day 2 afternoon - uis.edu · [email protected] updated 10/2017 retest if client’s...

DUI SERVICE PROVIDER ORIENTATION

DAY 2 AFTERNOON:

DUI ASSESSMENT TOOLS

11/7/2017

1

2017-2018 IDHS DUI ORIENTATIONASSESSMENT TOOLS

[email protected] UPDATED 10/2017

My Training Room Rules

[email protected] updated 10/2017

Assessment Tools

Driver’s Risk Inventory (DRI-2)

Mortimer-Filkins

Adult Substance Use & Driving Survey - Revised Illinois (ASUDS-RI)

•Who uses the DRI?•Who uses the M/F?•Who uses the ASUDS?•Who’s thinking about changing tools?

[email protected] updated 10/2017

11/7/2017

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Driver’s Risk InventoryDRI-2BEHAVIOR DATA SYSTEMS

[email protected]

1.800.231.2401


DRI-2 Features

Normed on all (BDS-recorded) DUI offenders

BDS reviews data collected on an annual basis and updates test as needed (+ yearly summary)

Includes gender specific norms

Identifies attempts to fake or under report problems/concerns

Measures substance use involvement and risk to public safety

It is a valid instrument


Administering the DRI-2113 Questions - 3 sections

Section 1: true/false

Section 2: multiple choice

Section 3: self-rating 1-4

ComputerOn-line testing or flash drives

Paper and pencil

Interview

IMPORTANT: A few minutes of oral instructions can put the client at ease while providing structure and clarifying expectations.


mailto:[email protected]

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Six Empirically-Based Measures (Scales)

1. Truthfulness Scale

2. Alcohol Scale

3. Drug Scale

4. Driver Risk Scale

5. Stress Management Scale

6. Substance Use Disorder Scale (DSM-5)

* Illinois Mandatory Minimums *


DRI-2 Scales

Truthfulness Scale—measures how truthful the client was and identifies self-protective, recalcitrant and guarded people who minimize or even conceal information.

Alcohol Scale—measures client’s alcohol use and proneness to alcohol-related problems.

Drug Scale—measures client’s drug use and proneness to drug-related problems.


DRI-2 Scales (cont’d)

Driver Risk Scale—measures the client’s driving risk, independent from their involvement with alcohol/drugs. Helps identify the irresponsible/aggressive driver.

Stress Management Scale—measures the client’s ability to handle or cope with stress. Severely impaired coping abilities are indicative of other identifiable emotional/mental health problems.


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Risk RangesPercentile Rank: Risk Range:

0 to 39th percentile Low Risk

40th to 69th percentile Medium Risk

70th to 89th percentile Problem Risk

90th to 100th percentile Severe Risk

> These Risk ranges are calculated individually for five of the six.

> The Substance Use Disorder Scale is not scored as the others.


Substance Use Disorder Scale

Substance Use Disorder Scale—a separate scale from the other five, and based on how many of the 11 DSM-5 criteria are endorsed.

◦ None or one = DNM or “Low”

◦ Two or three = “Moderate”

◦ Four or five = “Problem”

◦ Six or more = “Severe”

** DRI Risk Ranges vs. DASA Risk vs. DSM-5 severity scale **


Significant Items:

Significant items are self-report responses that represent areas that may help in understanding the respondent’s situation and status.

Alcohol

Drug

Substance Use Disorder

Driver Risk

* Additional Items: ……..


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Special Scores

When the Truthfulness Scale is at or above the 95th percentile, all other scale scores (alcohol, drug, driver risk, and stress/coping) automatically go to the 99th percentile. This is to alert the evaluator to a very high Truthfulness Scale score, which means the test results are inaccurate.

What should you do?


Retest

If client’s invalidate their DRI-2, it is recommended that they be given the opportunity to be retested.

Review oral instructions before testing.


Illiniois Mandatory Minimums

DRI-2 Update as of January 2017…


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Driver’s Risk Inventory

QUESTIONS ?


Mortimer-Filkins Assessment Tool

RUDOLF G. MORTIMER, PHD.

LYLE FILKINS (1973)


Mortimer-FilkinsInitially devised to identify problem drinkers from among dui offenders

Initially validated against a general population

Demonstrates high degrees reliability & validity

Shown to be predictive of dui recidivism

Information from the British Journal of Addiction, Vol. 85, Issue #11, November 1990


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Mortimer-FilkinsTwo parts: Interview and Test

◦ Test validity/reliability are dependent on completion of both parts!

Pencil/paper only

◦ 58 Questions on Test

◦ 188 Questions in Interview

Hand scored (using 3 scoring keys)


Questionnaire and Interview Summary Sheet

Name: _______________________ Number:______ Date:________

Questionnaire

Score Key 1

Key 2

Page Page KEY

1 2 3 TOTAL TOTAL

8 10 10 28 Key 1 X 2 =56

0 4 5 9 Key 2 X 1= 9

(Subtract Key 2 from Key 1) Q = Questionnaire Score = 47

Interview

Score

1 2 3 4 5 6 7 8 9 10 11 12 13 14 Page Key

0 0 0 0 Total Total

I – Interview Score:

Plus Questionnaire Score: 47

Final Total Score Q + I =

Key 3X4=


TABLE 1

Revised (1973) Recommended Score Cut-Offs for DUI Client

Classification

Scale

Classification

Social Drinker Presumptive

Problem Drinker

Problem Drinker

Questionnaire

Only

11 or less 12-15 16 or greater

Interview Only 24 or less 15-39 40 or greater

Questionnaire

and Interview

Combined

39 or less 40 – 49 50 or greater


Questionnaire and Interview Summary Sheet

Name: _______________________ Number:______ Date:________

Questionnaire

Score Key 1

Key 2

Page Page KEY

1 2 3 TOTAL TOTAL

8 10 10 28 Key 1 X 2 =56

0 4 5 9 Key 2 X 1= 9

(Subtract Key 2 from Key 1) Q = Questionnaire Score = 47

Interview

Score

1 2 3 4 5 6 7 8 9 10 11 12 13 14 Page Key

0 0 0 0 Total Total

I – Interview Score:

Plus Questionnaire Score: 47

Final Total Score Q + I =

Key 3X4=


TABLE 1

Revised (1973) Recommended Score Cut-Offs for DUI Client

Classification

Scale

Classification

Social Drinker Presumptive

Problem Drinker

Problem Drinker

Questionnaire

Only

11 or less 12-15 16 or greater

Interview Only 24 or less 15-39 40 or greater

Questionnaire

and Interview

Combined

39 or less 40 – 49 50 or greater


11/7/2017

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Mortimer-Filkins

Yes, it’s an acceptable tool per DHS/DASA, but…

1) Only assesses Alcohol

2) Only validated on males, ages 35-45

3) Has not been updated since 1973


Mortimer-Filkins

QUESTIONS?


