The Addiction Severity Index - Lite

(ASI-Lite)

Adapted from: McLellan, AT, Luborsky, L, Woody, GE, O'Brien CP (1980). An improved diagnostic evaluation instrument for substance abuse patients. The Addiction Severity Index. Journal of Nervous and Mental Disease, 168(1): 26-33.

ASI-LITE

I’m going to ask you some questions about your alcohol and other drug use and any problems you may have had in these areas. I would like to remind you that the information you give me is confidential, and will only be used for research purposes.

[Note: Give Response Card to participant]

For the following questions, the time frames will be for two different periods; for the past 30 days prior to treatment entry and in your lifetime. For lifetime use I am interested in the number of years that you used 3 or more times per week. [Instructions: For drug use grid, ask for the past 30 days first, then for lifetime. • In the past 30 days, how many days would you have used…(insert drug name) • In you lifetime, how many years would you have used …(insert drug name) • How have you most commonly used …(insert drug name) in the last 30 days? If a drug was never used (coded as “0/0”), the route of administration is coded as “9”]

PAST 30 DAYS

(Days) LIFETIME USE

(Years) *Route of

Administration

1. Alcohol - any use at all ___ /___ ___ /___ ____

2. Alcohol - to Intoxication ___ /___ No Answer Required

____

3. Heroin ___ /___ ___ /___ ____

4. Methadone (illicit) ___ /___ ___ /___ ____

5. Other opiates/analgesics ___ /___ ___ /___ ____

6. Barbiturates ___ /___ ___ /___ ____

7. Other sedatives, hypnotics, tranquillisers ___ /___ ___ /___ ____

8. Cocaine ___ /___ ___ /___ ____

9. Amphetamines ___ /___ ___ /___ ____

10. Cannabis ___ /___ ___ /___ ____

11. Hallucinogens ___ /___ ___ /___ ____

12. Inhalants ___ /___ ___ /___ ____

13. More than one substance per day (include alcohol) ___ /___ ___ /___ No Answer * Route of Administration: 1=Oral, 2=Nasal, 3=Smoking, 4=Non IV injection., 5=IV injection., 9=Never Used

Response Card

ASI-Lite

Alcohol – any use at all Alcohol – to intoxication Heroin Methadone (illicit) Other Opiates/analgesics Barbiturates Other sedatives, hypnotics, tranquillizers Cocaine Amphetamines Cannabis Hallucinogens Inhalants More than one substance per day (include alcohol)