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Protocol - Screening and Severity of Substance Use Problems - Adolescents

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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 respondents 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.

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 individuals 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.

Availability

Available

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 wouldnt 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
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self-administered or interviewer-administered questionnaire

Lifestage

Adolescent, Adult, Senior

Participants

Adolescents and adults aged 13 years and older

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
Human Phenotype Ontology Addictive behavior HP:0030858 HPO
caDSR Form PhenX PX510202 - Screening And Severity Of Substance Use Problems Adole 6214356 caDSR Form
Derived Variables

None

Process and Review

Not applicable.

Protocol Name from Source

Treatment Improvement Protocol (TIP) Services, Simple Screening Instrument for Alcohol and Other Drugs (SSI-AOD)

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 Name Variable IDVariable DescriptiondbGaP Mapping
PX510202_Drinking_DrugUse_Caused_Family_Problems
PX510202060000 Has drinking or other drug use caused more
problems between you and your family or friends? show less
N/A
PX510202_Drinking_DrugUse_Caused_School_Problems
PX510202070000 Has your drinking or other drug use caused more
problems at school or at work? show less
N/A
PX510202_Drinking_Or_Drug_Problem_Now
PX510202160000 Do you feel that you have a drinking or drug more
problem now? show less
N/A
PX510202_Drinking_UsingDrugs_Likely_BreakRules
PX510202120000 When drinking or using drugs, are you more 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? show less
N/A
PX510202_Drink_UseDrugs_More_Get_Effect
PX510202100000 Are you needing to drink or use drugs more more
and more to get the effect you want? show less
N/A
PX510202_Family_Members_Drinking_Problem
PX510202150000 Have any of your family members ever had a more
drinking or drug problem? show less
N/A
PX510202_Feel_Bad_Guilty_About_Use
PX510202130000 Do you feel bad or guilty about your more
drinking or drug use? show less
N/A
PX510202_Felt_You_Use_Too_Much
PX510202020000 Have you felt that you use too much alcohol more
or drugs? show less
N/A
PX510202_Gone_To_Anyone_To_Help
PX510202040000 Have you gone to anyone to help because of more
your drinking or drug use? (Such as Alcoholics Anonymous, Narcotics Anonymous, Cocaine Anonymous, counselors, or a treatment program.) show less
N/A
PX510202_Had_Drinking_Drug_Problem
PX510202140000 Have you ever had a drinking or other drug more
problem? show less
N/A
PX510202_Health_Problems_Been_Injured
PX510202050700 Have you had any health problems? For more
example, have you: Been injured after drinking or using? show less
N/A
PX510202_Health_Problems_Blackouts
PX510202050100 Have you had any health problems? For more
example, have you: Had blackouts or other periods of memory loss? show less
Variable Mapping
PX510202_Health_Problems_CokeBugs_When_Stopped
PX510202050600 Have you had any health problems? For more
example, have you: Felt "coke bugs" or a crawling feeling under your skin after you stopped using drugs? show less
N/A
PX510202_Health_Problems_Convulsions
PX510202050300 Have you had any health problems? For more
example, have you: Had convulsions, delirium tremens (DTs)? show less
Variable Mapping
PX510202_Health_Problems_Depressed_When_Stopped
PX510202050500 Have you had any health problems? For more
example, have you: Felt sick, shaky, or depressed when you stopped? show less
Variable Mapping
PX510202_Health_Problems_Head_Injury
PX510202050200 Have you had any health problems? For more
example, have you: Injured your head after drinking or using drugs? show less
N/A
PX510202_Health_Problems_Hepatitis
PX510202050400 Have you had any health problems? For more
example, have you: Had hepatitis or other liver problems? show less
Variable Mapping
PX510202_Health_Problems_Used_Needles
PX510202050800 Have you had any health problems? For more
example, have you: Used needles to shoot drugs? show less
N/A
PX510202_Lost_Temper_While_Drinking
PX510202090000 Have you lost your temper or gotten into more
arguments or fights while drinking or using drugs? show less
N/A
PX510202_Lot_Of_Time_Getting_Alcohol
PX510202110000 Do you spend a lot of time thinking about or more
trying to get alcohol or other drugs? show less
N/A
PX510202_Other_Legal_Problems
PX510202080000 Have you been arrested or had other legal more
problems? (Such as bouncing bad checks, driving while intoxicated, theft, or drug possession.) show less
Variable Mapping
PX510202_Tried_To_Cut_Down_Quit
PX510202030000 Have you tried to cut down or quit drinking more
or using alcohol or other drugs? show less
N/A
PX510202_Used_Alcohol_Other_Drugs
PX510202010000 Have you used alcohol or other drugs? (Such more
as wine, beer, hard liquor, pot, coke, heroin or other opiates, uppers, downers, hallucinogens, or inhalants.) show less
N/A
Assessment of Substance Use and Substance Use Disorders
Measure Name

Screening and Severity of Substance Use Problems

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).

Keywords

adolescent, Adult, alcohol, alcohol abuse, Alcohol Use Disorders Identification Test, Arrests, AUDIT, Brief Michigan Alcoholism Screening Test, Brief MAST, DAST-10, Drug Abuse Screening Test, Drugs, Other Drugs, SAA, screening, Simple Screening Instrument for Alcohol and Other Drugs, SSI-AOD, substance abuse, Assessment of Substance Use and Substance Use Disorders

Measure Protocols
Protocol ID Protocol Name
510201 Screening and Severity of Substance Use Problems - Adults - Alcohol - Past 12 Months
510202 Screening and Severity of Substance Use Problems - Adolescents
510203 Screening and Severity of Substance Use Problems - Adults - Alcohol - Lifetime
510204 Screening and Severity of Substance Use Problems - Adults - Drugs
Publications

There are no publications listed for this protocol.