THE ADULT SUBSTANCE USE AND DRIVING SURVEY REVISED (ILLINOIS) ASUDS-RI

Assessment of the Impaired Driving Offender

DEVELOPED BY DR. KENNETH WANBERG AND DR. DAVID TIMKEN, OF THE CENTER FOR ADDICTION RESEARCH

AND EVALUATION


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OVERALL GOALS OF TRAINING

To provide an introduction in the use of the

ASUDS-RI in Differential Screening and

assessment of impaired driving offenders

within the framework of the Convergent

Validation Model.


Definitions

Differential Screening:

Multidimensional (AOD) screening that measures the extent to which individuals are involved in various kinds of drugs and the extent of negative consequences or symptoms resulting from this involvement.


Definitions (continued)

Convergent Validation Model:

Uses self-report and other-reports as valid representations of where the client is at the time of assessment.


Self-report Other reports

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What are the Objectives of Screening and Assessment?

1. To provide an opportunity for clients to disclose their AOD use history, or “tell their story”;

2. To give an opportunity to other sources to tell the story of how they interpret the client’s AOD history;


What are the Objectives of Screening and Assessment? (CONTINUED)

3. To determine the level of defensiveness based on the discrepancy between the self report and other reports

4. Estimate the true or valid condition of the client relative to past and recent AOD use, level of mental health problems, and motivation for change and treatment


Sources of Data

1) Self-report

2) Other-report data – law enforcement, probation officer, family members, laboratory results, etc.

* Both kinds of data are subjective


To achieve the above stated goals, the

evaluator has two sources of data:

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Other-report Data is:

Double-subjective, meaning…

But, this can be controlled if there is an established criteria for decision making which improves the evaluators’ reliability.


Self-report Data is Essential

It is a valid representation of client at assessment.

Assesses the client’s willingness to self-disclose.

View distortions as perceptual defensiveness.

A change in that view or increase in self-disclosure can mean treatment is working.


…reality is as client perceives it. We approach the world through the process of interpretation. We construct our own realities and form views of ourselves.


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Self-report data can be made more objective if:

Collected in a standardized format

Uses multiple variable measures to cancel out errors.

The evaluator establishes rapport with client – i.e. motivational interviewing


From The Convergent Validation Perspective Self-report is the baseline measure of the client’s willingness to self-

disclose at the time of assessment

Self-report should not be reported as invalid, but rather indicative of the discrepancy between sources of data

Reframe the view of lying, minimizing or denial as perceptual defensiveness.

Getting valid and reliable data depends on building trust and rapport with the client, being up-front as to how the data will be used, and communicating a positive regard for the client’s self-disclosure


Group Activity


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Guidelines For Using Self-reportPsychometric Tests

Methods of test administration should be standardized

Reading level of client should be checked

Screening instrument should not be used for comprehensive assessment –It is not ASAM. It is not a SUD diagnosis.


Guidelines (Continued)

When using computerized scoring, evaluator should have knowledge of the test itself and not just rely on the computerized interpretation

Clients should receive feedback from their assessment results compared to the normative group.


Make test instructions clear and include the following:

Answer each question as honestly as possible as to how you see yourself

Give only one answer to each question unless otherwise specified

Results will be treated as confidential

Results will be used to develop services most appropriate for you

Results will be shared with you


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ASUDS-RI General Overview and Description

Self-Report, differential screening instrument for impaired driving offenders ages 16 and older

Self-administered or interview administered


General Overview And Description

Comprised of 113 self-report items◦13 Basic scales, and six (6) Supplemental scales

Basic Scales #1-11 are normed on impaired IL driving offenders.

Basic Scales #12-13 are normed on a clinical sample of AOD clients in IOP or Residential treatment.

Supplemental Scales A,B,C are normed on the clinical sample.

Supplemental Scales D,E,F are normed on the Illinois DUI offender.


ASUDS-RI

SCALES AND MEASUREMENTS


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Teddy’s Test



Teddy Trouble 20

25


Teddy Trouble 20

25


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1. Alcohol Involvement (Items 1-13)

• Measures the extent of involvement in alcohol use.

• Measures low level of alcohol use patterns and problems, and many can be endorsed by the average drinker with no alcohol use problems.

• Is a reliable and valid measure of involvement in alcohol use, and, to some extent, abuse.

Teddy’s score is 25


2. Driving Risk (Items 14-25)

• General everyday driving situations…

• Most DUI clients are reluctant to endorse these items because of perceived threat to loss of license

• Their scores increase on retesting when their responses are perceived to no longer be a threat to loss of license

• Those with a raw score of 10 or higher are being open about their driving habits and attitudes, but also represent a risk



3. Involvement-1 (Items 26-35)

• Provides a measure of life time involvement in the 10 major drug categories

• 3 parts to each question 26-35

• Many multiple drug users may have not used some of the drugs recently, thus age of last use is an important variable



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4. AOD Use Benefits(Items 1-3, 8, 13, 37-44)

• Measures the degree to which client reports using alcohol or other drugs for social and psychological benefits

• Good indication whether client is using alcohol or other drugs to manage depression, anxiety, feel good, be more sociable

• 40-50% report not using for these purposes, and about 20% report significant AOD use for psychosocial benefits.



