ADOLESCENT SCREENING AND

ASSESSMENT INSTRUMENT COMPENDIUM

For Substance Abuse and Mental Health Disorders

FLORIDA CERTIFICATION BOARD W SOUTHERN COAST ATTC

JANUARY 2007
 ADOLESCENT SCREENING AND ASSESSMENT INSTRUMENTS

INTRODUCTION

This compendium was developed for the purpose of raising awareness of available screening and assessment instruments that can be
used when working with adolescents to identify substance abuse, mental health and related problem areas. It is intended to be a quick
reference upon which to base further exploration. All of the instruments selected for the compendium have demonstrated reliability
and validity and have been recommended by various reviewers (see reference section for sites to locate additional instruments). Some
instruments are free of charge and others are copyrighted and must be purchased.

The first section summarizes screening instruments that have been used in a variety of clinical and non-clinical settings. The second
section identifies comprehensive assessments that include specific diagnostic criteria that have been cross-walked to DSM-IV, ICD-9
and ICD-10 codes in order to detail the scope and applicability of the instrument and for your convenience. The last section includes
other comprehensive assessments that contain biopsychosocial information but are not specifically based upon diagnostic criteria. It is
important to note that this compendium is not an exhaustive listing of instruments that can be used; rather, it list instruments that are
most closely linked to diagnostic criteria and are comprehensive in nature.

We hope that this compendium will be useful to you and will provide you with some additional resources to enhance your screening
and assessment processes.

This publication was produced by the Florida Certification Board/Southern Coast Addiction Technology Transfer Center under contract LD702, Florida
Department of Children and Families, in concurrence with SAMHSA Grant # TI 17378,
Adolescent Substance Abuse Treatment Improvement State Incentive Grant.

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 ADOLESCENT SCREENING AND ASSESSMENT INSTRUMENTS

SECTION I: SCREENING

Screening is a process used to evaluate the possible existence of a problem for which further assessment is indicated. Screening for
substance abuse is usually done through a brief interview and/or the use of a screening instrument.

Instrument Description Problem Area(s) Format(s) Comments/Source

Adolescent Drinking This is a 24 item rating scale measuring the Alcohol use disorders Self- Copyrighted.
Index severity of drinking problems. It has been used Administered Psychological Assessment
(ADI) with youths in schools, substance abuse paper and pencil Resources, Inc.
programs and those under evaluation for P.O. Box 998
psychological problems. It identifies those who Odessa, Florida 33556
need further evaluation and assists with (800) 331-8378
treatment planning and recommendations. http://www.parinc.com
Administration time: 5 minutes $22 per manual
Scoring time: 10 minutes $40 per set ( 25 tests)
Training: BA degree in psychology or related
field and training in interpreting psychological
tests.
Drug Use Screening Contains 159 T/F questions that measure Substance abuse, Self- Copyrighted.
Inventory Revised problem severity in ten domains. It has been psychiatric disorders, Administered Gordian Group
(DUSI-R) used with youth who have been referred for school adjustment, Paper & P.O. Box 1557
emotional and behavioral problems. It behavior problems, health Computer. Hartsville, SC 29950
identifies treatment needs and provides a way to status, social skills, family (843) 383-2201
monitor treatment progress and aftercare. relationships, peer Spanish version. http://www.dusi.com
Administration time 20-40 minutes relationships, leisure and $2.00 per test
Scoring time: 20 minutes manual or recreation. Contact for software
computerized Contains a lie scale. pricing.
Training: Drug counselors and other qualified
users; no special training required.
Global Appraisal of Contains 20 items that measure total severity Substance abuse, Self- Copyrighted
Individual Needs-Short and severity in each of the four main internalizing disorders Administered (See page 7)
Screen (GSS) dimensions, with cut-off points for clinical (depression, anxiety, Paper &
decision making. Can be used in school, somatic disorder, Computer
welfare, juvenile justice system settings or traumatic distress,
within the general population. suicide) externalizing
Administration time: 15 minutes disorders (attention

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 ADOLESCENT SCREENING AND ASSESSMENT INSTRUMENTS

Instrument Description Problem Area(s) Format(s) Comments/Source

Scoring time: 15 minutes deficit, hyperactivity,
Training: minimal training required. conduct and impulse
control) crime drug
related, property) and
interpersonal) and violence
(interpersonal).
Personal Experience Contains 40 items that provide a problem Problem severity, Self- Copyrighted.
Screening Questionnaire severity score and overview of psychosocial psychosocial problems, Administered, Western Psychological
(PESQ) problems, drug use and faking tendencies. Can drug use history, faking paper and pencil Services
be used in schools, detention facilities, medical tendencies. 12031 Wilshire Blvd.
clinics and settings where routine screening is Los Angeles, CA 90025
needed. (310) 478-2061
Administration time: 10 minutes $42 manual
Scoring time: 5 minutes $1 per test (approx.)
Training: Instructions for hand scoring in
booklet. Can be used by wide range of health
professionals.

