Dr. Steve Weatherbee eCenter Research [email protected] Financial contribution from Avec le financement de
Jul 05, 2015
Dr. Steve WeatherbeeeCenter Research
Financial contribution fromAvec le financement de
Key System Benefits
Increase organizational efficiency
Target treatment to client needs
Monitor client progress
Improve care coordination
Monitor program effectiveness
Generate quarterly/annual reports
Increase Organizational Efficiency
Common system functions
Web based anytime access/any device
One source record for each client
Common client information
Consistent format of information
Customize to meet Centre data needs
Target Treatment to Client Needs
Standardized intake protocol
Validated multivariate assessment
Mental health and addiction combined
Culturally relevant (adaptation in progress)
Treatment Planning Tool (coming soon)
Monitor Client Progress
Follow up assessment
Progress monitoring reports
Case notes / Client files
Adapt treatment plan / review impact
After care monitoring
Improve Care Coordination
Common referral process
Electronic sharing of key information
Transfer/sharing of client records
Continuity of care (inpatient-outpatient-aftercare)
Early detection of relapse
Monitor Program Effectiveness
Aggregate client outcomes data
Real-time reporting
Advanced filtering
Guide improvement decisions
Generate Quarterly/Annual Reports
Real-time analytics
Instant report generation
Accommodate different funding sources
AMIS System Navigation
AMIS Design - Flexible
Support - HelpDesk
Menus - Tools
Tabs - Grids - Action buttons
Advanced Reporting – Filters
AMIS System Demo
Client records – demographics-settings
Assessments - Forms - Reports
Referral functions
Monitoring client progress
Reviewing program effectiveness
Location settings
Instant quarterly and annual reports
Drug Use Screening Inventory (DUSI-R)
STEP 1 STEP 2 STEP 3
DQS
SHORTFORM
DUSI-R
3 Minutes 7 Minutes 20 Minutes
TIME
RESOURCES MANAGEMENT
The DUSI-R Quick Screen (DQS)
• Three age-versions of the DUSI-R Quick Screen severity of substance use AND RELATED PROBLEMS during early, middle and late adolescence.
Two Indexes
• Substance Use Involvement Index and
• Problem severity Index
Substance Use Involvement Index
Problem Severity Index
DQS Instant Screening Results
Drug Use Screening Inventory (DUSI-R)
Basic Scales (problem severity 0 – 100%)
Substance Use Family System
Behavior Problems School Performance
Health Status Work Adjustment
Psychiatric Disturbance Peer Affiliation
Social Skills Leisure/Recreation
Drug Use Screening Inventory
Overall Problem Density Score 0-100%
+6 Ancillary Scales• Anxiety• Depression• ADHD• SUD• CD• Violence Proneness
DOMAIN 1ASubstance Topology
• Type of Substances
• Frequency
DOMAIN 1BSubstance Use Consequences
• Motivation (craving) (1)
• Tolerance (2)
• Loss of Control (3,16)
• Social Disruption (6,24)
– Legal
– Injury
– Emotion
• Dependence (12, 18)
DOMAIN 2Behavior Patterns
• Dysregulation (28,23,25,28,29,30,31)
• Social isolation (26,34,35)
• Interpersonal hypersensivity
– Anger (17,27)
– Aggression (19,20,27,32)
DOMAIN 3Health Status
Frequent health problems associated with
substance use and psychiatric disorder
• Disease (46,47)
•Injury (39)
•Illness (41,42,43,44,46,47)
•HIV Risk (45)
DOMAIN 4Mental Health Disorder
• Antisociality (49,50,51)
• ADHD (52,53,54,55)
• Affect (D&A) (56-64, 67)
• Paranoia (63-66)
• Mania (68)
DOMAIN 5Social Competence
• Relationship formation (71,72,73,77,82,83)
• Assertive (73,74,79)
• Help seeking (75)
• Refusal (76,80)
• Compliment acceptance (81)
DOMAIN 6Family System
• Substance use (55,86)
• Antisociality (87)
• Dyadic interactions quality (Dysfunction)
• Conflict (88,93)
• Cohesion (89)
• Engagement/investment (90,92,94,95,96,97)
• Boundaries/rules (91)
• Threats (98)
DOMAIN 7School Problems
• Likes school (100)
• Performance/grades (101,102,103,104)
• Compliance (103,106,108,112,118)
• Adjustment (110,111,119)
• Dropout risk (105)
• Perceived danger (113)
DOMAIN 8Work Adjustment
• Firing (122, 125, 128)
• Interpersonal Adjustment (121,124,127,129)
• Job seeking skills (125)
• Illegal Work (126)
DOMAIN 9Peer Relationships
• Peer drug use/dealing (132,133,139,140)
• Non-drug antisociality (134,136,138,141)
• Older friends (137)
• Gang (142)
• Adjustment problems (143,144,145)
DOMAIN 10Leisure and Recreation
• Active activities (147,151,158)
• Passive activities (149,152)
• Adult supervision (148,150)
• Boredom (153)
• Solitary activity (154,156)
Why use the DUSI-R?
