cosig assessment training. m.i.n.i mini international neuropsychitric interview

COSIG COSIG AssessmentAssessment

TrainingTraining

M.I.N.IM.I.N.I

MINI INTERNATIONAL MINI INTERNATIONAL NEUROPSYCHITRIC NEUROPSYCHITRIC

INTERVIEWINTERVIEW

Major Depressive EpisodeMajor Depressive EpisodeScreening QuestionsScreening Questions

A1 Have you been consistently depressed or A1 Have you been consistently depressed or down,down,

most of the day, nearly every day, for the past most of the day, nearly every day, for the past twotwo

weeks?weeks?

A2 In the past two weeks, have you been much A2 In the past two weeks, have you been much lessless

interested in most things or much less able tointerested in most things or much less able to enjoy the things you used to enjoy most of theenjoy the things you used to enjoy most of the time?time?

If “YES” to either question, proceed to A3 If “YES” to either question, proceed to A3 If “NO” to both questions, skip to Section B, If “NO” to both questions, skip to Section B,

DysthmiaDysthmia

Major Depressive Episode Major Depressive Episode (Continued)(Continued)

A3 Over the past two weeks, when you A3 Over the past two weeks, when you feltfelt

depressed or uninterested:depressed or uninterested:

Was your appetite decreased or increased Was your appetite decreased or increased nearly every day? Did your weight nearly every day? Did your weight increase without trying intentionally?increase without trying intentionally?

Did you have trouble sleeping nearly every Did you have trouble sleeping nearly every night (difficulty falling asleep, waking up night (difficulty falling asleep, waking up in the middle of the night, early morning in the middle of the night, early morning wakening, or sleeping excessively)?wakening, or sleeping excessively)?


Did you talk or move more slowly than normal Did you talk or move more slowly than normal or were you fidgety, restless, or having trouble or were you fidgety, restless, or having trouble sitting still almost every day?sitting still almost every day?

Did you feel tired or without energy almost Did you feel tired or without energy almost every day?every day?

Did you feel worthless or guilty almost every Did you feel worthless or guilty almost every day?day?

Did you have difficulty concentrating or making Did you have difficulty concentrating or making decisions almost every day?decisions almost every day?

Did you repeatedly consider hurting yourself, Did you repeatedly consider hurting yourself, feel suicidal, or wish that you were dead?feel suicidal, or wish that you were dead?


If 5 or more of the 7 symptoms are If 5 or more of the 7 symptoms are “YES” in A3 then the diagnosis of “YES” in A3 then the diagnosis of

Major Depressive Episode, Current is Major Depressive Episode, Current is made and proceed to A4made and proceed to A4

If less than 5 of the 7 symptoms are If less than 5 of the 7 symptoms are “YES” in A3 then skip to Section B, “YES” in A3 then skip to Section B,

DysthmiaDysthmia

Major Depressive Episode, Major Depressive Episode, RecurrentRecurrent

A4 During your lifetime, did you have other periods of twoA4 During your lifetime, did you have other periods of two weeks or more when you felt depressed or weeks or more when you felt depressed or

uninterested inuninterested in most things, and had most of the problems we just most things, and had most of the problems we just

talkedtalked about?about?

If “YES”, proceed to next questionIf “YES”, proceed to next questionIf “NO”, proceed to Section D, Manic EpisodeIf “NO”, proceed to Section D, Manic Episode

Did you ever have an interval of at least 2 months Did you ever have an interval of at least 2 months withoutwithout

any depression and any loss of interest between 2 any depression and any loss of interest between 2 episodes ofepisodes of

depression?depression?

If “YES”, Major Depressive Episode, Recurrent If “YES”, Major Depressive Episode, Recurrent diagnosis is madediagnosis is made

DysthmiaDysthmiaScreening QuestionScreening Question

B1 Have you felt sad, low, or depressed B1 Have you felt sad, low, or depressed most ofmost of

the time for the last two years?the time for the last two years?

If “YES” proceed to B2 If “YES” proceed to B2

If “NO” skip to Section D, Manic EpisodeIf “NO” skip to Section D, Manic Episode

Dysthmia Dysthmia (Continued)(Continued)

B2 Was this period interrupted by your B2 Was this period interrupted by your feelingfeeling

OK for two months or more?OK for two months or more?

If “YES” skip to Section D, Manic EpisodeIf “YES” skip to Section D, Manic Episode

If “NO” proceed to B3 If “NO” proceed to B3


B3 During this period of feeling B3 During this period of feeling depressed most depressed most

of the time:of the time: Did your appetite change significantly?Did your appetite change significantly? Did you have trouble sleeping or sleep Did you have trouble sleeping or sleep

excessively?excessively? Did you feel tired or without energy?Did you feel tired or without energy? Did you lose self-confidence?Did you lose self-confidence? Did you have trouble concentrating or Did you have trouble concentrating or

making decisions?making decisions? Did you feel hopeless?Did you feel hopeless?


If two or more symptoms in B3 are If two or more symptoms in B3 are “YES” proceed to B4“YES” proceed to B4

If less than 2 symptoms are “YES” in If less than 2 symptoms are “YES” in B3 skip to Section D, Manic EpisodeB3 skip to Section D, Manic Episode


B4 Did the symptoms of depression cause B4 Did the symptoms of depression cause youyou

significant distress or impair your ability significant distress or impair your ability toto

function at work, socially or in some otherfunction at work, socially or in some other

important way?important way?

If “YES” Dysthmia diagnosis is madeIf “YES” Dysthmia diagnosis is made

If “NO” proceed to Section D, Manic EpisodeIf “NO” proceed to Section D, Manic Episode

Manic and Hypomanic Manic and Hypomanic EpisodeEpisode

Screening QuestionsScreening QuestionsD1a Have you ever had a period when you wereD1a Have you ever had a period when you were feeling “up” or “high” or “hyper” or so full offeeling “up” or “high” or “hyper” or so full of energy or full of yourself that you got intoenergy or full of yourself that you got into trouble, or that other people thought you trouble, or that other people thought you

werewere not your usual self? (Do not consider timesnot your usual self? (Do not consider times when you were intoxicated on drugs or when you were intoxicated on drugs or

alcohol.)alcohol.)

If “YES” ask:If “YES” ask:

D1b Are you currently feeling “up” or “high” or fullD1b Are you currently feeling “up” or “high” or full of energy?of energy?