Problem Oriented This contains 139 yes/no questions designed to Substance abuse, physical Self- Not Copyrighted.
Screening Instrument for identify problems and potential service needs in health, mental health, Administered Adolescent Assessment
Teenagers ten areas, with a follow-up questionnaire for family & peer relations, Questionnaire Referral System manual
(POSIT) measuring change in 7 of the 10 areas. Can be educational & available from: National
used in schools, juvenile justice, medical, vocational status, social Computerized Clearinghouse for Alcohol
mental health and substance disorder treatment skills, leisure/recreation version and Drug Information
settings. and aggressive P.O. Box 2345
Administration time: 30 minutes behavior/delinquency Rockville, MD
Scoring time: 5 minutes by hand (800) 729-6686
(computer scoring available)
Training: requires no special training. Computerized version:
PowerTrain, Inc.
8201 Corporate Drive
Suite 1080
Landover, MD 20785
(301) 731-0900

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 ADOLESCENT SCREENING AND ASSESSMENT INSTRUMENTS

Instrument Description Problem Area(s) Format(s) Comments/Source

Rutgers Alcohol This contains 18 items that assess adolescent Problem drinking Self- Not Copyrighted.
Problem Index problem drinking and related negative Administered Helen White, PhD
(RAPI) consequences. Advantages include ease of Paper & Pencil Erich Labouvie, PhD
administration and usability with clinical and Center for Alcohol Studies
non-clinical populations. Rutgers University
Administration time: 10 minutes PO Box 969
Scoring time: 5 minutes Piscataway, NJ 08855
Training: requires no special training or (732) 455-3579
credentials. hewhite@rci.rutgers.edu

Substance Abuse Subtle This contains 100 items designed to identify Substance abuse and Self- Copyrighted
Screening Inventory those with a high probability of having dependency, defensiveness Administered The SASSI Institute
Adolescent Version substance abuse or dependency. It includes in responses, insight Paper & (800) 726-0526
(SASSI-A) subtle items to identify those who may be regarding substance use, Computer $120 starter kit (manual,
unwilling or unable to admit substance abuse. emotional pain and risk of user’s guide, scoring key
It has been used in criminal justice, Employee involvement with legal and 25 paper tests)
assistance, educational, mental health, medical system. $215 Computer starter kit
and vocational settings. (25 administrations and
Administration time: 15 minutes interpretations, user’s
Scoring time: 10 minutes guide, computer user’s
Training: requires no special training. Free guide for CD and manual).
clinical consultation and technical support is
available.

Teen Addiction Contains 154 items that produce 70 ratings in Chemical (substance) use, Semi-structured Not copyrighted.
Severity Index seven domains. It is used in clinical settings school status, interview Western Psychiatric
(T-ASI) with those with substance abuse, psychiatric employment/support, Institute
and co-occurring disorders to gather baseline family function, including 2811 O’Hara Street
information. physical and sexual abuse, Pittsburgh, PA 15213
Administration time: 20 – 45 minutes legal status, psychiatric
Scoring time: 10 minutes status & peer/social
Training: Can be given by a trained technician relationships.
or mental health professional.

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 ADOLESCENT SCREENING AND ASSESSMENT INSTRUMENTS

SECTION 2: COMPREHENSIVE ASSESSMENT

A comprehensive assessment confirms the presence of a substance abuse problem and identified other problems that are related to the
substance abuse disorder. It will provide information to substantiate a diagnosis of substance abuse and identify treatment needs. This
section will include comprehensive assessments that contain biopsychosocial information and well as specific diagnostic criteria, cross
walked to DSM IV, ICD-9 and ICD-10 codes when available.

