Loading…

Protocol - Screening and Severity of Substance Use Problems - Adolescents

Add to Toolkit

Protocol Name from Source:

This section will be completed when reviewed by an Expert Review Panel.

Availability:

Publicly available

Description:

The Simple Screening Instrument for Alcohol and Other Drugs (SSI-AOD) is a 16-item screening instrument developed by a consensus panel of experts, sponsored by the Center for Substance Abuse Treatment (CSAT) of the U.S. Department of Health and Human Services. The tool includes yes/no questions about the respondent's experience with alcohol and other drugs in the past 6 months. It covers the following five domains: drug use, preoccupation and loss of control, adverse consequences, problem recognition, and tolerance and withdrawal. The score indicates the severity of alcohol and other drug problems.

Protocol:

During the last 6 months…

1. Have you used alcohol or other drugs? (Such as wine, beer, hard liquor, pot, coke, heroin or other opiates, uppers, downers, hallucinogens, or inhalants.)

1 [ ] Yes

0 [ ] No

2. Have you felt that you use too much alcohol or drugs?

1 [ ] Yes

0 [ ] No

3. Have you tried to cut down or quit drinking or using alcohol or other drugs?

1 [ ] Yes

0 [ ] No

4. Have you gone to anyone to help because of your drinking or drug use? (Such as Alcoholics Anonymous, Narcotics Anonymous, Cocaine Anonymous, counselors, or a treatment program.)

1 [ ] Yes

0 [ ] No

5. Have you had any health problems? For example, have you:

a. Had blackouts or other periods of memory loss?

1 [ ] Yes

0 [ ] No

b. Injured your head after drinking or using drugs?

1 [ ] Yes

0 [ ] No

c. Had convulsions, delirium tremens (DTs)?

1 [ ] Yes

0 [ ] No

d. Had hepatitis or other liver problems?

1 [ ] Yes

0 [ ] No

e. Felt sick, shaky, or depressed when you stopped?

1 [ ] Yes

0 [ ] No

f. Felt "coke bugs" or a crawling feeling under your skin after you stopped using drugs?

1 [ ] Yes

0 [ ] No

g. Been injured after drinking or using?

1 [ ] Yes

0 [ ] No

h. Used needles to shoot drugs?

1 [ ] Yes

0 [ ] No

6. Has drinking or other drug use caused problems between you and your family or friends?

1 [ ] Yes

0 [ ] No

7. Has your drinking or other drug use caused problems at school or at work?

1 [ ] Yes

0 [ ] No

8. Have you been arrested or had other legal problems? (Such as bouncing bad checks, driving while intoxicated, theft, or drug possession.)

1 [ ] Yes

0 [ ] No

9. Have you lost your temper or gotten into arguments or fights while drinking or using drugs?

1 [ ] Yes

0 [ ] No

10. Are you needing to drink or use drugs more and more to get the effect you want?

1 [ ] Yes

0 [ ] No

11. Do you spend a lot of time thinking about or trying to get alcohol or other drugs?

1 [ ] Yes

0 [ ] No

12. When drinking or using drugs, are you more likely to do something you wouldn't normally do, such as break rules, break the law, sell things that are important to you, or have unprotected sex with someone?

1 [ ] Yes

0 [ ] No

13. Do you feel bad or guilty about your drinking or drug use?

1 [ ] Yes

0 [ ] No

14. Have you ever had a drinking or other drug problem?

1 [ ] Yes

0 [ ] No

15. Have any of your family members ever had a drinking or drug problem?

1 [ ] Yes

0 [ ] No

16. Do you feel that you have a drinking or drug problem now?

1 [ ] Yes

0 [ ] No

Scoring Procedure and Interpretation

Items 1 and 15 are not scored; score all other responses 1 for yes and 0 for no:

___2

___3

___4

___5 (1 point for each item with a positive response)

___6

___7

___8

___9

___10

___11

___12

___13

___14

___16

0−1 indicates a low risk for substance abuse

2−3 indicates need for brief intervention

4 or higher indicates a need for full intervention

Personnel and Training Required

The interviewer must be trained to conduct personal interviews with individuals from the general population. The interviewer must be trained and found to be competent (i.e., tested by an expert) at the completion of personal interviews. The interviewer should be trained to prompt respondents further if a "don’t know" response is provided.

Equipment Needs

These questions can be administered in a computerized or noncomputerized format (i.e., paper-and-pencil instrument). Computer software is necessary to develop computer-assisted instruments. The interviewer will require a laptop computer/handheld computer to administer a computer-assisted questionnaire.

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingNo

Mode of Administration

Self-administered

Life Stage:

Adolescent, Adult, Senior

Specific Instructions:

Although this instrument can be administered via interview, the Working Group recommends that this instrument be self-administered.

The Substance Abuse and Addiction Working Group acknowledges that the following questions may gather sensitive information relating to the use of substances and/or illegal conduct. If the information is released, it might be damaging to an individual's employability, lead to social stigmatization, or lead to other consequences.

Most researchers assure confidentiality as part of their informed consent process, as required by their institutional review boards. When assessing minors with these questions, it may be necessary to obtain informed consent from a parent of the adolescent. Further assurance of confidentiality may be obtained by applying to the National Institutes of Health (NIH) for a Certificate of Confidentiality, which helps researchers protect the privacy of human research participants. The procedures for the Certificate of Confidentiality can be found at the Grants Policy website of NIH: http://grants1.nih.gov/grants/policy/coc/index.htm.

Research Domain Information

Release Date:

February 24, 2012

Definition

Instruments used separately to screen for alcohol and other drug problems and to assess the severity of these problems.

