Cited by 450Substance Abuse Treatment and OutcomesOpioid Use Disorder TreatmentHomelessness and Social Issues

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The Addiction Severity Index at 25: Origins, contributions, and transitions

McLellan, A. Thomas, Cacciola, John C., Alterman, Arthur I., Rikoon, Samuel H., Carise, Carise·2006·The American Journal on Addictions

DOI 10.1080/10550490500528316

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Abstract

The Addiction Severity Index (ASI) is a multi-dimensional interview used to measure the substance use, health, and social problems of those with alcohol and other drug problems, both at admission to treatment and subsequently at follow-up contacts. This article first discusses the conceptual and practical importance of the ASI's multi-dimensional approach to measuring addiction severity, as illustrated by two case presentations. The second section of the paper reviews how this measurement approach has led to some important findings regarding the prediction and measurement of addiction treatment effectiveness. The third section describes the historical and practical considerations that have changed the instrument over time, details the problems with the instrument, and describes our efforts to correct those problems with the ASI-6. Finally, some recent ASI data collected from over 8,400 patients admitted to a nationally representative sample of U.S. addiction treatment programs are presented.

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Authors: McLellan, A. T., Cacciola, J. C., Alterman, A. I., Rikoon, S. H., & Carise, C.
Affiliations: Treatment Research Institute (US)
DeltaMetrics (United States) (US)
University of Pennsylvania (US)
Corresponding author: McLellan, A. Thomas
ORCID: Rikoon, Samuel H.
Venue: The American Journal on Addictions
Publisher: Wiley
Published: 2006-03-04
Volume: 15
Issue: 2
Pages: 113-124
ISSN: 1055-0496 (ISSN-L)
1521-0391
DOI: 10.1080/10550490500528316
OpenAlex: W2026646521
Cited by: 450
References: 78
Citations by year: 2026: 17 · 2025: 15 · 2024: 14 · 2023: 24 · 2022: 19 · 2021: 19 · 2020: 21 · 2019: 27 · 2018: 24 · 2017: 28 · 2016: 18 · 2015: 42 · 2014: 27 · 2013: 34 · 2012: 45
FWCI: 7.81
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 1447 d)
Locations: American Journal on Addictions (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Social Sciences › Sociology and Political Science › Homelessness and Social Issues
Keywords: Addiction Severity Index, alcohol and drug problems, addiction treatment effectiveness, substance use, treatment admissions, follow-up evaluation
MeSH terms: Adult, Alcoholism, Anxiety Disorders, Depressive Disorder, Female, Health Status, Humans, Interview, Psychological, Male, Opioid-Related Disorders, Pregnancy, Prognosis, Severity of Illness Index, Social Problems, Comorbidity, Crack Cocaine, Treatment Outcome, Diagnosis, Dual (Psychiatry), Substance-Related Disorders, Cocaine-Related Disorders

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