Instrument/Description DSM-IV Diagnostic Impression ICD-9 ICD-10 Comments/Source

Adolescent Diagnostic AXIS I Other mental disorders (recent symptoms

Interview (ADI) 303.90 Alcohol Dependence 303.90 F10.2x for ADHD, conduct disorder, depression,
This is a structured interview 305.00 Alcohol Abuse 305.00 F10.1 anxiety, psychosis), memory and
based on DSM-IV criteria for 304.40 Amphetamine Dependence 304.40 F15.2x orientation (brief neuropsychological
substance use disorders. In 305.70 Amphetamine Abuse 305.70 F15.1 screen) and psychosocial stressors (self-
addition to substance abuse, it 304.30 Cannabis Dependence 304.30 F12.2x image, interpersonal, physical and
evaluates psychosocial 305.20 Cannabis Abuse 305.20 F12.1 mental health, home/school problems
stressors, school and 304.20 Cocaine Dependence 304.20 F14.2x and traumatic events).
interpersonal functioning and 305.60 Cocaine Abuse 305.60 F14.1 It is copyrighted and can be obtained
cognitive impairment. It can 304.50 Hallucinogen Dependence 304.50 F16.2x from:
be used to identify the need 305.30 Hallucinogen Abuse 305.30 F16.1 Western Psychological Services
for treatment and treatment 304.60 Inhalant Dependence 304.60 F18.2x 12031 Wilshire Blvd.
planning. The ADI contains 305.90 Inhalant Abuse 305.90 F18.1 Los Angeles, CA 90025
213 questions and can be 304.00 Opioid Dependence 304.00 F11.2x 310-478-2061
administered in 50 minutes 305.50 Opioid Abuse 305.50 F11.1 http://www.wspublish.com
and scored in 20 minutes by a 304.90 Phencyclidine Dependence 304.90 F19.2x $45 manual
counselor or trained 305.90 Phencyclidine Abuse 305.90 F19.1 $30-32 for 5 booklets
paraprofessional. 304.10 Sedative/Hypnotic Anxiolotic Dependence 304.10 F13.2x
305.40 Sedative/Hypnotic/Anxiolotic Abuse 305.40 F13.1

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Instrument/Description
Diagnostic Interview for
Children and Adolescents
(DICA-R)
This is a 416 item semi-
structured interview that
identifies more than 20
diagnostic codes based on
DSM-IV criteria. It is
available in paper or
computerized versions.
Administration time: 1-2 hrs.
Training: Extensive training
manual available.
Training courses
recommended for clinicians
and lay interviewers.
ADOLESCENT SCREENING AND ASSESSMENT INSTRUMENTS
DSM-IV Diagnostic Impression ICD-9 ICD-10 Comments/Source
AXIS I Specific diagnostic codes not available.
Attention Deficit/Hyperactivity Disorder
Oppositional Defiant Disorder Has been translated into several
Conduct Disorder languages, including Spanish.
Alcohol
Tobacco Multi-Health Systems
Inhalant Use 908 Niagra Falls Blvd.
Marijuana North Tonowanda, NY 14120
Street Drugs 800-456-3003
Major Depressive Disorder
Dysthymic Disorder
Separation Anxiety Disorder
Panic Disorder
General Anxiety Disorder
Phobias (social and specific)
Obsessions
Compulsions
Post-traumatic Stress Disorder
Eating Disorders
Elimination Disorders
Gender Identity
Psychotic Symptoms
Somatization
Mania or Hypomania
AXIS IV
Psychosocial Stressors
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 ADOLESCENT SCREENING AND ASSESSMENT INSTRUMENTS

