data Sets TRI science addiction Introduction Greece Gerasimos Papanastasatos & Erianna Daliani 500 clients from 4 residential and 2 OP programs Ireland Debra Wilson & Pauline Murnin 162 clients from 1 inpatient program

  16. Data Sets Introduction Belgium1 Joke De Wilde 117 Clients from 4 adult residential drug-free TC’s Belgium2 Veerle Raes 3,712 clients from a large drug addiction treatment program

  17. TRI science addiction Data Sets Italy Joke De Wilde 101 clients from 5 adult residential drug-free TC’s Norway Edle Ravndal 482 clients from 10 IP, 4 MM, 3 OP youth and 4 youth “collectives”. Russia Evgeny Krupitsky 332 clients from 1 adult hospital detox & treatment program.

  18. TRI science addiction Data Sets Scotland Rowdy Yates 134 clients from 1 adult OP drug treatment program. Sweden Jonas Larsson, David Oberg & Bjorn Sallmen 201 prisoners from 16 SA prison-based treatment programs

  19. TRI science addiction Data Sets Comparisons (Just for Fun)

  20. Data Presented: TRI science addiction • Age • Gender • Alcohol & Drug Composite scores • Days heavy drinking • Days used marijuana • Days used cocaine

  21. Data Presented: TRI science addiction • Medical, Psychiatric, Family and Legal: • Composite Scores • Days problems • Days conflicts • Percent reporting symptoms • Illegal behavior • Employment variables

  22. International Data

  23. International Data – Drug & Alcohol

  24. International Data – Medical & Psychiatric

  25. International Data – Family & Legal

  26. TRI science addiction Larger Belgium Data Set Belgium2 Veerle Raes Data collected 1998 - 2004 3,712 interviews 383 Inpatient; 3,329 Outpatient All collected from a large “illegal drug addiction treatment program” (may under-represent alcohol use).

  27. USA vs. Belgium Data by Modality

  28. USA vs. Belgium Data by Modality

  29. TRI science addiction Conclusions NONE

  30. TRI science addiction Conclusions Data presented just for discussion - No conclusions please! Data were collected from too many different locations (prisons, HIV clinics, in patient, outpatient treatment programs) and from too many different samples (opiate only users, primary alcohol users, an all inpatient sample, an outpatient only sample, etc.) for valid comparisons to be made.

  31. TRI science addiction Limitations LOTS

  32. TRI science addiction The End Thank You!

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