Article
The fifth edition of the addiction severity index

https://doi.org/10.1016/0740-5472(92)90062-SGet rights and content

Abstract

The Addiction Severity Index (ASI) is 12 years old and has been revised to include a new section on family history of alcohol, drug, and psychiatric problems. New items were added in existing sections to assess route of drug administration; additional illegal activities; emotional, physical, and sexual abuse; quality of the recovery environment; and history of close personal relationships. No changes were made in the composite scoring to maintain comparability with previous editions. This article discusses the clinical and research uses of the ASI over the past 12 years, emphasizing some special circumstances that affect its administration. The article then describes the rationale for and description of the changes made in the ASI. The final section provides “normative data” on the composite scores and severity ratings for samples of opiate, alcohol, and cocaine abusers as well as drug abusing inmates, pregnant women, homeless men, and psychiatrically ill substance abusers.

Keywords

alcohol abuse
drug abuse
evaluation
treatment

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Supported by grants from the Department of Veterans Affairs and the National Institutes of Drug Abuse, Alcohol Abuse, and Alcoholism. We are grateful for the efforts of John Cacciola, Ian and Barbara Fureman, Gargi Parikh, Alicia Bragg, David Zanis, Jeff Griffith, Ray Incmikoski, and Louise Bridges in the development, refinement, and training of ASI interviewing procedures.

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