Instrument/Description DSM-IV Diagnostic Impression ICD-9 ICD-10 Comments/Source

Global Appraisal of AXIS I

Individual Needs – Initial 303.90 Alcohol Dependence 303.90 F10.2x All dependency codes specifiers:
(GAIN-I) 305.00 Alcohol Abuse 305.00 F10.1 with physiological dependence,
The GAIN biopsychosocial is 304.40 Amphetamine Dependence 304.40 F15.2x without physiological dependence;
designed to provide 305.70 Amphetamine Abuse 305.70 F15.1 in a controlled environment; on agonist
diagnostic patient placement, 304.30 Cannabis Dependence 304.30 F12.2x therapy:
treatment planning and 305.20 Cannabis Abuse 305.20 F12.1 sustained full remission, sustained partial
program evaluation 304.20 Cocaine Dependence 304.20 F14.2x remission, early full remission, early
information. It consists of 305.60 Cocaine Abuse 305.60 F14.1 partial remission.
1606 items and takes 60-120 304.50 Hallucinogen Dependence 304.50 F16.2x The GAIN is copyrighted and there is a
minutes to administer by a 305.30 Hallucinogen Abuse 305.30 F16.1 $100 license fee for 5 years
trained clinical interviewer. 304.60 Inhalant Dependence 304.60 F18.2x $1000software
Formats include self 305.90 Inhalant Abuse 305.90 F18.1 $2700 training of trainers (includes
administered paper and pencil 304.00 Opioid Dependence 304.00 F11.2x software)
or computer assisted 305.50 Opioid Abuse 305.50 F11.1 Chestnut Health Systems
structured interview and 304.60 Phencyclidine Dependence 306.90 F19.2x 729 Chestnut Street
computer assisted interview. 305.90 Phencyclidine Abuse 305.90 F19.1 Bloomington, IL 61701
304.10 Sedative/Hypnotic Anxiolotic Dependence 304.10 F13.2x 309-827-6026
305.40 Sedative/Hypnotic/Anxiolotic Abuse 305.40 F13.1 mdennis@chestnut.org
292.00 Other (or unknown) Substance 292.00 F19.3 http//www.chestnut.org/li/gain
Withdrawal
304.80 Polysubstance Dependence 304.80 F19.2x
304.90 Other (or unknown) Substance 304.90 F19.2x
Dependence
305.90 Other (or unknown) Substance Abuse 305.90 F19.1
Rule out 305.90 Other (or unknown) 305.90 F19.1
Substance Abuse
305.10 Nicotine Dependence, with or without 305.1 F17.2x
physical symptoms
Rule out 305.10 Nicotine Dependence 305.10 F17.2x
296.90 Mood Disorder NOS 296.90 F39
Rule out 296.90 Mood Disorder NOS 296.90 F39
300.02 Generalized Anxiety Disorder 300.02 F41.1
Rule out 300.00 Anxiety Disorder NOS 300.00 F41.9
Rule out 309.81 Posttraumatic Stress Disorder 309.81 F43.1

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 ADOLESCENT SCREENING AND ASSESSMENT INSTRUMENTS

Instrument/Description DSM-IV Diagnostic Impression ICD-9 ICD-10 Comments/Source

Rule out 308.30 Acute Stress Disorder 308.30 F43.0

314.00 Attention Deficit Hyperactive 314.00 F98.8
Disorder, Inattentive Type
314.01 Attention Hyperactive Disorder, 314.01 F90.0
Combined Type
314.01 Attention Deficit Hyperactive 314.01 F90.0
Disorder, Hyperactive type
312.80 Conduct Disorder, Severe 312.80 F91.8
312.80 Conduct Disorder 312.80 F91.8
Rule out 300.81 Somatization Disorder 300.81 F45.0
312.31 Pathological Gambling 312.31 F63.0
GAIN-I AXIS II 301.70 F60.2 The GAIN only screens for personality
Rule out 301.70 Antisocial Personality disorders.
Disorder 301.83 F60.31
Rule out 301.83 Borderline
Personality Disorder 301.90 F60.9
Rule out 301.90 Personality
Disorder, NOS
GAIN-I AXIS III Includes a past 90 day and past year
Rule out major medical problems general health screens and lifetime
medical problems; screens for
disabilities, pregnancy, infectious
diseases, needle use and sexual behavior,
relationship between substance use and
health problems.
GAIN-I AXIS IV
Includes questions that target the major
psychological stressors identified in DSM IV
GAIN-I AXIS V
Global Assessment of Functioning, past year
& past 90 days
Global Assessment of Relational Functioning,
past year & past 90 days
Social and Occupational Functioning Scale,
past year & past 90 days

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 ADOLESCENT SCREENING AND ASSESSMENT INSTRUMENTS

Instrument/Description DSM-IV Diagnostic Impression ICD-9 ICD-10 Comments/Source

Structured Interview for AXIS I The SCID is copyrighted.

