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Addiction Severity Index (ASI) Training Needs Assessment Survey

This brief survey will help you think further about and plan for the type of training(s), technical assistance and or consultation services we can provide in response to you organizations needs. We appreciate your taking the time to respond.

1. What is your purpose or goal for using the ASI? Please check all that apply.

Clinical Purposes Program Evaluation Research Purposes
Screening Measuring Outcomes Measuring Treatment Effectiveness
Assessment Managing Resources Research Study
Diagnosis Develop Comparison Reports
Patient Placement Develop Performance Indicators
Treatment Planning Evaluate Treatment Effectiveness
All of the Above All of the Above
None None
Other:
 
2. Who will be administering the instrument? Please check all that apply.

Intake Counselors / Social Workers
All Counselors / Social Workers
Research Technicians
All of the Above
Other
 
  
3. Will you be doing ASI Follow – Up Interviews after the clients leave treatment?
 YES     No
 
4. Will you be doing ASI Follow – Up Interviews while clients are still in treatment?
  YES    No
 
5. Does your supervisory staff need to be trained in how to monitor and maintain coding consistency, inter- rater reliability, correct use and application of the instrument?
  YES    No
 
6. Does your program director or administrative staff need training, technical assistance or consultation regarding how to interpret and use the data collected?
  YES    No
 
7. Are you planning on using a computerized version of the ASI that produces a narrative bio-psycho-social and comparison reports regarding your patient population?
  YES    No
 
8. Are you interested in establishing a real time alcohol and drug evaluation Monitoring / Evaluation System in your organization?
  YES     No
 
9. Are you currently using the Addiction Severity Index?
  YES     No
 
10. Have most of your staff been trained in the correct use and application of the ASI?
  YES     No
 
11. Are you using or planning to use the ASI in conjunction with Uniform Patient Placement Criteria i.e. the American Society of Addiction Medicines (ASAM) Patient Placement Criteria II.
  YES     No
 
12. Your staff has been trained already and you would like to evaluate whether or not they are administering the ASI correctly?
  YES     No
 
13. How many staff are you interested in having trained?
0-5   5-10   10-15   15-20

 

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