5. Disruption-1 (Items 45-64)

• Broad measure of problems and negative consequences due to AOD use

• Focus is on disruptive signs and symptoms in relationship to drug use in general, not to any specific drug or drug category.

• High scores indicate AOD related loss of behavioral control, disruption of psychosocial functions, and disruption of social role responsibilities.



6. AOD Involvement—Last 12 Months(Items 26-35, 45-64)

Same as Scale 3 (lifetime), but…

Broad measure of problems and negative consequences due to AOD use in

12 months prior to last DUI arrest

Focus is on disruptive signs and symptoms in relationship to drug use in

general in those 12 months BEFORE arrest…

Because AFTER arrest, many clients go into a shape-up mode: significantly

reduce or stop use.



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7. Mood Adjustment (Items 65-73)

A single dimension of psychological and emotional disruption

High scores indicate depression, worry, anxiety, irritability, anger, feelings of not wanting to live, unable to control emotions

About 20 percent DUI clients will score in range that indicates need for further evaluation for mood/psych problems


Would Teddy benefit from a psychological evaluation?


8. Social-Legal Non-conforming(Items 81-106)

• This is a broad measure of rebellious, antisocial behavior & attitudes, and involvement in anti-legal or criminal conduct.

• Has both static and dynamic items. The dynamic items measuring aggressive behavior and rebellious attitudes, and association with antisocial peers. Static items measure involvement in criminal conduct (youth &/or adult)

• Moderate to high scores indicate anti-social patterns and character pathology, but also indicates openness to self-disclosure and low defensiveness.

• Item 84 (“..has been charged with DUI’) is good check for overall ASUDS-RI response veracity


Deeper look into his criminal history?


9. Global AOD - Psychosocial(Sum Scales 3, 5, 7, 8)

• Comprised of the sum of the four scales: AOD Involvement1,

Disruption1, Mood Adjustment, and Social-Legal Non-

Conformity.

• Provides a global and overall measure of the degree to which

client is indicating life-functioning problems in the areas of

substance use, mood adjustment and community compliance.

• This is the scale that represents the suggested risk classification.



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10. Defensive (Items 9, 74 – 80, 84)

• Measures degree to which client is able to self-disclose.

• Comprised of statements to which almost all individuals can give a yes answer, even though it may be at a “hardly at all” level of response.

• It is a measure of social desirability.



11. Motivation (Items 107-113)

• Reliable measure of degree to which client is motivated to seek help, to make changes, and to stop or to continue not to use alcohol or other drugs

• Low score on Motivation, Defensiveness, and Disruption could indicate client’s AOD and other problems are truly in low range and that high level of treatment services not needed.


How does this score reflect his motivation?


12. Involvement-213. Disruption-2

• Scale 12 = Scale 3, except...

• Scale 13 = Scale 5, except…

• Allows comparison of client with own peers and vs. clinical sample

Teddy’s scores are 9 Involvement and 34 Disruption


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A. Behavioral Control Disruption(Items 45-50)

• Important to remember that this scale was normed on the clinical sample.

• Measures behavioral control loss and disruptions while under influence of drugs.

• High scores (decile ranges 8-10) may indicate client is at risk of harm to self or others when using, and can get out of control.


Do you want to explore loss of control behaviors?


B. Psychophysical Disruption(Items 51-60)

Also normed on the clinical sample.

Measures degree to which client has experienced psychophysical symptoms associated with AOD intoxication or withdrawal.

Can be life threatening, and high scores indicate past AOD disorders.

Teddy’s score is 16.


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C. Social Role Disruption(Items 61-64)

• Final scale in this group normed on the clinical sample.

• Indicates degree to which the individual’s AOD use has disrupted normal and expected social roles, e.g. job, obeying law, family responsibilities

• High scores can be associated with depression and discouragement

• High scores suggest need for life-management skills and training in areas of employment and family skills

Teddy’s score is 7 which falls in the low-medium range, but he is only 20 years old.


D. Social Non-conforming(Items 81-92)

• Within the Community: Measure of past and current

rebelliousness and even antisocial behavior and attitudes

• Those with moderate to high scores are open to self-disclosure

• However, individuals with significant antisocial features and

character pathology are often resistant to treatment.



E. Legal Non-conforming(Items 93-106)

• Most of these items are static variables.

• Measures degree of involvement in the adult criminal justice system: Hx of arrests, convictions, time on probation/parole, and time spent in jail or prison.

• Most DUI clients will score zero or very low. About 70% will have a low raw score on this scale (4 or less).

• 10th decile range scores on both scales D and E indicate significant problems and history of both antisocial and anti-legal problems and may suggest a lifestyle pattern of social-legal non-conformity



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F. Social-Legal Non-Conforming 12 Months(Items 89-106, last 12 Months)

• Measures recent legal problems.

• Over 70% of IL sample of DUI offenders will have a very low raw score

(4 or less). Raw scores above 5 suggest client has had noteworthy if

not significant involvement in social-legal non-conformity in the 12

months prior to their evaluation.

• Only 10 percent of Illinois DUI sample had a raw score of 8 or more.

• Some clients are willing to report recent involvement in the judicial

system, but most DUI clients are quite guarded

Teddy’s score is 4.


ASUDS USER’S GUIDE

THE ASUDS-RI DISK INCLUDES A COPY OF THE USER’S GUIDE. PLEASE REFER TO THIS GUIDE FOR ADDITIONAL INFORMATION.


Something to remember….

Offender assessment is client-centered and society-centered. The safety and welfare of the client, others and the community are the number one priorities when determining risk.

Although the ASUDS-RI provides useful guidelines for service placement, final service and treatment referral decisions are never made solely on the results of a self-report instrument. All sources of data are used in making these decisions.


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ASUDS-RI

Questions?


