Carise

The Addiction Severity Index (ASI) Across Cultures: 

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

The Addiction Severity Index (ASI) Across Cultures: 

The Addiction Severity Index (ASI) Across Cultures Today’s Presenters:

Nasser Loza, Egypt : 

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

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 Gerasimos Papanastasatos, Greece

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 Richard Isralowitz, Israel

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 Debra Wilson & Pauline Murnin, Ireland

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 Flavio Pechansky, Brazil

Richard Rawson, USA: 

Experiences using the ASI in different countries. and… Richard Rawson, USA

Deni Carise, USA: 

ASI International Use and Data from 10 Countries Deni Carise, USA

Slide10: 

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

Slide11: 

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

Slide12: 

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

Data Sets : 

Data Sets

Slide14: 

Introduction Data Sets 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

Slide15: 

Introduction Data Sets 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

Slide16: 

Introduction Data Sets 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

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. Data Sets

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 Data Sets

Data Sets : 

Data Sets

Slide20: 

Age Gender Alcohol & Drug Composite scores Days heavy drinking Days used marijuana Days used cocaine Data Presented:

Slide21: 

Medical, Psychiatric, Family and Legal: Composite Scores Days problems Days conflicts Percent reporting symptoms Illegal behavior Employment variables Data Presented:

International Data: 

International Data

International Data – Drug & Alcohol: 

International Data – Drug & Alcohol

International Data – Medical & Psychiatric: 

International Data – Medical & Psychiatric

International Data – Family & Legal: 

International Data – Family & Legal

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). Larger Belgium Data Set

USA vs. Belgium Data by Modality: 

USA vs. Belgium Data by Modality

USA vs. Belgium Data by Modality: 

USA vs. Belgium Data by Modality

Conclusions: 

Conclusions

Conclusions: 

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.

Limitations: 

Limitations

The End: 

The End