DSM-IV It can be accessed through:
(SCID-I & II) Major Depressive Episode American Psychiatric Press
This is a semi-structured Manic Episode 800-368-5777
Interview that is used to Hypomanic Episode http:www.scid4.org
Assess Axis I and II disorders 300.4 Dysthymic Disorder (current) 300.4 F34.1 SCID I $116 (booklet, user guide, 5
based on DSM-IV criterion. 293.83 Mood Disorder due to General 293.83 F06.xx tests)
Administration time is 2 hrs Medical Condition SCID II $84 (user guide, interview
for SCID I and II (substance __.__ Substance Induced Mood Disorder __.__ __.__ questions, 5 tests)
abuse Module can be done in
30-60 minutes) 295.xx Schizophrenia 295.xx F20.xx
Training: It is recommended .30 Paranoid Type .30 .0x
that it be administered by a .20 Catatonic Type .20 .2x
trained clinical evaluator or .10 Disorganized Type .10 .1x
mental health professional. .90 Undifferentiated Type .90 .3x
.60 Residual Type .60 .5x
295.40 Schizophreniform Disorder 295.40 F20.8
295.70 Schizoaffective Disorder 295.70 F25.x
297.01 Delusional Disorder 297.01 F22.0
298.8 Brief Psychotic Disorder 298.8 F23.xx
293.8x Psychotic disorder due to a general 293.8x F06.x
medical condition
.81 With Delusions .81 .2
.82 With Hallucinations .82 .0
__. __ Substance Induced Psychotic Disorder __.__ __.__
298.9 Psychotic Disorder NOS 298.9 F29

SCID 296.xx Bipolar I Disorder 296.xx F30.x, F31.x

296.89 Bipolar II Disorder 296.89 F31.8
301.13 Cyclothymic Disorder 301.13 F34.0
296.80 Bipolar Disorder NOS 296.80 F31.9
296.xx Major Depressive Disorder 296.xx F32.x F33.x
311 Depressive Disorder NOS 311 F32.9
303.90 Alcohol Dependence 303.90 F10.2x
305.00 Alcohol Abuse 305.00 F10.1

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 ADOLESCENT SCREENING AND ASSESSMENT INSTRUMENTS

Instrument/Description DSM-IV Diagnostic Impression ICD-9 ICD-10 Comments/Source

304.40 Amphetamine Dependence 304.40 F15.2x

305.70 Amphetamine Abuse 305.70 F15.1
304.30 Cannabis Dependence 304.30 F12.x
305.20 Cannabis Abuse 305.20 F12.1
304.20 Cocaine Dependence 304.20 F14.2x
305.60 Cocaine Abuse 305.60 F14.1
304.50 Hallucinogen Dependence 304.50 F16.2x
305.30 Hallucinogen Abuse 305.30 F16.1
304.00 Opioid Dependence 304.00 F11.2x
305.50 Opioid Abuse 305.50 F11.1
304.60 Phencyclidine Dependence 304.60 F19.2x
305.90 Phencyclidine Abuse 305.90 F19.1
304.10 Sedative/Hypnotic/Anxiolytic 304.10 F13.2x
Dependence
305.40 Sedative/Hypnotic/Anxiolytic 305.40 F13.1
Abuse
304.80 Polysubstance Dependence 304.80 F19.2x
304.90 Other (or unknown) Substance 304.90 F19.2x
Dependence
305.90 Other (or unknown) 305.90 F19.1
Substance Abuse
300.21 Panic Disorder with Agrophobia 300.21 F40.01
300.01 Panic Disorder without Agrophobia 300.01 F41.0
300.22 Agrophobia without history of Panic 300.22 F40.00
Disorder
300.23 Social Phobia 300.23 F40.1
300.29 Specific Phobia 300.29 F40.2
300.3 Obsessive-Compulsive Disorder 300.3 F42.8
309.81 Posttraumatic Stress Disorder 309.81 F43.1
300.02 Generalized Anxiety Disorder 300.02 F41.1
(current)
293.84 Anxiety Disorder due to a General 293.84 F06.4
Medical Condition
__.__ Substance induced Anxiety Disorder __.__ _.__
300.00 Anxiety Disorder NOS 300.00 F41.9

