Rapp L A, Dulmus C N, Wodarski J S, Feit M D
University of Nevada, Las Vegas, School of Social Work 89154, USA.
J Addict Dis. 1999;18(2):83-8. doi: 10.1300/J069v18n02_08.
In light of new welfare reforms, it is essential that public welfare workers move individuals from welfare to work in an expedient fashion. Client alcohol and/or drug use/abuse is one barrier that may inhibit this process. The following study (N = 93) administered both the Hudson Index of Alcohol Involvement, the Hudson Index of Drug Involvement (rapid assessment instruments) and the Miller Substance Abuse Subtly Screening Inventory (SASSI) to public welfare and Child Protection system clients. Results indicated that the two rapid assessment measures strongly correlated with the advanced, commonly used SASSI measure. It is suggested that public welfare workers should institute these rapid assessment instruments at intake to screen clients for alcohol and drug use/abuse. When indicated, the client could then be referred to the appropriate agency for further assessment and treatment, to better prepare them for employment as mandated by new welfare reforms. The rapid assessment instruments were found to be shorter than the SASSI, easily administered, and able to detect alcohol and/or drug use/abuse effectively and efficiently in these populations.
鉴于新的福利改革，公共福利工作者必须以权宜之计帮助个人从依赖福利转向工作。服务对象的酒精和/或药物使用/滥用是可能阻碍这一进程的一个障碍。以下研究（N = 93）对公共福利和儿童保护系统的服务对象同时进行了哈德森酒精参与指数、哈德森药物参与指数（快速评估工具）和米勒药物滥用细微筛查量表（SASSI）的测评。结果表明，这两项快速评估指标与先进的、常用的SASSI测评结果高度相关。建议公共福利工作者在接纳服务对象时采用这些快速评估工具，以筛查服务对象的酒精和药物使用/滥用情况。如有需要，可将服务对象转介至适当机构进行进一步评估和治疗，以便他们更好地为新福利改革所要求的就业做好准备。研究发现，快速评估工具比SASSI更简短，易于实施，并且能够在这些人群中有效且高效地检测出酒精和/或药物使用/滥用情况。
