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Is Clinical Assessment of Addiction Severity of Individuals with Substance UseDisorder, Using the Addiction Severity Index, A Predictor of Future InpatientMental Health Hospitalization? A Nine-Year Registry Study
Umeå University, Faculty of Social Sciences, Department of Social Work. Umeå University, Faculty of Social Sciences, Centre for Demographic and Ageing Research (CEDAR).ORCID iD: 0000-0001-8296-5313
Umeå University, Faculty of Social Sciences, Department of Psychology.
Umeå University, Faculty of Social Sciences, Department of Psychology.
Department for Knowledge-Based Policy of Social Services, National Board of Health and Welfare, Stockholm, Sweden.
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2018 (English)In: Journal of dual diagnosis, ISSN 1550-4263, Vol. 14, no 3, p. 187-191Article in journal (Refereed) Published
Abstract [en]

Objective: In Sweden, the Addiction Severity Index (ASI) is the Swedish National Board of Health and Welfare's recommended substance use disorder assessment tool and used routinely for patient intakes. Our study of 213 individuals assessed for substance use disorder with the ASI used nine years of the National Patient Register and examined whether clinical social workers' assessments of addiction severity at baseline were associated with later hospitalizations for mental health disorder (MHD). 

Methods: ASI composite scores and interviewer severity rating were used to measure clients' problems in seven areas (mental health, family and social relationships, employment, alcohol, drug use, health, and legal) at baseline. A stepwise regression method was used to assess the relative importance of ASI composite scores, MHD hospitalization two years prior to baseline, age, and gender for MHD hospitalization seven years post-baseline. 

Results: Almost two-thirds of the individuals (63%) were hospitalized at least once for MHD in the seven years post-baseline. At the multivariable level, MHD hospitalization prior to baseline was the strongest predictor of future MHD hospitalization, followed by ASI composite scores for drug use, employment, mental health and, last, male gender. Conclusions: A key finding is that higher ASI composite scores for drug use and mental health are predictors of future need for MHD treatment. Future studies will replicate this effort with a national population of individuals with substance use disorder.

Place, publisher, year, edition, pages
Taylor & Francis, 2018. Vol. 14, no 3, p. 187-191
Keywords [en]
Addiction Severity Index; substance use disorder; register-based study; mental health hospitalization; Sweden
National Category
Social Work
Identifiers
URN: urn:nbn:se:umu:diva-159482DOI: 10.1080/15504263.2018.1466086ISI: 000469842200006PubMedID: 29683791OAI: oai:DiVA.org:umu-159482DiVA, id: diva2:1318762
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2013-1749Forte, Swedish Research Council for Health, Working Life and Welfare, 2016–07213Available from: 2019-05-28 Created: 2019-05-28 Last updated: 2019-06-20Bibliographically approved

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Padyab, MojganArmelius, Bengt-ÅkeBlom, BjörnGröonlund, Ann-SofieLundgren, Lena

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Padyab, MojganArmelius, Bengt-ÅkeBlom, BjörnGröonlund, Ann-SofieLundgren, Lena
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