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 ADOLESCENT SCREENING AND ASSESSMENT INSTRUMENTS

Instrument/Description DSM-IV Diagnostic Impression ICD-9 ICD-10 Comments/Source

300.81 Somatization Disorder (current) 300.81 F45.0

300.82 Undifferentiated Somatoform Disorder 300.82 F45.1
(current)
307.xx Pain Disorder (current) 307.xx F45.4
300.7 Hypochondriasis (current) 300.07 F45.2
300.7 Body Dysmorphic Disorder (current) 300.07 F45.2
307.1 Anorexia Nervosa 307.01 F50.0
SCID 307.51 Bulimia Nervosa 307.51 F50.2 Appendix refers to
Binge Eating Disorder (Appendix) DSM IV-TR
309.xx Adjustment Disorder (current) 309.xx F43.xx Appendix B
308.3 Acute Stress Disorder 308.3 F43.0
Minor Depressive Disorder (Appendix)
Mixed Anxiety Depressive Disorder
(Appendix)
Symptomatic Details of Past Major
depressive/manic episodes
AXIS II
SCID 301.82 Avoidant Personality Disorder 301.82 F60.6
301.6 Dependent Personality Disorder 301.06 F60.7
301.4 Obsessive-Compulsive Personality 301.04 F60.5
Disorder
Passive Aggressive Personality Disorder
(Appendix)
Depressive Personality Disorder (Appendix)
301.00 Paranoid Personality Disorder 301.00 F60.0
301.20 Schizoid Personality Disorder 301.20 F60.1
301.22 Schizotypical Personality Disorder 301.22 F21
301.50 Histrionic Personality Disorder 301.50 F60.4
301.81 Narcissistic Personality Disorder 301.81 F60.8
301.83 Borderline Personality Disorder 301.83 F60.31
301.7 Antisocial Personality Disorder 301.7 F60.2
Composite International AXIS I The CIDI-SAM is copyrighted.
Diagnostic Interview Alcohol Source: Washington University School
Substance Abuse Module Tobacco of Medicine, Department of Psychiatry
(CIDI-SAM) Caffeine http:// epi.wustl.edu

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 ADOLESCENT SCREENING AND ASSESSMENT INSTRUMENTS

Instrument/Description DSM-IV Diagnostic Impression ICD-9 ICD-10 Comments/Source

Amphetamines and other stimulants $35 for paper and pencil version
This is an expanded version Cannabinoids $500 for computer version
of the substance abuse section Cocaine
of the CIDI. It contains 38 PCP and other hallucinogens Specific diagnostic codes were not
items that contain the Inhalants available.
diagnostic criteria for DSM- Heroin and other opiates
IV substance use disorders. It Barbiturates and other sedatives and
identifies quantity and tranquilizers
frequency of use and the Club drugs
social, psychological and
physical consequences of
each drug used.
It is conducted in an
interview and is available in
paper and pencil and
computer formats.
It is appropriate for use with
youth 15 years of age and
older.
Training: the instrument
should be administered by a
trained clinician or
interviewer.
Administration time: 30-45
min.
Scoring: Computerized

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 ADOLESCENT SCREENING AND ASSESSMENT INSTRUMENTS

SECTION 3: OTHER COMPREHENSIVE ASSESSMENTS

This section contains comprehensive assessment instruments that collect drug and alcohol history and other psychosocial information
but that are not specifically based on diagnostic criteria.

Instrument Description Problem Area(s) Format(s) Comments/Source

Adolescent Drug Abuse Contains 150 items that produce a 10 Medical, legal, drug and Structured interview Not copyrighted.
Diagnosis (ADAD) point problem severity rating in nine alcohol use, family Computer version Alfred S. Friedman, PhD.
domains. Of these, 83 items are used in relationships, Arlene Terras, M.Ed.
follow-up to measure treatment outcome. psychological, school, Belmont Center for
It has been in academic substance abuse, employment and social Comprehensive Treatment
mental health, social service & juvenile relationships. 4081 Ford Road
justice settings. Philadelphia, PA 19131
Administration time: 45 – 60 minutes (215) 877-6408
Scoring time: 10 min. by hand or $15 Manual
computerized. $25 Training Video
Training: 1 day training or training $40 Computerized version
videotape. Technical assistance for video
training available by phone at no cost.

Customary Drinking and This contains 213 items that measure Extensive drug and Interview The CDDR is not copyrighted.
Drug Use Record alcohol and other drug use and related alcohol use Source: David Murchan,
(CDDR) consequences. It is used in clinical Withdrawal symptoms MSW
settings as an aid in identifying substance University of California
involvement and substance use diagnosis San Diego, CA
based on DSM-IV criteria. (858) 822-1884
Administration time: 20-30 min. http://dmurchin@psy.ucsd.edu
Scoring time: 10 min. using
scoring key
Training: This should be given by a
trained interviewer.

Personal Experience This contains 276 items that identify the Drug and alcohol use Self-Administered Copyrighted.
Inventory degree and duration of chemical use, severity, personal risk or Paper & Computer Western Psychological
(PEI) potential risk factors and select adjustment, family & Services
psychosocial problems. It has been used peer environmental risk 12031 Wilshire Blvd.