Manic and Hypomanic Manic and Hypomanic EpisodeEpisode

Screening QuestionsScreening QuestionsD2a Have you ever been persistently irritable, forD2a Have you ever been persistently irritable, for several days, so that you had arguments or several days, so that you had arguments or verbal or physical fights, or shouted at peopleverbal or physical fights, or shouted at people outside your family? Have you or othersoutside your family? Have you or others noticed that you have been more irritable ornoticed that you have been more irritable or over reacted, compared to other people, even over reacted, compared to other people, even

inin situations that you felt were justified?situations that you felt were justified?

If “Yes” ask:If “Yes” ask:

D2b Are you currently feeling persistently irritable?D2b Are you currently feeling persistently irritable?

Manic or Hypomanic Manic or Hypomanic EpisodeEpisode(Continued)(Continued)

If D1b or D2b is “YES” proceed to D3 If D1b or D2b is “YES” proceed to D3 and explore only current episodeand explore only current episode

If D1b and D2b are “NO” proceed to D3 If D1b and D2b are “NO” proceed to D3 and explore the most problematic past and explore the most problematic past

episodeepisode

If D1a and D2a are both “NO” skip to If D1a and D2a are both “NO” skip to Section E, Panic DisorderSection E, Panic Disorder

Manic and Hypomanic Manic and Hypomanic EpisodeEpisode(Continued)(Continued)

D3 During the times when you felt high, D3 During the times when you felt high, full offull of

energy, or irritable did you:energy, or irritable did you: Feel that you could do things others couldn’t Feel that you could do things others couldn’t

do, or that you were an especially important do, or that you were an especially important person?person?

Need less sleep (for example, feel rested Need less sleep (for example, feel rested after only a few hours sleep)?after only a few hours sleep)?

Talk too much without stopping, or so fast Talk too much without stopping, or so fast that people had difficulty understanding?that people had difficulty understanding?

Have racing thoughts?Have racing thoughts?


D3 During the times when you felt high, full of D3 During the times when you felt high, full of energy, or irritable did you: (continued)energy, or irritable did you: (continued)

Become easily distracted so that any little Become easily distracted so that any little interruption could distract you?interruption could distract you?

Become so active or physically restless Become so active or physically restless that others were worried about you?that others were worried about you?

Want so much to engage in pleasurable Want so much to engage in pleasurable activities that you ignored the risks or activities that you ignored the risks or consequences (for example, spending consequences (for example, spending sprees, reckless driving, or sexual sprees, reckless driving, or sexual indiscretions)?indiscretions)?


If 3 or more of the D3 symptoms are If 3 or more of the D3 symptoms are “YES” (or 4 or more symptoms if “YES” (or 4 or more symptoms if

D1a is “NO” when rating past D1a is “NO” when rating past episode or D1b is “NO” when rating episode or D1b is “NO” when rating current episode) then proceed to D4current episode) then proceed to D4

If less than 3 symptoms are present, If less than 3 symptoms are present, skip to Section E, Panic Disorderskip to Section E, Panic Disorder

Manic or Hypomanic Manic or Hypomanic EpisodeEpisode(Continued)(Continued)

D4 Did these symptoms last at least a week D4 Did these symptoms last at least a week andand

cause significant problems at home, at cause significant problems at home, at work,work,

socially, or at school, or were you socially, or at school, or were you hospitalizedhospitalized

for these problems?for these problems?

If D4 is “NO” the diagnosis of Hypomanic If D4 is “NO” the diagnosis of Hypomanic Episode (Current or Past) is madeEpisode (Current or Past) is made

If D4 is “YES” the diagnosis of Manic Episode If D4 is “YES” the diagnosis of Manic Episode (Current or Past) is made(Current or Past) is made

Panic DisorderPanic DisorderScreening QuestionsScreening Questions

E1a Have you, on more than one occasion, hadE1a Have you, on more than one occasion, had spells or attacks when you suddenly felt spells or attacks when you suddenly felt anxious, frightened, uncomfortable or uneasy, anxious, frightened, uncomfortable or uneasy,

eveneven in situations where most people would not feel in situations where most people would not feel

thatthat way?way?

E1b Did the spells surge to a peak within 10 minutes E1b Did the spells surge to a peak within 10 minutes ofof

starting?starting?

If E1a and E1b are “YES” then proceed to E2If E1a and E1b are “YES” then proceed to E2

Panic DisorderPanic Disorder(Continued)(Continued)

E2 At any time in the past, did any of E2 At any time in the past, did any of those spellsthose spells

or attacks come on unexpectedly or or attacks come on unexpectedly or occur inoccur in

an unpredictable manner?an unpredictable manner?

If E2 is “YES” proceed to E3If E2 is “YES” proceed to E3

If E2 is “NO” skip to Section H, If E2 is “NO” skip to Section H, Obsessive Compulsive DisorderObsessive Compulsive Disorder


E3 Have you ever had one such E3 Have you ever had one such attack followedattack followed

by a month or more of persistent by a month or more of persistent concernconcern

about having another attack, or about having another attack, or worries aboutworries about

the consequences of the attack?the consequences of the attack?


E4 During the worst spell that you can E4 During the worst spell that you can remember:remember: Did you have skipping, racing, or Did you have skipping, racing, or

pounding of your heart?pounding of your heart? Did you have sweating or clammy hands?Did you have sweating or clammy hands? Were you trembling or shaking?Were you trembling or shaking? Did you have shortness of breath or Did you have shortness of breath or

difficulty breathing?difficulty breathing? Did you have a choking sensation or Did you have a choking sensation or

lump in your throat?lump in your throat?


E4 During the worst spell that you can E4 During the worst spell that you can remember: remember:

Did you have chest pain, pressure, or Did you have chest pain, pressure, or discomfort?discomfort?

Did you have nausea, stomach problems, or Did you have nausea, stomach problems, or sudden diarrhea?sudden diarrhea?

Did you feel dizzy, unsteady, lightheaded, or Did you feel dizzy, unsteady, lightheaded, or faint?faint?

Did things around you feel strange, unreal, Did things around you feel strange, unreal, detached or unfamiliar, or did you feel outside detached or unfamiliar, or did you feel outside of or detached from part or all of your body?of or detached from part or all of your body?


E4 During the worst spell that you E4 During the worst spell that you can remember:can remember:

Did you fear that you were losing Did you fear that you were losing control or going crazy?control or going crazy?

Did you fear that you were dying?Did you fear that you were dying? Did you have tingling or numbness in Did you have tingling or numbness in

parts of your body?parts of your body? Did you have hot flushes or chills?Did you have hot flushes or chills?


