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The Addiction Severity Index as a predictor of outcome for inpatients with a dual-diagnosisGlenn, Larry Spencer. January 2005 (has links)
Thesis (Ph. D.)--West Virginia University, 2005. / Title from document title page. Document formatted into pages; contains ix, 122 p. Includes abstract. Includes bibliographical references (p. 98-114).
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Development of an Improved and Internally-Consistent Framework for Evaluating Liquefaction Damage PotentialUpadhyaya, Sneha 04 December 2019 (has links)
Soil liquefaction continues to be one of the leading causes of ground failure during earthquakes, resulting in significant damage to infrastructure around the world. The study presented herein aims to develop improved methodologies for predicting liquefaction triggering and the consequent damage potential such that the impacts of liquefaction on natural and built environment can be minimized. Towards this end, several research tasks are undertaken, with the primary focus being the development of a framework that consistently and sufficiently accounts for the mechanics of liquefaction triggering and surface manifestation. The four main contributions of this study include: (1) development of a framework for selecting an optimal factor of safety (FS) threshold for decision making based on project-specific costs of mispredicting liquefaction triggering, wherein the existing stress-based "simplified" model is used to predict liquefaction triggering; (2) rigorous investigation of manifestation severity index (MSI) thresholds for distinguishing cases with and without manifestation as a function of the average inferred soil-type within a soil profile, which may be employed to more accurately estimate liquefaction damage potential at sites having high fines-content, high plasticity soils; (3) development of a new manifestation model, termed Ishihara-inspired Liquefaction Severity Number (LSNish), that more fully accounts for the effects of non-liquefiable crust thickness and the effects of contractive/dilative tendencies of soil on the occurrence and severity of manifestation; and (4) development of a framework for deriving a "true" liquefaction triggering curve that is consistent with a defined manifestation model such that factors influential to triggering and manifestation are handled more rationally and consistently. While this study represents significant conceptual advance in how risk due to liquefaction is evaluated, additional work will be needed to further improve and validate the methodologies presented herein. / Doctor of Philosophy / Soil liquefaction continues to be one of the leading causes of ground failure during earthquakes, resulting in significant damage to infrastructure around the world (e.g., the 2010-2011 Canterbury earthquake sequence in New Zealand, 2010 Maule earthquake in Chile, and the 2011 Tohoku earthquake in Japan). Soil liquefaction refers to a condition wherein saturated sandy soil loses strength as a result of earthquake shaking. Surface manifestations of liquefaction include features that are visible at the ground surface such as sand boils, ejecta, cracks, and settlement. The severity of manifestation is often used as a proxy for damage potential of liquefaction. The overarching objective of this dissertation is to develop improved models for predicting triggering (i.e., occurrence) and surface manifestation of liquefaction such that the impacts of liquefaction on the natural and built environment can be minimized. Towards this end, this dissertation makes the following main contributions: (1) development of an approach for selecting an appropriate factor of safety (FS) against liquefaction for decision making based on project-specific consequences, or costs of mispredicting liquefaction; (2) development of an approach that allows better interpretations of predictions of manifestation severity made by the existing models in profiles having high fines-content, high plasticity soil strata (e.g., clayey and silty soils), given that the models perform poorly in such conditions; (3) development of a new model for predicting the severity of manifestation that more fully accounts for factors controlling manifestation; and (4) development of a framework for predicting liquefaction triggering and surface manifestation such that the distinct factors influential to each phenomenon are handled more rationally and consistently.
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Specificity of the diagnostic materials for laryngopharyngeal reflux.Logan, Jeanneane 16 May 2011 (has links)
Rationale: Laryngopharygeal reflux (LPR) is a controversial area of diagnosis and
consequently management. Many patients suffering from voice and swallowing
disorders may be suffering from LPR but decreased specificity of diagnosis makes
management ineffective and impacts on quality of life as well as leading to overdiagnosis
of LPR.
Aims: (1) To establish the relationship between the Reflux Symptom Index (RSI) and
the Reflux Finding Score (RFS) in participants who have attended the Wits University
Donald Gordon Voice and Swallowing clinic. (2) To establish if there is a correlation
between the total RFS and RSI scores. (3) To ascertain which test items of the RSI
and the RFS are elevated in the participants. (4) To describe trends in RFS and RSI
sub scores and (5) to determine if extraneous factors such as age, gender, professional
voice use and smoking impact on the subscores of the RFS and RSI and to describe
the trends based on these variables
Method: A quantitative retrospective chart review of 105 patients who attended the
Voice and Swallowing clinic was conducted. Each participant completed a self-rating
scale for reflux severity (the RSI) as well as undergoing stroboscopic examination.