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 ADOLESCENT SCREENING AND ASSESSMENT INSTRUMENTS

Instrument Description Problem Area(s) Format(s) Comments/Source

in substance treatment, student assistance factors, eating disorders, Los Angeles, CA 90025
and juvenile rehabilitation centers and sexual abuse, physical http://www.wppublish.com
private practice. abuse, suicide risk , (301) 478-2601
Administration time: 45 – 60 minutes psychiatric referral. $47 per manual
Scoring time: Computerized or mail-in Contains response $9-21 per test, based on
Training: Minimal training required validity scales. number ordered
and can be given by a trained clerk. $285 computer version (25
uses)

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 ADOLESCENT SCREENING AND ASSESSMENT INSTRUMENTS

SECTION 4: OTHER INSTRUMENTS USED BY SERVICE PROVIDERS IN FLORIDA

This section provides a listing of additional screening and assessment instruments that are being used currently by providers of
adolescent substance abuse treatment providers in Florida. This information was collected as part of a service provider directory
survey. These instruments are not based specific diagnostic criteria related to DSM-IV, ICD-9 and ICD-10 codes as the other
instruments in this document; therefore, they are not included in the tables above.

Instrument Description Problem Area(s) Format(s) Comments/Source

Beck Depression Inventory This is a 21 item multiple choice test that Symptoms or attitudes Self-Administered This assesses depression and
(BDI) measures the existence and severity of associated with Paper & Pencil does not contain substance
depression. It has also been used to depression. abuse specific information.
monitor changes in depression over time. Interview
There are two versions: the BDI-IA Copyrighted.
which focuses on the past week and the Computer Version PsychCorp Assessment
BDI-II which reflects DSM-IV criteria Center
and surveys past two weeks. 555 Academic Court
Administration time: 10 minutes San Antonio, TX 78204
Scoring time: not available 800-211-8378
Training: Mental Health professionals http://psychcorpcenter.com
who have been trained in its use and
interpretation.
CAGE Questionnaire This is a four item instrument designed to Lifetime alcoholism Self- Administered May not be gender sensitive
detect alcoholism. It has often been used clinicians can direct Paper & Pencil (women) or identify binge
in medical settings by physicians and questions to more current Interview drinkers.
nurses. time frame. Computer version
Administration time: 1 minute Public domain can be located
Scoring time: Instantaneous in NIAAA “Assessing
Training: No special training required Alcohol Problems: A Guide
and can be given by a professional or for Clinicians and
technician. Researchers / 2nd edition”,
p. 332-334
Comprehensive Adolescent This consists of ten independent modules Alcohol and drug use, Objective interview Copyrighted.
Severity Inventory that are designed to assess the severity of family history and combined with Paper and Pencil version free
(CASI) substance use and related problem areas. relationships, significant breathalyzer and of charge.
It can be used in clinical and research life changes, health, urine drug screen and Inquiries: Alicia Webb

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 ADOLESCENT SCREENING AND ASSESSMENT INSTRUMENTS

Instrument Description Problem Area(s) Format(s) Comments/Source

settings. sexual behavior, legal assessor Center for Studies of
Administration time: 45-90 minutes status, mental health, peer observations. Addiction VA Medical
Scoring time: 15 minutes relationships, education Center University of
Training: To be administered by a and leisure activities. Computer version. Woodland Building 7
trained professional (2 day training Philadelphia, PA 19104
available) 215-823-4674
awebb@mail.upenn.edu

Computerized:
Systems Measures, Inc.
P.O. Box 506
Spring Mountain, PA 19478
610-287-2786
Meyershagan@erols.com
Child Behavioral Checklist This is a 140 item checklist that assesses Aggressive behavior, Parent or other This instrument does not
competencies and behavioral and anxious/depressed, person who knows contain substance abuse
emotional problems in children ages 6- attention problems, the child provides specific information.
18. It has been used in clinical and delinquent rule breaking information.
research settings. behavior, social Permission to use required.
Administration time: 25 minutes problems, somatic Self-Administered Achenbach System of
Scoring: manual or computerized complaints, thought Paper & Pencil Empirically Based
Training: Master’s Degree and problems, withdrawn, Assessment.
knowledge of standardized assessment externalizing, Interview 1 South Prospect Street
and client population. internalizing, total Room 6436
problems, plus six DSM- Burlington, VT 05401-3456
oriented scales. 802-656-8313
http://mail@ASEBA.org
Michigan Alcohol Screening This contains 25 items that provide a Lifetime alcoholism. Self- Administered Public domain.
Test general measure of problem severity. It Alcohol related problems Paper & Pencil Copy of instrument and
(MAST) has been used in a variety of clinical and and consequences. scoring available in: Selzer,
research settings. Interview ML. The Michigan Alcohol
Administration time: 10 minutes Screening Test: The quest for
Scoring time: 5 minutes a new diagnostic instrument.
Training: No special credentials or American Journal of
training required. psychiatry 1971:127:1653-
58.