If E3 is “YES” and 4 or more of the symptoms If E3 is “YES” and 4 or more of the symptoms in E4 are “YES”, diagnosis of Panic Disorder, in E4 are “YES”, diagnosis of Panic Disorder,

Lifetime is made and proceed to E7Lifetime is made and proceed to E7

E7 In the past month, did you have such E7 In the past month, did you have such attacksattacks

repeatedly (2 or more) followed by repeatedly (2 or more) followed by persistentpersistent

concern about having another attack?concern about having another attack?

If E7 is “YES”, diagnosis of If E7 is “YES”, diagnosis of Panic Disorder, Current is madePanic Disorder, Current is made

Obsessive-Compulsive Obsessive-Compulsive DisorderDisorder

Screening QuestionScreening QuestionH1 In the past month, have you been H1 In the past month, have you been

bothered bybothered by

recurrent thoughts, impulses, or images recurrent thoughts, impulses, or images thatthat

were unwanted, distasteful, were unwanted, distasteful, inappropriate,inappropriate,

intrusive, or distressing? intrusive, or distressing?

If H1 is “YES” proceed to H2 If H1 is “YES” proceed to H2

IF H1 is “NO” skip to H4IF H1 is “NO” skip to H4

Obsessive-Compulsive Obsessive-Compulsive DisorderDisorder(Continued)(Continued)

H2 Did they keep coming back into H2 Did they keep coming back into your mindyour mind

even when you tried to ignore or even when you tried to ignore or get rid ofget rid of

them?them?

IF H2 is “YES” proceed to H3IF H2 is “YES” proceed to H3

If H2 is “NO” skip to H4If H2 is “NO” skip to H4


H3 Do you think that these obsessions are H3 Do you think that these obsessions are thethe

product of your own mind and that product of your own mind and that they arethey are

not imposed from the outside?not imposed from the outside?

If “YES” then criteria for “Obsessions” hasIf “YES” then criteria for “Obsessions” has

been met and proceed to H4been met and proceed to H4


H4 In the past month, did you do something H4 In the past month, did you do something repeatedlyrepeatedly

without being able to resist doing it, like washing without being able to resist doing it, like washing oror

cleaning excessively, counting or checking thingscleaning excessively, counting or checking things over and over, or repeating, collecting, arrangingover and over, or repeating, collecting, arranging things, or other superstitious rituals?things, or other superstitious rituals?

If “YES” then criteria for Compulsions has been met If “YES” then criteria for Compulsions has been met and proceed to H5and proceed to H5

If both H3 and H4 are “NO” skip to Section J, Alcohol If both H3 and H4 are “NO” skip to Section J, Alcohol Abuse and DependenceAbuse and Dependence


H5 Did you recognize that either these H5 Did you recognize that either these obsessiveobsessive

thoughts or these compulsive thoughts or these compulsive behaviors werebehaviors were

excessive or unreasonable?excessive or unreasonable?

If H5 is “YES” proceed to H6If H5 is “YES” proceed to H6

If H5 is “NO” skip to Section J, Alcohol If H5 is “NO” skip to Section J, Alcohol Abuse and DependenceAbuse and Dependence


H6 Did these obsessive thoughts and/orH6 Did these obsessive thoughts and/or compulsive behaviors significantly compulsive behaviors significantly

interfereinterfere with your normal routine, occupationalwith your normal routine, occupational functioning, usual social activities, orfunctioning, usual social activities, or relationships, or did they take more than relationships, or did they take more than

oneone hour a day?hour a day?

If “YES” then diagnosis of Obsessive-If “YES” then diagnosis of Obsessive-Compulsive Disorder is madeCompulsive Disorder is made

Posttraumatic Stress Posttraumatic Stress DisorderDisorder

Screening QuestionsScreening QuestionsI1 Have you ever experienced or witnessed I1 Have you ever experienced or witnessed

or hador had to deal with an extremely traumatic event to deal with an extremely traumatic event

thatthat included actual or threatened death or included actual or threatened death or

seriousserious injury to you or someone else?injury to you or someone else?

If “YES” proceed to I2If “YES” proceed to I2

If “NO” skip to Section J, Alcohol Abuse If “NO” skip to Section J, Alcohol Abuse and Dependenceand Dependence


Screening QuestionsScreening QuestionsI2 Did you respond with intense fear,I2 Did you respond with intense fear,

helplessness, or horror?helplessness, or horror?


If “NO skip to section J, Alcohol Abuse If “NO skip to section J, Alcohol Abuse

and Dependenceand Dependence


I3 During the past month, have you re-I3 During the past month, have you re-

experienced the event in a distressing way experienced the event in a distressing way (such(such

as dreams, intense recollections, as dreams, intense recollections, flashbacks, orflashbacks, or

physical reactions)?physical reactions)?


If “NO” skip to Section J, Alcohol Abuse If “NO” skip to Section J, Alcohol Abuse

and Dependenceand Dependence

Posttraumatic Stress Posttraumatic Stress DisorderDisorder(Continued)(Continued)

I4 In the past month:I4 In the past month: Have you avoided thinking about or Have you avoided thinking about or

talking about the event?talking about the event? Have you avoided activities, places, or Have you avoided activities, places, or

people that remind you of the event?people that remind you of the event? Have you had trouble recalling some Have you had trouble recalling some

important part of what happened?important part of what happened? Have you become much less interested Have you become much less interested

in hobbies and social activities?in hobbies and social activities?


I4 In the past month:I4 In the past month: Have you felt detached or estranged from Have you felt detached or estranged from

others?others? Have you noticed that your feelings are Have you noticed that your feelings are

numbed?numbed? Have you felt that your life will be shortened Have you felt that your life will be shortened

or that you will die sooner than other people?or that you will die sooner than other people?

If 3 or more of the 7 symptoms in I4 are If 3 or more of the 7 symptoms in I4 are ““YES” proceed to I5YES” proceed to I5

If less than 3 symptoms are “YES” skip to If less than 3 symptoms are “YES” skip to Section J, Alcohol Abuse and DependenceSection J, Alcohol Abuse and Dependence


I5 In the past month:I5 In the past month: Have you had difficulty sleeping?Have you had difficulty sleeping? Were you especially irritable or did you have Were you especially irritable or did you have

outbursts of anger?outbursts of anger? Have difficulty concentrating?Have difficulty concentrating? Were you nervous or constantly on your guard?Were you nervous or constantly on your guard? Were you easily startled?Were you easily startled?

If 2 or more symptoms in I5 are “YES” proceed If 2 or more symptoms in I5 are “YES” proceed to I6to I6

If less than 2 symptoms are “YES” skip to If less than 2 symptoms are “YES” skip to Section JSection J


I6 During the past month, have these I6 During the past month, have these problemsproblems

significantly interfered with your work or significantly interfered with your work or socialsocial

activities, or caused significant distress?activities, or caused significant distress?