THANK YOU FOR

PARTICIPATING

Driver’s Risk Inventory (DRI-2)

Mortimer-Filkins

Adult Substance Use & Driving Survey - Revised Illinois (ASUDS-RI)

[email protected]


mailto:[email protected]

DUI SERVICE PROVIDER ORIENTATION

DAY 2 AFTERNOON: HANDOUTS

DUI ASSESSMENTS

ADULT SUBSTANCE USE AND DRIVING SURVEY

REVISED FOR ILLINOIS

ASUDS-R/

Survey Booklet

Authors:

Kenneth W Wanberg and David S. Timken

CARE

CENTER FOR ADDICTIONS RESEARCH AND EVALUATION

P.O. Box 1975 Arvada, Colorado 80001-1975

Adult Substance Use and Driving Survey (Revised for Illinois) -ASUDS-RI

Instructions

Answer each question in this booklet as to how you see yourself. Choose the answer that best fits you. Give careful thought to your answers. It is important that you answer each question as accurately as you can.

Please give an answer to every question.

Mark only one answer for each question.

Please read the instructions that are provided for the different parts of this survey. In some parts, you are asked to give answers as to how they apply to your life time and then as to how they apply during the last 12 months that you have been in the community.

Carefully read each question and each possible answer before making your choice.

You are asked to mark your answers on this survey booklet.

If you have any questions, ask the person who is giving you this survey.

Your answers will be treated as confidential according to the laws of your state and the Federal confidentiality laws and within the guidelines of the consent you have provided to your agency for the release of confidential information about you. Before you start to answer the questions, please complete the following information .. D D

Name: T e"°t5t)'f ""'r°'20\.)BL.E Date: \0 \ 0'2-\ 01-I Agency: "h"fC.

Date of Birth:

Ethnic Group:

Marital Status:

\2. i OD\ l G8 <p Age: w I cyt1 Male D Female

D African American l)!f. Anglo-American White D Asian American D Hispanic American D Native American

JB1' Never Married D Married D Separated D Divorced

Copyright (c) 2005 K.W. wanberg and D.S. Timken All rights reserved

D Remarried D Widowed

Center for Addictions Research and Evaluation - CARE

No part of this booklet may be reproduced in any form of printing or by any other means without permission of the authors and the Center for Addictions Research and Evaluation - CARE (IL0105)

2

ADULT SUBSTANCE USE AND DRIVING SURVEY - REVISED FOR ILLINOIS (ASUDS-RI)

Please circle the letter by the answer to each question that best fits how you see yourself

1. Did you drink* (alcohol) to have fun or to be happy? a. No. b. Sometimes.

a.):}ften. """cf.' Very often.

2. Did you drink to relax socially? a. No. b. Sometimes.

@;Pften. d. Very often.

3. Did you take a drink or two to relieve yourself of worries? a. Never.

(§)sometimes. c. Often. d. Very often.

4. Have you had a bad headache because of having too much to drink? a. No. b. One or two times. c. Three or four times.

@:Five or more times.

5. How many times have you been drunk? a. Never. b. Once or twice. c. Several times.

@,,any times.

6. Have you been "half with it" at work or

9. Did you ever drive an automobile knowing you had too much to drink? a. No. b. Onetime.

('.§>. few times. d. Many times.

10. Have you ever passed out as a result of drinking? a. No. b. Once.

©Two or three times. d. Four or five times or more.

11. Have you ever felt down in the dumps after drinking? a. No. b. Onetime.

(§;>.. couple of times. d. Several times.

12. Have you ever been unable to recall what you did when you were drinking? a. No. b. Onetime.

@Two times. d. Three or more times.

13. Did you drink to relieve stress? a. No.

@sometimes. c. Often. d. Very often.

called in sick because you had too much 14. to drink?

I exceed the speed limit if road conditions are safe.

a. No. @onetime.

c. Two or three times. d. Four or more times.

7. Have you ever been unable to think or concentrate clearly after drinking? a. No. b. Onetime. c. Two or three times.

@our or more times.

8. Did you drink when feeling down and depressed?

A Never. {JvSometimes.

c. Often. d. Very often.

• Drink (or drinking) refers to the use of alcoholic beverages.

a. Never. @eldom.


15. I have found myself driving fast without realizing it.

ANever. lb.)Seldom.


16. When other drivers do stupid things, I ~e my temper. (!,.,Never.

b. Seldom. c. Often. d. Very often.

3

17. I drive fast and take my chances of getting caught. a. Never.

(§)sometimes. c. Often. d. Very often.

18. High speed driving gives me a sense of wer.

ever. Very seldom.

c. Sometimes. d. Often.

19. I have taken a risk when driving just because I felt like it.

u)Never. b. Very seldom. c. Sometimes. d. Often.

20. I swear out loud or cuss under my breath at other drivers. a. Never.

@seldom. c. Often. d. Very often.

21. I have outrun other drivers. ~ever.

b. Very seldom. c. Sometimes. d. Often.

22. I pass other drivers when not in a hurry. a. Never.

(§)seldom. c. Often. d. Very often.

23. I am a driver who likes to stay ahead of or out in front of traffic.

,>...,_Never. Ul)Sometimes I do.


24. I have tried to beat a red light. a. Never. b. Sometimes. c. Often.

@)tery often.

25. ,Wt...odge and weave through traffic. (!:.,Never.

b. Seldom. c. Often. d. Very often.

For the list of drugs below, circle the letter for the answer that best fds you. For alcohol, it is the number of times in your lifetime you have been intoxicated. For all other drugs, it is the number of times in your lifetime that you have used the drug. On the right side of the page opposite the drug, indicate the number of times in the last 12 months in the community, that you have been intoxicated on alcohol or you have used the other drugs. Circle "a" if you did not use alcohol or the other drugs in the past 12 months. Circle "b" if you were intoxicated on alcohol or used the other drugs from one to 1 O times, etc.. Then for each drug that you have used in your lifetime, put your age you last used that drug.

