Friday, 12 August 2016

Validity of the Adult Needs and Strengths Assessment with Substance Abuse Populations


Introduction:

How researchers and practitioners measure substance use patterns can have a profound impact on treatment protocols. Throughout the United States and around the world, various agencies employ sundry intake devices to determine the severity of substance abuse patterns and related problems from both a recent and lifetime perspective. Some of the more commonly used measures include the Addiction Severity Index (ASI) from National Institutes of Health (NIH), Substance Abuse Subtle Screening Inventory (SASSI) from Multi-Health Systems (MHS), and the Simple Screening Instrument for Alcohol and Other Drugs (SSI-AOD) from the Center for Substance Abuse Treatment (CSAT).

In recent years, however, the Adult Needs and Strengths Assessment (ANSA) has become the preferred instrument for many providers of substance abuse treatment. The ANSA was created to support decision-making in relation to level of care and service planning, facilitate quality improvement initiatives, and allow for monitoring of outcomes. 
The ANSA currently is being utilized in a number of locations within the United States and Canada, in such diverse settings as hospitals, emergency rooms, rehabilitation programs, and mental health centers.
The ANSA was developed to craft a linkage between the assessment process and the design of individualized service planning founded upon evidence-based practices. The original version, the Severity of Psychiatric Illness (SPI), was created in the 1990s to study decisionmaking in psychiatric emergency systems. The ANSA expanded on the concepts of the SPI to include a broader description of functioning and to incorporate strengths with a recovery focus.

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