If “YES” diagnosis of Posttraumatic Stress If “YES” diagnosis of Posttraumatic Stress Disorder is madeDisorder is made

If “NO” proceed to Section J, Alcohol Abuse If “NO” proceed to Section J, Alcohol Abuse and Dependenceand Dependence

Alcohol Abuse and Alcohol Abuse and DependenceDependence

Screening QuestionScreening QuestionJ1 In the past 12 months, have you had 3 J1 In the past 12 months, have you had 3

or moreor more

alcoholic drinks within a 3 hour period alcoholic drinks within a 3 hour period on 3 oron 3 or

more occasions?more occasions?

If “YES” proceed to J2If “YES” proceed to J2

If “NO” skip to Section K, Psychoactive If “NO” skip to Section K, Psychoactive Substance Use DisordersSubstance Use Disorders


(Continued)(Continued)J2 In the past 12 months:J2 In the past 12 months:

Did you need to drink more in order to get Did you need to drink more in order to get the same effect that you got when you first the same effect that you got when you first started drinking?started drinking?

When you cut down on drinking, did your When you cut down on drinking, did your hands shake, did you sweat or feel hands shake, did you sweat or feel agitated? Did you drink to avoid these agitated? Did you drink to avoid these symptoms or to avoid being hung over, for symptoms or to avoid being hung over, for example “the shakes,” sweating, or example “the shakes,” sweating, or agitation? (If “YES” to either, code “YES”)agitation? (If “YES” to either, code “YES”)



During the times when you drank alcohol, During the times when you drank alcohol, did you end up drinking more than you did you end up drinking more than you planned when you started?planned when you started?

Have you tried to reduce or stop drinking Have you tried to reduce or stop drinking alcohol but failed?alcohol but failed?

On the days that you drank, did you On the days that you drank, did you spend substantial time in obtaining spend substantial time in obtaining alcohol, drinking, or recovering from the alcohol, drinking, or recovering from the effects of alcohol?effects of alcohol?



Did you spend less time working, Did you spend less time working, enjoying hobbies, or being with others enjoying hobbies, or being with others because of your drinking?because of your drinking?

Have you continued to drink even Have you continued to drink even though you knew that the drinking though you knew that the drinking caused you health or emotional caused you health or emotional problems?problems?


(Continued)(Continued)If 3 or more questions in J2 are “YES” If 3 or more questions in J2 are “YES” then diagnosis of Alcohol Dependence then diagnosis of Alcohol Dependence

is made and skip to Section K, is made and skip to Section K, Psychoactive Substance Psychoactive Substance

Use DisordersUse Disorders

If less than 3 questions in J2 are “YES” If less than 3 questions in J2 are “YES” then proceed to J3 to assess for then proceed to J3 to assess for

Alcohol AbuseAlcohol Abuse



Have you been intoxicated, high, or Have you been intoxicated, high, or hung over more than once when you had hung over more than once when you had other responsibilities at school, work, or other responsibilities at school, work, or at home? Did this cause any problems? at home? Did this cause any problems? (Code “YES” only if this caused (Code “YES” only if this caused problems.)problems.)

Were you intoxicated more than once in Were you intoxicated more than once in any situation where you were physically any situation where you were physically at risk, for example, driving a car, riding at risk, for example, driving a car, riding a motorbike, using machinery, etc.?a motorbike, using machinery, etc.?



Did you have legal problems more than Did you have legal problems more than once because of your drinking, for once because of your drinking, for example, an arrest or disorderly example, an arrest or disorderly conduct?conduct?

Did you continue to drink even though Did you continue to drink even though your drinking caused problems with your drinking caused problems with your family or other people?your family or other people?


(Continued)(Continued)

If one or more questions in J3 are If one or more questions in J3 are “YES” then diagnosis of Alcohol “YES” then diagnosis of Alcohol

Abuse is madeAbuse is made

If no questions in J3 are “YES” If no questions in J3 are “YES” proceed to Section K, Psychoactive proceed to Section K, Psychoactive

Substance Use DisordersSubstance Use Disorders

Psychoactive Substance Use Psychoactive Substance Use DisordersDisorders

Screening QuestionScreening QuestionK1 Now I am going to show (or read) you a listK1 Now I am going to show (or read) you a list

of street drugs or medications. In the past of street drugs or medications. In the past 1212

months, did you take any of these drugs months, did you take any of these drugs moremore

than once, to get high, to feel better, or tothan once, to get high, to feel better, or to

change your mood?change your mood?

If “YES” proceed to K2If “YES” proceed to K2

If “NO” skip to Section L, Psychotic DisordersIf “NO” skip to Section L, Psychotic Disorders

Psychoactive Substance Use Psychoactive Substance Use DisordersDisorders(Continued)(Continued)

K2 Considering your use of (specified drug), in K2 Considering your use of (specified drug), in the pastthe past

12 months:12 months: Have you found that you needed to use more Have you found that you needed to use more

(specified drug) to get the same effect that you (specified drug) to get the same effect that you did when you first started taking it?did when you first started taking it?

When you reduced or stopped using (specified When you reduced or stopped using (specified drug), did you have withdrawal symptoms (aches, drug), did you have withdrawal symptoms (aches, shaking, fever, weakness, diarrhea, nausea, shaking, fever, weakness, diarrhea, nausea, sweating, heart pounding, difficulty sleeping, or sweating, heart pounding, difficulty sleeping, or feeling agitated, anxious, irritable, or depressed)? feeling agitated, anxious, irritable, or depressed)? Did you use any drug(s) to keep yourself from Did you use any drug(s) to keep yourself from getting sick (withdrawal symptoms) or so that you getting sick (withdrawal symptoms) or so that you would feel better? (If “YES” to either, code “YES”)would feel better? (If “YES” to either, code “YES”)


K2 Considering your use of (specified drug), K2 Considering your use of (specified drug), in the pastin the past

12 months:12 months:

Have you often found that when you used Have you often found that when you used (specified drug), you ended up taking (specified drug), you ended up taking more than you thought you would?more than you thought you would?

Have you tried to reduce or stop taking Have you tried to reduce or stop taking (specified drug) but failed?(specified drug) but failed?

On the days that you used (specified On the days that you used (specified drug), did you spend substantial time (> 2 drug), did you spend substantial time (> 2 hours), obtaining, using, or in recovering hours), obtaining, using, or in recovering from the drug, or thinking about the drug?from the drug, or thinking about the drug?