Total Number of Times in Lifetime

One Never to 10 used times

26. Number of times intoxicated or drunk on alcohol (beer, wine, hard liquor, a b mixed drinks).

More 11-25 26-50 than 50 times times times

C d

limes used in the last 12 months

Age last used

27. Marijuana (pot, hashish, hash, THC, dope, etc.). a

28. Cocaine (coke, snow, crack, rock, blow, etc.). (v 29. Amphetamines/methamphetamine/stlmulants (meth, ice, crystal, ~

speed, uppers, stimulants, diet pills, black beauties, bennies, white crosses, Dexedrine, Desoxyn, and other stimulants used for nonmedical reasons such as Ritalin, Adderall, etc.).

b

b

b

C

C

C

d

d

d

e

e

ab~e 20 @cde

(!Pede

30. Hallucinogens (LSD, acid, peyote, mushrooms, PCP, angel dust, a ecstasy, ketamine, etc.).

31. Inhalants (rush, gasoline, paint, glue, nitrous oxide, poppers, snappers, Q) b etc.).

32. Heroin (horse, H, smack, junk, etc.). 0 b

33. Other opiates or pain killers used for nonmedical reasons (codeine, 0 b opium, morphine, Percodan, Dilaudid, Demerol, Methadone, Oxycodone, Oxycontin, Vicodin, Darvon, etc.).

34. Barbituates/sedatives used for nonmedical reasons (Seconal, Nembutal, (v Amytal, Phenobarbital, Dalmane, quaaludes, placidyl, sleeping medicines, blues, reds, yellows, ludes, etc.).

35. Tranquilizers use for nonmedical reasons (Librium, Valium, Ativan, © Xanax, Serax, Miltown, Equanil, Halcion, meprobamates, etc.).

36. As to your use of Never Do not Up to half Uptoa

b

b

cigarettes (tobacco). smoked smoke now pack a day pack a day

a b C 0

C

C

C

C

C

C

Up to two

d

d

d

d

d

d

packs a day

e

e

e

e

e

e

e

30

Q)>cde

@cde

C)>cde

(]:pcde

@cde

More than two packs a day

f

Have you used alcohol or other drugs for any of the following reasons? Circle the letter for the answer that best fits you.

No Sometimes Often Very often

37. To have fun and relax? a b C 0 38. To relieve stress and tension? a b G) d

39. To feelless depressed? a 0 C d

40. To be less shy? a G) C d

41. To be able to express myself better? (!) b C d

42. To relieve your worries and troubles? a C9 C d

43. To forget your problems? a (9 C d

44. To calm yourself down? a (9 C d 4

40

As a result of using alcohol or any of the other drugs on page 4, indicate how often any of the following have happened to you in your lifetime. Then, for each of the following statements, in the column on the right side of the page, indicate how many times it has happened to you in the last 12 months in the community. Circle an "a" if it did not happen to you, circle a "b" if it happened to you 1-3 times, circle a "c" if it happened to you 4-6 times, circle a "d" if it happened to you 7-1 O times and circle an "e" if it happened more than 1 O times.

Total Number of Times in Lifetime Number of More times in

1-3 4-6 7-10 than 10 the last Never times times times times 12 months

45. Had a blackout (forgot what you did but were still awake). a G) C d e Gbcde

46. Became physically violent. a b 0 d e (}bcde

47. Staggered and stumbled around. a b C © e a€}cde

48. Passed out (became unconcious). a ~ C d e (!)bcde

49. Tried to take your own life. © b C d e ~cde

50. Became physically sick or nauseated. a b C d © at@e

51. Saw or heard things not there. 0 b C d e (,bcde

52. Became mentally confused. 0 b C d e (Jbcde

53. Thought people were out to get you or wanted to cause you harm. 0 b C d e U)bcde

54. Had physical shakes or tremors. 0 b C d e Qbcde

55. Had a seizure or a convulsion. 0 b C d e C,bcde

56. Had rapid or fast heart beat. 0 b C d e (jbcde

57. Became very anxious, nervous and tense. a b C d © a b€)d e

58. Became feverish, hot or sweaty. a b C d 0 abc©i

59. Did not eat or sleep. a b C d 0 a~e

60. Were weak, tired and fatigued. a b C d ~- abc©

61. Unable to go to work or school. a (}) C d e C}bcde

62. Neglected your family. a b C d ~ a~e

63. Broke the law or committed a crime. a b 0 d e a@cde

64. Could not pay your bills. 0 b C d e (jbcde

AD sD cD sD aO

For the following questions, please choose the answer that best fits you. Hardly Yes Yes Yes.all at all sometimes A lot the time

65. Have you felt down and depressed? a

~ C d

66. Have you been nervous and tense? a C d

67. Have you been irritated and angry? a CD C d

68. Have your moods been up and down - from very happy to very depressed? (v b C d

69. Do you tend to worry about things? a b C 0 70. Have you felt like not wanting to live or taking your own life? 0 b C d

71. Have you had problems sleeping? a b @) d

72. Have you had thoughts that upset or disturb you? a

~ C d

73. Have you been discouraged about your future? a C d

5 10

Please circle the letter for the answer for each question that best fits you.

74. Have you ever gotten angry at someone?

75. Have you lied about something or not told the truth?

76. Do you ever find yourself unhappy?

77. Have you felt frustrated about a job?

78. Do you hold things in and not tell others what you think or feel?

79. Have you been unkind or rude to someone?

80. Have you ever cried about someone or something?

Please circle the letter for the answer for each question that best fits you.

81. When I was in my teen years, I got into trouble with the law.

82. I was suspended or expelled from school when I was a child or teenager.

83. I have been in fights or brawls.

84. I have been charged with driving while impaired or under the influence of alcohol or other drugs.

85. I have had trouble because I don't follow the rules.

86. I don't like police officers.

87. There are too many laws in society.

88. It is all right to break the law if it doesn't hurt anyone.

Please answer these questions as to how they apply to you during your lifetime and during the last 12 months in the community. Circle the letter for the answer of your choice.

89. Number of times I have received a ticket for a driving violation (speeding, driving without a license, running a red light, etc.).

