McLellan A Thomas, Cacciola John C, Alterman Arthur I, Rikoon Samuel H, Carise Deni
The Treatment Research Institute, Philadelphia, Pennsylvania, USA.
Am J Addict. 2006 Mar-Apr;15(2):113-24. doi: 10.1080/10550490500528316.
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.
成瘾严重程度指数（ASI）是一种多维度访谈工具，用于测量有酒精和其他药物问题者在入院接受治疗时以及随后随访时的物质使用、健康和社会问题。本文首先通过两个案例展示讨论了ASI多维度方法在测量成瘾严重程度方面的概念和实际重要性。论文的第二部分回顾了这种测量方法如何得出一些关于成瘾治疗效果预测和测量的重要发现。第三部分描述了随着时间推移改变该工具的历史和实际考量因素，详述了该工具存在的问题，并介绍了我们为用ASI - 6纠正这些问题所做的努力。最后，展示了从美国具有全国代表性的成瘾治疗项目样本中收治的8400多名患者收集到的一些最新ASI数据。
