Gans Jeremy, Falco Mathea, Schackman Bruce R, Winters Ken C
Drug Strategies, Washington, DC, USA.
J Child Adolesc Subst Abuse. 2010 Jan;19(1):33-47. doi: 10.1080/10678280903400578.
To examine the quality of screening and assessment practices at some of the most highly regarded adolescent substance use treatment programs in the United States. METHODS: Between March and September 2005, telephone surveys were administered to directors of highly regarded programs. Several different publications and databases were then used to measure the quality of the screening and assessment instruments described by programs. RESULTS: For the 120 programs responding, 77 distinctly named instruments developed by outside sources were used at some point in the screening and assessment process, and the majority of programs also used instruments developed in-house. Fewer than half of these instruments were mentioned in the Substance Use Screening & Assessment Instruments Database. We were able to confirm that 87% of the instruments developed by others have a published manual, and 74% have been described in an article appearing in a peer-reviewed publication. Sixty-two percent were designed to be used with adolescents or adults and adolescents, while 19% were designed for adults only. CONCLUSION: Although adolescent substance abuse treatment programs recognized the importance of screening and assessment, the quality of such practices varied significantly. A large number of different tools were used by some of the most highly regarded programs in the country, and many used questionnaires developed in-house that may not have had high standards of reliability and validity. Furthermore, numerous programs were using assessment instruments that were not uniquely designed for adolescents. Encouraging the adoption of standardized assessment practices would help those involved in treatment to evaluate programs and to understand the assessment process.
考察美国一些备受赞誉的青少年药物使用治疗项目的筛查和评估实践质量。方法：2005年3月至9月期间，对备受赞誉项目的负责人进行了电话调查。随后使用了几种不同的出版物和数据库来衡量各项目所描述的筛查和评估工具的质量。结果：对于回复的120个项目，在筛查和评估过程的某个阶段使用了77种由外部机构开发的、有明确名称的工具，并且大多数项目还使用了内部开发的工具。这些工具中在《药物使用筛查与评估工具数据库》中被提及的不到一半。我们能够确认，其他机构开发的工具中有87%有已发表的手册，74%在同行评审出版物上发表的文章中有所描述。62%的工具设计用于青少年或成人及青少年，而19%仅设计用于成人。结论：尽管青少年药物滥用治疗项目认识到筛查和评估的重要性，但此类实践的质量差异很大。该国一些备受赞誉的项目使用了大量不同的工具，许多项目使用了内部开发的问卷，这些问卷可能没有很高的信度和效度标准。此外，许多项目使用的评估工具并非专门为青少年设计。鼓励采用标准化评估实践将有助于参与治疗的人员评估项目并理解评估过程。