90. When in the community, I have spent time with people who have been in trouble with the law.

91. My friends and/or family get into trouble with the law.

92. When I have broken the law, I have been high or under the influence of alcohol or other drugs.

93 When I have committed a crime, I knew that I was involved in criminal behavior.

6

No Hardly A few Yes never at all times a lot

a © C d

a b 0 d

a G) C d

a b 0 d

a b (!) d

0 b C d

a (0 C d

10D

1-2 3-4 5ormore Never times times times

a 0 C d

(0 b C d

a 0 C d

a e) C d

Not Somewhat Usually Always true true true true

0 b C d

a 0 C d

a CV C d

0 b C d

During Your Lifetime

5 or During 1-2 3-4 more the last

None times times times 12 months a 0 C d a(!)c d


During No A Most of the last

never So~es lot the time 12 months a b C d a@ Cd

a G) C d (} b Cd

0) b C d bed

oD a 0 C d @b Cd


94. As an adult, I have been in trouble with the law other than while driving a motor vehicle.

95. Number of times that I have been arrested and charge with a crime.

96. Number of times that I have been convicted of a crime (misdemeanor or felony).

97. Number of times my probation or parole has been revoked (circle "a" if never been on parole or probation).

98. Number of times I have been arrested for a crime committed against a person (such as robbery, burglary, assault, rape, manslaughter, murder).

99. Number of times I have been arrested for a domestic violence related offense.

Please answer these questions as to how they apply to you during your lifetime and during the last 12 months. Circle the letter for the answer of your choice.

Never

100. Total amount of time I have spent on probation.

101. Total amount of time I have spent on parole.

102. Total amount of time I have spent in jail or prison.

103.1 have been violent in my behavior or actions.


Sor 1-2 3-4 more

None times times times

0 b C d

a 0 C d

a 0 C d

(0 b C d

0 b C d

(9 b C d


4 or 1-6 7-12 1-3 more

months months years years

b C d e

b C d e

b C d e


No Very Never Sometimes Often often

a G C d

Total Number of Times in Lifetime


104 Number of times I have been sentenced for a crime to county jail.

105. Number of times I have been sentenced for a crime for which I have been on probation or conditional discharge or conditional supervision.

106. Number of times I have been sentenced for a crime to state or federal prison.

Please answer the following questions as to how you see yourself at this time.

107. Have you felt a need to make changes in your use of alcohol or other drugs?

108. Do you want to stop using alcohol; or to continue not using alcohol?

109. Do you want to stop using other drugs; or continue not using other drugs?

11 o. Have you felt a need to have help with problems having to do with alcohol use?

111. Have you felt a need to have help with problems with the use of other drugs?

112. Is it important for you to make changes around the use of alcohol or other drugs?

Never

G) a

C>

113. Would you be willing to come to (or continue in) a program where people get help for alcohol or other drug use problems?

7

One time

b

b

b

No not at all

a

a

a

a

a

a

a

4 or Two Three more times times times

C d e

0 d e

C d e

sD ED Yes Yes most Yes

maybe likely for sure

b C (D b G) d

CD C d

0 C d

b C © b G) d

Q) C d

11D

During the last

12 months

bed

b Cd

During the last

12 months

b C

b C

b Cd

Number of times in last

12 months

b Cd e

b Cd e

b Cd e

FD

Table 1 ASUDS-RI Scoring Procedures For Basic Scales

ASUDS SCALE· ITEMS IN EACH SCALE SCORING WEIGHTS

1. ALCOHOL INVOLVEMENT 1-13 a=O,b= 1,c=2,d=3

2. DRIVING RISK 14 to 25 a=O,b= 1,c=2,d=3

3. AOD+ INVOLVEMENT1 26-35 a=O,b= 1,c=2,d=3,e=4

4. AOD+ USE BENEFITS 1-3, 8, 13, 37-44 a=O,b= 1,c=2,d=3

5. AOD+ DISRUPTION1 45-64 a=O,b= 1,c=2,d=3,e=4

6. AOD+ LAST 12 MONTHS 26-35, 45-64 (12 month col.) a=O,b= 1,c=2,d=3,e=4

7. MOOD ADJUSTMENT 65-73 a=O,b= 1,c=2,d=3

8. SOCIAL-LEGAL NON-CON 81-106 a =O,b = 1,c = 2,d =3,e= 4

9. GLOBAL AOD PSYCHOSOCIAL Sum scales: 3, 5, 7, 8 Total raw score

10. DEFENSIVE 9, 74 to 80, 84 a=3,b=2,c= 1,d=O

11. MOTIVATION 107-113 a=O,b= 1,c=2,d=3

12. INVOLVEMENT2* 26-35 a=O,b= 1,c=2,d=3,e=4

13. DISRUPTION2* 45-64 a=O,b= 1,c=2,d=3,e=4

+ AOD = Alcohol and Other Drugs

* These scales are normed on a clinical sample of AOD clients in an intensive outpatient program or in an AOD residential treatment program

Table 2 ASUDS-R/ Scoring Procedures For Supplemental Scales

ASUDS SCALE ITEMS IN EACH SCALE SCORING WEIGHTS

A. BEHAVIORAL DISRUPTION* 45-50 a=O,b= 1,c=2,d=3, e=4

B. PSYCHPHYS DISRUPTION* 51-60 a=O,b= 1,c=2,d=3,e=4

C. SOCIAL ROLE DISRUPTION* 61-64 a=O,b= 1,c=2,d=3,e=4

D. SOCIAL NON-CONFORM 81-92 a=O,b= 1,c=2,d=3

E. LEGAL NON-CONFORM 93-106 a=O,b= 1,c=2,d=3,e=4

F. SOCIAL-LEGAL 12 MONTHS 89-106 a =O,b = 1,c =2,d= 3,e=4

* These scales are normed on a clinical sample of AOD clients in an intensive outpatient program or in an AOD residential treatment program

14

Figure 1 ASUDS-RI Profile

SCALE NAME

1. ALCOHOL INVOLVE

2. DRIVING RISK

3. AOD+ INVOLVEMENT1

4. AOO+ USE BENEFITS

5. AOD+ 0ISRUPTION1

6. AOD+ LAST 12 MONTH

7. HOOD ADJUSTMENT

8. SOCIAL-LEGAL NON

9. GLOBAL AOD-PSCHSOC

10. DEFENSIVE

11. MOTIVATION

12.*AOD INVOLVEMENT2

13.*AOD DISRUPTION2

RAW SCORE

1

!GENDER: [ l F [ l M lcASE NO.