K2 Considering your use of (specified K2 Considering your use of (specified drug), indrug), in

the past 12 months:the past 12 months:

Did you spend less time working, Did you spend less time working, enjoying hobbies, or being with family enjoying hobbies, or being with family or friends because of your drug use?or friends because of your drug use?

Have you continued to use (specified Have you continued to use (specified drug) even though it caused you health drug) even though it caused you health or mental problems?or mental problems?


If 3 or more of the questions in K2 are If 3 or more of the questions in K2 are

““YES” then diagnosis of Substance YES” then diagnosis of Substance

Dependence is madeDependence is made

If less than 3 questions in K2 are If less than 3 questions in K2 are “YES” proceed to K3 to assess “YES” proceed to K3 to assess

Substance AbuseSubstance Abuse

Psychoactive Substance Use Psychoactive Substance Use DisorderDisorder(Continued)(Continued)

K3 Considering your use of (specified drug), in the K3 Considering your use of (specified drug), in the pastpast


Have you been intoxicated, high, or hung over Have you been intoxicated, high, or hung over from (specified drug) more than once, when you from (specified drug) more than once, when you had other responsibilities at school, at work, or at had other responsibilities at school, at work, or at home? Did this cause any problems? (Code home? Did this cause any problems? (Code “YES” only if this caused problems)“YES” only if this caused problems)

Have you been high or intoxicated from (specified Have you been high or intoxicated from (specified drug) more than once in any situation where you drug) more than once in any situation where you were physically at risk (for exammple, driving a were physically at risk (for exammple, driving a car, riding a motorbike, using machinery, boating, car, riding a motorbike, using machinery, boating, etc.)?etc.)?

Psychoactive Substance Use Psychoactive Substance Use DisorderDisorder(Continued)(Continued)

K3 Considering your use of (specified drug), in K3 Considering your use of (specified drug), in the pastthe past


Did you have legal problems more than once Did you have legal problems more than once because of your drug use, for example, an because of your drug use, for example, an arrest or disorderly conduct?arrest or disorderly conduct?

Did you continue to use (specified drug) even Did you continue to use (specified drug) even though it cause problems with your family or though it cause problems with your family or other people?other people?

If one or more of the questions in K3 are “YES” If one or more of the questions in K3 are “YES” then diagnosis of Substance Abuse is madethen diagnosis of Substance Abuse is made

Psychotic DisordersPsychotic Disorders

There are no screening questions for There are no screening questions for the Psychotic Disorders sectionthe Psychotic Disorders section

Ask for an example of each question Ask for an example of each question answered positively. Code “YES” answered positively. Code “YES” only if the examples clearly show a only if the examples clearly show a distortion of thought or of distortion of thought or of perception or if they are not perception or if they are not culturally appropriate. culturally appropriate.

Psychotic DisordersPsychotic Disorders(Continued)(Continued)

Before coding, investigate whether Before coding, investigate whether delusions qualify as “bizarre.”delusions qualify as “bizarre.”

Delusions are “bizarre” if clearly Delusions are “bizarre” if clearly implausible, absurd, not understandable, implausible, absurd, not understandable, and cannot derive from ordinary life and cannot derive from ordinary life experience.experience.

Hallucinations are coded “bizarre” if a Hallucinations are coded “bizarre” if a voice comments on the person’s thoughts voice comments on the person’s thoughts or behavior, or when two or more voices or behavior, or when two or more voices are conversing with each other.are conversing with each other.


Now I am going to ask you about unusual Now I am going to ask you about unusual experiences that some people have:experiences that some people have:

L1 Have you ever believed that people wereL1 Have you ever believed that people were

spying on you, or that someone was plottingspying on you, or that someone was plotting

against you, or trying to hurt you? (Note: against you, or trying to hurt you? (Note: AskAsk

for examples to rule out actual stalking.)for examples to rule out actual stalking.)

If “YES”:If “YES”: Do you currently believe these Do you currently believe these things?things?


L2 Have you ever believed that someone wasL2 Have you ever believed that someone was

reading your mind or could hear yourreading your mind or could hear your

thoughts, or that you could actually readthoughts, or that you could actually read

someone’s mind or hear what another someone’s mind or hear what another personperson

was thinking?was thinking?

If “YES”:If “YES”: Do you currently believe these Do you currently believe these things?things?


L3 Have you ever believed that someone or L3 Have you ever believed that someone or somesome

force outside yourself put thoughts in yourforce outside yourself put thoughts in your

mind that were not your own, or made you mind that were not your own, or made you actact

in a way that was not your usual self? Havein a way that was not your usual self? Have

you ever felt that you were possessed?you ever felt that you were possessed?

If “YES”:If “YES”: Do you currently believe these things? Do you currently believe these things?


L4 Have you ever believed that you were beingL4 Have you ever believed that you were being

sent special messages through the TV, radio,sent special messages through the TV, radio,

or newspaper, or that a person you did notor newspaper, or that a person you did not

personally know was particularly interested personally know was particularly interested inin

you?you?

If “YES”:If “YES”: Do you currently believe these things? Do you currently believe these things?


L5 Have your relatives or friends ever considered L5 Have your relatives or friends ever considered any ofany of

your beliefs strange or unusual? your beliefs strange or unusual?

Note: Ask for examples and only code “YES” if theNote: Ask for examples and only code “YES” if the examples are clearly delusional ideas that were examples are clearly delusional ideas that were

notnot explored in questions L1-L4. For example, explored in questions L1-L4. For example,

somatic orsomatic or religious delusions or delusions of grandiosity,religious delusions or delusions of grandiosity, jealousy, guilt, ruin, destitution, etc.jealousy, guilt, ruin, destitution, etc.

If “YES”:If “YES”: Do they currently consider your beliefs as Do they currently consider your beliefs as strange?strange?


L6 Have you ever heard things other people couldn’tL6 Have you ever heard things other people couldn’t hear, such as voices? hear, such as voices?

Note: Hallucinations are scored “bizarre” only if Note: Hallucinations are scored “bizarre” only if patientpatient

answers YES to the following:answers YES to the following:

If “YES”:If “YES”: Did you hear a voice commenting on your Did you hear a voice commenting on your thoughts or behavior or did you hear two or morethoughts or behavior or did you hear two or more voices talking to each other?voices talking to each other?

If “YES”:If “YES”: Have you heard these things in the past Have you heard these things in the past month?month?


L7 Have you ever had visions when you L7 Have you ever had visions when you werewere

awake or have you ever seen things otherawake or have you ever seen things other

people couldn’t see?people couldn’t see?

Note: Check to see if these are culturallyNote: Check to see if these are culturally

appropriate.appropriate.