Stroboscopic results were rated by a multidisciplinary team (2 otolaryngologists, a
speech therapist and a voice coach) to ascertain the patient’s Reflux Finding Score
(RFS). Inferential and descriptive statistics were employed to achieve the aims.
Results: A weak negative significant correlation on totals of the RFS and RSI
(r=0,20; p= 0,0395) was established. There were a number of intra-item correlations
on the RSI and the RFS. Descriptive statistics revealed that hoarseness, excess mucus
and throat clearing were the most frequently rated symptoms on the RSI and
erythemia, posterior commisure hyperatrophy and diffuse laryngeal oedema most
frequently rated signs on the RFS. Gender was the only variable found to have a
significant effect on the total RFS and RSI ratings.
Conclusion: There is specificity in the RSI and RFS as diagnostic materials for LPR.
However, there may be an incidence of over diagnosis. Factors such as age, smoking,
professional voice use and gender must be considered in diagnosis.
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Implementering av Addiction Severity Index inom socialtjänsten : en fallstudieHellström, Anna January 2010 (has links)
<p>Ett problem som många människor lever med i dagens samhälle är missbruk av alkohol eller droger. Inom socialtjänsten i Sverige används olika bedömningsmetoder för att fastställa klienters problem och hjälpbehov. En av dessa metoder är Addiction Severity Index (ASI) som rekommenderas av Socialstyrelsen i Nationella riktlinjer för missbruks- och beroendevården och som är en del i en överenskommelse i RIM-projektet i Uppsala län. Tidigare studier har visat att socialarbetare har en positiv attityd till ASI men trots det används metoden inte fullt ut eller i så stor utsträckning som kan förväntas.Syftet i föreliggande uppsats var att undersöka hur personal inom socialtjänsten implementerade ASI, det vill säga hur de använde och värderade metoden i verksamheten. Studiedesign var fallstudie i vilken intervjuer utfördes med 10 socialsekreterare i Enköping och Uppsala. Analysen utgick ifrån analysmodellen kan, förstår, vill och de huvudkategorier som lyftes fram med hjälp av denna var Hur – socialsekreterarnas användning av ASI, Kan – åtgärder för användning av ASI, Förstår – socialsekreterarnas förståelse för ASI, Vill – socialsekreterarnas vilja att använda ASI.Studien visade att socialsekreterarna använde ASI i utredningsarbetet. I verksamheten vidtogs det åtgärder för att socialsekreterarna skulle kunna använda ASI. De hade kunskaper både om varför och hur de skulle använda metoden, de hade tillgång till olika resurser och tycktes vilja använda metoden. Trots den positiva inställning som socialsekreterarna tycktes ha till ASI implementerade de inte metoden enligt uppsatta mål.</p>
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Implementering av Addiction Severity Index inom socialtjänsten : en fallstudieHellström, Anna January 2010 (has links)
Ett problem som många människor lever med i dagens samhälle är missbruk av alkohol eller droger. Inom socialtjänsten i Sverige används olika bedömningsmetoder för att fastställa klienters problem och hjälpbehov. En av dessa metoder är Addiction Severity Index (ASI) som rekommenderas av Socialstyrelsen i Nationella riktlinjer för missbruks- och beroendevården och som är en del i en överenskommelse i RIM-projektet i Uppsala län. Tidigare studier har visat att socialarbetare har en positiv attityd till ASI men trots det används metoden inte fullt ut eller i så stor utsträckning som kan förväntas.Syftet i föreliggande uppsats var att undersöka hur personal inom socialtjänsten implementerade ASI, det vill säga hur de använde och värderade metoden i verksamheten. Studiedesign var fallstudie i vilken intervjuer utfördes med 10 socialsekreterare i Enköping och Uppsala. Analysen utgick ifrån analysmodellen kan, förstår, vill och de huvudkategorier som lyftes fram med hjälp av denna var Hur – socialsekreterarnas användning av ASI, Kan – åtgärder för användning av ASI, Förstår – socialsekreterarnas förståelse för ASI, Vill – socialsekreterarnas vilja att använda ASI.Studien visade att socialsekreterarna använde ASI i utredningsarbetet. I verksamheten vidtogs det åtgärder för att socialsekreterarna skulle kunna använda ASI. De hade kunskaper både om varför och hur de skulle använda metoden, de hade tillgång till olika resurser och tycktes vilja använda metoden. Trots den positiva inställning som socialsekreterarna tycktes ha till ASI implementerade de inte metoden enligt uppsatta mål.
