Preview

Deliberate Self-Harm Inventory (ASI)

Good Essays
Open Document
Open Document
1601 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Deliberate Self-Harm Inventory (ASI)
PSYU 511 Mental Health and Substance Use Assessments: the DHSI and the ASI
The Deliberate Self-Harm Inventory (DSHI)
The rising prevalence of reports of individuals who have self-harmed, and the lack of an agreed-upon definition of what constitutes self-harm, led to the creation of the DHSI, or the Deliberate Self-Harm Inventory (Gratz, n.d.). The inventory does not include suicide attempts. drug usage, ingestion of objects and/or substances, or risky behaviors such as reckless driving. What this inventory considers self-harm is operationally defined as “the deliberate, direct destruction or alteration of body tissue without conscious suicidal intent, but resulting in injury severe enough for tissue damage (e.g., scarring) to occur” (Gratz,
…show more content…
This data provides basic diagnostic information in relation to the client before, during, and after treatment for substance use issues, and as a way to assess change in client status and treatment outcome (Grissom & Bragg, 1991); provides data on recent and lifetime problems in the seven areas, and provides an overview of substance use issues, rather than focusing on any single area in the client’s life (Allen, et al., 2003). Although it has been used with the mentally ill, pregnant, prisoner, gambler, and homeless populations its main use is for adults in substance use treatment …show more content…
Limitations of the ASI are that it drops in reliability when administered beyond the face-to-face method, the ASI-MV assumes that the respondent has a predetermined reading comprehension level, the wording around having issues in families is vague and alludes to it not being normal to have family conflicts, and it has poor use with older populations of addicts who have cognitive impairments (Allen, et al.,

You May Also Find These Documents Helpful

  • Good Essays

    This involves using assessment instruments to document: diagnosis, severity or addiction, and motivation and rehabilitation potential (Perkinson, 2012, p. 12) to see if third-party payers will pay for the client’s treatment. The Substance Abuse Subtle Screening Inventory (SASSI) screens client who may be defensive or in denial and measure “defensiveness and the subtle attribute that are common in chemically dependent persons” (Perkinson, 2012, p. 12). The Addiction Severity Index (ASI) and the Ten-Addiction Severity Index (T-ASI) are also widely used, and structured interviews for adults and teen are designed to provide important information about the severity of the client’s substance abuse problem that includes: “legal status, family history, family/social relationships, and psychiatric status” (Perkinson, 2012, p. 13). It is imperative that the professional discuss the ASAM client placement criteria to negotiate the best treatment plan possible to bring the addiction under…

    • 849 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    Irfc Treatment Plan

    • 470 Words
    • 2 Pages

    * Indirect treatment planr addressed the identified substance abuse disorder(s) as well as issues relating to treatment progress.…

    • 470 Words
    • 2 Pages
    Satisfactory Essays
  • Better Essays

    There are several treatment modalities available for individuals with substance abuse disorder. It’s wonderful that there are so many options to support people with substance abuse issues (SUD). The road to recovery is so long for most people and finding the most suitable treatment program can be greatly beneficial to the client. On the other hand, starting a treatment program that is not the best fit can be very detrimental to the person’s road to recovery. One of the roles of the clinician is to identify with the client which treatment option is best for them. I will highlight what this process looks like and discuss in detail one specific…

    • 1166 Words
    • 5 Pages
    Better Essays
  • Good Essays

    Suicide-related forensic assessment procedures are an important component of a forensic professional’s responsibilities in a correctional setting due to the excessively high occurrence of prison suicide as associated to the general population. Suicide is a major cause of death among prisoners and the assessment of suicide risk should not be viewed as a single opportunity at intake but rather an ongoing process (Weiner & Otto, 2013). An inmate can become suicidal at any point during their confinement therefore suicide-related forensic assessment procedures should begin at the point of transfer to the correctional facility and continue until the offender is released from custody. When conducting suicide-related forensic assessments there are…

    • 385 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    U.S. Department of Health and Human Services, National Institute of Health, National Institute of Mental Health. (2010). Suicide in the U.S.: Statistics and prevention. (NIH Publication No. 06-4594). Retrieved from http://www.nimh.nih.gov/health/publications/suicide.…

    • 2495 Words
    • 72 Pages
    Powerful Essays
  • Good Essays

    Interview with a Csw

    • 759 Words
    • 4 Pages

    Interviewee: As a MSW and substance abuse counselor I use two types of forms. The first form I use is a Alcohol and Drug Abuse Assessment Form (ADAA). Once the client has completed the ADAA they are given one of two tests, The Drug Abuse Screening Test (DAST) or the SASSI-3. The purpose of the DAST is 1) to provide a brief, simple, practical, but valid method for identifying individuals who are abusing psychoactive drugs; and 2) to yield a quantitative index score of the degree of…

    • 759 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    Center for Substance Abuse Treatment. Substance Abuse Treatment for Persons with Co-occurring Disorders. Rockville (MD); Substance Abuse and Mental Health Services Administration (US); 2005 (Treatment Improvement Protocol (TIP) Series, No.42.) Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK64182/ Flowers A, Heflinger Craig “Dual Recovery, Self-Help Support, 2014.…

    • 371 Words
    • 2 Pages
    Satisfactory Essays
  • Better Essays

    Personality disorders affect 10-15% of the adult US population. A personality disorder is a very rigid pattern of inner experience and outward behavior. According to SAMHSA over 8.9 million persons have co-occurring disorders; that is that they have both mental and substance use disorders. Only 7.4% receive treatment and 55.8% receive no treatment at all. The National Survey on Drug use and Health states that there were 45.1 million adults within the past year suffering from mental illness, and 20 .8 million suffering from Substance use Disorder (SUD).…