ASUDS-R SUMMARY PROfll.E. BASIC SCALES

Low I Low-mecJ;um I High-medium I High I I I I DECILE RANK I I I

1 I 2 I 3 I 4 I 5 I 6 I 7 I 8 I 9 I 10 I I I I I I I I I

0 I 1 12 13 I 4 I 5 6' 7 I s 9 101111214115 19 39 I I

10 ,, I 2 13 I 4 I s 16 17 8 9110 12 36 I

0 I I I 1 I I 2 I 31 41 5 16 9 40 I I I I I I I

0 I I I 1 I I 2 I 3 I 4 SI 6 7 819 12 39 I I I I I I I

0 I I I 1 I 21 31 4 I 5 6 718 9 12113 19 80 I I I I

0 I I I 1 I I 2 I 3 I 4 IS 6 71 8 11 99 I I I I I I

0 I I I 1 I I 2 I 3 I 4 I s 6 l 7 9 27 I I I I I I I

0 1 I 2 31 4 I 5 16 71 8 91 10 11112 13 14115 17 19120 26 84 I I I

023 415 6 Bl 9 101111213114 15 16117 18 19120 21 24125 28 30131 35 43144 199

0 4 8 111 12 13 I 14 115 161 17 I 18 I 19 I 20 I 21 22 123 24 27 I I I

0 I I 1 2 I 3 14 5 l 6 I 78 I 9 10 11112 13 14115 11 21 I I I I

1 2 3 I 4 5 16 7 8 9f10 11 12113 15 16117 18 19120 22 23124 25 26127 30 32133 36 40

0 1 3 Sf6 11 15f16 212612730 34135 38 41142 45 47148 50 53154 57 59160 63 65166 70 80

fo 20 30 lo so I I I 60 70 80 90 99

NORMED ON DUI GROUP CN=984) * INPT/IOP NORMS (N=669) PERCENTILE

ASUDS-R SUMMARY PAOFll.£. SUPPLEMENTAL SCALES

Low I Low-medium I High-medium I High I I I RAW I DECILE RANK I

I I SCALE NAME SCORE 1 I 2 I 3 I 4 I 5 I 6 I 7 I 8 I 9 I 10 I I I I I I I I I

A.*BEHAVIORAL DISRUPT 0 1 l 2 314 5 16 7 Sf 9 101 11 12 113 14 151 16 171 18 19 120 21 24

B.*PSCHOPHYS DISRUPT 0 11 2 4 617 9 11112 14 15f16 17 19120 21 23124 25 26127 28 30f31 32 33134 35 40

C.*SOCIAL ROLE DISRUPT 0 ! 1 2! 3 4 I s 6 11 8 9 I 10 11 · I 12 13! 14 ! 15 I 16 I

D. SOCIAL NON-CONFORM 0 ! 1 ! 2 I 3 ! 4 I 5 l 6 l 7 s I 9 10 111 13 36 I I I I

E. LEGAL NON-CONFORM 0 I I I 1 I I 2 13 41 5 61 6 8 9110 14 48 I I I I I

F. SOCIAL-LEGAL 12 MO. 0 I I I 1 I 2 I 3 I 41 5 I 6 718 9 48 I I I I I I I

fo I :Ao 40 I I I I 1 20 so 60 70 80 90 99

* INPT/IOP NORMS (N=669) PERCENTILE

+AOD (ALCOHOL AND OTHER DRUGS)

Authors: Kenneth W. Wanberg and Davids. Timken Copyright Cc) 2008 K. W. Wanberg and D. Timken IL0807

15

ADULT SUBSTANCE USE AND DRIVING SURVEY - REVISED FOR ILLINOIS (ASUDS-RI) Authors: Kenneth W. Wanberg and David S. Timken

CLIENT INFORMATION Name: Teddy Trouble Assess Date: 10/02/2007 Arrest BAC: .149 DOB: 12/06/1986 Client ID: 0001 Failed Blood/Urine Test: No Age: 20 Evaluator: rjk Prior DWI/DUI Convictions: O Gender: Male Agency Name: DPC Prior DWI/DUI Education Hrs: o Ethnicity: Anglo-American White No. AOD OP Treatment Sessions: 8 Marital Status: Never married No. AOD Inpatient Days: 0

DRUG AND ALCOHOL USE HISTORY Drug category Times in lifetime Times last 12 Age Last Drug II Times in II Times last 12

months Use Category lifetime months

Alcohol Drunk More than 50 11-25 times I 20 Heroin II Never Used ~ Never Used times

Marijuana More than 50 26-50 times IEJ Other Opiate II Never Used I Never Used times

Cocaine I Never Used Never Used N/A I Sedatives Never Used Never Used

Amphetamines I Never Used Never Used N/A II Tranquilizers Never Used Never Used

Hallucinogen!r I One to 10 times II Never Used 18 II Qgarettes Upto a pack a day

Inhalants I Never Used II Never Used N/A II CRITICAL ITEMS

• Drove a few times when had too much to drink • Passed out often when drinking • Not recall what did when drinking twice • Blackouts 1-3 times • Physically violent 4-6 times • Passed out 1-3 times • Committed a crime 4-6 times • Charged with impaired driving 1-2 times • Arrested and charged with crime 1-2 times • Convicted of a crime 1-2 times • Violent behavior sometimes • Have problems sleeping a lot of the time • For sure, want to make changes in use of alcohol or other drugs • Most likely want to stop using or continue not to use alcohol

SUGGESTED SERVICE LEVEL BENEFITS OR GUIDEUNES Suggested Service Level Benefit

4 "Client could benefit from a basic alcohol-drug/ DUI risk education program plus an extended-enhanced alcohol/drug treatment program followed with an aftercare plan.