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Desenvolvimento e avaliação das propriedades psicométricas da sexta versão brasileira do Addiction Severity Index 6 (ASI 6) lightFernandes, Lídia Reis 03 February 2015 (has links)
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Previous issue date: 2015-02-03 / CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / Introdução: O uso abusivo ou dependência de substâncias psicoativas pela população brasileira constitui problema relevante no âmbito da saúde pública. A disponibilização de um instrumento que avalie o quadro geral de um usuário de álcool e outras drogas é útil para o planejamento do tratamento e para avaliação de sua efetividade. O Addiction Severity Index (ASI) é um instrumento que permite avaliar informações sobre vários aspectos da vida de pessoas com problemas associados ao uso de álcool e outras drogas, como problemas médicos, no emprego, nos aspectos legais, sociofamiliares, psiquiátricos, além do uso de álcool e de outras drogas. Sua sexta versão foi validada para o Brasil obtendo boas propriedades psicométricas, porém faz-se necessário o desenvolvimento de uma versão brasileira reduzida do ASI6 para otimizar o tempo de aplicação. Objetivo: O presente trabalho buscou desenvolver e avaliar as Propriedades Psicométricas de uma versão brasileira reduzida do ASI6, proposta a partir de um estudo de validação dos construtos do instrumento. Método: Foram entrevistados 200 sujeitos, 100 com uso problemático de álcool e outras drogas e 100 sem uso problemático. Foram calculados os escores dos indivíduos a partir da Teoria de Resposta ao Item. As propriedades psicométricas foram avaliadas pela correlação entre os escores do ASI6 e do ASSIST (Alcohol, Smoking and Substance Involvement Screening Test), padrão-ouro do estudo. Foram avaliados os índices de sensibilidade e especificidade. Resultados: Foi encontrada uma alta correlação entre o escore da área “álcool” do ASI 6 Light e os escores do ASSIST em relação ao álcool (r=0,79), correlações moderadas em relação ao tabaco (r=0,47) e cocaína/crack (r=0,44) e baixa (r=0,39) em relação à maconha. Ao correlacionar os escores do ASSIST e os escores da área drogas do ASI 6 Light obteve-se uma alta correlação em relação à cocaína/crack (r=0,85), correlações moderadas em
relação ao tabaco (r=0,57) e maconha (r=0,68) e baixa (r=0,29) em relação ao álcool. A área sob a curva ROC da área “álcool” foi 0,93 e da área “drogas” foi 0,88. Discussão: Com este estudo foi possível desenvolver e avaliar as propriedades psicométricas da versão reduzida do ASI6 Light. Boas evidências de validade da área “álcool” e “drogas” foram apresentadas. Essa nova versão tornou-se um instrumento de fácil manejo e de rápida aplicação, contendo os itens que melhor avaliam a gravidade de problemas com substâncias e dos problemas associados nas diversas áreas. / Introduction: The abuse or dependence on psychoactive substances by the Brazilian population is a relevant problem in public health. The availability of an instrument to assess the general framework of a user of alcohol and other drugs is useful for treatment planning and to evaluate their effectiveness. The Addiction Severity Index (ASI) is an instrument to evaluate information on various aspects of life of people with problems associated with alcohol and other drugs such as medical conditions, on employment, legal, social-familial, psychiatric, and the use alcohol and other drugs. His sixth version was validated in Brazil getting good psychometric properties, but it is necessary the development of a shortened Brazilian version of the ASI6 to optimize the exposure time. Aims: This study aimed to develop and evaluate the Psychometric Properties of a shortened Brazilian version of the ASI6, proposal from a validation study of the instrument constructs. Method: 200 subjects were interviewed, 100 with the abuse of alcohol and other drugs and 100 without problematic use. The scores of individuals from the Item Response Theory were calculated. The psychometric properties were evaluated by the correlation between the scores of the ASI6 and ASSIST (Alcohol, Smoking and Substance Involvement Screening Test), the gold standard study. We assessed the sensitivity and specificity rates. Results: A high correlation between the score of the area "alcohol" ASI6 Light and scores ASSIST regarding alcohol was found (r = 0.79), moderate correlations with tobacco (r = 0.47) and cocaine / crack (r = 0.44) and low (r = 0.39) with respect to marijuana. Correlating ASSIST scores and the scores of the area of drugs ASI6 Light obtained a high correlation to cocaine / crack (r = 0.85), moderate correlations with tobacco (r = 0.57) and marijuana (r = 0.68) and low (r = 0.29) compared to alcohol. The area under the ROC curve of area "alcohol" was 0.93 and the area "drugs" was 0.88.
