Download - APD SUD by Rand L. Kannenberg
Antisocial Personality Disorder/Substance Use Disorder Screening™
Referrals to APD, SUD or Resocial Group™/Other Co-occurring Cognitive Behavioral Treatment
© 1999-2002 Rand L. Kannenberg, M.A., LAC, CCS, CCM All rights
reserved. Criminal Justice Addiction Services Lakewood, CO [email protected] (303) 232-0767
APD/SUD Screening™
Page 15.
Part 1: Antisocial Personality Disorder¹ (APD) Screening(All 4 blanks must be checked to meet APD screening criteria)
_____Before the age of 15 years, at least 3 of the following are indicated
(circle the 3 or more that apply):
aggression to people or animalsdestruction of propertydeceitfulness or theft
serious violations of rules or laws
_____Is at least 18 years-old currently.
_____Since the age of 15 years, at least 3 of the following are indicated(circle the 3 or more that apply):
repeatedly performs acts that are grounds for arrest
repeatedly lies, uses aliases or cons others for personal profit or pleasurerepeatedly fails to plan ahead
repeatedly involved in physical fights or assaultsrepeatedly unsafe or dangerous with self or others
repeatedly fails to sustain consistent work behavior or honor financial obligations(and/or to maintain an enduring attachment to a spouse or romantic partner
and/or to be a responsible parent)repeatedly indifferent to or rationalizing having hurt, mistreated, or stolen from another
_____The 3 or more indicators seen above do not occur exclusively during the course of Schizophrenia or a Manic Episode.
Part 2: Substance Use Disorder¹ (SUD) Screening(At least 1 blank must be checked to meet SUD screening criteria)
_____Past or present, at least 3 of the following are indicated
(circle the 3 or more that apply):
increased tolerance withdrawal
increased quantity or durationpersistent desire or inability to decrease or discontinue use
increased time to obtain or recoversocial/occupational/recreational impairment
continued use despite awareness of related physical or psychological problems
_____Past or present, at least 1 of the following are indicated(circle the 1 or more that apply):
recurrent use resulting in social/occupational/educational problems
recurrent use in physically hazardous situations recurrent substance-related legal problems
continued use despite awareness of related social or interpersonal problems
Part 3: Referral(Circle 1 appropriate disposition)
A. Refer to cognitive behavioral treatment that deals with
pervasive pattern of disregarding and violating the rights of others
if only APD screening criteria are met.
OR
B. Refer to cognitive behavioral treatment that deals with substance abuse or substance dependence
if only SUD screening criteria are met.
OR
C. Refer to RESOCIAL GROUP™ or other cognitive behavioral treatment that deals with co-occurrence of pervasive
pattern of disregarding and violating the rights of others and substance abuse or substance dependence if both APD
and SUD screening criteria are met.