Age Last Use

N/A

N/A

N/A

N/A

II Weighted I

I~

ASSESSMENT SUMMARY

• Fairly open around driving risk behavior; may benefit from driving risk education • High level of past alcohol involvement with very strong indication of a past disruptive pattern of alcohol problems. • Low-moderate defensiveness quite open to self-disclosure. • Moderate to high levels of mood and psychological distress. Consider mental health assessment if collateral information supports this. • Moderate to high past AOD involvement based on drugs (drugs include alcohol} listed in the survey. • Reports very significant AOD involvement in last 12 months. • Past AOD negative outcomes or consequences to indicate past moderate disruptive effects and problems with possible Substance Abuse Disorder. • Indicates low to moderate history of social-legal non-conforming. • Indicates moderate to high motivation and desire for change and reluctant to get help for AOD problems. • Overall history of psychosocial and AOD problems and disruption is very high.

1. Alcohol Involvement: 25 2. Driving Risk: 9 3. AOD Involvement 1: 9

4. AOD Use Benefits: 17 5. AOD Disruption!: 34 6. AOD last 12 Months: 22 7. Mood Adjustment: 10

8. Social Legal Non-Conformity: 14 9. Global AOD Psychological: 67

10. Defensive: 15 11. Motivation: 13 12. Involvement2: 9 13. D1sruption2: 34

A. Behavioral Disruption: 11 B. Psychophysical Disruption: 16

C. Social Role Disruption: 7 D. Social Non-Conforming: 8 E. Legal Non-Conforming: 6 F. Social-Legal Non-Conform 12 Mon.: 4

*AOD = alcohol or other drugs

ASSESSMENT SCALES

Percentile

98 89 96 98 98 99 97 79 97 32

88 30 39

52 41

38 80 80 70

Decile Rank Low low Medium I High Medium

1 Z 3 4 5 6 7

1/i1:!!l~4!!\!IH'.:i#lll!l1i:~:l(l!!i~::: m: · :. ~;:•:: .1'.ri, Low I Low Medium I High Medium

Pmmntlle

Decile Rank Low Low MedilDll I High Medium

1 Z 3 4 5 6 7

))1/lj)!~'.ql\lllll~l]\;ili~\ [i!! 1~'.4P'.i\ '.'.(~;:;i·:'.~[1! ! )1-7d. Low I Low Medium I High Medium

Pe!mntile

High 8 9 10

so .so · High

High

8 9 10 l!O so

Information in the ASUDS-RI summary is based on the client's self-report. It is dependent on his or her ability to validly respond to the questions. It represents the individual's perception of self regarding alcohol and other drug use, driving attitudes and behaviors, concerns about self, relationship with the community, legal history, and willingness to be involved in the change process. This information should be used only in conjunction with information from all other sources when making referral, education or treatment recommendations. No one piece of infonnation from this or any other source should be used solely to make such decisions. When possible, it is helpful to engage the dient in a partnership when making referral and treatment recommendations and decisions. The final referral and treatment recommendations are always made by the evaluator.

,, ,:

ClientSignature:. __________________ Date: ______ _

Answer Sheet Questions are based on user entJy; 1 = A, 2 = B, 3 = C, 4 = D, 5 = E, 6 = F

1.3 I 2.3 I 3.2 I 4.4 I 5.4 I 6.2 I 7.4 I 8.2 I 9.3 I 10.3 I 11.3 I 12.3 I 13.2 I 14.2 I 15.2 I 16.1 I 11.2 I 18. 1 I 19. 1 I 20. 2 I 21.1 I 22. 2 I 23. 2 I 24. 4 I 25.1 I 26. s I 26a. 3 I 26b. 20 I 21. s I 27a. 4 I 27b. 20 I 28. 1 I 2aa. 1 I 28b. NIA I 29.1 I 29a.1 I 29b. NIA I 30. 2 I 3Da. 1 I 30b.18 I 31.1 I 31a.1 I 31b. NIA I 32. 1 I 32a.1 I 32b. NIA I 33. 1 I 33a. 1 I 33b. NIA I 34. 1 I 34a. 1 I 34b. NIA I 35. 1 I 35a. 1 I 35b. NIA I 36. 4 I 37. 4 I 38. 3 I 39. 2 I 40. 2 I 41. 1 I 42. 2 I 43. 2 I 44. 2 I 45. 2 I 45a. 1 I 46. 3 I 46a. 1 I 47. 4 I 47a. 2 I 48. 2 I 48a. 1 I 49. 1 I 49a. 1 I 50. s I 50a. 3 I 51. 1 I 51a. 1 I 52. 1 I 52a. 1 I 53. 1 I 53a. 1 I 54. 1 I 54a. 1 I 55. 1 I ssa. 1 I 56. 1 I 56a. 1 I 57. s I 57a. 3 I 58. s I 5Sa. 4 I 59. s I 59a. 3 I 60. 5 I 60a. s I 61. 2 I 61a. 1 I 62. s I s2a. 3 I 63. 3 I 63a. 2 I 64. 1 I 64a. 1 I 65. 2 I 66. 2 I 67.2 I 68.1 I 69.4 I 10.1 I 11.3 I 12.2 I 73.2 I 74.2 I 75.3 I 76.2 I 77.3 I 78.3 I 79.1 I 80.2 I 81.2 I 82. 1 I 83. 2 I 84. 2 I 85.1 I 86. 2 I 87. 2 I 88.1 I 89. 2 I 89a. 2 I 90. 2 I 90a. 2 I 91. 2 I 91a.1 I 92.1 I 92a.1 I 93. 2 I 93a.1 I 94.1 I 94a.1 I 95.2 I 95a.2 I 96.2 I 96a.2 I 97.1 I 97a.1 I 98.1 I 9Ba.1 I 99.1 I 99a.1 I 100.1 I 100a. 1 I 101. 1 I 101a 1 I 102. 1 I 102a. 1 I 103. 2 I 103a. 1 I 104. 1 I 104a. 1 I 105. 3 I 105a. 1 I 106. 1 I 1osa. 1 I 101. 4 I 108.3 I 109.2 I 110.2 I 111.4 I 112.3 I 113.2 I

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