Discussion: With this study was possible to develop and evaluate the psychometric properties of the short version of the ASI6 Light. Good evidence of validity of the area "alcohol" and "drugs" were presented. This new version has become an instrument for easy handling and quick application, containing the items that best assess the severity of problems with substances and the problems associated in various areas.
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''Det är ju ett våldsamt liv, att vara missbrukare.'' : Socialsekreterares syn på ASI-intervjuns användbarhet beträffande våld i nära relationer.Eklöf, Isabell, Wallin Nilsson, Mimmi January 2023 (has links)
Sammanfattning Titel: ’’Det är ju ett våldsamt liv, att vara missbrukare’’- Socialsekreterares syn på ASI- intervjuns användbarhet beträffande våld i nära relationer Författare: Isabell Eklöf och Mimmi Wallin Nilsson Syftet med studien var att undersöka hur socialsekreterare inom alkohol-och drogmissbruksområdet uppfattar ASI-intervjuns användbarhet att identifiera våld i nära relation samt stödja våldsutsatta och våldsutövare. Data samlades in genom fem semistrukturerade intervjuer med socialsekreterare inom alkohol- och drogmissbrukområdet med erfarenhet av ASI i Sverige. Resultatet analyserades med hjälp av tidigare forskning och begreppen handlingsutrymme samt relationskompetens, yrkeskompetens och handlingskompetens. Resultatet visar att ASI-intervjun är ett bra verktyg för att screena våld i nära relation men inte för att stödja våldsutövare och våldsutsatta. Flertalet faktorer påverkar ASI-intervjuns användbarhet; bland annat klienternas komplexa problematik, relationen mellan socialsekreterare och klient, samt socialsekreterarens intresse att ställa följdfrågor. Troligtvis hade ASI-intervjun varit mer användbar om frågornas utformning justerats. En slutsats är att det är upp till den enskilde socialsekreteraren och dess handlingsutrymme hur användbar ASI-intervjun är. / Abstract Title: ”It is a violent life to be an addict” - Social workers' views on the usefulness of the ASI interview regarding violence in intimate relationships. Authors: Isabell Eklöf and Mimmi Wallin Nilsson The purpose of the study was to investigate how social workers in the alcohol and drug abuse field perceive the ASI interview’s usefulness to identify violence in intimate relationships and support victims and perpetrators. Data were collected through five semi- structured interviews with social workers in the alcohol and drug abuse field with experience of ASI in Sweden. The result was analyzed with previous research, the concept room for maneuver, relational competence, professional competence and action competence. The results showed that ASI is useful for screening violence in intimate relationships, but not for supporting perpetrators and victims. The social workers' interest in asking follow-up questions, clients' complex problems and the relationship between social worker and client are examples of what affects the ASI' usefulness. ASI could be more useful if the questions were adjusted. One conclusion is that the individual social worker and their room for maneuver determines the ASI’s usefulness.