1. Comprehensive
• 16 scales
2. Efficient
• 20 minutes to administer, and immediate automatic scoring
3. Pragmatic
• measures problems that can be resolved
4. Ranks Problems Severity on a Common Metric of 0-100%
• intervention can be tailored to the magnitude of each problem
5. Improves Staff Decision Making
• Treatment plan, monitor change, relapse prevention
Why use the DUSI-R?
6. Resources Management
• Informs resource needed for prevention and treatment
7. Outcomes Monitoring
• Tracking client’s progress
8. Program Evaluation
• Document magnitude of benefit and cost-effectiveness.
9. Client Motivation/Engagement
• Form partnership with client to catalyze empowerment
10. Brief, Short, and Full Versions are available
Prioritizing Intervention Modalities
Monitoring Patient Response to Tx
Patient Response to Tx
Tx Plan Adaptation –
Changing Needs/Priorities
Post–Treatment Gains Sustained,
Monitor Risk for Relapse
Population Profile – Multivariate
Needs
Population Profile – Substance Use
Population Profile –
Substance Use Reduction
Population Profile – Mental Health
Population Profile – Adverse
Outcomes
Population Profile – Reduction of
Likelihood of Disorder by age 19, 22
Population Profile – Reduction of Risk
for Adverse Outcomes
Through technology,
patient-centered clinical practice
and case management are
efficiently coordinated
by the DUSI-R
Publications
Tarter, R.E. (1990). Evaluation and treatment of adolescent substance abuse: A decision tree method. American Journal of Drug
and Alcohol Abuse, 16(1,2), 1-46.
Tarter, R., Laird, S., Kabene, M., Bukstein, O., Kaminer, Y. (1990). Drug abuse severity in adolescents is associated with magnitude of
deviation in temperament traits. British Journal of Addictions, 85, 1501-1504.
Tarter, R. & Hegedus, A.M. (1991). The Drug Use Screening Inventory: Its application in the evaluation and treatment of alcohol and
drug abuse. Alcohol Health and Research World, 15, 65-75.
Tarter, R., Laird, S., & Bukstein, O. (1991). Multivariate comparison of adolescent offspring of substance abuse parents: Community
and treatment samples. Journal of Substance Abuse, 3, 301-306
Tarter, R.E. (1991). Prevention of Drug Abuse: Theory and Application. The American Journal on Addictions, 1(1), 2-20.
Tarter, R., Moss, H., Arria, A., & Mezzich, A., Vanyukov, M. (1992). Psychiatric diagnosis of alcoholism: Critique and reformulation.
Alcoholism: Clinical and Experimental Research, 16, 106-116.
Mezzich, A., Tarter, R., Hsieh-Y-C, & Fuhrman, A. (1992). Substance abuse in female adolescents: Association between age of
menarche and chronological age. The American Journal on Addictions, 1, 217-221.
Tarter, R., Laird, S., Bukstein, O., & Kaminer, Y. (1992). Validation of the adolescent Drug Use Screening Inventory: Preliminary
Findings. Psychology of Addictive Behaviors, 6, 233-236.
Mezzich, A., Tarter, R., Kirisci, L., Clark, D., Bukstein, O., & Martin, C. (1993). Subtypes of early age onset alcoholism. Alcoholism:
Clinical and Experimental Research, 17, 767-770.
Tarter, R., Kirisci, L., Hegedus, A., Mezzich, A., & Vanyukov, M. (1994). Heterogeneity of adolescent alcoholism. Annals of the New
York Academy of Sciences, 708, 172-180.
Tarter, R. (1994). Rediscovering opportunities in the emerging health services environment. Journal of Clinical Psychology, 50,
111-113.
Tarter, R. (1994). Integrative approach for the evaluation & treatment of alcohol and drug abuse. In Directions of Rehabilitation
Counseling, Vol. 1, Lesson 1, Professional Achievement Services.
Mezzich, A., Tarter, R., Hsieh, H-C, & Moss, H. (1994). Platelet Monoamine Oxidase and temperament and personality in adolescent
female substance abusers. Personality and Individual Differences, 16, 417-424.