If “YES”: Have you seen these things in the If “YES”: Have you seen these things in the pastpast

month?month?


Clinician’s Judgment ItemsClinician’s Judgment Items

L8 Is the patient currently exhibiting L8 Is the patient currently exhibiting incoherence,incoherence,

disorganized speech, or marked disorganized speech, or marked loosening ofloosening of

associations?associations?

L9 Is the patient currently exhibiting L9 Is the patient currently exhibiting disorganizeddisorganized

or catatonic behavior?or catatonic behavior?


Clinician’s Judgment ItemsClinician’s Judgment Items

L10 Are negative symptoms of schizophrenia,L10 Are negative symptoms of schizophrenia,

such as affective flattening, poverty of such as affective flattening, poverty of speechspeech

(alogia) or an inability to initiate or (alogia) or an inability to initiate or persist inpersist in

goal-directed activities (avolition), goal-directed activities (avolition), prominent prominent

during the interview?during the interview?


If one or more of the questions from If one or more of the questions from L1a to L7b L1a to L7b

are “YES” or “YES – Bizarre” and also are “YES” or “YES – Bizarre” and also met criteria for Major Depressive met criteria for Major Depressive Episode (Current or Recurrent) or Episode (Current or Recurrent) or

Manic or Hypomanic Episode Manic or Hypomanic Episode (Current or Past) then proceed to (Current or Past) then proceed to

L11bL11b


L11b You told me earlier that you had periodsL11b You told me earlier that you had periods when you felt (depressed/high/persistentlywhen you felt (depressed/high/persistently irritable).irritable).

Were the beliefs and experiences you justWere the beliefs and experiences you just described (symptoms coded “YES” fromdescribed (symptoms coded “YES” from L1a to L7a) restricted exclusively to timesL1a to L7a) restricted exclusively to times when you were feeling depressed/high/when you were feeling depressed/high/ irritable?irritable?

Psychotic DisordersPsychotic Disorders(Continued0(Continued0

If the patient ever had a period of at least 2 If the patient ever had a period of at least 2 weeks of having these beliefs or weeks of having these beliefs or

experiences (psychotic symptoms) when experiences (psychotic symptoms) when they were not depressed, high or they were not depressed, high or

irritable, code “NO” on both Mood irritable, code “NO” on both Mood Disorder with Psychotic Features, Disorder with Psychotic Features,

Lifetime and Current and proceed to L13Lifetime and Current and proceed to L13

If L11b is “YES” then diagnosis of Mood If L11b is “YES” then diagnosis of Mood Disorder with Psychotic Features, Disorder with Psychotic Features,

Lifetime is made and proceed to L12Lifetime is made and proceed to L12


If one or more of the questions from If one or more of the questions from L1b to L7b L1b to L7b

are “YES” or “YES – Bizarre” and also are “YES” or “YES – Bizarre” and also met criteria for Major Depressive met criteria for Major Depressive

Episode, Current or Manic or Episode, Current or Manic or Hypomanic Episode, Current then Hypomanic Episode, Current then diagnosis of Mood Disorder with diagnosis of Mood Disorder with

Psychotic Features, Current is made Psychotic Features, Current is made


L13 Are one or more of the L1b –L7b L13 Are one or more of the L1b –L7b questions coded “YES – Bizarre”?questions coded “YES – Bizarre”?

OROR

Are 2 or more of the L1b-L7b questions Are 2 or more of the L1b-L7b questions coded “YES” (rather than “YES – coded “YES” (rather than “YES –

Bizarre”)?Bizarre”)?

If “YES” then diagnosis of Psychotic If “YES” then diagnosis of Psychotic

Disorder, Current is madeDisorder, Current is made


L14: Is L13 coded “YES” for Psychotic Disorder, L14: Is L13 coded “YES” for Psychotic Disorder, Current diagnosisCurrent diagnosis

ORORAre one or more questions from L1a – L7a coded Are one or more questions from L1a – L7a coded

““YES – Bizarre”YES – Bizarre”OROR

Are 2 or more questions from L1a – L7a coded “YES” Are 2 or more questions from L1a – L7a coded “YES” (rather than “YES – Bizarre”)(rather than “YES – Bizarre”)

ANDANDDid at least two of the psychotic symptoms occur Did at least two of the psychotic symptoms occur

during during the same time period?the same time period?


If any of the conditions in L14 are If any of the conditions in L14 are met, met,

the diagnosis of Psychotic Disorder, the diagnosis of Psychotic Disorder, Lifetime Lifetime

is made and proceed to Section O, is made and proceed to Section O, Generalized Anxiety DisorderGeneralized Anxiety Disorder

Generalized Anxiety Generalized Anxiety DisorderDisorder

Screening QuestionsScreening QuestionsO1 Have you worried excessively or been O1 Have you worried excessively or been

anxiousanxious about several things over the past 6 about several things over the past 6

months?months?

Are these worries present most days?Are these worries present most days?

If “YES to both of these questions AND the If “YES to both of these questions AND the patient’s anxiety is not restricted exclusively patient’s anxiety is not restricted exclusively to, or better explained by any disorder prior to, or better explained by any disorder prior

to to this point, proceed to O2this point, proceed to O2

Generalized Anxiety Generalized Anxiety DisorderDisorder(Continued)(Continued)

O2 Do you find it difficult to control the O2 Do you find it difficult to control the worriesworries

or do they interfere with your ability or do they interfere with your ability to focusto focus

on what you are doing?on what you are doing?

If “YES” proceed to O3If “YES” proceed to O3

If “NO” interview is completeIf “NO” interview is complete


O3 For the following items, code “NO” if theO3 For the following items, code “NO” if the symptoms are confined to features of symptoms are confined to features of

anyany disorders explored prior to this point.disorders explored prior to this point.

When you were anxious over the past 6 When you were anxious over the past 6 months months

did you, most of the time:did you, most of the time: Feel restless, keyed up, or on edge?Feel restless, keyed up, or on edge? Feel tense?Feel tense? Feel tired, weak, or exhausted easily?Feel tired, weak, or exhausted easily?


O3 When you were anxious over the past O3 When you were anxious over the past 66

months, did you, most of the time:months, did you, most of the time: Have difficulty concentrating or find your Have difficulty concentrating or find your

mind going blank?mind going blank? Feel irritable?Feel irritable? Have difficulty sleeping (difficulty falling Have difficulty sleeping (difficulty falling

asleep, waking up in the middle of the asleep, waking up in the middle of the night, early morning wakening or sleeping night, early morning wakening or sleeping excessively)?excessively)?