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Faktorer relaterade till genomförande av uppföljningsintervjuer med ASI – klientprofil och organisation / Factors related to the implementation of the follow-up interviews with ASI - client profile and organizationEriksson, Jakob, Mara, Adelin January 2014 (has links)
Addiction Severity Index (ASI) är tänkt att användas både för klientarbete på individnivå och för forskning på gruppnivå. Denna studie undersöker i vilken omfattning ASI-Uppföljning genomförs samt vilka individ- och organisationsfaktorer som påverkar användningen. Studien är kvantitativ dvs presenterar statistiska analyser. Data samlades in på två sätt. Tillgång till ASI-data gjordes möjlig genom en avidentifierad fil från databasen ASI-Net och omfattade data från elva kommuner i Jönköpings län. ASI-data bestod av 1964 intervjuer från ASI-Grund och ASI-Uppföljning och behövdes för undersökningen av individfaktorerna. Data angående organisationsfaktorerna samlades in genom webbenkäter till cheferna inom Individ- och Familjeomsorg (IFO) i samma elva kommuner. Resultatet visar att andelen uppföljningsintervjuer ökar för varje år och att det föreligger stora skillnader mellan kommuner i genomförande av andelen uppföljningsintervjuer. Analysen av individfaktorerna tyder på att de äldre, med högre utbildning och ett yrke återintervjuas i högre utsträckning. Klienterna med stora problem och hjälpbehov med alkohol genomgår i högre grad en uppföljningsintervju, medan mer problem med narkotika och rättsliga problem tenderar att följas upp i mindre grad. Analysen av organisationsfaktorerna kunde ej på meningsfullt sätt signifikansprövas då populationen för webbenkäten var liten. Dock upptäcktes korrelation mellan andelen uppföljningsintervjuer för varje kommun och två organisationsfaktorer, befolkningsmängd i kommunerna samt personalomsättning. Organisationsfaktorerna visar tvärtemot förväntat att små kommuner följer upp en högre andel, och att faktorer som personalomsättning, utbildning och ärendemängd inte förklarar de skillnader som finns. Studiens slutsats visar att andelen genomförda ASI-Uppföljning ökar kontinuerligt. Även om ASI-Uppföljning ökar så är det långt kvar till dess att ens hälften av alla ärenden med ASI-Grund återintervjuas. För att öka motivationen att genomföra uppföljningsintervjuer kan det vara viktigt att socialsekreterarna får mer tillbaka i form av sammanställningar och analyser på gruppnivå. / Addiction Severity Index (ASI) is thought to be used both for client work at the individual level and for research at a group level. This study examines the extent to which the ASI Follow-up is carried out, and the individual and organizational factors influencing the usage. The study is quantitative, i.e. presents statistical analyzes. Data were collected in two ways. Access to ASI data was made possible by an anonymous file from the database ASI-Net and included data from eleven municipalities in Jönköping County. ASI data consisted of 1,964 interviews from ASI Basic and ASI Follow-up and was needed for the investigation of individual factors. Data regarding organizational factors was collected through web surveys to managers in Individual and Family Care (IFO) in the same eleven municipalities. The result shows that the percentage of follow-up interviews is increasing every year and that there are large differences between municipalities in the usage of the percentage of follow-up interviews. The analysis of individual factors suggest that the elderly, with higher education and a profession are interviewed to a greater extent. Clients with serious problems and in need of help with alcohol also undergo follow-up interviews more frequently, while more problems with drugs and legal problems tend to be followed-up to a lesser degree. The analysis of organizational factors could not in a meaningful way be tested for significance since the population for the web survey was small, however, correlation was discovered between the percentage of follow-up interviews for each municipality and organizational factors of population in municipalities and employee turnover. Organizational factors show the contrary as expected that small municipalities follow up to higher degree, and that factors such as staff turnover, training and case quantity does not explain the existing differences. The study's conclusions are that the percentage of ASI Follow-up is continuously increasing. Although the ASI follow-up is increasing, it is a long way until the even half of all cases with ASI Basic are re-interviewed. To increase the motivation to carry out follow-up interviews, it may be important for the social workers to get back more in the form of summaries and analyzes at the group level.
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Version française modifiée de l'Addiction Severity Index : rationnel, description et validation des sections Tabac et Jeu / Jeu d'argent et de HasardDenis, Cécile 08 December 2009 (has links)
Pour appréhender l'ensemble du problème addictif et proposer une prise en charge appropriée, une évaluation multifactorielle est nécessaire. Les données récentes soulignent que le champ des addictions aux substances doit être étendu au champ des addictions comportementales. Une des lacunes dans la compréhension des troubles addictifs et de leur prise en charge pourrait être due à un manque d'outils d'évaluation standardisés qui évaluent l'ensemble des composantes de l'addiction et leurs répercussions dans différents domaines de la vie du sujet. Dans le champ des addictions aux substances, l'Addiction Severity Index (ASI) est l'outil le plus utilisé mondialement. L'ASI est un instrument qui évaluent les sujets pour la clinique ou la recherche. En France, notre groupe de recherche utilise l'ASI depuis 1992 pour la clinique et la recherche. Nous avons décidé de modifier l'ASI en y ajoutant de nouvelles sections. Depuis 2006, la version française modifiée de l'ASI présente donc des items évaluant l'usage de tabac (Section