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 20892 9304 NIH Publication No. 03 3745 Revised 2003
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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
Contents Acknowledgments................................................ iii Abbreviations and Acronyms...................................... vii Introduction.............. xi John P. Allen Overview Assessment of Alcohol Problems: An Overview....................... 1 John P. Allen Quick-Reference Instrument Guide................................ 13 Screening Self-Report Screening for Alcohol Problems Among Adults............. 21 Gerard J. Connors and Robert J. Volk Biomarkers of Heavy Drinking.................................... 37 John P. Allen, Pekka Sillanaukee, Nuria Strid, and Raye Z. Litten Diagnosis Diagnosis..................................................... 55 Stephen A. Maisto, James R. McKay, and Stephen T. Tiffany Assessment of Drinking Behavior Alcohol Consumption Measures................................... 75 Linda C. Sobell and Mark B. Sobell Adolescent Assessment Assessment of Alcohol and Other Drug Use Behaviors Among Adolescents........................................ 101 Ken C. Winters Treatment Planning Assessment To Aid in the Treatment Planning Process................ 125 Dennis M. Donovan Treatment and Process Assessment Assessing Treatment and Treatment Processes....................... 189 John W. Finney Outcome Evaluation Applied Issues in Treatment Outcome Assessment................... 219 J. Scott Tonigan Appendix Fact Sheets and Sample Instruments............................... 235 Index of Instruments............................................. 667 v