Tarter, R., & Vanyukov, M. (1994). Alcoholism: A developmental disorder. Journal of Consulting & Clinical Psychology, 62, 1096-
1107.
Tarter, R., Mezzich, A., Kirisci, L., & Kaczynksi, N. (1994). Reliability of the Drug Use Screening Inventory among adolescent
alcoholics. Journal of Adolescent Substance Abuse, 3, 25-36.
Kirisci, L., Tarter, R., Tse-Chi, H. (1994). Fitting a two-parameter logistic item response model to clarify the psychometric properties of
the drug use screening inventory for adolescent alcohol and drug abuse. Alcoholism: Clinical and Experimental Research, 18,
1335-1341.
Mezzich, A., Moss, H., Tarter, R., Wolfenstein, M., Hsieh, Y-C, & Mauss, R. (1994). Gender differences in the pattern and progression
of substance abuse in conduct disordered adolescents. American Journal on Addictions, 3, 289-295.
Tarter, R., Mezzich, A., Hsieh, Y-C, & parks, M. (1995). Cognitive capacities in female adolescent substance abusers: Association with
severity of drug abuse. Drug and Alcohol Dependence, 39, 15-21.
Mezzich, A., Tarter, R., Kirisci, L., Hsieh, Y-C., & Grimm, M. (1995). Coping capacity in female adolescent substance abusers.
Addictive Behaviors, 20, 181-185.
Tarter, R. (1995). Genetics and primary prevention of drug and alcohol abuse. The International Journal of Addictions, 30, 1479-
1484.
Tarter, R. (1995). Rationale and Method of Client-Treatment Matching. The Counselor.
Kirisci, L., Mezzich, A., Tarter, R. (1995). Norms and sensitivity of the Adolescent Version of the Drug Use Screening Inventory.
Addictive Behaviors, 20, 149-157.
Tarter, R., Mezzich, A., Hsieh, Y-C, & parks, M. (1995). Cognitive capacities in female adolescent substance abusers: Association with
severity of drug abuse. Drug and Alcohol Dependence, 39, 15-21.
Mezzich, A., Tarter, R., Kirisci, L., Hsieh, Y-C., & Grimm, M. (1995). Coping capacity in female adolescent substance abusers.
Addictive Behaviors, 20, 181-185.
Tarter, R. (1995). Genetics and primary prevention of drug and alcohol abuse. The International Journal of Addictions, 30, 1479-
1484.
Tarter, R. (1995). Rationale and Method of Client-Treatment Matching. The Counselor.
Tarter, R., Kirisci, L., & Mezzich, A. (1996). The Drug Use Screening Inventory: School Adjustment Correlates of Substance Abuse.
Measurement and Evaluation in Counseling and Development, 29, 25-34.
Nespor, K., Csemy, L., & Pernicova, H. (1996). Comprehensive school based prevention including peer programmes. Alkoholizmus a
Drogove Zavislosti (Protialkoholicky Obzor, 31, 13-21.
Tarter, R., & Kirisci, L. (1997). The Drug Use Screening Inventory for Adults: Psychometric Structure and Discriminative Sensitivity.
American Journal of Drug and Alcohol Abuse, 23, 207-219.
Tarter, R., & Kirisci, L. (1997). Multivariate typology of adolescents with alcohol use disorder. American Journal on Addictions, 6,
150-158.
Tarter, R., Kirisci, L., & Clark, D. (1997). Alcohol Use Disorder Among Adolescents: Impact of paternal alcoholism on drinking behavior,
drinking motivation and consequences. Alcoholism: Clinical and Experimental Research, 21, 171-178.
Moss, H., Bonicatto, S., Kirisci, L., Girardelli, A., & Murrelle, L. (1998). Substance abuse and associated psychosocial problems among
Argentina adolescents: sex heterogeneity and familial transmission. Drug and Alcohol Dependence, 52, 221-230.
De Micheli, D. & Formigoni, M. (2000). Screening of drug use in a teenage Brazilian sample using the Drug Use Screening Inventory
(DUSI). Addictive Behaviors, 25(5), 683-691.
Tarter, R., & Kirisci, L. (2001). Validity of the Drug Use Screening Inventory for predicting DSM-III-R substance use disorder. Journal
of Child and Adolescent Substance Abuse, 10, 45-53.
Tarter, R., Kirisci, L., Vanyukov, M., Cornelius, J., Pajer, K., Shoal, G., & Giancola, P. (2002). Predicting Adolescent Violence: Impact
of Family History, Substance Use, Psychiatric History, and Social Adjustment. American Journal of Psychiatry, 159, 1541-1547.