    • 1715 Words
    • 7 Pages
    Better Essays
  • Powerful Essays

    Health promotion plan

    • 2283 Words
    • 7 Pages

    Suicide is defined by the World Health Organization as the act of deliberately killing oneself. It affects individuals most frequently among those aged 15-44 years. Risk factors include undiagnosed and untreated depression, alcohol or substance abuse, family history, previous suicide attempt. Another major risk factor psychologists have recognised for some time that a person's occupation shows a significant role. Suicide rates have tended to be remarkably high in professions that provide easy access to lethal drugs and poisons among medical practitioners, guns or open water, such as in military, farming and maritime careers.…

    • 2283 Words
    • 7 Pages
    Powerful Essays
  • Better Essays

    Stevens, P. & Smith, R. L. (2013). Substance Abuse Counseling: Theory and Practice, Fifth Edition. United States: Pearson Education Inc. Retrieved From:…

    • 1060 Words
    • 5 Pages
    Better Essays
  • Satisfactory Essays

    This article starts off by explaining how Cutting is a non-suicidal self-injury (NSSI). While the intent behind self harm isn’t suicide, it can often lead to death. It states that approximately four percent of the world’s population suffer from self harm and nearly fourteen percent of adolescence are affected by it. It makes four categories as to why someone would want to inflict pain upon themselves, to reduce negative emotions, to overpower emotions, to avoid social events, or to receive attention from peers.…

    • 214 Words
    • 1 Page
    Satisfactory Essays
  • Powerful Essays

    Asi Questions

    • 2768 Words
    • 12 Pages

    COMMONLY ASKED QUESTIONS ABOUT THE ASI The Interview Format - Does It Have to be an Interview? This is perhaps the most often asked question regarding the ASI. In the search for faster and easier methods of collecting data many clinicians and researchers have asked for a self-administered (either by computer or paper and pencil) version of the instrument. We have not sanctioned the use of a self-administered version for several reasons. First, we have tested the reliability and validity of the severity ratings by having raters use just the information that has been collected on the form - without the interview. This has resulted in very poor estimates of problem severity and essentially no concurrent reliability. Second, we have been sensitive to problems of illiteracy among segments of the substance abusing population. Even among the literate there are problems of attention, interest and comprehension that are especially relevant to this population. Finally, since the instrument is often used as part of the initial clinical evaluation, it has been our philosophy that it is important to have interpersonal contact for at least one part of that initial evaluation. We see this as simply being polite and supportive to a patient with problems. We have seen no convincing demonstration that the interview format produces worse (less reliable or valid) information than other methods of administration and we have found that particularly among some segments of the substance abusing population (eg. the psychiatrically ill, elderly, confused and physically sick) the interview format may be the only viable method for insuring understanding of the questions asked. Particularly in the clinical situation, the general demeanor or "feel" of a patient is poorly captured without person-to-person contact and this can be an important additional source of information for clinical staff. There are of course many useful, valid and reliable self-administered instruments appropriate for the…

    • 2768 Words
    • 12 Pages
    Powerful Essays
  • Good Essays

    Substance Abused Disorder

    • 9645 Words
    • 39 Pages

    References: Additional information on additions is located at the following Web sites: • http://www.samhsa.gov/index.aspx • http://www.ccsa.ca/ccsa • http://www.well.com/user/woa Additional information on self-help organizations is located at the following Web sites: • http://www.ca.org (Cocaine Anonymous) • http://www.aa.org (Alcoholics Anonymous) • http://www.na.org (Narcotics Anonymous) • http://www.al-anon.org Additional information about medications for treatment of alcohol and drug dependence is located at the following Web sites: • http://www.fadavis.com/townsend • http://www.nlm.nih.gov/medlineplus/ • http://www.nimh.nih.gov/publicat/medicate.cfm…

    • 9645 Words
    • 39 Pages
    Good Essays
  • Good Essays

    Self Harm

    • 334 Words
    • 2 Pages

    It can often be difficult to ask for help when you need it. Pride and ego can always play a key role as to why we don't ask for help. Many different individuals struggle with completely diverse things.for example some common issues include family deaths, financial problems, depression, and self harm-self hate. These are just a few. The upseting truth is that hundreds of thousands of americans struggle with these everyday realities almost their entire lives. Self hate-self harm is a serious problem. Self harm can be traced back to many things; most common are bullying, jealousy, lack of self worth or self confidence. The main cause is feeling as if your not good enough. Self harm is expressed in many ways including cutting of the skin, starvation,…

    • 334 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Non-Suicidal self-injury (NSSI) refers to “a variety of behaviors in which an individual intentionally inflicts harm to his or her body for purposes not socially recognized or sanctioned and without suicidal intent” (Whitlock, 2010). It includes actions such as the intentional cutting, scratching, burning, punching, and embedding of objects under the skin. Self-injury is often used as a coping method for extreme emotions, or when experiencing emotional numbness . As a result, self-injury is most common in people who are highly sensitive to emotion and experience difficulty when handling negative feelings (Whitlock, 2010). Because of the immense amount of stigma surrounding mental health issues today, the idea of injuring oneself as a coping…

    • 849 Words
    • 4 Pages
    Good Essays