ASSESSING ALCOHOL PROBLEMS

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2 National Institute on Alcohol Abuse and Alcoholism ASSESSING ALCOHOL PROBLEMS A Guide for Clinicians and Researchers Second Edition Editors: John P. Allen, Ph.D. Veronica B. Wilson U.S. Department of Health and Human Services Public Health Service National Institutes of Health National Institute on Alcohol Abuse and Alcoholism 5635 Fischers Lane, MSC 9304 Bethesda, MD NIH Publication No Revised 2003

3 The material contained in this publication was provided by the chapter authors and does not necessarily represent the opinions, official policy, or position of the National Institute on Alcohol Abuse and Alcoholism (NIAAA) or any other part of the Department of Health and Human Services. COPYRIGHT STATUS NIAAA has obtained permission from the authors and/or copyright holders to reproduce all of the instruments appearing in this volume. Further reproduction of the instruments identified as copyrighted in the text is prohibited without specific permission of the copyright holders. Before reprinting, readers are advised to determine the copyright status of the instruments or to secure the permission of the authors and/or copyright holders. All other material in this volume is in the public domain and may be used or reproduced without permission from the Institute or the authors. Citation of the source is appreciated. The U.S. Government does not endorse or favor any specific commercial product or company. Trade, proprietary, or company names appearing in this publication are used only because they are considered essential in the context of the studies reported herein.

4 Acknowledgments The following panel members expended tremendous effort in reviewing and selecting instruments for inclusion, writing and critiquing chapters, and offering valuable advice on the form and content of the volume. The quality of the finished product reflects their professionalism, commitment, and energy. Panel Members Gerard J. Connors, Ph.D. Research Institute on Addictions University at Buffalo Buffalo, New York Dennis M. Donovan, Ph.D. Alcohol and Drug Abuse Institute, and Department of Psychiatry and Behavioral Sciences University of Washington Seattle, Washington John W. Finney, Ph.D. Center for Health Care Evaluation Department of Veterans Affairs and Stanford University Medical Center Palo Alto, California Stephen A. Maisto, Ph.D., ABPP (Clinical) Syracuse University Syracuse, New York Pekka Sillanaukee, Ph.D. Tampere University Hospital, Research Unit, and Tampere University, Medical School Tampere, Finland Linda C. Sobell, Ph.D., ABPP Nova Southeastern University Ft. Lauderdale, Florida Stephen T. Tiffany, Ph.D. Purdue University West Lafayette, Indiana J. Scott Tonigan, Ph.D. Center on Alcoholism, Substance Abuse and Addictions (CASAA) Albuquerque, New Mexico Robert J. Volk, Ph.D. Baylor College of Medicine Houston, Texas Ken C. Winters, Ph.D. Department of Psychiatry University of Minnesota Minneapolis, Minnesota NIAAA Staff John P. Allen, Ph.D., M.P.A. Scientific Consultant to NIAAA Raye Z. Litten, Ph.D. Chief, Treatment Research Branch Division of Clinical and Prevention Research Joanne B. Fertig, Ph.D. Psychologist Veronica B. Wilson Handbook Coordinator Octavia T. Weatherspoon Assistant Coordinator iii

5 Contents Acknowledgments iii Abbreviations and Acronyms vii Introduction xi John P. Allen Overview Assessment of Alcohol Problems: An Overview John P. Allen Quick-Reference Instrument Guide Screening Self-Report Screening for Alcohol Problems Among Adults Gerard J. Connors and Robert J. Volk Biomarkers of Heavy Drinking John P. Allen, Pekka Sillanaukee, Nuria Strid, and Raye Z. Litten Diagnosis Diagnosis Stephen A. Maisto, James R. McKay, and Stephen T. Tiffany Assessment of Drinking Behavior Alcohol Consumption Measures Linda C. Sobell and Mark B. Sobell Adolescent Assessment Assessment of Alcohol and Other Drug Use Behaviors Among Adolescents Ken C. Winters Treatment Planning Assessment To Aid in the Treatment Planning Process Dennis M. Donovan Treatment and Process Assessment Assessing Treatment and Treatment Processes John W. Finney Outcome Evaluation Applied Issues in Treatment Outcome Assessment J. Scott Tonigan Appendix Fact Sheets and Sample Instruments Index of Instruments v