Andrade, L. (2002). Factors of Acculturative Stress as Predictors of Substance Use in Latino Youth. Unpublished Doctoral
Dissertation, Alliant International University, California School of Professional Psychology (Fresno Campus), Fresno, California.
De Micheli, D., & Formigoni, M. (2002). Are reasons for the first use of drugs and family circumstances predictors of future use
patterns? Addictive Behaviors, 27, 87-100.
De Micheli, D., & Formigoni, M. (2002). Psychometric properties of the Brazilian version of DUSI (Drug Use Screening Inventory).
Alcoholism: Clinical and Experimental Research, 26, 1523-1528.
Dolan, G. (2002). The Drug Use Screening Inventory – Revised (DUSI-R). It’s validity in a New Zealand Context. Dissertation for
Masters of Health Sciences, Auckland University, Auckland, New Zealand.
Vittetoe, K., Lopez, M.F. Delva, J., Wagner, F., & Anthony, J. (2002). Behavioral problems and tobacco use among adolescents in
Central American and the Dominican Republic. Rev Panam Salud Publica, 11(2), 76-82.
Aytaclar, S., Erkiram, M., Kirisci, L., & Tarter, R. (2003). Substance abuse and associated psychosocial risk factors among Turkish male
adolescents. Addictive Behaviors, 28, 1419-1429.
Siewert, E., Stallings, M., & Hewitt, J. (2003). Genetic and environmental analysis of behavioral risk factors for adolescent drug use in a
community twin sample. Twin Research, 6, 490-496.
Tarter, R., Kirisci, L., Mezzich, A., Cornelius, J., Pajer, K., Vanyukov, M., Gardner, W., & Clark, D. (2003). Neurobehavior disinhibition in
childhood predicts early age onset of substance use disorder. American Journal of Psychiatry, 160, 1078-1085.
De Micheli, D., Lucia, M., & Formigoni, O.S. (2004) Drug use by Brazilian students: Associations with family, psychosocial, health,
demographic and behavioral characteristics. Society for the Study of Addiction, 10.111, 1360-0443.
Obando, P., Kliewer, W., Murrelle, L., & Svikis, D. (2004). The comorbidity of substance abuse and depressive symptoms in Costa
Rican adolescents. Drug and Alcohol Dependence, 76, 37-44.
Siewert, S., Stallings, M., Hewitt, J. (2004). Factor structure and concurrent validity of the Drug Use Screening Inventory in a community
adolescent sample. Addictive Behaviors, 29, 627-638.
Tarter, R., Kirisci, L., Habeych, M., Reynolds, M., & Vanyukov, M. (2004). Neurobehavior disinhibition in childhood predisposes boys to
substance use disorder by young adulthood: direct and mediated etiologic pathways. Drug and Alcohol Dependence, 73, 121-132.
Kirisci, L., Vanyukov, M., & Tarter, R. (2005). Detection of youth at high risk for substance use disorder: A Longitudinal Study.
Psychology of Addictive Behaviors, 19, 243-252.
Tarter, R., Vanyukov, M., Kirisci, L., Reynolds, M., & Clark, D. (2006). Predictors of marijuana use in adolescents before and after licit
drug use. Examination of the gateway hypothesis. American Journal of Psychiatry, 163, 2134-2140.
Tarter, R., Kirisci, L., Feske, U., & Vanyukov, M. (2007). Modeling the pathways linking childhood hyperactivity and substance use
disorder in young adulthood. Psychology of Addictive Behaviors, 21, 266-271.
Kirisci, L., Tarter, R., Mezzich, A., & Reynolds, M. (2008). Screening current and future diagnosis of psychiatric disorder using the
revised Drug Use Screening Inventory. American Journal of Drug and Alcohol Abuse, 34, 653-665.
Kirisci, L., Tarter, R., & Reynolds, M. (2009). The Violence Proneness Scale predicts outcomes associated with substance abuse.
American Journal on Addictions, 18, 173-177
Fidalgo, T.M., Tarter, R., daSilveira, E.D., Kirisci, L., daSilveira, D.X. (2010). Validation of a short version of the revised Drug Use
Screening Inventory in a Brazillian sample of adolescents. American Journal of Addictions, 19, 364-367.
Kirisci, L., Reynolds, M., & Tarter, R. (2013). Quick screen to detect current substance use disorder in adolescents and likelihood of
disorder. Drug and Alcohol Dependence, 128, 116-122.