The Addiction Severity Index Discussion Responses

Discussion responses

1. BRANDON: The name of the instrument that I have selected to analyze is the PHQ-9 depression scale. The PHQ-9 is a 4-point nine-item Likert-type scale ranging from 0 (not at all) to 3 (nearly everyday). The items correspond with major depressive episode criteria described in the Diagnostic and Statistic Manual of Mental Disorders (Umegaki & Todo, 2017). This questionnaire is designed to collect information from clients who have been or are currently experiencing depression. I am familiar with this instrument having used it when working with older adults who were living in an assisted living facility. I thought that it was very beneficial and gave quality insight into a persons thoughts and beliefs. I think that this instrument would be a good complimentary assessment to the primary assessment of those who have a substance use disorder. These people with substance use disorder may also be depressive so this could be a good tool to utilize to assess that. What reactions do you have to the chosen instrument? Include examples from the course readings, scholarly literature, and practical experiences to support your perspective, and raise questions to continue the discussion.

2.SHAYLA-The tool that I have chosen to use is the Addiction Severity Index tool. According to (Drymalski & Nunley, 2016), “The ASI has seven sections, including a section on substance use disorders and a section on psychiatric symptoms, making it a potential candidate for a co-occurring screen during intake” (p.1). The tool has proven results that it can assist in both mental and substance abuse disorders.

Several pieces of information are collected when using the tool. According to (American Addiction Centers, 2021), “The Addiction Severity Index is a 1 hour face-to-face interview that takes place when a client is admitted for treatment. The ASI interviewer collects data in two parts: lifetime severity ratings and 30 day composite scores.

ASI Severity Ratings

Severity ratings are based on the following 10 point scale (0-9):

* 0-1 No real problem, treatment not indicated
* 2-3 Slight problem, treatment probably not necessary
* 4-5 Moderate problem, some treatment indicated
* 6-7 Considerable problem, treatment necessary
* 8-9 Extreme problem, treatment absolutely necessary

The severity ratings scale allows for the interviewer to determine the seriousness of a client’s problem. The higher the score is, the greater the need for treatment in each area or immediate intervention. The ASI scores can be used to profile a client’s problem areas and then plan an effective course of treatment” (p.1). The test asks questions about employment status, family, drug & alcohol use, legal status, and social status. The test can work along with testing for substance disorders in diagnosing a mental health condition in addition to substance use. What reactions do you have to the chosen instrument? Include examples from the course readings, scholarly literature, and practical experiences to support your perspective, and raise questions to continue the discussion.

3. BRIA-The Great Depression greatly affected Americans, but, of course, African Americans suffered the most. African Americans always did work the labor or unskilled jobs during this era. Unfortunately, after the crash of the stock market in 1929, African Americans were fired from their unskilled jobs in order to create employment for whites who lost their jobs. This left African Americans unemployed during the Great Depression, with no type of employment offered to them, skilled or not. 

Unfortunately, the Social Security Act did not protect unskilled workers, who were mainly African Americans. African Americans have been receiving the short end of the stick since slavery, we’ve never been looked at as “equal”. “Workers who were regularly employed in established industries were protected against the major risk of an industrial society-old age, employment, and eventually disability. Workers with less stable industries would continue to rely on the old poor law system to for aid” (Stern & Axinn 2017). share your causes, effects, and outcomes. Challenge or support the views of your peers respectfully.

4.SCOTT-The Beck Depression Inventory is useful in identifying depression, which may play a key role in substance use disorders. Finding the cause of depression is important to help relieve symptoms and address problems of drug use and other negative aspects. The inventory consists of 21 items with a detailed scoring system to indicate whether symptoms are severe or normal (Celestine, 2021). Items select a statement that is the best reflection of their emotional state for each item (Celestine, 2021). According to Celestine (2021), the scale for the answers is from 0 to 3, with the following defining each numeric value.

0- I do not feel sad

1- I feel sad

2- I am sad all the time, and I can’t snap out of it

3- I am so sad and unhappy that I can’t stand it

share your causes, effects, and outcomes. Challenge or support the views of your peers respectfully.

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