16

Instrument
Positive Action Change Tool
Full Assessment (PACT)
Positive Action Pre-Screen
Tool (PACT Pre-Screen)
ADOLESCENT SCREENING AND ASSESSMENT INSTRUMENTS
Description Problem Area(s) Format(s) Comments/Source
This is a 126 item multiple choice Risk and protective Semi-structured http://www.assessments.com
instrument designed to measure a factors in 12 domains: interview.
juvenile’s risk of re-offending. It has Criminal history, school,
been used with moderate high and high Use of free time,
risk youth in intake, diversion, probation, employment,
detention group home and aftercare relationships, family,
settings. living arrangements.
Administration time: 45 minutes. alcohol and drugs, mental
Scoring time: computerized health, attitudes/
Training: Can be administered by non- behaviors, aggression and
clinical staff who have received the two skills.
day training in risk assessment theory,
case planning and motivational
interviewing.
This is a 46 item multiple choice Risk and protective Interview http://www.assessments.com
instrument measuring risk of re- factors in 4 domains:
offending. It is given to all youth in criminal history, social
Florida with delinquency charges that history, mental health and
come into juvenile assessment or attitudes/behaviors.
detention centers or police booking.
Administration time: 25 minutes
Scoring time: computerized
Training: Can be used b y non-clinical
staff who has received a two day training
on risk assessment, case planning and
motivational interviewing.
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 ADOLESCENT SCREENING AND ASSESSMENT INSTRUMENTS

REFERENCES

American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders, 4th edition, text revision.
Washington, DC: Author.

Center for Substance Abuse Treatment (2005). Screening and assessing adolescents for substance use disorders. Treatment
Improvement Protocol (TIP) Series, Number 31. DHHS Publication No. (SMA) 05-4079. Washington. DC: US Government Printing
Office.

Center for Substance Abuse Treatment (2005). Substance abuse treatment for persons with co-occurring disorders. Treatment
Improvement Protocol (TIP) Series 42. DHHS Publication No. (SMA) 05-3922. Rockville, MD: Substance Abuse and Mental Health
Services Administration.

Chestnut Health Systems Research and Training Lighthouse Institute. Global Appraisal of Individual Needs (GAIN). Retrieved on
August 12, 2006 from http://www.chestnut.org/LI/gain.

Dennis, M. L., Chan, Y.-F., & Funk, R. (in press). Development and validation of the GAIN Short Screener (GSS) for
psychopathology and crime/violence among adolescents and adults. American Journal on Addictions.

Farrow, J.A.; Smith, W.R. & Hurst, M.H. (2002, October). Adolescent drug and alcohol assessments in current use: A critical
comparison. Reprinted by the Alcohol and Drug Abuse Institute, University of Washington, hhtp://adai.washington.edu.

National Institute on Alcohol Abuse and Alcoholism (2003). Assessing alcohol problems: A guide for clinicians and researchers, 2nd
edition, Allen, J.P and Wilson, V.B (Eds). Bethesda, MD: National Institute on Alcohol Abuse and Alcoholism.

University of Washington Alcohol and Drug Abuse Institute (n.d.). Substance use screening and assessment Instrument data base.
http://www.adai.washington.edu/instruments.

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 ADOLESCENT SCREENING AND ASSESSMENT INSTRUMENTS

Winters, K.C. (2003, revised). Assessment of alcohol and other drug use behavior among adolescents. Assessing alcohol problems: A
guide for clinicians and researchers, 2nd edition. NIH Publication No. 03-3745. Bethesda, MD: National Institute of Alcohol Abuse
and Alcoholism.

Winters, K.C. (2000). Instruments for assessing adolescent drug use and related problems. Minneapolis, MN: Department of
Psychiatry, University of Minnesota.

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 ADOLESCENT SCREENING AND ASSESSMENT INSTRUMENTS

This publication was produced by the Florida Certification Board/Southern Coast Addiction Technology Transfer Center under
contract LD702, Florida Department of Children and Families, in concurrence with SAMHSA Grant # TI 17378, Adolescent
Substance Abuse Treatment Improvement State Incentive Grant.

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