Tabac) et également des items permettant l'évaluation des comportements addictifs sans substance comme le jeu, le jeu d'argent et de hasard et les troubles du comportement alimentaire. L'objectif général de cette thèse était d'étudier la validité de la version française modifiée de l'Addiction Severity Index (ASI) chez des sujets pris en charge pour au moins une addiction dans des centres de soins spécialisés en addictologie. Les résultats montraient une très bonne validité des données de consommations de substances rapportées par les sujets. Les sections Tabac et Jeu / Jeu d'argent et de hasard avaient été montrées comme valides. La version modifiée de l'ASI semble être un bon outil permettant l'évaluation de la sévérité de l'ensemble des comportements addictifs. Cette adaptation fait de l'ASI modifié le premier outil qui permet d'évaluer l'ensemble des troubles addictifs et qui ne mesure pas uniquement la quantité, la durée et l'intensité de ces troubles. Elle va permettre d'aider le clinicien à mettre en place une prise en charge la plus adaptée et aux chercheurs de caractériser et de comparer les différentes addictions afin de dégager des différences et des similitudes. / A multidimensional assessment is key to understand the addiction problem and to develop an appropriate treatment plan. Recent findings support the scope that addictive disorders should include non-substance use disorders. A significant problem in understanding and managing the addictive disorders may be related to the lack of standardized instruments for assessing problems or other aspects of life that are affected by these pathologies. For the assessment of substance users exists a widely used instrument, the Addiction Severity Index (ASI). The ASI is an instrument that assesses subjects for both clinical and research purposes. In France, our research group used the ASI since 1992 for both clinical and research purposes. We decided to modify the French translation of the ASI and added some new items. Since 2006, the French modified ASI includes items to assess tobacco use but also non-substance addictive behaviors including gaming, gambling and eating disorders. The overall objective of this dissertation was to assess the validity of the French modified ASI in several samples of clients who sought treatment in outpatient addiction clinics. The findings showed a good validity of the self-reported substance use. The validity of the Tobacco section as well as the Gaming/Gambling section have been shown. The French modified ASI is a suitable instrument for assessing any type of addiction-related disorders. This adaptation makes the modified ASI the first instrument that assesses all possible addictive behaviors regardless of the type of the addiction and that measures more than just the quantity, duration, and intensity of addictive behaviors. ASI may be helpful for clinicians in helping them to design the best treatment plans for a patient, for policy makers to objectively understand the need in treatment, care centers or other institutions but also for researchers to measure contemporary issues in addiction treatment and to find similarities and differences between type of addiction.
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ASI - verksamt eller värdelöst? : En kvalitativ undersökning om personalen på socialtjänstens tilltro till bedömningsinstrumentet ASI (Addiction Severity Index) / ASI - efficient or worthless? : A qualitative study of staff in social services trust in the assessment instrument ASI (Addiction Severity Index)Acevedo Hermansson, Siri, Rooth, Lina January 2012 (has links)
Evidensbaserad praktik inom socialtjänsten förutsätter att de professionella ställer sig positiva till forskningsbaserad kunskap om insatser och användandet av bedömningsinstrument. I vår studie undersöks vilken tilltro socialarbetare på vuxenenheten i en mindre stad har till bedömningsinstrumentet Addiction Severity Index (ASI). Studien är en kvalitativ undersökning och semistrukturerade intervjuer valdes som metod för att besvara syfte och frågeställningarna. Sammanlagt har sex respondenter intervjuats varav fyra handläggare, en projektledare samt enhetschefen på verksamheten. Forskning visar att handläggare upplever olika fördelar och nackdelar i användandet av ASI. Av resultatet framgår att handläggarna använder ASI Grund regelbundet i sitt arbete men att det finns svårigheter med att implementera ASI Uppföljning. Samtliga handläggare upplever att ASI Grund är tidskrävande och har en del invändningar mot vissa av frågorna. Trots detta uttrycker de ändå att användandet av ASI kan bidra till ett rättsäkerhetsperspektiv, ett strukturerat arbetssätt och en bra grund inför behandlingsplaneringen. I studien diskuteras även förbättringsområden inom ASI. / Evidence-based practice in social services presupposes that the professionals are in favor of research-based knowledge on services an the use of assessment instruments. The purpose of this study is to examining the confidence of social workers in an adult unit, in a small town has to assess the instrument Addiction Severity Index (ASI). The study is a qualitative survey ans semi-structured interviews were chosen as a method to answer the purpose and research questions. A total of six respondents were interviewed; four social workers, one project manager and the head of unit in operation. Research shows that social workers experience different advantages and disadvantages in the use of ASI. The results show that social workers use the ASI on a regular basis in their work, but there are difficulties in implementing the ASI follow-up interview. All social workers feel that the ASI base interview is time consuming and has concerns with some of the questions. Nevertheless, they express that the use of the ASI can contribute to a legal security perspective, a structured approach and a good basis for treatment planning. The study also discusses areas for improvement in the ASI.
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