Purpose

The purpose of this measure is to screen for alcohol-related and other drug-related problems (use) and to assess the severity of these problems by asking the respondent questions about use, withdrawal, and behaviors associated with substance use. This measure is not intended for abuse and dependence diagnoses based on the Diagnostic and Statistical Manual of Mental Disorders (DSM).

Selection Rationale

The Simple Screening Instrument for Alcohol and Other Drugs (SSI-AOD) includes questions from several validated instruments: Addiction Severity Index (ASI); Alcohol Use Disorders Identification Test (AUDIT); CAGE; Diagnostic and Statistical Manual of Mental Disorders, second edition, revised (DSM-II-R); Diagnostic and Statistical Manual of Mental Disorders, third edition, revised (DSM-III-R); Drug Abuse Screening Test (DAST); History of Trauma Scale; Michigan Alcoholism Screening Test (MAST); Problem-oriented Screening Instrument for Teenagers (POSIT); and Revised Health Screening Survey (RHSS).

The screener can be administered in a research or clinical setting.

The instrument was developed for use with both adults and adolescents. The American Academy of Pediatrics says that it is an acceptable instrument for screening adolescents (American Academy of Pediatrics, 2001).

Language

English

Standards

StandardNameIDSource
Common Data Elements (CDE)Adolescent Substance use Problem Screening Assessment Description Text3332396CDE Browser

Process and Review

This section will be completed when reviewed by an Expert Review Panel.

Source

U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment (CSAT). (1994). TIP 11: Simple screening instruments for outreach for alcohol and other drug abuse and infectious diseases (Treatment Improvement Protocol [TIP] Series). Rockville, MD: Center for Substance Abuse Treatment. Available from: http://www.ncbi.nlm.nih.gov/books/NBK14945/

General References

American Academy of Pediatrics, Committee on Substance Abuse. (2001). Alcohol use and abuse: A pediatric concern. Pediatrics, 108(1), 185–189.

Protocol ID:

510202

Variables:

Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX510202_Used_Alcohol_Other_DrugsPX510202010000Have you used alcohol or other drugs? (Such as wine, beer, hard liquor, pot, coke, heroin or other opiates, uppers, downers, hallucinogens, or inhalants.)4N/A
PX510202_Felt_You_Use_Too_MuchPX510202020000Have you felt that you use too much alcohol or drugs?4N/A
PX510202_Tried_To_Cut_Down_QuitPX510202030000Have you tried to cut down or quit drinking or using alcohol or other drugs?4N/A
PX510202_Gone_To_Anyone_To_HelpPX510202040000Have you gone to anyone to help because of your drinking or drug use? (Such as Alcoholics Anonymous, Narcotics Anonymous, Cocaine Anonymous, counselors, or a treatment program.)4N/A
PX510202_Health_Problems_BlackoutsPX510202050100Have you had any health problems? For example, have you: Had blackouts or other periods of memory loss?4Variable Mapping
PX510202_Health_Problems_Head_InjuryPX510202050200Have you had any health problems? For example, have you: Injured your head after drinking or using drugs?4N/A
PX510202_Health_Problems_ConvulsionsPX510202050300Have you had any health problems? For example, have you: Had convulsions, delirium tremens (DTs)?4Variable Mapping
PX510202_Health_Problems_HepatitisPX510202050400Have you had any health problems? For example, have you: Had hepatitis or other liver problems?4Variable Mapping
PX510202_Health_Problems_Depressed_When_StoppedPX510202050500Have you had any health problems? For example, have you: Felt sick, shaky, or depressed when you stopped?4Variable Mapping
PX510202_Health_Problems_CokeBugs_When_StoppedPX510202050600Have you had any health problems? For example, have you: Felt ¿¿¿coke bugs¿¿¿ or a crawling feeling under your skin after you stopped using drugs?4N/A
PX510202_Health_Problems_Been_InjuredPX510202050700Have you had any health problems? For example, have you: Been injured after drinking or using?4N/A
PX510202_Health_Problems_Used_NeedlesPX510202050800Have you had any health problems? For example, have you: Used needles to shoot drugs?4N/A
PX510202_Drinking_DrugUse_Caused_Family_ProblemsPX510202060000Has drinking or other drug use caused problems between you and your family or friends?4N/A
PX510202_Drinking_DrugUse_Caused_School_ProblemsPX510202070000Has your drinking or other drug use caused problems at school or at work?4N/A
PX510202_Other_Legal_ProblemsPX510202080000Have you been arrested or had other legal problems? (Such as bouncing bad checks, driving while intoxicated, theft, or drug possession.)4Variable Mapping
PX510202_Lost_Temper_While_DrinkingPX510202090000Have you lost your temper or gotten into arguments or fights while drinking or using drugs?4N/A
PX510202_Drink_UseDrugs_More_Get_EffectPX510202100000Are you needing to drink or use drugs more and more to get the effect you want?4N/A
PX510202_Lot_Of_Time_Getting_AlcoholPX510202110000Do you spend a lot of time thinking about or trying to get alcohol or other drugs?4N/A
PX510202_Drinking_UsingDrugs_Likely_BreakRulesPX510202120000When drinking or using drugs, are you more likely to do something you wouldn¿¿¿t normally do, such as break rules, break the law, sell things that are important to you, or have unprotected sex with someone?4N/A
PX510202_Had_Drinking_Drug_ProblemPX510202140000Have you ever had a drinking or other drug problem?4N/A
PX510202_Family_Members_Drinking_ProblemPX510202150000Have any of your family members ever had a drinking or drug problem?4N/A
PX510202_Drinking_Or_Drug_Problem_NowPX510202160000Do you feel that you have a drinking or drug problem now?4N/A
PX510202_Feel_Bad_Guilty_About_UsePX510202130000Do you feel bad or guilty about your drinking or drug use?4N/A