If 3 or more of the symptoms in O3 are If 3 or more of the symptoms in O3 are

coded “YES” then diagnosis of coded “YES” then diagnosis of

Generalized Anxiety Disorder is madeGeneralized Anxiety Disorder is made

If less than 3 symptoms are “YES” If less than 3 symptoms are “YES” interview interview

is completeis complete

Brief Symptom Brief Symptom InventoryInventory

(BSI)(BSI)

Brief Symptom InventoryBrief Symptom Inventory

The BSI is a client self-report that The BSI is a client self-report that measures psychological symptom severity measures psychological symptom severity on nine primary dimensions and three on nine primary dimensions and three global severity indices.global severity indices.

The inventory contains 53 items and takes The inventory contains 53 items and takes approximately 8-10 minutes to complete. approximately 8-10 minutes to complete.

The BSI is used at intake to assess The BSI is used at intake to assess psychiatric symptom severity and to psychiatric symptom severity and to measure patient progress during treatment.measure patient progress during treatment.

BSI AdministrationBSI Administration

InstructionsInstructions

The BSI test consists of a list of problems The BSI test consists of a list of problems people sometimes have. Read each one people sometimes have. Read each one carefully and circle the number of the response carefully and circle the number of the response that best describes HOW MUCH THAT that best describes HOW MUCH THAT PROBLEM HAS DISTRESSED YOU OR PROBLEM HAS DISTRESSED YOU OR BOTHERED YOU DURING THE PAST 7 DAYS, BOTHERED YOU DURING THE PAST 7 DAYS, INCLUDING TODAY. Circle only one number INCLUDING TODAY. Circle only one number for each problem. Do not skip any items. If for each problem. Do not skip any items. If you change your mind, draw an X through your you change your mind, draw an X through your original answer and then circle your new original answer and then circle your new answer. Read the example before you begin. answer. Read the example before you begin. If you have any questions, please ask them If you have any questions, please ask them now.now.

BSI Example ItemBSI Example Item

0 = Not at all 1 = A little bit 2 = Moderately 3 = Quite a bit 4 = Extremely

1 2 3 4 5

HOW MUCH WERE YOU DISTRESSED BY:

EXAMPLE

Bodyaches……………………………………………………………………

BSI Primary Symptom BSI Primary Symptom ScalesScales

Somatization (SOM)Somatization (SOM):: Reflects distress Reflects distress arising from perceptions of body arising from perceptions of body dysfunction. Items focus on cardiovascular, dysfunction. Items focus on cardiovascular, gastrointestinal, respiratory complaints, gastrointestinal, respiratory complaints, and other somatic symptoms.and other somatic symptoms.

Obsessive-Compulsive (O-C)Obsessive-Compulsive (O-C): : Focuses on Focuses on thoughts, impulses, and actions that are thoughts, impulses, and actions that are experienced as unremitting and irresistible, experienced as unremitting and irresistible, as well as associated performance deficits.as well as associated performance deficits.


Interpersonal Sensitivity (I-S)Interpersonal Sensitivity (I-S): Assesses : Assesses feelings of personal inadequacy and feelings of personal inadequacy and inferiority, particularly in comparison to inferiority, particularly in comparison to others.others.

Depression (DEP)Depression (DEP): Reflects a : Reflects a representative range of the indications of representative range of the indications of clinical depression, such as dysphoric mood clinical depression, such as dysphoric mood and loss of interest.and loss of interest.

Anxiety (ANX)Anxiety (ANX): Concerns general signs of : Concerns general signs of nervousness, tension, fear, and panic attacks.nervousness, tension, fear, and panic attacks.


Hostility (HOS)Hostility (HOS): Measures thoughts, : Measures thoughts, feelings and actions associated with feelings and actions associated with chronic anger.chronic anger.

Phobic Anxiety (PHOB)Phobic Anxiety (PHOB): Assesses : Assesses persistent fear responses to certain stimuli persistent fear responses to certain stimuli that are irrational and disproportionate to that are irrational and disproportionate to the situation.the situation.

Paranoid Ideation (PAR)Paranoid Ideation (PAR): Concerns : Concerns paranoid and disordered thinking, such as paranoid and disordered thinking, such as delusions, suspiciousness, and hostility.delusions, suspiciousness, and hostility.

BSI Primary Symptom BSI Primary Symptom Scales Scales

Psychoticism (PSY)Psychoticism (PSY): Measures certain : Measures certain aspects of schizoid lifestyle, such as aspects of schizoid lifestyle, such as interpersonal withdrawal, alienation, and interpersonal withdrawal, alienation, and thought control. thought control.

Additional ItemsAdditional Items: There are four items : There are four items that do not belong to a particular scale that do not belong to a particular scale but are included because they possess but are included because they possess clinical significance and contribute to the clinical significance and contribute to the global severity measures.global severity measures.

BSI Global Symptom BSI Global Symptom IndicesIndices

Global Severity IndexGlobal Severity Index: Provides an : Provides an overall severity index based on the overall severity index based on the average score of all item responses.average score of all item responses.

Positive Symptom TotalPositive Symptom Total: The total : The total number of items with a positive or non-number of items with a positive or non-zero response.zero response.

Positive Symptom Distress IndexPositive Symptom Distress Index: : Provides a severity index based on the Provides a severity index based on the average score of all positive symptom average score of all positive symptom items.items.

BSI ScoringBSI Scoring

BSI ProfileBSI Profile

Brief Derogatis Psychiatric Brief Derogatis Psychiatric Rating ScaleRating Scale

Substance Abuse Substance Abuse Treatment ScaleTreatment Scale

(SATS)(SATS)

Substance Abuse Treatment Substance Abuse Treatment ScaleScale

(SATS)(SATS)

The SATS is a brief clinician rating of The SATS is a brief clinician rating of the client’s stage of engagement in the client’s stage of engagement in substance abuse treatment. The substance abuse treatment. The clinician rates the client’s level of clinician rates the client’s level of engagement on an 8-point scale.engagement on an 8-point scale.

Substance Abuse Substance Abuse Treatment ScaleTreatment Scale

1.1. Pre-engagementPre-engagement

2.2. EngagementEngagement

3.3. Early PersuasionEarly Persuasion

4.4. Late PersuasionLate Persuasion

5.5. Early Active TreatmentEarly Active Treatment

6.6. Late Active TreatmentLate Active Treatment

7.7. Relapse PreventionRelapse Prevention

8.8. In Remission or RecoveryIn Remission or Recovery

Wrap-Around Wrap-Around Services Services

AssessmentAssessment

Wrap-Around Services Wrap-Around Services AssessmentAssessment

This client-report assessment is This client-report assessment is designed designed

to assist in identifying service to assist in identifying service needs and monitor receipt of needs and monitor receipt of

service types on a monthly basis.service types on a monthly basis.

Wrap-Around Services Wrap-Around Services AssessmentAssessment

No Yes No Yes No Yes

Child Care………………………………

Housing Support……………………….

Transportation………………………….

Food Assistance……………………….

Education Support……………………..

Employment Assistance……………….

Clothing…………………………………

Medical Care……………………………

Prescriptions……………………………

Peer Mentoring…………………………

Needed Received Still Need

Wrap-Around Services Assessment

In the PAST MONTH, did you need or did you receive any of the following services or special assistance in order to help you with your recovery plan? Fill in the circles to mark your answers.

Client Evaluation Client Evaluation of Self and of Self and TreatmentTreatment

(CEST)(CEST)

Client Evaluation of Self and Client Evaluation of Self and Treatment Treatment

(CEST)(CEST)

The CEST survey consists of items The CEST survey consists of items that measure areas of client that measure areas of client psychosocial functioning and psychosocial functioning and perception of treatment. For this perception of treatment. For this project, only the eight scales project, only the eight scales measuring the domains of treatment measuring the domains of treatment motivation and treatment process motivation and treatment process will be used. will be used.

CEST Treatment Motivation CEST Treatment Motivation ScalesScales

This domain measures clients’ This domain measures clients’ motivation for substance abuse motivation for substance abuse treatment. Treatment motivation is a treatment. Treatment motivation is a central factor in rehabilitating central factor in rehabilitating individuals with alcohol and drug individuals with alcohol and drug problems because it is associated with problems because it is associated with retention and active participation in the retention and active participation in the treatment process. treatment process.

Two scales contribute to the Treatment Two scales contribute to the Treatment Motivation domain.Motivation domain.


Desires HelpDesires Help:: Reflects the degree Reflects the degree to which clients recognize they have to which clients recognize they have a substance abuse problem and a substance abuse problem and desire help. desire help.

Ready for TreatmentReady for Treatment:: Assesses the Assesses the level of commitment clients have to level of commitment clients have to participate in the current treatment participate in the current treatment program.program.


Problem recognition and commitment to Problem recognition and commitment to the treatment process are related but the treatment process are related but distinct components determining distinct components determining treatment motivation. For example, treatment motivation. For example, clients may be able to identify that they clients may be able to identify that they have a substance abuse problem and have a substance abuse problem and need help but also be unwilling to need help but also be unwilling to commit to treatment at the current commit to treatment at the current time. time.

CEST Treatment Process CEST Treatment Process ScalesScales

This domain assesses elements of client This domain assesses elements of client engagement in treatment and quality of engagement in treatment and quality of social network support. Client social network support. Client perceptions of treatment needs and perceptions of treatment needs and participation, therapeutic relationship participation, therapeutic relationship with counselors, and support for recovery with counselors, and support for recovery in and outside of the treatment program in and outside of the treatment program are important factors in determining are important factors in determining retention and treatment outcomes. retention and treatment outcomes.

The Treatment Process domain is The Treatment Process domain is composed of six scales.composed of six scales.


Needs More TreatmentNeeds More Treatment: Assesses : Assesses the types of services that clients feel the types of services that clients feel they need during treatment to address they need during treatment to address individual issues.individual issues.

Satisfied with TreatmentSatisfied with Treatment:: Reflects Reflects client satisfaction with the quality of client satisfaction with the quality of the treatment program.the treatment program.

Rapport with CounselorsRapport with Counselors: Measures : Measures the degree of therapeutic alliance that the degree of therapeutic alliance that clients have with counselors. clients have with counselors.


Participates in TreatmentParticipates in Treatment: Concerns : Concerns clients’ perceptions of the extent to clients’ perceptions of the extent to which they are participating in and which they are participating in and benefiting from the treatment process.benefiting from the treatment process.

Peer SupportPeer Support: Measures the amount of : Measures the amount of support that clients’ feel from other support that clients’ feel from other clients in the treatment program.clients in the treatment program.

Social SupportSocial Support: Assesses the degree of : Assesses the degree of support for recovery that clients’ feel support for recovery that clients’ feel from family and friends.from family and friends.


High scores on the Needs More High scores on the Needs More Treatment, Satisfied with Treatment, Treatment, Satisfied with Treatment, Rapport with Counselors, and Participates Rapport with Counselors, and Participates in Treatment:in Treatment: indicate greater levels of treatment indicate greater levels of treatment

engagementengagement suggest that clients are able to identify areas suggest that clients are able to identify areas

in need of treatment, feel comfortable with in need of treatment, feel comfortable with therapists, are actively participating in and therapists, are actively participating in and benefiting from the treatment process, and benefiting from the treatment process, and

indicate clients are satisfied with the treatment indicate clients are satisfied with the treatment experience.experience.


High scores on the Peer Support and High scores on the Peer Support and Social Support scales: Social Support scales: suggest that clients perceive other clients suggest that clients perceive other clients

in the program and individuals in their in the program and individuals in their external social network as a source of external social network as a source of support in the recovery processsupport in the recovery process

indicate that clients have established indicate that clients have established positive relationships with other clients positive relationships with other clients and feel that family and friends are and feel that family and friends are supportive of the treatment process and supportive of the treatment process and recoveryrecovery

Administration of Administration of Evaluation MeasuresEvaluation Measures

CLINICIAN

CLIENT

Wrap-Around ServicesAssessment

BHIPS Termination

TERMINATION

BDPRS

SATS

BSIBSI

CEST Treatment

FOLLOW-UP

BHIPS 60-Day FU

MONTHLY

Motivation & Treatment

ADMISSION

BHIPS Assessment

MINI Diagnostic

BDPRS

Motivation Scales

BHIPS Wrap-Around

BDPRS

BSI

Assessment

SATS

Process ScalesProcess Scales

Wrap-Around Services

CEST TreatmentCEST TreatmentMotivation & Treatment

SATS

Contact InformationContact Information

Lori Mangrum, Ph.D.Lori Mangrum, Ph.D.

Addiction Research InstituteAddiction Research Institute

University of Texas at AustinUniversity of Texas at Austin

[email protected]@mail.utexas.edu

(512) 232-0616(512) 232-0616

cosig assessment training. m.i.n.i mini international neuropsychitric interview

Documents

section d

section b

symptoms of depression

manic episodemanic

manic episodeif

dysthmia diagnosis

dysthmia continuedif

b3 dysthmia continuedb3